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A43860 The eight sections of Hippocrates Aphorismes review'd and rendred into English, according to the translation of Anutius Foesius ; digested into an exact and methodical form and divided into several convenient distinctions, and every distinction into several chapters, wherein every aphorisme is reduced to its proper subject, whereby the reader may find out any desired aphorisme without the tedious revolution of the whole work ; wherein also many aphorismes are significantly interpreted which were neglected in the former translation.; Aphorisms. English Hippocrates.; Foës, Anuce, 1528-1595. 1665 (1665) Wing H2072; ESTC R21546 51,326 176

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or levity of the bowels it is a good signe Sect. 6. Aph. 15. A voluntary vomiting happening to him which hath had a long flux doth take away the flux CHAP. XLII Of the Iliack Passion Sect. 3. Aph. 22. MAny Aestival Diseases happen in the Autumn and Quartan and Erratick Feavers Diseases of the Spleen Dropsies Consumptions dropping of the Urine Lienteries Dysenteries pains of the Hips Squinances frequent Asthmaes Iliack passions the Falling Evil Madnesse and Melancholly Diseases Sect. 6. Aph. 44. If the Iliack passion succeed a Strangury the Sick dyes within seven dayes unlesse plenty of urine be voided and a feaver succeed Sect. 6. Aph. 10. Vomiting Hicket a Convulsion or Dotage occasioned by the Disease of the thin bowel called Ileum is bad CHAP. XLIII Of the pain of the Belly Sect. 4. Aph. 11. VVHen the Bowels are wrung or wrested pains are felt about the navil and grief of the loins is present if the distemper be cured neither by a purging Medicine nor any other means it is confirmed into a dry dropsie Sect. 4. Aph. 65. A vehement heat about the belly and a gnawing of the mouth of the Stomach is a bad signe in Feavers Sect. 6. Aph. 5. We must observe and learn whether the pains of the breast sides and of other places are much different or not Sect. 6. Aph. 7. Pains which are caused about the belly if they are high and sublime are more light and easie but if they are not sublime they are more vehement Sect. 6. Aph. 40. A succeeding Feaver dissolves such pains which arise about the Diaphragme without an inflamation Sect. 7. Aph. 22. Suppuration or impostumation is caused by a continual grief of those parts which appertain to the belly A coldness or chilness of the extreme parts caused by a vehement grief of the parts which belong to the belly is bad Sect. 7. Aph. 29. He that pisseth blood and stuffe like curdled milk and hath the Strangury if the grief extend it self to the Rorinaeum lower belly and parts about the privities hath a defection in those parts which appertain to the bladder CHAP. XLIV Of Tenesmus or often desire to go to stoole Sect. 7. Aph. 27. IF a Tenosmus or an often and vain desire of going to stool without voiding any thing happen unto women with Child it will cause abortion or miscarriage CHAP. XLV Of the affect of the Fundament and Hamorrhoides Sect. 3. Aph. 30. THey which are beyond their youth frequent Asthmaes plurisies inflamations of the lungs lethargies phrensies burning and continual feavers Diarrhaeaes cholers excoriations of the bowels lienteries and profusion of blood by the veins in the fundament called the Haemorrhoides Sect. 4. Aph. 25. Evacuations of blood upward be the blood of what condition soever is bad but if black blood be cast down beneath it is good Sect. 6. Aph. 11. The Haemorrhoides or a flux of blood by the mouth of the veins in the fundament whereby nature doth usually ease it self are convenient and beneficial in melancholly affects and Diseases of the Reins Sect. 6. Aph. 12. In the cure of the Haemorrhoides or continual flux of blood by the veins in the Fundament unlesse one vein be preserved and kept there is danger that a dropsie or consumption may succeed Sect. 6. Aph. 21. If the veins do swell with melancholly blood or if the Haemorrhoidical veins flow and empty the body of blood madnesse is thereby dissolved CHAP. XLVI Of the affects of the Reins Sect. 3. Aph. 3. DIseases accompaning old age are difficulty of breathing Catarrhes causing coughs stranguries difficulty of pissing pains of the joynts and the reins c. Sect. 4. Aph. 75. An exulceration of the reins or bladder is signified by blood or suppurated matter sent forth with the Urine Sect. 4. Aph. 76. Small peices of flesh or something like hairs carried out with the Urine are sent from the reins Sect. 4. Aph. 78. Blood issuing forth freely with the Urine doth signifie