Selected quad for the lemma: sense_n

Word A	Word B	Word C	Word D	Occurrence	Frequency Band	MI	MI Band	Prominent
sense_n	motion_n	muscle_n	nerve_n	1,570	5	11.4857	5	false

Text snippets containing the quad

ID	Title	Author	Corrected Date of Publication (TCP Date of Publication)	STC	Words	Pages
A86032	A treatise of the rickets being a diseas common to children. Wherin (among many other things) is shewed, 1. The essence 2. The causes 3. The signs 4. The remedies of the diseas. Published in Latin by Francis Glisson, George Bate, and Ahasuerus Regemorter; doctors in physick, and fellows of the Colledg of Physitians at London. Translated into English by Phil. Armin.; De rachitide, sive, Morbo puerili. English.	Glisson, Francis, 1597-1677.; Bate, George, 1608-1669.; Regemorter, Assuerus, 1614-1650.	1651 (1651)	Wing G860; Thomason E1267_1; ESTC R210557	205,329	373

hath been said that the Tone of these parts is somwhat viciated in this affect by reason of their exceeding loosness slipperiness softness weakness and internal lubricity which qualities do most evidently enfeeble the just Tensity of the said Parts Although therfore that the Brain in this affect do for his part yield a due and just influx yet it is scarce possible nay it is altogether impossible that it should communicate that Tensity in a sufficient degree to to the Spinal Marrow without the Skull to the Nerves from thence proceeding c. because of the distemper benummedness and penury of the inherent Spirirs Thirdly The Symptoms in this Diseas that relate to the Animal faculty do most clearly confirm the same thing For Children afflicted with this Diseas do from the very beginning therof if they be compared with others of the same age move and exercise themselves very weakly and are less delighted in manly sports but upon the progress of the affect they are avers from any vehement motion as they stand upon their feet they reel wave and stagger seeking after somwhat to support them and can scarce go upright neither take they pleasure in any play unless sitting or lying along or when they are carried in their Nurses Arms Finally the weak Spine is scarce strong enough to bear the burden of the Head the Body being so extreamly extenuated and pined away All which things do abundantly demonstrate that the Tensity of the parts subservient to motion is less rigid in this affect than is justly requisite in time of waking If therfore that due Tensity in time of waking be a part of the Animal Constitution which we here suppose that being viciated must without all doubt necessarily constitute a Diseas in the Animal Constitution and seing that this fault hath no primary dependance upon the Brain it self but upon the inherent Constitution of the first affected parts it ought in all Reason to be reputed a Secondary fault in respect of the Animal Constitution Yet here we meet with a scruple Som may demand Why the sens as well as the faculty of motion is not vitiated in this affect The reason is plain a far greater tensity strength and vigor of the Nervs is required to exercise the motive then the sensitive faculty For almost the gentlest motion of the Nervs is sufficient for sense but not for motion So you may observe in the motion of any Joynt that the Muscles which move it are very hard and stiff but that hardness being remitted yet the sensation is easily performed Nor doth that any way hinder because that somtimes in the Palsy the sense is somwhat stupified and the motion remaineth for the Palsy is an affect very different from this for in that the primary fault resides in the very Animal Constitution therfore it may so fal out that both the sense and the motion may be equally affected Besides when perhaps one Nerve doth want the du influx of the Brain and another which is extended to the muscles of that part doth enjoy it it may be that for this cause also the sense may be abolished and yet the motion may continu although this case is not so frequent and that the motion is more usually taken away the sense remaining But we have said enough concerning this matter And thus at length we have produced those things which we have meditated of the integral Essence both primary and secondary of this Diseas and that with as much perspicuity as a matter so difficult and unsearcht into would bear In the next place we shal address our selvs to the examination of the causes of this Diseas CHAP. XV. The Causes of the Rachites And first those things which concern the Parents WE have largely explained above both the Primary and Secondary Essence of this Disease And indeed we have sufficiently demonstrated in the same place the dependance of the secondary upon the Primary Essence It may not therfore be here expected that we should again purposely and in particular discuss the causes of the secondary Essence which we have handled before It may suffice that we have found out the causes of the secondary Essence Yet if any cause do occur which at once hath an influx as wel into the primary or secondary Essence of the Diseas we shal not refuse to take notice of it by the way as we proceed But omitting al diligent search into the several kinds of causes we purpose to contract this our discours chiefly to two heads The former containeth