it renders the Cure difficult This Disease is known to be very afflicting the Symptoms very dismal and sad to the persons afflicted with it the Cure difficult having been attempted by many learned Physitians in vain nay often and for the most part these persons seem to be worse while they are under the means of Cure than they were before by reason of the stirring of the Humour that the Patients themselves dispair of Cure which it is easie for them to do because they are always of a doubting fearing and dispairing disposition mistrusting and suspecting the worst of all things For this cause it is called Flagellum Medicorum the scourge of Physitians because of their great endeavours and parts laid out in this Disease and many times a fruitless Issue we have seen many persons in this afflicting and dismal distemper attended with variety of Symptoms some have not all the Symptoms God forbid they should some have not the same but this besure that all feels the influence upon their Minds making them pensive aggravating all outward Affliction when this Disease arises to the highest pitch their mind◠are always rouling and tumbling sometimes to this thing sometimes to that sometimes to this place sometimes to that restless in every place and Condition and for the most part their Minds troubled and rowling about matters of Religion though to little purpose being never satisfyed in their Scruples but renewing to themselves new occasions of Trouble and many times they ascend to that degree that being drove to despair they attempt their own ruine and sometimes this ends in their own destruction We have our selves been very conversant with this Disease having had many Patients under our Cure and have seen and heard what we here speak of and through the Blessing of God can give a very good Account of our selves in this Cure having Cured many even persons that have been under the Skilful and able Men and that for a long course in Physick I say we have recovered them that have been as desperate as any many pregnant Instances we can give of persons in this City who do acknowledge themselves obliged to us and will own it and this done upon persons afflicted with the highest Symptoms of this Affect and this we have done Cito tuto jucunde considering 〈◊〉 the stcbborn Nature of this Disease by chance or good fortune but ut Ars docet and therefore by the Blessing of Him who is the Fountain of Blessing and without whom nothing is Blest and whom we do Implore for every good and every perfect Gift comes down from the Father of Light Neither do we speak these vaunting or boastingly or with Reflections upon any others that 's not our manner being not after the Pattern of our great Master and who himself said No Man lighteth a Candle and putteth it under a Bushel but on a Candlestick that it may give light to all that are in the House but for the publick good not doubting but others that have need may receive the same And this is to be noted That to our Knowledge we have met with none for many years in our hands but what have received good CHAP. XXI Of the Histerick Passion A Disease which is familiar to and very much afflicting Women it is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 suffocatio uterina or in the English the Suffocation or Strangling of the Womb because Women in this Disease seem to be strangled or choaked the Symptoms are so many that it cannot be defined by one thing only for now there is a difficulty of Breathing anon a Swounding by and by the Animal and other Actions are hurt with a refrigeration of the whole Body having its Rise from a Malignant Vapour elevated from the Womb to the superiour parts the Blood and Seed does not only afford the original to this Vapour but other viscious and corrupt Humours in the Womb whilst they put on a malignant and venomous Nature this evil doth invade by Fits which do now return more ftequently and anon more seldom They indure sometimes a longer sometimes a shorter time according to the quantity of the matter which is either more slowly or more quickly Collected so it is sooner or later discursed it is familiar to Virgins to Widows Women in Child-bed Those things which shew the approach of this Affect is Nausiousness Yaunings Stretching of the Body Rumblings of the Belly with Belching Weariness a sad Countenance Paleness of the Face with the increasing Affect it begins to urge a sense of strangling the Respiration is intercepted and the Suffocation and at length all the Vital and Animal Actions are depraved lessoned or abolished Hence there is perceived Deliriums Convulsions in the Face and Ligaments and also in the whole Body a Vertigo an inversion or rouling of the Eyes Speechless an obscure or no Pulse and other grievous Symptoms in which the Womb is sensibly stirred and as it were rowl'd together but the Affect or Histerick Fit declining the Intestines roareth the Eyes are lifted up the Cheeks are over-spread with a Redness the Animal Actions are restorred the Body waxeth Warm deep Breathings are sent forth and so the Sick by little and little is restored This is distinguished from a Syncope that here is often perceived some Pulse there is no breaking forth of a Cold Sweat there is no Paleness but rather a tumidness or swelling and sometimes a Redness and it is stirred up by Sweet smelling things and they difference it from an Apoplexy in that if these be pricked there is no Snorting and after the Fit they remember all that was said or done And lastly it is distinguished from the Epilepsie or Falling-sickness in this the Convulsive Motions are not perpetually joyned in the first time of the Invasion here is no Spittle found about the Mouth and many of the Actions are remembred after the Fit Some will not grant that the part primarily Affected is the Womb but the Hypochondres and they state the nearest Cause to be a Flatus an Air and Vapours hurting chiefly by their Acidity and Austerity by reason of the visciousness and the more Acid pancreatical Juice waxing hot the sharper Choller and more viscious Snivil in the Bowels others again do attribute it to the serous Filths born towards the original of the Nerves whence the animal Spirit affected with the Bloot is stirred up at length unto an Explosion and they think this Effect chiefly and primarily to be Convulsive and to depend very much from the Brain and Nervous kind being affected But lastly others do ascribe the Rise of the Histerical Passion to the Flatulent and thinner Blood with a certain increasing Heat impetuously rushing into the Vessels of the Lungs and Heart and thence doth produce all the fore-recited Symptoms CHAP. XXII The Jaundise THe Greek Word 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 so called a Viverra a Ferret because his Eyes are tincted with a Yellow Colour vel ab Ictero ave God
