imply_v that_o the_o gout_n be_v a_o disease_n wherein_o violence_n be_v do_v to_o nature_n in_o some_o part_n or_o other_o of_o the_o body_n but_o this_o be_v a_o novelty_n to_o i_o that_o you_o add_v viz._n that_o it_o be_v a_o inward_a deep-lurking_a and_o for_o the_o most_o part_n invisible_a little_a swell_a and_o that_o that_o swell_a be_v cause_v by_o a_o damp_n etc._n etc._n entreat_v you_o that_o you_o will_v vouchsafe_v to_o express_v this_o more_o plain_a and_o to_o render_v reason_n thereof_o and_o first_o why_o you_o call_v it_o a_o internal_a and_o deep-lurking_a tumour_n an._n the_o better_a to_o distinguish_v it_o from_o other_o windy_a swell_n in_o respect_n of_o its_o seat_n for_o whereas_o those_o other_o lie_n between_o the_o flesh_n and_o skin_n this_o lie_v deep_a underneath_o the_o membrane_n that_o cover_v the_o bone_n as_o hereafter_o shall_v be_v more_o large_o prove_v qu._n but_o why_o do_v you_o add_v that_o it_o be_v a_o little_a and_o most_o invisible_a swell_n an._n because_o it_o be_v so_o indeed_o qu._n but_o pray_v sir_n take_v care_n that_o you_o run_v not_o against_o sense_n out_o of_o a_o blind_a zeal_n of_o produce_v a_o novelty_n for_o be_v not_o the_o tumour_n which_o manifest_v itself_o in_o the_o gout_n big_a and_o conspicuous_a enough_o an._n you_o do_v not_o distinguish_v between_o the_o disease_n itself_o and_o the_o symtom_n which_o be_v the_o stumble_a stone_n of_o many_o even_o learned_a man_n and_o the_o want_n of_o this_o very_a distinction_n seem_v to_o i_o to_o have_v be_v the_o main_a if_o not_o the_o only_a obstacle_n why_o they_o have_v not_o light_v upon_o the_o true_a cause_n of_o the_o gout_n and_o why_o they_o have_v take_v quid_fw-la pro_fw-la quo_fw-la qu._n what_o then_o be_v to_o be_v do_v not_o to_o mistake_v herein_o an._n you_o must_v ever_o make_v a_o difference_n between_o the_o swell_a which_o be_v cause_v by_o the_o morbific_a gouty_a matter_n and_o that_o which_o be_v consequent_a to_o the_o gout_n and_o this_o be_v to_o be_v lay_v as_o a_o fundamental_a truth_n never_o to_o be_v remove_v viz._n that_o the_o humour_n which_o make_v the_o external_a palpable_a and_o visible_a swell_n in_o the_o gout_n be_v not_o the_o gout_n or_o dolorifique_a matter_n which_o be_v not_o so_o much_o my_o word_n as_o the_o word_n of_o that_o famous_a physician_n of_o dort_n call_v john_n van_n beverwyck_n deliver_v by_o he_o in_o his_o book_n of_o the_o gout_n and_o which_o he_o have_v borrow_a out_o of_o the_o description_n of_o that_o disease_n which_o that_o learned_a and_o experience_a professor_n of_o physic_n at_o wittenberg_n daniel_n sennertus_n leave_v behind_o he_o which_o also_o be_v the_o reason_n that_o i_o shall_v place_v that_o aqueous_a and_o serous_a tumour_n among_o the_o symptom_n of_o the_o gout_n where_o also_o it_o be_v to_o be_v handle_v and_o not_o here_o where_o we_o speak_v of_o the_o disease_n itself_o qu._n what_o be_v not_o the_o humour_n that_o cause_v the_o outward_a and_o visible_a swell_n the_o gout_n or_o dolorific_a matter_n a._n no_o they_o differ_v very_o much_o from_o one_o another_o and_o may_v be_v sufficient_o distinguish_v by_o those_o that_o will_v attentive_o consider_v qu._n wherein_o consist_v this_o difference_n ans_fw-fr in_o this_o that_o the_o one_o be_v the_o cause_n of_o the_o disease_n the_o other_o a_o symptom_n which_o will_v be_v make_v very_o clear_a when_o we_o shall_v come_v to_o treat_v of_o this_o symptom_n but_o in_o part_n to_o satisfy_v your_o curiosity_n pray_v mark_v the_o ratiocination_n of_o the_o late_o name_v beverwyck_n say_v in_o the_o quote_v book_n that_o the_o humour_n which_o make_v the_o swell_a be_v not_o proper_o the_o peccant_a matter_n be_v from_o hence_o evident_a because_o that_o in_o the_o beginning_n before_o the_o part_n swell_v the_o great_a pain_n be_v feel_v and_o the_o same_o grow_v less_o when_o the_o swell_a appear_v it_o be_v true_a that_o that_o learned_a man_n adher_v still_o to_o the_o opinion_n of_o the_o saltish_a serum_fw-la affirm_v that_o it_o be_v a_o serous_a humour_n pervade_v by_o a_o salin_a acrimony_n that_o cause_v the_o gout_n but_o herein_o he_o as_o well_o as_o the_o great_a sennertus_n have_v mistake_v mean_a time_n it_o be_v certain_a that_o the_o external_a tumour_n be_v not_o the_o morbid_v matter_n itself_o for_o the_o reason_n give_v and_o which_o be_v more_o some_o podagrical_a person_n endure_v great_a pain_n without_o the_o appearance_n of_o any_o visible_a swell_n chap._n ii_o of_o the_o inward_a tumour_n of_o the_o gout_n and_o how_o it_o be_v most_o invisible_a qu._n i_o shall_v for_o the_o present_a rest_n content_v with_o the_o proof_n allege_v until_o we_o come_v to_o the_o symptom_n but_o when_o this_o symptomatical_a or_o accidental_a swell_n of_o the_o gout_n be_v present_a do_v you_o then_o observe_v two_o sort_n of_o swell_a in_o this_o disease_n one_o inward_a the_o other_o outward_a an._n i_o do_v so_o of_o which_o two_o the_o first_o be_v that_o which_o i_o say_v in_o the_o description_n to_o be_v a_o swell_a that_o be_v little_a and_o for_o the_o most_o part_n invisible_a qu._n why_o do_v you_o say_v so_o an._n because_o it_o be_v indeed_o small_a and_o for_o the_o most_o part_n can_v be_v see_v by_o the_o sharp_a eye_n of_o the_o body_n though_o it_o be_v see_v by_o the_o eye_n of_o reason_n for_o although_o you_o outward_o perceive_v no_o swell_a you_o may_v not_o thence_o infer_v that_o there_o lurk_v none_o within_o forasmuch_o as_o the_o contrary_n be_v true_a in_o these_o and_o other_o swell_n see_v the_o proof_n hereof_o in_o a_o couple_n of_o observation_n of_o the_o skilful_a physician_n and_o chirurgeon_n hildanus_n in_o his_o second_o part_n the_o 37_o and_o 38_o concern_v dangerous_a and_o desperate_a tumour_n in_o the_o muscle_n of_o the_o stomach_n in_o which_o nothing_o preternatural_a of_o swell_a or_o other_o disorder_n can_v be_v see_v outward_o qu._n if_o this_o tumour_n can_v be_v perceive_v by_o the_o eye_n whence_o do_v you_o then_o know_v that_o there_o be_v a_o inward_a one_o an._n from_o the_o violent_a pungent_a beat_v distend_v and_o continual_a pain_n to_o be_v easy_o perceive_v by_o one_o finger_n qu._n but_o it_o seem_v by_o what_o you_o intimate_v in_o the_o description_n of_o the_o gout_n that_o sometime_o this_o tumour_n may_v be_v see_v an._n yes_o it_o may_v for_o at_o time_n it_o appear_v plain_o enough_o though_o few_o artist_n take_v it_o for_o a_o gouty_a swell_n mislead_v by_o the_o external_a appearance_n of_o it_o which_o be_v in_o the_o form_n of_o a_o small_a hard_a pimple_n on_o the_o place_n of_o the_o part_n affect_v of_o which_o you_o have_v a_o manifest_a proof_n in_o pareus_n the_o french_a chirurgeon_n treat_v of_o a_o distemper_n in_o a_o young_a woman_n at_o bourdeaux_n that_o have_v such_o a_o tumour_n on_o her_o thigh_n though_o pareus_n do_v not_o record_v it_o for_o such_o qu._n when_o may_v this_o tumour_n be_v perceive_v by_o the_o eye_n an._n then_o chief_o when_o the_o gouty_a cause_n attack_n the_o patient_n not_o about_o the_o joint_n of_o the_o limb_n but_o in_o or_o about_o the_o middle_n of_o those_o place_n with_o a_o boil_a pain_n wherein_o nature_n labour_v as_o much_o as_o she_o can_v though_o she_o be_v not_o strong_a enough_o to_o expel_v the_o peccant_a matter_n at_o which_o time_n if_o you_o observe_v it_o careful_o some_o tumour_n appear_v as_o be_v say_v above_o this_o i_o have_v find_v not_o only_o in_o myself_o but_o very_o notable_o in_o another_o that_o be_v a_o young_a man_n employ_v here_o in_o the_o foundery_a of_o batavia_n call_v martin_n smith_n of_o breslaw_n who_o have_v the_o gout_n in_o his_o right_a foot_n without_o a_o considerable_a afflux_n of_o humour_n the_o evil_a settle_a on_o the_o midst_n of_o his_o foot_n in_o the_o form_n of_o a_o protuberant_a hard_a pimple_n or_o button_n which_o i_o also_o by_o the_o help_n of_o god_n do_v present_o cure_v so_o that_o he_o the_o same_o hour_n without_o any_o pain_n go_v out_o of_o the_o house_n to_o his_o workhouse_n which_o can_v be_v attest_v by_o the_o physician_n thomas_n flory_n and_o the_o chief_a chirurgeon_n warner_n leuretius_n as_o eye-witness_n that_o see_v it_o with_o great_a admiration_n chap._n iii_o of_o the_o next_o and_o always_o concomitant_a cause_n of_o the_o gout_n qu._n a_o after_o you_o have_v sufficient_o make_v out_o that_o the_o gouty_a matter_n cause_v a_o swell_a for_o the_o most_o part_n invisible_a be_v please_v to_o explain_v to_o we_o what_o be_v the_o next_o and_o always_o accompany_v cause_n of_o this_o tumour_n which_o to_o know_v i_o think_v to_o be_v of_o great_a importance_n an._n you_o judge_v aright_o forasmuch_o as_o the_o cure_n have_v always_o a_o respect_n to_o the_o
