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A20928 A discourse of the preseruation of the sight: of melancholike diseases; of rheumes, and of old age. Composed by M. Andreas Laurentius, ordinarie phisition to the King, and publike professor of phisicke in the Vniuersitie of Mompelier. Translated out of French into English, according to the last edition, by Richard Surphlet, practitioner in phisicke; Discours de la conservation de la veüe. English Du Laurens, André, 1558-1609.; Surflet, Richard, fl. 1600-1616. 1599 (1599) STC 7304; ESTC S110934 175,205 211

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the heart and this saith he liueth first and dyeth last the onely storehouse of spirit the originall of veines arteries and sinewes the principal author of respiration the fountaine and welspring of all heate containing within the ventricles thereof a subtile and refined blood which serueth as a burning cole to kindle and set on fire all the other inferiour and smaller sorts of heate and to bee briefe the onely Sunne of this little world And euen in like sort The heauens and the heart finely compared together as the heauens are the principals whereon depend and rest all other elemental generations and alterations so the hart is the first and principall originall of all the actions and motions of the bodie The heauens bring forth their wonderfull effects by their motions heate and influence the heart by his continuall mouing which ought no lesse to rauish vs then the flowing and ebbing of Euripus and influence of his spirits doth put life into all the other parts endoweth them with this beautiful and vermillionlike colour and maintaineth their naturall heate The mouing and light which are in the superiour bodies are the instruments of the intelligences and of the heauens of the intelligences as being the first cause of mouing in others being themselues immoueable of the heauens as first mouing the other and being themselues moued The mouing of the heart and vitall spirit which distributeth it selfe like vnto light throughout and that as it were in the twinkling of an eye are the instruments of the mind and heart of the minde which is a chiefe and principall mouer and yet not moued of the heart as of a chiefe and principall mouer which is moued of the minde It is therefore the heart according to the doctrine of the Peripatetikes which is the true mansion of the soule the onely prince and gouernour in this so excellent and admirable disposing of all things in the gouernment of the bodie Chrysippus and all the Stoikes haue followed the same opinion and doe beleeue that all that region which containeth the parts which wee call vitall is named of the Grecians and Latines Thorax because it keepeth within it as it were vnder lock this heauenly vnderstanding so called of Anaxagoras this burning heate so called of Zeno replenished with a million of sciences this admirable fire which Prometheus stole out of heauen to put soule and life into mankinde this altering spirit whereof Theocritus made so great account Behold how these Philosophers haue diuersly spoken of the seate of the soule It is not my minde to bestow any time in the particuler examination of all these opinions either is it mine intent in this place to enter into any dispute intending to content my selfe with the simple deliuerie of the trueth That the brain is the principall seate of the soule For I assure my selfe that it shall be strong enough to ouerthrow all these false foundations I say then that the principall seate of the soule is in the braine because the goodliest powers thereof doe lodge and lye there and the most worthie actions of the same doe there most plainly appeare All the instruments of motion sence imagination discourse and memorie are found within the braine or immediatly depending therevpon Anatomie manifesteth vnto our eyes The reasons to proue the same The first how that there issue out from the lower part of the braine seuen great paire of sinewes which serue at a trice to conuey the animall spirit vnto the instrument of the sences and doe not any of them passe out of the head except the sixt paire which stretch out themselues to the mouth of the stomacke We see also that from the hindermost part of the braine where the great and little braine doe meete together doth proceede the admirable taile the beautifull and white spinall marow which the Wiseman in his booke of the Preacher calleth the siluer threed how it is carefully preserued within a sacred chanell as Lactantius calleth it From the same men see that there rise a million of little sinewes which conuey the powers of mouing and feeling vnto all such members as are capable of the same Men doe also perceiue the outward sences placed round about the braine The second which are as the light horsemen and messengers of the vnderstanding the principall part of the soule Philo saith that when men come within the view of a princes guard they thinke himselfe not to bee farre off we see all the guard and seruants of reason as the eyes the eares the nose the tongue to bee situated in the head whereupon by consequent we ought to iudge that this princesse is not farre off