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A59205 Two treatises The first, of the venereal pocks: Wherein is shewed, I. The name and original of this disease. II. Histories thereof. III. The nature thereof. IV. Its causes. V. Its differences. VI. Several sorts of signs thereof. VII. Several waies of the cure thereof. VIII. How to cure such diseases, as are wont to accompany the whores pocks. The second treatise of the gout, 1. Of the nature of the gout. 2. Of the causes thereof. 3. Of the signs thereof. 4. Of the cure thereof. 5. Of the hip gout or sciatica. 6. The way to prevent the gout written in Latin and English. By Daniel Sennert, Doctor of Physick. Nicholas Culpeper, physitian and astrologer. Abdiah Cole, Doctor of Physick, and the liberal arts.; De lue venerea. English Sennert, Daniel, 1572-1637.; Culpeper, Nicholas, 1616-1654.; Sennert, Daniel, 1572-1637.; Cole, Abdiah, ca. 1610-ca. 1670. 1660 (1660) Wing S2547; ESTC R221594 267,038 173

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Introduction it is defined be the Compages and Composition of the Bones ordained for the motion of the several parts yet here notwithstanding in this place by the word Articulus or joynts we are not to understand the very Compages of the bones and the Synthesis or Union of them or the Extremities of the Bones that are conjoyned or the space betwixt the Bones which are Joyned together by the joynt but the parts that Joyn the very Joynt together and encompass it especially such of the parts as are endued with sense to wit the Membrans Membranous Ligaments the extremities of the Muscles and the Nerves that are inserted in these parts But in regard that the Joynts are various from the difference of these The differences of the the gout according to the variety of the Joynts and from the variety of the parts affected the Gout which the Greeks cal Arthritis hath also received divers and different Names and if the Feet be affected it is called Podagra if the Hands Chiragra if the Hip Ischias if the Knee Gonagra and many other of these words derived from the place affected and the Greek word Agra which signifieth a taking or seizing upon so that Podagra is nothing else but the taking of the Feet and Chiragra the taking of the Hands in regard that these members are in this Disease as it were taken and by it ensnared and held fast even as by Lucian in his Tragopodagra the Gout is brought in thus speaking By the most of Men I am called Podagra being the taking and deteining of the Feet But in the other Joynts it hath no special name but by a common and general name it is called Arthritis that is the Gout like as also in general it is then called Arthritis when at one and the same time a pain seizeth upon many of the Joynts together But the truth is that some certain men there have been who have feigned made very many such like words as these and among the rest Ambrose Parry in his first Chapter of the Gout and if the Malady be in the Joynt of the Jawthey call it Siagonagra if in the Neck Trachelagra if in the Spina Dorsi or Back-bone Richisagra if in the shoulder Omagra and if in the Joynt of the Elbow they term it Pechyagra But we meet with no such Names as these in any of the Greek Authors neither indeed are they commonly used although that these Grecians themselves tel us very often that the Arthritis may be generated in many parts of the Body And in Pliny also in his 27. B. Chap. 1. we meet with the word Mentagra at first invented as he saith in sport Mentagra what it is and merriment for it is a vitious medley Composition of a word from a Latin and a Greek word and such as the learned are never wont to make use of but soon after notwithstanding it became common but the truth is that Affect belongs not to the Arthritis or Gout but it was a certain foulness and nastiness of the face and a kind of Scabbiness perteining and to be referred unto the Lichenes The Latines have likewise reteined the Greek words since that even from them they received the disease also Touching which Pliny in his B. 26. Chapter 10. The Podagra saith he Was wont to be a Disease more Rare and not only a stranger unto the memories of our Fathers and Grand-Fathers but even unto our own also For had it been anciently known in Italy it had ere this time received a Latin Name And yet notwithstanding it is here to be observed that although the word Podagra be properly taken for the pain of the Feet Yet somtimes also as even Crato in his 253 Consil confesseth by an appellation borrowed from one Member the word Podagra is to be taken and understood for every kinde of Gout in what part soever in regard that so it is wont to happen that the Feet for the most part in the first place and more frequently are taken and affected with this Disease and they also are very seldom free when the other joynts are affected And hence it is also that Lucian inscribeth that Dialogue of his which is touching the Arthritis or Gout in general by the name of Trag●podagra And so they that have written in praise of the Gout Podagra as Cardanus and others they all of them seem to treat of Arthritis or the Gout in general Yea and certain Physitians