and_o some_o trouble_n before_o this_o swell_a can_v be_v remove_v yea_o if_o you_o do_v not_o take_v care_n it_o not_o only_o lame_v the_o patient_n but_o also_o deform_v he_o by_o nodes_fw-la and_o schirre_n whereby_o the_o motion_n of_o the_o limb_n be_v for_o ever_o destroy_v qu._n what_o then_o be_v to_o be_v do_v to_o judge_v aright_o of_o this_o symptom_n an._n you_o must_v hold_v it_o for_o a_o certain_a truth_n that_o the_o humour_n which_o in_o the_o gout_n breed_v the_o swell_a be_v not_o the_o peccant_a or_o gout-breeding_a matter_n qu._n to_o make_v i_o the_o better_o comprehend_v this_o pray_v give_v i_o a_o clear_a description_n of_o this_o swell_a which_o have_v be_v the_o occasion_n of_o so_o many_o error_n and_o have_v deceive_v so_o many_o learned_a man_n an._n it_o be_v a_o preternatural_a swell_n in_o the_o fleshy_a part_n consist_v of_o a_o serous_a humour_n pervade_v with_o saltishness_n by_o the_o sharp_a pain_n penetrate_v into_o the_o limb_n and_o it_o be_v soft_a pale_a and_o cold_a qu._n but_o how_o may_v we_o best_o distinguish_v this_o swell_a from_o the_o gout_n an._n if_o it_o be_v view_v at_o the_o time_n when_o its_o efficient_a cause_n be_v go_v for_o than_o it_o may_v be_v see_v in_o its_o true_a essence_n and_o quality_n and_o look_v no_o otherwise_o than_o a_o serous_a humour_n be_v wont_a to_o do_v qu._n i_o see_v you_o make_v two_o sort_n of_o swell_n in_o the_o gout_n an._n i_o do_v so_o the_o one_o be_v windy_a which_o be_v the_o gout_n itself_o the_o other_o serous_a which_o be_v a_o symptom_n and_o they_o differ_v exceed_o from_o one_o another_o qu._n wherein_o consist_v that_o difference_n an._n chief_o in_o these_o particular_n 1._o in_o respect_n of_o the_o name_n which_o they_o receive_v from_o their_o several_a cause_n for_o the_o gouty_a tumour_n come_v from_o wind_n take_v the_o name_n of_o windy_a tumour_n the_o other_o come_v from_o a_o serous_a humour_n be_v call_v the_o serous_a tumour_n 2._o in_o respect_n of_o the_o part_n or_o place_v affect_v for_o whereas_o the_o windy_a tumour_n distend_v the_o membrane_n of_o the_o bone_n the_o serous_a fill_n the_o carncous_a part_n as_o water_v a_o sponge_n and_o render_v the_o flesh_n very_o spongy_a 3._o in_o regard_n of_o the_o sign_n for_o whereas_o the_o inward_a swell_n excite_v grievous_a and_o intolerable_a pain_n the_o serous_a none_o or_o little_a 4._o the_o internal_a swell_n be_v a_o proper_a disease_n the_o other_o be_v raise_v by_o the_o pain_n and_o be_v a_o symptom_n breed_v by_o consent_n of_o part_n qu._n but_o since_o that_o the_o serous_a tumour_n in_o the_o gout_n be_v not_o produce_v by_o any_o external_n cause_n but_o by_o a_o internal_a what_o be_v this_o cause_n an._n the_o violent_a pain_n as_o have_v be_v often_o say_v which_o be_v here_o the_o cause_n of_o the_o afflux_n of_o humour_n it_o be_v know_v by_o artist_n that_o pain_n draw_v humour_n after_o it_o which_o therefore_o be_v by_o they_o assign_v to_o be_v one_o of_o the_o principal_a cause_n of_o the_o afflux_n of_o humour_n qu._n but_o be_v these_o humour_n of_o which_o this_o kind_n of_o swell_v consist_v draw_v into_o the_o suffer_a part_n by_o the_o pain_n alone_o an._n artist_n be_v wont_a to_o add_v that_o sympathize_v nature_n as_o a_o kind_a mother_n succour_v the_o suffer_a part_n by_o send_v moisture_n to_o it_o and_o according_o this_o swell_a shall_v be_v generate_v by_o sympathy_n of_o consent_n of_o the_o part_n qu._n what_o benefit_n or_o ease_n do_v the_o part_n affect_v receive_v from_o sympathize_v nature_n by_o her_o send_v those_o humour_n thither_o an._n that_o the_o rage_a pain_n be_v thereby_o mitigate_v and_o render_v more_o tolerable_a qu._n in_o what_o manner_n be_v that_o do_v or_o how_o do_v the_o convey_v humour_n assuage_v the_o enrage_a pain_n an._n though_o this_o be_v difficult_a to_o explain_v yet_o i_o can_v agree_v to_o the_o common_a opinion_n import_v that_o the_o pain-breeding_a matter_n by_o mean_n of_o the_o convey_v humour_n be_v drive_v outward_a and_o disperse_v through_o the_o neighbour_a flesh_n and_o so_o the_o suffer_a member_n for_o a_o great_a part_n free_v of_o the_o pain-causing_a matter_n for_o the_o convey_v humour_n can_v by_o no_o mean_n approach_v or_o come_v to_o the_o dolorifick_a matter_n much_o less_o fotch_v it_o out_o of_o its_o deep_a seat_n and_o dislodge_v it_o because_o it_o be_v so_o fast_o impact_v and_o include_v under_o so_o firm_a and_o close_o a_o bone-membrane_a qu._n what_o be_v then_o in_o your_o opinion_n the_o reason_n why_o the_o sharp_a pain_n be_v often_o diminish_v upon_o the_o afflux_n of_o moisture_n not_o only_o in_o the_o gout_n but_o also_o in_o the_o toothache_n etc._n etc._n an._n methinks_v it_o be_v probable_a that_o it_o be_v do_v after_o this_o manner_n the_o musculous_a fleshy_a part_n be_v by_o the_o convey_v humour_n render_v soft_a plump_a and_o more_o spongious_a and_o consequent_o gentle_a do_v not_o in_o the_o first_o place_n press_v against_o or_o rather_o resist_v so_o much_o the_o sensible_a and_o distend_v periostium_fw-la as_o before_o when_o the_o carneous_a part_n have_v but_o their_o own_o native_a and_o proper_a moisture_n second_o the_o periostium_fw-la be_v by_o the_o convey_v moisture_n from_o without_o make_v gentle_a may_v with_o less_o pain_n be_v stretch_v and_o it_o may_v also_o come_v to_o pass_v that_o by_o that_o little_a warmth_n which_o this_o serous_a matter_n have_v in_o it_o at_o first_o it_o be_v now_o come_v near_o the_o periostium_fw-la do_v somewhat_o attenuate_v the_o include_v gross_a damp_n and_o so_o the_o better_a dispose_n it_o to_o evaporate_v qu._n but_o do_v the_o affluxed_a humour_n occasion_n no_o mischief_n an._n very_o much_o and_o sometime_o more_o than_o the_o gout_n itself_o for_o without_o care_n it_o cause_v dislocation_n of_o the_o suffer_a member_n and_o the_o nodes_fw-la chap._n xii_o of_o the_o dislocation_n qu._n how_o be_v it_o possible_a that_o the_o gout-breeding_a matter_n shall_v cause_v a_o dislocation_n an._n by_o the_o plenteous_a stock_n of_o humour_n convey_v and_o draw_v in_o qu._n but_o how_o do_v this_o abundant_a moisture_n fall_v into_o the_o cavity_n of_o the_o joint_n forcible_o thrust_v the_o bone_n out_o of_o their_o cavity_n an._n not_o so_o but_o it_o be_v do_v in_o manner_n follow_v pain_n and_o nature_n cooperate_a the_o one_o by_o draw_v in_o the_o other_o by_o convey_v bring_v such_o a_o quantity_n of_o humour_n to_o the_o suffer_a part_n for_o example_n the_o hipp_n that_o thereby_o in_o time_n the_o strong_a