the rupture of a vein in the reins Sect. 5. Aph. 58. A Strangury succeeds an inflamation of the streight intestine an inflamation of the wombe and a suppuration of the reins Sect. 6. Aph. 6. The vices of the reins and bladder in old men are hardly cured Sect. 6. Aph. 11. The Hemorrhoides or blood sent forth by the veins in the fundament is beneficial in melancholy affects and Diseases of the reins Sect. 7. Aph. 34. Bubbles standing on the top of the Urine do signifie a Disease of the reins and the length thereof Sect. 7. Aph. 35. When the upper part or superficies of the Urine is fat and greasie thick and gathered together then is signified a Disease of the reins and that a sharp one too Sect. 7. Aph. 36. But when the aforesaid signes do happen in those whose reins are Diseased and pains are felt about the Muscles of the back bone if they are carried to the external parts expect that the abscess will be external but if they tend more to the inward parts it is to be feared that the abscess will be inward CHAP. XLVII Of the Affects of the Privities Sect. 3. Aph. 21. IN the Summer time some of these Diseases and continual and burning feavers very many tertians and quartans vomitings fluxes of the belly sore eyes pains of the ears exulcerations of the mouth corruptions of the privities and small pustles caused by cholerick Sweats Sect. 4. Aph. 42. A small Ulcer growing in the Yard if there happen a suppuration and break a solution succeeds Sect. 5. Aph. 22. Heat causing suppuration doth not exhibit unto us the certainest signes of security in every ulcer it softens the skin extenuates it takes away pain aswage rigors convulsions and cramps dissolves heavinesse of the head is very much available for broken bones and for such especially which are bare of flesh and for those cheifly who have ulcers in their head for such also who are stupified with cold or are ulcerated for creeping and eating sores in the fundament yard wombe and bladder to all these things heat is acceptable and doth cause a crisis but cold is an enemy and destructive Sect. 5. Aph. 62. Women which have cold and condens'd wombes do not conceive nor they whose wombes are overmolst for in such the seed is extinguished neither such who have extraordinary dry wombes and very hot for in those the seed is corrupted for want of nutriment But such who have naturally a moderate temperature between those two extremes do prove fruitful Sect. 5. Aph. 63. There is the same reason also in men for either by reason of the rarity of the body the spirit is diffused abroad so that it cannot send forth the seed or by reason of its constipation or thickness the humour cannot be sent forth or by reason of its coldness the seed is not heated so that it may be gathered to its proper place or the same may happen by heat Sect. 6. Aph. 19. If a bone a grissel a
of the wombe be hard and solid it must of necessity be close shut Sect. 5. Aph. 55. If women with chiid fall into a feaver and are emaciated or made lean without some manisest cause they have difficult and dangerous travail or else are in danger of abortion Sect. 5. Aph. 58. A Strangury succeeds an inflamation of the streight intestine of the wombe or suppurated reins but the Hicket an inflamation of the liver Sect. 5. Aph. 62. They which have cold and thick wombes or else if their matrix be overmoist do not conceive for the genitive matter is extinguished in them neither they which have over dry and hot wombes because the seed is corrupted for want of nutriment But they are most fruitful which are of a middle and moderate constitution and temperature CHAP. LI. Of the Menstruum or Womens Purgations Sect. 5. Aph. 32. VOmiting of blood is stayed by the breaking forth of the monthly purgations in women Sect. 5. Aph. 33. An Haemorrhagia or bleeding at the nose is beneficial to women in the deficiency of their monthly courses Sect. 5. Aph. 36. Ill coloured purgations of women and not proceeding alwayes at their appointed seasons signifie a necessity of purging Sect. 5. Aph. 39. It is an absolute sign of the deficiency or failing of her monthly purgations if a woman who neither is with child nor never brought forth child hath milk in her breasts Sect. 5. Aph. 50. If you would stop the menstruous flux in women you must apply great Cupping-glasses to their breasts Sect. 5. Aph. 56. A Convulsion happening to women in the time of her menstruous purgations is naught Sect. 5. Aph. 57. Both the overflowing of the monthly Terms and the suppression thereof do cause Diseases Sect. 5. Aph. 60. If a Woman with child have her courses it is