Selected quad for the lemma: heart_n

Word A	Word B	Word C	Word D	Occurrence	Frequency Band	MI	MI Band	Prominent
heart_n	lung_n	right_a	ventricle_n	2,433	5	12.8369	5	false

Text snippets containing the quad

ID	Title	Author	Corrected Date of Publication (TCP Date of Publication)	STC	Words	Pages
A59191	The Art of chirurgery explained in six parts part I. Of tumors, in forty six chapters, part II. Of ulcers, in nineteen chapters, part III. Of the skin, hair and nails, in two sections and nineteen chapters, part IV. Of wounds, in twenty four chapters, part V, Of fractures, in twenty two chapters, Part VI. Of luxations, in thirteen chapters : being the whole Fifth book of practical physick / by Daniel Sennertus ... R.W., Nicholas Culpepper ... Abdiah Cole ...	Sennert, Daniel, 1572-1637.	1663 (1663)	Wing S2531; ESTC R31190	817,116	474

Cavity of his Breast and emptied forth no smal store of purulent matter that stank not much but beho●d we found to our great admiration that the Wound had penetrated even into the right ventricle of the Heart and that the aforesaid part of the Heart was almost all of it withered and wasted away the left part stil abiding safe and entire in which is conteined the Primary Store-house and treasury of the vital Spirits And therefore by the benefit of this alone the life of this Soldier was preserved even unto the sixteenth day in the morning And lest haply that this relation should not be Credited by some the most Noble and Illustrious persons before mentioned Bernhard Hoornkeus Governour of the City Garrison and Petrus Pappus the Military Praetor have confirmed the same by their Testimony and the subscription of their Hands And the latter of them hath likewise made an exact narration of this History in his learned Commentaries upon the Military discipline Done at Groninga the 22 day of June in the year 1627. I Bernhard Hoornkeus do attest what is above written this 22 of June 1627. I Petrus Pappus von Tratzberk do attest that this History is true and that I my self very well know it to be so And therefore what is related by Matthias Glandorpius in his Speculum Chirurgicum Chap. 23. touching Sanctorius a Professor at Padua that struck a Coney through the Heart with a sharp instrument the Coney still remaining alive for many Months after this without doubt being to be understood of the right ventricle of the Heart it happening withal likewise that the instrument out of all question was not broad but narrow and sharp-pointed VVounds of the Lungs Fourthly The Wounds of the Lungs Hippocrates indeed reckoneth them up in the number of those Wounds that are Mortal in the place before alleadged in Coacis and yet nevertheless he doth not absolutely and simply pronounce all the wounds of the Lungs to be Mortal but he himself addeth a Limitation to wit this if the wound shall be so great that the Lungs being Wounded there passeth forth less of the breath by the Mouth then there issueth forth of the Wound And that all the Wounds of the Lungs are not Mortal we are oftentimes taught by experience which evidently confirmeth it unto us that many who have been wounded through the whole Thorax and the Lungs have yet notwithstanding escaped with their lives and recovered their former health and soundness And I my self saw an example of this in a certain Student who in the year 1633. in the Month of July in the night received a wound by a narrow sharp pointed Sword run through his Breast on the right side thereof about the Third short Rib neer unto the Arm-pit and coming forth opposite unto it neer unto Spina so that he sent forth by the wound much Breath with a great noise and yet notwithstanding this man recovered and was well again within the space of a month and even now also in this year 1634. wherein I am writing these things he is in good health and strength Yea Guli●lmus Fabricius in his 2 Cent. Observat 32. our of a History imparted unto him by one Abel Roscius which is as followeth telleth us of the Cure of a wound in the Lungs that was far more dangerous then the former The story is this There was saith he among the Delphinates in the town of Calmuntium a certain person grievously wounded in his Br●●st the wound being made by the prick of a Sword betwixt the fifth sixth ribs of the breast not far from the Sternum or Breast bone in whom when the Sword by its broad point had lightly pierced through even the very Lungs in the drawing of it forth I know not by what ill chance it being turned round it brought forth along with it through the wound a smal portion of the Lungs whereupon immediatly all the standers by adjudged the Wounded person to be at the very point of Death In the mean time the Physitian together with a Chirurgeon being sent for so soon as he was come instantly commanded that the part of the Lobe of the Lungs that hung forth being first well washed in Wine should again be thrust back into the Breast But in the handling thereof perceiving that it began to look blackish and wan he caused it to be cut off with a red hot Iron Instrument But as for the Rest of it the Chirurgeon gently thrust it back again into the Breast the Ribbs being first dilated with a Wooden wedg that was instantly provided for that very purpose And then after this by the Art and Medicaments prescribed by the Physitian he was Cured then being withal external means administred and some certain pectoral Decoctions of Vulnerary Herbs for a few daies inwardly drunk and so the wounded person perfectly recovered and after this lengthened out his life for many years his Lungs and Breast all the while continuing still very sound and altogether free from all manner of hurt and detriment And therefore we may conclude that the Wounds of the Lungs are not alwaies of themselves Mortal or incurable unless haply a deep Wound therein be affected with an Inflammation or else when the Wound hath hurt