ligament_n which_o tie_v the_o bone_n together_o be_v so_o ouze_v through_o that_o be_v debilitate_a they_o stretch_v and_o grow_v so_o lax_n that_o the_o bone_n fall_v out_o of_o its_o cavity_n and_o so_o cause_v dislocation_n of_o which_o we_o have_v many_o sad_a example_n qu._n do_v not_o this_o mischief_n fall_v often_o out_o in_o other_o case_n an._n it_o may_v happen_v in_o all_o the_o member_n of_o the_o body_n and_o then_o especial_o when_o a_o unskilful_a or_o imprudent_a master_n by_o the_o use_n of_o wrong_a mean_n occasion_v yet_o a_o great_a afflux_n of_o humour_n than_o have_v be_v already_o draw_v in_o by_o the_o pain_n and_o furnish_v by_o nature_n of_o which_o pareus_n record_v a_o memorable_a example_n in_o the_o dislocation_n of_o the_o knee_n cause_v by_o a_o parisian_a master_n call_v greaulm_n fol._n 256._o qu._n may_v this_o dislocation_n be_v prevent_v by_o art_n an._n very_o well_o as_o shall_v be_v show_v in_o that_o part_n of_o our_o book_n which_o be_v to_o treat_v of_o the_o cure_n of_o the_o gout_n and_o its_o symptom_n chap._n xiii_o of_o the_o nodes_fw-la qu._n be_v there_o yet_o more_o danger_n to_o be_v apprehend_v from_o this_o symptom_n or_o its_o matter_n an._n there_o be_v for_o if_o you_o take_v not_o great_a care_n it_o will_v change_v into_o a_o incurable_a scirrbus_n or_o hard_a tumour_n which_o in_o the_o gout_n be_v call_v nodes_fw-la according_a to_o that_o of_o ovid_n tollere_fw-la nodosam_fw-la nescit_fw-la medicina_fw-la pedagram_n qu._n when_o come_v this_o swell_a to_o change_v to_o such_o a_o hardness_n an._n to_o borrow_v the_o word_n of_o beverovicius_n when_o the_o thin_a humour_n be_v insensible_o exhale_v and_o the_o sediment_n rest_v behind_o then_o will_v that_o turn_v into_o hard_a knob_n which_o burst_v of_o themselves_o or_o be_v open_v render_v a_o chalky_a or_o such_o like_a matter_n whereby_o our_o limb_n be_v not_o only_o deprive_v of_o motion_n but_o also_o dispose_v to_o crookedness_n qu._n how_o many_o way_n be_v these_o stony_a swell_n generate_v an._n two_o either_o of_o themselves_o or_o by_o the_o unskilfulness_n of_o the_o pretend_a artist_n qu._n when_o of_o themselves_o an._n the_o evaporation_n of_o the_o subtle_a or_o thin_a
cause_n of_o the_o disease_n and_o since_o it_o be_v in_o vain_a to_o hope_v for_o a_o recovery_n as_o long_o as_o there_o be_v a_o error_n or_o mistake_n about_o the_o peccant_a or_o gouty_a matter_n qu._n have_v physician_n be_v of_o one_o opinion_n herein_o an._n no_o for_o some_o have_v assign_v the_o cause_n to_o be_v a_o slimy_a and_o cold_a humour_n some_o a_o mixture_n of_o gall_n and_o slime_n some_o a_o crude_a indigested_a and_o impure_a blood_n other_o a_o serous_a humidity_n mix_v with_o a_o acrimonious_a saltness_n other_o wind_n with_o a_o mixture_n of_o the_o four_o know_a humour_n other_o ill-conditioned_n wind_n alone_o qu._n whence_o i_o pray_v arise_v this_o great_a diversity_n of_o opinion_n an._n from_o thence_o only_a that_o as_o have_v be_v already_o intimate_v they_o have_v not_o distinguish_v the_o gout_n from_o its_o symptom_n which_o have_v so_o abuse_v they_o with_o the_o notion_n of_o the_o humour_n that_o they_o have_v put_v those_o out_o of_o the_o list_n of_o gouty_a person_n who_o in_o their_o gout_n perceive_v no_o afflux_n of_o humour_n absolute_o require_v the_o same_o in_o this_o disease_n notwithstanding_o that_o such_o as_o find_v no_o serous_a swell_n in_o their_o gouty_a distemper_n do_v feel_v full_a as_o much_o pain_n as_o other_o that_o be_v wont_a to_o find_v that_o afflux_n who_o grievous_a pain_n also_o be_v considerable_o abate_v upon_o the_o swell_a qu._n which_o then_o be_v in_o your_o judgement_n the_o next_o and_o immediate_a cause_n an._n we_o have_v express_v it_o in_o our_o above-recited_n description_n of_o the_o gout_n to_o wit_n that_o it_o be_v a_o vapour_n or_o damp_n dry_a and_o cold_a and_o mix_v with_o malignity_n qu._n but_o many_o will_v look_v upon_o this_o as_o a_o airy_a and_o windy_a fancy_n and_o no_o solid_a truth_n an._n if_o man_n shall_v divest_v themselves_o of_o prejudice_n and_o mature_o consider_v all_o what_o have_v be_v say_v and_o be_v yet_o to_o follow_v i_o shall_v then_o expect_v a_o more_o favourable_a judgement_n and_o a_o unanimous_a consent_n to_o my_o doctrine_n qu._n according_a to_o your_o theory_n the_o gout_n be_v to_o be_v reckon_v among_o windy_a swell_n an._n so_o it_o must_v be_v because_o ground_v upon_o experience_n the_o mistress_n of_o fool_n qu._n but_o be_v not_o this_o a_o quite_o new_a opinion_n or_o have_v there_o ever_o be_v any_o learned_a man_n that_o have_v deliver_v the_o same_o an._n when_o i_o late_o enumerate_v unto_o you_o the_o various_a opinion_n concern_v the_o cause_n of_o the_o gout_n you_o may_v remember_v that_o the_o last_o of_o they_o be_v that_o which_o place_v it_o in_o mere_a wind_n now_o among_o those_o doctor_n sennertus_n reckon_v guainerius_n and_o matthaeus_n de_fw-fr gradibus_fw-la two_o eminent_a physician_n and_o as_o far_o as_o i_o can_v find_v the_o chinese_n doctor_n be_v all_o of_o that_o mind_n beside_o that_o ancient_a physician_n guido_n de_fw-fr culiaca_n though_o in_o the_o gout_n he_o follow_v the_o humorist_n relate_v that_o he_o have_v read_v in_o some_o prescription_n of_o health_n give_v to_o the_o pope_n of_o rome_n that_o this_o disease_n do_v arise_v from_o wind_n and_o the_o royal_a chirurgeon_n pareus_n p._n 534._o assign_v for_o the_o certain_a cause_n of_o the_o run_a gout_n a_o very_a thin_a fuliginous_a matter_n which_o be_v nothing_o else_o but_o a_o subtle_a smoky_a damp_n or_o spirituous_a substance_n qu._n but_o pareus_n do_v not_o speak_v so_o of_o the_o other_o kind_n of_o gout_n ans_fw-fr it_o be_v true_a that_o he_o affirm_v it_o of_o the_o run_a gout_n but_o then_o i_o must_v say_v that_o that_o kind_n do_v not_o at_o all_o in_o its_o essence_n or_o next_o cause_n differ_v from_o the_o other_o gout_n but_o only_o in_o some_o quality_n relate_v to_o the_o thinness_n and_o thickness_n of_o damp_n those_o from_o whence_o proceed_v the_o run_a gout_n thin_a and_o subtle_a and_o those_o which_o cause_n the_o other_o gout_n courser_n and_o thick_a and_o it_o be_v notorious_a that_o almost_o all_o intelligent_a physician_n assign_v damp_n for_o the_o next_o cause_n of_o tooth-aches_a headache_n pleurisy_n at_o least_o bastard_n pleurisy_n colick_n and_o epilepsy_n disease_n which_o in_o name_n indeed_o place_n and_o some_o symptom_n differ_v from_o the_o gout_n but_o not_o in_o their_o true_a essence_n they_o be_v so_o near_o akin_a to_o one_o another_o that_o they_o acknowledge_v but_o one_o and_o same_o cause_n qu._n it_o be_v true_a that_o some_o learned_a man_n have_v affirm_v wind_n or_o damp_n to_o be_v the_o next_o cause_n of_o the_o gout_n but_o other_o have_v reject_v that_o opinion_n and_o for_o their_o ground_n of_o do_v so_o i_o shall_v produce_v but_o one_o argument_n for_o all_o which_o m._n beverwyck_n allege_v out_o of_o sennertus_n in_o his_o treatise_n of_o the_o gout_n say_v all_o sickness_n which_o arise_v from_o wind_n do_v not_o last_v so_o long_o as_o the_o gout_n and_o make_v use_n of_o this_o reason_n for_o his_o deny_v the_o flatus_fw-la or_o wind_n to_o be_v the_o true_a cause_n of_o the_o gout_n and_o further_o in_o his_o medicina_fw-la p._n 62._o treat_v of_o tumour_n in_o general_a he_o declare_v that_o the_o windy_a swell_n do_v vanish_v easy_a of_o all_o what_o you_o can_v say_v to_o this_o objection_n i_o long_o to_o hear_v ans_fw-fr those_o great_a man_n speak_v here_o only_o in_o general_n of_o windy_a tumour_n and_o what_o they_o say_v be_v only_o true_a of_o such_o