impossible that her child should be healthful Sect. 5. Aph. 60. If a woman have not her monthly purgations and neither horror nor feaver succeed but a nausea or abhorring of meat happeneth unto her believe her to have conceived with Child Sect. 6. Aph. 29. A woman is not troubled with the gout until her monthly purgations have left her CHAP. LII Of Conception Sect. 5. Aph. 41. IF you would know whether a woman have conceived with child or not give her water and hony mingled together when she goeth to sleep and if she have wringings and gripings of the belly she hath conceived otherwise she hath not Sect. 5. Aph. 42. If a woman be with child with a male she is better coloured than if she were with child with a female Sect. 5. Aph. 43. An Erisipilas in the wombe of a pregnant woman is mortal Sect. 5. Aph. 46. They which do not conceive by reason of a preternatural grosseness have the Orifice of their wombe pressed by the Kell neither will they be pregnant or conceive until they are extenuated or grown thinner Sect. 5. Aph. 59. If a woman do not conceive and you desire to know whether she be fruitful or wil conceive apply suffumigations to her beneath she being very well wrapt close with Clothes and if the sent or smell be perceived to passe to her nostrils and mouth you may conclude her not to be unfruitful of her self Sect. 5. Aph. 61. See this Aphorisme the last but one in the sore-going Chapter of Womens monthly purgations CHAP. LIII Of Abortion or Miscarriage Sect. 5. Aph. 30. BReathing of a vein doth cause Abortion but more especially if the birth be somewhat big Sect. 5. Aph. 37. If the breasts of a pregnant woman grow thin and slender on a suddain there is danger of abortion Sect. 5. Aph. 38. If either of the breasts of a pregnant woman with child with Twins grow thin and slender she miscarries with one of her burthens if her right breast grow thin she aborts a male if the left a female child Sect. 5. Aph. 44. Women which are made lean by some preternatural cause do abort until they grow more full bodied Sect. 5. Aph. 45. They which abort the second or third month without some especial occasion have the vessels of their wombe filled with filthy matter so that by reason of that burthen they do break and cannot contain the issue Sect. 5. Aph. 55. If pregnant women fall into a feaver and are very much wasted without some sensible cause either have difficult and dangerous labour or else fall into a hazard of abortion Sect. 7. Aph. 7. A Tenasmus or a frequent and vain desire of going to stool without any performance coming upon a pregnant women doth make her abort CHAP. LIII Of the Issue and the Birth Sect. 5. Aph. 35. SNeezing happening to one troubled with the suffocation of the Matrix or else to one in hard travail is commodious Sect. 5. Aph. 48. Male Children are born in the right and females in the left side of the wombe Sect. 5. Aph. 52. Store of milk flowing forth of the breasts of a woman with child signifies a weak child but solid and firm breasts argue a stronger and more healthful child Sect. 5. Aph. 53. When the child is like to dye in the wombe the breasts of the mother grow slender but if they become hard she will have grief either in her breasts her hips in her eyes or knees and she will not corrupt her issue Sect. 5. Aph. 55. Feavers and extreme wastings happening to women with child argue either a difficult and dangerous travail to them or a hazard of abortion Sect. 5. Aph. 6. It is impossible that that child should be healthful which is bread by one who hath her monthly courses in the time of her Child-bearing CHAP. LIV. Of the affects of the Joints Sect. 2. Aph. 46. WHen two pains are felt at one and the same time in different places of the body the one doth very much obscure the other Sect. 1. Aph. 16. Great droughts cause consumptions sore eyes pains of the joynts difficulty of Urine and excoriations of the bowels Sect. 3. Aph. 20. In the spring season madness melancholly the falling evil fluxes of blood squinances rheums hoarseness coughs leprosies tetters dry itches ulcerous pimples small swellings and pains of the joynts do afflict mens bodies Sect. 3. Aph. 31. Difficulty of breathing catarrhes stranguries difficulty of making water pains of the joynts and reins vertigoes and apoplexies are incident to old men Sect. 4. Aph. 20. Extreme gripings and twistings of the bowels heaviness of the knees and a pain of the loins without a feaver tell us that purging downward is necessary Sect. 4. Aph. 31. When a sense of wearyishness occasioned by Feavers is present then tumours do arise about the joynts but especially about the mandibles Sect. 4. Aph. 32. But if any part be full of pain after the recovering from a Disease the abscesses are made to that part Sect. 4. Aph. 44. Small tumours and pains of the joynts do appear to such who have had long feavers Sect. 4. Aph. 45. They who have