speed the person that hath the Jaundise and it is so called Galgulus which if it be beheld by a person that hath the Jaundise the Bird presently dies but the Sick is healed in Latin it is called Aurigo the Kings-evil Regins Morbus Arquatus the Kings Disease or the Kings-evil it is the Effusion of Choller through the whole body the Cause is attributed to an obstruction of the passages of the Bladder of Gaul and biliary Pores and hence the Choller of the Bladder of Gaul destinated to the Intestines the Ductus being abstructed is rejected and is for that Cause disgorged into the Blood from whence it is sent forth every where into the Blood and from thence it is thrust forth every way into the Skin one is called the Yellow and the other the Black and both is produced from one and the same Cause they differ in this that in the Black the Gauley Bladder being longer obstructed so that the particles of the Gaul is so Copiously heaped up being not Concocted they produce a Black Colour not a perfect Yellow to the Blood and Serum the Stools in the Jaundise are whitened but not always the Jaundise thickens the Urine and from thence it looks blackish it suddenly invades a Man and for the most part without a Fever and without any great decays of strength also the Jaundise is produced by reason of the ill Disposition of the Liver from the hot intemperature of the same either with or without an Inflamation It comes in Fevers in manner of a Crisis and also by drinking of Poyson or biting of venomous Beasts by which the whole Mass of Blood looses its former purity and is corrupted into a Citron Colour'd Humour by which means at length the whole Skin is infected and tincted with a Yellow Colour for the Jaundise is known by the Yellow Colour of the whole Body but chiefly perceived in the Whites of the Eyes as also by the dullness and Itching of the Body bitterness of the Tongue Chollerick Vomitings and Sighings CHAP. XXIII The Chollick THis Disease the Chollick takes its Name from the Gut called Colon because it is in that Gut wherein it doth exercise its cruelty and the Torment of it is oftentimes so much that many are most miserably handled by it There is a sad sense of Pain of the Bowels and chiefly of the Colon with the Retention of the Stools arising from a Solution of Continuity The nearest Cause is Solution of Continuity for so great a Pain can scarce draw its original from any intemperature only the material Causes are Winds indurating Excrements stopped in the Intestines especially Chollerick and Fâ—gmatick Humours and sometimes an Inflamation and also Worms and any other matter whether cold or hot and whatsoever can obstruct corode and press the Intestines or much alter them because they are not able to refuse the maliguant matter and these things can stir up the Pain of the Chollick but the matter causing this Pain is sometimes contained in the Cavety and sometimes between the Tunicles or Wrinkles and Folds of the Intestines Among Physitians there is mention made of a Three Fold Chollick of a Windy secondly a Flegmatick and Chollerick That which ariseth from Winds hath mostly a wandring Pain which doth not stay long in the same place but one while upward another while downward and anon wanders into the other side and there Torments by distending the part The Chollerick Humours being the Cause they produce the Collick with the sense of a gnawing Pain and oftentimes it hath accompanying it a thirst and bitter 〈…〉 Mouth That which takes its Rise from vitriated Flegm if stiffly adhering to the Intestines produceth as it were a sense of perforating the Intestines with an All or Stake and is frequently accompanied with a Nauseousness and Vomiting a Retention of Excrements so that sometimes the Wind can neither break upward nor downward and oftentimes a Pain now in this part and anon vehimently infesting another by which the Pains of the Chollick may be distinguished from the Pains of the Gravel and Stone but it is much more manifest if the Pain be in the higher parts of the Reins and vitriated Flegm be ejected by Stool or the Pain hath been quieted either with the Ejection of the indurated Stools or with other matter for these do sufficiently manifest the Chollick other ways as chiefly the place and a stability but otherwise dull pain of the Legs straight upward and the Exclusion of Sand Gravel and Stone doth shew that the pain is the pain from the Stone CHAP. XXIV The Disseases of the Liver THe Liver whose Office it is to receive the Blood from the Vena Portae being seperated from the Gaulish Humour and depurated and to lead it into the Vena Cava it lies open to many and various Diseases such as be hot and cold Intemperatures Obstruction Scirrhus Inflamation and Pain an Obstruction is very familiar to the Liver and it is assaulted with no distemper more than this which is easily done by reason of the small Branches of the Vena Portae dispersed every where into the substance of the Liver the Causes be these First the more obstructed Pores of the part binding things a Contusion Compression and Ligature The second is by reason of the unaptness of the Blood to pass the Pores because of its great Viscidity and Thickness The Third is the Oppression from the plenitude of the part because of a fuller Diet Exercises omitted and suppression of wonted Evacuations Heaviness and Distention with a Dull Pain doth shew this Affect and chiefly if it be in the right Hypochondria and it is chiefly manifest when any one will sustain an Exercise after Meals A Scirrhus of the Liver is a preternatural Tumor in that part hard and resisting the Touch and without pain unless it be strongly prest and it draws its original from a stubborn and inveterate Obstruction for the most part but sometimes though rarely from an Inflamation and this is not done suddenly but step by step for in the first place the Humour the Author of the Obstruction doth fill and stuff the small Veins of the Liver this being done from thence it doth rebound into all the substance of the Viscera and obstructing it and from thence the Veins hence being heaped up much fuller the Liver distendeth into a large heap that it appears swell'd and then being dryed and the thinner part by the force of heat is dissipated so all the rest waxeth hard and by the mixtion of it the substance of the Liver doth wast and at length there is produced a true Scirrhus more easily perceptable especially by the Touch if the Party be tender and the Belly be not fat and the Sick lying straight upon his Face either in the left side for it cannot be discerned without the Touch for it is circumscribed in the Place and Figure of the Liver Moreover it is perceptable easily lying upon the right side but the left