the Infirmities and the diseased dispositions of the Parents which perhaps have so great an influence upon the Children that they suppeditate at least a proness to this affect and infer an aptitude to fal into it if they have not actually fallen into it from their very birth The latter comprehendeth the accessary causes of this Diseas namly those which happen to children after their birth Concerning the causes of the first kind we meet with a Question at the first entrance How and whether this Diseas may be said to be hereditary That we may the more succesfully proceed in the determination of this question an hereditary Diseas must be distinguished into that properly and that improperly so called And indeed an hereditary Diseas properly so called is ever supposed to be preexistent in both or one of the Parents and from thence to be derived to the Progeny But an hereditary Diseas improperly so called is not supposed to be preexistent in the same kind either in both or one of the Parents yet the same fault must always necessarily precede perhaps altogether of a different kind at least in one of them by vertu wherof a certain disposedness is imprinted in the children wherby they are made obnoxious to fal into this improperly hereditary Diseas Moreover An hereditary Diseas properly so called is twofold either in the conformation as when a lame Person begets a lame a deaf Father a deaf Son or a blind a blind or in the similary Constitution as when a Gowty Father begets a Gowty Child It is to be noted that in the first kind ther is an hereditary fault inherent in the first affected parts of the Conformation But in the latter there is no necessity that a Diseas of the same kind with the Diseas of the Parents should be actually inherent in the Embryon from the first formation But such a disposition imprinted by one or both of the Parents is sufficient which as the life is lengthened may be actuated into the same by the concours of other intervening causes Again an hereditary Diseas improperly so called may be likewise twofold namely either in the Conformation or in the similary Constitution In the formation as when neither of the Parents is blind pore-blind lame c. yet have begotten a Son blind pore-blind or lame by the very fault of the formation For in these cases that very fault which is sensible and conspicuous in the

concerning the Animal faculty and otherwise expounding the matter do substitute a somwhat different description we thought good to offer both to the Readers consideration According to the former and vulgarly received opinion and description of the Animal faculty the animal constitution is that affection of the Body which consisteth in the generation and due motion of the Animal Spirits Now by the due motion of the Animal Spirits they understand the excursion of them from the Brain thorow the Nerves like lightning and again their recourse back to the Brain whereby they declare unto it what is perceived by the Organs of the outward Senses Others as we have said do otherwise explicate this matter They grant indeed that the Animal constitution doth include the generation and destribution of the Animal Spirits but they say that that swift motion of the Flux and Reflux of the Animal Spirits like lightning is inconceivable in the Nerves and if it be not unprofitable yet certainly it is very little necessary to establish the animal faculty But instead of this they substitute in time of waking a certain contractive motion of a moving endeavor of the very substance of the Brain of the Spinal Marrow of the Nerves arising from thence and of the parts into which they are destributed And this motion or endeavor produceth say they a certain Tensity in the aforesaid parts by whose force all the alterations imprinted in those parts by any objects are communicated to the Brain For as in a Harp when the strings are stretched to a just pitch if they be stricken in the most gentle manner at either end that motion in a moment at least a Physical one runneth to the other end so they likewise affirm that any Nerve being moved which is duly stretched without the Skull that motion is extended to the Brain it self by reason of the continuity and Tensity of the said parts and there fixeth a certain impression conformable to the caus thereof But in time of sleep they suppose the Brain the Spinal marrow and some of the Nerves to be somwhat loosned And indeed they say perpetually and simply that the foremost connexions of the Spinal Marrow with the Brain remain loos continually during sleep but they grant that the hindermost connexions with the Cerebethi are somwhat extended as in Night-walkers and so by that means they do in some sort discern outward objects but they judg not of them by common sense but as it were reflected from the memory to the Fantasie Neither do they suppose it necessary that all the inferior parts of the Spinal Marrow and therfore the Nerves from thence proceeding should be perpetually loosned during sleep seeing that most Birds sleep standing upon their feet seing that respiration in time of sleep doth presuppose the Tensity of some Nerves and lastly seing where sleep first steals in the uppermost Nerves are wholly loosned before the neathermost As for