nerve or any small particle of the jaw bone or the foreskin of the yard be divided or cut a sunder it is neither nourished neither doth it grow together again CHAP. XLVIII Of the affects of the Bladder Sect. 3. Aph. 5. IF the season of the year be cold with North-winds it causeth coughs exasperates the jawes hardeneth the belly suppresseth urine causeth horrors and pains of the sides and breast when it so prevaileth such accidents are to beexpected in Diseases Sect. 3. Aph. 16. Great Droughts cause consumptions sore eyes pains of the joynts and stranguries with Diseases of the bowels Sect. 3. Aph. 22. In the Autumn many Summer Diseases do happen and quartan and erratick feavers Diseases of the spleen dropsies consumptions the strangury lienteries and dyfenteries Sect. 3. Aph. 31. These Diseases are contingent to old men Asthmaes catarrhes the strangury stopping of urine and pains of the joynts and reins Sect. 4. Aph. 69. Urines in Feavers if they change from thick and such as have curdled stuffe in them and few too many and thin do ease the patient especially if such are made wherein there appears a sediment at the beginning or not long after Sect. 4. Aph. 70. Troublesome Urines like those of kine in Feavers argue either the head-ache to be present or to ensue Sect. 4. Aph. 71. When a Crisis doth happen the seventh day the urine hath a red cloud the fourth day and other things answerable thereunto Sect. 4. Aph. 74. When an abscess is expected to the joynts plenty of urine thick and white frees from the abscess c. Sect. 5. Aph. 72. Cleer and white urines are all bad but that appears chiefly in Phrenetick persons Sect. 4. Aph. 73. See this Aphorism in the Chapter of the affects of the Hypocondries Sect. 4. Aph. 75. If blood or corrupt matter be sent forth with the urine an exulceration of the reins is thereby signified Sect. 4. Aph. 76. When small peices of flesh or things like hairs are carried forth with the urine they are brought from the reins Sect. 4. Aph. 77. When things like bran are voided with the urine the bladder hath a scab Sect. 4. Aph. 79. Blood issuing forth wilfully with the urine shews a vein to be broke in the bladder Sect. 4. Aph. 79. Sandy sediments seething in the urine argues the stone in the bladder Sect. 4. Aph. 80. He that pisseth blood and matter like curdled milk with his urine and if he hath a strangury and the pain fall to the Perinaeum and the lower belly hath a Disease in those parts which belong to the bladder Sect. 4. Aph. 81. He that pisseth blood and corrupt matter and small scales with an ill odor in the urine hath an ulcer in the bladder Sect. 4. Aph. 82. If a tumour grow in the conduit of the urine if that suppurate and break a solution happens Sect. 4. Aph. 83. Very much urine made in the night argues but few excrements by stool Sects 5. Aph. 22. See this Aphorism in the Chapter of the affects of the Privities Sect. 5. Aph. 58. The strangury succeeds the inflamation of the the streight intestine and the wombe and suppurated reins but the Hicket the inflamation of the liver Sect. 6. Aph. 6. The affects of the reins and the bladder are not easily cured in old men Sect. 6. Aph. 18. If the bladder brain midriffe or any thin bowel stomach or liver be cut into or divided it is deadly Sect. 6. Aph. 44. The Iliack passion succeeding a Strangury kils within seven dayes unlesse plenty of urine be made with a succeeding Feaver Sect. 7. Aph. 32. Urines with bilious sediments but thin at the top do signifie an acute Disease Sect. 7. Aph. 34. Urines with bubbles at the top argue a Disease of the reins and a long one too Sect. 7. Aph. 35. But when a fatnesse is gathered together upon the top of the urine it signifies an acute Disease of the reins Sect. 7. Aph. 39. This Aphorism is the same with Sect. 4. Aph. 18. in this Chapter Sect. 7. Aph. 48. Drinking of wine and breathing a vein doth take away the strangury or difficulty of making water but the inward veins must be opened CHAP. XLIX Of the Testicles Sect. 8. Aph. 11. IF the right Testicle be cold and convulsive it is mortal CHAP. L. Of the affects of the Wombe Sect. 3. Aph. 12. IF the wind be Southward in the winter and the season very wet and the spring extraordinary dry with North winds women with Child which expect to be delivered in the spring do abort upon