before they are cast forth they perform a long Journey When the thicker Bowells are affected the pain is not so great and the Torments are not only felt in the lower Bowels but also presently after the Torments the Excrements are cast forth upon which also there swimeth a Cruor which is in the other intimately united CHAP XXXII A Diarrhea A Diarrhea which as it is commonly taken doth note every flowing of the Belly but properly so called it is an immoderate frequent or continual dejection of the Belly in which there flows not Crude Aliments as in a Lienteria neither bloody filths as in a Dissenteria but Excrementious and more unmixed Humours more sincere in quantity and quality without Inflamation Exulccration or a vehement sence of Pain the abundance and pravity of the Humours procureth this Disease by stirring up the Expulsive faculty of the Stomack and Intestines things furthering this Disease are Errors committed in Diet and Meats of evil Juice venomous and easily corrupted and gorging themselves with excess of Food new Beer or Ale intemperate Air the omission of bodily Exercise the constriction of the Pores of the whole Body In a Diarrhea there be many Differences by reason of the Matter which is Billious Flegmatick Melancholick and serous by reason of the place from whence the Matter floweth for in some it is from the whole Body but in others from some peculiar part as from the Brain the Stomack Intestines Missentery Liver Spleen and Womb and lastly with respect to the manner and efficient Causes for some are Critical the appearing Signs of concoction in Fevers being rightly done by Nature this way others are Symptomatical breeding of Teeth in Children doth produce a Flux of the Belly CHAP. XXXIII The Caeliack and Lienterial Passions THese Affects are known more or less according to the difference agreeing or disagreeing which in both is an Excretion by the Belly of uncocted Foods but they are distinguished by this that a Lienteria laevitas Intestinorum is an over quick and sudden Excretion of unconcocted Food being not changed or altered neither in substance nor in the due Colour but in the Caeliacal is the Food received or alterâ—d passing from the Stomack into the Bowels is in some meaner manner concocted The cause of both is the retentive faculty of the Stomack and Bowels being hurt in a Lienteria it is almost abolish'd but in a Caeliaca it is but diminish'd the retentive faculty of the Stomack is abolish'd or diminish'd from the same Causes as they are more grievous or more gentle there is most frequently a cold and moist intemperature joyned with a Flegmatick Humour relaxing the Ventricle and smiring the wrinkled Superficies thereof that it cannot retain the Aliment falls into the Bowels unconcocted This is done by reason the Expulsive faculty of the Stomack and Bowels is irritated from gnowing Humours which by pulling stirs up an untimely Excretion an Inflamation in like manner stirs up this faculty and also an Ulcer of the Stomack or poison taken or things of a Malignant quality besieging the Stomack In the Caeliacal Passion this is taken for a Cause viz. the straining through of the Chyl being hurt by the spungeous scurf of the Intestines in passing into the Milky Veins moreover the Lienteria does often succeed most grievous and deadly Diseases as it is seen in a Dyssentery and malignant Fever because of the great imbecility of the retentive faculty These Evils are not to be slighted for that they draw the nutriment from the whole Body CHAP. XXXIV The Asthma THe Asthma or short Breath it is called in Latin Suspirium it is defined thus it is a frequent hard and and short breathing or difficult Respiration and oftentimes without a Fever joyned with a great contention of the Lungs the cause consists in the straightness of the Lungs which being stopped with a gross viscid Humour very stiffly sticking to the Pipes and Caverns of the Lungs and being stopped it draws its original from thence thin and serous Humour and also copious is frequently the Efficient of this evil A Tubercules or Push as also Gravel sticking in the Lungs do act their parts vere often in producing this Affect All these are wont to produce the Asthma by obstructing either by stopping the aspera Arteria the smoother Arteries or subsisting in the substance of the Lungs the Morbick Matter by pressing the Lungs or obstructing or pressing somewhat into the Lungs by reason of the debility of the Viscera it is gathered together by little and little and sometimes it flows from another place from the Head in the manner of a Catarrh which is rare or from the Pulmonal Artery CHAP. XXXV The Gout ARthritis or the Joynt-disease Morbus articularis which is also called Gutta articulorum plurium it is a pain running from thence which is a defluction of a serous and sharp Humour falling into the Joynts hath stirred up the parts affected the Membranes Tendones and Ligaments taking their original from the Periostium and from thence indued with sense for the Joynt is made firm from these the conjunct cause of the Gout is solution of unity but the Antecedent is a serous Humour Salt and Tarterous from Aliments impregnated with a Tarter from the imbecility of the parts appoinâ—ed to concoction taking its original from thence those Foods being not well digested by this means this salt and subtil Humour comes to the Joynts the sensible parts being partly distended and partly tearing by its Acrimony bringeth most cruel and sharp Torments which can scarcely be laid asleep again although helps be administred by the very hand of Apollo and hence it is called medicorum opprobrium CHAP. XXXVI Angina or the Quinsie ANgina is called so ab strangulo to choak or be strangled the Symptoms are properly of the Face and Larinx and it is terrible and deadly as well for the sharpness of Pain as for the interception of the Office necessary to maintain Life and the oppression of the part by whose Office life cannot be for it hindereth the swallowing necessary to Life it taketh away the Respiration without which the Animals cannot live to the point of Life It is defined to be a Flegmonous Affect of the Jaws all the parts of the Gula or Throat by which as the Meats and Drinks and also the Spirits do enter so in this Affect it thrusts them forth But some are Legittimate and True some be Bastard there be four Species of the True one which Hypocrates doth account the most dangerous of all wherein there is nothing appears neither in the Jaws nor Neck but this kind of all most obstruce Inflamation doth inflict most and grievous Symptoms not without fear of present strangling by this Fernelius saw a sick person die in the space of Eighteen Hours being sound in his Mind and intire in his senses this kind is called Angina latens The other is that interiour Laâ—ings of the Jaws and Muscles are
