this case let not bloud at all for sufficient is already euacuated from such a body of it selfe and that not obscurely but apparantly In this foresaid constitution thou maist detract a little bloud if it bee winter in a cold country and the wind standing at North and in this mixture of things thou must marke not onely the multitude of the obseruations but the force of them Because one many times exceedeth all the rest in power and sway and he that can neither by art experience nor sound iudgement define the quantity of euacuation according to the aduise of Hyppocrates let him rather euacuate lesse than more than needeth In this place albeit somewhat hath beene spoken before to the same purpose cap. 9. Fig. 7. It may be profitably demaunded whether being with child be to be accounted among these obseruations heere handled shewe of truth and some probability may be alleaged that when women with childe are grieuously sicke we are not to let them bloud because of the young that is in the wombe This is also defended by Hyppocrates saying Mulier in vtero gestans abortit incisa vena idque magis si faetus auctior fuerit that is A woman with child is deliuered before her time if shee bee let bloud specially if the young be much increased and growen in the wombe But this of Hyppocrates is not alwaies true as neither that which hee setteth downe a little before Mulierem in vtero gerentem acuto morbo corripi Lethale est That is it is deadly for a woman with child to be taken with a sharpe disease For seeing a purgation made of wicked and venemous simples standeth with greater danger of the childe than opening of a veyne and that Hyppocrates graunteth that women with child wexed with a disease caused of corruption of ill humors may bee purged in the moneths betweene the third and the eighth moneth truely with much more safety may we let those bloud being grieued with any sicknes caused of Repletion And if in the middle time of the going with childe the same may bee done Much rather in the beginning when the bloud more aboundeth and the yong needeth lesse nourishment Againe if women being with child nature of her selfe oftentimes attempteth euacuation of that which is supersluous with great profit out of the nose by the hemorroids belly and that sometime the Termes flowe healthfully at times appointed why vpon great necessity may we not imitate nature in our Art Yea many women bring vntimely fruit except about the fourth moneth a veyne be opened the young fruit beeing ouercome with plenitude of the Patient neither onely in fulnes but without the same a veyn is opened in the arme of a woman with child when need constraineth as in a Pluresie or other vehement inflammation It is dangerous in deede to open any of the lower veynes in women with child because the fluxe turned downewarde the termes would flowe and so the fruit in the wombe bee deiected and cast downe A veyne is opened very seldome in the eighth or nine moneth without causing of vntimely birth forasmuch as then a woman of euery light cause receiueth hurt and is deliuered before her time through the weakenes and slipperines of the wombe In this case Cornelius Celsuâ— only considered the greatnes of the disease and ablenes of the strength Olde Phisitions saith hee were of opinion that the first and latter age could not brooke bleeding and that a woman with child cured by Phlebotomy should bring foorth vntimely fruit yet experience prooued afterward that none of these were perpetuall but that better obseruations wer to be considered which the Phisition is to remember For the matter is not great what the age bee or what a woman beareth in hir wombe but what her strength is a fierce childe a strong olde man a lusty sanguine woman with child may safely bleede And thus you see howe a great belly in a woman may be an obseruation concerning the quantity of bloud that must bee withdrawen Another obseruation to finde out the iust quantite is to marke the alteration of colour in the bloud So iudged Hyppocrates in Pleuritide secundo de ratione virtus in acutis Commen 10. where hee counselleth to let bloud if the paine in a Pluresie ascend to the arme or the Paps so long till the bloud came forth in colour more red or more yeallow or for pure and red bloud blacke and blewe which both doo happen For bloud in an inflammation differeth in colour from the naturall bloud as more heated and inflamed If the naturall bloud before in the body were crude and vndigested bloud that which is in the inflamed place is a great deale redder and yeallower if it were before redde through adustion it becommeth now more swart and blacke But if the Patient fâ—iâ—t or faile before the bloud alter in colour stay not then for the muâ—ation or change thereof Finally the plenitude in the body admonisheth vs of the quantity more or lesse and thus we conclude touching the knowledge of the quantity how muoh must 〈◊〉 taken Of the time and seasons of the sickenesse of this yeaâ—e of the daie and houre of the daie when a man is to bleede or not to bleede Chap. 16. ALthough it hath beene