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A90743 Phlebotomiographia or, a treatise of phlebotomy. Demonstrating the necessity of it in diseases; the time for elections. And likewise of the use and application of cupping-glasses, and leeches. Whereupon is added a brief and most methodicall tract of the crisis. Written originally in French, by Da de Plumis Campi chirurgion. And now faithfully rendred into English, by E.W. well-wisher to physick and chirurgery. Planis Campy, David de.; E. W. 1658 (1658) Wing P2376A; Thomason E1929_1; ESTC R209992 52,319 224

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called Grande Chirurgerie I speak of it largely enough wherefore I say you shall have recourse to the Ephemerides In the mean time I will persue the declaring upon what parts of the body the Stars do rule with their proprieties And in the first place Aries is hot and dry of the nature of fire he governs the head and face of a man and it is good to blood when the Moon is there unlesse it be in the part which the Moon governs The parts wherein the Signes rule together with their property concerning blooding Taurus is cold and dry of the nature of the Earth and governs the neck and Wind-pipe and it is bad to make use of bleeding the Moon being in that Sign Gemini is hot and moyst of the nature of Ayr and governs the shoulders and Arms and hands is ill for blooding Cancer is cold and moyst of the nature of water and governs the Breast the stomach Lungs and is indifferent neither too good nor too bad for blooding Leo is hot and dry of the nature of fire and governs the back and sides and is ill for blooding Virgo is cold and dry of the nature of the Earth governs the Belly and the Intrals is neither very good nor bad for blooding Libra is hot and moyst of the nature of the Ayr and governs the Navel the Reins and the lower part of the Belly good to blood in Scorpio is cold and moyst of the nature of water and governs the parts for generation is neither good nor bad Sagittarius is hot and dry of the nature of fire and governs the Thighes is good to let blood Aquarius is hot and moyst of the nature of Ayr and governs the Legs is neither good nor bad for letting blood Pisces is cold and moyst of the nature of water governs the Feet and is neither good nor bad to let blood Aries Libra and Sagittarius are very good Virgo Scorpio and Aquarius and Pisces are indifferent Taurus Gemini and Leo and Capricorn are evil Yet we say that the Moon being in Trixe and Sextile with Venus it is a good time to purge Choller by Electuary with the Sun 't is good to purge Flegme by drinks with Jupiter 't is good to purge melancholy by Pills Division of the Signes Furthermore you must take notice that every one of the Signes is divided into 30. Degrees from whence it followes that in the whole Zodiac there are 360. degrees and again every degree is divided into 60. minutes and every minute into 60. seconds and every minute into 60. thirds and so of the rest following until ten The rising and setting of the Signes Besides you must take notice that when we have the longest day of Summer which is to say then when the Sun is in the beginning of Cancer there arises six Signes in a day which do rise directly and in the night six Signes obliquely And on the contrary when we have the shortest day of the year to wit the Sun being in the beginning of Capricorn then six Signes rise in a day obliquely and the six of the night directly but when the Sun is either in th' one or th' other Equinoctial point then they rise three Signes directly and three obliquely in a day and in the night in like manner For there is a Rule that let the day or the night be long or short as you will six Signes rise in the day and six by night so that either for the length or the shortness of the day or night neither the more or lesse Signes do rise For the knowledge of which Signes you must take notice of the Characters following as the Astrologers mark them Aries with such a Sign ♈ Taurus such a one ♉ Gemini such ♊ Cancer ♋ Leo. ♌ Virgo ♍ Libra ♎ Scorpio ♏ Sagitarius ♐ Capricornus ♑ Aquarius ♒ Pisces ♓ Let this suffice for the discovery concerning the 12. Signes let us come now to the 7. Planets whereof we should here make a Table or Figure but because we have sent the Reader to Ephemerides in relation to the Signs we will do the like concerning the Planets contenting my self only in this place to set down their Characters for the discovery of the more easie understanding them and their differences Behold then how the Astrologers mark them Saturne thus ♄ Iupiter thus ♃ Mars thus ♂ Sun thus ☉ Venus thus ♀ Mercury thus ☿ Luna thus ☽ Here followes the difference of the Planets as well for purging and blooding as for the making other operations upon humane bodies Most good ♃ ♂ Indifferent ☉ ☽ ☿ Bad. ♄ ♂ The Chirurgion must Encounter the Starrs And you must take notice that then when Mercury is with a good Planet he augments its goodnesse and with a bad one its Malignity wherefore it is that when one is wounded you must take notice whether Mercury be not