Selected quad for the lemma: heart_n

Word A	Word B	Word C	Word D	Occurrence	Frequency Band	MI	MI Band	Prominent
heart_n	left_a	vein_n	ventricle_n	3,104	5	13.2172	5	true

Text snippets containing the quad

ID	Title	Author	Corrected Date of Publication (TCP Date of Publication)	STC	Words	Pages
A90749	Platerus golden practice of physick fully and plainly discovering, I. All the kinds. II. The several causes of every disease. III. Their most proper cures, in respect to the kinds, and several causes, from whence they come. After a new, easie, and plain method; of knowing, foretelling, preventing, and curing, all diseases incident to the body of man. Full of proper observations and remedies: both of ancient and modern physitians. In three books, and five tomes, or parts. Being the fruits of one and thirty years travel: and fifty years practice of physick. By Felix Plater, chief physitian and professor in ordinary at Basil. Abdiah Cole, doctor of physick, and the liberal arts. Nich. Culpeper, gent. student in physick, and astrology.	Platter, Felix, 1536-1614.; Cole, Abdiah, ca. 1610-ca. 1670. aut; Culpeper, Nicholas, 1616-1654. aut	1664 (1664)	Wing P2395A; ESTC R230756	1,412,918	573

same cause as hath been explained that by reason of the difference of these Veins in which the matter of Fevers is contained for the same reason they become continual or intermitting But it is certain that the matter is contained somtimes in the veins of the head only other times in the veins of the whol body especially in the greater and upon that account doth cause more grievoius or more mild accidents for as it was declared in continual Fevers if the matter putrifie about the heart there is caused a most burning Fever called a Causus so it fals out here to wit that if such matter be contained in the ventricles of the brain where otherwise the blood of the Veins and Arteries confounded together is very hot a madness or grievous melancholly is raised or if about a more noble part as the Womb the Blood which is wont to abound there and the seed also being retained be corrupted and changed into that poysonous matter as was alleadged formerly by the testimony of Galen it causeth that madness of the Womb in which they so much desire enormous and brutish copulation as hath been demonstrated by the example of a Woman who by reason of a long continued sickness of her Husband by reteining her seed fell into this disease and coveted copulation with dogs and by how much the further scituation it hath from a principal part in the lower parts by so much the more mild melancholly ariseth All which things must be judged how they are by the nature of the accidents and from this that no other external causes went before as was said of a fright from which a grievous melancholly is commonly caused rather then by the constitution which they set forth to be melancholly from the hairs of the body the color of the Skin and the habit also from the excrements seeing these diseases may happen not only to people swarthy lean and sad by nature but to all Na●●tres all Ages as I have often observed But that the cause of it may depend upon a melancholly constitution which they have contracted to themselves by nature or by an ill course of living as was shewed in the hypochondriacal we do no waies deny seeing melancholly blood being turbid and impure doth the easier acquire malignity as also we have somtimes found that hypochondriacal melancholly hath passed into the true one the blood in the Veins being at last infected by the long continued evaporation of heat and also that melancholly which proceeds from the affection of the mind if it fall upon a fit constitution called the melanchollick it wil have a double cause concurring to excite a true melancholly lastly from the suppression of such excrements which easily pass into this poysonous matter as from the retention especially of the menstruous bleod or seed as somtimes a Suffocation of the Womb doth proceed so at other times a madness of the Womb as hath been explained A hot distemper affecting the brain and its membranes A hot distemper the cause of dotage a hot vapor the cause a hot distemper and dotage in a bastard phrensie for the most part cause that first a pain of the Head and if it be more intense a dotage by too much exagitating the functions of the mind but it grows hot somtimes from a hot vapor which is raised up either from hot meat and drink but unless then there be joyned a Narcotick or madding faculty as was said of Wine heat alone wil scarce bring a deliration but only a pain of the head but this is sooner done from hot humors blood too much evaporating especially if it contract some malignity also which is wont presently to make the brain mad as hath been shewed in the causes of melancholly which easily happens in blood altered or putrified whether in the Veins or out of them that by corruption it acquires some malignity from that therefore the like vapor being carried up to the brain it breeds a bastard phrensie so called in many diseases generated from such like humors whose symptom it is So somtimes a dotage is wont to follow a hot expiration raised foom blood in diseases generated