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B22610 Etmullerus abridg'd: or, A compleat system of the theory and practice of physic. Being a description of all diseases incident to men, women and children. With an account of their causes, symptoms, and most approved methods of cure, physical and chirurgical. To which is prefix'd a short view of the animal and vital functions; and the several vertues and classes of med'cines. Translated from the last edition of the works of Michael Etmullerus, late professor of physic in the University of Leiptsich; Opera omnia: nempe, instutionis medicinæ. Abridgments. Ettmüller, Michael, 1644-1683. 1699 (1699) Wing E3385A 488,676 677

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As for the first A preternatural frequency of the pulse from an internal cause is accounted by Silvius a peculiar and infallible Symptom of a Feaver tho' some malignant Feavers seem to make an exception to the Rule For the most part the pulse is also swifter Now these effects are plainly resolvable into the fermentation of the Blood or the irritation of the Heart and Spirits occasion'd by a foreign ferment As for the second A Chilness shivering and shaking differ only gradually The first is only a light Convulsion of the Skin and contraction of the pores resembling the sense of Cold tho in the mean while the Body feels hot to the External touch If the muscles are likewise affected it creates a shivering and sometimes a stiffness These effects proceed from a prevalent Acid which twitches the membranous parts and corrupts the mass of Blood In the beginning of intermitting or Continual Feavers these Convulsions chiefly affect the internal and noble parts But after the height of Malignant or Favourable Feavers they are seated for the most part in the external Membrans and portend Critical eruptions The third Symptom is the immoderat Heat of the Body I call it only a Symptom for 't is not Essential to a Fever as some would have it For some diseases are attended with a preternatural Heat that are not accompany'd by a Feaver and besides there are some Feavers that are not hot but on the contrary notably Cold. Tho' this advance may sound like a paradox 't is back'd by Hippocrates Avicenna Galen Bartholin and Helmont Nay I my self have met with an instance of an intermitting Feaver that had no hot fits at all which I cur'd after the common evacuations by a mixture of Spirit of Sal-armoniac and Spirit of Scurvy-grass exhibited in the intermitting days and a Powder of Tartar vitriolated or Salt of Wormwood with prepar'd Crabs Eyes taken some hours before the invasion of the Paroxysm To return to the preternatural heat which for the most part attends Feavers 't is sometimes moist when the fibres of the Skin are unbended and the steams of the humours copiously exhal'd Sometimes when these fibres are contracted 't is dry If the Acid Salts are not much exalted 't is meek and tolerable but if these sharper Salts abound in the Blood the heat gives a biting and fiery impression to the external Organs of touching This preternatural Heat springs immediatly from the boyling and struggling of the Salts in the mass of Blood The Occasional Cause is an Acid which sometimes infects chiefly the Spirits and then the heat is remisser than when it principally affects the Blood It destroys the establish'd proportion of the Salts and so gives rise to vicious fermentations To make good this assertion namely that an Acid is the principal author of excessive heat and consequently of Feavers themselves it will not be improper to mention the following Observations 1. All wounds and ulcers are offended by Acids by reason of the Inflammation and heat occasion'd by them And Alcali's perform the cure 2. Pleurisies Quinsies and all inflammations are still attended by acute hot Feavers Now they are the product of Acids and yield only to Alcalin Remedies 3. The same may be said of St. Antony's fire 4. Intermitting Feavers spring from an Acid Crudity prevailing in the stomach and are only cur'd by absorbent Alcali's 5. Catarrhous feavers proceed from the Acid sharpness of the Limpha and are cur'd by Volatil temperat Medicines 6. The Measles and Small-pox are attended with a remarkable heat and Feaver before the eruption Now the prevalency of an Acid in these cases is plainly evinc'd by the corrosion of the Skin suppuration of the Pimples and method of Cure 7. Arthritic pains are oft-times usher'd in by Feaverish Symptoms Now their Cause is an Acid and the cure consists in subduing it 8. The Feavers which follow the stopping of an itch or crusty scab in Children are the natural offspring of the Acids retain'd in the Body by means of that suppression 9. Hectic Feavers always attend purulent internal Ulcers which partake of acidity 10. Children are oft-times seiz'd with Feavers and gripings by virtue of the