the great Vessels or the Lappets thereof or that the wound reacheth neer unto the Heart And many other such like Histories Schenckius in the 2. B. of his Observat relateth out of Franciscus Valleriola his fourth B. Observat 10. Nicolaus Massa Franciscus Arcaeus Fallopius and Foresius and the like are to be seen also in Guliemus Fabricius his 3. Cent. Observat 36. and Cent. 1. Epist 52. and others all which here to recount would be too tedious And the like History is related also by that excellent and expert Physitian Doctor George Horstius in his 3. B. Observat 11. in these Words A certain Noble youth saith he Abraham a Schleinitz a Knight of Misna living with us at Giessa as a student in the year 161● goeth to the House of a certain Citisen upon his Birth day which the Citisen as it seemeth was wont to observe in a festival manner other in the sai● House by Quarrels and Threats having given an occasion of a Tumult thither being come through a Chink of the Door he was run through his Body with a very sharp Sword the entrance of the Wound being not far from the Sternum about the Third or Fourth superiour Rib and the Sword going forth again under the Shoulder blade not far off from the Spina I being called about the first hour of the Night found that his Pulse was very weak and that there was present a difficulty of Breathing whereupon I had but smal hopes of him as conceiving very great danger to be at hand by Reason of the grievous hurt of hit Lungs and the great Vessels But see what happened A vomiting taking him suddenly without any means used to procure it all the grievous Symptoms

or no being Cured and his Wound healed he be likely to undergoe and suffer the hurt Action of some one or other of his Members For so oftentimes it happeneth that some Tendon being cut asunder the motion of some part is wholly lost and that the Brain being wounded the Memory or Rational faculty is thereby hurt and Moreover whether the wound be likely to be Cured in a short or whether it wil take up a longer time But on the other side if the wound be altogether incurable whether it be Mortal and such as is likely to hasten Death or else whether it be not more probable that it will degenerate into some long continuing Ulcer And Lastly it must be foretold likewise whether the Changes and Alterations of the Wound will be for the better or for the worse and when these Changes wil be Now in the first place it must be diligently explained What Wounds are Deadly and what Wounds are not so For indeed this Question is of very great Moment and therefore most diligently and exactly to be weighed and known by the Physitian For whereas oftentimes the lives of some men are much hazarded and endangered when they are brought before the Magistrates in the publike Courts of Justice by Reason of Wounds they gave unto others and that oftentimes the Judges desire the Physitians Opinion touching the same great Care and a diligent Endeavour ought to be used that the Physitian give so true a Relation and so distinctly deliver his Opinion touching the quality of the said Wounds that the innocent may not be condemned nor the Guilty acquited But in the first place we are to know that not every Wound which hath Death following it is to be called a Mortal wound but that alone which in its own Nature bringeth Death Now such like wounds are twofold For Mortal or Deadly as Galen in the 5. B. of the Aphor. Aphor. 2. and Aph. 18. teacheth us is somtimes taken and understood of those wounds that are of necessity deadly and somtimes again of such Wounds as are so for the most part as Hippocrates speaketh and such as by Reason of which as the same Hippocrat maketh the limitation in the 18. Aphorism 6. Sect in Coacis or his tract of Playsters those that are wounded almost or for the most part die like as Galen in his 5. B. Aphor. 2. writeth that Deadly is to be taken for that that is dangerous and is oftentimes terminated in Death But the Question is here especially of the former kind for that wound that hath been at any time Cured in others cannot be taken for a wound simply Mortal and Deadly But we shall afterward tel you when it is to be taken and accounted for Mortal or not Mortal And therefore Secondly Wounds cannot be accounted simply Mortal whereupon the supervening of most grievous Symptoms which said Symptoms notwithstanding do not alwaies and necessarily follow upon the reception of these like wounds the wounded person dieth as when in the Wounds of the Joynts and the Nervous parts an inflammation Deliry and other Symptoms happen or that by Reason of a Cacochymy lying secretly in the Body a feaver is kindled upon occasion of the Wound And it is altogether most true that many things often fal out that render Wounds incurable which in their own nature were curable Like as neither are those to be accounted for Wounds simply Mortal the Curing of which is long protracted by Reason of which it at length happeneth that the Wounded person perisheth by a slow and lingring Death the same that happeneth when the Lungs being Wounded an Ulcer and the Consumption follow thereupon or the Thorax or Stomack being wounded which oftentimes after a long space of time become the Causes of Death unto the wounded person For whenas it hath been observed and known that these like Wounds have been healed in others they cannot then be accounted for Wounds simply Mortal But those Wounds are only to be reputed simply Mortal which in the space of a few hours or daies do necessarily bring Death unto the sick person and cannot be cured by any Art And therefore we are to distinguish between Wounds Mortal and Wounds incurable For all Mortal Wounds are incurable but all Wounds that are incurable cannot be said to be Mortal For Wounds incurable as we have told you are al those that though they cannot indeed be cured yet notwithstanding they are not suddenly