from inflamed blood as in diary Feavers a sinochis and internal inflammations which is known to proced from thence by the disease accompanying it also from humors putrifying and so getting a preternatural heat a dotage doth somtimes invade all putrid Feavers at what time chiefly the hot expiration doth very much assail the head as in intermitting Feavers oftentimes at the beginning otherwise about the State and then also chiefly in continual Feavers the heat of the brain helping which by reason of the Fever together with all the parts of the body is heated also for the same reason also Children do oftentimes Rave by reason of Worms when they putrifie a Fever for the most part coming upon it Choller poured forth into the Stomach sending also a hot evaporation to the brain because it is acrid and subtile doth rather cause a pain and a Vertigo than a dotage as shall be said in its place Also Blood made too hot and especially too thin contained in the ventricles and Vessels of the Brain An hot Humor it the Cause of a hot Distemper and D●tage in a bastard Phrensit inflaming the brain not only by a vapor but also by its proper substance induceth a bastard Phrensie as it somtimes comes to pass when by a blow or Fall or in Feavers it flows thither But if that it be carried out of the Vessels and poured upon the brain and its membranes An Inflammation is the cause of a hot distemper or Dotage in a Phrensie it breeds an Inflammation or Erysipelas according as the Blood is then it causeth a true Phrensie which also is called a Syriasis especially if it befal Children whose external and violent Cause may be that which shatters or hurts the Head or the internal a Fulness of Blood and inflammation of it whence a synochus Feaver arising pouring forth a portion of its hotter blood into this principal patr which before did very much abound with blood it makes this grievous Disease whose Companion is a continual Feaver as hath been declared in Feavers differing therefore from a bastard Phrensie because the feaver in that goes before the Dotage but in a Phrensie they both invade together by which signe also t is chiefly known An evil Conformation of the Brain as if it be too big or little or otherwise be not rightly formed for the most part creates the said Foolishness bred in some from their Birth whenas this proceeds from implanted Causes as from the seed of the Parents who either were Fools themselves or their seed had contracted some fault and t is easily known by this that they were Fools from their Birth because the Head answers the unshapen Brain in Greatness or Smaleness or Deformity An evil Conformation the Cause of Folly which fault if it reach to the

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 Weeknes● 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 ca●●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

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

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

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

they are a Symptom Their kinds are as they are diversly manifest to sense A Compressing or stretching pain called Periodyna A compressing or stretching pain of the Heart is that in which there is felt a pressing or stretching in the lodge of the Heart more or less with loss of Appetite almost and loathing sometimes and with belching and somtimes vomiting or purging This kind comes from some new Cause very often and either stayeth a while or comes after meat and ends with concoction Somtimes it is the Symptome of divers Diseases so that there is scarce a person but hath felt it in a Disease or at other times A knawing pain is called Heart-eating A knawing pain of the Heart called Cardiogmos in which there is felt a biting with pricking in the said region of the Heart with Compression or Burning somtimes This is in many Diseases and in sound men sometimes when fasting especially some called Picrocholi from sharp Choler have it when they want their Dinner and it is often with bitterness of mouth and hindrance of sight Some have it chiefly before Supper when they are given to writing and lean upon their Stomaches by which they loose Appetite They who fear this prevent it by sitting upright or standing when they write Some have it in the morning before they rise when they lye long waking and after they are up and have been at stool or broke wind it is gone In others it comes as soon as they are up and goes away with sneesing Also this Knawing with Compression is after meat when it is bad or too much Of which Bairus makes a private sort of Heart-ach when they are cold after meat with sense of this Compression and difficulty of breathing this is called a turning of the Meat into Flegm Of which Galen speaks This may be at all times Cordiaca Fainting and from other Causes as it is afore Vomiting and from outward Injuries and Cold or from things swallowed that hurt the Stomach And when any fainting comes with this Disease called Cordiaca as we shewed in Fainting That pain which hath such Heat that it seems to burn Heart-burning is in sound people often whether full or empty That is most usual in which when they would belch they feel great