windy_a swell_n as_o lurk_v under_o the_o skin_n or_o in_o fleshy_a part_n not_o in_o those_o that_o lie_v in_o deep_a part_n and_o under_o firm_a and_o thick_a membrane_n as_o in_o the_o gout_n and_o other_o hide_a or_o manifest_a swell_n raise_v from_o latent_fw-la wind_n see_v the_o proof_n hereof_o in_o hildanus_n p._n 6._o ob_n 40._o in_o a_o tympanite_n that_o be_v refractory_a to_o all_o remedy_n qu._n what_o then_o be_v the_o true_a cause_n why_o the_o gout_n be_v so_o long_a a_o cure_n be_v the_o gouty_a cause_n the_o damp_n so_o difficult_a to_o be_v with_o speed_n remove_v and_o evaporate_v ans_fw-fr the_o gouty_a damp_n be_v easy_a enough_o to_o be_v evacuate_v and_o it_o be_v even_o forward_o to_o be_v exhale_v but_o there_o be_v a_o notable_a obstacle_n which_o hinder_v the_o speedy_a performance_n of_o it_o and_o that_o be_v this_o the_o impacted_a and_o enclose_a damp_n which_o cause_v the_o windy_a tumour_n in_o the_o gout_n seek_v a_o passage_n to_o issue_v out_o at_o but_o find_v none_o partly_o because_o of_o the_o grossness_n of_o the_o damp_n partly_o and_o chief_o by_o reason_n of_o the_o close_a and_o firm_a membrane_n of_o the_o bone_n under_o which_o it_o lurk_v especial_o since_o the_o place_n in_o which_o this_o cold_a damp_n lodge_v enjoy_v but_o little_a warmth_n for_o the_o attenuate_a of_o this_o gross_a damp_n and_o expel_v it_o through_o the_o small_a pore_n of_o that_o membrane_n qu._n but_o i_o pray_v sir_n let_v i_o know_v what_o be_v the_o chief_a motive_n that_o have_v induce_v you_o to_o make_v damp_n the_o only_a next_o cause_n of_o the_o gout_n ans_fw-fr first_o this_o remedy_n which_o i_o here_o offer_v as_o that_o which_o sudden_o cure_v this_o disease_n for_o if_o it_o be_v true_a that_o the_o medicine_n declare_v the_o disease_n as_o physician_n afirm_v with_o their_o master_n hypocrates_n i_o must_v then_o conclude_v that_o no_o humour_n but_o only_o a_o spirituous_a thing_n be_v the_o cause_n of_o this_o disease_n second_o observe_v the_o sudden_a motion_n of_o the_o gouty_a matter_n sometime_o dislodging_n in_o a_o very_a short_a time_n from_o one_o limb_n to_o another_o from_o the_o hand_n to_o the_o foot_n from_o one_o foot_n to_o the_o other_o etc._n etc._n fly_v as_o it_o be_v with_o swift_a wing_n from_o above_o to_o beneath_o and_o back_o again_o i_o find_v myself_o oblige_v to_o judge_n that_o these_o be_v not_o humour_n but_o some_o spirituous_a matter_n able_a to_o do_v such_o thing_n chap._n iu._n of_o the_o quality_n of_o the_o damp_n that_o cause_v the_o gout_n qu._n of_o what_o quality_n i_o pray_v be_v these_o gouty_a damp_n ans_fw-fr the_o above-recited_n description_n say_v that_o they_o be_v dry_a cold_a and_o ill-conditioned_n qu._n why_o do_v you_o say_v they_o be_v dry_a ans_fw-fr the_o better_a to_o distinguish_v these_o damp_n from_o windy_a humour_n qu._n why_o cold_a be_v there_o not_o a_o hot_a as_o well_o as_o a_o cold_a gout_n ans_fw-fr as_o there_o be_v but_o one_o next_o cause_n which_o for_o quality_n be_v always_o cold_a so_o be_v the_o distinction_n of_o a_o hot_a and_o cold_a gout_n vain_a my_o opinion_n agree_v with_o that_o of_o fernelius_n that_o all_o gout_n arise_v from_o a_o cold_a cause_n qu._n but_o with_o what_o reason_n can_v you_o maintain_v this_o opinion_n ans_fw-fr irrefragable_o by_o the_o
ligament_n and_o membrane_n that_o tie_v the_o bone_n together_o be_v penetrate_v and_o ouze_v through_o by_o a_o sharp_a humour_n qu._n what_o have_v move_v those_o that_o be_v of_o the_o late_a opinion_n to_o reject_v galen_n doctrine_n ans_fw-fr see_v and_o read_v beverwyck_n and_o other_o qu._n but_o how_o do_v galen_n refute_v their_o opinion_n who_o say_v that_o the_o gouty_a matter_n ouze_v through_o the_o ligament_n and_o membrane_n ans_fw-fr thus_o that_o never_o a_o gouty_a person_n have_v be_v perceive_v to_o have_v convulsion_n or_o drawing_n of_o the_o limb_n which_o yet_o must_v needs_o happen_v if_o the_o warm_a humour_n do_v pass_v through_o the_o ligament_n and_o membrane_n qu._n but_o these_o allege_v to_o strengthen_v their_o opinion_n first_o that_o the_o pain_n as_o soon_o as_o the_o limb_n be_v but_o touch_v present_o increase_v second_o the_o debility_n and_o troublesome_a motion_n of_o the_o part_n last_o the_o laxity_n of_o the_o ligament_n which_o be_v ouze_v through_o by_o the_o humour_n do_v stretch_v and_o sometime_o cause_n dislocation_n be_v not_o these_o solid_a reason_n to_o persuade_v you_o and_o all_o other_o that_o they_o have_v hit_v right_a ans_fw-fr not_o at_o all_o for_o their_o proof_n be_v lame_a in_o all_o its_o part_n and_o not_o to_o repeat_v the_o irrefragable_a proof_n of_o galen_n against_o their_o opinion_n the_o pain_n do_v not_o increase_v when_o the_o limb_n be_v but_o touch_v and_o move_v because_o forsooth_o the_o gouty_a matter_n have_v ouze_v through_o the_o ligament_n and_o membrane_n no_o for_o not_o these_o but_o the_o periostium_fw-la be_v the_o part_n affect_v in_o this_o evil_a which_o be_v by_o the_o gouty_a damp_n already_o distend_v be_v upon_o the_o touch_n or_o least_o motion_n of_o the_o limb_n irritate_v a_o new_a and_o so_o cause_v new_a pain_n where_o i_o establish_v this_o for_o a_o certain_a truth_n that_o never_o the_o gouty_a matter_n but_o only_o the_o accidental_a affluxed_a humour_n ouze_v through_o the_o ligament_n so_o as_o to_o occasion_n stretch_v and_o dislocation_n which_o we_o intend_v more_o full_o to_o make_v out_o when_o we_o come_v to_o speak_v of_o this_o accident_n of_o dislocation_n qu._n but_o against_o galen_n proof_n the_o defender_n of_o this_o opinion_n allege_v that_o it_o be_v no_o strange_a thing_n that_o the_o acrimonious_a humour_n of_o the_o gout_n ouze_a through_o the_o ligament_n of_o the_o joint_n cause_v no_o draw_v in_o the_o limb_n because_o say_v they_o the_o nerve_n themselves_o be_v not_o offend_v but_o only_o the_o membrane_n and_o membranous_a ligament_n which_o do_v not_o cause_v the_o motion_n and_o that_o therefore_o although_o they_o be_v seize_v with_o great_a pain_n they_o cause_v no_o convulsion_n just_a as_o it_o be_v also_o find_v in_o the_o toothache_n pleurisy_n and_o colic_n ans_fw-fr this_o be_v a_o exception_n that_o conclude_v nothing_o forasmuch_o as_o the_o gouty_a matter_n provoke_v not_o the_o organ_n of_o motion_n but_o those_o of_o sense_n chap._n vi_o that_o the_o gout_n be_v a_o general_a disease_n of_o the_o limb_n receive_v its_o denomination_n from_o that_o limb_n which_o it_o seize_v on_o together_o with_o the_o place_n in_o which_o the_o gouty_a matter_n be_v breed_v qu._n be_v the_o gout_n a_o general_a disease_n as_o galen_n affirm_v attacking_z all_o the_o joint_n of_o the_o limb_n of_o the_o body_n ans_fw-fr it_o be_v so_o general_a that_o not_o one_o external_a part_n of_o any_o limb_n of_o the_o whole_a body_n be_v by_o its_o own_o nature_n exempt_a from_o it_o the_o reason_n be_v because_o that_o all_o part_n and_o limb_n be_v wrap_v about_o with_o this_o sensible_a membrane_n call_v periostium_fw-la the_o head_n neck_n jawbone_n breast_n back_o and_o the_o tooth_n themselves_o forasmuch_o as_o they_o be_v enclose_v in_o their_o grove_n or_o pit_n qu._n do_v this_o disease_n take_v different_a name_n according_a to_o the_o limb_n which_o it_o infest_v ans_fw-fr it_o do_v so_o hence_o it_o be_v call_v podagra_fw-la when_o it_o fall_v upon_o the_o foot_n gonagra_n when_o upon_o the_o knee_n chiragra_fw-la when_o upon_o the_o hand_n ischiatica_n when_o upon_o the_o hip_n and_o so_o the_o toothache_n when_o upon_o the_o tooth_n the_o pleurisy_n when_o upon_o the_o skin_n that_o clothes_n the_o rib_n etc._n etc._n all_o which_o