the state and declination in which some sooner some slower and in a longer time are wont to be dissolved the beginning ought to be computed from the time the Blood begins to wax hot and the Sulphurous part begins to take heat until the hotness and fury of the Blood hath over-spread the whole Mass of the Cruor and thence it is that oftentimes the Heat and Cold doth assault viz. by reason of the admixtion of the Crude Juice with the Blood The augmentation shall be when the kindling of the Feaver doth occupy the whole Mass of the Blood Viz. The Sulphur or â—leaginous part of the Blood being made hot and waxing hot by parts at length being like moist Hay laid up in a Rick after a long heating breaks out altogether into a Flame and the Mass with the Excrements or adust particles which increases the fermentation is aggravated at this time the Sick complains of intollerable thirst moreover they are afflicted with pain of the Head continual Watchings and oftentimes Delirium a Frensie and a Convulsive Motion there 's a loathing of all Aliments or they are cast forth by Vomit there 's a bitterness of the Mouth an ungrateful Savour a roughness of the Tongue a vehement swift Pulse the Urine exceeding Red and oftenâ—imes Muddy and replenished with contents The State is another time of the Disease by which Nature endeavours a Crises or Expulsion of the â—dust Matter remaining of the burning of the Blood for after the deflagration of the Blood and nourishing Juice this adust Matter is born in so great a quantity it growing turgent that it irritates Nature to an Expulsion which is called a Crises the Cause of this is rather to be fetched from thence than from the â—fluence of the Moon The Declination follows the Crises in which in the kindling of the Blood languishing it is not so hot and being very powerful with the Vital Spirit that now it subdueth the residue of this adust Matter and by little and little casteth it out until it be restored to the former Vigour or with the same too much depressed Spirit more infected with the adust Excrements and so it passeth away foul and impoverishâ—d so that it doth not assimilate the Nutritive Juice nor is it fit to circulation nor to come to the Heart nor to sustain the Lamp of Life CHAP. XLIII An intermitting Fever AN intermitting Fever is not less violent and intense during the time of the Fit there is in this a furious heat of Blood as in a continual yet this is not peculiar to an intermitting it hath a certain time of intermission and for the most part every Fit from the time of the cold or shaking and the Fits return with certain States and Periods of time so that it can hardly be measured more exactly by a Clock or Dial but this furious heat of the Blood constituting this Fever doth depend upon the assimilation of the nutritive Juice the vice of the Blood it self being fettered for whilst the nutritive Juice is not assimilated with the Blood for although the Particles do persist in the Mass of Blood as a Heterogeneus and not of the same Stock or Linage yet now it â—â— Circulated with it without tumult or trouble and saturated with it to a swelling up of the Mass of Cruor and so that presently boyleth and catcheth a feverish heat with which it is subdued or thrust out of doors as a Hetrogeneous thing from the society of which when the Blood is freed the intermission of the feverish heat follows at length afterward from a fresh supply of this Juice a new Fit is induced for the cause of this cold and shivering in the Fit of this Fever is stirred up seems to be the fluor and sweling or puffing up Viz. of the nutritive Juice degenerated into a nitrous and acetous Matter wherewith the flowing Spirits and Heat are dulled and blunted from thence there is perceived in the whole body a sense of cold and the nervous Bodies irritated are stirred up into tremblings but afterwards with these nitrous Particles being thrust forth from every part into the Superficies of the Body the Blood being now freed from the weight and oppression of them do gather it self together and getting up again do begin to shine forth and so that most intense heat succedeth which persisteth till that Fermitive Matter be well nigh burnt brought under and subtillated and Evaporateth by sweat and insensible transpiration but why the Fits do return often in the appointed intervals of times such a reason as this may be given for it because an equal portion of the nutritious Juice is continually administred to the Blood by flowing into the Vessels Franciscus Sylvius thinks the cause of all intermitting Fevers to be the pancreatical Juice stagnant in some part of it or more The leading Vessels of the Pancreas being obstructed and by its delay in that place is made sharper and that acid Acrimonia and by the Flegm more or less viscid is the cause of the said obstruction the way being prepared penetrating by force and being poured out into the thin Intestine and their stirring up with the Choller and Flegm the fury of the intermitting Fevers are divided into Tertian Quartan and Quotidian the Tertian repeats its Fit every Third day and if it be Exquisite it begins with a vehement shivering to which a sharp and a biting heat succeeds which is turned into a sweat and the Fit is finished within Twelve Hours The Causes disposing to this Fever are a Hot and Chollerick Temper a youthful Age a heating Diet the more hot constitution of the Air Watchings Cares Anger Fasting over much Exercise sometimes the Jaundise comes upon a Tertian and then the Fever is discharged What Haley hath written is taught for a very vulgar Experiment in persons labouring with a Tertian that if Ulcers and Pustles breaks out in the Lips and Nose it presages the termination of the Fevers for indeed it is as it were a Crises also a Flux of the Belly coming upon a Tertian the Matter Concocted there dissolves it Again a Quotidian is that wherein the Fit is wont to return every day and oftentimes it returns in the Hours within night and without shivering but with Cold only or with a light or easie shivering from hence the Heat transacted in the time of the Cold is gentle and very little burning the Fit is protracted longer and oftentimes it is wont to indure Eighteen or Twenty Hours Lastly that is a Quartan returning every Fourth day it begins with yauning and gaping and a Pain of the whole Body then there follows a Cold after that a quivering and shivering with which the Bones seem as if they were broke where there is perceived a â—â—in which from Quartan is named 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 the pain of the Bones the heat succeeding is very troublesome but more remiss than in a Tertian and Sweat doth oftentimes conclude the Fit This Fever
