distemper which may cause a Feaver in tender bodies or an Inflamation or Erysipelas of divers forts according to the variety of the Flux if it enflame it begets a Feaver in which the inflamed blood somtimes falling out of the vessels as hereafter we shal shew may renew the old or cause new inflammations These feavers are simple and pure not putrid and as the heat of the Disease is they increase or abate and end before it be quite over except there be a suppuration or a new pain or putrefaction These symptomatical feavers are in divers hot Diseases of the Bowels Membranes and other parts And the more vehement or long as the Disease is neerer to the Heart and the parts adjacent or great Veins or as the heat is greater or the body by nature more hot as in Infants who have a Feaver many times only by the breeding of Teeth They are milder and shorter when they are from the fountain of heat or outwardly in these there is little heat but horror and somtimes not that The Cholerick humor being most hot A cholerick disease is the cause of the symptomatical Feaver of the Ephemera or Synochus seldom causeth these kind of feavers But when it is not in its proper place where it doth no hurt nor mixed with the blood nor qualified with the Whey which so tempereth it that it cannot produce a feaver as we observe in the Jaundies but separated into sensible parts the Stomach and Guts and gets into their substance causing Erysipelas about the Belly the fever Lipyria in which the inward parts burn with intollerable heat and pain as Aetius observes about those parts and great thirst except it be cast forth by nature it fires all the parts adjacent with the blood and Spirits and causeth small feavers which follow such Diseases These we often see in the disease of Choller when it is vomited and purged and in the Dysentery and in the Colick coming from Choller and Erysipelas in the Guts as we shal shew And they cannot be great feavers because their cause is far from the Heart and lodgeth about the Meseraick Veins If Blood inflamed from the causes aforesaid Some Blood inflamed sent out of the vessels into other parts causeth a Synoch primary accompanied get out of the great vessels into any part internal or external and inflame the heart and cause a Feaver as it usually doth by its plenty heat or thinness or impurity either at the beginning of a Feaver or after by the force of Nature as in the Crisis of these Feavers we may see by their bleeding at the Nose Then it causeth a new disease in the part where it comes and a Feaver which is accompanied therewith but not symptomatical because it follows not the Disease but goes before it as I shal shew And these observe not the course of other simple Feavers but being increased or abated by the accidents of the Disease they are longer or shorter greater or less And when nature hath sent a good quantity of burning blood from the Veins thy are not so hot nor so thirsty nor ful of Head-ach as in solitary Feavers And this chiefly when the blood flows into the bowels or superficies of the body Sometimes this flux of blood in Feavers is into the Bowels capable thereof The effusion of inflamed blood into the inward pars is the cause of Synochus accompanied with Inflammation of the Bowels especially such as are most fleshy and bloody and ful of Veins joyning to the great Veins and neer to the Heart and chiefly into the Lungs which it inflameth and causeth a Peripneumonia and somtimes Pleurisie as shal be said These Inflammations go not before the Feavers because the Feavers shew themselves before there is a pricking pain or signs of Inflammation with horror and heat following and sometimes go some hours afore Nor are they caused by those inflammations but as they were first raised from Feavers and increased by a new heat in some part neer the Heart which shews that the Feaver did not there first begin and that is not putrid as others thought because the heat rais'd from the Inflammation increaseth the feaver rather by its quantity then filthy quality Nor doth it acquire or get any putrefaction from the inflammation especially when it first comes except the blood suppurate and then as Hyppocrates saith it is increased But we suppose this may be rather from the pain that is then increased and not a new putrid feaver from a putrid exhalation because it presently ceaseth Except this happen from an Ulcer that follows these inflammations as when a Pleurisie or Peripneumony turns into Phthisis the feaver being turned into a putrid symptomatical Hectick or from blood which is putrified and sent out of the Veins as I shal shew in putrid feavers These happen as in the Lungs from the situation and for to receive the flux So may inflammations which follow these feavers and increase them be from blood in a Synoch sent into the Liver or Spleen because they are boody parts and have large vessels These feavers in all the said inflammations of bowels are longer than other solitary Synochs in respect of the Disease accompanying them And they vary as the inflammations are true as Phlegmons from whence some are called Phlegmonodes Or Erysipelas wherein the feaver is more sharp called Typhodeis though this name be proper to the feaver in the Erysipelas of the Liver As the feavers from the Erysipelas of the Lungs are called Crymodes The same may come from blood sent into the brain in feavers which hath large cavities and is easily filled And then an inflammation of the Brain is joyned with the fearver which turns suddenly with doting into a Pleurisie with a pain of the Head which went before and caused blood to come thither and makes the feaver more dangerous and violent This may be also in the Stomach Guts Womb Bladder when the blood is sent thither in feavers But when another way which leads into the fleshy parts being membranous have only meseraick veins or are far from the great vessels and the Heart it comes to pass that when these parts are inflamed by pain which comes quickly to such sensible parts that the feavers rather follow the Inflammation than go before them and are as is said symptomatical As that inflammation which is in fleshy parts which are not so sensible of pain comes from the feavers and is a symptom of them These Feavers send blood from the veins into other internal parts Inflamed blood sent into the habit of the body causeth a Synoch these inflammations are red and painful as in the muscles of the Neck and Glandules and maketh inflammations in the mouth Tongue and Jaws and Quinsie And though they begin not from feavers but other causes yet when a feaver comes they increase Somtimes these feavers go before pains and swellings of the Gout when Nature by them drives blood
of thick blood in the Mesaracauseth an intermitting quartan or sextan exquisite or Nothus as the mater is pure or impure because it is longer corrupting it requires a longer time to get to the Heart to make a fever therefore the fit is not til the fourth day and it is called a Quartan This comes sooner or later is exquisite or bastard hath a shorter or longer course for the same cause that a Tertian from which in heat and other accidents it is much different only by reason of thickness of the humor it is longer and worse to be abated And if the matter grow so tough that it corrupteth not under five or six daies to send up vapors that cause a feaver then these feavers which are rare are called quintans or sextans These vary according to the place as the matter is in one or divers places If in the same it putrifie the feaver is a simple-tertian or quartan exquisite or Nothus in respect of the matter If in divers places it wil be either in the Mesaraicks only or also in the branches of the hollow vein If Choller corrupt in the Meseraicks only not in one but two or three places about the Liver The cause of a double tertian or triple quartan or confused is when thin blood putrifieth in one place and thick in another place of the Mesaraicks Spleen Mesentery or Caul the feaver is double or treble and one ceasing another follows the the next day or the same Hence it is that Quotidians are not as some talk from flegm though they cannot prove it for they are double tertians or treble quartans which have every day a fit or more for I observed in a double bastard tertian two fits in a day and three in twenty four hours And to these may the double quartanes which come two daies and intermit one be referd and as these are when Choller of the same nature corrupts in divers places And when the Choller is divers in divers places as thick in one thin in another there are Tertians mixed confusedly with Quartans divers daies These are known by their symptoms If blood corrupt not only in the Mesaraicks but Branches of the hollow Vein Asemi tertian is caused by corrnption of blood in the Mesaraicks and vessels continued to the Heart at the same time then there is a continual with an intermitting feaver called a semi tertian where in respect of the diversity of the matter tertians or quartans single or double bastard or legitimate are joyned with a continual feaver that either hath no fits or upon certain daies Hence it is that the feaver is alwaies either with sharpness from the continual or fits from the tertian The antecedent cause of this corruption in the humors of the Meseraicks which causeth fevers is either efficient or adjuvant The efficient is meat and drink by which hot sharp chollerick or burnt juvce is bred in the stomach or first passages This being long gathered nor wel separated from the blood but in the Mesaraicks or another place or divers when it corrupteth it causeth feavers agreeable to its humor shorter or longer or otherwise differing This juyce comes from food that hath such in it self or gets it by corruption These have sharp chollerick juyce Onions Garlick Leeks Rotten Cheese and like naturally By corruption these turn into such juyce especially in hot stomachs Sweet things which easily turn into choler and fat Raw fruits by eating whereof in Autumn come Dysenteries or bloody fluxes from choller and also quartans Also other moist meats as Eggs and Milk which nourish much by corruption turn into sharpest choller of which this filth proceeding if it be not purged it is carried into the Veins and gets feavers though the vulgar impute them to other causes The cause adjuvant is the disposition of body in respect of constitution or season They who are hot and chollerick are soonest taken and they of middle age and Infants by intemperance and have the matter from the Womb like black chollerick blood and bring these feavers into the world with them Somtimes they suck them from their Nurse as March 27. 1640. I had a Son born in the seventh month when the Mother had the third fit of a bastard tertian which had at first the feaver at the same time with the Mother and two sits after it had sucked and in the third with some light Couvulsions it departed being not fourteen daies old Sometimes old men have them but they are seldom The hottest time of the yeer and when the diet is worst is the time to get Agues in Autum tertians and quartans are usual by reason of the Summer Diet in Spring and Summer Tertians are frequent Putrefaction out of the Veins and Arteries causeth feavers Corruption out of the Vessels is the cause of gentle symptomatical Feavers when it sends evil vapors or corruption to the Heart and afflicteth it with a stinking heat hence come symptomatical feavers which follow a disease caused by this cortuption These are gentle and unequal because the matter out of the vessels cannot send to the Heart so much as when it is in the vessels nor keep that order these are quicker or slower to the tast as the matter is either in a Natural or Pretertatural humor or a Natural or preternatural body or part thereof When a few humors contained out of the vessels corrupt without the putrefaction of the parts containining they cause putied feavers Corruption of some humors out of the vessels causeth gentle symptomatical Feavers Some say all humors whether hot or moist being corrupted out of the vessels wil cause it but this we shal examin These are hot viz. natural blood falling out of the Veins and divers cholerick excrements These are moist the waterish and flegmatick humor If blood flow from the veins into any part and cause inflammation it causeth only a pure symptomatical fever and not a putrid though it corrupt except the part corrupt also But if blood coming from veins open or broken congeal and by continuance corrupt especially in great quantity and in a place neer the Heart as in the breast and Lungs then putrid but gentle Fevers follow these Affects or Diseases but seldom when it is in the stomach or Guts because it cannot stay long there or in the Reins or Bladder because the Urine washeth it away If either that Choler which comes from the Mesaraicks into the Gall or Spleen to be purged as they say or that which breeds in the stomach of things eaten either corrupt in its own place or in another some think it begets putrid Fevers if yellow Tertians if black quartans exquisite or Nothus as it is pure or mixed But we not observing any such black Choler in the substance of the Spleen and perceiving no Gall or Bladder to receive it as there is for the yellow Choler in the Liver and knowing that the use of the Spleen is more excellent
be that kind of Plurisie which we called peculiarly the Pleurisie of the girding Membrane In which if there be great Inflammation there must be pain increased from the pressing the breast and it wil extend it self outwarly because the Inflammation cannot be conteined in the thin Membrane or Periostia but must reach to the muscles joyned thereunto and so may be felt outwardly because the Breast is not so thick as we have known in the Inflammation of the Peritonaeum And in this kind If the Inflamation suppurate the Imposthume wil rather be outwaad then inward and there open But if it break inwardly the matter gets into the cavity of the Breast rather then into the Lungs because it cannot be carried so quickly unto them and pierce through them But as these Arguments prove that this may be so so it is probable that if the girding Membrane be ininflamed together with the Lungs and from them that that Inflammation in the Membrane wil be discussed rather then suppurated because the great quantity of Blood in the Lungs at that time cannot easily be in so thin a Membrane or if it could be it would rather be carried outward as we shewed and fil those muscles and there come to suppuration And hence it is that after a true Pleurisie though the girding Membrane be also inflamed and nothing appear outward yet an Empyema seldome followeth And this is like to be also when the dividing or intercepting Membrane is inflamed with the Lungs in which as being a different disease especially when the Inflammation reacheth to the Capsula of the Heart and Diaphragma there are grevious symptomes that seize upon the mind and endanger the life These Inflammations both in a Peripneumony and true Pleurisie being in any part of the Lungs or elswhere come from Blood with which the Lungs abounding by reason of the many great vessels and being hotter by reason of the Arteries and the nearness of the Heart it is easily inflamed And the Inflammations of the Lungs are more usual then of any other part This Inflammation comes from Blood as others when it is got into the substance of the Lungs out of its vessels which are the Arterial Veins and Venal Arterie and not into the branches of the rough Arterie for otherwise there would be a spitting of Blood this Blood therefore fils the Lungs and lifts them up causeth Heaviness and Compression and streightness of the Breast and inflames the Heart more that before commonly had a Feaver And by the Cough which it causeth when it is sent into the branches of the rough Arterie it makes the Spittle sometimes mattery and after bloody at length this Blood being ripened and concocted or suppurated is coughed up til it be all spent The substance of the Lungs being unhurt for if they be ulcerated a Phthisis would follow As we have seen often Blood alone and other humors turnd into Matter the substance of the part not being suppurated or ulcerated both in the eyes and other parts and in other Excretions made from the Lungs by other means Also it may chance that from Inflammation of the Lungs the Blood may fall upon the near side upon the girding Membrane and inflame it but not usualy because the Vessels are smal and few and the vein to which the fault is laid called Azygos is only on the right side and the Pleurisie is often on the left As from the Inflammation of the Lungs in a true Pleurisie when the sides are attracted and the girding Membrane pulled aside there may be a pricking Hence it is that Pleurisies are more usual then the peripneumonyes because the inside only of the Lungs are not so often inflamed as it is in a peripneumony but the Inflammation reacheth outward to the side adjacent in which the pricking is greater when they ly upon the sound side and the Lungs hang down being Inflamed and with their weight draw the girding Membrane then there is more pain then when they ly on the sick side and the pain is greater if the Membrane be Inflamed Upon which if so much Blood fall from other causes and inflame it the Lungs being sound there wil be another Pleurisie differing from the true as we shewed in which there is no such Spittle All these accidents in the divers kinds of pleurisies are also in a peripneumony which sometimes begins of it self and sometimes followes a pleurisie when the Matter is gathered inwardly and because the Heart is then more inflamed they cause a more sharp Feaver by which the Blood being heated also in the superior parts of the Body there is a redness in the Face and Cheeks This is counted the peculiar signe of this disease and it may be more observed to be in Peripneumony then Pleurisie and because this disease is more usual in old people if their Cheeks be red it is looked upon as a strange thing According to the variety of the Blood these inflammations of the Lungs are divers for if it be pure such as is in the veinous Artery it wil be a simple Phlegmon in which Spittle is mixed with pure Blood If the Blood be too thin or hot as in the arterial Vein there wil be a phlegmon with Erysepelas in which the Feaver is greater as it is if the Blood cause an Inflammation which is mixed with pure Choler and then the Spittle is bloody and yellowish Because this is usual it caused some to write that Peripneumony comes from an Erysipelas of the Lungs Also if melancholy be mixed with the Blood causing the phlegmon there is blackness with the bloody Spittle And if Choller joyned with Blood be the cause of this Inflammation then there is a Pleurisie or tertian Feaver as I have often observed Oftentimes also without these Diseases there is a discolouring of the Spittle and it is not bloody but yellowish greenish blackish from cholerick humors when the Blood is any otherwayes impure and mixed with vitious humors it causeth an impure phlegmon But if a phlegmon comes from a crude and waterish Blood it wil be an OEdema with gentler accidents and the Spittle less discoloured as in the Peripneumony called therefore crude Also from this diversity of Blood If the Inflammation be in the girding Membrane the Symptomes wil be greater or less Because no phlegmon comes from any other humor seperated from the Blood we cannot make the Defluxion of Flegm or other humor upon the Lungs or the gathering of it there to be the cause of a true Pleurisie or Peripneumony as some doe and call it flegmatick for if these humors are in the lungs they wil cause other Diseases that hinder breathing as we shewed in defect of breathing and if they fall upon the Muscles of the breast or upon the girding Membrane they will cause a false Pleurisie as I shewed The cause of this flux of Blood that causeth a phlegmon is often a Synoch Feaver which from the Blood inflamed in the Veins sendeth a