declared that we are not to let bloud in a season of the yeare too hot or too colde Yet in this Chapter wee purpose more exactly to discusse what time of the sickenesse and what day the same is to bee done Auicen in quartiâ— primi cap. 20. saith that for preseruation a veyne is most safely opened when the disease is not come or yet present disallowing altogether of this practise in the beginning of sickenesse and his reasons to prooue it are these In the beginning of a sickenesse saith he it attenuateth the humors and causeth them to slow throughout all the bodie mingling the bad Humors with the good bloud These wordes of Auicen are neither true nor agreeable to Hyppocrates Galen Hyppoc 2. Aphoris Aphoris 29. writeth that at the beginning of sickenes If any matter be to be remoued the same ought then to be done accordingly and when the euils are in their state then to giue them rest Galen in the Commen saith that bleeding and purging may be vâ—ed at the beginning but neither of them Morbâ— Consistenti that is in the state of tâ—â— disease whereofin the Aphoris following â—yppocrates rendreth a reason at the first and lasâ— â—aith he tâ—ings are more weake than in the middle estate for then all things are most firme and strong Againe why he should stay for concoction in bleeding I see no reason for as much as bloud of his owne nature is alwaies concocted and a veyne beeing opened it floweth out easily of his owne accorde Againe where Auicen in his reasons saith that by bleeding in the beginning that corrupted bloud is not euacuated that should be which afterward puts still the Patient to more pain so
And further it commeth to passe not onely that the seedie moysture is drawen from the partes of the bodie through carnall copulation but also the vitall spirites passe out of the arteries with the same And therefore it is no â—â—arucile if such as vse lecherie immoderatly become weake both these being taken from the bodie that is to saye the seedie moysture and the vitall spirite VVhereunto may be added the pleasure of Venus which of it selfe is able to vnloose the vitall firâ—itie of the bodie Yea it is knowen that some haue dyed of too much pleasure in the act Marsilius Ficinus in his booke de Sanitate tuenda Cap. 7. confirmeth in these words aâ—l that hath been hitherto said Venus saith he if it do but little exceede the powers naturall of the bodie presently it exhausteth the spirites and specially those that are most subâ—ile Also it enfeebleth the braine weakneth the stomack and hart-strings yea there cannot be a more hurtfull thing to the witt and memorie VVhy did Hippo. iudge Coitum to be like the falling sicknesse but bâ—cause it woundeth the minde which is diuiâ—e and heauenly The immoderate vse of ust is so hurtfull that as Auicen sayeth in his boode de Animalibus If but a little seede issue foorth more than nature can afoorde it offendeth more than if fouâ—tietimes so much bloud had proceedâ—d And therefore not without some good grounde dâ—d the auncient wâ—iters immagine the nine Muses and Minerua her selfe to be vi giâ—s Reâ—d moâ—e hereof in Galen Chap. 86. Artis Medicinae Pauli Aegnieta lib. 1. Chap. 35. In Aetius lib. 3. Chap. 8. The seuenâ—eenth impediment is long continuance of a disease wherewith the strength of the bodie being wearied a long tract of time the same cannot nowe tolleraâ—e bâ—eeding And forasmuch as now the bodie is more than inongh enfeebled brought lowe thorough a long continuing and languishing sicknesse by bleeding wee maye more easily quite extinguish the patient than remedie the disease Galen de Curand ratio per sanguia missio Chap. 20 And Auicen confirme the same giuing aduiâ—e to forbeare opening of a veine in bodies which haue endured long griefes except corruption of bloud moue vnto it In which case sometime bloud may be detracted from persons that haue continued sicke of long time And Fuchsius councelleth saying People in consumption oâ—de folke weomen with chiâ—de yong chiâ—dâ—en are not lightly to bleede The nineteenth impediment is small quantitie of humors being in the bodie for a good consideration is to be had how the humors offend in the bodie in quantitie or in qualitie VVhether there be many or fewe humors in the pacient And therefore sometime vpon this ground wee open a veine in weomen with child if there be abundance of bloud sufficient both for the mother and the infant in the wombe if the bodily strength be firme and that the greatnes of the disease in them so require it But hereof more at large I meane to write in another place And agâ—ine beside the quantitie the diuersitie of nature in humors is also a profitable consideration in this practise For euen according to the varietie of humors the patient is oft either to be let bloud or not letteÌ„ bloud which Galen seemeth to witnesse li. 4. de Sanita tuend saying Some humors come to perfect nutriment before the bloud some are as it were halfe concocted some altogether rawe and vndigested Some are but little different from the forme of bloud some are wholly changed into bloud some verie