there are that treat properly of Arthritis or the Gout in General and yet they inscribe these their Tracts de Podagra or of the Gout in special of the Feet To wit What place the Gout most frequently invadeth most frequently this pain invadeth the Feet and indeed most of al and in the first place the great Toe of the Foot For Nature as much as she is able is wont to drive forth the vitious Humors unto the extream and remote parts and the Feet are likewise more remote from the Fountain of heat and they are also more in motion by which the Humors are drawn unto them And from hence it is that Galen in the sixth Sect. of the Aphorisms Apherism 28. writeth that al those that are troubled with the Gout that is to say with the pains of all the Joynts they are first of all taken with the Gout Podagra or the Gout in the Joynts of the Feet This indeed for the most part so happeneth but yet not alwaies For in some the Gout begins in their Hands and some have it first in their Knee and in some it beginneth in some other of the Joynts And albeit that it first of al seize upon the Feet yet notwithstanding it afterwards also for the most part invadeth the Joynts of the Fingers or those places that are about the Hand Wrist as also the Joynts of the Arm and Elbow and somtimes likewise the Neck and the Joynts of the Jaw-bone And indeed this Evil in the first beginning of it for the most part seizeth upon but one of the Joynts either in the Foot which most usually happeneth or else where but then afterwards the bowels being debilitated by the thick and often returns of the Disease and the Native heat being much impaired and the matter dayly more and more heaped up it then invadeth more of the Joynts so that it often cometh to that pass that there is scarcely any Joynt or Juncture of the bones throughout the whole Body that may be said to be free from this Malady and as Lucian in his Tragopodagra writeth This Evil tortureth and tormenteth the afflicted and Miser able Body from the very Fingers ends even unto the extream parts of the Feet and the ends of the Toes Yea and oftentimes it comes to that that the vitious Humor is not only poured out into all the Joynts but likewise into other sensible parts as it hath been often observed that in some this Humor hath been
and twinge them And thirdly although the pain be more excited while the joynt is moved yet this happeneth not therefore because that the humor is contained in the very joynt for as we told you but even now this is void of sense but because the Membranous parts about the joynt being before preternaturally distended by the humor are now more stretched forth Neither lastly doth that prove that the humor doth first of al fal forth into the space of the joynt because that the pain when the Disease first seizeth the party is perceived to lie deep before the external parts swel up which when it happeneth the pain is mitigated It is true indeed that these things do often so come to pass and that in the beginning there is very little or no swelling appearing and that yet in the mean time the pain rageth in the top of the part affected and there becometh most grievous which is afterwards asswaged when the external parts swel up But this doth not therefore happen because that the humor falleth into the very Cavity of the Joynt and from hence maketh it self a way unto the exterual parts the extream parts of the Bones being as we said before altogether destitute of sense but it happene●h from hence that the whol vitions humor doth first of all by the extremities of the Vessels flow unto the Nervous and Membranous parts about the Joynts and greatly afflict them but afterwards when part of the humor is likewise distributed into the fleshy parts the pain becometh more mild and moderate when the humor is distributed into many places it doth then act less powerfully and those parts are made more loose and so are distended with less pain than otherwise like as we see the very same to be in the pain of the Teeth which at first is very great and intollerable when all the humor floweth into the Teeth and these Nerves inserted into them but afterwards when part of this humor is distributed into the Jaw lying neer as likewise the Gums then the pain is mitigated But yet in the mean time as we said before we deny not this that at length also even some of the matter may possibly sweat through into the very Cavity of the Joynt if the afflux continue long Neither do the two last Aphorisms of Hippocrates make at all against our Opinion where in the sixth Section he thus writeth Those saith he that have been long conflicting with the pain of the Hips if in these the top of the Thigh fall out of the Hip-Bone and then return and fall in again these have in that place a Mucous and snotty flegm collected And again they that by being vexed with a long continued Sciatica pain have the top of their Thigh fallen out of the Hip in these the Thigh wasteth away and unless they be burnt they halt and become lame For that Joynt doth not therefore fall forth because that the Bone is thrust out of its place by the humor fallen into the Cavity but as Galen in his Comm. upon the Aphorisms teacheth