Brain being long and much smitten an Apoplexy which evils these Symptoms of Suffocations invading oftentimes by fits are wont to foregoe and foretel But that such like Vapors are for the most part raised up from the Veins as from crude impure bad and Malignant blood yet not putrefied otherwise a Feaver would be caused hath been shown in a Madness and an Epilepsie for as there diversly here and there in the Body such vapors being raised from blood collected in the branches of the Vena Porta and Cava molesting the Brain do produce the forementioned accidents so also in the lower Belly cheifly being collected as in a sink of Excrementitious blood and abundantly in great plenty flying upwards to the Midrif and molesting that either they create Suffocation only or other discommodities moreover But from the Mesaraick Veins especially the greater dispersed every where about the Heart to the Bowels Vapors from the Mesaraick Veins affecting the Midrif the Cause of a Night-Mare and in which by reason of the many Excrements of the first Concoction impure blood is easily collected such like Vapors somtimes arising and stopping about the Midrif they produce a Suffocation which they call the night Mare which invades rather in the night then when Concoction ought to be made because at that time the evil Vapors collected therefore the most part are wont by the accession of Crudities to be increased and moved and to be carried upwards and by reason of lying down to torment the more Whence in their Dreams feeling these streits they Dream of divers causes whence they proceed and being often raised up if the Mind moreover be somwhat affected with them they remain in the same perswasion and though they being raised and set upright the Vapors being then discust the evil ceaseth yet often returning if the Fewel of the evil remains at last it threatens and brings more grievous accidents to the Brain as hath been said The cause of which evil certainly depends upon an ill course of Diet and that a long time continued as in other affects sprung also from Vapors there especially in Hypochondriacal Melancholly and Intermitting Feavers as hath been shown in them This is therefore an accustomary affect to Children and those of ripe Age who do sooner and longer offend in their Dyet In the Female sex this more commonly proceeds from the Veins of the Womb Vapors from the Veins of the Womb affecting the Midrif are the cause of the Suffocation of the Womb. in the strangulation of the Womb therefore so called which when being derived from the branches of the Vena Cava and many of them and great ones do creep along the Womb and its Membranes if the filth of the blood doth stop in them which from the whol Mass of it is wont to be purged thither in impure Bodies that at the set time it may be emptied by the Courses Which is wont to come to pass more commonly in the unmarried by a stoppage of the Courses not so easily in the married by reason of Copulation and the Vapors from thence assail the Midrif they produce divers kinds of Suffocations of the Womb as they prejudice the Midrif and the neighboring parts or those that consent with it and as the plenty and nature of those Vapors is diverse For if it hurt only the Midrif either it breeds only a Dyspnaea if the plenty or offense be less or if it be greater it breed only an Agony of Suffocation but if that it also brings hurt to the Stomach that is continued to the Midrif then with a Dyspnaea and Compression of the orifice of the Stomach which they call the heart Nauseousness Vomiting a Vertigo and pain of the Head being caused by consent the Hysterical accidents do shew themselves Which passions are wont to happen in great bellied Women at the first Month the young one being not yet increased nor able to consume the blood that is retained especially if it be impure from which also they take a sign that they are with Child Hysterical Women are far more grievously affected if these Vapors especially the Poysenous being communicated to the Heart too by reason of its communion as it hath been said do also bring dammage In which species the Motion of the Heart wholly ceasing all breathing also ceaseth and as it were seazed on by a Syncope the Virgins fall by degrees to the ground and are held in that fit some a short time others the space of an hour before they come to themselves But at other times the Midrif by reason of the consent which it hath with the Brain as hath been said or both together affected with these Vapors with the said strangulation of the Womb that called the Madness of the Womb or Convulsive Motions and other hurts of the Brain offended do manifest themselves All which also may be varied not only by reason of the parts affected but also if a Poysenous cause be joyned according to the divers Nature of the Poyson by which they are wont chiefly to beset this or that part as we have expounded in other diseases of the Womb that vitious blood breathing forth such like Vapors is generated from divers causes and collected about the Womb. Amongst which they have beleeved that the seed retained and corrupted is not the least cause in Virgins with whom this affect is familiar the which yet can scarce be as long as it is contained in its proper Vessels and if poured out of them it be retained it rather produces an Erosion of that part then such accidents as we shall explain elsewhere Winds filling the Capacity of the Belly because they distend that Wind hindering the Midrif is the cause of a Dyspnaea as also the Midrif which shuts up the upper parts of it they cause a Dyspnaea which also the puffings up with Wind of the Stomach and Cholick Gut that lies under the Stomach do effect by reason of the neerness and Adherency with the Midrif and they know that they proceed from thence by the murmuring and distension of that place but that they write that they would no waies have a Night-Mare to be caused by the same Winds or thick Vapors the far more grievous evils which do then fall out and follow from thence do sufficiently declare A watery Humor also distending the Belly and drawing a sunder the lower Ribs of the Breast A Humor possesssing the Midrif is the cause of a Dyspnaea extending the Midrif doth breed a difficulty of breathing in an ascites Dropsie as shall be declared in a Dropsie But the Humor which is collected in the Cavity of the Breast doth cause a Dyspnaea rather by hindering the Lungs then the Breast as we shall shew in the Lungs The Bowels lying under the Midrif and growing to it The Bowels hindring the Midrif are the cause of a Dyspnaea or hanging by it if they acquire too great a bulk drawing down the Midrif with
and active and they who have less are weak and sooner die And when that flourishing humor is consumed like Oyl by the heat of the spirit by degrees in age men grow more weak and dry Among internal and external causes Diseases that dissipate the influent and fixed spirits are the cause of weakness all great Diseases dissipate the vital spirits if they continue long and at length consume the innate spirits with the radical moisture wherewith it is joyned from whence the weakness is more or less Great and often Evacuations either by chance or willingly Evacuations that dissipate the natural fixed and also the influent heat cause weakness or in Diseases exhaust and dissipate the spirits and abate strength especially if good humors be voidded as Seed in the running of the Reins or by Venery Also great bleeding purging by reason the stirring of the spirits abate strength as in Diarrhaea's and great and often sweating and much pissing Also the sudden effusion of things besides nature as of Water in the Dropsie matter in an Empiema doth weaken These violent excretions being painful as in a Dysentery weaken more Great pain which violently stirreth the spirits Pain moving the spirits causeth weakness to bring them to the part afflicted with the blood for help causeth weakness and if it be very great fainting Especialy if the part suffering Pain of the Mouth of the Stomack cause of Cardiaca or fainting have great affinity with the Heart Hence it is that they who have the Cardialgia or Heart pain are very weak by reason of the consent of the Stomach with the Heart and do easily faint this fainting is called Cardiaca And so it is in other painful and long Diseases Great and sudden Passions of the Mind Trembling of the Spirit is the cause of weakness fainting because then the spirits are carried in and out with force cause debility and somtimes fainting and death Thus we have seen some swoon with joy that hath thrown the spirits outward and have read that others have died so In anger the spirits are so inraged that they look red in the Face And when the spirits presently return as the paleness following sheweth they are in little danger of life but they are weakned thereby as appears by their trembling and there remains a weariness though anger be over Nor is the cause of men not dying with anger as with joy because angry men are stronger as is supposed in regard old men and sick men that are peevish are easily moved to anger But it often hapens that by great fear the spirits being violently moved some die and many are weakned And shame and bashfulness may cause the same by which they say Homer died Also if the passions be of long continuance and strong as sadness and fear and the like they stir the spirits with continual Cogitation and at length consum them and as they say dry the bones and this is a Consumption of the Spirits A strong and constant heat doth not only dissipate the spirits but consumes them Heat dissipating the spirits and consuming their nourishment is the cause of weakness and their nourishment as when the body is weakned by heat fire labor there is fainting somtimes And in Feavers it is so especially in a Causon or burning Feaver And in a Hectick the accidental heat of the heart though not great yet continuing devours the radical moisture of the heart and solid parts and the spirits and causeth weakness and Consumption A cold distemper quencheth the native heat Cold restraining the native heat is the cause of weakness or makes it less so some have been frozen to death And others have been killed with staying long in cold water Also some parts are benumed and blasted with cold or so weakned that they come not again to themselves And this may come to the Stomach by drinking cold water And hither may be referred those that for want of excercise bring not the native heat into action and grow stupid Also the parrs grow weak by using things inwardly and outwardly that are Potentially cold a long time they grow weak but the native heat is not wholly extinct as by actual cold Although hitherto it hath been believed to come from Narcoticks that are very cold which as we shewed do not kil by cooling but by stupefying the brain Nor do we grant that the Pores being obstructed that the heat is Suffocated for want of fanning or Eventilation for as we shewed the Skin hath Pores not to let in Air but to let out other things A Maligne quality affecting the Heart or mixed with its spirits A Maligne quality in the Heart is the Cause of weakness causeth an extinction of native heat thereof and by consequence of all the Body or diminisheth it and begets a Syncope or weakness or Death according toits divers qualities So when the Air is infected men in the Plague suddenly faint are weak and die or in swouning Feavers which alwaies begin with fainting And when Poyson is taken or bred in the Body it gets to the Heart and endangers life and causeth weakness And this may happen to other parts when Poyson is more contrary to them then to the Heat If a Wound peirce the left Ventricle of the Heart A Wound in the Heart is the cause of weakness and Death the spirits suddenly vanish and there is sudden Death And if the right or it peirce the Superficies or cuts the Coronal Veins they die suddenly from great bleeding I suppose non can scape if the substance only be hurt and divided because a principal part cannot endure it Fernelius writes that he saw one that consumed before he died of an Ulcer in the Heart that came from an inward cause The like may be from a Tumor which is rare and not known but by dissection because the Heart feels not I faw in 1644. in a Woman that I opened of a Dropsie in the Breast such a swolen Heart loose and greater then it should be with the Vessels especially the Arteria Aorta three times bigger then usual and both the Ventricles especially the left and the Langs and Cavity of the breast silled with waterish blood Also a great corruption in other parts extinguisheth the native heat The Cure We shall shew how it is to be done in diverse weaknesses The Cure of weakness and swouning and chiefly in general Imbecility and great fainting which also may be for particular weakned parts although in their Symptoms we shall also speak thereof We must act and prognostick acctording to the diversity of the cause of weakness If it come from want of Air and breathing we shewed the Cure in the defect of Breathing If it be from the birth or old age we labor in Vain because natural causes cannot be changed nor radical moisture renewed If it be from Evacuation it is worst from Venery or bleeding which is in a Dropsie If
in the Palpitation thereof or Oyl of Jesemin or Oyntment of water Lillies or Citrine Oyntment Or Take Oyl of water Lillies two ounces juyce of Citrons and Vinegar of Roses of each half an ounce boyl them to a Consistence add of all the Saunders Roses and Sorrel seed of each one scruple Coral one dram Pearl half a dram Camphire half a scruple with Wax make an Oyntment Or apply this Emplaister Take Treacle one dram and an half the Cerot of Sanders half a dram the species of Diamoscbu and Diambra of each half a scruple A Cordial Bag. Take of all the Saunders each one dram dryed Citron peels the four cordial flowers of Scabious and Leaves of Balm each half a dram Ivory or the Bone of a Stags heart two scruples Species Diamoschum one dram make a little Bag sprinkle it with Wine and Rose-water or Fume it therewith apply it to the heart It is good to raise them to sprinkle Water and Rose-water and Vinegar and Wine upon the Face Also to bind the Limbs and rub them very hard Also to stop the Nose and pul it and open the mouth and rub the Tongue They are soonest raised with great Noise and Neesing And to place them with the Head down and the body high Let them be quiet after the Fit for weak people faint upon the least motion CHAP. XI Of the Depravation of Vital Motion The Kinds IF the Vital Motion be Depraved which may be seen as I shewed in the Voluntary and Involuntary Functions of the parts Heart and Arteries we do not observe it as in the defect for none can live too much and the body and its parts cannot be too strong And if any parts that move voluntarily move too much or wrong that belongs to the depraved voluntary motion of which we have spoken We observe Depravation of Vital Motion in the pulse of the Heart and Arteries when it is oftener or more vehement than it ought to be by nature or proceeds otherwise disorderly Oftentimes the pulse of the Heart and Arteries is more frequent than is fit The quick beating of the Heart and Arteries whether great or smal both in sound and sick the breathing being also quick and if this pulse be great also it is with pain in the Breast Neck Head Ears It is to be felt in those parts and by Physitians at the Wrists Vehement and immoderate pulsation or beating of the Heart and Arteries Heart-beating is a symptom often by it self or in cathectick Maids before they have their Terms or such as have the Hypochondriack Melancholy This is called palpitation or trembling of the Heart because the motion is unequal And being alwaies strong it is perceived plainly in the left side of the Breast often in the Neck somtimes under the Ribs especially on the left side it is very troublesom and weakneth him much if it continue Sometimes it forceth the Ribs and as Fernelius saith puts them out of their place Aneurisma Sometimes it so dilateth the Artery and drives it out that it causeth the Tumor called Aneurisma which is great and beating This Symptom somtimes remitteth and comes again sooner or later and it continueth longer or shorter time as we said I observed a grievous and wonderful palpitation of the Heart in the yeer 1627. in a noble Virgin of Narbo in France who was alwaies held in her fit by two strong men that bare down the left side of her Breast with her hands til it ceased otherwise shee complained that her Breast and Ribs would break An Inordinate and uneven Pulse causeth trouble An uneven Pulse but that which beats low is considered not as a Symptom but only a sign shewing the Disease and the strength And therefore Physitians feel it The Causes It is most certain that the Heart and Arteries cause this depraved palpitation by their motion because no other parts do beat When these beat moderately sound people ought not to perceive it least the noise should be a hinderance as it is when they beat vehemently especially where the Arteries are great and many and free not sunk into the Muscles as in the left side not only by reason of the left Ventricle of the Heart and the Ear that moveth it self there but by the great Artery that comes from the left side of the Heart and descendeth by the left side of the Vertebrae Also in both fides of the Throat which the great Artery ascending goerh through being divided and there produceth the sleeping Arteries and those of the Arms Also under the Ribs especially or the left side because the great Artery descending thither lieth chiefly on the left side As also because it produceth great Arteries which accompany the branches of the Gate-vein on the right side especially those that go to the natural bowels and the Spleen For which causes when the Arteries beat much the putefaction is perceived on that side and is troublesome In other places where the Arteries are less or hidden though they beat stronger yet are they not perceived except it be by the pain of the part adjoyning which is troubled at the least touch of an Artery As in pains of the Head by reason of the great Ventricles of the brain beating and in Inslammations Or when a little Artery beating too violently in a strait place and hurts a Nerve as in the Ears wherein we may hear the pulsation But in naked parts without flesh you may touch a pulse and judg whether it be natural or depraved especially in the Wrist The truest causes of the great beating of the Heart and Arteries is the dissipation of vital spirits and the repletion and dilatation of the Arteries among which there are others less probable If the influent vital spirits be suddenly or too much dissipated so that the innate spirits cannot enjoy them sufficiently because it is necessary that new be alwaies sent from the Heart to the whole body which must be done by the pulsation of the Heart and Arteries It is therefore no wonder if their motion be enlarged and more quick and if the cause be great more vehement with great breathing which as is said brings matter to make vital spirits And this may come also from the spirits stirred with the blood the Heart and Arteries being inflamed When the spirits are suddenly tossed hither and thither The too great stirring of the spirits is the cause of quick great pulsation of the Arteries and dispersed and not equally communicated to the body the Heart and Arteries beat quick for new and the respiration is greater or otherwise strength would fail This comes from the motion of the body and mind as we shewed in quick respiration which comes from thence Hence is it that the pulsation increaseth by the passions of the mind as anger Joy Terror Fear Shame the spirits being moved which Erasistratus knew when from the sudden motion of the pulse from the beholding of the Nurse that
was beloved he discovered a Disease to be from the mind that is Love This Palpitation of the Heart is sooner in weak people and such as are disposed to it Stirring of the Spirits causeth palpitation of Heart in them that are subject thereto the least exercise wil cause it in some One confessed to me that he had it presently in the act of Venery and was so troubled therewith that except he gave over he should be stifled as it fel out afterwards This pulsation also is greater when the spirits are dissipated from other causes as at the point of Death when they are vanished though there be great weakness by which nature labors to assist them in the greatest danger by this motion and recollection of Spirits When the Spirits grow hot with the blood Over-heating of the Spirits is the cause of quick and great pulsation there is great motion of the Heart and Arteries not so much because the spirits are hot and unquiet but because they then are sooner spent that what is suddenly lost may be suddenly repaired Whether it come from the external causes as the Fire or Fume or from internal and the rather if the Heart grow hot and continue so as in a Feaver Or if the heat come from motion of the body or exercise in heat Or when the mind is so affected that not only the Spirits are troubled but set on fire thereby as in anger Or when all these concur As we knew a Noble man that playing at Tennis was so hot and angry and so moved in the Pulsation and Respiration that he could not recollect himself nor could the motion cease but he died suddenly When the Arteries are too full of blood and too much dilated thereby in regard they ought not to be filled as the Veins are that there may be room for the Vital spirits the Pulsation which before was not perceived when moderate is felt by the Patient and that vehement Diastole about the Heart and great Arteries mentioned in the Palpitation of the Heart is raised Especially when the blood floweth to the left Ventricle of the Heart and to its Ear which may be much enlarged to the great Artery whereby they are too full and extended And it ceaseth when it flows from those parts and doth not more lift them up and dilate them Or it molesteth continually if an Artery be so dilated as Fernelius observed Yea that the great Tumor called Aneurisma doth follow And if this Aneurisma be within in any part of the great Artery or in the breast Throat under the Ribs or in the Ear of the Heart which wil be very much stretched it causeth a perpetual Pulsation as an external Aneurism and is the cause of that Palpitation of Heart which lasteth so long and kils so many as some have observed in Anatomy It is plain that this Palpitation comes from plenty of Arterial blood Plenty and heat of Arterial blood that fils the Arteries causeth palpitation of Heart because the Arteries have nothing else in them And Galen seems to grant it when he saies all such are cured or eased by bleeding And this pulsation is greater by how much the blood and the spirits mixed therewith which fill the Arteries are the hotter Fernelius witnesseth that he saw such blood in the Arteries burnt like black choller And we prove that that cholerick hot blood is gathered in the Mesaraick Arteries and and sent to the great Arteries by these Arguments Because as such juyce as is frequently bred in the mesaraick Veins from meat and drink doth inflame pollute the blood being carried from the branches of the Gate-vein to the hollow vein so doth it get into the mesaraick Arteries which are joyned to those Veins and so into the greater Arteries and so to the Heart and so filleth them and doth what is mentioned And the rather because these mesaraick Arteries are branches of the great Artery but the meseraick Veins come not from the hollow Vein nor are joyned to it but by the substance of the hinder Hence is this Disease so usual in Virgins from the stoppage of their Courses which begets an evil habit and in those that have Hypochondriack Melancholy In which as the fulness and foulness of the Venal and Arterial blood causeth Cachexy and Melancholy so do they cause palpitation of the Heart and Arteries Some say this may be from Wind filling the Arteries which we cannot allow because none hath observed that the Veins can be filled therewith Nor do we grant that vapors gathered about the Midriff Spleen or Womb and so sent into the Arteries and Heart or a thick vapor shut into the Heart that came from another place as some have written can so fill it that they may cause this Pulsation As for other causes of palpitation of which they write especially wind or water in the Pericardium we count them not the true cause of Palpitation but of some fluctuation when the body is moved as may appear by the noise in the breast as we shal shew in preternatural Swoons in the body Other Diseases of the Heart besides these mentioned may cause it to move inordinately and quicker as heat that moves the Spirits and disperseth them and too great Repletion by the blood of the Arteries Such are those that so offend the Heart it moveth violently to cast them off rather by a natural sensation than by feeling which the Heart wanteth A Venemous quality from within or without A malign quality stirs up the Heart to palpitation doth cause palpitation or any malignity in the arterial blood which fils the Arteries causeth the same by stretching them and by troubling the Heart I understood that one who died of a continual Trembling of the Heart had a Bone or Gristle found in his Heart The Cure That Palpitation which comes from vehement motion of mind or body The Cure when it comes from vehement motion or Heat ceaseth when they cease as we shewed in Short-breathing which is joyned therewith But when many causes concur it is dangerous as we shewed When it comes from plenty of blood it is dangerous and lasting Cure of Palpitation of heart and troublesom by continual motion but wasting of the Spirits many have dyed hereof others have long been troubled therewith many have been cured by removing the cause And because the Cause is commonly about the Meseraick Vessels which are distributed in the natural parts and there is the plethory and filth it is cured as Cachexy Cachochymie and Hypochondriack Melancholly which are usualy joyned therewith By preventing too great increase of Blood Humors and Wind and such humors as chiefly abound by purging of Choler and strengthening the natural parts and mixing Cordials with all things And in regard it is hard to evacuate the conjunct cause in the Artesies and Heart we must strengthen them with Cordials Thus. Letting of blood except some thing hinder is good according to Galen