litle some more some verie much VVhen humors are a verie little as it were from the nature of bloud as not yet turned into the same or when they haue a verie little exceeded further than the nature of bloud wee may confidently open a veine VVhen the same is more than a verie little either the one way or the other on this side or beyond wee are to deale herein more considerately If the humors want much of or exceed much beyond the nature of blond we are altogether to forbeare bleeding The twentieth let after the small quantitie of the other humors may be the quantitie of the bloud which the wise Phisition in this practise will most wisely regard As for example if there be little good bloud in the body and abundance of other humors wee are to make staie from opening a veine If any of the other three humors be but litle in quantitie and the bloud abundant we may boldly let bloud Yea by diligent obseruation the Phlebotomer shall easily perceiue what hurtfull humor may be withdrawen with the bloud and therfore if there be many cholerike humors in the body of man and yet not mixt with the bloud or that there be many flegmatike and rawe humors and but little bloud by no meanes is a veine to be opened This doth Anicen forbid in quarta primi Cap. 20. If the bloud be good and little and that there be in the same bodie many ill humors also bleeding taketh away the good and leaueth the bad behind And a little after he addeth that the Phisition is diligently to beware lest by vnskilful bleeding in these cases hee bring the patient after he hath extracted the bloud the ill humors still remaining to an excessiue heat of cholericke humors or too much cruditie of colde and vndigested humors And although as ye haue heard before Phlebotomy doth equally euacuate all humors Yet because now so little bloud is in the veines whereof a little portion is withdrawen by bleeding it followeth that but a little bloud and lesse than before remaineth now in the veines with the other humors and that there is great plentie of the other humors forasmuch as they come not out so redily when a veine is opened as the bloud doth and therefore by a necessarie consequent bloud being gone which was as it were a bridle to other humors choler must excessiuely boile and flegme become more colde and vndigested VVhereupon also I gather that those haue done ill and verie vnskilfully which haue reproued Auicen of error in this place seeing he is rather verie highly to be commended then vpon euery small and light occasion to be reprehended Finally wee are to forbeare letting of bloud after continuall vomitings hunger great watchings extreme labours and after all such things as immoderately 〈…〉 body drying and dissoluing the 〈…〉 thereof as Rhases noteth lib. 7. 〈…〉 Almonsorem Touching the causes 〈…〉 ring Phlebotomie they may soone be gathered of their contraries by those impediments here specified And in the fifth Chapter before yee haue heard both the direct indirect causes which may moue to let bloud Vnto the which place I referre the studious reader at this time concluding this Chapter with the verses of Schola Salerni wherin are set downe most of the impediments here spoken of Frigida natura frigens regio dolor ingens Balnea post coâ—tum minor aetas atque senilis Morbus prolixus repletio potus
escae Si fragilis vel subtilis sensus stomachi sit fastiditi tibi non sunt Phlebotomandi Complexion cold the countrie so Great griefe bathings and veneric Too yong too old long sicknes to Stomacke sicke and fastiditie Cannot abide Phlebotomy diligen◠〈…〉 ding 〈◊〉 persons as are meâ—te or vnmeete to be â—â—r he loud Chap. 9. IN this Chapter I wil be but briefe because I was prolixe in the other before from whence many things concerning this point may be verie well and with great profit taken Neither determined â— at the first to haue made hereof a distinct Chapter but that in certaine Latine writers I found the like done before whom I thought good to imitate First therefore this practise is best for delicate idle and corpulent persons which vse to feed plentifully on the best nourishing meates without taking any great paine as Auicen witnesseth in prim Secondly for such as haue abundance of bloud which is knowen by many vnfallible signes and specially by thicknesse of vrine For abundance of bloud maketh the vrine thicke as aboundance of yellow choler maketh the same thinne Thirdly for such as abounde with Melancholy hauing in their bodies much naturall Melancoly running with the bloud because bloud is not throughly purified from it in the Liuer And therefore in this case Phlebotomy must go before purging and not contrane as hath beene aforesaide And here is to be noted that Melancolie is two-folde One kinde is naturall another kinde is not naturall Naturall Melancoly is the refuse of bloud And when the same aboundeth it runneth about in the bodie with the bloud and to euacuate it a veine must be opened and so this kinde of Melancolie passeth with the bloud because bloud and the refuse thereof that is naturall Melancolie commeth of one and the selfe