the Cause of Death unto the wounded person since that although they cannot be healed yet nevertheless the sick person may after this live not only many Weeks but even yeers also And such a like Wound was that which Mathias Cornax in his Epistle Responsory unto Dr. Aegidius Hertogh and Julius Alexandrinus in his Annotations upon the sixth Book of Galen his Meth. of Physick Chap. 4. have described unto us For when as a certain Bohemian Boor as he was hunting received a Wound in his Stomack with a broad hunting spear it could not possibly be consolidated but yet in tract of time the lips of the wound became hardn'd by a certain Callousness growing over them so that the wounded person survived for many yeers after and by applying of an instrument he could at his pleasure evacuate his stomack And now in the next place let us see what Wounds they are that we may account to be simply Mortal or Deadly And now whereas Death happeneth upon the defect extinction of the Native heat and that the Native heat may in a twofold manner be extinguished either sensibly and by degrees as it is in a Natural Death and long continued Diseases as the Consumption and the like or else suddenly and violently the latter way it is that Wounds are said simply and necessarily to bring Death unto the wounded person to wit a violent one Now the innate heat is extinguished either because the vital spirits are dissipated or because they are suffocated And therefore all Wounds that are Mortal and of necessity cause a sudden and violent Death either they suddenly suffocate the vital spirits or else they dissipate and corrupt them But in regard that the Heart is the Store-house of the vital spirits and the Native heat first of all therefore the Wounds of the Heart of all others do especially and most speedily bring upon the Wounded Person a violent Death And the very truth is as Galen writeth in his 5. B. of the places affected and 3. Chapter if the Wound penetrateth unto the ventricle of the Heart especially the left the wounded person of necessity dieth suddenly but if the Wound penetrate not so far as unto the ventricle of the Heart but that it consist in the substance thereof the man may then indeed live for a while but yet nevertheless he must necessarily die this violent Death Secondly It is of necessity that the man die if some Vessel be wounded in that part of the Lungs that are next unto the Heart and

wounded or he that hath the greater Veins or Arteries about his Jaws cut assunder And they also very hardly recover their former soundness that have any part of their Lungs or the thick part of their Liver or the Membrane that conteineth the Brain or the Spleen or the Matrice or the Bladder or any Intestine or the Midriff wounded These likewise are in extream great danger in whom the Swords point hath pierced even unto the greater Veins that lie hid and concealed within in the Arm-pits or in the Hams And those Wounds are also dangerous wheresoever there are any of the greater Veins in regard that they soon spend a man by the extraordinary effusion of Blood And this happeneth not only in the Arm-pits and in the Hams but likewise in those Veins that reach even unto the A●se and the Stones And besides these that Wo end is also evil and dangerous that is in the Groins or in the Thighs or in the void places or in the Joynts or between the Fingers As also whatsoever wound it be that hath hurt any Muscle or Nerve or Artery or Membrane or Bone or Cartilage But now because that Hippocrates what he had said in the sixth B. of his Aphorism Aphor. 18. to be Mortal and Deadly that in his Coaca Aphor. 509 he explaineth by saying that they almost die let us therefore see what ●ounds of these parts are simply Mortal and what not And first of all Hippocrates in the Sixth Book of his Aphorism Aphor. 18. reckoneth up the Wounds of the Brain among the Mortal Wounds The Wounds of the Brain and yet nevertheless in his Coaca he limits it and writes that for the most part this is so For all the Wounds of the Brain are not Mortal For Galen himself saw when such Wounds were Cured in the 8. B. of the Vse of the parts and 10. Chap. and in the sixth of the Aphor. Aph. 18. And we have instances thereof in Valleriola in his 4. B. of Observat and 10. chap. and in his 5. B. of Observ chap. 9. and in his sixth B. of Obser ch 4. in Gulielm Fabricius his 4. Cent. Observ 1 2 and 3. and he there giveth us a long Catalogue of the Physitians who had seen some Wounds of the Brain Cured In Johannes Andreas a Cruce in his first B. of Wounds Tract 2. chap. 14. of a hurt and wounded Brain Yea Moreover it hath been observed that after the loss and perishing of some smal part of the Brain yet nevertheless the wounded person hath perfectly rec●vered for the confirmation of which we have many Histories given us by Divers Physitians Anton. Musa Brasavolus in his Comment upon the 18. Aphor. of the sixth Sect. of Hippocrates Nicolaus Missa in his first B. Epist 11. Fallopius in his Tract of the Curing of Wounds chap. 45. Franciscus Arcaeus in his first B. of the Curing of Wounds and 6. chap. Johannes Andreas a Cruce in his first B. of Wounds Tract 2. chap. 14. Ambrosius Paraeus in his 9. B. and 22 chap. and others all which or at least the greatest part of them have been collected by Schenckius in his first B. Oserva 40. and 42. And well worth Observation also are the Histories of the most dangerous Wounds of the Brain that are extant in Cabrolius his Obse vat 16 22 and 34. in Henricus Petraeus his 2. Tome of Harmonic Disputat Disput 36. Quest 10. in Gulielm Fabricius every where very frequently in wounding of the Heart did long survive For although it hath indeed been observed that Tumors and Ulcers have been found in the Heart yet those seeing that they arise and grow by degrees life may somtimes for a while persist together with them although that in the