corrupted but from the place in which the humors putrifie and the diversity of the blood so corrupted There are distinct Feavers in respect of the place wherein the humor corrupteth first in the respect of the veins and arteries The corrupt Blood that causeth putrid Feavers is constantly in the branches of the hollow Vein and in the greatest of them in which more may be contained and from which the Heart may be sooner reached which cannot be done in the least branches Therefore in the trunk of the hollow Vein which passeth upwards and downwards from the Heart by the Back-bone or in the great branches that come from it into Throat and Groyns this corruption of blood being contained and alwaies disturbing the heart it causeth divers putrid feavers as the filth is nearer or further the Heart Any corruption near the Heart which sends it self Corruption of blood in the hollow Vein near the Heart is the cause of putrid Synoch causon Leipyria or vapors to it maketh a Synoch feaver which increaseth or decreaseth or stands at a stay according to the corruption And in a causon or bruning feaver because its heat is near the Heart there is no manifest change because the heat is equal especially when the heat is at the height and cannot be raised but by death Yet the Patient may find about the Breast Midriff Back where the corruption lodgeth a burning which troubleth the Heart and parts adjacent And this is the cause why in a Leipyria which is a sort of causon that the inward parts do burn When the corruption is in the branches of the hollow Vein distant from the Heart Blood corrupted in the hollow Vein remote from the heart is the cause of a Synoch exasperated because it causeth not so much heating it begets Feavers with fits which have different heat For when the Vapors whose matter is forced of are hindered by the long passages and cannot come in order and the same measure to the Heart it comes to pass when it is increased it comes with more violence and encreaseth both the heat and fits without horror as at the first because the feaver was before These fits go away when the Vapors are discussed but not the feaver for heat once kindled although the cause abate cannot thereby be extinguished as we shewed concerning simple heat from an external cause which cause being removed the Feaver ceaseth not till the Heart return to its former temper And this is the true cause of fits which come somtimes twice in a day when the stinking vapor is much and not far off and the other day once because the day before some part was discussed and keep or change their course in respect of the cause which acteth Also when the cause is far of or is less the fits come every third day at first and so continue for a time seldom the fourth or every other day For which causes these putrid continual Feavers are called ordinate or inordinate quotidians Tertians or quarrans But in those whose cause lurketh in the Veins remote from the Heart there is a heaviness or pain or burning in the part where the matter lodgeth in the Neck Loynes or Joynts There is alwaies a pain of the heart also not that the matter lodgeth there but from the hot Vapors Also in all these putrid Feavers whether the matter be near or far from the Heart A Portion of putrid blood which causeth a putrid Feaver sent from the hollow Vein into other parts causeth continual Feavers accompanied with other Diseases a part of it may be forced by nature out of the Veins as in pure Feavers by which she is disburdned into some internal or external parts producing Tumors Pustles or Spots which are not signes of Inflamation but Putrefaction As in Children the smal Pox and Meazles break forth as Fernelius saith plentifully in a Feaver like a putrid Synoch but they are not infections but in Malignant Feavers It is a question whether blood can thus corrupt in the Arteries to cause Feavers Corruption of blood in the great Artery causeth a burning Feaver For it being hot and spritful may easily burne and conveigh a a simple pure Feaver to the Heart but it can scarse alone or seperated from the blood of the hollow Vein which is very pure be corrupted though with it it may or be infected by neighboring humors especially because vapors that come from putrid blood are carried that way to the Heart both in putrid and intermitting Feavers But if corruption should be in the Arteries from the causes aforesaid the feaver will be most violent as in a causon when corruption is in the trunk of the great Artery near the Heart These feavers also differ in respect of the blood in respect of its temper or distemper before it caused them Temperate blood which offendeth only in quantity and which is not naturally inclined to putrefaction if it corrupt Corruption of temperate blood in the Vessels is the cause of a putrid Synoch causeth a putrid Synoch which is either made so from a Simple Synoch wherein the blood was first inflamed and then corrupted or from the external causes at the first Therefore some call the beginning of them putrid Ephemera which come from outward Causes But we because this putrid heat ends not in one or somtimes many dayes as a simple doth cannot call the ephemeral but putrid Synochus because in them the heat is milder then in other continual putrid Feavers and more equal from the temper of the blood having no fits from the equality of the blood and because being near the heart in the great vessels it is first afflicted with the external causes and so the heart beats with an even Pulse As we shewed If the blood be distempered Corruption of hot blood in the Vessels causeth a burning Feaver before it corrupt it must be hotter then ordinary for if it be too cold or crude it rather causeth Cachexy or ill habit of Body then Feavers And if it be so Corruption of hot blood in the hollow Veins and Arteries near the Heart causeth a melting Feaver before the feaver come whether it be too thin or too thick or corrupted it causeth Inflamation and the more when it is in the Arteries or any place near the Heart hence come burning feavers continuing in the same state so violently burning that except they kill the substance of the Heart is melted away therewith and dryed so that the whol body consumeth as we shewed in a melting feaver Praeternatural Heat or fault in the blood is the antecedent Cause of Corruption of it in the Veins If the blood beinflamed with heat we shewed that it caused diary feavers within a sanguine and full Body as we shewed in a simple Synoch except the heat abate of it self or by cooling medicines cause a suppuration either in the blood or in the parts So that the mass of blood being corrupted by long
comes only from malignity or corruption with malignity Corruption with a malignant quality A malignant putrid heat causeth putrid malignant Fevers not only offending the Heart by it self as we shewed in putrid Fevers but with malignity causeth malignant and contagious but not pestilential Fevers these are in Infants in the Meazles and smal Pox seldom in men but in them it causeth common Epidemical Fevers without Bubo or Carbuncle or great symptoms but Head-ach and doting which destroy We shal shew how this corruption gets malignity and in what place and what is the cause thereof The place in which this corruption is bred is the same in which simple corruption is bred in the vessels of the hollow Vein or in the Meseraicks or without them and it is as I shewed in the same humors and bodies If blood corrupt in the great vessels of the hollow Veiu Corruption of blood in the vessels that go to the Heart causeth putrid malignant continual Fevers and of divers sorts from the same causes as other putrid Fevers are divers and hath a venemous quality which is communicated to the heart by the vessels as we shewed in putrid Fevers disturbing it with stinking and malignant heat it causeth continual Fevers dangerous for two qualities In which if Nature send any of that malignant blood into the pores of the Skin or the Membranes it causeth Spots and Pimples smal Pox and Measles aforesaid but if not nothing breaks forth but some small spots which declare the secret venom and Death But then these Fevers differ in respect of the corruption and malignity which meet together The fevers that come from putrefaction of blood are like putrid Synochs and other continual Fevers and as the blood corrupted was temperate or distempered or is neer the Heart or farther off the symptoms are better or worse and the whol course of the Disease varieth Hence some of these are like Synochs and have no strong Fits as in Children of the small Pox when Nature sends the filth forth the Fever is milder In malignant Fevers in men if the Corruption be not great and apear not in Urin or Blood there is great heat and accidents following And if the Corruption increase in an intemperate body neer the Heart or other princcipal part then it begins with Horror and Heat as other continual Fevers and somtimes it is like a Causon or burning Fever in the symptomes From a malign quality joyned with Corruption if it prevail and weaken the Heart in regard Nature being hindered cannot valiantly and in order encounter the Disease it happens these fevers whether less or greater or more hot keep not a certain motion nor time by which they are to be known Yet somtimes they end with a Crisis Those like Synochs putrid end not so but by filth sent forth as in the small Pox. Choler in the Meseraicks if it be malignant as wel as putrid it produceth intermitting malignant Fevers if it be green blew or black and venemous Nature offended therewith presently labors to expel it by fluxes or Vomits and a malignant intermiting Fever is seldom seen but if it come by the long reteining of that malignity those Stools or Vomitings are deadly When humors corrupt out of the Vessels in regard they can scarce produce simple Fevers If malignity happen it begets not putrid malignant Fevers but swounings Convulsions and other accidents and if there be venom which of it self causeth Fevers without putrefaction then it begets such Fevers which may come only from malignity of which hereafter The cause of this malignant quality in the blood joyned to Corruption from whence these putrid malignant Fevers arise is either from things about us or things taken in and retained Air or other bodies about us if they be not only unclean but malignant and we receive the malignity by breath or touching to infect the blood then it produceth these Fevers especially when the blood was foul before When it comes from things about us it comes from great changes or exhalations Change of Seasons or inordinate great and sudden tempests foreshewed by Meteors going afore or then appearing or demonstrated rather than caused cause these faults in the Air which produce these malignant epidemical Fevers like the Plague Among these is a wet spring with much Southerly Wind. Exhalations stinking and venemous coming from the Earth Ditches or Pools and the excrements of living Creatures formerly infected as sweat breath bodies pollute the Air to infect the body and cause these Fevers most common to them that live in the place from whence the seed of the infection sprang Corrupt Diet which not only fouls the blood but is malignant if it offend the blood caused by it both waies makes not only simple but malignant Fevers such as they have who have been in a Famine as the Greek Proverb is After a Famine comes a Plague Corrupt blood long retained in the body as when it is sent out of the Veins into some part and turns venemous causeth such symptoms as they have who are stung with venemous Beasts Also Blood corrupted in the Veins and growing old where it cannot produce a Fever and malignant causeth not only putrid Fevers but malignant and spotted Fevers these are in some men of impure constitutions when there is no epidemical Fever that have been il disposed a long time before This malignity is known by the sudden failing of strength spots and other signs of secret poyson Al so Infants though Nature presently casts forth the venom have such Fevers from the same cause by which they cast off the filth of blood they brought with them and after they renew their bodies by Scabs and Itch and other natural purgations This came not only from the Mothers Courses as they suppose because the Child is not nourished in the Womb with impure but good blood and the excrements gathered to the time of bringing forth after the Child is born are sent forth by stool not only red and green but black But there may be new corruption and venom from change of Diet. A malignant quality alone and without corruption may cause a Fever pestilential and venemous A malignant heat is the only cause of malignant Fevers This quality is seldom seen in the body but a Corruption went afore it to which it is joyned such as hath power to strike the Heatt as soon as it is taken and to infect it and the whol body spirits humors and parts getting Fevers like Ephemâ—â—a's or Synochs with great weakness alone or joyned with other Dâ—eases But these Fevers differ in respect of the Poyson taken in For there are divers sorts of Poysons which strike at divers parts of the body and afflict the Heart and some inflame it and cause Fevers and indeed we cannot declare what this propriety is but we know by the effect that it doth so We shal therefore make two kinds of poysons which cause Fevers from the diversity of
mild Feaver like a Diary only the spirits being inflamed with the Heart and then the heat and the accidents following are milder nor is the Urin changed much If the Plague strike a Sanguine or Plethorick person then it will be like a Synoch Feaver and the Spirits and Blood will be inflamed with the Heart in which there is greater heat and accidents as Head-ach redness of Face and the like that disturbe the Patient grievously If the Plague seize upon Cholerick persons then by reason of the heat of the Heart Spirits and Humors there is with other Symptoms of hear Vomiting Stools and other accidents from choller which are grievous Unclean bodies especially that have corrupt blood and subject to Feavers if they take the Plague then it is putrid continual and Malignant with great hear and other Symptoms and then are foul excretions by reason of corruption The reason why they who have the Plague are in more or less danger is in the strength as well as the poyson for strong persons oppose it more then weak And this is the reason why some have spots and others none for if nature be weak the poyson will lie at the Heart and no tokens thereof appear But if nature send it forth then it inflameth every part it toucheth and burns it red with pain and impression under the Arm-pits or Tumors under the Ears or Carbuncles which inflamed increase the Feaver And when nature disburdens her self by the pores of the Skin there are Spots and Pustles These are caused by the Poyson sent out by Nature And are not sent as markes or tokens as some call them of the Plague at its first entrance for though some appear at the first Nature doth cause it by expelling from the Heart that which so suddenly smore it except a Pustle come by touching of a dead body infected as I once had in my hand but when I felt the pulse of a man in a mortal sweat that died of the Plague and both I and my Chirurgion that was with me had a pustle in our Feet which suddenly vanished and though we were infected we had neither Feaver nor any other inconvenience And in the year 1634. I touched the pulse of a sweating man dying of the Plague and presently after I had black spots from my middle Finger and the outside of my Hand to my Wrist yet they presently went away after I had washed my Hands with Vinegar and Treacle And Bubo's come in the Plague somtimes not from the poyson sent to the Emunctuaries but from the heat and pain of some Carbuncle that is near as in other Inflamations Yet somtimes they come from both causes and there are divers in the same or divers places and these being inflamed and brought to suppuration joyn a new Feaver to the former I have by long observation found out these things having fix times been a practiser in the time of great plagues to the end of them and been constant to my patients and therefore I declare them for Favor of no man but for Love of the truth A fixed constant heat in the Heart and other parts Heat fixed in the Body is the cause of Hectickes not mutable or that called fire by the Greeks which comes and goes without change of temperament the parts that were hot returning to their former state as Fernelius shews may be in the ninth Chapter of his Book of temperaments But when the temperament and proportion of the Elements to use the words of Fernelius are turnd hotter and dryer so that the heat can scarse be removed or the temperament changed then Feavers will be continuing long and constant never to be cured Hence they are called Hecticks because they are in the habit of the body called in Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and cannot be easily removed as habit is not easily taken away And in regard the heat in them is not fiery as in other Feavers but a change of the temperament into more hot and dry as I shewed thefore they scarce feel the heat although all similar parts of the Body are changed and dryer and hotter to the touch and the Heart is perceived to beat quicker and harder This heat is not alwaies alike but when the body is more inflamed as after meat which they alwaies perceive or violent motion and other causes it is increased with the pulse and motion of the Heart Also the Consumption called Marasmus which follows these Feavers is not the melting of the body by violent heat by which means they say some pieces of the body come away by Urin but falsly for that is only from the foulness of the Reins and Bladder and otherwise in the most burning Feaver the parts cannot be so roasted and melted But this leanness comes from the temperament of the similary parts turned hotter and dryer by reason of the heat of the Heart And this is the reason why they are not rightly nourished but fall and pine away in a Consumption Another Feaver going before it is the cause of an Hectick because the heart cannot loose its temperament so much from any other cause then the heat of a violent Feaver which by its strength and continuance may at length change the Heart Hence it is that these Feavers come seldom from a simple and pure heat and Diary Feavers But if they end not in an exact time as they use to do and turn not into putride they turn into Hetticks But more usually they come from putrid Feavers alone or Malignant which last long especially when the Heart hath been long scorched and after quenched and then Distemper remain which causeth a long Hectick which consumeth the Body when the burning Fever is gone This is not that Fever which while the burning Fever remaineth so broyleth the Heart by its violent heat that the whole body is suddenly consumed which is called A melting Hectick Also Hecticks may be produced from long intermitting burning Fevers after the same manner And Fontanonus teacheth that they may come of continual Fevers when a semi-tertian abides long Also from other putrid Fevers though gentle if long and heat the Heart constantly may a gentle Hectick follow gentle and lingring putrid Fevers as in Cachecticks and Consumptions because the Cause is more neer the Heart Also they begin and are joyned with Putrid Continual Fevers which are known as we shewed by the accidents of the aforesaid Fevers stil continuing and a great or Consumption then was in Putrid fevers As when an Hectick is joyned with an acute Putrid Lingring or Intermitting This is caused by the disposition of the Heart if it be by nature too hot which grows sooner hot and dry by the fevers aforesaid And by a Heart that is tender and quickly receives other heat which destroies the Natural For this cause yong Children have often Hecticks not only after a long but a Diary fever The Cure The general Cure of all Fevers the Indication being taken from the