Dreams they conceive that they proceed from a various and chanceable agitation and commixture of divers impressions treasured up in the memory which are now again freshly perceived by reason of a retained Tensity in som parts of the Brain But when in deep and profound sleeps no dreams are represented then they say that the whol Brain is loosned Now whether the former opinion or this latter be most agreeable to truth for the present we do not much care Neither do we here undertake to determine this Controversie seing that the Animal faculty doth exercise his function both waies from the same causes and that the secondary vice doth happen by this affect in the Animal Constitution almost after the same manner For first as for the generation of the Animal Spirits whether the former or the latter opinion be true it wil be all one becaus we find no fault in the Brain unless perhaps some other Diseas be conjoyned wherin each opinion supposeth the Animal Spirits to be generated For we have shewed above that the Head ought not to be numbred among the first affected Parts and that the internal and proper actions therof are not viciated in this Diseas Then secondly As for the destribution of the Animal Spirits whether it be perfected backwards and forwards by that rapid and sudden motion like lightning or by a motion only made forwards and that too gentle and slow commonly the same fault occurreth in this Diseas For first Seing that that supposed rapid motion of the Animal Spirits is caused by their passage into the first affected Parts namely through the Spinal Martow without the Skul through the Nerves from thence proceeding and through the parts into which those Nervs are destributed and seing that all these parts in this affect do labor with a cold distemper with a paucity and dulness of inherent Spirits the due swiftness of that motion must needs be somwhat retarded For a cold distemper as also a benummedness and penury of Spirits are repugnant to any motion excepting a constrictive some may say that the opinion propounded in the first place doth suppose a wonderful activity and subtilty of the Animal Spirits wherby they can easily overcome this repugnance But however it may be seing that the parts react through which the Spirits have their passage and labor to communicate their coldness and dulness to them they must needs in some degree retard that activity of the Spirits lessen their subtilty and somwhat intercept that expedite transition Wherfore this opinion being supposed as true the Animal Constitution will be viciated in this affect in regard of the retundation of that motion of the Spirits And that secondarily seing that this motion is not interrupted by the primary fault of the Animal Spirits but by the fault of the first affected Parts as hath been said in like manner in the Opinion last proposed wherin the motion of the Spirits is supposed to be peaceable and gentle they must needs whilst they are somwhat slowly transmitted through the first affected parts contract some viciosity from the depraved inherent Constitution of those parts for the same Reasons which we alleaged in the Question immediatly preceding It will be therfore according to this Opinion also a Secondary vice in the destribution of the Animal Spirits Again As for the Tensity of the very substance of the Brain of the Spinal Marrow of the Nerves and the Nervous parts in time of waking which is supposed in the latter Opinion before propounded there must needs be some defect of a due Tensity in the Spinal Marrow without the Skull in the Nerves arising from thence and in the parts unto which they are destributed For first A cold and moist distemper is repugnant and advers to that due Tensitiy so also is that dulness and penury of inherent Spirits wherwith the Parts are without controversie rendred slothful and less apt to perform the Animal Actions the contrary wherof happeneth when the aforesaid parts obtain their due Tensity Secondly It is manifest by what

Tone of the Parts be in any degree vitiated The next Whether those faults of the Tone do belong to the secondary Essence of the Diseas As concerning the first It wil be unnecessary to run thorow the particular Parts of the Tone severally it will be sufficient to examine those that seem guilty of the suspected crime First Therefore we meet with an evident loosness of the Tone in this affect But this loosness differeth both from the infirm coherence and likewise from the Paralytical resolution of the Parts for the infirm coherence or weakned stifness of the part is easily made an occasion of the loosness because in such cases the Part can scarce be stretched forth but a part may at the same time be both loose and likewise sufficiently stiff as may be seen in the strings of Instruments which if you wind down the pins they become loose although in the mean time they forgo not the tenacity of their substance And in dissected bodies we have frequently observed the loose parts themselves to be sufficiently stiff yea and that sometimes in this affect Wherefore this loosness is a distinct quality from the vitiated stifness of a Part. Neither doth it less differ from that resolution of the Parts which happeneth in the Paralytical Members For the