burning the flame as it were being shut up in the Gullet and not able to get out especially after meat or violent Exercise the Germans call it Boyling Boyling of the stomach or burning we call it a Burning boyling of the Stomach of which we spake in Difficulty of Belching Also this Burning is the Symptom of divers Diseases of the great pain of the Stomach where it is burning pricking stretching and beating and is increased by touching of the part and reacheth to the Back and girds the Body like a Girdle and seems to draw down the Shoulders and there is labour and pain to swallow and belch and difficulty of breathing being quick and little and there is sometimes a continual Feaver by which means the Pulse is quick and Urin high with Spitting of Blood or Matter This is called the Inflamation or Phlegmon of the Stomach from the Cause of it And the Imposthume of the Stomach though it is more properly so called when it is turned to an Imposthume Also a most burning pain with vomiting and other dangerous accidents may come from another Disease of the Stomach called Erysipelas as we shall shew in the Causes The usual pain in the lodge of the Heart is called Cardilaea Cardilaea distinct from Cardialgia this comes from a small Cause and returns often There are two kinds of it according to the diversity of the Nature in which they are known by this some are of weaker and others stronger Appetite Such Natures as have weak Appetites and other accidents from weakness of Concoction Weakness of the stomach is called a disturbance of the Heart are subject to usual pains of the Stomach compressing or stretching and sometimes knawing and are troubled from the least offending meat and other outward things especially cold from which they are forced alwaies to defend their stomaches These pains come from Weakness of Stomach and are there described and are called by the same name Those Natures that have stronge appetites A hot stomach is called a disturbance of the Heart and eat greedily and gorge themselves have pains of the stomach as shall be shewed in the Causes They are from great excess and also sharp or salt Meats these pains are called a hot distemper and are described in a hot Constitution The Causes The place or part affected is the region or lodge of the Heart not the Heart it self for it is not under it nor is it sensible as I shall shew but the Stomach which is in that region or some parts of the Colon or Midriff that reach thither The Cause of this is from the Stomach which is on the left side of this Region The cause of Heart-ach is in the stomach and is very sensible especially at the mouth of it which hath very remarkeable Nerves And this mouth of the Stomach is called Cardia because it is next under the Heart and there goeth through the Midriff and joyneth to the Ventricle and therefore the pains thereof are felt as if they were in the Heart and as it were communicated unto it and cause a Swounding if they be great as we shewed in Cardiaca All these pains in this region are called pains of the Heart or Cardialgiae And the pains of the Stomach are divers by reason of its exquisite Sense and often injuries by things taken in and brought to it and because it sticks out and is so exposed to more danger These pains are either primarily in the stomach of it self from some cause afflicting it as a Disease which is either a hot or cold distemper stretching heaviness twitching or irritation especially when there is a helping Cause that is a Disposition of the Stomach from a weak or hot Constitution Or they are by consent in the stomach from the nerves that are planted in it These pains I have seen but seldom but they were with much grief and mourning and somtimes a little doting and they alwayes ceased after vomiting they are chiefly in Semitertians Of these in their order A hot Distemper alone without matter doth scarce cause pain A hot distemper of the stomach is the cause of heart-ach because the stomach is delighted with hot things and when it is very hot from things taken in or hot Diseases as in Feavers Heat of the Liver and the like there is thirst rather then pain except another accident happen as we shall shew in the hot Constitution of the Stomach The Stomach is somtimes so inflamed Inflammation of the stomach is the cause of heart-burning that from the Veins abounding there Blood is sent into the substance thereof and then follows that burning pain which we call an