Experience also giueth vs to vnderstand that if the braine haue his temperature altered The third as for example if it be too hot as it falleth out in such as are franticke or ouer cold as it falleth out in melancholick men it corrupteth presently the imaginatiue facultie troubleth the iudgement weakeneth the memorie which is not incident in the diseases of the heart as namely either in a hectick feuer or when a man is poysoned The soule saith that diuine Philosopher Plato doth not please and content it selfe with that braine which is too soft The fourth too close and compact or too hard it requireth a good temperature If the proportion of the head be but a little out of square so that it be either too great or too little or too coppeld as that which men reade of Thersites in Homer or altogether round and not flat on the sides as naturally it ought to be men may perceiue all the actions of the soule to be depraued and thereupon doe call such heads foolish without iudgement without wisedome all which ought to make vs as well to beleeue that the braine is as much the organe and instrument of all these actions as the eye is the instrument of sight Furthermore this kind of round shape which is peculiar vnto mankinde The fift this head thus lifted vp to heauen this great quantitie of braine which is almost incredible doth shew very well that man hath something in his head more then other liuing creatures The wise Sages of Egypt haue very well acknowledged the same for they did not sweare by any other thing but by their head they ratified all their couenants by the head and forbad the eating of the braines of liuing creatures for the honour and reuerence sake which they bare to this part I thinke also that the falling sicknes was not for any other reason called sacred of the ancients but because it did assaile the soueraigne and sacred part of the body Let vs then acknowledge the braine to be the principall seate of the soule the originall of mouing and feeling and of all the other most noble functions of the same I know well that some curious spirits will aske me how it can bee the author of so many goodly actions seeing it is cold
these accidents depend vpon the generall cause which I haue set downe but wee must therewithall search and finde out the speciall The heate and burning which they feele on the spleene side on the liuer side and about Mesenterium commeth of the burning of this grosse humour whether it bee flegme or blacke choler which in this his heate comming as it were to boyle is puffed vp and sendeth his vapours into all the parts neere thereabout The noyse which they heare in euery part of their bellie The cause of windines commeth of the winde which doth runne to and fro in euery place and doth so much accompanie this melancholike disease as that for this cause old writers haue intituled it the windie melancholie wee will obserue in the begetting of this windines the materiall and efficient cause The materiall is a grosse blacke cholerike or flegmatike humour The materiall cause These two humours are almost alwaies mixt in this disease because that the liuer being ouerheated as it is ordinarily in Hypochondriake persons attracteth and snatcheth from the stomacke which is his very neere neighbour such meates as are no better then halfe concocted so that there is heaped together a world of crudities within the veines by such attraction of the liuer as also there is made a broode of hot and burnt humours by the distemperature of this noble part in such maner as that thereby is caused to bee continually in the veines some humours that are raw and not sufficiently concocted and other some that are ouer much concocted the crude and scarse disgested was attracted too speedily the ouer much concocted and burnt was begotten in the member it selfe The weakenes of naturall heate is the efficient cause of windines The efficient cause for in mouing and stirring of the matter it is not able to ouercome it throughly and although the agent or naturall heat should be strong enough yet not being like vnto the matter in proportion it may be called weake The cause of heauines The heauines which they feele in their breast commeth either of winde or grosse vapours which beare downe the muscle called Diaphragma the principal muscle of respitatiō or else they pitch themselues vpon the muscles running betwixt rib and rib or lastly within the coates of the ribs either inward or outward and hence come those great tormenting paines which rise vp to the shoulders and goe downe againe oftentimes vnto the armes by the continued proceeding of the membranes and sympathie of the muscles The cause of the water and swilling which they haue within them The water which melancholike persons doe ordinarily auoide at their mouth is one of the most infallible tokens of the Hypochondriake disease if wee will beleeue Diocles the cause thereof must be imputed vnto the coldnes of the stomack which filleth all full of crudities This coldnes commeth of the excessiue heate of the liuer which draweth the chylous matter out of the stomacke altogether vnprepared wasteth and consumeth all the fat of the stomacke and seedeth rauenously like a gulligut