with a plentiful Diarrhaea The Method of Cure for both is The Cure of a true Pleurisis and Peripneumony to divert the Blood that flows to this noble part so to prepare that which is flown to the Lungs and inflames them that it may be coughed and spet forth because except Nature do it of her self it is in vain to purge it by Urin or Stool Also still abate the pain in the Pleurisie which is very pricking and in both cases inlarge the Breast and hold up the strength alwaies having an eye to to the Fever as we shewed in Fevers therefore abstain from hot things and use temperate things that incline rather to cold all which are done as followeth The Defluxion of Blood to the part is diverted best by Blood-letting and the heat of the Fever abated therefore neglect it not though the Patient be very young for we observe that in other cases and bleedings by cuts and falls they can loose much blood without danger and in this Disease they wil find much ease by it nor let it be omitted in women with Child or old People nor when the Disease comes from impure and cholerick blood nor when the pain goes down to the Hypochondria But for these causes do it moderately rather than omit it Blood-letting must be suddenly while the matter is flowing the first day at what time of day or night soever it be or if it hath been neglected do it the next or the third day taking much at a time or six ounces at a time often if the first bleeding do not abate the Disease bleed then thrice a day or two or three daies together after the third or fourth day except you fear the increase of the Discase or a Relapse from a new Flux of Blood for which cause after many daies if there be strength you may bleed again you must not bleed rashly You must open a Vein in the Arm because the Veins are larger and neerer the part either the middle Vein or that which most appeareth which is alwaies best And what vein soever in the Arm is opened whether it be on the right or left side the blood comes from the hollow Vein from whose upper part above the heart the veins of the Arm come and therfore by consequence blood is drawn from the right side of the Heart into which the hollow Vein is joyned before it ascendeth and so also blood is drawn from the Lungs by the veiny Artery by which the blood flows from the right side of the Heart to the Lungs Except because the hollow vein is more on the right side and sends blood into the right side of the Heart and only sends out the vein without equal or not paired to the right side only you desire to open the Vein in the right Arm for a directer way of bleeding which some think to be necessary in a Peripneumony and Pleurisie Yet in a Pleurisie it is thought better to open a vein on that side that is pained than on the contrary side as the Arabians do who first open the contrary Arm for Revulsion and then for Derivation not only from the right order and direct flowing of the Vessels on that side because the same may be good in a Pleurisie as wel as a Peripneumony the Lungs being as I shewed affected in both but because in a Pleurisie the veins on that side where the pain is are more swollen with blood Therefore if the pain be on the right side open the Vein in the right Arm if on the left open the vein in the left Arm by reason of the Defluxion of blood caused through pain And if the Vein in the Arm appear not open that in the Hand on the same side by which if the blood come freely there will be a greater Revulsion and if not a less Also it is good to bleed in the Foot or by the Fingers after bleeding in the Arm especially in Women who have this disease from stopping of the terms Cupping-glasses to the Shoulders Emunctuaries and Groyns make Revulsion and the more if there be Scarification these help the other bleeding or supply when the other cannot be Also Frictions and Ligatures of the outward parts cause Diversion or a Decoction to wash and rub the Hands and Feet but it must be such as doth not heat Some adventure to use a Caustick to the sids but it is neither safe nor profitable nor Cupping-glalsses to the Breast Clysters are given to loosen the Belly before bleeding if it be bound they are to be cooling and gentle such as are mentioned in Fevers and other internal Inflammations and Quninsie And some advise clensing Clysters at the end of the Disease if the matter tend from the Breast to the Guts lest it should hurt them which they think to be possible Loosners are better than purgers for it is not convenient in Inflammations of the Breast to give purgers both because the matter cannot be purged by stool from thence as also because they heat the body and cause a Diarrhaea which useth easily to come with much hurt to the patient These Laxatives must be good for the Breast whereof Manna is the chief Next syrup of Violets three ounces or Cassia or simple Diaprunes two ounces alone or with pectoral Decoction Or thus Take sweet prunes Raisons stoned each an ounce Violets a pugil boyl and dissolve Cassia half an ounce Manna an ounce make a potion After the seventh day the Ancients used stronger purges the humor being first prepared but these are best in a false pleurisie as I shewed or if the true pleurisie ceaseth they are good against accidents that remain otherwise they hurt more We give to drink things that cause easie Coughing and Spitting because the Humor being fastned to the Lungs and not to the Membranes girding them can-cannot be sent a better way This is done by Lenitives to the parts and such as first thicken the Matter to stop the Flux of Blood if it be thin and to make it more fit to be spit forth and then by Concocters Clensers and Cutters if it be too thick and slimy Or by things to ripen and cause matter to be spet forth lest it lying long there the Lungs be corrupted by it and a phthisis caused Or if Nature endeavors to throw it out by stool or Urin which is rare and perhaps a meer Fansie by such things as help Nature therein These are done as followeth Lohochs to be swallowed by degrees and so communicate their Vertue better to the Lungs are the best As the usual tablets of Diatragacanth frigid and Dia penidies without the species held in the Mouth Or a Lohoch made of them with syrup of Jujubes or Violets to be licked Or this Take the species of Diatragacanth frigid two drams Penidies a dram with the Syrup aforsaid make a Lohoch adding half an ounce of the Diacodium if the Cough be great others add Conesrve of Violets but it is
especially flesh which requires more Nourishment then other parts and being soft is sooner consumed but the harder parts as Bones Grisles Membranes consume not because they are nourished with little and are more firm as we see the bones of dead Men last long This want of Nourishment is from divers Causes and first because it is not bred or it is unprofitable or it is hindered When the Bloood is not sufficient then because the Juyce nourishing the parts faileth and the fat continually decaying is not renewed by the like the body consumeth this is from want of Chyle in the first concoction when sound men have too little Food or sick men too little Appetitâ— which causeth decay as well as the Disease And this may come from other Diseases of the Stomach as want of concoction when there is little or imperfect chyle as in the Tympany those parts which are not consumed The body is extenuated from the want of a second concoction when the blood is not made this causeth an Atrophy this is from the fault of the Liver or Spleen as weakness c. When a Cachexy or Leucophlegmacy from their actions diminished or from their actions lost so that there is little or no blood also other Diseases of the Liver or Spleen breeding a Dropsie Ascites may cause an Atrophy therewith where the parts above not swollen like Feet and Belly are consumed these are described in the cause of the Dropsie The blood is unprofitable and unfit to nourish if it be foul not crude which causeth cachexy and Leucophlegmacy but impure then it breeds Leanness or Atrophy which is joyned with Cacochymy and if it be watery it gets the Atrophy with the Dropsie Ascites this is from the first concoction which is not mended in the second or in the third as we shewed When the blood is stopped from a part it hath an Atrophy The want of Nourishment from â—â—ood hindered is the cause of the Atrophy of a Part. this comes from an outward cause for the internal from want of blood would cause Leanness of the whole body The blood is hindered from distribution by the Veins stopped and pressed by the Dislocation of some Joynt as the Hip from which follows often an Atrophy of the Legs and sometimes Numness if the Nerves be pressed with the Veins Also when Members are too long bound or if the Veins are straightned by a Callus Tumor Node or Wenne about the Joynts or cut off especially if the great Veins or many be so cut off for the lesser Veins and few being cut there are others to nourish the part And if the great Arteries be cut off there will be Mortification rather then Consumption For the want of Substance making Juyce and of Natural Heat The want of substance making Juyce is the cause of Consumption or Tabes the Body consumes and that somtimes through age for as the body grows thereby being young and flourisheth thereby in middle age so in old age as that decayes the Body consumeth through the driness of the parts also which comes by their Temperament whereby they are withered The same may come from Labour Care and Diseases being vehement and persevering whereby the radical moisture and Natural Heat is consumed and weakned as in old Age so before by Labour and Cares and Diseases Men become sooner weak and lean and so continue all their lives except the Natural Heat be not so weakned but it may be repaired And then though they be very lean yet if they leave off Labour and Care and grow sound they will recover their former Vigor It happens through the change of the Constitution into a more hot and dry temper The change of the Constitution into hot and dry is the cause of Marasmus when all the parts are of a like temper that the Body doth not increase in young Men and in the aged it decreaseth and groweth dry and withered As in a Hectick Feaver coming from the heat of another Feaver which changed temper of the Heart making it too hot and dry the Body consumes of a Marasmus as we shewed in Hectick Feavers And though it is by degrees in this kind of Hectick yet is it of a sudden in Colliquation or melting and it follows a burning Feaver the extream Heat whereof did not onely turn the temper of the Heart into hot and dry but melted the substance whereby the whol body became dry and consumed As I shewed in the melting Feaver This is not only in simple Hecticks but in such as are joyned with a Distemâ—er of the Lungs The Ptysick is caused by the change of the Constitution into hot and dry and a Hectick Feaver so that the Body consumes as in a Hectick and this is called Phthisis Ptysick because the Lungs distempered are the cause of it This Consumption rising from a filth and Rottenness of the Lungs doth continually disturb the Heart adjoyning by Heat and makes it and the whol body hot and dry which causeth a Hectick Feaver as other Hecticks come from other Feavers as we shewed in Feavers The first Cause of this Rottenness of the Lungs and the Hectick that comes from thence and the Consumption that follows that is the Ulceration of the Lungs till they rot so that the Lungs are in part or all one side turned into matter and the Vessels of the Heart which are joyning to the Lungs are lost on that side and as it were cut off about the Heart and a Callus at the Root And this Corruption hath been so great that the Mediastinum that divides the Lungs and the Pericardium or Case for the Heart have been infected thereby These things being thus the matter which breeds in the Ulcer of the Lungs Matter in the Breast is the Cause of Empyema is not only spet out as it falls upon the Branches of the rough Artery but at length when the substance of the Lungs is divided by corruption it fals into the Cavity of the Breast and there being heaped up it causeth the-Disease called Empyema This appears to come from the Ulcer by Anatomy for when there is corruption of the Lungs you shall alwaies find some matter in the Breast As also in regard that matter coming from the Suppuration of the Membrane that compasseth the Breast fals seldom into the same for it will rather fal out of it as was shewed in the Pleurisie But an Impostum growing to the Membranes or to the outward Tunicle of the Lungs being broken by other Causes then Inflammation may send its matter into the Breast or matter may flow there 〈…〉 as they say may be from an Angina suppurated or Squinsie or from a Defluxion of Flegm into the Breast But in regard there is no passage from the Neck into the Breast and if they should get into the rough Artery except they were coughed up they will rather fall into the Lungs then the Cavity of the Breast this is not probable
of Mustard seed is very much commended there are also who do apply Vesicatories Pication made on the Belly being first anointed with Oyl is very much approved off in some But that matter may not be continually heaped up a new we must take care by a good Course of Dyet of good juyce temperate and no waies windy Upon which account those things which discuss wind as Annis seed Fennel seed Carawaies Pepper Ginger are added to the Meats yet in that quantity that they do not to much inflame which we must chiefly have a care on for which cause also if they can intermit the use of Wine Rhazis saith they need no other Medicine he understanding strong wine because that which is thin and gentle can no waies hurt especially those that are accustomed to it Last of all the Vapors and Wine may be discust by giving a Pouder every other day after Meat or before the weight of one spoonful which may be prepared thus Take of the seeds of Annis half an ounce Fennel two drams Carawaies one dram the Cordial flowers of each half a dram Make a Pouder add of the Tables of Sugar Rosate two ounces We must divert the ascent of Vapors with Frictions Ligatures and Lotions of the extream Parts rightly applied to their due time We must also have a care of the principal parts the Head Heart Stomach Spleen Liver which are at last hurt by the long continuance and Malice of the Disease by watring Anointing the Head which is chiefly affected as shall be said in the true Melancholly by strengthing also the Heart with Epithems Bags which is hurt and palpitates by reason of these Vapors by comforting the Stomach which belches being troubled with wind with external and internal Confections that further Concoction yet not too hot and by taking care that the Liver and Spleen be not hardend by external and internal means as shall be propounded in their faults of this Nature A Melancholly blood in the Vena Cava The Cure of Melancholly and Madness from a Melancholly a Humor troubling the Spirits such as we have described to be Malignant abounding either in the Head or about the greater Veins of the trunk of the Body or about the Womb in the Blood there which is the matter of the menstruous Blood and Seed producing a Melancholy or Madness if it be worse because it can hardly all be drawn forth as long as there yet remaines some portion of that blood so long that pertinatious and long continued evil lasts with which oftentimes they are miserably afflicted not only for some months but years also somtimes to the end of their life and if they be Mad they are kept inclosed in Prisons nevertheless performing the other Vital and Natural actions unless these be weakend because when they are troubled in Minde they offend in many things and because they waist themselves with grief if they have yet any Reason left therefore we ought not rashly to promise any hopes of recovery although we have known many Cured as shall be said especially by large Bleeding and some Mad and Raging from their youth until extream old age in which they have so come to themselves that afterwards going about free from their Prison and Bands they would no more hurt any Body or provoke them with words and then also there is better hopes if they yet act all things moderately and do things rather laughing then with a sterne look and are somtimes obedient to those that admonish them and do admit of Medicines The Method and Indication for Cure will be such that we Evacuate that matter out of the Veins and divert it from the more Noble Parts that are hurt by it from the Brain chiefly and the Heart for as experience hath taught that other Diseases also generated from a certain Malignant matter are somtimes cured by many Evacuations as is apparent in the French Pox so we have seen oftentimes both in Melancholly and Madness proceeding from this Malignant matter that Empericks by many and frequent Evacuations have cured many left off by other Physitians who were afraid to use them and we our selves have often tried it with happy success which may be done by divers forms and manners as by drawing blood from the body or deriving it to other places by Purgations made by stool and by vomiting then we will correct with things altering or changing that distemper or Melancholick constitution in the Blood almost of the whol Body and in the ptincipal body and in the principal bowls especially the Brain and Heart by giving of Medicines and applying outward helps to the Head Heart Liver Spleen and certain other parts of the Body also with actual operation by gelding and hanging on Amulets in the interim providing for the strength also by a fit course of living which also may correct these faults Last of all we must have respect unto some other Symptoms which somtimes are supervenient to them all which how they must be prepared and administred we shall explain in order Letting of blood therefore in some great and apparent Cutaneous Vein when as it may not only Evacuate the Blood but together with that the matter of this Disease lurking in the Veins it will be the prime and principal remedy for the Cure of these affects if they proceed from this cause which though very many I know have not taught it and some also have disallowed it yet I have known by long observation that innumerable have been cured by this means by certain Chyrurgeons or others who did professedly labor in curing these Diseases who by opening of a Vein twenty nay fixty times have so restored the perfectly Mad or Melancholick that afterwards they have yet lived in health a long life who were not Scrupulous in choosing some certain Vein but somtimes opend a Vein of the Arm by and by this or that in the Foot anon in another place without any difference which kind of remedy therefore we also ought to use and no waies neglect but with greater care and providence then they who undertake to cure only those who are as it were given over Methodically premising alwaies washings of the Belly and Purgations intermixt as shall be said Therfore some Vein of the Arm which is most apparent must be first opened and reiterated next must be opened a Vein in the Hand especially the Salvatella of the left Hand privatly for the Spleens sake with which it is thought to have consent and also in the Feet the Vein of the Ankle called the Saphaena and the sooner if the Courses flow not right or that which runs to the great Toe which Empericks do open chiefly in this case because it is thought to communicate with the Head Also the Vein of the Forehead if the Evil do continue and the Cause be discovered to lie chiefly about the Head must be opened and Blood must be provoked from the Nostrils by thrusting of Bristles applying of Leeches
is a most dangerous and most acute Disease which somtimes is terminated on the third day but if they be less fierce and Rave with Laughter these things afford us great hopes of recovery but if it be a bastard Phrensie and the brain be not yet inflamed but is only heated by a humor or vapor as it commonly comes to pass and it follow a hot Disease chiefly a Feaver we must foretel according to the condition of the Disease for if this be in the fits of Intermitting Feavers either in the beginning or state as this is wont to be common with Children the Fever remits again together with the Fit but if this happen in continual Feavers about the state it can in no wise be free from danger the brain consenting then with the heart that is opprest where yet if nature overcome the Disease the Feaver declining the Raving also ceaseth also in Pestilential Feavers according to the nature of the Disease which is Curable or Killing the Raving becomes Deadly or no waies such yet it denotes no good if it supervene and then if the pulse also remit and spots break forth Death is at hand in the Worms of Children also it is judged according to the nature of the Feaver and oftentimes foretels Convulsions to come upon it otherwise without any hurt 't is taken away with the Feaver The intention of Curing in a true Phrensie is this that first of all with things evacuating we revell and derive from the Head the bloody humor heating or inflaming the Brain and that chiefly by taking away of Blood and also by Medicines that loosen the Belly next that by things altering used inwardly and outwardly and by a course of diet we correct the heat chiefly in the Head also in the Liver Heart which also as the whol body have grown hot by reason of the Feaver and towards the end discuss the remaining matter in the interim also having respect unto the Symptoms if there be any besides these the which also are administred in a bastard Phrensie but guided by the nature of the Disease accompanying from whence it proceeds in which also let it be your intention to hinder by this means the ascent of Vapors and to revell those already carried up Drawing of Blood for Revulsion sake ought to be suddenly done in a true Phrensie that largely or often repeared in a Vein of the Arme most apparent especialry the Shoulder Vein But the Vein must not be openled with too large an orifice as the French are wont to cut with their Lancets lest whiles they are nnruly the flux of Blood cannot wel be stopt In a bastard Phrensie likewise if we see a great afflux of humors carried to the Head by the greatness of the Raving and the Veins of the Eyes swelling unless by reason of the Feaver because it is in its state or because lasting long or by its malignity it hath overthrown the strength we be compeld to forbear it and nothing else hinder A vein also must be opened although it hath been alreaddy open'd in respect of the Feaver Also for Derivation in a Phrensie alwaies and somtimes in a bastard Phrensie if the Raving be vehement whence we suspect the vehement heat doth raise an afflux of humors even at that time when we are forbid to open some general vein somtimes being forced we ought to open a particular one by which there may not be so great an effusion of Blood although it be in the state for fear lest the false Phrensie should be changed into a true one of which kind chiefly is the Vein under the Tongue which being opened doth oftentimes very much help in Ravings upon which account it is convenient also to open a Vein in the Forehead when great necessity urgeth and we are not compeld to dilate it by girting the Neck with a Swath by which the blood is too much forced upwards and to open the Veins of the Nostrils with Bristles or other rough things by pricking and rubbing them or to suck out the Blood applying Leeches behind the Ears to the Forehead Nostrils Fundament Scarification also doth good with Cupping-Glasses applied for Revulsion in both Species of Raving and when it is not fit to open a Vein in a Bastard Phrensie then also instead of that it shall be applied for revulsion sake to the Shoulder-blades Shoulders Arms which I am wont to do with good success instead of Derivation on the sides of the Neck about the jugular Veins others also approve of it done on the grisly part of the Ears for which Scarification if they will not endure it Cupping-Glasses only may be used We ought also by Frictions of the extream parts to revel and by making Ligatures also in those places to restrain the too much motion to the upper parts the which also may be performed by Lotions of the Feet which we shall by and by prescribe for the causing of sleep If they admit not of Clysters they must be cast in by force and that they may keep them their Fundament must be stopt with a Cloth for they revel much by stimulating and correct the heat of the Body by altering and evacuating the Cholerick Excrements upon which account both by reason of the Raving and the Feavers accompanying it they are convenient in both Species of a Phrensie the which ought to be cast in before bleeding and afterwards must oftentimes be repeated many of which have been prescribed in Feavers For example sake we propose these only Take of Cassia newly drawn six drams Red or course Sugar one ounce Oyl of Violets three ounces juyce of Beets or Mercury one ounce Salt one dram with the Decoction of the four Emollient herbs Make a Clyster A more Compound one is made thus Take of the Herb Mallows Marsh-mallows with the Roorts Pellitory of the Wall Beets Mercury Lettice Violets of each one handful Whol Barley one pugil Guord seeds half an ounce Prunes six Make a Decoction In a fit quantity dissolve Honey of Violets Red Sugar of each one ounce Catholicon Cassia of each half an ounce juyce of Beets or Mercury of each one ounce Oyl of violets three ounces a little Salt Make a Clyster Laxatives and somwhat Stimulating may be given especially in those that are bound to loosen the Belly chiefly when they will not admit of Clysters or do not keep them But we must have a care of purgers that heat the Body in which thing Empiricks knowing nothing else but to purge are oftentimes grievously faulty Therefore a day after a Vein hath been open'd such a solutive Medicine may be given Take of the simple Syrup of Roses solutive two ounces water of Violets Lettice Bugloss as much as is sufficient to dilute it and give it Or this Take of the juce of Roses one ounce and an half Sugar six drams dissolved in Rose water Boyl it gently strain it and give it Otherwise after this manner Take of Syrup of Roses solutive