same temperate heate And when euacuation is thus done a purgatiue may be vsed But let purgation succeede Phlebotomie after some space namely when the concoction is finished Fourthly bleeding is much profitable to those in whome is to be feared some extraordinarie heat shortly to followe or some extraordinarie boyling either of bloud or of humors or some other perturbation of bodie through too much aboundance of these Such persons as feare or feele any of these things are presently to haue a veine opened VVhere note that this rule yet oft deceiueth diuers practisioners For when their pacients doe feele any heate or calefaction presently they iudge it some ebullition of humors and so let them bloud whereas the same may come through heate and inflammation of yellow choler in which case it is so farre off by bleeding that the heat ebullition should be allayed that they are the rather thereby encreased and stirred vp For bleeding as hath beene tolde you before prouoketh the humors to runne thorow out the whole bodie with the greater violence In such a case therefore opening of a veine should not be vsed except the same heat and ebullition came altogether of aboundance of humors which is knowen through abundance of sweat chiefely that sweat which is in the morning For some do not sweate but when they haue neede of euacuation Fiftly it is to be practised on them also especially whose bodily powers are firme and strong and that are of a sanguine complexion that is hote and moyst and not colde and drye Rhazes lib. 7. ad Almonso Chap. 21. sayeth Corpora quae venas habent amplas conspicuas quaeque hirsuta sunt colore inter rubrum fuscunqne medio adolescentum nimirum iuuenum senum non decrepitorum Phlebotomiae presidia magis tollerare possunt pueris vero infirmis vena secanda non est nisi maxima incumbente necessitate i. Such bodies as haue large and manifest veines that are hairie and of colour betweene red and browne specially of stripplings yong men and olde men not decrepites may most safely awaye with the helpe of bleeding But wee are not to open a veinein children and weake folke except great necessitie so require Sixtly this practise is with great heede to be vsed or rather not at all to be vsed after the paine of the cholicke or rather immoderat perturbation of the bowels either aboue or beneath whether it be Cholica passio or Illiaca For the Humors as ye haue heard in the Chapter before being mooued by bleeding the chollericke humor would flowe vnto the stomacke and inflame the same nor yet after strong vomits For the like euent woulde followe nor after a laske These and such like extremities vehemently heating rhe bodie and greatly dissoluing the same if they should concurâ—e with Phlebotomy they would too much inflame the bodie excessiuely moue the humors and mightily weaken the forces of Nature as appeareth in the Chapter before Fig. 20. Seuenthly weomen with child or hauing their termes are not to be let bloud In weomen with childe this is the reason because naturall heat seruing for digestion woulde thereby be diminished and so nutriment would be with-holden from the child which were verie dangerous if the mother were farre gone with child The fruit in the womb is nourished by the Termes and not hauing whereby to be nourished it must of force in the wombe hauing life and wanting nourishment die for hunger And againe being losened from the naturall staies in the womb it falleth out of the naturall boundes and so causeth aborsion This I say sooner happeneth when the yong frute in the wombe is growen much and the mother farre gone therewith for then it needeth the more nourishment which it can neither finde nor haue the bloud being diminished Fulchsius writeth more hereof 31. Coment lib. 5. Aphoris Hippon But here I am to adde that albeit in auncient time it was accounted perilous to let bloud weomen with childe as appeareth by that which hath beene now said yet out of the Chapter precedent Fig. 19. it partly appeareth that this practise may be done discreetely and safely in weomen with childe if necessitie so vrge chiefely if bloud be abundant in them if the bodie be firme and strong I affirme that they may bleede But because it hath beene reputed dangerous wee must carefully see that we take not from them much bloud To take a little after the fourth or fifth moneth of conception hurteth not Yea experience prooueth that women thereby are made merry and light whereas before they were very melancholly feeling alwaies about them an vnaccustomed heauines yea through a little bleeding they are inabled with the more facility to beare their burden to the due and iust time of their deliuerance Againe some women being with child require twise to bleede that is to say when they are halfe gone and in the beginning of the eighth moneth but hereof take great heede except the woman greatly abound with bloud I haue seene saith Guinterus a woman with child that hath beene let bloud three times in the second the fifth and eighth moneth because shee was very sanguine