dead Palsy first consisteth in the depraved Animal Constitution But this loosness is rooted in the Natural Constitution For here is no Palsy present either in respect of motion or in respect of the sence of the Parts Neither is the Brayn in this Diseas primarily affected as we have already demonstrated Moreover that there is such an exceeding loosness of the Parts first affected in this Diseas is a thing so conspicuous that we judg it a superfluous employment to offer proof thereof For it is obvious to the very senses and therefore we have listed it among the signs of the Diseas For whether it be a Part of the Essence or not a Part if it be manifestly subjected to the Senses it acquireth the propriety of a sign in respect of the other Parts of the Essence which are removed from the Senses Secondly In this Diseas there is not only a loosness but likewise a witheredness and feebleness Now this quality comprehendeth somwhat more then the meer and simple loosness for it denoteth withal a certain emptiness of the parts wherby they sink down of themselves Now such an emptiness and such a falling down of the Parts first affected in this Diseas are so obvious to the Senses that there is no need of further proof Thirdly A a softness also may be named in the Tone of the Parts first affected in this Diseas For sometimes it so falleth out that there is no coincidence between the softness and the aforesaid qualities but that it includeth or excludeth some other thing as in a suppurated Tumor there is softness but without any laxity of the Tone any emptiness or subsidence For in this present supposed case the softness chiefly dependeth upon the manner of Termination and the tenacity of the Part being vitiated But in this affect there is for the most part a coincidence with the laxity and flaccidity before mentioned So that it is needless to distinguish it more accurately then by the name only Fourthly There happeneth also another fault in the Tone of the Parts first affected in this Diseas and this is an extream inward slipperiness Some perhaps may wonder what the meaning of these words may be Internal lubricity We confess indeed that for want of words we have been constrayned to joyn this appellation For when in nature such a quality as hath a true existence hath by the oversight of Philosophers and also the neglect of Grammarians wanted a name we have taken so much liberty to our selvs as in respect of the great vicinity which it hath with the superficial lubricity of the body to give it the same Name with the distinctive Epethite of Internal In natural bodies therfore we acknowledg a twofold lubricity one External and Superficial which indeed consisteth in the smoothness and equality of the Parts of the Superficies by reason whereof the Subject of it doth easily slide by other bodies which it lighteth upon without much attrition and resistance Now contrary to this lubricity is the Superficial roughness but these two qualities have no reference to this place because they are Organical neither do they any way belong to the Tone of the Parts That other lubricity whereof we began to make mention consists in that internal profound and similary smoothness and equality of the body By reason wherof the whole substance of its Subject doth easily slide by the other introsubient bodies without much attrition and resistance And to this lubricity also there is an Internal roughness Now that there is such an internal similary slipperiness and such a roughness also opposite unto it may be shewed almost by innumerable instances For almost all mucilaginous substances are slippery and that not only in respect of the outward Superficies but also inwardly and in respect of the universal Substance and every particle thereof so that according to the definition of a similary body every particle by reason of this quality is made like unto the whol and therfore this quality is internal and similary and diffused through the whol internal substance of the Subject In like manner such an internal roughness may be observed in unripe fruits extentended thorow their whole substance and Internal flesh But when they have attained to a just ripeness then usually in the room of that roughness there succeedeth such a slipperiness as we have now described And here it must be observed that if these bodies internally slippery be besmeared or daubed upon the Superficies of bodies otherwise rough they bequeath a certain degree of lubricity to them for the time they adhere in like manner being inwardly taken as the slippery juyces and mucilages of Althea c. They do communicate a certain lubricity to the Internal passages of the Body yea and not only to the passages that relate to the inward cavities but also more or less to the very Similary substance of the parts of the Body which also the blood washeth being impregnated with that slippery juyce But this internal lubricity is manifold oyly or fat watrish spiritous saltish and perhaps earthy The oyly is chiefly conspicuous in the fat of Creatures especially such as are yong and in many expressed Oyls especially the moister and colder and also the temperate as may be observed in the Oyls of Poppy Seeds Pippin Seeds the four greater Cold Seeds Time Seed and the Oyl of sweet Almonds and the like A watrish lubricity is in some measure found in simple water it self although by reason of the fluidness it is less sensible also this lubricity may most evidently be taken notice of in the mucilages c. The Spiritous perhaps doth never happen alone but it is most frequently mixt with the