please their Mistress and when they perswade themselves that they can obtain somwhat of their love breaking forth into profuse joy they often speak many foolish and obscaene things and act them too and laying aside all shame somtimes commit filthy wickednesses and fear not to expose themselves to grievous dangers or if they despair of mutual love and good wil they continually afflict themselves with mourning and lamenting and by no means admit of comfort they refuse good counsels and express their grief by shedding of tears often sighs paleness for every Lover is pallid and pain of the heart with which they chiefly complain they are troubled whose pulse also is instable according as their mind is raised or deprest and by beholding or remembring their Mistress 't is raised stird up by which sign Erisistratus discovered love or by despair it becomes languid and calmed with which accidents being opprest at last they fall into grievous Diseases and hasten their own death or oftentimes in despair lay violent hands on themselves Melancholly denominated from black Choler Melancholly is a species of alienation of the mind in which the imagination and judgment are so perverted that without any cause they are very sad and fearful and they can alleadg no certain cause of their sadness and fear but that which is of no moment or that false opinion which they have conceived from depraved apprehhension As when they perswade themselves that they are damned that God takes no care of them that they are not predestinated although in the interim they be godly and religious and they fear the last judgment and eternal punishment which horrible melancholly and oft times driving men to despair is the most frequent species in the curing of which I have oftentimes been much hindered with which those that have been taken have oftentimes confessed to me with many tears deep sighs great anguish of heart and trembling of the whole body that they have been stirred up to Blasphemy against God to commit horrible things to lay violent hands on themselves to kil Husband Wife Children Neighbours their Prince being moved with no jealousie no envy towards them whom they intimately love but are compel'd as it were against their will and such thoughts do steal upon them whether they will or no when in the mean time they cease not instantly to begg of God that he would vouchsafe to free them from those wicked thoughts But others are very much troubled with the terrors of death and the fears thereof whiles they falsly imagine with themselves that they are out of favor with the Princes and Magistrates and that they have committed somewhat and are drawn to punishment or who otherwise do highly fear death which they fancy is even now hanging over their heads Others by other triffling falshoods conceived and imprinted in their mind do deceive themselves as he who thinking himself to be made an Earthen vessel gave way to every one he met least they should break him with a touch as some have beleeved themselves turned into brute beasts and another who thinking he had a very large Nose would not change this Opinion til the Chirurgeon deceived him by a Counterfeit stroke and shewing him a piece of flesh that he had cut a part of it And as that Woman who was wonderfully grieved that shee was forced every day to put on her cloaths and put them off again and another woman who as often as she though that when she was dead her Husband would marry another Wife she was transported to these accidents some think they have swallowed Serpents and Frogs and that they carry them stil alive in their body or by other tricks are deluded and they dream of many and wonderful things of this nature which somtimes relating with a great deal of affection and grief I have heard somtimes with laughter somtimes with great admiration and Pitty in all which cases they shew marks of sadness and fear whiles they complain cry with many and continual tears and do wonderfully exagitate both body and mind Otherwise they are idle and silent being asked answer not being driven scarce go forward they love solitudes and shun the company of men which species for that reason is called Misanthropia from the hatred of men and if hating the light they covet darkness repair to woods and hide themselves in lurking places and caves as the holy writ testifieth of Nabuchadnaesor then they call it Lycanthropia from the custom of Wolves others the wolfish melancholy With which perverse imaginations pains and cruel tortures of mind those afflicted oftentimes not only many months but years also and at last overcome unless they return to themselves and be helped by Counsel and Art either they die wasting or that death which before they feared they hasten to themselves by hanging or drowning or by some other violence as we have known many sad examples of this nature Which forementioned passions of Sadness and Fear as they do not produce equal effects in all but do pervert the mind in some more in some less so they do continually possess those which they have once invaded Yet they have by courses their exacerbations and remissions as we have shewed also they did otherwise happen in continal Feavers for a cause contained in the Veins after the like manner yet we have observed some to be thus troubled only at certain times as some season of the year or change of the Moon and especially Women while they are with Child or have brought forth or have their Courses There is also another species of it which they denominate from the place affected Hypochondriacal Melancholy Melancholy Hypochondriacal a Species in which the forementioned accidents do often intermit and again return upon the same day and those who are sick of it as oft as they come to themselves otherwise then the rest who unless some other thing be joyned do only complain of a pain of the Head or somtimes of a Heaviness do acknowledg that they are truly sick and though they scarce or