conclusion even these also bring Death unto the Party But wounds in regard that they suddenly disturb the very frame and Oeconomy of the Heart the life cannot therefore long persist with these And albeit Galen in his 2. B. of the Decrees of Plato and Hippocrates and 4. Chap. relateth that sacrifices at the Altar after the heart hath been cut forth have been heard to cry yet notwithstanding this lasteth so long only as the vital spirits are remayning in the Arteries which being exhausted soon after the Beast fals down and dieth For as Aristotle writes in his third B. of the parts of Animals and 4. Chapter the Heart alone of the Bowels and of all the parts of the Body will not admit of or bear any great injury and this for very good Reason For when the very principium or principal part of all is corrupted and injured it cannot then possibly afford any aid and assistance unto those other parts that depend thereupon And more especially as hath been said the left ventricle of the Heart which is the storehouse and treasury of the Blood and the vital Spirit being wounded the wounded person immediatly perisheth But if the right ventricle of the Heart be wounded that the wounded person may in this case lengthen out his life for some short time is confirmed unto us by a strange but yet true History that we may finde written in a Table hanging up against a Wall in the Library of the University of Groning and as it is described by Gothofredus Hegenitius in Itinerario Frisic Hollandico Page 16. in these very Words Nicholaus Mulerius health to the Reader It hath hitherto been beleeved that the heart being wounded no man could possibly lengthen out his life no not for the short time of one hour Which opinion both Reason and Experience confirm For seeing that our life dependeth upon the safety of the spirits whose Store-house and Fabrick is Scituated in the very Heart the Heart being wounded the said treasury and fabrick that it Scituated in the same must of necessity be wounded likewise But I thought good here to relate unto you a very Memorable History a History I say of a certain Soldier who being wounded at the Heart yet lived above fifteen daies after the like whereunto we meet not with in any of the observations of either Ancient or Modern Physitians Andreas Haesevanger being a Soldier enrolled in the City Garison under the most Illustrious Count William of Nassau Chief Governour of Frisia Groning Omland c. received a wound in his breast from a fellow Soldier of his in the year 1607. the two and twenty day of August in the evening and he died the eighth day of September following an hour after Sun-rising it being the sixteenth day from that whereon the wound was given him The Body of this dead Soldier by the command of the Governour of the City Garison for the discovery of the Nature of this his wound was opened and examined by my self and two Chirurgeons Gaspar and Luke Hulten there being present and looking on that valiant and most Noble Bernhard Hoornkeus there looking on likewise some others both of the meaner and better sort of Soldiers We had no sooner opened the

The Art of CHIRURGERY Explained in SIX PARTS Part I. Of Tumors in forty six Chapters Part II. Of Vlcers in Nineteen Chapters Part III. Of the Skin Hair and Nails in Two Sections and Nineteen Chapters Part IV. Of Wounds in twenty four Chapters Part V. Of Fractures in twenty two Chapters Part VI. Of Luxations in thirteen Chapters Being the whole FIFTH BOOK OF Practical Physick By Daniel Sennertus Doctor of Physick And R.W. Nicholas Culpeper Physitian and Astrologer Abdiah Cole Doctor of Physick and the Liberal Arts. Above Eight thousand of the said Books in Latin and English have been sold in a few Years LONDON Printed by Peter Cole and Edward Cole Printers and Book-sellers at the Sign of the Printing-press in Cornhil near the Royal Exchange 1663. Physick Books Printed by Peter Cole at the Exchange in London Viz. 1. A GOLDEN Practice of Physick plainly discovering the Kinds with the several Causes of every Disease And their most proper Cures in respect to the 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 Being the Fruit of One and Thirty years Travel and fifty years Practice of Physick By Dr. Plater Dr. Cole and Nich. Culpeper 2. Sennertus Practi●al Physick the fir●● Book in three Parts 1. Of the Head 2. Of the Hurt of the internal senses 3. Of the external Senses in five Sections 3. Sennertus Practi al Physick the second Book in four Parts 1. Of the Jaws and Mouth 2. Of the Breast 3. Of the Lungs 4. Of the Heart 4. Sennertus Third Book of Practical Physick in fourteen Parts treating 1. Of the Stomach and Gullet 2. Of the Guts 3. Of the Mesentery Sweetbread and Omentum 4. Of the Spleen 5. Of the Sides 6. Of the Scurvey 7 and 8. Of the Liver 9 Of the Ureters 10 Of the Kid●es 11. and 12. Of the Bladder 13. and 14 Of the Privities and Generation in men 5. Sennertus fourth Book of Practical Physick in three Parts Part 1. Of the Diseases in the Privities of women The first Section Of Diseases of the Privie Part and the Neck of the Womb. The second Section Of the Diseases of the Womb. Part 2. Of the Symptoms in the Womb from the Womb. The second Section Of the Symptoms in the Terms and other Fluxes of the Womb. The third Section Of the Symptoms that befal al Virgins and Women in their Wombs after they are ripe of Age. The fourth Section Of the Symptoms which are in Conception The fifth Section Of the Government of Women with Child and preternatural Distempers in Women with Child The sixth Section Of Symptoms that happen in Childbearing The seventh Section Of the Government of Women in Child bed and of the Diseases that come after Travel The first Section Of Diseases of the Breasts The second Section Of the Symptoms of the Breasts To which is added a Tractate of the Cure of Infants Part 1. Of the Diet and Government of Infants The second Section Of Diseases and Symptoms in Children 6. Sennertus fif●h Book o Practical Physick Or the Art of Chyrurgery in six Parts 1. Of Tumors 2. Of Ulcers 3. Of the Skin Hair and Nails 4. Of Wounds with an excellent Treatise of the Weapon Salve 5. Of Fractures 6. Of Luxations 7. Sennertus sixth and last Book of Practical Physick in nine Parts 1. Of Diseases from occult Qualities in general 2. Of occult malignant and venemous Diseases arising from the internal fault of the humors 3 Of occult Diseases from water Air and Infections and of infectious Diseases 4. Of the Venereal Pox. 5. Of outward Poysons in general 6. Of Poysons from Minerals and Metals 7. Of Poysons from Plants 8. Of Poysons that come from Living Creatures 9. Of Diseases by Witchcraft Incantation and Charmes 8. 