any occasion and they which are delivered produce but weak and sickly Infants so that either they dye presently or if they live are small and sickly c. Sect. 3. Aph. 14. A dry and cold Autumn with North winds is commodious for those who are of a moist constitution and for women c. Sect. 3. Aph. 28. The Diseases of Children are usually dissolved by their Crisis some within forty dayes some within seven months and others within seven years or about the time of fourteen years But those Diseases which continue to children and do not leave them at the age of fourteen to Males and to Females all the time of the eruption of their monthly purgations usually are of a long continuance Sect. 4. Aph. 1. Women with Child may be purged if the humour incline of it self to evacuation in the fourth month unto the seventh but in these less But when the issue is newly conceived or very big we must be very wary and circumspect Sect. 5. Aph. 28. Suffumigations of sweet Odors doth bring down the courses in women and were also profitable for other things if they did not cause a heavinesse in the head Sect. 5. Aph. 30. Phlebotomy or opening a vein doth cause women with Child to abort and then most certainly if the issue be very big Sect. 5. Aph. 31. If a woman with Child be taken with an acute Disease it is mortal Sect. 5. Aph. 34. A Diarrhaea or flux of the belly doth endanger abortion to great bellied women Sect. 5. Aph. 45. If women of a rare texture or thin habit of body do miscarry or abort in the second or third moneth without a manifest occasion the vessels of the wombe called by the Greeks 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 are full of corrupt matter so that by reason of their fulnesse and burthen they cannot sustain the Infant but are burst in sunder Sect. 5. Aph. 47. If the wombe be suppurated in that part which extends it self to and resteth upon the hip-bone the cure must be wrought by Linements dipped in convenient Medicines Sect. 5. Aph. 49. Medicines causing sneezing do expel the after-birth but after the taking of them the Nostrils and the mouth of the Patient must be close stopped Sect. 5. Aph. 51. When women have conceived and are with Child the Orifice of their wombe is contracted and shut close Sect. 5. Aph. 54. If the Orifice
moistnesse of the Belly Eyes and Ears redness of the Eyes and difficulty of hearing We should here set down such Aphorismes which touch the Diseases of Women but we shall refer the Reader to the Chapter which speaks of the affects of the Wombe hereafter CHAP. VI. Of the Diseases of the times of the year Sect. 3. Aph. 1. THe changes of the seasons of the years breed Diseases chiefly And in them there are great mutations of heat and cold and other things are contingent according to their alteration and change Sect. 3. Aph. 4. Throughout the seasons of the year when in the same day there is sometimes heat sometimes cold we must expect Autumnal Diseases Sect. 3. Aph. 8. When the air is in a good order and setled and the seasons are well constituted such Diseases are caused which easily come to their state and are easily dissolved But in a bad constitution of the air and seasons such Diseases which hardly come to their state and are not easily dissolved Sect. 3. Aph. 19. Diseases of all kinds do afflict mans body at any time of the year but some special Diseases are both caused and expressed at particular times and seasons of the year CHAP. VII Of Diseases happening in the Spring Sect. 3. Aph. 9. IN the Autumn most acute and deadly Diseases do arise but the Spring season is most wholesome and lesse destructive Sect. 3. Aph. 18. Children and boyes live best and are most healthfull in the Spring and the first part of Summer but in the Summer until the Autumn Old men and in the remainder of the Autumn and Winter such as be of a middle age Sect. 3. Aph. 30. In the Spring season madnesse melancholly the falling evil fluxes of blood squinancies rhumes hoarseness coughs leprosies dry Itches the Disease called Elephantiasis many ulcerated pustles small swellings and pains about the joynts do appear CHAP. VIII Of the Diseases happening in the Summer Sect. 3. Aph. 6. IF the Summer season be constituted as the Spring was then we must expect Feavers accompanied with much Sweats Sect. 3. Aph. 13. But if the Summer be extraordinary dry and the North winds blow cold and if the Autumn be extreme wet with South winds expect that about the winter men should complain of Head-aches coughs hoarseness heaviness of the head occasioned by Rhumes and some of Consumptions Sect. 3. Aph. 21. Some vernall Diseases