with some bad Planet which rules the part wounded and if so then the Chirurgion must Encounter the Starrs and so you must minde these things but most especially in blooding to the end that we having done nothing improperly through our negligence may have an occasion of praise and thanks-giving to the Authour of all things to whom Father Son and Spirit be honour and glory for ever Amen CHAP. V. That it is necessary that the Chirurgion have the Astronomicall figure in his study or in his shop and of the profit that proceeds therefrom as well for the sick persons as for those who exercise it which is proved by a History and other examples As also that it is better to keep cleanse the blood then to evacuate it With the description of two admirable remedies for this end The good desire of the Authour I Should desire by good reason as well for the profit of those who search relief or Remedy from Phlebotomy as for the spiritual contentment of those that practise it to the end that the whole might be to the honour and glory of God that every Chirurgion had within his shop the Astronomicall figure as formerly the Ancients had and who had recourse unto it then when they would know the Domination of a Starr on the part whereon they were to operate observing with all their power the rising and setting of the above mentioned Signes and their constellations insomuch that the Antients have not found it to be unprofitable Of the truth whereof among severall of them Arnoldus de villa nova shall be a most faithful witnesse Therefore I shall again heartily intreat the Chirurgions that they would take heed unto it and not to pretend that their Art is subject to Calumnie seeing it is they themselves which are the cause of their arts being so Calumniated whilst they neglect that which is most necessary to be known in their profession to wit Astronomie The ignorance of Astronomy is cause of great evils Insomuch that not having the knowledge of it there doth arive many evil Accidents and the
vires The first to wit Ad vires Although that the blood be not excessive neither in quantity nor in quality yet it may oppresse the weak powers notwithstanding the other to wit Ad vasa surpasseth the Naturall Symmetry or proportion But although the vessells seem to burst by reason of the abundance of blood if it doth not suffocate the powers but it happens that the strength is debilitated thereby This then shall be plenitudo supra vires But it must be taken notice that Cacochymie is threefold Cholerick Melancholick and Phlegmatique Enough of this for he that would see more therein let him reade Lafframboisiere in his Loix de Medicine Let us now return to Revulsion and Derivation where we find there is great difference between the one and th' other forasmuch as the Revulsion is to be performed on the Contrary part according to Galen Galen in the 5. of his Meth. Ch. 5. If the right Nostril bleed you must apply a Cupping-glass upon the Region of the Liver but if both do bleed you must apply two th' one upon the right Hypocondre or flanck and the other upon the left and if the distemper be strong one must breathe the vein under the elbow If the mouth and the throat be distempered open the Cephalique and it is Revulsion and if one draw blood from the veines under the tongue it is Derivation In like manner if the hinder part of the head ake you must make Revulsion by the vein of the arme then Derivation by the vein of the forehead also Revulsion and Derivation must be made on the same side if it may be as if there be a Phlegmon in the Liver you must breathe the Basilique or Mediane of the right Arme If in the spleen on the left If in the kidneyes the Bladder or privities you must open the vein of the ham or Ankles If in the right Leg on the Right Arme Gal. in his 13. meth Ch. 11. and Aph. 36. d. 6. If in one Arme on the other and so of the rest if it maybe as I said before forasmuch as if there happeneth a Phlegmon in the Liver and that the Right Arme should be hurt one cannot nor ought not to take any blood from it but you ought to take it from the other Arme or from the Ankle-veines Oribas l. 1. Ch. 22. Note that they Lance the Arteries especially those of the Temples to evacuate the hot windy humors which flow into the eyes and cause tedious paines of the head vertigoes or swimmings of the head which are principally caused by hot things and windy and the Arteryes behind the eares are for the same effect Gal. 13. Metho Ch. 22. One never lanceth the Great Arteries as those of the Armes and other places As well because of the too great dissipation of the vitall spirits as because there can be no agglutination or knitting made there by reason of their continuall moving we will speak more largly hereof hereafter Observations concerning blooding It is time now to know who are they who ought to be blooded and those who ought not so to be Those who can easily bear such lancing to whom it can do no hurt are those who have a strong constitution the veins bigg full large who are neither lean nor wasted who have their colour good and ruddy their flesh