Inherent Spirits Hither also belong sharp saltish hot and discussive Baths especially if they be unseasonably and unmeasurably used for these no less then the former do wast and consume the Spirits Fourthly and lastly An Air filled with Narotical vapors or exhalations and baths fomentations and Liniments made of Soporiferous and Narotical ingredients as Hemlock Henbane Opium Nightshade and the like and externally applied are very fitly reducible also to this Classis For they easily introduce a benummedness into the first affected Parts into which they first conveigh their force Which benummedness is not only it self a part of the first Essence of this Diseas but it also easily dulleth and diminisheth the Vital influx in those parts and consequently is also a caus of that part of the Secondary Essence of this Diseas which consisteth in the Vital Constitution which thing we have already explained more at large And thus much of things outwardly occurring Secondly Of Meat and Drink and things inwardly taken To this Title there belong first aliments of any kind which are too moist and cold for these things manifestly cherish the distemper wherin a part of the Essence of this consisteth Hither therfore we refer most kind of Fish and crude Meats which are not well prepared by Coition also all those things whatsoever they be which caus a defect of concoction in the Ventricle Therfore the feeding upon new Meat before the former Aliment is concocted is very hurtful for Children disposed to this affect and in this respect a plentiful Diet is altogether to be abandoned and a thin spare Diet ought to be observed for too liberal feeding doth overwhelm and choak the heat and therfore must needs accumulate many crude and raw humors And perhaps this one may be reputed among the especial causes why this Diseas doth more frequently invade the Cradles of the rich then afflict poor mens Children In like manner cold moist Medicines taken inwardly and also such as are laxative and endued with an internal slipperiness do manifestly relate hither For these things do not only infer a like distemper but they produce a Relaxation in the Tone of the parts and affect them with an internal slipperiness and in a word they render the current of the Blood through the first affected parts over slippery and easie Secondly Nourishments that are too thick viscous and obstructive belong hither especially becaus they interrupt the equal distribution of the Blood Hither we refer flesh hardned with smoke and seasoned with much Salt in like manner Salt Fish and Cheese almost of any kind plentifully fed on Bread newly taken out of the Oven and not yet cold also almost all sweet things condited with Sugar unless they are withal tempered with Wine or cutting or attenuant Obstructive Medicines likewise of any kind belong hither unto which we may further ad such as are Partotical and whatsoever being drank induce a benummedness into the parts Thirdly Nourishments that are of an extream hot and biting quality sharp corrosive as old strong Wines especially being drank upon an empty Stomach Meats also that are seasoned with much Pepper and aromatical Sawces must be connumerated among the reputed causes of this affect For these things in such a tender consistence of the Parts do easily feed upon and devour the inherent Spirits The same thing is also affective by Medicines that are immoderately hot and discussive yea these are far more powerful to hurt becaus they more quickly and forcibly spoil the inherent Spirits than the prementioned Nourishments Thirdly Of Motion Rest Exercises and Actions Motion and Exercises if they exceed a mean they dissolve the Body of a little Child into a profuse Sweat and withal they somwhat dissipate the inherent Spirits of the Parts and therfore for that reason they may conspire the introducing of this Diseas although we conceive it falleth out exceeding rarely that Boys are infested with this Diseas wherof we discours But a defect of Motion and want of Exercise doth most frequently yea and most effectually concur to the production of this affect For the Spinal Marrow and the Nerves from thence arising and the other first affected parts serve chiefly for Motion and Exercises A stupidity therfore and sluggishness of those parts is a caus that neither their inherent heat is sufficiently cherished nor that heat extenuated nor the cold distemper stealing in banished nor the excrementitious and superfluous moistures expelled by a due transpiration but it permitteth them to be affected with a certain softness loosness and internal lubricity wherupon the Arteries also destributed unto them are faintly irritated yield a dull and slothful Pulse neither do they render the parts somwhat turgid or swelled but leave them lank and subsiding By which means the circulation of the Blood becomes slow and lesned and more slippery than is meet the production also of the vital heat