a little before Meals and chiefly for them that have hot dry Stomachs or are subject to Obstructions of the Stomach or Mesaraick Veins and of the Liver and Reins for it wonderfully refreshes a hot and dry Stomach but it is no way good to drink White-wine or Rhenish at Meals or soon after meals onely it may be allowed to them that are afflicted with much astrictness of the Stomach for being drunk too soon after Meats they disturb the Meats and too much hasten their passage from the Stomach before they be concocted and by that means they pass into the Bowels undigested whence it cometh to pass that the body doth greatly abound with flatuous Crudity White and Rhenish Wine are very pernicious for such as be Rheumatick and subject to fluxion and distillation of humours to the Lungs Breast Joynts or any other parts of the Body and for lean Constitutions and therefore let this serve for a Caution to such as be subject to the Gout or any Rheumatismes that in stead hereof they drink Milk or Water Claret-wine is in Temperature and Nature very neer to these but of an astringent faculty which is clearly discovered by the astringent savour thereof it greatly strengtheneth the Stomach breedeth good humours stirreth and quickeneth the Appetite quencheth Thirst it greatly helpeth Concoction exhilarateth the Heart it is very profitable for them of a hot Constitution that have hot stomachs and are young but it greatly offendeth a moist and cold Constitution that aboundeth with raw and crude humours and is subject to distillations from the head and this chiefly if it be taken immoderately This Wine is chiefly to be taken with meat for then it puts forth and proves profitable in the fore-recited properties and above all this Wine is most hurtfull in regard of the rheumatick Nature of it the most pernicious to Gouty and rheumatick persons But being with moderation taken at Meals it is for temperate bodyes being pure and quick Wine not much inferior to the Regal Wines of France for it rectifieth the Stomach and comforteth it it is acceptable to the heart and breedeth good blood it is deemed the best of all Wines for Cholerick Bodyes and for Phlegmatick the worst It is not good to drink this Wine between Meals but in the middle of the Meal take a draught or two and if you please you may dulcifie it with a little Sugar and this will make it the more acceptable to the Stomach and comfortable to the Heart and by observation of these you may expect a quickening of the spirits a pleasant Cheerfulness of mind there being a good Concoction of Meats consequently a healthfull state of Body That high and rich Nectar called by the Name of Sack which so richly abounds with that most excellent Vegetable Sulphur for which cause it is in high estimation with all those Northern parts of the World is deemed to be hot in the third degree and of thin parts and therefore it doth more vehemently and quickly heat the Body The over and unseasonable use of this Wine doth over-heat the Liver exsicccate the radical moysture inflame the blood and is hurtfull to bodyes of a hot and dry temperature but the moderate use to them to whom it is agreeable it helpeth the Stomach to digest furthereth the distribution of the Meats to all the parts of the body concocteth the crude and consumeth the Excremental humours and in summe it mightily strengtheneth all the powers and faculties of Body and Mind It is most sit for Old Age weak Stomachs cold Constitutions abounding with crude humours cold Countreys and cold and moyst seasons of the year it is chiefly to be drunken after meats of a gross substance and such as consist of an Excrementitious moisture as Pork-Flesh Fish c. And though there is a difference even among Sacks yet what is spoken of one may indifferently be applyed to all though some commend Sherry-sack as most profitable to the Stomach to further and help the Concoctions and confirm the Habit of the whole body and of all Wines they esteem this the best at meals for the Aged persons of a cold and phlegmatick Constitution but yet such as are of a hot lean and cholerick temper and Constitution must forbear it Canary Sack so called because it comes from the Canary Islands differeth from Sherry in Sweetness as also in Colour and Consistence it is less Penetrative and more Nutritive Canary is an excellent Wine to be taken at Meals for its pleasant taste refreshing odour and comforting the Stomach it is best for cold Constitutions old bodies and weakened by labour it must be â—autiously used for it is a Wine which if liberally taken it will quickly inflame and therefore warily to be used by hot and cholerick Bodies Malmsey is a Wine in Operation very hot and being sweet it nourisheth very much and therefore it is commended for old cold and weak and decayed Bodies but is very hurtfull fâ—r such as be hot because it is very easily converted into Choler it is judged by some to kilâ— Worms by a certain hidden Property however it is a very convenient thing to give any Medicine for the killing of Worms as that by whose sweetness the Worms will be induced tâ— prey upon the Remedy Muâ—kadel is very much like Malmsey wherefore in defect of that this may be used it is alsâ— an excellent Wine for all old cold bodyes bâ— such as are of a hot temperature must forbeaâ— this Wine Bastard is in vertue not much unlike Muskadel and may be used instead of that thougâ— there is the same Inferiority in this to Muskadel as in Muskadel to Malmsey and the â—sâ— of this is likewise hurtfull to hot and younâ— bodies Alicant Raspy or Tent it is made of the Juicâ— of Mulberries c. it is of a gross Nature notwithstanding it is quickly concocted into blood and is therefore fit for lean and thin bodies whose humours are too fluxible For personâ— that are weak and wasted and consumed by sicknesses and that need much nourishment and that is easie of Concoction but for grosâ— bodies and such as are subject to Obstruction it will quickly prove nauseous and hurtfull Wine of Orleance is stronger than any other French Wine and in taste very pleasant it is in goodness scarcely inferiour to Muskadel it is hurtfull to such as have weak Brains hot Livers and such as are of a cholerick Constitution for it doth speedily over-heat the Liver and annoy the head but there is not a better Wine for cold and flegmatick Constitutions and those that have weak Stomachs for it comforts the Stomach helps the Concoction vivifies the Spirit because it contains a generous heat in it self and it also furthereth the distribution of the Meats and through the mediocrity of its substance procureth a good Nutrition to them that be of a hot and cholerick temperature and also to them that be young it is very hurtfull but very proprofitable
lengtâ— of time there is perceived a livid colour of thâ— Face and there appears other tokens of Melancholy prevailing A Scirrhus is a hard Tumor of the Spleen having its rise from an indurated gross humour it hath the same Cause with a Scirrhus in the Liver and both have the same diagnostick signs save onely in the Scirrhus of the Spleen the hardness and resistance is perceived in the left Hypochondria Sometimes a pain afflicts the Spleen without hardness and that rises from a flatus which distendeth not onely the substance of the Spleen which is almost without sense but also the encompassing Membrane it self It is distinguished from the pain of the Collick by this that it is more grievous and fixed onely in a place An Inflammation of the Spleen is of the same nature with an Inflammation of the Liver it differs onely in this that this is very seldom from pure blood but most frequently from gross and melancholly blood and it hath the same Cause as well the Adjunct as the Antecedent The Signs are a Tumor and hardness in the left Hypochondria stretched forth to the Diaphragma and Shoulder also there 's a pain