seldome lie by it and notwithstanding are able to undergo other duties yet they complain perpetually of a pain of the Hypochondries especially in the left side which they call a pain at the Heart a Heat Pulse Murmur Belchings Vomiting Spitting pain of the Head Vertigo a ringing in the Ears beating of the Arteries and innumerable other affects which they feel and sometimes Phansie to themselves and they trie Physitians desire Cure and trie divers Remedies and unless they be eased presently they change Physitians and Medicines Mania or Madness is so great a depravation of all the the Functions of the Mind Madness that they feign judge and remember most things falsly acting not only as the mournfull an fearful Melancholick but all things besides reason and somtimes without fury they commit more modestly those things which they speak and do but most commonly being turned to Madness by their stern

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

all these you may make divers Electuaries and add to them conserves and candyes and the like As when you will heat Take the Electuary of the three Peppers or the Lozenges thereof an ounce or a dram of the species conserve of Mints Marjoram each an ounce candyed Ginger half an ounce with syrup of Staechas make a mixture When you will strengthen Take the Electuary of Aromaticum rosatum or Diagalanga or both or the Tablets made of them an ounce or the species of them or our pouders a dram conserve of old Roses Citron peels candyed Calamus candyed each half an ounce with syrup of Quinces make an Electuary When you will chiefly expel wind Take the Electuary Dianisum or Diacuminum or Tables or Species or our Pouders of the same in the weight mentioned and add conserve of Roses Calamints candyed Nutmegs of each half an ounce with syrup of Mints In loose and moist Stomachs give dryers and binders As Take Quinces candyed an ounce and an half citron peels candyed an ounce candyed Ginger half an ounce one Emblick Myrobalan of Diacydonites without the species made of burnt Ivory and astringents half an ounce Aromaticum rosatum red Coral each a dram Ashes of Hens guts Antispodium of Quinces and Ivory or shavings of Ivory each half a dram with syrup of Quinces make an Electuary take after meat as much as a Nut. There are also dry mixtures As Take candyed Quinces half an ounce conserve of Roses three drams conserve of Marjoram Ginger candyed each two drams Aromaticum rosatum a dram Cinnamon two drams Cloves Nutmeg each a dram with Sugar of Roses make a mixture give it in the mornings or add Coriander Annis or Fennel seed Comfits After meat to astringe the stomach we use these mixtures without the hot Spices thus Take candyed Quinces three drams conserve of Roses and Citron peels candyed each two drams Cinnamon a dram and an half the pouder of Diacydonium without species a dram red Coral half a dram Coriander seeds two drams Annis and Fennel seed of each a dram red Roses and Marjoram each half a dram with Sugar or Seed Comfits make a mixture Some Opiats take away pain of the Stomach from a cold cause for Opium doth not cool as some think but rather heat by reason of many ingredients with the Opium in Opiats as we shewed often Therefore in pain of the stomach give Treacle Mithridate Asyncriton or Philonium from a dram to a dram and an half alone or with other things and give Wine upon it to help the operation or other Narcoticks with Spices Or this Treacle with Citrons Take candyed citron peels half a pound old Treacle or Mithridate each six drams Smaragds prepared half a scruple Electuary of Gems two scruples sealed Earth a dram with syrup of citrons make an Electuary Some mix purgers with them as Philonium with Diaphaenicon when the stomach is pained from the Excrements Outwardly we anoynt or foment or Plaister the stomach to heat it and expel wind when it is stretched Remedies to be applied to alter the weakness of the stomach or to astringe when it is weak or loose they must be proper and applied actuually hot You must anoynt on the left side where the lodg of the heart is before but behind right against stomach upon the spondils of the Back towards the left side and spinkle the Pouder following thereon When you will heat use Oyl of Mints Spike Jesamin Elder or that of Nutmegs by expression or of Mace which are pleasant or the distiled Oyl of Spike Mints Cloves and the like when you will expel wind use Oyl of Rue and Bayberries or the distil'd Oyl of Juniper berries in a smal quantity with the rest or that of Fennel Caraway Cummin seed by drops with other when you will strengthen use Oyl of Mastich of Wormwood when you will astringe use Oyl of Mastich Myrtles Roses Quinces and that made of pressed Grape seeds When pain is to be abated use Oyl of Chamomil Spike or Dill which is good after pain from glutony Or use Oyl of Herbs boyled To hear expel wind and strengthen Take Mastick six drams Calamus Galangal cypress each half an ounce Nutmegs cloves each three drams Fennel and Angelica seeds of each two drams with two ounce of Sack and Oyl put them in a hot place or boyl them a little VVhen you will strengthen more Take Wormwood Mints each two drams Sage Rosemary Lavender of