i_o esteem_v to_o proceed_v from_o one_o and_o the_o same_o cause_n though_o many_o will_v think_v this_o strange_a qu._n what_o be_v the_o antecedent_n cause_n of_o the_o gout_n ans_fw-fr whatsoever_o breed_v these_o damp_n qu._n in_o what_o place_n grow_v this_o damp_n be_v the_o next_o cause_n of_o the_o gout_n ans_fw-fr the_o learned_a do_v as_o little_o agree_v in_o this_o as_o they_o do_v in_o the_o next_o cause_n itself_o and_o fernelius_n complain_v that_o no_o man_n have_v thorough_o search_v into_o this_o point_n and_o that_o through_o the_o want_n of_o the_o knowledge_n thereof_o the_o gout_n have_v be_v leave_v for_o incurable_a qu._n be_v this_o peccant_a matter_n breed_v only_o in_o the_o head_n except_v the_o skull_n as_o fernelius_n will_v have_v it_o or_o without_o the_o brain_n as_o other_o think_v or_o most_o of_o all_o in_o the_o viscera_n as_o the_o stomach_n spleen_n liver_n gall_n and_o the_o rest_n ans_fw-fr i_o give_v my_o voice_n for_o those_o that_o affirm_v the_o last_o viz._n that_o these_o gouty_a damp_n be_v most_o generate_v in_o the_o inner_a part_n yet_o not_o except_v the_o head_n qu._n but_o can_v you_o tell_v sir_n in_o what_o manner_n they_o be_v there_o produce_v ans_fw-fr doubtless_o they_o be_v through_o want_n of_o heat_n gather_v and_o lay_v up_o in_o some_o or_o other_o of_o the_o aforementioned_a part_n from_o corrupt_a humour_n and_o particular_o from_o corrupt_a blood_n chap._n vii_o how_o and_o through_o which_o way_n the_o gouty_a matter_n come_v to_o the_o limb_n qu._n since_o these_o morbid_v damp_n do_v cause_n such_o grievous_a pain_n in_o the_o external_a limb_n but_o be_v breed_v in_o the_o inner_a part_n by_o what_o mean_n and_o passage_n do_v they_o come_v to_o those_o limb_n an._n by_o mean_n of_o the_o circulation_n of_o the_o blood_n through_o the_o manifest_a way_n of_o vein_n and_o artery_n qu._n do_v not_o these_o damp_n ascend_v or_o descend_v direct_o into_o the_o limb_n without_o pass_v the_o heart_n an._n they_o must_v needs_o first_o pass_v into_o the_o heart_n qu._n by_o what_o way_n an._n through_o the_o vein_n which_o gather_v out_o of_o the_o inner_a part_n the_o generate_v damp_n carry_v they_o together_o with_o the_o not_o yet_o sufficient_o concoct_v blood_n into_o the_o heart_n qu._n but_o do_v not_o these_o malign_a damp_n offend_v that_o noble_a part_n see_v they_o cause_v such_o grievous_a pain_n in_o the_o limb_n ans_fw-fr certain_o they_o do_v and_o be_v the_o cause_n of_o fever_n beat_v of_o the_o heart_n and_o other_o distemper_n and_o frequent_o cause_n death_n when_o the_o heart_n want_v strength_n and_o vigour_n to_o expel_v they_o chap._n viii_o of_o the_o expel_v part._n qu._n be_v the_o heart_n than_o the_o only_a strong_a expelling_a part_n which_o drive_v those_o damp_n into_o the_o limb_n an._n it_o be_v as_o be_v evince_v by_o the_o strong_a motion_n and_o beat_n of_o the_o artery_n in_o the_o gout_n whereby_o the_o heart_n labour_v to_o deliver_v itself_o from_o such_o a_o pernicious_a damp_n and_o to_o discharge_v and_o purify_v the_o nourish_a blood_n of_o the_o same_o qu._n through_o what_o way_n do_v the_o heart_n drive_v out_o these_o damp_n into_o the_o limb_n an._n through_o the_o artery_n qu._n whence_o be_v it_o that_o the_o gout_n for_o the_o most_o part_n manifest_v itself_o in_o the_o extremity_n of_o the_o limb_n of_o the_o body_n as_o for_o example_n in_o the_o great_a toe_n of_o the_o left_a foot_n an._n because_o that_o the_o heart_n undertake_v the_o expulsion_n drive_v this_o offensive_a matter_n as_o far_o as_o it_o can_v qu._n may_v one_o from_o the_o gout_n judge_v of_o the_o vigour_n and_o debility_n of_o the_o heart_n an._n you_o may_v probable_o do_v so_o from_o the_o suffer_a part_n for_o if_o that_o be_v far_o from_o the_o heart_n than_o the_o heart_n be_v strong_a if_o near_o it_o then_o it_o be_v less_o vigorous_a and_o unable_a to_o send_v that_o noxious_a matter_n far_o away_o qu._n but_o when_o the_o heart_n through_o the_o artery_n do_v expel_v into_o the_o limb_n together_o with_o the_o nourish_a blood_n these_o damp_n must_v those_o limb_n receive_v they_o an._n they_o must_v receive_v they_o as_o well_o as_o the_o nutritive_a blood_n which_o accompany_v it_o the_o heart_n expel_v they_o chief_o by_o the_o force_n of_o the_o artery_n not_o rest_v till_o they_o be_v thrust_v out_o qu._n but_o why_o do_v not_o the_o part_n aggrieve_v expel_v those_o damp_n and_o send_v they_o further_o away_o an._n
but_o now_o the_o place_n be_v find_v out_o be_v there_o nothing_o that_o may_v hinder_v the_o burn_a a_fw-it if_o there_o be_v any_o hair_n upon_o the_o place_n affect_v that_o must_v be_v shave_v off_o with_o a_o razor_n in_o regard_n that_o the_o least_o hair_n impede_v the_o burn_a because_o it_o keep_v the_o â—ine_z pellet_n from_o perfect_o touch_v the_o skin_n q._n be_v there_o nothing_o else_o in_o the_o way_n a._n if_o the_o place_n where_o the_o burn_a be_v to_o be_v make_v be_v fatty_a or_o moist_a that_o satness_n and_o moistness_n must_v be_v take_v away_o and_o the_o place_n due_o cleanse_v and_o dry_v that_o do_v put_v the_o little_a pellet_n upon_o the_o right_a place_n and_o there_o burn_v it_o repeat_v it_o so_o often_o till_o the_o gouty_a pain_n be_v go_v q._n but_o how_o may_v it_o best_o be_v know_v what_o effect_n this_o burn_a have_v produce_v a._n the_o patient_n will_v soon_o find_v that_o by_o the_o diminution_n of_o the_o pain_n and_o of_o the_o inflammation_n and_o the_o master_n that_o administer_v must_v if_o the_o burn_a have_v be_v make_v upon_o a_o ordinary_a place_n of_o any_o tender_a limb_n to_o three_o four_o or_o five_o time_n successive_o press_v with_o his_o forefinger_n hard_o upon_o the_o escar_n to_o learn_v whether_o the_o dolorifick_a gouty_a matter_n be_v whole_o draw_v out_o or_o not_o which_o the_o patient_n be_v with_o freedom_n to_o declare_v if_o he_o mean_v to_o be_v full_o cure_v and_o not_o in_o part_n for_o if_o he_o deceive_v the_o master_n he_o most_o deceive_v and_o wrong_v himself_o q._n if_o the_o pain_n with_o three_o pellet_n be_v quite_o remove_v as_o common_o it_o be_v will_v it_o be_v necessary_a to_o trouble_v he_o with_o any_o more_o a._n by_o no_o mean_n q._n but_o in_o case_n the_o patient_n contrary_a to_o expectation_n shall_v out_o of_o tenderness_n and_o effeminacy_n in_o the_o burn_a of_o the_o first_o pellet_n which_o cause_v most_o pain_n cry_v out_o and_o grow_v impatient_a what_o then_o a._n the_o master_n in_o that_o case_n be_v not_o to_o mock_v or_o laugh_v at_o he_o but_o only_o show_v a_o cheerful_a countenance_n and_o entertain_v the_o patient_n with_o a_o discourse_n of_o the_o excellency_n of_o the_o remedy_n of_o the_o shortness_n of_o the_o time_n that_o the_o operation_n will_v last_v and_o of_o the_o number_n of_o person_n that_o have_v be_v cure_v thereby_o q._n but_o pray_v tell_v i_o sir_n what_o be_v the_o reason_n that_o this_o burn_v have_v be_v so_o many_o year_n hide_v from_o we_o european_n whereas_o it_o have_v be_v experience_v for_o so_o vast_a a_o time_n in_o those_o indian_a kingdom_n where_o it_o be_v so_o common_a and_o be_v use_v for_o the_o most_o part_n with_o great_a benefit_n a._n this_o be_v to_o be_v impute_v to_o the_o carelessness_n and_o conceitedness_n of_o the_o european_n because_o have_v so_o good_a a_o opinion_n of_o themselves_o they_o be_v ashamed_a to_o learn_v any_o good_a thing_n from_o those_o pagan_n as_o if_o they_o alone_o be_v possess_v of_o all_o knowledge_n and_o those_o nation_n have_v no_o share_n at_o all_o in_o it_o without_o which_o conceit_n and_o negligence_n this_o excellent_a remedy_n may_v