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heart_n right_a vein_n ventricle_n 3,268 5 13.1569 5 true
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A64581 Helmont disguised, or, The vulgar errours of impericall and unskillfull practisers of physick confuted more especially as they concern the cures of the feavers, stone, plague and other diseases : in a dialogue between philiatrus, and pyrosophilus : in which the chief rarities of physick is admirably discoursed of / by J. T. ... Thompson, James, Student in physick. 1657 (1657) Wing T999; ESTC R2900 62,808 154

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beseech you how should bloud letting necessarily weaken Se●ing such as are strong and ●ull or Plethorick seem to find the contrary by experience and to justifie it Py. If the sacred Text be not of power enough which warns us of the inhabitation of the life within the bloud it will at least be made manifest if you offend by a more liberal emission thereof For presently the Spirits and the Patient are dejected If 32. The Mathematiks prove bloud-letting alwais hurtfull therefore in the Mathematicks six do hurt notably Three cannot chuse but hurt though not so sensibly Now for him to hurt Nature which should cure her and restore her is not permitted If Nature must be her own Physitian and that she is by so much the happier by how much the stronger let it suffice the Physitian that the Patient fals otherwise into an excusable weakness through the disease fastings wants of appetite unquiet restings pains anxieties watchings sweats and the like and let not him who is called as a faithful helper add weakness unto weaknesses Ph. But is this bloud letting so much cried up and so much used so fraudulent a rem●dy as you seem to make it Py. It is so fraudulent and so uncertain that no Physitian hath hitherto had the boldness to promise any future cure by it Ph. I but every Artificer doth what he promiseth the Stone-cutter makes Statues the Shoo-maker makes shooes and that undoubtedtedly 33. The incertainty of Physitians argues a defect of their principles why should the Physitian onely want the daring to uphold what his Art promiseth Py. Because he builds upon foundations which are uncertain and therefore he is by accident alone and fraudulently profitable For which way soever the business be turned it is a thing that 's full of ignorance to go about to cure by a procured weakness viz. by a sodain emptying or effusion of the bloud made at once in quantity together Nature is for the most part so danted that she neglecteth the expulsion of her enemy Which expulsion I have notwithstanding demonstrated to contain the whole Scene or Stage of Fevers and of Nature Ph. But besides this is it not confessed that the matter of the Fever consists not in the vein above the heart Py. It is so but what of that Ph. It followes then that bloud letting 34. Bloud letting cannot diminish the cause of fevers draws not by any means the occasional matter or that it effectively cureth by any direct intention of curing if I be not deceived Py. You are not deceived therefore let us go on Ph. To conclude then what say you of 35. An Argument drawn a sufficiente enumeratione the bloud that 's let for the more perspiration of the Arteries Py. That is at the least in the beginnings and increase of fevers fruitless when the heat is not yet in its full strength And seeing that neither in the state or height thereof a vein is to be opened nor yet in the declination when is it good then to let bloud Ph. Never but how prove you that it is good to let bloud in the state or height of a fever Py. Because it hinders the Crisis when Nature as they write strugleth especially being hindered and being for the most part conqueress she may then least of all tolerate the loss of forces or be called from the duel Now if in the height or state Nature be conquered what will bloud letting then b●e Ph. A meer Man-slaughter Py. Right but if it be not convenient to open a vein in the state of fevers whil'st the greatest heat and Anxiety or difficulty is extant and the greatest respiration of the Arteries is required it will be certainly much less convenient in the beginnings and increases of them Especially considering that the fear of a fulness goes presently away in the first days of those fevers And by that means the perspiration of the Arteries will be easie enough Ph. What say you to infirmities in their declinations Py. I say it is clear and manifest and commonly testified by the votes and voices of all men that then they neither require nor tolerate any bloud letting Ph. Let us yet further consider in fevers 36. Another from the quality of the bloud the bloud within the veins what say you thereof Py. I say it is either good bad or neither if it be good it will be good to keep what 's good because it addeth to the forces For as I elsewhere shew the fear of fulness did even from the beginning cease if there were any Ph. But they say they let good bloud to cool it and breath out the pu●refaction Py. That 's needless That is there is neither heat nor pu●refaction in it as is proved for both are taken away already and that imaginary good which they suppose comes by it bringeth a real and a necessary loss of forces Ph. But they teach further that bloud-letting in a fever is not commanded for the goodness of the bloud since they suppose it to be both ill and pu●red Py. But I have sufficiently taught that during life there 's no bloud in the veins corrupted and consequently that the scope of the Schools in letting bloud is ruined They must shew me therefore what other malice 37. Whereto the Schools are constrained is in the bloud besides its corruption They must also shew me or demonstrate to me that this bad bloud is detained in the vein from the heart to the hand if they will have their bloud-letting be ratified as such or as a Revulsion They must I say teach us that this ill bloud is not in the first Shops or Offices thereof and that it being drawn out by the vein of the arm there be not worse bloud drawn unto the heart in that place the hollow vein makes the hearts right ventricles Let them in like manner instruct us that the upper veines being emptied there is not a greater liberty and impunity whereby things feverish and hurtful may approach unto the heart then formerly So that instead of breathing out of the purrefaction which I have proved to be truly nothing there be not rather a free access of putted breath unto the heart occasioned For whether doth the vacuity of the emptied veines draw the bloud downward Let them shew me I say by what reason the pouring out of the bloud and the diminution of the forces by the arm should hinder the putrefaction or should import a correction or renuing of what is putred In like manner let them express themselves what they mean when they say that bloud should be let or drawn that the Arteries may breath more freely considering that putrefaction if there were any such thing possibly to bee found within the veins affecteth not the arterial bloud which is the Steward of our whole Nature Let them moreover prove that the good bloud being diminished and the forces also spent proportionably there is greater power in that