each an ounce and an half red Roses three drams cut them small add Mastick an ounce red wine four ounces Oyl of Nuts three fingers above them boyl and strain them This is best against wind Take cummin caraway Lovage Fennel seed each two drams Bay and Juniper berries each half an ounce Rue Lovage Mints Baies each three drams beat them and add Aqua vitae two ounces and with Oyl Olive or of Nuts boyl as aforesaid Of the oyls mentioned you may make stomach Oyntments with spices or the like when you will chiefly heat Take Oyl of Mints Spike of each an ounce and an half Oyl of Wormwood half an ounce Oyl of Spike some drops of cloves Nutmegs or Mace each a dram of wood Aloes and Sanders half a dram dryed Mints Marjoram Rosemary or Schaenanth each two scruples with Wax make an Oyntment The same is good against wind with Oyl of Rue or Bayes half an ounce or some drops of distil'd Oyls as that of juniper berries This is good in both cases Take Oyl of Nutmegs by expression of Mace or both two drams Oyl of Cloves three drops of Anise-seeds six drops Gallia moschata half a dram with Wax make an Oyntment we may add Musk or Ambergrease or Oyl of Cinnamon or Hiera picra To dry and astringe a moist and dry Stomach Take Oyl of Myrtles Mastick Quinces each an ounce and half Oyl of Wormwood half an ounce Galangal Snakeweed Citron-peels each a dram Roses wild Vine Pomegranate-flowers each two scruples Hypocistis Labdanum each half a dram Mastick Frankincense coral each a dram and Bole and a little with wax make an Oyntment adding Allum and Vinegar If there be pain Take Oyntment of Marsh-mallows an ounce Mastick two drams Oyl of Dill or Chamomil each half an ounce Seeds and Mints each a dram with wax make an Oyntment Cerots or Plaisters made like a Scutchion are lasting they are made of the Oyntments mentioned with more Wax for a Cerot and Rosin for a Plaister Galens Cerot for the Stomach is good made of Roses Wormwood Spike Mastich Oyl of Roses and Wax Or this instead of it Take long Birthwort Calamus each half an ounce mints wormwood red Roses each three drams Spike two drams mastick six drams with Oyl of Spike and mastick and wax make a Cerot Or this Stomach-plaister Take mastick an ounce and half Frankincense and Labdanum each an ounce Storax half an ounce Aloes two drams except there be pain Coral two drams Galangal mints marjoram wormwood red Roses

that are joyned to it causeth stretching or tearing pain in the Hypochondria when the Peritonaeum or Cawle is stretched are caused from the affliction of the Bowels as Liver or Spleen which are joyned to the Cawle or from the Vessels of the womb which grow to the Back and by the Cawle Hence it is that pains of the Womb reach thither or from the stretching of the Peritonaeum in a Tympany or in Women with Child there is a little pricking or by continuance a great pain as in the Hernia or Rupture The Causes of all these shall be laid down in other great accidents which befal The Stomach being on the left side under the Hypochondrion A Disease in the stomach causeth a Hypochondriack pain is pained about the lodge of the Heart before with a pain called Cardialgia on the left side especially in the Hypochondriack Melancholy when there is rumbling and burning As is shewed in Melancholy The pain of the Colon which is placed under the Stomach The Colick causeth the Hypochondriack pain from one side to the other is also in the Hypochondrion but stayes not but runs about the Belly As shall be shewed in the Colick The Cure We shall mention only here the Cure of those Diseases with pain in the Hypochondria The cure of heavy dul or stretching pain from the Liver Spleen Reins or Cawle For the Cure of the Diseases of the Liver Spleen Reins Cawle which we mention here only for the pain sake because the pain in them is dul shal be shewed in other Symptoms as Cachexy Jaundies Dropsie and the like by which they are more manifest then by the pain The cure of pains from the stomach Colon or Womb. Also if there be pain in the Hypochondria from the Stomach Womb or Colon reaching thither because the pains of the stomach are more in the region of the Heart and of the Colon and Womb more in the lower Belly where they lye we have shewed the Cure of that in Pains of the Heart and of those Pains in the Belly And here we shall only declare the Cure of the Pain where it chiefly shews it self in respect of its cause as it comes from the Inflammation of the Liver Spleen or Kidneys called Hepatitis Splenitis or Nephritis Or from the Peritonaeum or Cawle vulgarly called Spleneticus The Inflammations and Erysipelas of the Liver and Spleen The cure of the Inflammation of the Liver Spleen and Kidneys are dangerous and often deadly and if they imposthume and leave an Ulcer or be ill cured and a Hardness or Scirrhus follow they cause a Dropsie and incurable Diseases The Inflammations of the Kidneys are more easily cured they are worst when the Stone is there also If they leave an Ulcer it is also very stubborn as shall be shewed The Method in the cure of all these Inflammations is the same as in others that is while they are coming to divert the Blood another way from the part or by repelling and deriving it and to