corrupt Acid of the Milk 11. The high Colour of the Urine in Feavers must needs proceed from a prevalent Acid for Alcali's give a contrary Tincture 12. Immoderat use of Wine produces the same Symptoms as a Feaver by means of its Acid Tartareous parts 13. Hypochondriac persons are obnoxious to Inflammations c. by reason of the prevailing Acidity in the first passages 14. The Heart-burning resembles the Symptoms of a Feaver and is caus'd by a gnawing Acid in the mouth of the stomac 15. That according to Tachenius the hot vegetable Remedies are proper against a predominant Acid and the cold vegetables against an Alcali The plain truth is this All hot vegetables have a fat rosinous Acid which if set at liberty is notably hot but if they be digested with fix'd Salts the fat Acid is retain'd by the fix'd Salt and then they yield a thin meagre Spirit of noted excellency in hot diseases as I have often experienc'd by the simple Spirit of Sal-armoniac 16. That the pain and heat remaining after burning proceeds from the keen Acid particles shot into the part and is remov'd by Alcali's Some derive the excessive heat attending Feavers from the Bile but several medicines near ally'd to the Choler expel the heat and besides its Patrons cannot determin whether it should proceed from its Acid or Alcali since 't is equally intitled to the possession of both The fourth Symptom is the Alteration of Urine When the Chyle or Blood is viciated Nature indeavours to discharge the Heterogeneous particles by this passage which accordingly impart to the Urine a high or flat tincture according to the degree of the peccant Acid which is equally the Cause of this and all other Symptoms attending Feavers The immediat subject of Feavers is the Blood and Spirits The alteration of Pulse and Urine clearly infers that the Blood is affected the Critical Sweats the Jaundice and sometimes the Acid tincture of the Blood ensuing Feavers are plain Demonstrations of the same truth The feaverish tendency of Aches the efficacy of Opium in appeasing febrile commotions and the nature of some malignant Feavers that produce no notable alteration in the Blood and Urine make it to appear that the discomposure of the Spirits is properly call'd a Feaver From whence I infer that Heat or Chilness are not essential to a Feaver and that the Heart or any other solid part are not the immediat subject 'T is true the febrile source may lodge in some corrupt or vitiated part but it only causes a Feaver by disordering the Blood and Spirits This remote Cause of Feavers ought to be heedfully distinguish'd from their Effects of the same Nature namely when in their declination any solid part is seiz'd with a swelling obstruction c. according to the various disposition of
his Left Eye was inflam'd though formerly untouch'd The Third Day the Old Gentleman persisting stiffly in his wonted Course order'd bleeding in the Right Arm again the performance of which made him quite blind in the Right Eye And afterwards to make all Odds even he was bled again in the Left Arm which heighten'd the Inflammation of the Left Eye to the last degree In this extremity he sent for a more skilful Practitioner who only let him blood in the Foot and immediatly the Inflammation began to asswage The cause of such Accidents is very plain For the quantity of the blood not being diminish'd before and a Door being open'd to it in the Arm it will naturally croud upwards where meeting with Obstructions in the Passages it cannot but accumulate and augment the Inflammation A Universal Revulsion in the opposite Region of the Body ought to have Usher'd it in which would have prevented all the Inconveniencies that happen'd So much for the Circular motion of the Blood and the means of preserving or retrieving it The fermentation of the Blood is occasion'd by the Activity of the Acid and Alcali salts which entertain a perpetual Intercourse with the Sulphurous Watry and Earthy Particles The different Proportions establish'd among 'em by the Radical Power of the Seed do vary this motion which is peculiarly Calculated for every individual temperament This Idosin crasy or Seminal property is the Standard and Rule of the Natural fermentation When it swerves from that it is call'd a Cacochymy or Corruption of the Juices which is nothing else but the disproportion and degeneracy of these Saline Particles and the irregular motions that ensue thereupon If the prevalency of an Acid Salt have occasion'd it 't is call'd an Acid depravation of the Juices if an Alcali or Urinous Salt it goes by that Name These are the only possible causes of a Cacechymy If either of these Predominant Salts be lodg'd in a Watry or Serous Humor it gives rise to a Catarrh or serous Corruption If the Humor be Phlegmatic and Viscid 't is call'd Pituitous or Chylous The Melancholly Cacochymy of the Ancients is only a Predominant