vpon the heate of all the parts neere about it I adde further that oftentimes while the humour is neere vnto boyling the crudest parts thereof are cast backe againe into the stomacke and cooleth it in such sort as that wee may obserue therein the two kindes of cold that is to say the priuatiue and the positiue as the Philosophers are wont to speake The cause of the beating of the heart The inordinate motion of the heart and all the arteries is caused of the vapour of this matter so stirred which setting vpon the heart with great force and seeking the ouerthrow thereof as commonly happeneth in euery conflict and fight causeth it to bestirre it selfe with a double diligence but so as that therein it looseth oftentimes his iust and well proportioned stroke and thereby the pulses also faile sometimes in that iust measure and time which they ought to keepe The causes of the rednes and flushes appearing in their face The cause of their colde sweates The rednes which appeareth in the face the vniuersall beatings ouer all the bodie and the tickling stingings which they feele in euery place as it were little Pissemires ariseth either of a sharpe and subtile winde or else of vapours sent from the lower parts Colde sweates happen when the vapours rising from the places called Hypochondria as from a fournace doe pitch themselues vpon the skin which is a great deale more colde and therefore doth congeale and turne them into a thicker substance The cause of their lassitude The lassitude or wearisome feeblenes which they feele in all their parts commeth partlie of vapours which running amongst the emptie spaces of the muscles and mingling themselues with the substance of the sinewes doe make them more loose and lanke and make as it were a sencelesnes and partlie of crudities and waterish parts which are in the blood The cause of their leanenes Leanenes happeneth because there is defect and want of sufficient store of good and laudable blood The bellie is hard and giuen to costiuenes by reason of the excessiue heate of the liuer which wasteth all the moisture of the excrements CHAP. XIIII Very worthie and not able histories of two persons grieued with the Hypochondriake disease THere are found sometimes diseases so straunge in their kinde as that euen the best able and most sufficient Phisitions know not what to iudge of them I haue feene two Hypochondriake persons so raging mad as that the former ages neuer saw the like and it may be the ages to come shall not see such other two of a long time The first historie There was at Mompelier an honest Citizen of a melancholike disposition and by constitution most subiect to blacke choler who hauing been grieued by the space of two or three yeares with a milder and lighter kinde of windie melancholie suffered the disease to growe so farre as that at length he saw himselfe brought to this extremitie He felt twise or thrise euery day a light kinde of mouing all ouer his bellie but chiefely on the side whereupon the spleene lieth there was also so great a noyse made in his bellie as that not onely the sicke partie but also all those that stoode by heard the same This rumbling would last about halfe a quarter of an houre and afterward vpon the suddaine a vapour or winde seazing vpon the midriffe and the breast did lye so wonderfullie heauie vpon him and so accompanied with a drie cough as that all men would haue thought him to haue beene short breathed This accident being somewhat lesned all the rest of the bodie was in such sorte shaken that you would haue iudged it like vnto a ship tossed with a most raging storme he heaued and set and his two armes were seene to moue as if they had indured some conuulsion In the end these windes hauing coursed through his whole body
it hath with the marrow in the hollow parts of other bones for it serueth not for nourishment vnto the skull it melteth not with fire nor consumeth his originall is more excellent for it is made with the other parts that are of the purest and finest portion of the two seeds The temperature of the braine must be cold Why the temperature of the braine is cold thereby to temper the spirits of sence and motion to resist their aptnes to be wasted and spent and to keepe that this noble member which is commonly imployed about so many worthie actions should not set it selfe on fire and make our discourses and talke rash and headie and our motions out of order as it befalleth them which are frenticke It hath oft astonished me to thinke how that great Philosopher Aristotle Aristotle his error durst say that the braine was made cold onely to coole the heart not acknowledging any other vse of this his temperature If the time and place would permit me to confute his errour I would make it appeare that the heele hath more force to coole the heart then the braine but fearing to wander too wide out of my way I will referre the reader vnto that which Galen hath written in his eight booke of the vse of parts I will follow the leuelling line of my discourse and say that the braine being of a soft substance and of a cold and moyst temperature being compared with the rest of the parts of the bodie doth beget many excrements That the brain