allay the Heat and Burning and to discuss the remainder or if that may not be to ripen it And if there be Hardness Scirrhus or Imposthume and after that is broken an Ulcer which may be both in Liver Spleen and Kidneys we shall shew what is then to be done in other Symptomes that come from thence Against Inflammation use the following Remedies Blood-letting diverts the Blood while it is flowing to the part another way especially in the Inflammation of the Liver or Kidneys which have great Branches from the hollow Vein And in the Phlegmon of the Spleen also it must not be neglected though it hath Veins only from the Gate Vein for reasons shewed in Inflammation of the Stomach Therefore in the Inflammation of all the the three parts except any thing prohibit open suddenly that Vein which most appeareth on the same side and bleed plentifully for Revulsion and if there be great Plethory or Fullness open the same Vein again or that in the Hand on the same side either against the Thumb or little or middle Finger according to Rhasis And in the Inflammation of the Kidneyes open the Vein in the Foot The Haemorrhoids being Branches of the Gate Vein if they be opened derive much from the Inflammation of the Spleen and revell from other Inflammations Cupping Glasses to the Hipps and Buttocks or that side do revell and derive in the Inflammation of the Reins The Ancients did use them the day after bleeding to the right Hypochondrion when the Liver was Inflamed after scarification and applyed them the next day again to the same place others used them only at the Declination to take away the residue without Scarification Also Ligatures and Frictions of the extream parts are good at the first as in other Inflammations to revell And Clysters before Bleeding and when the Body is bound as it useth to be in these Inflammations or Suppositories are good And Clysters because they reach into the Colon and come near to the part and cool are best at the first and are as altering Topicks such as are prescribed in Fevers A loosning Clyster that a little provoketh Take Mallows Roots and all Beets and for the Kidneys Pellitory of the wall each an handfull Violets Bran each a pugil Lineseed an ounce Anniseed a dram boyl and strain them dissolve Honey Butter and Oyl each an ounce and half Pulpe of sweet Prunes or Cassia an ounce with a little Salt make a Clyster A cooling Clyster Take the emollient Herbs and Roots Purslane Gourd leaves each an handful Violets Mallows and Chamomile flowers each a pugil Linseed six drams four great cold seeds an ounce Barley a pugil boyl and dissolve Honey of Violets halfe an ounce Cassia an ounce Oyl of Violets and Water-Lillies each an ounce and half If they cannot take Clysters give a Laxative take heed of Purgers for fear of more Flux and Inflammation Cassia therefore is not very safe But we give things that loosen without heat and pricking as Prunes and other loosning fruits and Spinach Mallows Violets boyled in Broaths Whey syrup of Violets and Roses and the like In the declination or after the fourth day when heat abates to take away the reliques when the Liver or Spleen are afflicted we give a gentle Purge because they can discharge themselves by the Meseraicks into the Guts And the rather when the Disease is in the hollow part of the Liver into which the Gate-vein branches it self and if Choler boyling in the Gall or sent out causeth an Erysipelas In these cases we may give Cassia or some gentle Purger Or this Decoction which cleanseth and openeth Take Liquorish two ounces Grass and Kneeholm roots each an ounce red Pease a pugil Senna an ounce Polypody an ounce and half Cordial-flowers a pugil Anise-seed three drams Fennel seed and Dodder each a dram boyl them strain and add syrup of Roses an ounce and half syrup of the two Roots an

of the Bladder inflamed only it extendeth larger with outward redness and tumor binding of the Belly and stoppage of Urin and a Feaver which leaves behind it a sharp pricking pain with voiding of matter by the neck of the womb and hardness somtimes and Fainting and other Hysterical accidents As we shewed in other places The Causes The Diseases of the Nervous bowels in the Cavity of the Abdomen cause these pains that is of the Guts Bladder and Womb in Women The Guts fill almost the whole Belly The cause of the pain of the Belly from the Guts and they being very sensible the pain is great They are thick or thin Guts and the pain is distinguished according to the Gut That which is in the thick Guts which come from the Colon is called the Colick that in the Skin is called Iliack And because the thin Guts are most about the Navel the Iliack pain is more there But because the thick Guts are placed about them and reach from the right side to the left as high as the Hearts lodge down to the Fundament the Colick is chiefly in them The Diseases of the Guts that cause these pains are stretching or cold or flegmon Tumor or burning or disorder of the Guts from their place Too much stretching of the Guts Stretching of the Guts causeth pain of the belly especially with irritation causeth pain this comes from excrements and wind when they fill too much or stop and cannot pass