may appear in the Summer and Quotidian Feavers burning Feavers and very many Tertian and Quartans Vomitings Diarrhaeaes Sore Eyes Pains of the Ears exulcerations of the mouth putrid ulcers of the Privities and red angry pimples caused by bilious Sweats CHAP. IX Of the Diseases happening in the Autumn Sect. 3. Aph. 9. THe Autumn doth produce most acute Diseases and mortal but the Spring is most wholesome and lesse pernitious Sect. 3. Aph. 10. The Autumn season is naught for Consumptive persons Sect. 3. Aph. 14. If in the Autumne the wind be North and the air very cold and without rain the season is convenient for moist constitutions and women but to other constitutions it occasions bleer eyes acute Feavers Quotidians and to some Melancholly Sect. 3. Aph. 22. Many Aestival Diseases do arise in the Autumn and Quartane Feavers and Erratick Feavers tumours of the Spleen Dropsies Consumptions Stranguries Lyenteries and Dysenteries Sciaticaes Squinancies frequent Asthmaes Iliack passions the Falling evil Madnesses and Melancholly CHAP. X. Of the Diseases happening in the Winter Sect. 3. Aph. 11. If the Winter be extreme dry and cold and the wind North but the Spring very wet with South winds of necessity we must expect acute Feavers sorenesse of the eyes excoriations of the bowells the next Summer but especially to the Female Sex and to men of a moist constitution But if the winter be very rainy and mild and calm with South winds but the Spring extraordinary dry with North winds women with Child which expect deliverance in the Spring will abort upon every slight occasion And if they are delivered they will produce weak and sickly Children such as will suddenly dye or if they live will be alwayes sickly and small But to other people excoriations of the bowels and bleer eyes will arise but to elderly persons Fluxes killing in a small space Sect. 3. Aph. 13. A very dry and cold summer with North winds and a moist Autumn with South winds succeeding doth produce head Aches in the winter coughs hoarsenesse heavinesse in the head and to some Consumptions Sect. 4. Aph. 23. In the winter Plurisies inflamations of the Lungs Lethargies Rhumes in the head hoarsenesse Coughs pains in the Breast Sides and Loins Head-aches Megrimes and to some Ptisicks are occasioned CHAP. XI Of Diseases caused by the Winds Sect. 3. Aph. 5. SOuth winds produce dulnesse of hearing and sight with a heavinesse of the head they make the body dull and faint when such winds are prevalent we must expect such accidents in Diseases But North winds cause coughs exasperates the jaws hardens the belly suppresseth the Urine stirs up cold horrors and pains of the sides and breast When such winds are prevalent sick bodies suffer such things Sect. 3. Aph. 7. Foggs and fowlnesse of air produce acute Feavers and if the year shall be so disposed for the most part we must expect Diseases answerable to the condition and season so constituted Sect. 3. Aph. 8. A good and seasonable constitution of the air produceth such Diseases which are easily consistent and easily cured But ill constituted seasons such as are not easily consistent nor easily cured Sect. 3. Aph. 14. North and dry winde in the Autumn are commodious for moist constitutions and women but to others they beget sorenesse of the eyes acute Feavers Quotidians and to some also Consumptions Sect. 3. Aph. 15. Amongst all the seasons of the year great droughts are more wholsome and lesse destructive then continual rains and frequent showring weather Sect. 3. Aph. 16. Diseases for the most part are caused by continual Showres as long Feavers Diarrhaeaes putrid Feavers the falling evil apoplexies and squinancies But by great droughts are occasioned Consumptions Bleer eyes Sciaticks droping of Urine and Dysenteries Sect. 3. Aph. 17. Continual North winds do condense the pores of the body renders men stronger nimbler better coloured and better liking dryes the belly causeth prickings of the eyes and if the breast be possest by any preceeding grief they stir it and provoke it But South winds dissolve the body and moisten it they cause dulnesse of hearing heavinesse of the head and vertigoes they produce difficult motion to the eyes and body and moisten the belly Distinction the fifth containing the Aphorismes pertaining to Feavers THat a Physician may satisfie and perform all his intentions required find out all requisite Medicines and apply them seasonably it is not sufficient onely to preserve the strength of the Patient and remove morbifick causes but it is also necessary that he know the nature of the Disease and the part