Acid which must either be Serous or Pituitous according to the humour in which 't is seated The Bilious is a Volatile Oyly Salt degenerated from its Natural Symmetry So all the different kinds may be reduc'd to these two Branches of Acid and Alcali An Acid Depravation of the Juices is occasion'd by the Prevalency or Indisposition of the Acid Salts If they are too plentiful they thicken the blood and retard its Circulation If they are otherwise corrupted as too Rancid Austere or Viciously Salt c. They create several irregular effervescencies in the blood such as we frequently meet with in Scorbutic and Hysteric Constitutions These Corruptions of Acid Salts may be owing to the Cold Air which seems to be impregnated with a hidden Acid Acid Food or Liquors Grief Care Sorrow Neglect of Exercise and such like Errors in the use of the six not Natural things which either augment their quantity or whet and sharpen 'em beyond their Natural State The Vrinous or Alcalin Depravation is occasion'd by the disproportion or corruption of the Volatil Urinous Salts which when mix'd with Sulphur Compose the Bile If they 're too Copious in the Body if too sharp and pointed if too Oyly or Fat or otherwise degenerated from their Seminal Properties they Create Infinite disorders in the mass of blood Their Corruption may be owing to Aromatic Sharp or Penetrating Food immoderate Watchings Exercises Anger and such like Passions which contribute to their unnatural Encrease or Depravation The General Causes of all Cacochymical dispositions may be divided into three Classes First The formal efficient cause of all diseases is the Spirits which are equally the cause of all natural and unnatural motions Secondly The occasional and material cause enclining and disposing the Spirits to perform such perverse Actions which according to Hippocrates is the Disproportion and Intemperat quality of the minute Particles that refuse to Assimilate or Incorporate with the Spirits and so provokes 'em to irregular motions Thirdly The remote and mediat cause is the Errors and Imperfections of Digestion especially of the first perform'd in the Stomac which is the Foundation of all other Digestions and if deficient perverts all the Juices in the Body The method of curing all Cacochymies or which is the same thing all irregular fermentations in the blood is first to retrieve the Natural qualities of the Juices and their minute Particles by Altering Medicines and then to Evacuate the Corrupt Juices to prevent any further Infection The general Alteratives are such as Correct a peccant Acid or Alcali and reduce the Particles to their due Symmetry and Proportion Besides there are some specific Alteratives which are peculiarly Calculated for the respective Circumstances of the Corrupt Acid or Alcali For one Acid may differ vastly from another according to the infinite ways of Corruption 't is liable to and consequently may produce very different if not contrary effects 'T is true we cannot have à-priori any Circumstantiat account of their distinguishing Characters but the effects they produce and the influence of medicines attested by Experience may lead unto know somewhat of their difference and accordingly to distinguish the specifics that we find successful in Vanquishing one sort of Acids or Alcali's but are not capable of gaining the like Victory over others of the same General Class This may be set in a clearer light by the following Example 'T is an unquestionable truth that Pleurisies Stranguries Ulcers in the Kidneys Heart-Burn Loosenesses Gout Gravel c. may all be owing to Vicious Acids The General Alteratives that are oppos'd to Acids are convenient in them all and are fit to usher in the specific Cure which they cannot of themselves Compass For 't is not one and the same sort of Acid that is the Predominant in all these Instances In one 't is an Acid that congeals the blood and occasions Pleuritick Pains in another it is an Acid that sharpens the Urine and Occasions a Strangury Accordingly we find that tho' all fix'd Alcali's are not inconvenient in Pleurisies yet the Powder of Boars Teeth and Pike Teeth are specific Antidots against that particular Acid that then prevails as Crabs Eyes are in a Strangury The like might be said of all the rest This consideration Hippocrates had in his view in his Incomparable Treatise de Veteri Medicina where he passionatly expells the general Elementary Qualities both from the Theory and Practice of Physic and recommends to all Practitioners as in a manner the whole of their business to enquire nicely into the Subdivisions and Specific differences of the General things especially to the difference of tastes whether Bitter Sweet Salt Insipid and a Thousand such marks of distinction which are to direct us in the choice of such Specific Remedies as are peculiarly levell'd against the particular