us because the bonds of the Articulation being soaked and moistened by the flegmatick humor are thereby rendred more loose But now what those parts are about the Joynt that receive and entertain the humor that floweth unto them neither do they al fully agree in their Opinions as touching this Capivaccius and some others with him determine that this afflux is made only unto the Ligaments and that in the Arthritis the Ligaments are filled ful but not so the Nerves and Tendons since that if these parts were filled there would then be Convulsions for these parts come to be affected only by the consent of the Ligaments whiles that they are pressed together by these Ligaments being filled with the humor But the Ligaments are so hard and solid that it is not credible that these especially should receive the humor flowing unto them and be replenished thereby And the pain is not therefore excited because that only the Nervous and Membranous parts are pressed together by the Ligaments preternaturally filled with the humor For if this were the Cause the pain could not possibly be so fierce and bitter but because that a sharp and gnawing humor doth prick and twinge the tender and sensible parts For as in other parts the Membranous Periostia and Nerves are the subject of the pa●● so likewise in the Arthritis they contain the nighest and most immediate Cause of the said pain But now that there is no Convulsion excited we have already shewn you the reason thereof above to wit because that the parts that are by Nature assigned for motion are not affected but such only as are appointed for sense as the Membranes or the Nerves likewise themselves such of them as are not destined unto motion according to the Membranes Quest 4. What kind of Feaver that is that accompanieth the Arrhritis THere are indeed very many that assert this Feaver to be only symptomatical But since symptomatical Feavers are those properly which follow the Inflammations of other parts and more especially the Bowels to wit when that heat that is in the affected Member or likewise even the putrid and sooty vapors are communicated to the heart and kindle up the heat in it and so the fewel of the Feaver is in another affected part it easily from hence appeareth that the Feaver which is joyned with the Arthritis is not Symptomaticall but primary For in the Feaver that accompanieth the Arthritis the Fewel of the Feaver is not in the part affected that is to say the part that laboreth under the Arthritis but it is in the great Vessels Yea and the Feaver either it precedeth the Arthritis or else it invadeth together with the invasion of the Arthritis and doth not in any wise follow the same And therefore this Feaver is deservedly referred unto those continued primary Feavers which now adaies we cal accompanying Feavers to wit those that are not solitary but such as have some other Disease joyned with them and that depending upon the very same cause with it to wit when by the motion of some humor which Nature endeavoreth to thrust forth unto some outward part or into the habit of the Body a Feaver is kindled or at least the matter that is moved unto any part becometh withall so putrid that it may cause and kindle a Feaver And as it is in the Erysipelas Pleuresie smal Pocks and Me●se●● and the like Diseases so this cometh likewise to pass in the Arhtritis which so his like Feayer is wont oftentimes to precede and to invade the Party a day before or a● the seast most bertainly invadeth together with it although it be oftentimes very smal and therefore it is not so much as taken notice of by many sick Persons and especially such as altogether head and mind nothing but their pain But now this Feaver is continual which yet nevertheless remitetth somwhat in the morning but
And moreover I speak it without detracting in the least from the worth of men so eminent be it so indeed that such a pain and impediment of the motion may proceed from driness yet I much doubt of this Whether or no this pain be caused only by the wasting of that humidity whereby the heads of the bones are as it were anointed and oyled For in the whol space in the which they are joyned together the bones are not covered with any Periostium and thereupon they are wholly void of sense and therefore in this place pain cannot be excited But it seemeth to be more agreeable to truth if there be any impediment of the motion or any pain excited in the joynts by reason of driness that this happeneth by reason of the over drying of the Tendons the extremities of the Muscles and Ligaments by means of which the Members are rendered unfit for motion and if it be so that they ought to be moved there is a necessity of their being violently extended and this violent stretching forth breedeth a pain Seeing therefore that a naked and bare distemper cannot cause the Arthritis Whether a windiness may cause the Arthritis it remaineth that we make enquiry from what matter it may be excited There are some indeed as Guainerius and Matthaeus that make mention of windiness and of the degrees the of But a windiness cannot possibly excite so great a pain and oftentimes also of long continuance in these