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A30711 Two treatises the one medical, Of the gout and its nature more narrowly search'd into than hitherto, together with a new way of discharging the same / by Herman Busschof ; the other partly chirurgical, partly medical containing Some observations and practices relating both to some extraordinary cases of women in travel, and to some other uncommon cases of diseases in both sexes by Henry Van Roonhuysen ... ; Englished out of Dutch by a careful hand. Busschof, Hermann. Of the gout.; Busschof, Hermann. Of the gout and its nature more narrowly search'd into than hitherto, together with a new way of discharging the same.; Busschof, Hermann. Gout more narrowly searcht and found out, together with the certain cure thereof.; Busschof, Hermann. Podagra, nader als oyt nagevorst enytgevonden. 1676 (1676) Wing B6257; ESTC R11109 43,328 152

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then think you to be most advisable in this case A. To open as often is done and must be done the skin and to take out the matter of the Schirrus as far as is possible and that done to heal up with my Coridons or Leaf-plaisters the skin as well as you can Q. But then if this should succeed well can you preserve the place thus weakned from a new afflux of humors A. I think I can and that after this manner If the Schirrus were for example upon the knuckle of the fore-finger I would then duly burn the limb under it on the hand and thereby intercept all ill humors and so keep them from flowing to the weak part Q. But what if that should fail you and the Gout surprise the limb with a new afflux of humors A. Then should I resolve to hinder those humors from coagulation and induration by the advantage of our Bruning remedy by which means you may at least take away the disfigurements which these nodes cause in the limbs if you cannot restore the use of the limbs Q. It seems you have some hopes even of the last A. I have because I know that the nodes do lodg not in the very Joynts but about them and being discharged one way or another 't is found that the Joynts are free provided only that the veins and arteries yea the nerves too be not so obstructed by the bigness hardness and diuturnity of this stony tumor that the pervasion of the Blood and Animal spirits cannot by fit means be restored in which case the limb must needs remain stiff CHAP. XVI Whether there be different sorts of the Gout and an Essential difference betwixt them Q. ARE not almost all Physitians of opinion that there are different kinds of the Gout essentially dissering from one another or at least that there is the Cold and the Hot Gout A. They are but they mistake being misled by the external Symptoms For all Gout ariseth from cold dry and malign damps Q. But yet the Gout may be distinguished A. It may in divers respects and principally First in respect of the Limb it seizes on whence are the names of Chiragra Sciatica Podagra c. Secondly in respect of the quantity and quality grossness or subtilty of the Gouty matter more or less malignity whence proceed the denominations of the Running and Fixed Young and Old Adventitious and Hereditary Gout Thirdly in respect of the greater or less afflux of humors Fourthly the Gout is either with nodes or without nodes Fifthly there is a Gout which is seated in or about the Joynts and another though that be rarely perceived which lodges it self in the midst of the limbs And this is to be noted against all those who will not acknowledg such a Gout for any Gout which is a great mistake and no longer tolerable because Experience teacheth us otherwise CHAP. XVII Means useful to prevent the Gout Q. WHat general means do you think to be good to prevent the Gout A. These following First you must beware of windy meat and drink Secondly you must avoid great and violent commotions of the mind especially the passion of anger Thirdly neither must you put your body into too violent motions and exercises nor afflict it with night-wakes Fourthly you must take continual care to keep your body soluble and to prevent costiveness nor to remove the same too suddenly Fifthly 't is beneficial to take a gentle Vomitive after your meal once a week Sixthly as soon as you perceive any signs of a Fever the mother of the Gout then is it proper to take a sudorifick by the advice of some experienced Physitian to open the pores and to promote evaporation Eighthly since that many of the chief Physitians forbid wine to Gouty persons as if it were poison to them though Sennertus is not so peremptory therein but that he allows even to those that actually are in a gouty fit a cup of good and sincere Rhinish wine especially if the Patient cannot forbear it I see no reason in the World why these Patients should be so quite debarr'd this strengthning and cordial liquor wine as in and after the fit especially if it be a good condition'd wine And my opinion is that such a wine is so far from being noxious that it is beneficial to them for many reasons which Van Helmont alledgeth at large in his Book of Fevers whose judgment I cannot but subscribe to in this matter CHAP. XVIII Of the Tooth-ach or the Gout of the Teeth and the Cure thereof Q. IS there also a Gout of the teeth for I have been inform'd by Dr. Wilhelmus de Ryne who lately is arriv'd here that there is publisht a treatise in Europe entituled of the Gout of the Teeth A. Thus is very properly exprest that kind of tooth-ach which hath the same proximate Cause with the Gout and ariseth from cold Damps as the Gout doth which otherwise according to the common opinion is bred from Desluxions Q. But seriously do you think that the Gout and Tooth-ach come from the same Cause A. Ti 's certain to me whatever some may alledg to the contrary that the next cause the part afflected the seat the ways the signes and symptoms are the same in these distempers and do agree together Q. Is then the Cure of the Tooth-ach to be perform'd after the same manner as of the Gout A. By no means the Tooth-ach is to be cured in another place because that the place where the pain hath its seat here is within the mouth and the teeth where you cannot come to burn with our Moxa Q. Would you then have the Temporal Artery open'd with a lancet this seeming to be the way by which the evil damp may be expelled out of the teeth as some hath ventur'd to do to the great ease of the pain A. This means is too dangerous because it is very subject to occasion an Aneurisma and spends too much of the vital spirits Q. What do you say then of scarification in the neck or upon the shoulders or of purging or of blood-letting A. These and the like remedies seldom give ease Q. Would you have then the aching Tooth pulled out A. Not at all that way being a desperate one and not only accompanied with great pain mischief to the poor Patient but also occasioning many evils and even death it self But take me right I pray for I here only speak of that kind of Tooth-ach which is above described not of that which comes from the Rottenness of teeth Q. What then may we follow Spigelius whole manual operation Scultetus mentions in the 18th of his Chirurgical Observations who with his knife heated red-hot did cut off that little branch of the temporal artery which runs through the Ear to the teeth by which means the pain presently vanished and never return'd A. T is true that Scultetus speaks with great commendation of this device calling it a