thorow fault of the lunges and brest as sometime it doth in whom notwithstanding the vitall force may be sufficiently strong The contraries to these declare firme strength of the vitall vertue These thinges declare the animall po wers to be enfebled tumblings and tossings of the bodie the senses offended watchinges rauings and other principal actions hindered The contraries hereunto shew the contrarie that is firmnes strength of the animal vertue By these functions then you see how it may be coniectured what power in nature is hurt or offended Againe these powers are offended or seem enfebled two waies either because they are outwardly oppressed or because they languish inwardly of themselues in the euacuation it helpeth greatly to know the one from the other for the forces oppressed require large euacuatioÌ„ the other none at al. And the distinction of these is to bee sought out of their euident causes If causes haue gone before which haue already altered or wasted the substance of the forces naturall then wee may iudge them that they are faint and languished If these causes haue not been precedent but that the Patient is only troubled with an vnaccustomed ponderosity then these are but wronged and oppressed The euident and outwarde causes which alter the temperament of the setled vertues are burning Agues which melt the bodily moystures or whatsoeuer els that excessiuely heateth cooleth moysteneth or dryeth the sounde massiue strong and solide parts of the bodie The substance of these parts is wasted by very long sicknes which bringeth the Patient into an Atrophia that is a kind of consumption wherein the body consumeth away with leannesse and is not nourished albeit the sicke continually eate his meate Or into Tabes which is an other kinde of consumption wasting the body by long sickenes and lacke of nourishment consuming and putrifieng the Lites drying away the Patient for want of naturall moysture hauing matter and bloud mixt together The threefold spirit of the flowing humor is altered ether through some distemperature or some poisoned qualitie of the aire which compasseth vs about or through the il quallity of other thinges which violently breake in vppon vs or through some wâ—cked disposition of the bowels or other humours The heate of the aire not onely of that which outwardly compasseth vs about but also that which wee draw into our bodies by breathing inflameth first the lunges then the hart all the spirits so far till often times a feuer is kindled and caused thorow the same Thorow which distemperature of the spirits needs must the strength of the body languish becom enfeebled yea by this excessiue heat of the air the spirits are not only subiect to alteration of temperament but besides they are also thereby greatly wasted diminished Euen so in like maner immoderat cold outwardly the same receiued inwardly into the body by breathing weakneth the spirits inward heat yea soÌ„time altogether put out and extinguish the saá¹e The aire venemous pestilent drawen into the bodie with an infection quite ouerturneth the spirits of life and ofnature wherof â—nsuâ—th grieuous sicknesses to the body no litle decay of bodily strength yea life it selfe is taken away by the so daine disease commonly called the plague Now much more apparantly are the spirites infected with biâ—ings of Scorpions mad dogs and venemous beasts than by the contagion of the Aire Moreouer they are inwarde and hidden causes which doo greatly alter the spirits and whensoeuer any principall part of the bodie is troubled with any distemperature vpon any occasion If the same proceed far it must of necessity goe to the spirites there bred and ingendred And so by offending of them will lessen the strength and vertue of nature Also if any corruption of humor rule in the body the spirits are disperced and offended by the corruption or distemperature of the same humors Therefore when abundance of rawe humors passeth either the whole body or the stomacke and chiefly the mouth of the stomacke the substance both of inward heate and of the spirits waxe cold the Patient languisheth yea sometime hee giueth ouer the Ghost and soundeth Herevppon also when hot choler burneth as it were the inwarde spirits with immoderate heate or nippeth and pricketh the mouth of the stomacke it is the cause of no small euils in the body of man Sometime also it falleth out that some one or other humor in the body is mixed besprinckled or bedewed as it were with some kinde of venemous filth as when the seedy moysture is kept in and putrifieth Or menstruall termes in weomen longer retained than is their due course or when any clodded bloud remaineth behind and is not expelled the vapour of these and such like infecting and decaying the spirits bringeth sometime Sincope sometime suffocation of the wombe sometime the falling sickenes and such other mischiefes which greatly annoy the forces of nature And thus diuersly are the spiriets offended through distemperature Againe the substance of the spirits and naturall forces is diminished sometime euen of it self and as a man may speak voluntarily