〈…〉 Treatise of Chym●●● 〈◊〉 ●●ving the Agreemen● 〈◊〉 Disagreement of Chym●●● 〈◊〉 G●lenists 9. 〈…〉 ●wo Treatises 1. Of the 〈◊〉 1. Of the Gout 10 Sennertus thirteen Books of Natural Philosophy Or the Nature of all things in the World 11. Twenty four Books of the Practice of Physick being the Works of that Learned and Renowned Doctor Lazarus Riverius Physitian and Counsellor to the late King c. 12. Idea of Practical Physick in twelve Books 13. Bartholinus Anatomy with very many larger Brass Fi●ures than any other Anatomy in English 14. Veslingus Anatomy of the Body of Man 15. Riolanus Anatomy 16. A Translation of the new Dispensatory made by the Colledg of Physitians of London in Folio and in Octavo Whereunto is added The Key of Galen's Method of Physick 17. A Directory for Midwives or a guide for women The First and Second Part. 18. Galens Art of Physick 19. A new Method both of studying and practising Physick 20. A Treatise of the Rickets 21. Medicaments for the Poor Or Physick for the C mmon People 22. Health for the Rich and Poor by Diet without Physick 23. One thousand New Famous and Rare Cures in Folio and Octavo 24. A Treatise of Pulses and Urins 25. A Treatise of Blood-letting and Cures performed thereby 26. A Treatise of Scarification and Cures performed thereby 27. The English Physitian enlarged The London Dispensatory in Folio of a great Character in Latin 28. The London Dispensatory in Latin a small Book in Twelves 29. Chymistry made easie and useful Or the Agreement and Disagreement of Chymists and Galenists By Dr. Cole c. 30. A New Art of Physick by Weight or five hundred Aphorismes of Insensible Transpiration Breathing or vapor coming forth of the Body By Dr. Cole c. Divinity Books Printed by Peter Cole c. Eighteen Several Books of Mr. Burroughs's viz. on Matth. 11. 1 Chr●sts Cal to all those ●hat are weary and heavy laden to come to him for rest 2 Christ the great Teacher of Souls that come to him 3 The only easie way to Heaven 4 The Excellency of Holy Courage in Evil times 5 Gospel Reconciliation 6 The Rare Jewel of Christian Contentment 7 Gospel-Worship 8 Gospel-Conversation 9 A Treatise of Earthly Mindedness and of Heavenly 10 An Exposition of the Prophesie of Hoseah 11 The sinfulness of Sin 12 Of Precious Faith 13 The Christians living to Christ upon 2 Cor. 5.15 14 A Catechism 15 Moses Choice c. Dr. Hills WORKS Mr. Stephen Marshals New WORKS Viz. 1 Of Christs Intercession 2 The high Priviledg of Believers That they are the Sons of God 3 Faith the means to feed on Christ 4 Of Self-denial Twenty one several Books of Mr. William Bridge collected into two Volumes Viz. 1 Scripture Light the most sure Light 2 Christ in Travel 3 A lifting up for the cast down 4 Of the Sin against the Holy Ghost 5 Of Sins of Infirmity 6 The great things Faith can do and suffer 7. The great Gospel Mystery of the Saints Comfort and Holiness opened and applied

in the Stomack and that accordingly blood be bred in the Liver yet it is oftentimes discussed and wasted by some certain Causes such as are overmuch exercise Watchings Cares Griefs and Diseases which melt away dissolve and discuss the aliment so that there is too great an evacuation hereof by the Belly by Sweats and by the flux of Blood and such likewise are immoderate Rest Meats and Medicamens that dry excessively Fevers especially such of them as are acute and Malignant But the Nutriment is not rightly assimilated by the parts in regard of some vitious quality it hath in it by reason of which it cannot be assimilated by the parts and so likewise the Nutrition may be frustrated by some external error or else by reason of the Object to wit because the Blood is such that it cannot by the nourishing faculty be perfectly overcome and assimilated But now in regard of the faculty there is not a sufficient Nutrition ● In regard of the nourishing faculty by reason of some defect and want of native heat and radical moysture For Nature maketh great use of this Native heat as of the next instrument in nourishing And this especially happeneth by reason of the preternatural affects of the Heart and principally its heat and driness whether it be that the Heart be primarily affected as it is in the Hectick Fever or else that it suffer through some default of the neighboring parts as it happeneth in the Ulcer of the Lungs For whereas the nourishing faculty as we said erewhile maketh great use of the innate and Native heat as its principal Instrument in reteining Concocting agglutinating and assimilating and it being so that the innate heat is cherished by the heat that floweth in if the temper of the Heart be not right and as it ought to be then the heat that floweth in and consequently the innate heat likewise wil be much amiss and not rightly tempered and so it can be no fit Instrument of the nourishing Faculty And that that Hectick Feavers do but slowly and sensibly bring to pass this the burning and melting Feavers accomplish in a very short time by the heat whereof not only the aliment and substance of the body is consumed and melted away but likewise