have_v be_v long_o before_o communicate_v to_o these_o part_n of_o the_o world_n chap._n xiii_o treat_v of_o the_o mischief_n inconvenience_n and_o danger_n of_o the_o burn_v misuse_v q._n but_o may_v any_o ill_a be_v occasion_v by_o this_o burn_a a._n there_o may_v and_o even_o in_o japan_n china_n and_o other_o place_n considerable_a mistake_n be_v commit_v in_o the_o use_n of_o this_o burn_a whereby_o some_o use_v it_o without_o fear_n or_o wit_n do_v cause_n not_o only_o grievous_a and_o fistulous_a wound_n but_o also_o lameness_n of_o limb_n q._n pray_v explain_v to_o we_o more_o particular_o how_o these_o evil_n proceed_v from_o this_o burn_v misuse_v a._n to_o be_v short_a when_o after_o the_o manner_n of_o some_o japonese_n the_o burn_a be_v make_v too_o much_o and_o too_o deep_a without_o due_a regard_n have_v to_o the_o place_n to_o which_o the_o burn_a be_v to_o be_v apply_v whence_o it_o come_v to_o pass_v that_o nature_n be_v unable_a without_o help_n to_o cast_v off_o the_o escar_n which_o be_v great_a and_o thick_a the_o purulent_a matter_n remain_v within_o and_o eat_v in_o from_o time_n to_o time_n cause_v a_o deep_a ulceration_n downward_o q._n what_o danger_n be_v there_o of_o lameness_n in_o case_n of_o imprudent_a burn_v a._n when_o he_o that_o perform_v the_o operation_n burn_v the_o nerve_n and_o ligament_n too_o hard_o that_o may_v easy_o occasion_n convulsion_n of_o limb_n and_o lameness_n which_o evil_a yet_o need_v not_o to_o be_v fear_v no_o more_o than_o that_o abovementioned_a if_o you_o employ_v a_o good_a master_n or_o follow_v my_o prescription_n chap._n fourteen_o of_o the_o serous_a swell_n of_o the_o gout_n breed_v by_o accident_n and_o the_o cure_n of_o they_o q._n of_o what_o matter_n do_v these_o swell_n consist_v a._n of_o a_o serous_a matter_n pervade_v with_o saltness_n most_o cause_v by_o accident_n through_o pain_n be_v of_o little_a danger_n and_o not_o troublesome_a to_o cure_v especial_o in_o or_o about_o the_o joint_n of_o the_o limb_n in_o which_o these_o aqueous_a tumour_n be_v very_o easy_o breed_v by_o pain_n q._n it_o seem_v you_o make_v no_o great_a matter_n of_o the_o cure_n of_o these_o swell_n which_o yet_o physician_n count_v very_o troublesome_a to_o cure_v know_v that_o they_o be_v not_o to_o use_v any_o repercussive_a mean_n in_o this_o case_n a._n '_o this_o serous_a humour_n can_v be_v better_a discharge_v than_o by_o our_o way_n of_o burn_v and_o that_o be_v so_o sure_a and_o safe_a that_o no_o body_n ever_o needs_o to_o apprehend_v from_o these_o swell_n any_o ill_a much_o less_o incurable_a nodes_fw-la or_o knot_n forasmuch_o as_o by_o our_o burn_v the_o humour_n and_o other_o feculent_a matter_n evaporate_v whereby_o also_o the_o part_n affect_v be_v strengthen_v and_o preserve_v from_o all_o putridness_n chap._n xv._n of_o the_o nodes_fw-la and_o stony_a tumour_n and_o their_o cure_n q._n whence_o arise_v that_o stony_a or_o chalky_a hard_a swell_a in_o the_o external_a part_n a._n from_o the_o faeces_fw-la or_o sediment_n of_o the_o serous_a swell_n as_o have_v be_v teach_v in_o the_o symptom_n of_o the_o gout_n q._n be_v there_o a_o difference_n to_o be_v make_v between_o these_o hard_a tumour_n a._n there_o be_v for_o there_o be_v a_o great_a difference_n between_o a_o schirrus_n that_o be_v harden_v unmovable_a and_o indolent_a and_o such_o a_o one_o as_o be_v but_o come_v on_o and_o not_o yet_o harden_v q._n be_v both_o these_o kind_n curable_a a._n the_o first_o yield_v to_o no_o remedy_n the_o other_o be_v best_a and_o soon_o cure_v by_o our_o burn_a whereby_o it_o be_v full_o discharge_v without_o any_o relic_n remain_v behind_o q._n have_v you_o experience_n hereof_o a._n i_o have_v a_o notable_a one_o in_o our_o chief_a chirurgeon_n francis_n de_fw-fr ray_n a_o very_a skilful_a master_n who_o in_o his_o art_n have_v serve_v our_o east-india_n company_n near_o 30_o year_n he_o be_v exceed_o torment_v by_o the_o gout_n and_o get_v a_o schirrhus_n upon_o the_o forepart_n on_o his_o right_a hand_n which_o though_o it_o take_v not_o quite_o away_o the_o use_n of_o the_o hand_n yet_o do_v very_o much_o disable_v and_o weaken_v it_o by_o a_o notable_a intumescence_n which_o be_v by_o my_o advice_n burn_v and_o so_o open_v be_v in_o a_o little_a time_n perfect_o cure_v the_o matter_n of_o the_o schirrus_n thence_o discharge_v white_a like_o mix_a chalk_n which_o the_o patient_n himself_o take_v up_o with_o a_o spatula_fw-la and_o have_v lay_v it_o on_o a_o paper_n show_v it_o i_o be_v dry_v whereupon_o his_o hand_n be_v so_o strengthen_v that_o he_o can_v use_v it_o at_o pleasure_n in_o like_a manner_n the_o same_o person_n free_v himself_o from_o such_o another_o imperfect_a schirrus_n seat_v upon_o the_o great_a joint_n of_o the_o great_a toe_n on_o his_o left_a foot_n q._n when_o i_o pray_v be_v the_o best_a time_n to_o perform_v this_o burn_a on_o the_o head_n of_o the_o imperfect_a schirrus_n a._n then_o when_o the_o gout_n return_v again_o to_o the_o schirrou_n part_n which_o very_o easy_o come_v to_o pass_v in_o those_o that_o be_v much_o subject_n to_o the_o gout_n for_o in_o follow_v this_o prescript_n you_o kill_v two_o bird_n with_o one_o stone_n and_o cure_v at_o the_o same_o time_n the_o gout_n and_o the_o schirrus_n q._n will_v not_o this_o burn_a mollify_v and_o cure_v a_o perfect_a schirrus_n a._n i_o have_v not_o try_v this_o hitherto_o mean_v time_n i_o trust_v there_o be_v mean_n to_o be_v find_v if_o not_o total_o yet_o in_o part_n to_o remove_v this_o evil_n q._n what_o
by_o lay_v they_o on_o glow_a wood-coal_n where_o they_o must_v lie_v until_o you_o see_v they_o begin_v to_o fall-in_a and_o then_o they_o be_v to_o be_v take_v off_o and_o roll_v stiff_o together_o betwixt_o the_o palm_n of_o the_o hand_n and_o then_o to_o be_v unroll_v and_o display_v again_o be_v yet_o warm_a and_o moist_a and_o so_o lay_v on_o the_o escar_n continue_v this_o until_o it_o be_v time_n to_o heal_v up_o the_o wound_n when_o the_o leaf_n be_v prepare_v again_o after_o the_o former_a manner_n be_v to_o be_v lay_v on_o with_o the_o smooth_a side_n to_o the_o skin_n by_o which_o mean_v it_o will_v heal_v up_o without_o leave_v a_o mark_n upon_o the_o part_n and_o much_o better_a than_o if_o you_o have_v employ_v the_o best_a plaster_n q._n why_o must_v these_o leaf-plaister_n lie_v a_o great_a while_n upon_o the_o part_n with_o the_o rough_a side_n and_o at_o last_o only_o with_o the_o smooth_a side_n a._n because_o the_o rough_a side_n draw_v out_o and_o the_o smooth_a side_n heal_v q._n be_v there_o nâ—thing_v else_o to_o be_v observe_v touch_v these_o vegetable_a plaster_n a._n they_o be_v to_o be_v keep_v from_o fall_v off_o by_o some_o compress_v of_o linen_n rag_n and_o to_o be_v refresh_v or_o renew_v twice_o in_o 24_o hour_n q._n but_o in_o case_n the_o burn_a place_n can_v not_o well_o endure_v the_o use_n of_o linen_n compress_v how_o then_o may_v these_o leaf-plaister_n be_v secure_v from_o fall_v off_o a._n you_o may_v lay_v over_o they_o a_o diapalma_n or_o basilicum-plaister_n only_o to_o keep_v the_o leaf_n upon_o the_o escar_n q._n but_o if_o plantin-leaves_a be_v not_o to_o be_v have_v may_v not_o other_o leave_v serve_v a._n in_o that_o case_n you_o may_v use_v red_a cabbage_n or_o colts-foot-leaves_a and_o if_o these_o can_v be_v have_v employ_v the_o say_a diapalma_n or_o basilicum-plaister_n which_o may_v chief_o stand_v you_o in_o good_a stead_n when_o you_o be_v travel_v by_o water_n or_o land_n chap._n vii_o of_o the_o admirable_a effect_n of_o this_o caustick_a q._n may_v a_o man_n rest_n in_o this_o application_n and_o expect_v the_o desire_a cure_n a._n