doth beget great store of excrements of it selfe and for that it is nourished with a cold and raw blood there must needes remaine great surplussages and so it cannot but beget great store of superfluities in such sort as that of it selfe and of it owne proper nature it is continually disposed to beget and containe water It be getteth much also in respect of his shape and situation His forme which is round hollow and long after the manner of a cupping glasse draweth vnto it from all the parts of the bodie their exhalations His situation which is aloft doth easily receiue them so that these hote vapours falling into a part or member that is more cold doe grow thicke and turne into water As wee see the vapours rising vpon the fire kindled in the parts about the short ribs when they come to the skinne which is more cold to congeale and turne to sweate Or a s exhalations drawne vp by the heate of the Sunne doe thicken in the middle region of the ayre and turne into raine haile and snow See then how the braine both of it selfe as also by accident is apt to ingender excrements and how in euery liuing thing it may be called the principall seate of cold and moysture but chiefly in man for as much as according to the varietie of the animall functions which he executeth he aboundeth with greater quantitie of braine then any other liuing thing doth besides Two sorts of excrements But these excrements if wee beleeue Hippocrates and Galen are of two sorts the one grosse and the other refined The subtile and refined doe breathe out by insensible vapours the grosse doe stand in need of troughs and channels for to rid them by Conuciances for the emptying of the sayd excrements Nature hath so prouidently forecast for them both as that no man can but marueile at her industrious paines taken therein for to helpe and further the exhalation of the thinner and refined she hath pearced the skull and made all those seames which wee see therein which stand in like stead to the bodie as a chimney or breathing place doth to a house and for the grosse excrements she hath framed two conueiances and particular water draughts by which all the water-poole doth emptie it selfe the one of which betaketh it self vnto the nose and the other vnto the roofe of the mouth That in the palate is the more common of the two The conueyance vnto the palate of the mouth and it riseth from the third ventricle of the braine it is wide aboue and growth narrower and narrower like a funnel and that is the cause why the Anathomists doe call it Infundibulum By this channell all the waterie substance of the vpper ventricles doe purge themselues and betake themselues to a certaine glandule called the spitting kernell which drinketh vp like a little spunge all their water and after suffereth it to glide away very smoothly through many pretie little clefts which are to be seene by the side of the feate of the bone called Sphenoides and so from thence betake themselues to the palate The conueyance caried vnto the nose The other channell is led along to the nose these bee the two bunches of the braine which are fashioned like vnto paps Their principall vse is to receiue the smels and to conuey them vnto the brain but when there is great quantitie of excrements nature doth offer them some hard measures in causing to runne downe by these two bunchie excrescences the waterish humours which otherwise doe passe by some part of the bone called Ethmoides which is pearced in manner of a searce These are the two conducts I meane the nose and the palate which nature hath ordained for the purging of the braine There are some others but not ordinarie which Hippocrates hath well obserued in his Booke of Glandules as the eyes Extraordinarie conueyances eares spinall marrow veines and sinewes but these doe serue but at such times as things are all out of order and that the naturall gouernement of the braine is quite peruerted CHAP. II. What this word Rheume doth signifie what maner of disease it is and in what the essence thereof consisteth IF the braine be of a good temperature it will not ingender any excrements but such as are naturall to it and accordingly auoide them euery daye by such passages as nature bath assigned it but and if it be distempered it will gather a great deale moe then it ought which either of their owne weightines such is their elementarie forme will fall downe into the lower parts or else will be thrust out into some other part by the vertue expulsiue of the braine which shall feele it selfe oppressed either with the quantitie or euill qualitie of the same This falling downe of humours in what maner so euer it be What is meant by the word rheume is generallie called of the Greekes a Catarrhe which signifieth as much as distillation I know very well that there is a more strict signification of this name and that as Galen obserueth very well in his third of the causes of accidents a Catarrhe is properly when the humour falleth downe into the mouth but I will rest my selfe in this place with the most common signification and will call all maner of falling downe of humours from the braine into what part soeuer it be a Catarrhe rheume or distillation Rheume if