the temperament both of the Heart and also of the whol body is converted into that which is more hot and dry The same happeneth by reason of over hard labors cares long continued diseases and in general al causes that are able to consume the Radical moisture and weaken the Native heat Now this Atrophy happeneth especially in the softer parts The subject the fat and the flesh and indeed the fat is first of al wasted and then afterward the flesh is likewise extenuated But now as for the harder parts such as are the Membranes Cartilages and especially the Bones although these may also in the like manner be dried yet notwithstanding they cannot possibly be so extenuated and diminished that thence the whol body should decrease And hence it is likewise that the said extenuation and Atrophy of the body doth appear especially in those parts in which there is much fatness and where there are more or greater Muscles as in the Eyes and Temples The particular Atrophy The Atrophy that happeneth in the parts is various It happeneth oftentimes privately in the Limbs the Arms and the Thighs And hither belongeth the Atrophy of the Eye The causes thereof which are the same As for the Cause of the particular Atrophy like as the Causes of the Atrophy of the whol body consist in some one principal Bowel whose action is necessary for the nutrition of the whol Body or is indeed universal and such as may exsiccate and dry the whol body so in like manner the particular Atrophy of any one part hath a private cause or at least such a one as belongeth unto that particular part Yet notwithstanding the Causes are the same as of the universal Atrophy to wit the weakness of the Nutritive Faculty The weakness of the Nutritive Faculty and the defect of Aliment The Faculty is hurt when the part is over cooled and left destitute of its proper heat For if this happen the part can neither attract nor retain not alter nor assimilate the Aliment Now the part is refrigerated and the heat decayed and rendered dul and unfit for action not only from the external Air as also from cold water but likewise it may proceed from overmuch rest in the Palsie or else from the streightness of the passages through which the Spirits flow in The defect of nutriment The Nutriment faileth especially by reason of the narrowness of the passages through which it floweth unto the part that needeth it And this happeneth for the most part from external causes when the Veins that carry the blood unto the part for its Nutriment are pressed together by the bones when they are loosened and out of joynt or else from some certain Tumor that is nigh unto it or by the brawniness and hardness of the flesh or else lastly when the Veins that convey the Nutriment are cut in sunder See likewise Galen's Book of Marcor a Species hereof arising from an Hectick Feaver Signs Diagnostick The extenuation of the whol body as likewise of some one particular part thereof is visibly apparent to the sight so that there wil be no need of many signs For if the whol body be greatly wasted by an Atrophy then the Face fals away and becometh lean the Temples fal down the seat of the Eyes is rendered hollow and deep the Nostrils become sharp and such kind of Face because that Hippocrates describeth it in his Prognosticks they commonly cal an Hippocratical Face Al the Ribs are conspicuous the shoulder blades and the Chanel bones stick out the Neck is extenuated and the Larynx or the top of the cough Attery buncheth forth the Belly falleth down the Buttocks become withered and weak the Thighs Arms Hands and Feet are emaciated and grow lean But in regard that the Atrophy hath its dependance upon many and several causes they are therefore al of them to be inquired into that so the Cure of them may the more rightly be proceeded in And therefore enquiry must be made whether external Causes to wit tasting cares grief over hard labor and the like went before If we find no such thing we are then to make enquity into the internal Causes to wit whether there be present a Hectick or any putrid Feaver or whether there had not been one a little while before and likewise a discovery must be made touching the Stomach Spleen and Liver in what state and condition they are for by the Diseases of the Bowels it may easily be known what the Cause of the Atrophy is Prognosticks 1. By how much the more the Atrophy is but recent and newly begun by so much the more easily it is cured but by how much the longer it hath

Let the Oyl Rosin Wax and Suet melt together and then let them be boyled unto a just consistence and after let the rest of the Ingredients be added Of Take White Wax Turpentine Rosin of each one ounce Frankincense and Mastick of each two drams Styrax Calamite three drams Gum Elemi six drams round Aristolochy two drams the juyce of Milfoyl and Betony of each half an ounce Oyl of Roses as much as wil suffice and make an Vnguent But let the Wax Rosin Turpentime and Oyls be first of al dissolved together after this let the Juyces be poured unto them and when they begin to grow cool add the Pouders Or Take Oyl of Roses twelve ounces Ceruss three on ounces Litharge four ounces and half Frankincense and Mastick of each half a dram Dragons blood half an ounce Myrrh and Sarcocol of each two drams boyl them a little until they be red after remove them from them fire and then dip therein an old Linen cloth which when it is throughly soaked in the matter of the Emplaster may be taken forth and spread abroad to make a Sparadrape Touching the ulcers of the rest of the parts we have already treated of them in the formers Books of this our Practice To wit in the first Book Part 3. Sect. 2. Chap. 18. of the ulcers of the Adnata and Cornea Tunicles of the Eye ibid. Sect. 3. Chap 3. of the ulcers of the Ears ibid. Sect. 4. Chap. 1. of the ulcers of the Nostrils In the second Book part 1. Chap. 3. of the