must thereupon be necessarily be feeble and weak all which considerations do sufficiently evince that this is an efficacious caus of this Diseas Fourthly Of Sleeping and Watching We grant that Children should sleep oftner and longer then Men yet if it be excessive even in Child-hood the matter is the same as in defect of exercise and motion For sleep is a certain rest and privation of watchings or of the exercise of the senses But watchings consist in the very exercise of the senses according to Aristotle in his Book de Som. Vigill Wherefore the evils that we have described to arise from the defect of motion and exercises the same also must needs happen from immoderate sleep On the contrary in that tender age inordinate watchings are no less noxious For they do not only retard the concoction of the aliment but they likewise taint the Blood with a kind of acrimony and consequently dissipate the Principals of the Natural Constitution of the first affected parts and without difficulty introduce a defect of inherent Spirits Fiftly Of things preternaturally cast out and retained All the internal causes of Diseases might be perhaps not incommodiously reduced to this title For any thing whatsoever contained in the Body and preternaturally altered as they are preternatural they indicate their ablation and may so far forth be reputed among things to be cast out which are nevertheless preternaturally retained But we more rightly grant that all internal causes may be distinguished into two kinds one wherof containeth those things which are preternaturally retained and cast out the other such things as are contained in the Body being preternaturally altered For these latter are not only taken away by casting out but also by Alteration they may be reduced to an agreeable proportion of Nature However it be there is a great affinity between the Humors vitiated by Alteration and the excrementitious Humors which are retained For there are so many and such various ways of casting out in the Body that scarce any humor can be imaginably produced by Alteration which doth not

imprint som mark of a vitious Constitution to the place to which it is ascribed It is impossible that any Diseas can be attributed unto it as properly Common by reason of the commodity of the Region Wherfore that we may comprehend all in a word although this Diseas in respect of the coldness and moistness thereof have a fomentation in the very Constitution of the Country Although also that it borrow three other occasions of invading from the Country Yet seing that those distempers may be prevented by a due observation of the Regiment of Health appropriated to the place and seing that the three other occasional causes are not properly blamable but desirable we must affirm that this Diseas is not properly Common to England And so we have put an end to the search of the causes of this Diseas CHAP. XX. The differences of the Diseas called the Rachites THere are many differences of the Rachites in regard of the concourse of several evils and more than any man would easily imagine some wherof are of great importance and others less considerable we have resolved here briefly to propound the chiefest For the knowledg of them is not only profitable to define the prognostical causes wherby the various events of a Diseas are distinctly fortold according to those differences but it also much conduceth both to the prevention and the cure of a Diseas namly that by a consideration of them apt and fit remedies may be chosen Now these differences arise either from the Essence of the Diseas or from the causes therof or lastly from Diseases conjoyned with it The Essence of a Diseas may vary many ways First By reason of the parts of the Secondary Essence either present or absent Secondly In regard of the magnitude of it Thirdly In respect of the vehemence Fourthly in regard of the Spirits And fiftly in respect of the times We grant indeed That there is a certain agreement between som differences comprehended under these titles yet seing that the formal conceptions of them are distinct it must be confessed that they deserve distinct considerations For although a Diseas even in that very respect may be called greater because it containeth many parts of the Secondary Essence in the same Patient yet this is a different distinct consideration from that of the magnitude of that Affect For the magnitude properly hath respect unto the degree of recess from the Natural State and not to the Nature of the part of the Essence either present or absent for hereupon resulteth more then a gradual difference In like manner some of the other differences do perhaps signify the same thing in ● concrete and restrained acception which notwithstanding in an abstracted and formal consideration denote a diversity But let us proceed The first difference of this Diseas is that which ariseth from the presence of few or many of the parts of the Secondary Essence therof For although all the parts of the Primary Essence are perpetuàlly present with the Diseas it self yet there is no necessity that all the parts of the Secondary Essence should be always present For these are after-comers to the first Essence and do by degrees come upon it Yea some of them