no other in the Heart for it is sufficient by touching the Arteries to know the vital strength especially in regard the motion of the pulse is answerable to that of the Heart Also the Defect of the Heart is known by the breathing In the pangs of Death there is extream weakness Extream weakness in the hour of death which is more or less longer or shorter In which although the conflict between life and death or Convulsions the Members are moved yet the strength is gone And the pulse intermitteth and ceaseth like the flame of a Candles end that somtimes blazeth with a little refreshment from the grease but goeth out again when that is wanting And the motion of the Heart and Breathing are much stirred up in the Agony before they cease so that the whol breast is shaken and the Nostrils moved the body sweats and farteth which caused the Poets to say the Soul went out And death being at hand the heat leaves the external remote parts as Hands Feet Nose by degrees and the rest while the breast is warm a while til all the breath ceaseth the mouth and Eyes remaining open and the body turned like a clay colour we are certain the Soul hath left the body Sometimes while the man liveth the strength is taken away for a time Syncope or Swooning and all the Functions of the whol body suddenly Pulse and Motion ceasing so that it cannot be felt at least In the Disease called Deliquium Lipothymy or Lipopsychy in Greek if it be great 't is called Syncope And then all breath is gone so that you cannot perceive it by a Feather applied to the Nose or the like which may be stopped in this case only during the Fit while the motion of the heart is staied and hath no need of Breathing without Death But while the the Heart moveth it cannot want Breath because it procureth vital spirits In this Syncope they fall suddenly only with a noise in the Ears or hissing the strength being lost as in an Apoplexy if the Syncope be great but they differ in this that in the Apoplexy the Heart and Arteries beat and they breath though with difficulty and obscurity There is also a cold sweat called Snycoptical or Diaphoretick not from the digested substance of solid things but from the conflict of nature and the dissipation of the Spirits which is so great that not only thin humors but also the Dung and Urin break forth And because then heat vanisheth from the outward parts there is a cold sweat remaining and a paleness all over in those places that should be red by nature shewing it self first in the Lipps Somtimes there is a particular weakness when the internal or external Organs are deprived Particular weakness and it is called the weakness of that part not every weakness that comes from a Disease but as shal be shewed in the causes that which comes from the loss of the flourishing vertue Such as is sometimes in the Stomach Liver Brain Eyes Joynts or Members which shal be spoken of in those accidents which are produced thereby The Causes The Cause of all failing of strength The cause of all want of strength is in the vital spirit in man when it is not nourished with another spirit or moisture or consumed fainting and weakness of particular parts dependeth upon the inbred and inhaerent spirit of the similary parts which makes the spiritual substance of parts as they call it and giveth living vertue or life and strength and heat which is natural This natural spirit or heat being inbred in every substance of parts as in the Heart which though it abound with other yet hath this in it as necessary for life hath need to be continually nourished and renewed by the vital spirit made in the left ventricle of the Heart and communicated to all the parts by the Arteries as to the substance of the Heart by the coronary Arteries called the influent spirit that it might be the matter that sustains the innate spirit and because it easily disperseth it ought to be in great plenty through the body And hence is it that the heart being the shop where that spirit is made alwaies stands in need of Air and Blood whereof it is made Wherefore if they be wanting or but little there is one cause why strength faileth As when for want of breath the heart wants Air then Death follows except its motion were hindered by other causes as shal be shewed in the causes of swooning Because the Heart being dilated by motion often not filled with matter for vital sptrits dieth And this cannot befall it while it moveth not because it may subsist a while with its own spirits as other parts So we shewed in a Syncope wherein they revive after a long stopping of the breath But seeing Blood mixed with Air in the Lungs affordeth fit matter for animal spirits if it be consumed by great want of nourishment or Arrophy or stopped in the Vessels so that it cometh not to the parts there must be weakness But no man living can be so without blood that the Lungs should be so empty which usualhave so much or the Vessels that are so large by which the Blood is carried with Air from the Heart should be so obstructed Only strength fails in this respect that spirits are not made or being made they are suddenly dissipated which causeth the innate spirits to subsist no longer And that either when they altogether vanish and leave the body as in the Agony of Death or they depart for a time from the Heart and return again as in swooning Or when they are fewer then are necessary as in Weakness Also strength must needs fail when there is want of substance making moisture in regard the innate spirit is nourished not only with the infinent spirit but by radical moisture which consumeth dayly And so it is the occasion of Death or Weeknesâ— as it is wanting in the Heart where it is the proper nourishment of the spirit or in any other parts But if the innate spirit caâ—â—ed the spiritual substance of the parts or called the natural heat be extinguished or weakened or any part cold Then if it be in the Heart which hath as I shewed its proper native heat or innate spirit besides the vital which it aboundeth with otherwise there had been no coronal Arteries and be spent Death follows but if it be diminished there is a general faintness of the whol body as a particular weakness of some other member if it be in them But now I shal shew what causeth the dissipation of both the innate spirit called native heat and of the Influent spirit by which it is susteined And how the humor that feeds it is consumed by natural and adventitious courses They who have more innate spirit or natural heat The constipation of radical moisture through age is the cause of weakness and radical moisture are more strong
either the third or fourth day as in double Tertians and triple quartans A double Tertian Triple Quartan Double Quartan but if it be a double quartan the fit is two daies and the intermission one If a Tertian meet with a quartan the fit is three daies together and the intermission one day if it return the same day it is not a new sort but when quotidians come sooner one may come when another departeth And if the later feaver that it fal in with the former in the time of the fit then the fit is longer and may continue eight or ten hours but it is two fits of two Agues the one begins with a new chilness at the end of the other Some return the fifth or sixth day A Quintan or Sextan Feaver but they are but quartans which staied longer away than usually There are divers accidents of intermitting feavers which are troublesome as cold heat thirst Head-ach and change of Excrements Intermitting feavers not only begin but return with a cold fit first as the continual do with yawning shivering and coldness of Hands feet Nose and Ears first then shaking the Germans therefore call it Kaltwee or Frierer from the cold This is greater or less An Ague in High-dutch called Kaltwee or Frierer according as the Ague is Somtimes the body is very cold and the chilness come sooner in a Tertian slower in a quartan the Body shaketh the teeth gnash Both begin somtimes with less cold but then they last longer somtimes the cold is felt inwardly and outwardly also somtimes more within or without And when every part feels cold with heat it is called Epiala But we suppose that this is because intermitting feavers meet in the same day and the cold of one begins before the heat of the other is past Or when intermitting feavers meet with continual as we shewed Semitertians for in the continual there is alwaies heat and when the intermitting comes it begins with cold The heat which follows the cold and shaking or mixeth with it in most vehement Tertians presently kindled dispersed through the body sharp quickly at the highth and quickly declining In others it is gentler nor so general in the whol body but like the burning of green wood as in tertians that have lasted long It is also vehement in quartans but not equal over the body but with mixture of cold and as it were pain of the joynts and bones Thirst is the greatest Symptom in tertians and quartans they call for drink as for life And somtimes in the cold fit especially when the cold is outward and the heat inward they desire drink Somtimes there is Head-ach at first but it ceaseth before the end The change of Functions is seen chiefly in these They somtimes dote in the time of the fit they are unruly and tost when the heat is at the highth And they cannot sleep somtimes Somtimes they sleep too much as in Children They draw much breath the Puls at the first is smal afterwards quick and often and great and more or less uneven There is weakness except the strength be renewed in the time of intermission There is in some a swounding from whence it is denominated A swounding feaver is a sort of intermitting Feaver At the end of the cold fit there are often bitter Vomitings Also after every fit there is plenty of vaporing and hot sweat by which they decrease and by which they are judged Somtimes they void much Urin often and have somtimes the Haemorrhoids or Courses There is alteration of Excrements to be seen by the Urin which is of a yellow or flame color and substance and in Tertians ptesently or in quartans at a little distance they turn white and waterish at first Also a black Urin is not alwaies bad in a quartane if the matter of the disease be thereby purged The stools are cholerick and yellow somtimes black The Causes The first Cause of all Feavers is a Disease A hot distemper is the cause of all Feavers which is an hot distemper or preternatural heat making all the body hotter than it should be The heat which disturbeth the Patient is a symptom First we shal consider the place then the essence of this heat whether it be a Disease or a Symptom The place affected is not one but all parts of the body In all Feavers the whol body is the seat of the hot distemper not only the fleshy parts which are sooner inflamed but the Membranes and bony parts take this preternatural heat The heart grows first hot and then all other parts more or less begin to burn by consent as they are by nature hotter or colder But this is not a Feaver except the heart be also inflamed though the whol body burn with the blood spirits and other principal parts as the Brain Liver and the like Nor can the heat of the heart cause a Feaver if it be little or if it be short though vehement such as comes by Anger or Motion except it be fixed The essence of this preternatural heat in Feavers 〈◊〉 not the same in all and the difference thereof makes different Feavers For this heat is either adventitious and mutable which is called a fiery heat and that is either pure and single which inflameth only the body and causeth pure or not putrid Feavers Or impure and mixed with putrefaction infecting the body and making putrid or impure Feavers Or it is malignant and putrid together or alone and infecteth causing malignant putrid pestilent and venemous feavers Or this heat is fixed and constant or a change of the temper of body into a more hot hence come those called Hecticks How these come whether of pure heat or filthy shal be shewed in these three causes A pure simple heat when it only is a little increased A pure heat is the cause of pure or not putrid Feavers first in the Spirits and Blood Veins and Arteries and so sent to the Heart and fixed to the matter that nourisheth it and so communicated to all parts causeth pure simple and continual feavers when the heat being once kindled goeth not out till it be quenced These are either solitary or without any other disease in their course or accompanied with another disease that went afore or cometh after The cause of this variety is when the cause of the disease is either in the vessels or out of them If Blood is kindled or inflamed in the vessels that is Heat of blood and spirits coming to the heart is thecause of pure continual Feavers Heat remaining in the vessels causeth solitary Feavers in the Veins and Arteries and so the heart set on fire and a feaver produced and it continue to the end without moving into other parts then the feavers are called Solitary or accompanied or symptomatical as they come from or not from the disease If no Disease cause these Feavers but the blood is inflamed in the Vessels then they
are called Solitary and Primary being accompanied with no other Disease or accidents and as the heat is more or less they are shorter as for a day except they turn into putride feavers or longer when the heat is more fixed which causeth the Hectick And this is not as some would have it that if the spirits are only inflamed the heat should depart in one day which causeth Ephemeral feavers And if the blood be enflamed the continuing longer causeth a Synochus if the heat be in the substance of the Heart a constant Hectick Because in all these kinds neither the Spirits nor the Blood can be enflamed by themselves being confusedly together in the Vessels and the substance of the Heart must be inflamed together with them And every Feaver and other Disease must have some solid part to subsist in as their subject and not the Spirits and Humors But this diversity of feavers comes from the Cause from whence they proceed and the Subject which is the body of man wherein they are In respect of the external cause as it worketh these in the body and continueth longer These Feavers differ in time and greatness and this external cause is either from things without or taken in or from excercise Of things without these by themselves inflame as hot Air or Water if long continuance be made therein by accident these vehement cold and sudden especially taken when the body is hot by outward Air or Water Because the heat being suddenly struck inward by the cold external inflames the Spirits Humors Bowels and the very Heart And this is more probable then to say as others that it comes from the stoppage of the Pores of the Skin by cold whereby the Air which should pass through to cool and Ventilate as they call it is hindered and so the blood is inflamed and putrified But we shewed formerly that the necessity of Respiration or Breathing was ordained not to cool the Heart which being in health it needeth not and the use of transpiration was not to cool the blood which being temperate it needeth not But for the Evacuation of Excrements as we shall shew in putrid Feavers which proceed from the want of that Things taken in which actually or potentially inflame especially if they peirce suddenly do the same as strong Wine and stronge Waters drunk in great quantity and the Anacardine Confection being very hot And we shall shew that neither crudities nor corruption of meats as some think can produce these pure Feavers but other Diseases or putrid Feavers Vehement motion especially running by heating may cause the same as we see in Horses after Races that we perceive to be feverish from their short breath extream heat and sweating And Women long lying in hard Travail by a continual motion and hard and often throws are in a feaver which is increased by pain Also immoderate motion of mind by watchings chiefly sudden motions by anger frights or joy if they do not only stir the spirits and blood but enflame the heart also cause feavers But we suppose that fear and sadness cannot cause these feavers except there be also putrifaction From the subject Body afflicted with these feavers they are also divers Any constitution is capable of them from an external cause by which heat being stirred up may differ in respect of the constitution as it is temperate hotter or impure If a temperate body be inflamed from without Inflamation of the Blood or Spirits from an external cause in the Vessels may cause an Ephemora in regard that heat cannot continue long but the body must return to its former temper there may be a short feaver called Ephemera And the heat being united there is no great change made and being not impure it begins not with shaking or Crisis and it goes away by degrees through sweat which is caused by a gentle breathing or exhalation from the same heat That is an over hot constitution which is more fit to receive heat and if it be enflamed from an external cause then from the double heat comes a Synochus simple Feaver which lasteth longer and is hotter This constitution is either Sanguin or Cholerick The Sanguiue constitution A sanguine Synoch is caused by blood and spirits inflamed in the Vessels from an external cause is sooner enflamed when there is more blood or heat then ordinary Therefore young persons and Plethorick or full bodies and hot and such as want their usual bleedings by Haemorrhoids Terms or at the Nose are sooner in these Feavers And these by reason of the efficient cause meeting with the adjuvant or assisting continue above one day to the third or fourth day and are called simple bloody Synocks These have a greater heat and other Symptoms from the causes mentioned but otherwise they begin and end as the Ephemerae A Chollerick constitution being hotter A cholerick Synoch is caused by Instamation of Blood and spirits in the Vessels from an external cause is easily enflamed from the same causes with a Feaver like a Synoch called a simple Cholerick Synoch And it keeps the same progress with a Sanguine except some accidents arise caused by choller by which it is turned putrid If a foul body take a feaver from an external cause A Synoch which degenerateth is caused by Inflamation of blood and spirits in the Vessels of an unclean body then if the blood be apt to putrifie the feaver is no longer simple and pure but an impure Synoch and of longer continuance But if the blood be somwhat impure and yet not apt to putrifie then the Synoch is pure but the accidents are more and greater then in the former There is also a Synoch called accompanied when nature driveth out of the Veins some of the impure blood If these Feavers come from a Disease and the blood being enflamed stay in the Vessels The cause of pure Symptomatical accompanied Feavers is a hot disease that enflames the blood and spirits then because they follow a Disease they are called Symptomatical simple Feavers These are like the Ephemeral or Synoch Feavers except they be turned into Putrid by the Disease that caused them or their Course or Symptoms altered thereby The Diseases that cause Symptomatical feavers are of some part and send forth such heat that first it inflames the blood in the part and then the whol Mass and the Heart and the blood in the part is commonly more then ordinary by reason of the Disease and pain which attracteth These hot Diseases which cause feavers from hot humors as Blood and Choler may produce them without corruption for Blood and Choller only of all the Humors can produce feavers without putrefaction When Blood gets out of the Veins A Disease of Blood is the cause of Ephemera or Synoch Or Symptomatical Feavers not from the Feaver aforegoing of which hereafter but from some other cause as heat or pain and fals into a part where it begets either a bare
into the Joynts and then they are red and swollen except the tumor lie very low So that such as are inclined to the Gout being easily taken with this Feaver Nature being used to disburden her self into the outward parts joynts or skin are subject to these Diseases Also albeit these feavers go before Defluxions or Catarrhs and promote them yet because they do it not by affording matter to them but by moving the flux with their heat they are not differing from solitary feavers though they may also be joyned with other diseases Nature doth often discharge blood into the superficies of the body Inflamed blood in a Feaver sent to the superficies of the body is the cause of Synoch with a Botch Erysipelas smal Pox Measles or Carbuncle the Skin especially Glandules and internal Membranes in these Synochs and cause there Redness Heat Tumors or Pustles sooner or later and as the blood is Pure Thin Thick Yellow Black or Waterish or impute yet not putrid as we shall shew the Tumor and Heat and Pain are different This Difference is chiesly in respect of Tumors and Pustles These Feavers often produce Tumors or Redness called Carbuncles These are so usual to some Natures by reason of the Heat Thinness and Waterishness of the blood or Impurity that they have them upon the least occasion at certain times if the blood be but a little inflamed nor do they spare old or gouty people They are diary as we shewed and a Tumor follows them seldom the same day but two or three daies after either in the Glandules of the great Veins in the Groyns Arm-pits and Chine if blood go along with them And these are with pain and sometimes with inflammation The blood often falling into the lowest parts of the Legs there is often an itching and then a burning in the Ankles and after a redness with Yellow or Black as the blood is in thickness if it be an Erysipelas Somtimes it swels and is inflamed if it be an Erysipelas with a Flegmon when better blood flows thither and if the blood bewaterish the whol Leg swels with an oedematous Erysipelas These have a Bubo or swelling in the Groyn going before them the feaver commonly abates at their coming forth so that former Writers were deceived that thought the feavers began with them and were symptoms to them which are the contrary for the feavers appeared before there was sign of inflammations And if the Glandules only swel there is no great heat and it cannot be from a feaver The smal Pox though it be usual in malignant feavers are somtimes in pure feavers And the Measles in Infants by reason of the fulness of blood or disposition to be inflamed they come forth the third or fourth day but in a pure feaver they are not infectious and depart themselves Nature labors also to do the same in Synochs not putrid if the blood be black which it desires to expel by a Carbuncle not pestilential either alone or with a Bubo And many fear they have the Plague through ignorance A Heat mixed with Foulness first raised from putrid humors or parts of the body A putrid heat causeth putrid Feavers and so carried to the Heart and inflaming it and sent from thence to all the parts of the body causeth putrid feavers which continue or return while the putrid vapors or humor go to the Heart which they wil do because they are bred in the Veins and Arteries by which they may be directly carried therunto For these go to the heart with great Orifices conveighing humors and spirits into it and they cannot be carried another way For if a stinking Vapor couldpass the the cavity of the Breast another way into the Heart to inflame it we should alwaies have a Feaver from the vapors sent from the Excrements which though thin and hot so that they may be let flie and burned to flame yet cannot reach the upper parts to infect them unless it be by making a stinking breath As we shall shew And although a poyson or venemous quality can reach the heart wheresoever it is bred or by any passage yet these vapors bred in a thick putrid matter constrained to a certain place but by the manifest passages aforesaid By which means as a simple heat sent to the heart in the spirits and blood causeth a pure simple Feaver so doth a putrid vapour or matter by the same way cause a putrid Feaver which is divers according to the divers places in which the matter is bred which matter also is not alwayes of the same Nature The stinking Matter is either bred in the veins or arteries or out of the vessels in the humor of some part or substance thereof The Humors that cause putrid Feavers either putrifie in the vessels that is the veins and arteries either continued to the heart or in them that are not joyned by continuity to the heart but can send a vapour by vessels that are continued And this is cause why among putrid Feavers some are continual others intermitting The vessels continued to the Heart are the Veins and Arteries except the Mesaraicks Foulness of blood in the vessels continued to the Heart is the cause of putrid continual Feavers If any humor putrifie in these being largest and dispersed through the whol body because the way is open to the Heart the vapor and part of the humor go to the Heart and sets it on fire causing continual feavers because the cause is included in the vessels These if they kill not by the vehemency of the cause and the Disease or melt the body with heat go slowly off and and continue til the heat of the Feaver hath consumed the mattter by Vapors and Nature hath made Concoction of it and discharged it by a perfect Crisis The humor putrifying in the vessels is blood which being too hot and moist easily putrifieth as we may observe by it out of the vessels But all wil not putrifie but from a great fault but a little only some remaining good though by reason of the Disease and fasting the Patient gets no new and this is separated from the bad into other places And if it were mixed and grew hot yet it did not stink but the filth being separated it returns to its former purity As we observe in letting blood it flows somtimes pure somtimes impure and somtimes confused or mixed Moreover though blood hath divers parts yet one cannot be corrupted alone but all is made thinner thicker or fatter rather than cruder which cannot make perfect blood as I shewed for the blood in the Veins is made of them not distinct but confused or mixed though they seem divided in cold blood and there is no part of blood but is made of them This is manifest by the Urin and Sweat when the serum is putrified Hence are divers sorts of putrid feavers not because divers parts thereof called humors as Blood Flegm Choller or Melancholly are