you_o may_v by_o god_n blessing_n and_o the_o physician_n may_v look_v for_o honour_n consider_v that_o in_o so_o do_v he_o cure_v sure_o without_o inconvenience_n and_o even_o with_o pleasure_n q._n then_o it_o seem_v there_o be_v no_o danger_n in_o the_o right_a use_n of_o this_o remedy_n a._n none_o at_o all_o yea_o it_o be_v such_o a_o one_o than_o which_o there_o will_v hardly_o be_v devise_v a_o better_a and_o of_o which_o you_o will_v real_o see_v a_o wonderful_a effect_n for_o the_o good_a of_o the_o patient_n q._n will_v it_o succour_v nature_n with_o most_o speed_n and_o free_v she_o of_o the_o evil_a that_o encumber_n and_o torment_n she_o a._n it_o will_v whereas_o hypocrates_n l._n 6._o aph._n 49._o say_v that_o the_o gout_n require_v 40_o day_n to_o cure_v it_o which_o galen_n second_v with_o the_o add_v this_o condition_n viz._n if_o the_o physician_n understand_v his_o work_n and_o the_o patient_n do_v his_o part_n in_o observe_v careful_o what_o be_v prescribe_v but_o this_o our_o moxa_n by_o mean_n of_o the_o burn_v describe_v draw_v this_o wolf_n with_o speed_n out_o of_o his_o den_n and_o deliver_v the_o patient_n instant_o from_o his_o pain_n and_o anguish_n q._n but_o be_v this_o way_n of_o cure_v sure_a a._n so_o sure_a that_o it_o fail_v not_o but_o be_v always_o beneficial_a and_o the_o success_n of_o it_o be_v so_o manifest_a that_o it_o can_v be_v doubt_v q._n but_o you_o do_v add_v that_o it_o will_v cure_v with_o pleasure_n which_o i_o understand_v not_o since_o you_o have_v above_o acknowledge_v that_o this_o burn_v be_v not_o without_o some_o pain_n a._n i_o mean_v thus_o that_o the_o cure_n be_v pleasant_a in_o regard_n that_o upon_o a_o little_a sharp_a pain_n which_o last_v but_o a_o short_a time_n there_o follow_v a_o great_a pleasure_n and_o joy_n the_o fruit_n of_o this_o short_a pain_n be_v great_a and_o every_o way_n delightful_a forasmuch_o as_o the_o poor_a patient_n discharge_v from_o the_o intolerable_a pain_n of_o the_o gout_n instead_o of_o his_o doleful_a lamentation_n and_o outcry_n have_v now_o cause_n to_o rejoice_v and_o to_o break_v out_o into_o thanks_o q._n but_o be_v this_o all_o which_o the_o burn_a with_o moxa_n produce_v a._n no_o for_o the_o same_o be_v timely_o use_v hinder_v the_o afflux_n of_o humour_n though_o not_o always_o total_o yet_o at_o least_o in_o great_a part_n q._n what_o benefit_n arise_v from_o thence_o a._n thereby_o be_v prevent_v all_o the_o mischief_n which_o otherwise_o may_v be_v occasion_v by_o the_o afflux_n of_o humour_n such_o as_o be_v dislocation_n and_o nodes_fw-la whereas_o it_o be_v certain_a that_o those_o who_o use_v this_o way_n of_o burn_v due_o and_o mature_o shall_v never_o have_v cause_n to_o complain_v of_o those_o grievous_a effect_n q._n if_o all_o this_o be_v true_a this_o remedy_n may_v be_v extrol_v to_o the_o sky_n a._n not_o only_o that_o but_o it_o enable_v the_o patient_n to_o be_v upon_o his_o leg_n and_o to_o follow_v his_o vocation_n if_o it_o be_v not_o too_o toilsome_a and_o even_o to_o travel_v without_o any_o considerable_a trouble_n by_o the_o same_o also_o he_o be_v exempt_a from_o all_o other_o tedious_a and_o costly_a stuff_n salve_n ointment_n plaster_n etc._n etc._n chap._n viii_o show_v that_o this_o burn_v with_o moxa_n go_v beyond_o all_o other_o remedy_n of_o europe_n hitherto_o use_v against_o the_o gout_n q._n but_o when_o the_o physician_n of_o europe_n and_o other_o part_n from_o hence_o have_v better_o understand_v the_o nature_n of_o the_o gout_n will_v they_o not_o be_v able_a to_o find_v out_o a_o better_a remedy_n against_o it_o a._n it_o be_v probable_a that_o upon_o the_o acquisition_n of_o the_o true_a knowledge_n of_o this_o disease_n they_o will_v not_o deviate_v so_o far_o as_o before_o from_o the_o way_n of_o cure_v it_o and_o that_o in_o all_o probability_n they_o will_v eschew_v many_o error_n and_o mistake_n but_o they_o will_v never_o find_v out_o any_o better_a remedy_n than_o this_o burn_a with_o moxa_n it_o be_v the_o best_a because_o the_o speedy_a cleanly_a and_o safe_a yea_o the_o most_o genuine_a most_o secure_a and_o most_o accommodate_v mean_n that_o can_v be_v excogitated_a by_o man_n q._n may_v not_o the_o enclose_a wind_n which_o you_o say_v cause_v all_o the_o trouble_n be_v draw_v out_o by_o sudorifick_v cupping-glass_n issue_n leech_n or_o common_a caustic_n a._n by_o sudorifick_v possible_o there_o may_v be_v effect_v the_o great_a ease_n but_o the_o evil_n will_v not_o be_v full_o remove_v see_v that_o thereby_o only_a the_o subtle_a of_o the_o gourty_a damp_n will_v be_v exhale_v and_o for_o cupping-glass_n issue_n leech_n and_o caustic_n none_o of_o they_o be_v able_a to_o fetch_v out_o this_o evil_n from_o its_o deep-lurking_a hole_n which_o be_v under_o the_o close_a and_o firm_a membrane_n which_o invest_v the_o bone_n q._n be_v it_o not_o advisable_v to_o employ_v anodines_n a._n by_o no_o mean_n because_o the_o pain_n be_v thereby_o not_o remove_v but_o only_o palliate_v and_o dull_v but_o be_v afterward_o raise_v up_o into_o great_a rage_n q._n be_v not_o let_v of_o blood_n beneficial_a as_o many_o will_v maintain_v a._n let_v of_o blood_n be_v better_a omit_v for_o these_o reason_n first_o because_o according_a to_o the_o opinion_n of_o the_o best_a it_o be_v not_o advisable_a when_o the_o pain_n be_v rage_a to_o open_v a_o vein_n second_o it_o be_v not_o the_o blood_n that_o be_v peccant_a or_o faulty_a but_o the_o ill-conditioned_n damp_n which_o indeed_o run_v together_o with_o the_o blood_n and_o spirit_n in_o the_o vessel_n but_o do_v never_o so_o mix_v with_o the_o blood_n as_o to_o make_v one_o body_n but_o may_v easy_o be_v sever_v whereas_o it_o be_v otherwise_o with_o the_o blood_n and_o spirit_n they_o two_o make_v up_o one_o body_n as_o the_o heat_n and_o water_n constitute_v hot_a water_n or_o as_o wine_n and_o the_o spirit_n thereof_o make_v one_o body_n of_o wine_n three_o by_o blood-letting_a the_o noxious_a damp_n be_v draw_v inward_o to_o the_o heart_n and_o there_o occasion_n much_o mischief_n and_o the_o benefit_n you_o look_v for_o from_o it_o will_v not_o countervail_v the_o harm_n four_o the_o force_n of_o the_o patient_n be_v thereby_o diminish_v and_o nature_n be_v enervate_v in_o her_o conslict_n with_o the_o disease_n whereas_o a_o good_a artist_n ought_v always_o to_o befriend_v nature_n by_o strengthen_v she_o against_o her_o enemy_n and_o a_o wise_a physician_n will_v not_o be_v forward_o to_o shed_v blood_n but_o preserve_v it_o as_o the_o treasure_n of_o life_n and_o as_o a_o seaman_n in_o a_o tempest_n will_v