may be so highly intercepted by the intervention of resisting causes that they may not at all appear Hither you may refer that difference which we propounded at the foot of the precedent disputation and which we shewed might possibly though indeed very rarely befal those that were grown to ful age But because our purpose here is only to handle the Diseas as it is incident to Children we shall be content to pass by that difference thus noted by the way But even in Children themselves there somtimes happen some parts of the Secondary Essence which have a most strict conjunction with the Primary Essence at least they succeed them in the order of Nature For the Primary Essence hath the efficacy of a cause which in Nature doth ever go before the effect But in order of time some parts of the Secondary Essence do conspire as it were and concur with the Primary Essence in the invasion and others again do come afterwards these we must here distinguish For the former sort are absolutely inseparable the latter sort separable from this Affect The inseparable parts of the Secondary Essence may be reduced to these Heads First to the afflicted Tone of the first affected parts Secondly to the unequal and imperfect distribution of the Vital Blood Thirdly to the too smal participation of the Vital influx in the first affected parts Fourthly to the Secondary faults of the Animal Constitution These faults are sufficiently unfolded above in our discourse of the Secondary Essence of this Diseas where likewise because of their strict carriage with the Primary Essence any man may perceive with eas though they have a casual dependance upon the Primary Essence that they begin together at the same time But al the Organical faults which we have also already recited are found to be separable and somtimes actually separate from this Diseas For the magnitude of the Head and the leanness of the Joynts the crookedness of the Shank-bone or the Elbow the inflexions of the Joynts the sharpness of the Breast do not necessarily accompany this Diseas presently from the beginning but in process of time they bewray themselves by degrees and supervene upon the Affect And although the Consumption of the parts which in some sort hath an influence into the said faults may be said to be present in some slight degree from the begining of the Diseas yet is it indeed only a Symptom and not a Diseas neither is it able presently to produce those Diseases of magnitude Figure and Place Moreover it is not necessary that these Organical faults should equally and at the same time invade one that hath the Rachites we grant indeed that the extenuation of the first affected parts when the Diseas is of some continuance doth alwaies and necessarily succeed it neither can it afterwards upon the perseverence of the Diseas be removed that it is likewise a principal part of the separable parts of the secondary Essence yea that the extenuation whilst it is making doth immediatly follow the smalness of nourishment of the first affected parts almost no otherwise than the smalness of nourishment immediatly followeth the primary Essence of the Diseas in the said parts but withal we affirm that the extenuation being made which is it self a secondary part of the Diseas wherof we discours doth necessarily presuppose the motion and time of the Diseas and that it cannot be in the first moment of the existence of the Diseas We say moreover that Physitians do not acknowledg any change made in the parts exposed to the sens which doth not yet appear to the sense and by consequence they affirm that extenuation befalleth the first affected parts til it be made obvious to the senses which certainly doth necessarily

suddenly break out and assoon vanish But in this affect the signs do invade by degrees and persevere or else they are dayly more encreased Now the primary Diseases of the Brain are distinguished by their proper Signs And thus much of the Signs which relate to the Animal Actions The Signs which belong to the disproportioned Nourishment of the Parts Of how great moment the Alogotrophy or unequal Nourishment of the Parts is in this affect we have already shewed we shall here therfore prosecute those signs which in some great measure depend upon it and we shall present them as if they were to be beheld at one View First there appeareth the unusual bigness of the Head and the fulness and lively complexion of the Face compared with the other parts of the Body But although this Sign may presuppose some motion of the Diseas before it shine out yet is the Diseas so obscure before the appearance of it that it is accounted in a manner unperceivable Therfore commonly this Sign sheweth it self more or less from the first beginning and continueth till the departure of the affect unless as we have noted before the pining of those parts supervene from some other caus Secondly The Fleshy parts especially those which are full of Muscles beneath the Head which we have listed among the first affected in the progress of the Diseas are dayly more and more worn away made thin and lean This Sign doth not presently shew it self from the begining of the Diseas becaus it pre-requireth some notable motion of the Diseas before it evidently appeareth yet