of his owne accord for the substance being of it selfe thin and wastable and included in an hot thin and open body Therefore of it selfe it dissolueth vaniâ—heth away Sometime the same is decayed by occasion of outwarde and euident causes as are namely these The aire which compasseth vs round hot and dry immoderate euacuations vehement motion affects of the minde paines watchinges great emptines and all vnprofitable excrements which cannot but carry with them from the body as they passe a great quantity or portion of the vitall spirits seeing their substance is spread ouer the whole body and also flowing with other humidities whereby it commeth to passe that whether the belly be very laxitiue by nature or by medecin or that the vrine bee made immoderately as in the infirmity called Diabete or that matter or water go plentifully forth of the brest stomack belâ—y or any great apostumation thereby of necessity the forces of nature must be mightely decayed Much more manifestly must it so fall out when there is any great euacuation of bloud or good humors whether the same pas forth of a wound the nose hemorroids Piles belly or other place In like maner abstinence which taketh away from the body needefull nourishment enfeebleth nature Labor likewise and heat disperseth the substance of the spirits by vapors sweat And therfore they which liue continually in labor about furnaces hot baths because daily some of their substance decayeth doo not commonly so abound with excrements as those that leade a slouthfull delicate and idle life Moreouer they that liue very incontinently haue also for the most part very enfeebled bodies able almost to abideno Phisick by a continuall decay of seedy moystures they haue their spirits mightely consumed wherof look before in the 8. cap. Fig. 17. Great ach paine worketh the same effect more than
pursines or stoppings of the lungs caused of much hot bloud in griefs of the Splene side Vide librum Anatomiae viuorum Galeno adscriptum Cap. 28. Rhazen Auicen Item there are two veines vnder the arme-holes which are opened in streitnes of the brest paine of the midrife the lungs in difficultie of breathing called Asthma Item there are two veines aboue the elbowes which are opened in all diseases of the brest swimming of the head spalme the falling sicknes Item there is a veine called Vena purpureâ— or the purple veine lying in the right arm next Hepatica or Basilica toward the hand which is opened against diseases of the spirituall members and of the bowels Item there is a veine called Illiaca next vnto the purple veine which being wel takeÌ„ is good to heale paines of all the inward members Item there is a veine called vena pulsatilis or the beating veine which is opened in treÌ„blings of the heart sowning Cordiaca passio Item there are two veines in the thombes which are opened in diseases of the head bleared eyes in most feuers Item there is a veine between the forefingar and the thombe which is opened in stopping of the head to purge superfluitie ofcholer also in agewes diseases of the eyes Item there is a veine between the ringfingar the little fingar which is opened in diseases of the head lungs splene Item there is in th right hand betweene the little fingar the next adioyning a veine caled Saluatella whereof before Item Saluatella in the left hand looke also before Item there is a v eine in the right side opened in Lienteria Dysenteria dropsies other infirmities of cold matter Item there is a veine in the left side which is opened in apostumations excoriâ—tions of the bladder paines of the loynes swellings stoppings of the splene Item there is a veine in the belly which is opened in diseases of the raines and to purge out the Melancoly bloud Item there are 4 veines about the place called Pecten i. the place where the haire groweth about the priuie members on either sides which may bee opened in superfluous issues of the Hemorroids to asswage paine and diseases in the bladder secret places to stop bleeding at the nose and other members to heale Lyenteria Stranguria Item there is a veine ouer the fore-skin of the yard which is opened against the dropsie and all diseases of the same member Item there is a veine vnderneath the saide fore-skin which is opened for the crampe spalme collick swelling of the coddes strangurie Dissuria the stone in the raines bladder Item there are two veines in the thighes which are opened in diseases of the raines and bladder Item there are two veines in the legges which are opened in dropsies paines apostumation of the bladder raines and priuie parts in the gowt swelling of the knees Item in the feete there are three vaines Ischiatica Saphena Vena poplitis the veine of the hamme behind the knee These we open to reuoke bloud downward as in prouoking of menstruous Termes But among all these the veine in the ankle is most conuenient as Auicen saith For vena poplitis being more nigh vnto the wombe it draweth bloud better froÌ„ thence than either Saphena or Ischiatica When the plenitude in the bodie is not great it is better to detract the