ulcers of the Lips ibid. Chap. 16. of the ulcers of the Gums ibid. Chap. 21. of the exulceration of the Throat-pipe ibid. Chap. 22. of the ulcers of the Tonsils Part 2. Chap. 1. of the ulcers of the Aspera Arteria or rough Artery ibid. Chap. 12. of the ulcers of the Lungs ibid. Chap. 18. of the Fistula's of the Thorax Part 4. Chap. 3. of the ulcers of the Heart Book 3. Part. 1. Sect. 1. Chap. 1. of the ulcers of the Oesophagus ibid. Chap. 17. of the ulcers of the Stomach Part 2. Sect. 1. Chap. 9 10. of the ulcers of the Intestines Part 3. Chap. 5. of the impostumes and ulcers of the Mesentery ibid. Chap. 7. of the ulcers of the Pancreas ibid. Chap. 8. of the Caul Part 4. Chap. 8. of the Spleen ibid. Part 6. Chap. 8. of the Liver Part 7. Chap. 11. of the Reins Part 9. Sect. 1. Chap. 6. of the Bladder ibid. Chap. 9. of the Urinary Passage Part 8. Chap. 5. of the Testicles ibid. Chap. 6. of the Cods ibid. Chap. 8. 10. of the Yard Part 10. Chap. 5. of the Navel ibid. Chap. 7.11 of the Abdomen Book 4. Part 1. Sect 1. Chap. 48. of the Neck of the Womb ibid. Chap. 10. of the Fistula's of the Neck of the Womb ibid. Chap. 11. of the Cancer of the Womb ibid Chap. 12. of the Gangrene and Sphacelus of the Womb Sect. 2. Chap. 14. of the Cancer of the Womb ibid. Chap. 19. of the ulcers of the Womb ibid. Chap. 20. of the Testicles in Women Part 3. Sect. 1. Chap. 7. of the Cancer of the Breasts Chap. 8. of the ulcers and Fistula's of the Breasts ibid. Chap. 11. of the ulcers of the Teats Chap. 18. Of Burnings WE may not unfitly unto Ulcers subjoyn Burnings which do likewise excite and raise ulcers For oftentimes it happeneth that by some mischance and unfortunate accident the Members may be scalded either with water or with hot boyling Oyl mor melted Metal or else one may chance to fal into the Fire into the Water or into scalding hot Oyl which whensoever it happeneth then pain blisters and exulcerations are excited The Differences Now of such things as are burnt there are three degrees or Differences For somtimes there is only a heat and pain excited in the part affected by the said burning and unless that Remedies be forthwith administred the Scarf-Skin wil be separated from the true Skin and blisters wil be raised in the which there wil be a certain cleer water contained and oftentimes likewise suddenly and in a moment the blister or bladder is lifted up and the very Skin it self is burnt dried up scorched and contracted together and yet notwithstanding there is al this while no Crust or Eschar produced but at other times the very Skin it self yea and oftentimes the flesh that lieth under it is burnt dried up and an Eschar produced and the Skin becometh black loseth somwhat of its sense and feeling and after that the Eschar is fallen off there is left behind an ulcer sufficiently deep For fire dissolveth the continuity and exciteth a pain and because the moist parts in the Skin are resolved by the force of the fire and endeavor to exspire and breathe forth but are stil kept in by the thickness of the Scarf-skin they lift it up and raise the bladder or blister But sometimes again there is by the force of the fire some kind of humidity left remaining in the part from whence the Skin is contracted and drawn together but somtimes also the moisture of the part is altogether dissiputed and dried up and an Eschar is produced and this happeneth according to the variety of the things that burn For Water burneth less than the other and this Water likewise more or less according as it is more on less hot For stubble straw flax and the like cause no great and vehement burning unless the burning be long continued But Oyl burneth more and so do Fat 's Varnish Pitch Honey Wax And the greatest and most vehement of al burners are Lead and Tin meltd Iron and other Metals made red hot by the fire as likewise the very actual Fire it self Gun-powder and Lightening And so likewise by how much the thicker the subject matter of the Fire is and the more its force and strength is augmented by the concurrence of its many Atomes and the more it is condensed and lastly by how much the longer the action of the Fire is continued by so much the greater the burning must needs be But if the fire be in a subject more thin and so its Atomes be the more dispersed and but little united and if its action likewise continue but a short time then the burning is so much the less Prognosticks Touching the Diagnostick Signs there is no need that we speak any thing at al since that the burning wil sufficiently manifest it self Its Degrees likewise and how far it hath gone wil sufficiently appear by what was said a little before As for the Prognosticks 1. By how much the lighter the Burning is by so much the more easily it is cured and so much the less is the evil that it bringeth along with it but by how much the burning is greater by so much the harder it is to cure and so much the more grievous the evils that it bringeth along with it For oftentimes an Inflammation of the part yea even a Necrosis or