heat there is not a simple heat but a compounded feaver with putrefaction And this is the cause why a Synoch not ending the second or third day becomes putrid This is known by the signs of an Ephemera and simple Synoch the one whereof is that the heat began externally And this is the reason why fulness of blood which many say is the cause of putrid feavers causeth a change of simple feavers into putrid Foul or evil blood which hath the seeds of corruption in it or is disposed thereunto if it be gone so far by its plenty or corruption that nature cannot order it that is amend or purge it causeth by putrefaction divers putrid feavers differing according to the place wherein or the matter of which the putrefaction is These are foreseen before they come by a constitution not perfectly sound nor sick by reason of some secret fault in the blood in which there is a laziness haviness and pain of the Head troublesom dreams stretching of the sides or Hypochondria Heart pain Nauseousness loathing of Meat change and stink of usual Excrements or not usual as sweat spitting vomiting belching This fault of blood comes either from things taken in or from Excrements retained or from outward things Things taken as meat and drink which are the matter of which blood is caused if they be of evil juyce or corrupt cause this fault in the blood Meats of evil juyce though after they are eaten they are somwhat changed by concoction and turned into blood yet in regard the former condition remains if they be often taken produce these putrid feavers which are popular or common when the meats ordinary eaten by most people from necessity are such as Herbs and Fruits or Corn eaten in too much plenty when unsound as in time of dearth these infect the blood and cause Epidemical Feavers in Cities and Armies Also if the food be naturally good and be putrified before it be taken it infects the blood As when they are too old or corrupt by too much moisture whether Flesh Fish or Cheese by stink and Putrefaction being long taken infect the Blood and cause Feavers And common Feavers come by corrupt Water Bread or Flesh at Sea or from Corn that is mowed up wet Those most easily corrupt being eaten which have much Excrementitious moisture as summer fruits the eating of these in summer abundantly causeth Feavers in Autumn or the Spring following Things that nourish as Mâ—â—k and Eggs or sweer things soon corrupt in hot Stomacks and turn to Choler which causeth other Diseases rather then Feavers So do hard Meats and slimy when the Stomack Liver or Spleen are afflicted for want of concoction cause crude blood and obstructions rather than Feavers Except there be other accidents The retention of the Vapors and Excrements of blood usually sent forth by insensible Transpiration or sweat infects the blood and causeth Feavers This may be from divers causes from idlness and sluggishness of nature in expelling of Excrements obstruction of the Skin and pores thereof and want of Aire Not that the blood is inflamed and then corrupted for want of Air through the pores to cool it as we shewed in the causes of a Diary Feaver Nor that it can come from a sudden cold taken in while the body is hot But because the skin being made thick the Excrements usually purged by the pores cannot come forth And because the body cannot be refreshed with Air to consume the moist Excrements under the skin As we may observe by things kept in close places where fresh Air comes not they grow mouldy and musty so by the long retention of these moist Excrements for want of Air the blood may be infected and Feavers follow When the Air is infected with evil Vapors from stinking Carkases and taken constantly into the body it infects the Spirits Blood and Heart and causeth putrid Feavers and they are somtimes popular when many live in it and are disposed for it Or contagious when the putrefaction comes from the breath or sweat of sick men This is from a malignant or venemous quality rather then a simple corruption The vessels not continued to the heart of veins and arteries are only the meseraicks Corruption of blood in the meseraicks is the cause of intermitting putrid Fevers branches of the gate-vein which comes from the liver dispersed through the bowels in the lower belly and no where else never coming forth to the skin but in the Fundament where they are called Haemorrhoids For the Arteries which accompany these as also those that accompany the branches of the hollow Vein coming all from the great Artery are continued to the Heart thereby Therefore if a humor corrupt in the meseraicks though their passage be intercepted by the substance of the Liver in which all their branches are yet because the branches of the hollow Vein are also in the same substance of the Liver and are joyned to the mouths of of the branches of the Gate-vein and because there is a constant passage of the Blood in the Liver by them And also because the Arteries coming to the Heart are joyned to the Meseraicks in the Spleen Stomach and Guts By this communion and vicinity it happens that as oft as evil vapors rising from the Meseraicks do fill the branches of the hollow Vein and great Artery they pass that way to the Heart and cause putrid Feavers by their stink but these are not continual but intermitting And because the putrid Matter is not far from the Heart in continual Feavers they may a little intermit but not wholly cease For the Heart once on fire before it be wholly quenched and a new vapor in the Veins that come unto it must have fits at certain times As we shewed Also this is from other Causes a filthy vapor in the Meseraicks which causeth a Feaver which doth not constantly touch the Heart with the same force by reason of the distance this is not alwayes unequal but wholly ceaseth by reason of the stoppage of passages to the Heart And so long intermitteth while the putrid Matter confined to its fire swells and sends forth a vapor to the Heart with some of it self For it being abundant and of an evil quality provoketh Nature to send it into the branches of the hollow Vein and great Artery and so into the Heart where it causeth Feavers to continue so long till all the fuel be burnt up or sweat out After which manner a Feaver wholly ceaseth till a new fit cometh by a new motion and heat of the Matter sooner or later and not in the same form As shall be shewed Now let us consider what humor it is that putrifieth in the Meseraicks what is the conjunct cause of intermitting Feavers and the antecedent Cause of Corruption The humor contained in the Meseraicks is Blood yet not so pure as that in the Liver purged from the waterish and cholerick Excrements and fit for nourishment although some part
of it for nourishing the membranes be pure it is waterish and some part thick it is full of excrementitious Humors that pass with the Chyle and being purged from these in the second concoction it is sent into the hollow Vein These excrementitious Humors seem whey-like and cholerick for Serum or Whey coming from much drink and moist food and passing through the Meseraicks and carrying with it other crude humors passeth in greater quantity to the emulgent Veins and so to the Reins and Bladder The cholerick Matter rifing from Meats and Drinks mixed with Blood is first purged by the liver and then sent to the Gall. Besides these two Humors for which nature hath made two receptacles we can find none nor can we by reason or sense perceive that the Spleen was ordained for that purpose Therfore a putrefaction in the Meseraicks nor in the hollow Vein cannot be distinct in any part of this blood or in the excrements mixed therewith but must needs corrupt the whol mass And if it come to the height that it sends most hot vapors which only can reach the Heart then it produceth these fevers Nor can they come from a crude or waterish blood which wil not so corrupt and grow so hot to send such vapors but other Diseases may As when the matter which aboundeth in this blood is cholerick and is not sufficiently clensed in the Gall but makes the blood too cholerick and putrifieth it then causeth intermitting Fevers by hot and subtile vapors sent to the Heart And for this cause we affirm that this blood corrupted with yellow or black Choler such as we have seen voided by the Haemorrhoids in the Cure of such fevers and Children have voided abundantly by stool causeth these intermitting fevers Thus The cholerick blood being long in the Veins before it produce a fever at length corrupting and swelling and burning about the Midriff and sending forth dry vapors which first offend the sensible Nervous parts by pricking the expulsive faculty causeth cold at the beginning of the fit the heat being sent in with the blood and when nature strives to shake off that which offendeth yawning chilness shaking as we may observe in other places when any sharp matter strikes upon sensile parts the body shivereth also Vomiting is often in the beginning from the stirring up of the expulsive faculty These are at the beginning but after when the Vapor from the Midriff ascending to the Heart by the waies aforesaid enflameth it a heat follows and the cold and shaking ceaseth except the Vapor go so soon to the Heart that the heat appears before the cold be gone and there be both heat and cold at the same time as in the fever Epialis This heat being raised from the Midriff the whol body is inflamed a great thirstand other accidents from heat continue so long til the Vapors being discussed by insensible transpiration or sweat the fever departs or intermits so long til new matter corrupting in time of rest cause as many vapors as may make a new fit And this course of fits continueth till all that matter which was apt to corrupt be taken away by help of Nature and the Physitian for in every fit part of that cholerick matter corrupted is turned into a Vapor discussed by heat or sweat out or pissed forth the Urin being after the fits yellow red sharp and stinking sometimes the whol Disease is dissolved by sweat and if any thick part of the choler stick in the skin there followeth the Maunge or Scab or the like somtimes by vomiting flegm and choler sent into the Stomach from the Gall is voided by whâ—ch the cause is taken away and the Ague cured These are by Art or Nature separating the feverish matter from the blood in the Meseraicks and the Vomits and Stools are bloody often when there is a Cure but it is dangerous because the way is not ordinary except the cause of the fever come forth with blood at the Haemorrhoids by these means we have seen quartans cured which could not be by other bleeding which draws from the branches of the hollow vein only and the Meseraicks only appear at the Haemmorrhoids Nor can the cause be so taken away except when the branches of the hollow vein are emptied theseverish matter gets into them out of the Meseraicks But if there be such a passage and the putrid blood be mixed with that in the branches of the hollow Vein an intermitting fever is made a Continual as I have often seen by unseasonable blood-letting when the cholerick matter is purged from the blood and the blood tempered with serum and carried thereby into the branches of the hollow vein and so into the habit of the body and Urin which it tinctureth then the fever either ceaseth with the Jaundies if the the whol cause be carried thither Sometimes this matter isinfused into the fibres or smal veins of the Guts and produceth Erysipelas and Colicks the fever ceasing or not as the matter is wholly or in part carried away from whence if Convulsions arise they are dangerous as I shewed Fernelius saies that he found a pound of this cholerick matter about the Membrane of the Liver and the Nerves of the Back in one that he dissected after his death of a Fever Therfore if cholerick blood corrupt in the Meseraicks it is the true cause of all intermitting fevers they come and go by reason of stoppage of the way to the Heart and thinness of the Vapors The diversity of them comes from the diversity of the place and matter The matter of this putrifying cholerick blood is not alwaies the same but as we see choller separated from the blood is now yellow now green and black thicker or thinner so is this divers in the Mesaraicks especially thinner or thicker The Corruption of thin choller in this blood before it can cause a feaver Corruption of thin blood in the Mesaraicks causeth an intermitting Tertian exquisite when pure Nothus or Bastard tertian when impure must be three daies after the first Corruption is discussed hence it is called a Tertian which comes every third day And if as much be corrupted as before it comes at the same hour or if more be corrupted it comes one hour or two sooner when less corruption or matter for it remaineth the fits are later and the feaver decaies But as this chollerick matter is pure or impure the course of the whol feaver and its fits varieth Pure Choler which is mixed with blood being hot makes an exquisite Tertian and because the vapors are sooner discussed the fits are shorter and the feaver lasteth scarce seven fits by reason of the quick motion of the matter If it be impure mixed rather with crude than flegmatick humors and blood it causeth a bastard tertian in which the fits are longer more disorderly and the fever longer because the matter is much and unequal If the Choller be thick and burnt Corruption
sweet Balsom Take distilled Oyl of Cloves and seeds or roots of Angelica five drops with white Wax and a little Mosch Anoynt Or with this Take juyce of Cardiaca and Balm each two drams dissolved Camphyre in Aqua vitae half a dram Saffron a scruple with Honey make a Liniment for the Pulses Not only Empericks but some learned men commend highly some poysons to be applied to the Heart to defend it from the Plague Mathiolus highly extols Oyl of Scorpions thus easily made Take two drams of right Oyl of Scorpions with Treacle a dram apply them to the Pulses with a clout Some add Rhubarb as the Oyl of Scorpions of Clemens Some commend this of Arsnic Take white and red Arsnic each equal parts make a Pouder add the white of an Egg or Mucilage of Traganth to make a hard Cake which must be carried about the Heart in a double Scarff Somtimes Arsnic is mixed with cordial Pouders thus Take fragments of precious stones coral Pearl and Hearts-horn each a dram Orris half an ounce Saffron a scruple white Arsnic an ounce Orpiment half an ounce make a Pouder for a Bag with a little Ambergreece Some do mix with good success two ounces of the Pouder of a Toad If the Liver be anoynted with Oyntments that cool and strengthen some think the body is safer from the plague Some hold it for a great secret to anoynt the Emunctuaries as the Arm-holes and Groins with Benzoin Storax Labdanum and Litharge Also to keep open old Ulcers is good in time of plague to preserve And an Issue in the Arm or Legg In the year 1564. a Monke at Leyden in time of the plague had a hole in his Cod with an Hellebore root kept open by which he preserved himself and perswaded others to use the same for safety Amulers are highly esteemed a Nut-shel filled with Quick-silver stopped and â—anged about the Neck This is commended by Marsilius Ficinus by many examples and by others some say it must touch the region of the Heart They think Saphires Smarradgs Hyacinths Unicorns horn and Ivory about the Neck do the same Also Five-leav'd grass and Dittany roots and Bettony with the roots held in the hand The Cure of a pestilential fever is divers according to the humor they suppose it comes from which they evacuate But we say it came from a pestiferous quality infecting the body and therefore aim at the opposing and altering that considering the age of the Person First we give a prognostick because all Plagues are dangerous and more die than live In which there is no hope and the Physitian labors in vain except in the space of twenty four hours Nature throws all or most part of the poyson from the Heart Spots are deadly when they appear because they are not critical Buboes and Carbuncles appearing give hopes of recovery Sudden loss of strength especially Swounding and outward cold are evil signs If a woman with child having the Plague miscarry as shee commonly doth shee dieth usually The Cure is by Nature and the Physitians help for many do recover Therefore we strike at the Disease keep up strength and correct symptomes We said the Disease was a venemous quality fixed in the Heart and so upon the whol body in the similar parts with a preternatural heat and fever Therefore we first labor to take away this quality from the Heart and the humors which increase the same And to alter the venemous force thereof and abate the heat Things that evacuate this poyson and put it from the heart and expel the humors that increase the fever must be used in this order and manner Blood-letting was the first and usual means And many perswaded themselves that much poyson was taken from the the heart thereby But it is a general rule that it must not be til ripe age And in women with Child not so much as in the Foot for fear of miscarrying for others I cannot perceive how bleeding can take the Venom from the heart or body when it is not conteined in the blood but it rather is a cause of drawing the Plague more inwardly the Veins being emptied Besides the motion of nature is hindered thereby which at first labors by Sweat and Pustles and swellings to expel it And the strength which should be kept to encounter with the Disease is lost Neither doth it bring so much good as hurt for taking away the cause or cooling the heat which is not very great in the Plague for the reasons aforesaid Therefore they are all to be blamed that observe not these circumstances but let blood rashly except in Children though Nature be laboring to sweat it forth or cast out Botches and though they see many die after bleeding they wil go on their road of bleeding presently and plentifully But we are to bleed only when the Plague is in a plethorick or cachectick body which causeth not a simple fever by plenty of blood but a putrid Synoch and then the heat and symptoms wil be abated And then it must be sparingly done to preserve strength and not at all except the repletion mentioned require it if there be weakness For we have often found by experience that more people in yeers have scaped that were not blooded than that were Some approve no bleeding but such as is til the Patient fainteth and brag of many that have been cured thereby We think it safer to omit it than rashly to use it and if it doth good it is more for the fever than the venemous quality which is not in the blood but comes to the heart from without and so cannot be expel'd by bleeding The time if it must be is at first within twenty four hours or not at all And if sweat appear as usualy it doth it must be defer'd til it be past and it must not be stop'd either by bleeding or nakedness which is required when the Vein is opened But when sweat is past and the Patient is refreshed with meat or medicine it may be done if need require or before sweat if it appear not nor must we stay to loosen the body first as at other times before bleeding for there is no dallying If pain be take blood from the side if not take the common Vein Open the Saphena or Vein in the Foot if there be a swelling in the groyn If it be above open the Arm or Hand-vein on that side If under the Arm-holes open the Basilick vein if under the Ears the Head vein if in the Face under the Tongue Some clap on Cupping-glasses to the Carbuncles before bleeding that the venom sent thither may stay there and be drawn inward by bleeding by which way we have known bleeding do much hurt And I have observed that Empericks have with very ill success raised blisters with Vesicatories upon the Botches at first appearance Some do draw the venom out at the orifice after bleeding apply Scordium or Jack of the hedg which is of