and pulsation in the same Hypochondria a continual Fever a loathing of Meat a thirst a small blackness of the Tongue they are most troubled lying upon their right side because of the weight of the Bowels lying upon the Stomach and sometimes also the left if the Tumor be great and sometimes this Tumor is of the figure and form of the Spleen and sometimes it filleth the whole left Hypochondria and sometimes it appears below the Navel the multiplyed matter occupying the neighbouring parts and especially the Navel A TENESMVS A Tenesmus is a continual cruel eager desire to go to Stool but in vain for that they can discharge nothing from them or little oâ— no Excrements come away Nevertheless they ought to cast forth something and when they have they are stirred up with new desires to go to Stool although by endeavour they caâ— do nothing The part affected in this Evil iâ— the Extremity of the right Gut the Cause is any thing that stirres up the Expulsive Faculty of the right Gut as an Exulceration of the righâ— Gut from a Dysentery or from a sharp biting and salt humour sticking to a Tumor of the neighbouring parts also a Stone sticking in the neck of the bladder also a cold intemperature of the part contracted from sitting upon a colâ— Stone or long stay in the Water Of the DYSVRIE THE Dysurie is a difficulty of Pissing oâ— an Excretion of Urine with great pain and torment it differs from the Strangury by a manifest Effect That in the Strangury or dropping of the Urine the bladder doth not tarry till the whole Urine be gathered together but expells it as it were presently with pain but it stayes in the Dysurie and truely continues longer than is meet but when it is discharged the Sick perceives a pain and such difficulty that often-times unless he press the place of the Bladder with the hand or he use great endeavour the Urine flowes not freely Moreover in the Strangury it is neither restrained nor liberal for it is made by drops but in the Dysurie it is liberal but not restrained or if it be not made freely it is wholly restrained The Cause is either in the Urine or in the Neck of the Bladder in the Urine when it passes forth more sharp by reason of a more hot Diet or by the mixtion of sharp and acrid humour as Bile and salt Phlegme or of Pus flowing out of an Abcessus being broke or if there be an Exulceration or Inflammation in the neck of the Bladder which maketh the Urine passing that way sharp By the Name of a Dysurie is sometimes understood that which is called the Heat of Vrine for there are the same Causes in both Of the STRANGVRY 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 from 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Gutta a Drop and 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Vrina Urine it is an Excretion of Urine made by drops either with or without pain and a continual desire to make water The Cause of this affect is sharp humours the Stone an Inflammation of the right Gut or of the Womb and also Pus sent from the Reins oâ— Bladder all which produces this affect by stirring up the Expulsive Faculty of the Bladder by reason of the Sphincter Muscle The External Causes are the drinking of Wine or faeculent Beer eating of crude Aliments as Pease Beans c. And this Diseasâ— is sometiâ—â—s mixed with the Ischury and Dysury CHAP. XIV The Leues Venerea LEues Venerea hath obtained variety of names the Neopolitan Disease Malum Indicum the Indian Evil Morbus Italicus the Italian Disease and by Fracastorius Siphilis Pudendagra the Great POX but in common Morbus Gallicus the French POX a name by which it is as well known as any it may aptly be called Flagellum Dei Irati the stroke of a Provoked God It is defined thus The POX is an occult and contagious Disease of the whole substance of the Body bewraying it self by Pustles Marks Ulcers Torments and Pains the Efficient cause is an occult and venomous Quality contracted by contagion and touch and sticking in a certain Humour as the subject but this pernicious spot although it spread it self abroad by various ways yet it is mostly propagate into Mankind by a Venereal Copulation and this Evil being sowed the cruel Symptoms bud through the whole Body the Mind is sad the Body is weary and heavy the Face pale Pustles breaking forth chiefly about the Forehead and then over the whole Body there 's felt a wandring and vehement pain now in the Head anon in the Muscles and by and by in the Joynts and chiefly molesting in the night bewraying it self by a stinking and foeted Gonorrhea Ulcers and Bubo's arise about the Privy-parts there also happen naughty Distillations which do Erode one while the Palate another â—hile the Uvula and sometimes the Jaws and Almonds sometimes consume the Lips in some the Nose in others the Eyes and in some the whole Privy-parts are consumed and all the Members do languish there is no desire to Meat no sleep but sadness and a continual disposition to anger Some time they are accompanied with a small Fever there happens a shedding of the Hair a falling out of the Teeth and when the Malida becomes very inveterate there are Cancerous Calous Fistula's Ulcers and Tophies viz. in various parts of the Body a Caries or Rottenness of the Bones and first in the Cranium then in the Palate and Nose a Hectick Fever a Consumption Cachexia or an evil habit or disposition of the whole Body Falling-Sickness Deafness Blindness Exastocis or bunching out of the Bones and these are done in a double manner either by the adhesion of the gross or viscide matter fixed or fastned to the Bones or in the manner of an Excrescence of the Bone from
a Tumor of the Belly and of these there be Three sorts which have their several Appellations viz. Ascites Tympanites Anasarca that which is called Ascites may swell the whole Belly even as a Bottle and therefore is called the Bottle-Bellyed-Dropsie the principal species is it is a swelling of the Belly having its rise from a waterish and serous Humour Collected in the capacity of the Abdomen and sometimes there is concomitant a Tumor of the Thighs Feet and Privy parts the nearest cause of this effect is a waterish and serous Humour collected in the Abdomen together with the vice of the part containing the Humour the Liver is not always in the fault as Anotomical Inspection of Hydropilal persons doth testifie much less is the Spleen always to be blamed but the Vasia Lymphatica being of late more clearly discovered it is from the obstruction of these that the Water is poured into the Cavety of the Abdomen by which they are obstructed and stopped with any viscid and gross Humour The serous Humour which otherwise is wont to be carryed to the receptacle of the Chyle is forced to take its Journey another way and being beaten back whence it came it makes the part to swell which for that cause is elevated with a Copidness which being over much burdened at last they break and so the Serum flows very easily to the Abdomen Or the Dropsie may happen from the Liver being evilly