Somtimes excrements and wind are in great measure carried to the Guts which fill and stretch Plenty of Excrements and wind in the Guts causeth pain and cause pain but if the passages are open it lasteth not but goes away with rumbling farting belching or purging This pain follows eating of raw Fruits Crudities and taking of a Purge before it worketh And it is worse when there is Choler or other sharp Humors as we shall shew in Diarrhaea Somtimes the excrements and wind stop in the guts and cause pain which is fixed somtimes in the part stopped Or else wandereth and is most where the Excrements and wind are most This pain is often in the thick Guts Excrements and wind stopping in the windings of the Colon cause the Colick which are full of thick Excrements and wind as in the great winding of the Colon on the left side in the begining of the straight Gut when the Excrements stay in the crooked passage and when they labor to get out the part seems to be bored or peirced and there is a Tumor to be felt and the pain decreaseth when the Excrements go back and increaseth when they return This stoppage is from Excrements which suddenly stop this crooked passage or from dryness hardness or toughness or slyminess of the same which will not let them rise up as we shewed in the causes of binding of the Belly Also in the Cells or hollows on the sides of the Colon that swel forth like a half circle Excrements retained inthe cells of the Colon cause the Colick when the Excrements are hardned and dryed therein they cause pain not only by weight and stretching but by stopping and hindering the others from coming forth Especially if they have lien long Also other hard bodies may do the same if they get in as stones of fruit or Chesnuts eaten which have caused the Colick to my knowledg with other hard meats and binding of the Belly also Also little bones taken from Hens Feet boyled in one that eat many for a Diet stuck long in the Guts of a Woman and caused the Colick and after a Clyster she voided abundance of them and was cured Also I knew one that had the Colick from eating much Cheese and voided it by Clysters and also Mites or Cheese worms by Urin. Also Fernelius saith that he hath found by dissection that the colon hath been almost closed up with flegm if it were not some other Excrescens and caused the Colick And he writeth that in a certain Embassador there was a hard body bored through in the passage of the Colon under the stomach as appeared by the Tumor which caused the Colick which after six years he voided being a foot long and then was cured This may come also from stones that breed in the Guts which the same Fernelius saith he hath seen as big as Wall-Nuts or Chesnuts and voided by stool I once saw one Lump like a stone so voided When the passage of the Excrements is stopped in the smal Guts The Cause of the Iliack passion is the stoppage of the smal Guts it causeth the Iliack pain and this is rather in the straight passage over against the right Kidney where they joyne to the thick Guts then any where else Then there is that grievous pain called the Colick vulgarly both in the right side from the stoppage and in the smal Guts about the Navel from the Excrements and there is Costiveness till Medicines take it away and it so continueth till the obstruction is quite removed And if the Excrements retained are Cholerick or Evil or Corrupt by long tarrying and grown sharp or malignant the Guts will be twiched and the pain the greater And although they somwhat provoke nature to void them by their sharpness yet because they cannot be carried to the thick Guts while the obstruction lasteth the Belly continueth bound but if the obstruction did not hinder them they being many would cause a Diarrhaea or the Disease of Choler or by sticking to the Guts a Dysentery rather then that Iliake passion with costiveness This they cannot do in the smal Guts being shut up there but they cause cruel pains till the obstruction is removed And from this choler long detained come other great accidents as Jaundies Fevers and somtimes a Convulsion from consent of the Nerves and the like as we shewed It hapens also from the total stoppage of the straight passage of the Gut or from neglect or from its stubbornness that will not yeild to Medicines that the Excrements are so gathered that they return back to the stomach and are vomited up with much detestation Hence is the Disease called Ileus or Misereremei The cause of this obstruction whether it be easie or hard to be opened may be hard tough Excrements And a natural narrowness of the passage or a continual use of hot things which dry the Guts and make them narrow there Or hard meats or hard bodies that breed there as we shewed As Fernelius sheweth that a Maid that had taken a Medicine of Quinces was stopped found in the smal Guts that they break If the smal Guts are rowled together in any other passages Rowling together or tangling of the Guts causeth Convolvulus so that the passage is stopt then the Excrements stop and the Wind and heaped together do stretch the Guts and cause the Iliack pain called Convolvulus in which when it is not far from the Duodenum they vomit their Excrements and