same from the right lower veines of the hammes the ankle Vena poplitis opened prouoketh Termes so doth it fluxe of Hemorroids for the force of the bloud tending downwardes as it were openeth the womb prouoketh consequently both Termes Hemorroids If there be any inflamation in or about the bely at the biginning thereof draw the matter vpward and that directly For from aboue as from the head the fluxe proceedeth Neither in this case are we to feare in weomen stopping of Termes by opening a veine in the arme if presently therewithall we open a direct veine in the hamme or ankle which is the waye to turne them aside as we hane said alreadie But if first you should opeÌ„ a veine below the force of the inflammation would therhy be incresed Affects in any part vnder the raines are most speedily cured by opening the greater veines of the hamme the same are cured slowly and with lesse speede by opening Saphena in the ankle The raines are in the middle betweene the vpper parts the lower Yet I prescribe appoint not the position so much by order of the member as by the original productioÌ„ of the veines passing into that part And therfore inflamations in the right muskles of that part called AbdemeÌ„ aboue the nauile i. in the outward vpward part of the bely or panch are reuoked by opening a veine below and inflamations beneath the raines in the gut Colon are pulled back by opening the inner vaine of the arme as before Saphena is opened to withdrawe bloud from the raines matrix womb stones yard froÌ„ all meÌ„bers placed below Saphena Ischiatica are braunches of one veine as Galen saith 6. Aphoris Saphena on the inner side of the legge is opened in stopping of termes griefe of the matrix raines hippes and priuie members of men or of women Ischiatica corrruptly called Sciatica beginneth aboue at the huckle bone or haunch called Ischias This veine may be called the outward Saphena descending from thence on the outside of the legges It draweth froÌ„ the raines lower members that are outwardly placed is opened in paines of the huckle bone caled Sciatica in griefes of the bladder bowels gout of the hands feete paines of the ioynts palseyes in the disease called Vaux .i. when a crooked veine swelleth with Melancoly blod in the temples bellie or legges in leprosie IteÌ„ there are two outward veines in the ankles which are opened in stopping of Termes sicknesses of the Splene paines in the backe strangurie and stone Item there are two veines vnder the little toa which are opened to purge superfluities of the matrix in scrophules on the face and legges Item there are two veines adioyning to the litle toe which being opened cure apoplexies yellow Iaundies and choler palsies and diseases of the raines Item there are two veines in the lesâ—er ioynt of the little toe which are opened in olde coughes pustles Opthalmia Item there are two veines in the middle toe which are opened inscrophuls diseases of the face spots rednes pimples watrie eies canker knots stopping of the Termes Item there is a veine on the left ioynt in the great toe which is opened in Opthalmia spots of the face legges â—â—ch euil vlcers supersluitres of the matrix Finally I conclude with Venatalii the ankle veine called also Saphena that of the lower veines it is of great profit and to be opened in paines stoppings swelling of the matrix or yard is opened the foote being put in a vessel
outmost parts of the body more mightily than if to the affects wee onely vsed either scarification or only leches Boxings without scarification which are called easie cuppings do not apparantly withdrawe bloud but only the spirites yet it doth pull backe vnto it humors and forcible fluxes and applyed to the contrarie part it stayeth effusion of bloud in any place wheresoeuer chiefely when infirmitie of strength will not permit revulsion by opening of a veine Moreouer it stayeth fluxes of the wombe or of humors and applyed to the member where the fluxe of humors is it turneth the same anothet way Also it prouoketh outwardly that fluxe of humors which lyeth deep in the bodie therfore it serueth as a remedie in astonishmentes palsies in veterat paines it wasteth winde spirites included in any member and therefore quickly stayeth tremblings or pantings of the heart or else-where within the bodie the hicket colick paines of the raines And this present kind of remedie is without daunger neither hurting the bodie nor weakening the strength That easie light boxings are best for revulsion as to pull back Termes appeareth by Hippo. 