in time it most certainly is exposed to the senses and accompanieth the Diseas to the last step be it either to life or death excellently demonstrating the motion and degree of the Diseas by its encreas Moreover this Sign being conjoyned with the former doth at least constitute a Pathognomonical Sign of the second kind that is such an one as is proper to this Diseas alone and where they are present together they infallibly denote the presence of this Diseas although upon their absence they do not equally signifie the absence of the Diseas Thirdly Certain swellings and knotty excrescences about some of the joynts are observed in this affect these are chiefly conspicuous in the Wrests and somwhat less in the Ankles The like Tumors also are in the tops of the Ribs where they are conjoyned w th grizles in the Breast We have noted abov in our Anatomical Observations that these tumors are not scituated in the Parts but in the very Bones although this consideration doth scarce belong to them as Signs seing that of themselves they are searce conspicuous This Sign doth also suppose some kind of motion of the Diseas neither is it emergent a Principio principiante as the Phylosophers phrase it yet it offers it self as an object to the senses sooner than any considerable extenuation of the parts But where it is present it constitutes a Pathognomical Sign of the Second kind and without dispute witnesseth the Species of the Diseas Fourthly Some Bones wax crooked especially the Bones called the Shank-bone and the Fibula or the small Bone in the Leg then afterwards the greater Shank-bone and the undermost and lesser of the two long Bones of the Elbow but not so much altogether nor so often somtimes also the Thigh-bone and the Shoulder-bone Again there is somtimes observed a certain shortning of the Bones and a defective growth of them in respect of their longitude This by chance was omitted above where we gave the Reason of the Organical faults Yet this affect doth seem to depend upon the same irregular nourishment namely so far forth as the nourishment taken in encrcaseth the Bones according to breadth and thickness more than length From hence it comes to pass that some Children long afflicted with this Diseas become Dwarfs Hither perhaps may be referred that folding in the Wrests the Skin it may be having better nourishment and more growth than the Bones of those parts wherupon it must needs be contracted in the Wrests into a folding or wrinkledness Finally to this place also may belong a certain sticking out of the Bones of the Head especially of the Bone of the forehead forwards For it concerneth the common kind of viciated Figure and the Alogotrophy of the Bones Yet this in the Bone of the Forehead doth evidently seem to depend upon the free nourishment of that Bone in his circumference wherewith it is coupled to the Bones of the fore part of the Head and constitutes that seam called S●tura Coronalis which lieth in the foremost parts therof For herupon it must needs be thrust forwards And indeed in that place it is plentifully nourished without any difficulty becaus this Bone in Children is cartilagineous towards that Seam And this also was pretermitted above where we discoursed of the Organical faultiness becaus we have but lately observed it Fifthly The Teeth come forth both slowly and with trouble they grow loos upon every slight occasion somtimes they wax black and even fall out by pieces In their stead new ones come again though late and with much pain This kind of Sign as also that which we noted in the former Article may be referred to the Synedremontal Signs becaus neither of these is either perpetually present or if it be present it doth not undoubtedly confirm the presence of Diseas Some have imagined that the Bones in this Diseas are transfigurable like wax But we have never seen it neither have we received it from any eye witness who was not of suspected credit Wherfore we reject this Sign as altogether Fabulous Sixthly The Breast in the higher progression of the Diseas becomes narrow on the sides and sticking up foreright so that it may not be unaptly compared to the Keel of a Ship inverted or the the Breast of a Hen or Capon For on each side of the middle it riseth up into a point the sides being as it were pressed down If any demand whether this Sign be solely apropriated and peculiar to this affect We answer That the Breast may be a little encreased in an Atrophy or Phtisick and less than the other parts of the Body and so by consequence it may be narrower but it can scarce so fall out according to the change of the Figure without an Alogotrophy namely that which is proper to this Diseas Wherfore this Sign also when it is present although the invasion of it be tardy must be reputed a Pathognomonical Sign of the second kind becaus when it is present it certainly denoteth the Species of the Diseas though not on the contrary And thus much of the Signs which have reference to the unequal nourishment The Signs which belong to Respiration First The narrowness and sticking up of the Breast already mentioned must be hither referred wherof we then discoursed at large Secondly A swelling of the Abdomen and an extension of the Hypochondriacal parts which hindreth