a Drink to cool a hot Liver and the blood and spirits It is good to sweat often in due season for thereby the blood is purged from excrements especially such as are thin This must be done by Exercise Stuphes or Fomentations and by things taken into the Stomach Let the Diet be moderate in quantity And beware of all things which easily inflame the Blood and Spirits The Cure is directed partly to the Fever partly to the Disease that accompanieth it As for the Fever because Nature from the beginning doth of her own accord send forth the Vapors which rise from the Inflammation of the blood by transpiration or sweat we must do the same in helping her that so some part of the cause being taken away little or none may be carried to the emunctuaries or pores or other places internal which are worst Wherefore since Nature in this Fever goeth about first to expel by sweat which she doth later in a Synoch let us at the first give things that cause sweat but not very strong least the body hot before be worse inflamed thereby or that help and make them sweat more freely Let the Patient be quiet and covered and not exposed to the cold Air which hath been so dangerous to some that many fear to apply a cold wet cloth outwardly or to an Erysipelas Some advise plenty of Barley water to be drunk and to boyl Lentiles therein to send forth the matter and to sweat as in the small Pox. And if Nape and Citron seed be added the Decoction wil cause more sweat Also the Decoction of Sorrel roots with burnt Harts-horn and Lentiles husked and Nape seed with a little Cinnamon provokes sweat And divers distilled waters but here we make choyce of the most temperate in regard of the Fever as that of the three colored Violet highly comended also of Fumitory Carduus Marygolds Chervil and such as are usually given in other Fevers which begin in the same manner To these Waters we add Rob or syrup of Elder or of Danewort or syrup of Ambrosia or Treacle Also we refresh in the sweat or after it especially with a little Bread tosted and dipt in Water and white Wine with a little Cinnamon and Sugar and if you do so at first they wil sweat the better Blood-letting is not so requisite here as in solitary Fevers except there be fear of greater internal inflammation and a Plethory for the sending of blood into the Emunctuaries and the extremities is not so much to be feared that it should be stopt by letting blood The Belly must be loosned if bound as in a solitary Synoch and purged a little if there be ill humors with Cassia or Manna And the Alterers must be given in and applied outwardly if the heat be great as in a solitary And the Accidents corrected as there said As for the Botches or Buboes they somtimes vanish of themselves without any application except in the Neck where they are kept from the Air with a cloth or a Fur. When they are ill ordered they burn to an Imposthume as we shewed As for Erysipel as that departs presently after the Fever but if it be hot and painful asswage it as shal be shewed When it is ill cured it turns to an Ulcer and somtimes into a Gangrene And therefore commonly they say that if any Ulcer or Tumor or scurf come after it was caused from the evil curing or wetting of the Erysipelas If a Synoch be joyned to a hot Disease or Inflammation The Cure of Fevers coming from external Inflammations and their Accidents and there is an outward Inflammation with a tumor Contusion Wound or Gun-shot that causeth a Fever if it be small little is given but such as may be mixed with the medicines against the Tumors as bleeding which is good for Revulsion And loosning of the Belly and other altering Medicines used in other Feavers When there is internal Inflammations of the Lungs The Cure of Feavers that produce internal Inflamations or in a Pleurisie or Peripneumony or in the Liver Spleen or other parts we direct our Medicines to the Inflamation rather then to the Fever which requires no such hast as the Inflamation and goes away with the Disease except as I shewed in the causes it springs again Yet we so order the Inflamation that we increase not the Feaver And the Medicines are best which are contrary to both Blood-letting is excellent in both for it is the chief remedy in a Synoch and it hinders Inflamation by drawing the blood from the Noble part Therefore it must not be neglected but let out freely and somtimes repeated It is good also against both Fever and Inflammation to keep the Belly open with gentle Laxatives or Clysters Strong Purges are Enemies to both because they take away more of the cause but inflame the body and stir up the blood to flow to the Inflammations and abate the strength which is here precious And they are to be feared least they bring a Diarrhaea which is here dangerous and deadly Therefore imitate not the Empericks in giving them Things that are given cold though they are contrary both to the Fever and the Inflammation yet they must be given warily with regard to the part where the Inflammation is lest they hurt one when they profit the other Although much cold water is good against a Synoch yet it would hurt internal inflammations by a sudden repercussion Therefore we give it prepared for that part and in Diseases of the Breast we give Pectorals and in Diseases of the Liver openers of Obstructions mixed therewith And therefore sharp waters though they may do good in Fevers and many internal inflammations yet we give them not in diseases of the breast especially if they bind and are very sour This rule is to be observed not only in ordinary Drink but in Juleps Syrups and Conserves Remedies applied outwardly must be profitable for both they must not increase Inflammation as Epithems though they are in all Fevers profitably applied to the Heart yet in Inflammations of the Lungs they wil do hurt The Diet which is thin for a Fever is good in an Inflammation also while the matter slows that while the hungry parts catch away blood for nourishment it may less come to the part affected But we have shewed at large in our Practice how to order internal Inflammations with a Fever whether it went afore or followed them Fevers with Meazles or Small Pox which are Synochs or putrid The Cure of Synochs putrid malignant or pestilential which produce Meazles or small Pox. malignant or pestilenlial are judged and cured according to their divers causes and the age of the Patient These are less dangerous when they come not from a malignant cause and then they keep the same course with Synochs Solitary Putrid or not Putrid But if there be a malignant cause not pestilential these Fevers alone hil not Infants because Nature sends
an Ulcer and the Thrush neglected In an Elephantiasis or Leprosie and in the French Pox though they use no Quick-silver and in the Scurvy by reason of their venemous quality as shal be shewed there are Ulcers in the Mouth and Jaws The Cure If Inflammation and preternatural heat of the parts of the mouth come from other Diseases The Cure of heat Inflammation of the Tongue Jaws Cheeks and Palate as Fevers they must be first cured as we shewed in Fevers by letting blood for the Fevers and Sweating and by cooling the Heart Liver and Reins restraining the corruption and preserving the strength But chiefly for the Tongue when much afflicted to prevent a Squinsie and Death by the Inflammation going to the Jaws open the Vein under the Tongue although you have let blood before for the Fever and use diversions by Cupping Scarifying Rubbing often and things that heat and keep down foul vapors and quench the great heat not only for the Fever but for the tongues sake Examples of which we shewed in Fevers In other Causes use diversions as in Fevers by bleeding and the like as when the Gums are inflamed in the Tooth-ach Lest the mouth be inflamed by the use of quicksilver before you apply it wash the mouth often with Milk fat Broath Butter or Oyl of sweet Almonds and anoynt the Tongue therewith If it be a simple heat wash the mouth with cold things and moisten it if it be dry and if you fear Inflammation Astringe and Repell adding Clensers by reason of the slime in the Mouth and somtimes Resisters of Venom and then use Digesters and Ripeners if it tend to an Imposthume We shewed in the hurt of Tasting what wil allay the heat and driness of the tongue When in the beginning of an Inflammation we will repel and cool together use these following Spring-water and Rain water astringe a little and Wine Vinegar or Rose Vinegar added to sharpen it Also waters of Violets Water-lillies Night-shade Purslane Lettice and these Astringents Rose water Plantane Privet Honey-suckle and Myrtle water chiefly water of Self-heal used with Vinegar or other waters for it cooleth not much of it self Thus Take water of Prunella or Self-heal four ounces Rose Plantane Straw-berry and Purslane water of each two ounces Rose Vinegar and Honey of Rose each an ounce with a little Allum or a drop or two of Spirit of Vitriol and then it will bind more Also sharp Juyces as of Mul-berries Bay-berries Grapes Cherries Oranges Limons Citrons and Sorrel with Vinegar or alone and the juyce of Lettice is counted best these may be chewed or the juyce taken often Or you may boyl the Fruits and wash the Mouth with the Decoction Or give the Juyces with Honey or alone Or the syrups made of them chiefly that of Mulberries may be mixed with Mouth water or licked In the French Pox syrup of Violets with the Decoction of Barley and Roses cureth the Inslammation The vulgar High-dutch use the distill'd water of that Liquor in which they pickle Cabbages called Sumpistbren or the liquor it self if it be shaken together To which you may add other juyces A cooling and repelling Decoction Take Violet leaves Lettice Plantane Prunella or Self-heal Willow Sorrel Vine Straw-berry each a handful red Roses Antirrhinum the great Mallows Barley each a pugil Gourd seeds two drams Bar-berries a dram soure Berries ten pair soure Prunes six boyl them in Water and sharp Wine add a little Sugar and Honey of Roses use ir so or with Juyces or Syrups Another more astringent Take Mouse-ear Privet Self-heal Plantane Brambles Myrtles each a handful red Roses Water-lilly Barley Vetches each a pugil Prunes or Cherries Cornil berries or Cervises or Quinces some few Bar-berries dryed an ounce boyl all in red Wine add Honey three ounces syrup of Pomegranats two ounces wash the Mouth therewith In the increase of the Inflammation add Digesters thus Take Liquorish an ounce Self-heal two handfuls Plantane a handful Hysop half a handful Mallow flowers red Roses each a pugil Sage and Rosemary flowers of each half a pugil Beans and Lentiles of each an ounce Fenugreek and Linseed each half an ounce Acron cups six drams Figs ten Raysons not stoned twenty pair boyl all in Water add a little Wine and two ounces of Honey syrup of dryed Roses an ounce syrup of Mul-berries half an ounce Or thus Take Self-heal two handsuls Ground-sil Cross-wort Honey-suckles Plantane Hysop Sage Maiden-hair each a handful red Roses a pugil Myrrh two drams a little Saffron and two ounces of Honey boyl them in Water add a little Allum Or thus Take Water of Self-heal six ounces Plantane Rose Sage and Hysop water each two ounces Honey of Roses and a little Allum I have done much in these Inflammations with deep Ulcers with Salt-peter prepared called Lapis prunellae dissolved in Sage water washing the Mouth warm therewith In Inflammations ready to ulcerate from the use of quick-silver some anoynt with Treacle Aqua vitae and Vinegar or distil a water of them and add Bole or other dryers by this they believe the Poyson of the quick-silver is taken away and they also wash with a Decoction of Lignum vitae When Inflammations tend to Maturation Take Marsh-mallow roots an ounce and an half Figs twelve Dates six Tamarinds and Cassia with the seeds ten Fenugreek and Lineseed each half an ounce Mallows and Chamomil flowers each a pugil boyl them in Goats Milk dissolve the white of an Egg and a little Honey and Safron If the Inflammation be not only in the Tongue but in other parts you may anoynt under the Chin at first with repelling Oyls as of Roses after with discussers as Oyl of Chamomil and Lillies If the Inflammation under the Tongue tend to suppuration make Cataplasmes of Marsh-mallow roots Linseed and other meats with Saffron these asswage pain and ripen or boyl them in Milk and wash the Mouth We shall shew the forms of these and such as open Impostums in the treatise of Inflammations of the Jaws If a quinfie be joyned with an Inflammation of the Tongue or follow it there are Medicines In solutions of continuity Pustles The Cure of Pustles Rawness clefts and â—â—â—ers of the Moâ—th and Tongue Rawness Clefts and Ulcers if they come from an internal cause that must first be evacuated If they come from other causes yet if the body be foul or Plethorick the Cure will be sooner done after purging If the cause be malignant that must be first taken away as in the French Pox Leprosie and Scorbute If that cannot be taken away the Ulcers that come from thence can never be cured these first done apply Topicks for Pustles Fissures Rawness and Ulcers In Pustles if there be an Inflammation the Medicines there are proper if they are without Inflammation they break of themselves and leave an Ulcer which must be cured as the Thrush If they continue long and are troublesome apply Leaven to ripen
blood through the Body for the same purpose if this abound in the blood or if the greatest part of the Blood be such because not perfectly made red and yet not so corrupted but it is fit to nourish the Body then this being joyned to the substance of the Body for to nourish it still it makes the flesh and skin of the same colour pale and white and the colour is as far from the true Complexion as the blood is being so or when mixed with evil Juyce or water from evil Concoction In Women especially Virgins when that thick Blood flows not so plentifully to the Veins of the womb nor Nature which allots the purest blood for nourishing of the Child and for monethly Evacuation doth not continue her course to carry it thither and send out the crude and evil Blood there will be an evil Habit and want of Terms as we shewed the defect or want of the Terms not being the cause of that evil Habit but the evil Habit the cause of the want of Termes But if with the evil Habit Cachexy and Cacochymy there be also evil Humors about the Spleen which are carried from hence to the meseraick Arteries there will also be as I shewed a Palpitation of the Heart and other Symptomes by reason of the Cacochyma and Diseases of other parts But if this Juyce be crude and plentiful and long before it nourish the Body so that it swell therewith the cachexy is turned into a Leucophlegmacy or white Flegm and if there be much water the Leucophlegmacy will be serous or if the water abound in a Cachexy there wil be tumor of the Feet and of the Belly and Body growing less and the Dropsie called Ascites wil follow the cachexy or evil Habit. Or if this Juyce which ought to nourish the body be so bad that it will not nourish or be very little in Quantity there will be a decay of the Body and the Cachexy will be turned into an Atrophy As we shall see in the Dropsie Ascites and Atrophy how they follow a cachexy This crudity of Blood if there be serosity or waterishness or cacochymy or suspicion of a Dropsie comes often from the Nourishment if such things be taken which produce crude Juyce or Water as we said in the Imbecillity of the Stomach as Summer fruicts that will not last which if they be taken immoderately by young People make them subject to a Cachexy especially by Virgins being weak and using Exercise This crude Blood which causeth a Cachexy and evill Juyce which causeth a cacochymy or water which causeth a Dropsie comes from the Distemper of those parts which are ordained for Sanguification or making of Blood and Chyle as from the Stomach Liver Spleen and the Vessels and Membranes thereto annexed And if the concoction be made imperfect by the Distemper Weakness or other fault of the Stomach the Chylus be crude and imperfect or foule and watery which after in the second concoction produceth the like Blood because it cannot be sufficiently boiled and the rather if the parts ordained for the second concoction are also infirme We have shewed treating of the pain of the Heart what kind of Diseases are from the Stomach and cause pain Blood that is crude unconcocted foule and watery is made by the Infirmities of the Liver Spleen and Veins because these parts are ordained for the Generation of blood The Liver is the Instrument of Sanguification And that Sanguification may be hindered by the Diseases of the Spleen many former Arguments being omitted by which we shewed that the Spleen also is the Instrument of sanguifying and that it may be hindered by the Distemper of the spleen we can prove because as appears by Anatomies when the Liver is sound and the Spleen rotten there have appeared those faults of Sanguification which have been mentioned and have caused a Dropsie so that we need not make the consent between the Liver and the Spleen to be the cause Moreover from the Distemper of the Veins seeing they help to make Blood whether principally as some think or make it better after it hath been wrought by the Liver which all confess the Blood is less concocted and more crude And this cheifly caused by the Distemper of the meseraik Veins that come from the Liver and Spleen because the first change of the Chyle and preparation of it for Blood is by them for they snatch it and retain it first the Diseases which befal the Liver Spleen or Veins by which the sanguification being diminished the blood becomes crude and thence comes the Cachexy either alone with Cacochymy or Weakness Distemper Obstruction Hardness or the like Weakness of the Liver Spleen and Veins which by consent with the Bowels unto which they are joyned suffer with them is properly that which comes from want of Natural heat if it hinder the Functions so that the blood be not sufficiently wrought and therefore too crude Thus it is the cause of a Cachexy in which the Native colour of the body is lost and it grows bigger there is a shortness of breathing by reason of the Distemper of those parts and a pressing pain of the belly the Urin by reason of crudity is waterish especially if through the plenty of Water they cannot be tinctured with Choller if this Weakness last long it turns the cachexy into a Leucophlegmacy by aboundance of crudity which if it come from other causes also will make a Leucophlegmacy serous or watery Also if from the weakness of the attractive faculty of the Liver there be aboundance of Water not sufficiently attracted by the meseraik Veins the Dropsie Ascites as we shewed in the Treatise of the Dropsie will follow but if their weakness be such that the Blood be not only crude but not enough to nourish the Body it will produce a cachexy in which the Body is rather less then bigger or if by this weakness the sanguification is lost an Atrophy will follow A cachexy is known to come from this weakness if there be no other accidents or Diseases in the Bowels it appears by the evil colour of the whole Body that they are weakned and the Patients so affected are called Hepatick or Splenetick This weakness comes from this dispersing of the Natural heat which is from inward Causes from Birth or through Age or from external causes and remaineth after divers Distempers of the Bowels or other long and acute diseases Among which are Feavers after which the Bowels being weakned by too much heat or cold Drink which is usual there follows a Cachexy which by continuance caused the Feet Belly or whol body to swell Moreover great loss of blood especially of the Menstrual causeth a cachexy not only by the loss of Spirits but because the Veins want refreshment by their emptiness and want of heat with which they were nourished not onely by reason of that crude Juyce which is then produced but because the Body being exhausted looseth
skin and the faults thereof because these Serpents cast their skins every year therefore they suppose they may cause man to do the same This Vipers flesh is given divers waies prepared sometimes boiled in Broath with Salt and Eels their skin stript off or peeled off by boyling their Heads and Tayls cut off and Guts taken out and so if you perswade them to eat Eels they will less disdain the Food you may also boyl them and mince them otherwaies that they may not be known some report that by the use of these the skin of the Leper hath peel'd off in divers polluted places The Broath sometimes is sufficient in which these have boiled or they eat it with the flesh in which you may boil Salt Anise seed and Dill others add Mints and Leeks A Syrup made of this Viper Broath with Sugar and cinnamon will last longer Some say that if you fat Hens with Vipers flesh till their feathers fall off and then boyl them and eat them they will do the same Some give Wine in which Vipers have died Also the flesh of Vipers is dried and made into Troches to be kept when Vipers cannot be had They take the flesh only without the skin Head Tayl and Guts and boil it with Dill and Salt then beat it and with the Broath make it into a paste with Wheat-bread the fourth part and so make it into Balls and dry them These are called the Troches of Vipers These troches are seldom used by themselves but with Conserves such as are mentioned in the Electuary above and if you add one dram of the troches to that Electuary or more it will be better These troches are in treacle to to resist Venom and therefore it is good against the Leprosie As the Vipers cast their skins so the Cray-fish cast their shells every year and therefore are thought of as much vertue as vipers they have a refreshing and restorative vertue Dioscorides gives the flesh of Hedghogs dryed and roasted and Salamanders with other Medicines and if they can do any thing it is by a propriety Some Histories if not Fables say that mans blood taken when he is newly slain and drunk is good and also a water distilled thereof some say Harts horn and Ivory is good against Leprosies as well as other poysons and great Men have Vnicornes horn at a dear rate for that purpose Some magnifie the Pouder of an Emrald The Chymists promise the perfect Cure of the Leprosie by the use of Aurum potabile of high tincture of Antimony the true tincture of Coral with proper Purgers among which they extol the secret of Coral Mercurius dulcis Antimonial Pills that purge onely by stool The famous Dr. Hartman in chymical Practise commends the use of the sweet Essence of Sulphur Vitriol for the Cure of the Leprosie The outward means used in a general Leprosie are baths to take away the Venom in the skin by often use of them to prevent and cure the Leprosie or at least to take away the Deformity of the Ulcers Nodes and Roughness of the skin These are Natural or Artificial The Natural Baths are of sweet Waters warmed used at certain times the Body being well purged before and after Spring and Fall before and after Dinner sitting in them using them till the skin flourish and grow sound and these take away the malignant cause that lyes in the skin Hot Natural Baths are stronger especially of Brimstone such as are in Helvetia Argovia Valesia and Bath in Summerset-shire which as they cure all sorts of Scabs so the Leprosie or take away its Malignity and at least abate all accidents if not take them away if they be long used And therefore they go to the Baths to conceale the Leprosie and we send them thither after Examination when we doubt to see what change will follow Most artificial Baths are to be used long and they must sit in them they are of Water and things that cleanse and make thin the skin and so consume the evil Juyce as roots and Leaves of Marsh-mallows Docks Dwarfe-elder Elicampane Roots of Dragons wild Cowcumbers Briony Sowbread Orris Raddish Bath Hellebore Lillies also Leaves and Roots of Mallows Bugloss Succory Endive Sowthistle Beets Also Wormwood Senna Fumitory Hops Scabious Sopewort Pellitory Violets Liverwort Duck-meat Groundsel Sorrel Agrimony Mugwort Plantane Golden-locks both Ivyes both Celandines Water-lillies Tamarisk Flowers of Chamomil Melilot Elder also Beans and other Pulse Bran Line-seed Foenugreek and all Guords They add to these Salt Brimstone and Allum when the Decoction is not strong Others are added for the Joynts Primrose Groundpine also Calaminth Rosemary Lavender and the five opening Roots These moist Baths which were mentioned for the malignant Scab or Itch are not unlike these and that is best which hath Chalk or Lime in them And the Decoctions to take away spots may be good here for a Bath Some Histories say that a bath of Mans blood hath been used to sit in with success Dry Baths in hot Houses because they too much inflame the Body and violently draw the Humors to the superficies of the body are not so commended but we may prepare the body for the moist Bath by the steam thereof There are Washes for the parts affected with Pustles Ulcers and Roughness of the skin to take away if possible the Malignity They are made of Cleansers and Dryers and such as have a propriety as Serpents and Vipers The Grease of Vipers they say will take off the skin and its faults as well as the flesh eaten also the Oyl wherein their flesh was boiled or a quick Viper drowned some mix the flesh boiled with Oyntments Make this Oyntment of the aforesaid Take the Roots of Dragons and Cookow-pintles Daffodil or Lillies Elcampane Beets Saffron each one pound beat them with Oyl of Roses Omphacine add half a pound of Vuguentum Citrinum Vipers Grease three ounces Turpentine half an ounce Oyl of Wheat or Yolks of Eggs one ounce and an half Oyl of Tartar two ounces Sulphur vivum Niter each three drams Lytharge or Ceruss half an ounce burnt Borax six drams Tutty prepared Sarcocol Frankincense each two drams the Mucilage of Line-seed two ounces Juyce of Docks Fumitory Lemmons each three ounces make them into an Oyntment for rough ulcerated and pustuled Or thus Take Juyce of Lemmons or Oranges or Citrons of Docks Fumitory Scabious Elicampane one pint Vinegar two ounces Aqua vitae one ounce Oyl of Roses Omphacine Myrtles or Mastick each four ounces and an half boyl them till the Juyces be consumed adding Oyl of Yolks of Eggs two ounces of Tartar one ounce and an half French Soape two ounces Vipers Grease four ounces Pomatum two ounces the Gall of a Bull or Goat half an ounce the Mucilage of Fleabane or Line-seed two drams Honey one ounce and an half Roots of Dragons wild Cowcumbers Sowbread Orris each three drams both Helebors two drams Staphisagre Raddish seed each one dram and Borax