firme hard and solid those who are of a contrary disposition cannot bear it healthfully neither must one blood Children before the age of fourteen nor old men after threescore and ten unlesse in case of great and extream necessity and considering this That with the blood slides forth part of the life which you must alwayes do prudently measureing the greatnesse of the disease with the power of the Patient's strength to the end that one may easily judge of the matter or substance and likewise of the evacuation but you ought not only to consider of the forces or vertue at present but to know for the future if they will be sufficient to support the length and continuation of the disease also you must observe if those whom you blood have been accustomed to be lanced For those who have not been accustomed to it do not undergo it easily Insomuch that Custome must be considered in all manner of evacuation especially as to that of blood Moreover all those who have weak stomacks or who are wrought on and opprest by the Dyarrhe or loosenesse and flux of the belly or who undergo some indigestion ought not to be blooded also the women with Childe ought to abstain from it principally in their first and last months also those who have used too great sobriety those who are of a cold and Phlegmatick Nature and those who Live in a Region or Air too cold or too hot do not easily bear blooding All things which weaken the powers as horror and trembling the immoderate use of venery too great frequenting the bath the flux of the belly whether it be by nature or Physick great perplexity and care watchings and labour and tedious diseases do prohibit our use of blooding For conclusion whether to blood or not to blood All these things above mentioned and severall others must be observed which I shall here omit for fear of being accused of writing any thing here which hath been already long ago treated of by the more Learned somuch more for that reading their writings I lose my hopes of being able to say any thing upon this subject worthy to see the light All which would have been enough to have rendred my pen silent in this affaire if the greatnesse of the case which ought to be examined by divers writings together with a good will which doth move my affection to be able in something to serve in publique had not imboldened me unto it And also to leave unto posterity some mark of my duty And that as well to solace and refresh the Memory of my Companions in Chirurgery giving them also some entrance into Astrologicall observation which few among them know The Charity of the Authour As also for the health and benefit of those who are to be blooded having alwayes preferred the health of the poor sick persons who need blooding or those who use it to preserve themselves from diseases before the ariving to my owne gain and profit The great errour and Covetousnesse of some Phlebotomists Many of the Chirurgions of our time do let blood at all houres at all times at all seasons and all ages without considering the power and strength of the party whom they Lance induced thereunto by this cursed desire of gain never taking heed to the accidents which may come upon those who have bin blooded making evacuation of more blood then they ought or else making operation upon the Member at the time wherein the Starre is ruling or predominant there insomuch that some are dead by reason of the undue administration of this Remedy which hath cut of the use off
their life or if they be not killed thereby they have fallen into a prolonged weaknesse and their bodies are thereby cold wan and discoloured and all this by the ignorance of the operant who will put himself to the performance of this so noble help of Nature without being provided of all those things which are Necessary for him as well gifts of the body and minde as other externall Instruments Condition of the Phlebotomist As to be young well sighted to have a steady hand and exercised unto Phlebotomy a good Anatomist to know the scituation of the veines and of other parts of the body for without that he will be like unto a blinde man which cleaves wood But it will not be from the matter to note here that if the veines should not be apparent in the morning you must not breath them until about one a Clock in the day and then those who are able to walk let them use a little Exercise and then the most occult and Invisible veines as one would say will appear But I have not mentioned this here except onely concerning those who have small veynes and covered either with flesh or fat Also shall I not instruct the Chirurgion to fill the veines by rubbings or bathing of the Member in warme water Ligatures and assuring the sick party not to put them to any pain for it would be too Triviall What Instruments are to be used in Phlebotomy But I shall say to return to our purpose that the externall Instruments by which this opeation is to be accomplished shall be good Lancets of several fashions Ligatures Swathes Boulsters Red pouder burnt lint to stop the blood if there be need of it or with Cotton Pulverised