5. Aphoris Aphoris 50. Simulieri menstrua sistere volueris Cucurbitulam quam maximam sub mammis defige If thou wouldst stay Termes in a woman apply a good great cupping glasse neare or aboue her pappes And Galen 5. lib. Ther. Metho with easie boxing applyed Hypocondiis i. the sides short ribbs aboue the nauill where the Liuer lyeth on the right side and the Splene on the left affirmeth bleeding at the nose to be stayed being applyed on the Liuer or right Hypocondrion if the fluxe come foorth of the right nosthrill and on the left Hypocondrion and on the Splene if from the left and vpon them both if it proceed from both the nosthri's Againe gentle cupping is vsed in such persons as are alreadie euacuated in stuffed bodies wee vse them not nor in inflamed members nor in the beginning of other affectes but where as nothing else hath beene before or where the bodie hath beene alreadie euacuated In this case of revulsion by cupping without scarification as in fluxe of Termes as ye heard out of Hippo and in fluxe of bloud from the nose as ye heard out of Galen be verie circumspect to apply the cupping glasses on the member set ouer against the place from wheÌ„ce wee purpose to pul-backe according to rectitude of position that the place cupped may haue agreement with the place from whence wee purpose to reuoke Otherwise wee doe no good as we shewed before speaking of revulsion in bleeding Chap. 6. Againe gentle cupping is vsed without scarification when wee will drawe humors from deepe and inward partes of the bodie to the outward members Therefore Galen 13. Method Medend saith that it is caeteris attractiuis fortius stronger than any other attractiues thus in harde apostumations it draweth the matter outward yea and by it hard apostumations may be remoued if generall euacuation haue gone before according as the fulnesse in the patient requireth Againe it is vsed without scarification when we stay any member or bring a member to his proper place Thus when the bowels fal down we applie Ventosas aboue the bellie to reteine them or bring them back Also it is vsed without scarification to dissolue windines as in the collick so a cer em fat woman troubled with the collick tooke two narrow mouthed pots did put them magret brasen vessel she did put the vessel of brasse to the fire afterward applyed the two hot pots to her bellie first couering the same with alynnen cloth so shee was healed Item it is vsed without scarification to mittigate paines that in all apostumations and colliks generally whether the same be cauâ—ed of cholenke matter stegme or windines Galen lib. 13. Metho Medond Cap. aâ—firmeth 〈◊〉 it wasteth wind so careth the cause iâ— it come thereof or it mittigateth the pâ—ine aâ—beit it doe not perfectly cure it of what matter so euer it come VVith scarifying it is vsed in inflamed members stuffed or vexed with paine in the disease called Scirrhus which is a haâ—dâ—â—â—s growing in the fleâ—h within the skinne called commonly kirnels in fluxes that are stayed in a certaine place Also when the parts are filled with sharp matter or outwardly infected with venome or when we will draw the matter from one member to another Also it is vsed with scarification in sharpe diseases when the strength is weake and nature not able to tollerate bleeding And thus you haue heard in what cases boxing is vsed without scarifying with scarifying which is a worthie and profitable obseruation The difference betweene Ventosas Phlebotomy is that Phlebotomy euacuateth the grosse bloud and the other subtile and thinne bloud Againe Ventosas are called attraction per vacuum and differeth froÌ„ attractions made by medicine or not made per vacuum Attractiue medicines which do purge attract euacuat some certeine determined humor Phlebotomy all the humors indifferently and Ventosas or attraction per vacuum that humor that is most subtile and thinne among them all in that part The difference betweene the attraction made by Ventosas and that made by leaches is this that the leaches drawe humors from the profound and deepe places and Ventosas but from the superficiall partes Item fat persons are not to vse cupping for it is with them as with water pypes in the ground which being filled and stopped with earth or other matter stay the water course that it cannot run so the veynes in the body are like those water pipes and are sometime so filled with fleshy fat that the bloud cannot haue his course thorow them and therefore the veynes in fat folke beeing either so strict or so stopped the Ventosas cannot withdrawe from them but with great violence and if they attract any thing it is the most subtile bloud the grosse bloud cannot passe thorow the stopped places Concerning the time they are not to bee vsed at the new of the moone because then the humors are quiet and so hardly drawen nor in the last quarter for this season being cold the humors are not easily attracted but in the middle season when the humors are flowing and are not too colde and vse them in the third houre of the day for then by reason of heate the poores are opened and the bloud beeing then easily mooueable is with the more facility attracted to the members and from the members After bathings we are not to vse them for there were to bee feared too great a fluxe of bloud yet if we can perceiue the bloud to bee too grosse wee may to subtiliate the same vse bathing before in such a case as was saide in the rules of Phlebotomy That these pointes thus generally spoken of me hitherto may in particulâ—r with more profit yet now be set downe wee will before we conclude proceede therein a â—itle further to the