and the like Let the Meat be glutinating of boyled Flesh boyled Snails are commended and the blood of Turtles and Kids Let him eat Starch boyled in Rose-water and things made of Rice or Barley and rear Eggs with boyled or raw purslane in Sallets Also sour Fruits Let him drink water milk ptisanes and the like avoid strong wine and other things actually or potentially hot You must provoke sleep if it be absent Let him beware of coughing and speaking loud or much The Emplastick Medicines and Astringents mentioned in the Haemoptoick Passion which stop the Mouths of the Vessels and heal not with too much binding least the blood be stopped in the breast with such things as dissolve and cleanse the breast not too sharp and sour may also be used Let him drink morning and evening for two or three dayes this Decoction Take Comfrey roots two ounces Marsh mallows roots one ounce Purslane if it be to be had green Plantane Shepheards-purse Solomons-seal each one handful red Roses one pugil Seeds of Purslane Plantane Sorrel Endive Coriander white Poppies each one dram Myrle-berries three drams Jujubies and Sebestens each six pairs Boyl them in Rain-water or Cistern-water when it is strained add to one pint and an half thereof as much Sugar Penidyes or Honey of Roses as will make an Apozem Other things are good in a Decoction as Roots of Avens Brambles Oak barks or Acron-cupps Sumach Horstayl Comfrey Willow-herb Vervain Flowers of Teazles Cheese-wort Osiers Reeds Pomegranates Haresoot Leek and Rose seeds the Berries of bloody Rod. They mix with these Plants for Wound-drinks to heal the Veins as Winter-green Mousear Sanicle Golden Rod wild Tansey Yarrow Agrimony Nosebleed You may add for the Breast Liquorish â—oltsfoot Melon seeds and Herbs that thicken the blood as Violets Endive Bugloss Water-lillies Some commend the Decoction of Iron and Harts horn in plantane-water or the Decoction of the pouder of Blood-stone You may make a Syrup of the former Decoction to keep it longer with more Sugar and give it by ounces Or a Syrup of the other plants as of purslane which is best it is made of three parts of the Juyce of Purslane with two parts of Sugar boyled to a consistance In the want of which you may use the Syrup of Purslane by Mesue of it with Juyce of Endive Vinegar and Sugar Juyce of plantane in a Syrup is also good The usual Syrups are Astringents as that of dryed Roses Myrtles and Thickners as of Jujubes Violets You may give also the Juyces of the plants aforesaid alone as of plantane purslane or with others and with Honey or Sugar Some give Juyce of Sage and Mints with Sugar or Honey The distilled Waters are good in three ounces or more at a time especially of purslane plantane Solomons-seal Shepheards-purse Comfrey with other Astringents as Horstayl privet Myrtles Oak leaves Roses Some commend Water of Sowbread others that of Mints and sugar A Compound Water is thus made Take red Snails out of the shells one pound Comfrey roots half a pound Plantane Purslane each one handful red Roses one pugil Myrtle-berries half a pugil Juyce of Quinces Bar-berries or Cornel-berries four ounces Spikenard half a dram distil a water There are pouders of divers things to be given with Sugar because they are unpleansant as this Take Comfrey-roots one dram and an half Seeds of Purslane Plantane white Poppy St. Johns-wort each one dram red Roses half a dram Pomegranate flowers one scruple Starch Amber each one dram Gum Arabick and Traganth each one scruple burnt Harts horn half a dram Bole or sealed Earth red Coral poudered each two scruples Dragons blood one scruple Sugar of Roses or Penidyes as much as all the rest make a pouder give a dram or a dram and an half at a time The Pouders of the Troches of Amber or sealed Earth without Opium or of burnt Ivory are also good To which you may add Grape seeds Bar-berries Myrtles Also Frankincense Mastick Ashes of Egg-shells Cuttle-bone Old Conserves of Roses also often taken and that of Comfrey roots and Sugar or Honey or of the strongest Herbs mentioned Also candied Comfrey roots And this Electuary Take Conserve of Roses Violets and Comfrey each one ounce and an half of Quinces one ounce of the Pouders mentioned two drams Acacia one dram mix them with Syrup of Myrtles Another when there is fear of congealed Blood Take of the Looch of Furslane Pouder of Comfrey roots half a dram Amber one scruple the Runnet of an Hare half a scruple with Syrup of dryed Roses mix them let him take it often Some add Mummy when the blood is clotted Or this Lohoch Take a White of an Egg well beaten and add as much Mucilage of Fleabane made with Purslane-water and the Infusion of Gum Traganth in Rose-water with Penidyes and a little Starch The Lohoch of purslane is the best against blood-spittlng made of Juyce of purslane Gum Arabick Dragons blood Troches of Lemnos Earth Amber burnt Hares hair and Sugar Another of Traganth and Arabick infused in Rose-water and old Conserve of Roses Syrup of dryed Roses Lemnos Earth and Bole. You may make Lozenges of the aforesaid pouders to be held in the Mouth with Gum Traganth infused in Rose-water or with Sugar dissolved in proper Water Sugar of Roses and Diatragacanth frigid are good to be held under the tongue Potions are thus made or Juleps Take the Syrup of Purslane and Plantane each one ounce and an half Water of Solomons-seal Shepheards-purse and Roses each two ounces sweeten it with Sanders or Spike Let it be given at thrice Of other Waters and Syrups you may make the like Or Take one dram and an half of the Pouder mentioned and give it with Water or Milk or Water and Honey or with some Syrup and then you may give half a dram without Sugar Or this Take â—yrup of Purslane or Plantane one ounce of Myrtles and red Roses dryed and Wine of sharp Pomegranates each half an ounce Bole or sealed Earth Coral each half a dram Bloodstone and Amber each one scruple or of the Pouders or the Troches mentioned one dram give it with Water of Shepheards-purse or of Solomons-seal We make these stronger with Narcoticks which do not only astringe but stupesie the sense and keep the motion of Nature from bleeding and asswage the Cough they are thus made An excellent pouder Take Sugar boyled with Rose-water or Violet water till it be thick one ounce Pouder of Henbane seeds one dram give one dram at a time alone or with convenient Liquor you may add Pouder of red Coral Bole or other fat Earth each half a dram Gum Arabick one scruple Penidyes two drams then give one dram and an half if the Flux be violent or add the pouders that begins thus Take Comfrey roots c. and Henbane seeds two drams They may be made into Lozenges with Gum Traganth infused in purslane-water Or give this Opiate Take Conserve of Roses or
themselves and after they come to themselves they remember none of those things they have sufferd neither do they know that they have sufferd this evil unless they be told of it or suspect it by taking some signal from the marke of some hurt left behind as a Wound or Contusion All Motion also both voluntary which wholly depends on our power and that which is performed by help of Nature as breathing and evacuating and that of the Pulses which Nature alone performs continuing in all these Species distinguisheth the Epileptical from the Apoplectick and Syncopal in whom these motions do fail the Pulse only remaining in the Apoplectick The which notwithstanding being deprived in the Convulsive doth cause that they fal and use inordinate motions But they fall not by reason of a privation of the senses but because their whol Body at once and of a suddain is convelled so that unless they be forewarned by a Vertigo which is wont somtimes to go before it or being taught by Custome of the fit at a day or hour if it be wont to come at set times they have a care of themselves being seazed with it whiles they are upright they presently fall down like to the Apoplectick and those that fall into Swonings and as t is commonly said are free neither from Water nor fire but are in the greatest jeopardy by danger of the fall and if upon this account t is less danger for those who lying in their Bed by reason of some sickness cannot fall when the Convulsions come upon them yet they are more hazarded by the cruelty of the Disease So that every Epilepsie is horrible and abominable which the ancients therefore called the sacred Disease as sent by the Gods by way of punishment and others have Superstitiously imposed the Names of the Gods on it They also so stir their Body with inordinate motions That oftentimes t is all of a fire and the pulse becomes more swift and somtimes sweats break forth Wreathing and distorting their Back Neck Head Arms Feet into divers Figures and with them beating and shaking every thing in the way as the Bed Walls Ground bruising and wounding their own Limbs gnashing with their Teeth set and bitterly biting their Tongues if they be out rowling their Eyes about which being opened and very much drawn asunder as also the bending of the Face towards the hinder parts do usually give the first sign of the fit assailing which at length in the end of the fit lying as men wearied and astonisht they keep fixt and sterne til they come to themselves again Their breathing also is very unequal whenas somtimes they hold it for a while so that from the stopping of their breath and vehement striving they somtimes cast forth their ordure and Urine and seed to especiif it abound But at other times they fetch their Breath with difficulty and noise both when an Epilepsie of the Womb hath the said strangulation its companion and cause and when Flegm falling upon the Jawes and Nostrils hinders it and they bring forth a froth at the Mouth and Nose arising from Flegm confused and stirred there with the Air which happens not to the Apolectick and Strangulated unless they die saith Hippocrates and oftentimes they make a noise with crying out But these accidents which we have related as they come on a suddain so the fit ceasing they presently remit Yet somtimes certain relicks of them do remaine and the senses being yet weakned they cannot rightly understand Reason or remember any thing or an alienation of Minde coming upon it they do all things amiss and blaspheme or they break forth into a great Laughter perhaps that which Cicero calls Sardonian and that till a new fit return which is wont to attend these foretelling signs but before and after these fits some particular convulsions somtimes either went before or remain as a distortion of the Mouth a difficulty of swallowing or a spasme of some other parts as shall be explained in its place or that Spasme which they call Flatulent which somtimes also threatens Convulsions if it be by reason of the Nerves as shall be said as also that convulsive Palpitation which also caused from an affect of the Nerves doth oftentimes along while forego an Epilepsie and remain still in the Members after it and exercise it self or other Symptomes of motions do somtimes trouble them as with Gesticulations somtimes Dancings or some other disturbance of the Limbs and tremblings of them A Stupidity with Rigidness of Body is a rare and wonderful affect A Stupidity with rigidness is a Catalepsis which is called a Catoche or Catalepsis that is a laying hold off which they cal also a Congelation whenas they are as stiff as if they were frozen in which all the internal senses and external are suddainly abolisht but only the motion of the Body is depraved whenas they keep that form which the Body had before it was seazed on with this evil whether Lying Sitting or Going and being taken like a statue they cannot change it neither of their own accord nor by compulsion and with their Eyes open whence they have called it the watchful Stupidity yet blâ—hd and altogether speechless breathing in the interim not taken away or very much hindred nor the Pulse But it happens also in some A Stupidity with hearing remaining that though they lie rigid like a stock without motion and speech yet nevertheless they perceive those things which the standers by do speak off and can afterwards relate them which they have called Ecstatick But others remaining in the same state like to dead Men although they heard nothing A Stupidity with motion remaining nor saw not now being prickt fet nothing yet if any thing were put into their Mourh they swallowed it and being lift up do stand being forced do walk and keep their Members fixt in that posture as they are bent for them In a certain Woman thus taken only the Belly and Breast were very much moved all the rest of the Body being stupid The Causes In all the foremention'd kinds of Sleep and Stupidity with Languishing Convulsion or Rigor it must needs be that the Brain is affected whenas all motion and sense proceed from that Neither here as they would have it are the Functions diversely weakend as the former middle or hinder Ventricles of the Brain are hurt nor as the Brain is affected before or behind whenas the substance of the Brain doth on every part perform its Functions but as it is more or less hurt it looseth more or fewer Functions For if the hurt be great so affecting the Brain that all the senses be abolisht then it must needs be that motion also doth cease other Functions in the interim remaining which the Brain is not the cause of as the Pulse which the Heart yeids and whenas the motion of breathing is partly Natural partly Voluntary and therefore doth proceed from the Or-Organs
of both motions both the Midrif and Lungs t is no wonder that that also if the Brain be very much hurt so that all Voluntary motion do cease as it comes to pass in the Apoplectical the Midrif or Muscles of the Breast then contributing nothing to Motion but the Lungs only after a sort moving themselves stil and whils they are dilated and filled with Air which they do by their prover Natural motion a little lifting up the Breast do a little while Persevere but very much hinderd and difficult so that unless that hurt of the Brain do speedily cease the Patient must needs be choaked breathing being wholly taken away but when voluntary motion is not wholly taken away with the senses that then respiration doth remain still more free But if the Brain be affected with a less affect compared to the former by which the senses are only opprest as in a sleepiness or gentle Stupidity then motion though it do rest a little by reason of Sleep and Consternation yet nevertheless it doth persevere or if this come to pass only by reason of the spirits of the Brain only extravagant as shall be said in a Convulsion and Catalepsis that motion doth also continue and they sooner return to themselves as shall be explained how this comes to pass in the Particular causes from which these proceed But the causes of all Consternation of Minde that happen are either some offect so hurting the Brain which gives Sense and Motion by it self or by consent that these its Functions do more or less fail as are Distemper Repletion from a flegmatick or sanguine Humor some eminent hurt a Tumor a distemper of the Brain proceeding from a Vapor or Malignant quality or a defect of the Animal spirits of the Brain of all which causes and their effects we will now treat in Particular A cold Distemper only without matter altering the Brain A cold Distemper the Cause of Stupidity a Moist of immoderate Sleep because it is wont to hurt the Functions may make it Stupid And if it be Moist too which is seldom without matter it may also cause Immoderate Sleep as somtimes by Reason of Age or the continuance of a Disease a distemper left in the Brain doth make men perpetually Prone to Sleep or as it was said in the Weakness of the Minde more dul which we have taught doth happen rather by reason of Weakness then Coldness Or induced by other causes especially from the cold external Air the North Wind blowing outwardly cooling the Head or by the Pores percing to the Brain it may cause a great Stupidity They write also that a watchful Stupidity or Catalepsis may arise from a Cold and dry distemper congealing the Spirits but whenas the Spirits cannot be congealed or if they could be then a greater Stupidity would follow we cannot at all allow of this That Convulsions are somtimes caused from Dryness which they call Inanition is a common opinion which doth not happen in this Convulsion but in a Particular one as we shall there explaine Flegm is very often the cause of Sleep and Supidity under which Name we comprehend all the Watery Cold and Moist Excrements of the Brain which immoderately heaped up within the Skul as the Brain doth ever and a non heap up such things from Flegmatick blood varried up to it and the weakness of the part if it be supprest and flow not forth through the passages appointed for it then if it perfuse the substance of the Brain with a large humor and cool it it causeth a Carus Or if by its long impulse it so moisten the same that that great bulk of the Brain becoming more soft and lax do suddainly flow abroad and sink and press the original of the Nerves at the basis of the Skul proceeding from the Brain and stop the passage of the Animal spirit it procures a grievous Apoplexy As when Flegm doth suddainly fill the Ventricles or Cavities of the Brain not by obstructing whenas the Animal Spirit is not seated in them but every where in the substance of the Brain and Nerves neither doth it pass through the Ventricles but after the same manner by oppressing the basis of the Brain it may also induce an Apoplexy the which notwithstanding if the humor descending from them do follow the course of the Nerves may end in a Palsie That all these things are thus in a Carus and Apoplexy we have learnt from the dead because this humor hath somtimes flown from their mouths in a plentiful manner And we have observed also by diligent dissection that the thick Membrane of the Brain open'd in some abundance of Humor hath presently lept forth by the Region of the Head and descended even to the Breast and the very substance of the Brain in a certain old Woman which died of an Apoplexy dissolved like to Cream after the same manner hath run all over her Face But we know that these affects proceeded from the Cause by the precedent constitution of the Body especially in old Age which is Obnoxious to this evil and from a cold constitution of the season and Air and because they have first complained of a heaviness in the Head and a weight with slaggishness darkness of the sight and also of a want of that accustomary voiding of Flegm by the Nose and Mouth and because in the dead of an Apoplexy especially oft times a great quantity of Flegm flows forth by the said passages From the same Flegmatick Humor obstructing the passages of the Brain many have written that as an Apoplexy so also an Epilepsie may be caused and therefore as in that so in this that all the senses are abolisht but do presently return again because the Brain by concussion doth speedily shake it of and then that motion with the senses doth no way cease here as is an Apoplexy because the Ventricles are not altogether but only in part obstructed or as others will have it the former only are obstructed the hindermost being unhurt so that a portion of the Spirits may nevertheless pass by to the Nerves Which though it may be condemned for many things yet let it suffice to have brought this especially to destroy this opinion viz. that if a sufficient quantity of the Animal Spirits did not descend the Functions of the Brain would rather follow to be impared in sense and motion then partly abolisht partly depraved and that if Flegm were the cause and that suddainly shaken of from the Brain did flow down it would induce that Palsie which is wont to follow an Apoplexy for the same Reason They teach that Flegm putrifying in the Brain doth Cause a Lethargie and a Feaver its companion is kindled from thence but whenas we have shewed in Feavers that from the Putrefaction of Flegm especially in the Head that a Feaver can in no wise be kindled and we find no reason how the same Flegmatick Humor being putrified by its coldness