ceased and his strength by degrees returned there being no purulent spittle at all that offered to come forth his Cough likewise and difficult breathing were not very urgent and troublesom neither for the first Week did any heat and thirst very much affect the sick person in the interim the wounds being handled after the Vsual manner there daily flowed forth an indifferent Quantity of well concocted pus or purulent matter These means being continued unto the second month and the External wounds being purified and consolidated the sick person was suddenly taken with a most dangerous suffocation so that he was in great peril of being strangled by an Asthma as it were and he was likewise very much afflicted with a cough Atrophy and Hectick Feaver until at length the imposthume of the Lungs brake and with the Cough five or six pints of purulent matter were cast up at his mouth after which the exulceration of the Lungs being cured by fit and proper Remedies the consumption Fever Hectick and all the rest of the symptoms remitted and the Patient was restored unto his perfect health To wit those Wounds of the Lungs are not mortal in which only the substance of the Lungs is hurt and not the great vessels and such as are not so great that they abolish respiration or suddenly destroy the vital faculty either by their dislipating the sprits through some notable Hemorrhage or else suffocating the heart by pouring out the blood upon the Lungs and upon the heart On the contrary if the wound of the Lungs be great and that not only the substance of the Lungs but likewise the great vessels that are therein to wit those notable and observable branches of the Arterial vein and the veiny Artery be wounded those wounds are mortal being such as in which the blood and vital spirit is poured forth and dissipated or else through the overgreat abundance of the blood the Lungs and heart are oppressed and the Patient suffocated Hippocrates in the place alleadged in Coacis addeth yet another cause of death which yet nevertheless doth not bring so sudden a destruction unto any person as those in the former case even now mentioned where the wound being great it is not the vessels containing the blood that are indeed hurt but the great and rough Artery so that by reason of the largness of the wound there is more breath that goeth forth by the wound then by the mouth for then by reason of the sympathy the heart is affected the vital spirits dissipated the Lungs and heart by the ambient Air altered and offended And indeed those wounds of the Lungs bring death likewise in which either the substance of the Lungs beginneth to be exulcerated and that a Consumption is excited or in which the blood is poured forth into the Cavity of the Thorax where it beginneth to putrefy and where it causeth either a feaver or an Empyema But in regard that this doth not alwaies happen and not at al in some wounds of the Lungs and that likewise when it doth happen there is no necessity that the Patient die for this cause therefore those wounds of the Lungs are not to be accounted necessarily Mortal For Felix Platerus in his 3. B. of Obsrv Page 690. relateth that a certain person that he knew falling into a Consumption from a Wound of the Lungs was yet nevertheless Cured and perfectly recovered A certain Coffermaker sayth he one of our Citizens having from a servant of his received a wound very deep in the lowest part of the Thorax by a prick from the point of a knife by the wound he voided forth a most stinking and loathsom pus or matter by the ill savor whereof the whol neighborhood was infected and offended and likewise some certain smal parcells of his Lungs in which the cartilaginous branches of the rough Artery did manifestly appear which persevering a long time albeit that he was in a manner wholly wasted away yet nevertheless at the length the flowing forth of the purulent matter remitting the wound was closed and he restored unto perfect soundness living after this many years as a foot-post in carrying of letters and thus he prolonged his life for forty years safe and found as we say although as it is very probable he wanted great part of his Lungs in one side The wounds of the rough Artery Fifthly That the wounds of the great rough Artery commonly called Aspera Arteria are not mortal but that they may be cured even the Laryngotomy or Cutting of the Laryinx of which we have spoken before in the Second Book of our Pract Part. 1. Chap. 24. doth evidently demonstrate To wit those of them are cured that are not great and in which the membranes only by which the rings of the rough Artery are fastened and linked together are wounded examples of which Schenkius in the Second Book Of his Observat hath collected And I my self also have twice seen such like wounds cured But if those very cartilaginous rings be wounded by reason of their hardness the part cannot again be made to grow together as formerly as Hippocrates teacheth us in the sixth of his Aphorisms Aph. 19. And in the seventh of his Aphorisms Aph. 28. and Galen in Book 5. of his method of Physick Chapt. 7. And yet notwithstanding such like Wounds do not cause a sudden death but a flow and lingering one while that the Lungs are either altered and weakned by that Air that violently breaketh in upon the Lungs thorow the wound or else that a certain smal gobbet of flesh grow unto the wound which by intercepting the breath at the length choaketh the Person But those wounds alone of the rough Artery throttle the Party in which the jugular veins and Arteries being hurt the blood violently and al at once rusheth into the Lungs intercepteth the breathing and so suffocateth the wounded person which yet nevertheless happeneth not by reason of the wound of the said rough Artery but by reason of the wound of the Jugular vein or the soporal i. e. more plainly the sleep-conveying Artery that is very neer unto it Wounds of the Diaphragm Sixthly Hippocrates reckoneth up the Wounds of the Diaphragm among those wounds that are mortal But Galen in his Book 5. of the Method of Physick Chapt. 9. distinguisheth between those wounds of the diaphragm that are inflicted upon the nervous part therof those that are made in its fleshy part and those he wil have to be mortal but these latter Curable And yet nevertheless in the Sixth of the Aphorism Aph. 18. he writeth that the wounds of the nervous part of the Diaphragm are not alwaies mortal but that the great wounds therein are only so For then it is indeed that those grievous symptoms plainly appear viz. a deliry or stupid dotage difficult breathing Feavers Convulsions and as Aristotle hath likewise observed in his third Book of the parts of living Creatures and tenth Chapt. the