affected and when it labourerh with a Scirrhus obstruction or inflamation and so also a Dropsie happens from a great wait of the Bowels the thin small Coats of Lymphatical Vessels being easily broke as also from the Reins bâ—ing obstructed the Bladder hurt the Womb being easily effected the Dropsie may sometimes follow the Water is oftentimes in the Cavity of the Abdomen and sometimes it is received into little Bladders of a various Magnitude The second description of a Dropsie is Tympanites or a Tympany receiving its Name from a Drum for the Belly being extended with Wind if it be struck with the hand it gives a sound resembling that of a Drum it is also Hydrops siâ—â—is a dry Dropsie in this the Abdomen swelleth from a Flatus shut up in the capacity or hollowness of the Belly oftentimes also the Intestines in this Affect is perceived to be distended from Wind shut up in them but there is very seldom a Flatus to be found but there is also a Water mixed with it And oftentimes Winds are Generated between the Coat of the Intestines and Messentery or from a debilitated Heat or from the same too much scorched drawing its own parts into a consent with the crude and gross Chyl Lastly Anasarca which is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and hath a certain Affinity with a Cachexia and it is an equal Excrement preternatural of the whole Mass of the Body arising from the visciousness of Aliment the cause is a Waterish Humour spread over the whole Body produced from a debility and intemperature of the whole Bowels by reason of which instead of good Blood there is generated a Crude and Flegmatick whence it cannot agglutinate sufficiently a naughty nutrement necessarily follows Others alledge the obstruction of the Lymphatical Vessels by reason of which the serous Humour cannot be seperated from the parts These be the Signs of an Ascites a swelling of the Belly Feet and oftentimes of the Privy parts The sick being rouled from one side to the other there is observed the sound of a fluctuating Water the Urine is little and thick and sometimes Red they have a great Thirst a dry Cough a difficult Respiration and an Extenuation of all the other parts and also a Febris lenta continuenta In the Tympany the Belly being struck it sends forth the sound of a Drum the bulk of the Abdomen is not so painful as in Ascites but the Inflamation is greater Pains and Torments go before or precede especially about the Navel and the Side the Sick lying upon his Face the Belly remains distened and hard when the Sick turns himself and is roul'd to either side belching and noise doth frequently break forth there is heard Murmurings and Grumblings In the Anasarca not only the whole Belly but the Legs Shins also the Hands Arms Breast Face and whole Body does swell and the Fingers being prest into the Flesh they leave the Marks and Footsteps of their Impression and with these there Frequently follows a Pale and Cadaverous Colour of the Skin the Flesh soft and loss the Urine thin and White the Respiration difficult a continual and small Fever CHAP. XX. The Hypocondriack Affection or Melancholly THis Affection hath received this name from the place Affected the Barbarians do call it Mirachialis and others according to the Authority of Hypocrates a flatulent or Windy affect it is described to be a Flegmatick and Cholerick foulness or the filth of Atra-bilious Humour gathered first of all in the Branches of the vena porta Celeack Arteries and Messenteries by reason of the Spleen and these too without putrefaction from which the Humours savouring of the nature of these do stir up many and various Symptoms such as these Crudity and Rawness of the Stomach a windy roaring of the Belly sower Belching much Spittle Flegmatick Vomitings pains of the Heart or Heart-aking binding of the Belly Costiveness an inflamed Heat of the Hypocondries which sometimes follows this Malady as also a Redness of the whole Face occasioned from ascending Humours the Urine sometimes thin sometimes thick and Red a Distentio Hypochondriorum and frequently a pulsetion and wandring pain of the Sides difficult Respiration pain of the Breast beating of the Heart a Vertigo or giddiness and swimming in the Head a dimness of the sight Watching Sadness and Trouble of the Mind troublesome Fancies in some grief and sadness the parts primarly affected are judged to be the Spleen the Ferment of which being more or less stirred is wont to produce these Symptoms but sometimes the only error of Diet is wont to generate this evil there being no fault in the Stomach or Spleen Signs of the part affected is first if the Humour offending be in the Spleen it self then you may perceive a Tumor or hardness in the Region of the Spleen there is an evil and swarthish Colour of the Face if the Humour be contained in the Liver there is perceptable a Tumor in the Region of the Liver but if a Flatus Windiness Roaring or Tumbling and Pains be perceived it is in the Vessels between the Stomach and Spleen and chief if it be 6 or 7 Hours after Dinner or Supper and that there is not perceived a Tumor or Hardness neither in the one nor in the other side if the Stomack be originally afflicted with this affect it is known by the weakness and debility of Coction or digesting the Food and because there is oftentimes 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 of the Stomach and Liver in this Affect
doth wont to continue longest and the which begins in Autumn and for the most part continues the whole Winter and departs not until the Spring unless by accident and so some do continue from one Year to many Years we have known some hath been extended to Seven Years and more but in Summer they be shorter Those things which dispose to this Fever are Autumn the Sea-Coast the end of Summer a Melancholly Temper and such who by an evil manner of Diet obnoxious to a Hypochondriack affection But the cause of these constituted Periods seem to be ascribed to the divers constitutions of the Blood Viz. by which from a due temper it is perverted one while into sharp and anon into an acid or austere disposition for which cause the divers intemperatures of it the nourishable Juice newly brought doth more or less depart from a maturation and degenerates sooner or later into a matter apt to ferment CHAP. XLIV A Hectick Fever FEbris Hectica that is a Habitual Fever or a Fever conversant in the Habit it is a preternatural Hcat in the substance of the Heart sticking and burning in the solid parts drying and consuming and brings the whole Body to extream leanness There are Three Degrees of this Fever The first is when the dewy moisture is dryed and consumed The second is when the fleshy and fatty Substance is depopulated and perisheth and in this the Extenuation of the Body is evident The Third is when the Febra's and Membranous Substance is wasted and the whole Body waxeth lean then follows Facies Hypocratica the gastly Countenance and the Bones only appear covered with the Skin This is