things known to the senses it is true that in the beginning of a fever the sick are sensible of a real coldness but it is a false one and a fraudulent deceiving of the senses For though they are cold outwardly yet inwardly they are hot and bnrn with a true heat though the patient thinks otherwise Py. These are such as would rather not see or not be sensible though their eys be open But these are madnesses which every country fellow will hush out of the middle of a village In that for some hours the entrails are possessed with a most eager or intense coldness For in so plain and undoubted an history of cold which is of fact and sensible the argument which they produce 9. A loose argument of these men is very feeble they say there is inwardly a great heat though the Patients feel it not their reason is because they are oppressed with a continual thirst which as it is primarily a figne of siccitie so this siccity in living creatures presupposeth an heat equal to it And that from hence thirst deserves to bee of greater authority then sense is Ph. What say you to this assertion Py. I say they know that this thirst proceedeth 10. Feverish thirst examined not either from heat or driness as doth in a thirst that is natural Ph. How make you that good Py. Thus If this thirst did proceed from 11. An argument from the remedy of thirst heat or driness it would regularly be quenched with drinking therefore this thirst is deceitful and not that coldness Ph. From whence then should that thirst in the beginning of fevers have its original Py. From an excrement which ill affecteth and deludeth this sensitive faculty and the Organ or Instrument thereof in the same manner as if a great siccity or drought were sodainly come unto it Ph. Is this probable Py. Probable enough in that I am sure our adversaries will not allow the curing of driness by most dry remedies but by cold and moist potions rather But this thirst in fevers which we now speak of is cured by a remedy that is in it's self most dry and corrosive Ph. Good Sir what remedy may that be Py. Th' Acidite of Sulphur which quencheth this d●ceitful thirst in the same manner as fire is extinguished by water cast upon it Ph. But why may we not out of invincible 12. An argument a pari taken from sleep sleep or drowsiness often seen in the beginning of fevers by a strong reason guess at coldness in that beginning then they do of heat or driness by that thirstiness Py. We may doubtless and so much the rather in that the Schools affirm that sleep comes as well from an invincible coldness as thirst proceedeth from a driness Ph. But makes it not against us that sleep assaults us not in every fever Py. By no means for it sufficeth yea and it bringeth greater confusion that sleep is frequent in some patients Ph. But tell me what time or station 13. Another from thirst in the state or vigor of a feverish fit of a feverish fit is hottest whether the beginning augmentation state or declination Py. Certainly the state or vigor when the interior parts are sensibly perceived to bee most hot and in greatest trouble Ph. But are they of that opinion Py. No. Ph. Why so Py. Because in the state they say the thirst is not so great as in the beginning Ph. Now if this thirst bewray heat and that it be a signe inseperable of or from heat so that such as tremble with cold may be notwithstanding said to burn I should think the greatest thirst should oppress Patients in the hottest station of the feverish fits Py. But this they deny Ph. What evasion will they now have Or which way will they turn themselves being catcht and intangled in their own net Py. Therefore I say whosoever they be who judge of the native roots of things from accidents which follow by accident are in an errour Ph. Then assuredly if a fever be ill defined 14. It proceeds frō a deadly ignorance not to define a fever rightly and if they cure that fever after this definition it may doubtless prove a deathfull ignorance in the definers Py. Nay more by the Cornelian Law of privy murtherers the Magistrate is to proceed against such as obstinately cure amiss those patients which trusted their lives into their hands as being such by whose offence so many thousand thousands are unfortunately killed Ph. Well then if a fever or a feverish 15. An argument against the Schools about feverish heat heat should first be kindled in the heart and yet the matter of fevers which they hold to proceed from one of the four humours putrified consists not in the ventricles of the heart what followes Py. It followes that this heat or fever is not first kindled in the feverish matter and that they in vain seek after putrefaction who would finde and intimate and an immediate cause of a preter-natural heat Ph. Then is this definition of a fever ruined Py. It is so and moreover it followes 16. Another thence that a fever is not primarily effectively and immediately existent in its matter whence it is caused as they would have it materially and originally Ph. No where then I pray Py. In the heart It follows also further from the same Thesis that to make a fever it is not required that the offending and feverish matter be kindled Ph. What then I pray Py. Another inflamable thing which hath its residence primarily in the heart and is from thence issuable through the whole body Ph. What inflamable body should this be Py. That which I with Hyppocrates call Spiritum impetum facientem the invading enterprizing or way-making spirit Ph. Whence I pray you bring you this last doctrine Py. Not from the Ancients but I have 17. A third wrested it out and by force commanded it to be granted to me Ph. Shall you have any occasion to speak of this any where else Py. I shall when wee come to discourse of the efficient cause of fevers In the mean time this being violently obtained it follows at least that the peccant or offending matter of fevers is not properly kindled neither is it in its self primarily and efficiently hot nor heats it preternaturally if the first inflamable must be kindled in the heart Nor is the peccant matter thereof hot above or beyond the degree of Nature in a fever But that which is kindled in the heart was not inflamed before the fit of the fever and by that meanes it altogether differeth from the peccant or offending matter in fevers Ph. It may fitly then be hence concluded 18. A fourth that whosoever goes about to take away a fever by coolers hath no intention to cure by taking away the causes or cutting up the roots or by draining and emptying the fountain thereof or that which doth exile