parts unless by windiness any one be minded to understand the spirit touching which we shall speak more hereafter And although the pain be oftentimes movable and flitting from place to place yet this is not from any windiness but from the humor which is also most apt and fit for motion There are some likewise that unto Arthritis refer that Affect which by the Arabians is called Nakir Nakir what kind of Affect it is which Albucasis in his second B. and 93. Chap. thus describeth There is saith he in this Country of ours a certain sickness or Disease which they call Nakir and it is a pain that happeneth in some certain Members and afterwards is changed from one Member to another and of this disease I once saw such an Example as this that I shal now relate I was upon a time called unto a certain woman being sick and weak in a Village not far from me She uncovered her Arm where I beheld a smal Inflation in the Vein of the Arm and about an hour after I saw this Inflation to proceed forward with great speed like as a worm creepeth and ascending upwards unto the Shoulder much sooner than could possibly be imagined and it was moved upwards like as Quick-silver is moved when it runs from place to place The pain therefore departed out of the place where it was at first and fixeth it self in the Shoulder And afterwards as she her self told me it rowled up and down throughout the whole Body even as I my self might very easily discover it to be so I therefore greatly admired the swiftness of its motion from Member to Member for indeed I had never until now seen any such kind of Disease as I saw in this Woman Indeed I have seen many that have felt the pain changing and going from one member to another but not after this manner or with this celerity neither could I here conjecture any other cause then this to wit that the Woman was quite spent and dispirited by the heat of the Sun and her hard labor and pains-taking such as they are wont to undergo that live in villages her Body being very dry and her Veins uncovered And hereupon therefore that windiness appeareth to be changed even sensibly and of necessity it is that it cannot appear after this manner in such as live idle and delicate lives and in moist Bodies and where the Veins are kept covered And therefore whensoever thou attemptest the curing hereof and the Patient Feel that pain then if it be the same it appeareth to the Eyes as we said before Then hasten and bind both upon it and under it and cut upon it till the Windiness that is pent up and kept in hath a vent and passage made for it to go forth and Cauterize the place But if it be so that thou canst not see the place that is affected and the pain then Cure it with the excussion of the Body and some kind of Remedy that expelleth windinesses and extenuateth them And for this purpose very necessary and useful are the Foetid Pills the Pills de Sagapeno and the like Thus far Albucas●s But this Disease is not Arthritis For neither is it only about the Joynts but it ariseth from a Windiness or furious spirit poured forth out of the Vessels and running to and fro throughout all the external parts of the Body There are some who think that this motion of windinesses and spirits is made in the Veins themselves And true indeed it is that oftentimes in the Vessels and Bowels such like windinesses do run up and down with great violence and rushing like as Antonius Benivenius in his Tract of hidden Diseases and the Cure of the Causes Chap. 81. Relateth that Ludovicus Nicolinus was so affected with a winde rushing violently into his Bowels and Stomack that not only his Bowels and Breast but his shoulder-blades were likewise extended with an incredible pain and he was likewise forely troubled with a great and miserable streightness of breathing whereupon also he died the third day But in that History of Albucasis it is probable that the Flatulent and windy spirit that he speaketh of was poured forth of the Vessels into the very superficies and outside of the Body For seeing that the motion there spoken of was Joyned with a great pain that spirit could not be contained only in the Vessels as being such that are destitute and void of all sense And some there are who think and this rightly enough that this Affect if it be not one and the same yet that it is very neer of kin unto that described by Wierus in a peculiar Tract in a Book he wrote in the German Tongue touching unknown Diseases of which likewise Henricus a Bra wrote an Epistle to Petrus Forestus which Epistle is annexed unto the observations of Forestus in his twentyeth B. of Observations Those of our times do for the most part refer them to inchantment and they tel us I know not what of Elves and Fayries that as they conceive breed those pains when yet notwithstanding these and such like of flitting pains that run up and down in the Body may also have their Natural Causes and they may have their Original from a certain sharp Flatulency or a sharp whey bred out of a Humor almost Scorbutick and roving up and down the Body by the Membranous parts and Muscles And from hence it is also apparent that they cannot be fitly referred neither unto the Dracunculi