according as we have shewn in our Chirurgie Chymique Default in Phlebotomists This default especially is found in the greatest part of the Phlebotomists of our age viz. That of the knowledge of that so excellent wonderfull Astrologie without which it is as it were impossible to be able well to exercise Physick or Chirurgery upon our bodyes which are by good right called a little world for their having a great Sympathy with the great one as I shall shew hereafter by the help of God as also the observation that ought to be made in the Concurrence of the Starres and the influence of them upon our bodyes to the end that we may avoid those unhappy accidents which we see daily to happen to the share of those who have been blooded so inconsideratly That which hath withdrawn me from picking and culling out all the conditions requisite in this operation as well for the Chirurgion as for the sick person and other things requisite thereupon is I not having intended to treat on this subject except of the two principall points of this operation under which two may be Comprehended all the rest whosoever will explain them Notwithstanding I shall content my self to have traced this little path for some one who indued with a more high Style and accompanyed with a greater knowledge provoked by one lesse then himself shall have had a desire to have the knowledg of this science appear above the small knowledge which it hath pleased the divine goodnesse to give me and to make the desires and lovers of true and perfect Chirurgery partakers thereof Provoked I say by this desire doth stretch out his sayles of Eloquence to steere in a higher or greater Sea then I do But winding up the thread of my discourse I shall content my self I say with these two principal Points that is to say the time of Necessity and the time of Election The time of necessity from whence taken That of Necessity is in all times and seasons and at all houres without considering any thing which may hinder provided that the Necessity be certainly known to be the most strong or pressing as I shall mention in its place The time of Election from whence taken That of Election is taken either from the nature of the body of the party who ought to be blooded or of superiour and external things which ought to be a fair clear and clean day and not Rainy not by no meanes at new Moon nor very near to the full And rather in the spring then any other season I shall declare also upon what parts of our bodyes the Planets and heavenly Signes do particularly rule also in what day or hour in what time or season To the end that having the knowledge of these things one may not commit so many errours in this operation as are committed by the ignorant Protestation of the Authour Protesting that I have not writ this Tract possessed with any other desire but to assist and help so many diseased persons who dye for want of being well comforted by this excellent remedy and not to receive any glory thereby But if I shall receive some one spark I do Consecrate and dedicate it from hence forward to the Authour of all things To whom Father Son and holy Spirit be glory honour and praise for ever and ever Amen CHAP. II. How the Chirurgion ought not to be Ignorant of Astrologie and the profit that proceeds therefrom as well for Phlebotomy as for all the diseases which happen to humane bodies The Sympathy of the Starres therewith and other discoveries most profitable to Chirurgions FOr good cause did the Comique Poet pronounce this Sentence which is worthy of great consideration to wit That there is nothing more unreasonable then the ignorant man who esteems nothing good but the things which he doth himself and of which onely he hath knowledge The which I make mention of here by reason of a Crue of Sophisters who dare contradict the force which the superiour bodyes have upon inferiours alleadging that the Ancients never took heed to these foolish fancies as they call them which they urge being ignorant that the great Hippocrates did Prognosticate the plague which was to happen to the Iyllnians And that onely by the knowledge which he had of this Admirable and divine science of Astrology By that meanes preserving a great number of the Inhabitants of Greece who in acknowledgement of one so great benefit did give and attribute unto him great honours which he dedicated to Hercules Besides having not read that the same Hippocrates restoring and increasing Physick did so far praise and respect Astrologie that he hath demonstrated by knowledge and concluded by reason that Physick is maimed without the knowledge of Astrology insomuch that the Athenians after his death caused his image to be engraven after they had built the Notable Colledges for Physick and Astrology Lectures Plin. Lib. 7. Ch. 37. And particularly for one Berosus a great Astrologian after the death of whom was erected in the Colledg of Athens a Statue having a tongue of Gold by reason of his Eloquence and great knowledge in Astrology St. Jerome in his Epistle to Paulinus affirmes the profit of Physick Astronomy and Astrology for the