then_o think_v you_o to_o be_v most_o advisable_a in_o this_o case_n a._n to_o open_a as_o often_o be_v do_v and_o must_v be_v do_v the_o skin_n and_o to_o take_v out_o the_o matter_n of_o the_o schirrus_n as_o far_o as_o be_v possible_a and_o that_o do_v to_o heal_v up_o with_o my_o coridon_n or_o leaf-plaister_n the_o skin_n as_o well_o as_o you_o can_v q._n but_o then_o if_o this_o shall_v succeed_v well_o can_v you_o preserve_v the_o place_n thus_o weaken_v from_o a_o new_a afflux_n of_o humour_n a._n i_o think_v i_o can_v and_o that_o after_o this_o manner_n if_o the_o schirrus_n be_v for_o example_n upon_o the_o knuckle_n of_o the_o forefinger_n i_o will_v then_o due_o burn_v the_o limb_n under_o it_o on_o the_o hand_n and_o thereby_o intercept_v all_o ill_a humour_n and_o so_o keep_v they_o from_o flow_v to_o the_o weak_a part_n q._n but_o what_o if_o that_o shall_v fail_v you_o and_o the_o gout_n surprise_v the_o limb_n with_o a_o new_a afflux_n of_o humour_n a._n then_o shall_v i_o resolve_v to_o hinder_v those_o humour_n from_o coagulation_n and_o induration_n by_o the_o advantage_n of_o our_o brune_a remedy_n by_o which_o mean_v you_o may_v at_o least_o take_v away_o the_o disfigurement_n which_o these_o nodes_fw-la cause_n in_o the_o limb_n if_o you_o can_v restore_v the_o use_n of_o the_o limb_n q._n it_o seem_v you_o have_v some_o hope_n even_o of_o the_o last_o a._n i_o have_v because_o i_o know_v that_o the_o nodes_fw-la do_v lodge_v not_o in_o the_o very_a joint_n but_o about_o they_o and_o be_v discharge_v one_o way_n or_o another_o it_o be_v find_v that_o the_o joint_n be_v free_a provide_v only_o that_o the_o vein_n and_o artery_n yea_o the_o nerve_n too_o be_v not_o so_o obstruct_v by_o the_o bigness_n hardness_n and_o diuturnity_n of_o this_o stony_a tumour_n that_o the_o pervasion_n of_o the_o blood_n and_o animal_n spirit_n can_v by_o fit_a mean_n be_v restore_v in_o which_o case_n the_o limb_n must_v needs_o remain_v stiff_a chap._n xvi_o whether_o there_o be_v different_a sort_n of_o the_o gout_n and_o a_o essential_a difference_n betwixt_o they_o q._n be_v not_o almost_o all_o physician_n of_o opinion_n that_o there_o be_v different_a kind_n of_o the_o gout_n essential_o dissering_a from_o one_o another_o or_o at_o least_o that_o there_o be_v the_o cold_a and_o the_o hot_a gout_n a._n they_o be_v but_o they_o mistake_v be_v mislead_v by_o the_o external_a symptom_n for_o all_o gout_n arise_v from_o cold_a dry_a and_o malign_v damp_n q._n but_o yet_o the_o gout_n may_v be_v distinguish_v a._n it_o may_v in_o divers_a respect_n and_o principal_o first_o in_o respect_n of_o the_o limb_n it_o seize_v on_o whence_o be_v the_o name_n of_o chiragra_fw-la sciatica_n podagra_fw-la etc._n etc._n second_o in_o respect_n of_o the_o quantity_n and_o quality_n grossness_n or_o subtlety_n of_o the_o gouty_a matter_n more_o or_o less_o malignity_n whence_o proceed_v the_o denomination_n of_o the_o run_v and_o fix_v young_a and_o old_a adventitious_a and_o hereditary_a gout_n three_o in_o respect_n of_o the_o great_a or_o less_o afflux_n of_o humour_n four_o the_o gout_n be_v either_o with_o nodes_fw-la or_o without_o nodes_fw-la five_o there_o be_v a_o gout_n which_o be_v seat_v in_o or_o about_o the_o joint_n and_o another_o though_o that_o be_v rare_o perceive_v which_o lodge_v itself_o in_o the_o midst_n of_o the_o limb_n and_o this_o be_v to_o be_v note_v against_o all_o those_o who_o will_v not_o acknowledge_v such_o a_o gout_n for_o any_o gout_n which_o be_v a_o great_a mistake_n and_o no_o long_o tolerable_a because_o experience_n teach_v we_o otherwise_o chap._n xvii_o mean_n useful_a to_o prevent_v the_o gout_n q._n what_o general_a mean_n do_v you_o think_v to_o be_v good_a to_o prevent_v the_o gout_n a._n these_o follow_v first_o you_o must_v beware_v of_o windy_a meat_n and_o drink_n second_o you_o must_v avoid_v great_a and_o violent_a commotion_n of_o the_o mind_n especial_o the_o passion_n of_o anger_n three_o neither_o must_v you_o put_v your_o body_n into_o too_o violent_a motion_n and_o exercise_n nor_o afflict_v it_o with_o night-wakes_a four_o you_o must_v take_v continual_a care_n to_o keep_v your_o body_n soluble_a and_o to_o prevent_v costiveness_n nor_o to_o remove_v the_o same_o too_o sudden_o five_o it_o be_v beneficial_a to_o take_v a_o gentle_a vomitive_a after_o your_o meal_n once_o a_o week_n six_o as_o soon_o as_o you_o perceive_v any_o sign_n of_o a_o fever_n the_o mother_n of_o the_o gout_n then_o be_v it_o proper_a to_o take_v a_o sudorific_a by_o the_o advice_n of_o some_o experience_a physician_n to_o open_v the_o pore_n and_o to_o promote_v evaporation_n eight_o since_o that_o many_o of_o the_o chief_a physician_n forbid_v wine_n to_o gouty_a person_n as_o if_o it_o be_v poison_n to_o they_o though_o sennertus_n be_v not_o so_o peremptory_a therein_o but_o that_o he_o allow_v even_o to_o those_o that_o actual_o be_v in_o a_o gouty_a fit_n a_o cup_n of_o good_a and_o sincere_a rhinish_a wine_n especial_o if_o the_o patient_n can_v forbear_v it_o i_o see_v no_o reason_n in_o the_o world_n why_o these_o patient_n shall_v be_v so_o quite_o debar_v this_o strengthen_n and_o cordial_a liquor_n wine_n as_o in_o and_o after_o the_o fit_a especial_o if_o it_o be_v a_o good_a condition_a wine_n and_o my_o opinion_n be_v that_o such_o a_o wine_n be_v so_o far_o from_o be_v noxious_a that_o it_o be_v beneficial_a to_o they_o for_o many_o reason_n which_o van_n helmont_n allege_v at_o large_a in_o his_o book_n of_o fever_n who_o judgement_n i_o can_v but_o subscribe_v to_o in_o this_o matter_n chap._n xviii_o of_o the_o toothache_n or_o the_o gout_n of_o the_o tooth_n and_o the_o cure_n thereof_o q._n be_v there_o also_o a_o gout_n of_o the_o tooth_n for_o i_o have_v be_v inform_v by_o dr._n wilhelmus_fw-la de_fw-fr ryne_n who_o late_o be_v arrive_v here_o that_o there_o be_v publish_v a_o treatise_n in_o europe_n entitle_v of_o the_o gout_n of_o the_o tooth_n a._n thus_o be_v very_o proper_o express_v that_o kind_n of_o toothache_n which_o have_v the_o same_o proximate_a cause_n with_o the_o gout_n and_o arise_v from_o cold_a damp_n as_o the_o gout_n do_v which_o otherwise_o according_a to_o the_o common_a opinion_n be_v breed_v from_o desluxion_n q._n but_o serious_o do_v you_o think_v that_o the_o gout_n and_o toothache_n come_v from_o the_o same_o cause_n a._n it_o be_v certain_a to_o i_o whatever_o some_o may_v allege_v to_o the_o contrary_a that_o the_o next_o cause_n the_o part_n afflect_v the_o seat_n the_o way_n the_o sign_n and_o symptom_n be_v the_o same_o in_o these_o distemper_n and_o do_v agree_v together_o q._n be_v then_o the_o cure_n of_o the_o toothache_n to_o be_v perform_v after_o the_o same_o manner_n as_o of_o the_o gout_n a._n by_o no_o mean_n the_o toothache_n be_v to_o be_v cure_v in_o another_o place_n because_o that_o the_o place_n where_o the_o pain_n have_v its_o seat_n here_o be_v within_o the_o mouth_n and_o the_o tooth_n where_o you_o can_v come_v to_o burn_v with_o our_o moxa_n q._n will_v you_o then_o have_v the_o temporal_a artery_n open_v with_o a_o lancet_n this_o seem_v to_o be_v the_o way_n by_o which_o the_o evil_a damp_n may_v be_v expel_v out_o of_o the_o tooth_n as_o some_o have_v venture_v to_o do_v to_o the_o great_a ease_n of_o the_o pain_n a._n this_o mean_n be_v too_o dangerous_a because_o it_o be_v very_o subject_a to_o occasion_v a_o aneurisma_n and_o spend_v too_o much_o of_o the_o vital_a spirit_n q._n what_o do_v you_o say_v then_o of_o scarification_n in_o the_o neck_n or_o upon_o the_o shoulder_n or_o of_o purge_v or_o of_o blood-letting_n a._n these_o and_o the_o like_a remedy_n seldom_o give_v ease_n q._n will_v you_o have_v then_o the_o ache_a tooth_n pull_v out_o a._n not_o at_o all_o that_o way_n be_v a_o desperate_a one_o and_o not_o only_o accompany_v with_o great_a pain_n &_o mischief_n to_o the_o poor_a patient_n but_o also_o occasion_v many_o evil_n and_o even_o death_n itself_o but_o take_v i_o right_n i_o pray_v for_o i_o here_o only_o speak_v of_o that_o kind_n of_o toothache_n which_o be_v above_o describe_v not_o of_o that_o which_o come_v from_o the_o rottenness_n of_o tooth_n q._n what_o then_o may_v we_o follow_v spigelius_n whole_a manual_a operation_n scultetus_n mention_n in_o the_o 18_o of_o his_o chirurgical_a observation_n who_o with_o his_o knife_n heated_z red-hot_a do_v cut_v off_o that_o little_a branch_n of_o the_o temporal_a artery_n which_o run_v through_o the_o ear_n to_o the_o tooth_n by_o which_o mean_v the_o pain_n present_o vanish_v and_o never_o return_v a._n it_o be_v true_a that_o scultetus_n speak_v with_o great_a commendation_n of_o this_o device_n call_v it_o a_o