the true wasting and Hectick which of the Greeks is called Marasmodes and which is incurable The internal Causes of the Hectick are burning and continual Fevers Ulcers and continual inflamations of the Liver Stomack Lungs Reins and other Bowels Those things which refer to outward Causes are such things as can generate other Fevers such things as do very much either consume the humid Substance in the solid Members or very much stirs up a continual heat or are apt to perform both to which the promptitute and disposition of the subject and the continual disposition of heating do make to the receiving of this preternatural heat Such are the heat of the Sun or fire vehement Exercise heating Meats and Drinks immoderate Excretions as a Diarrhea Dysenteria Animi Pathemata or more vehement passion of the Mind And lastly Hunger a more hot and dry Habit of Body is more apt to take this Fever The beginning Hectick is not easily known the other kind is difficultly Cured The Signs of all Hecticks are common the heat of the whole Body is equal and of which they do not complain nor do they understand themselves to be Feverish it first appears weak by reason of the fewness of the Vapours but if thou wilt apply thy hand longer there appears a sharpness and gnawing heat by reason of the dryness and solidity of the subject and greater in the Arteries than in other parts by reason of the communion of the Heart and this Heat increaseth one Hour or two after Meat is received no other ways waxing hot than Calx Vive if Water or any such thing be poured upon it the Pulse small frequent and swift the Urine oleaginous with a branny sedement CAAP. XLV The Rickets RAchites the Rickets a Disease unknown to the Ancients which yet at this day no Disease is more frequent in this Kingdom it is a cold and moist intemperature of the whole Spinal Marrow entring the Skul the arise of all the Nerves and of all the Membranous and Febrous parts of the whole Body with the defect and feebleness of the Spirits and tone of the parts visciated the cause and parts primarily affected do fetch their definition from this whose Signs and Symptoms are looseness and softness of the parts primarily affected debility and pining or enervation of the parts serving to Motion weakness and feebleness of the Joynts the Head bigger than is meet the Face fuller and more florid the Musculous parts wax lean certain Protuberations and Nodes about certain of the Joynts mostly in the Rist and in the Extremity of the Ribs a bowing or incurvating of some of the Bones which more frequently happens to the Bones of the Cubit Shins Thighs and Shoulders sharpness and straitness of the Breast Bunches and Tumors of the Abdomen Repletion and Tention of the Hypochondries a frequent Cough difficult Respiration and many other evils of the Lungs as the stuffing of them hard Tumors Imposthumes Inflamations growing or sticking to the Pleura a weak and a feeble Pulse the common Cause of which seems to be an unequal and unprofitable Nutrition the Antecedent Causes are beside the falt in the Seed of the Parents defiled with the like disposition redundant viscious Humours in the Body Flegm Choller and chiefly Melancholly but the Procatarctical Errors committed in the use of res non naturales Infants are taken with this Disease till they are Two Years and a half old and sometimes after CHAP. XLVI Of a Convulsion A Convulsion in Greek called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 according to the Celsus is a distention of the Nerves Or thus a Convulsion is a continual and involuntary contraction of the Nerves and Muscles towards their original upon which there follows a stiffness a deprivation of the Figure and Form of the Part with a most cruel Pain the Part affected is the Muscle which is the proper Instrument of voluntary Motion The nearest Cause of this Convulsion is an Irritation of the Nervous Parts from any thing molesting and troubling the Muscle the Animal Faculty performing the Motion being drawn into consent The Material Causes are any Humours Flegm only excepted so that they have acquired also a certain occult enemical disposition in the Nerve as also the Vapours and Humours in the Nâ—rves and Chollerick Disease which can pull the Nervous Parts and become a true cause of Convulsion A Convulsion is either of the whole Body or it is of more or fewer parts that which is of the whole Body doth constitute Three Species or Sorts the first is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 when the Head Neck and upper parts of the Back is pulled together The second 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 is when those parts or the lower parts of the Spine are vexed The third is 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 that wherein the Neck and whole Body appears stiff and bowed into neither part but these last Species of the Cramp are very rare Moreover there are other Species of the Convulsion which are wont to be called Flatulent which by the Italians is called Crampa and vulgarly with us Cramp this happeneth oftentimes to the Muscles of the Shoulders Shins Fingers Hands and Feet and this done with great Pain that which is stirred up from Flatulentsy is not so dangerous for that is easily taken away by frixion only CHAP.
contending passions fear prevaileth over Anger the Face waxeth pale the Blood flowing back to the heart and these symptomes arise according to the vehemency of the abated or contracteâ— heat But if on the contrary Angeâ— get the dominion over Fear the Blooâ— runs violently into the Face the Eyeâ— look red and sometimes they even fome at the mouth There is another kind of Shame which the Latines call Verecundia and we Shamefastness in which there is a certain Flux and Reflux of heat and blood first recoiling to the heart then presently rebounding from them again but that motion is so gentle that the heart thereby suffers no oppression nor defect of Spirits Wherefore no accidents worthy to be spoken of arise from thence this effect is familiar to young Maids and Boys who if they blush for a Fault committed unawares or through carelesness it is thought an Argument of a vertuous and good disposition CHAP. VI. Tractatus de Scorbuto OR A Tract concerning the Scurvy The Description of the Scurvy with the internal and next Cause which is radicated mostly in the Blood and Nervous Liquor IN the ancient Medicine there is so little mention made of this Disease which we in our dayes câ—ll the Scurvy and there is so sparing a description made of it that some have doubted whether there have been any such Diâ—ease as is now almost Epidemical in manâ— places where in former times it was nâ— known and with which almost all dâ— labour or think that they are afflicteâ— This Disease it is apparent did put for â— it self in former times but it s own Oâ— springs as in the Lues Venerea and Riâ—kets were discovered long after Yâ— this Disease although known by othâ— Names and observed by the Ancienâ— and also the Cure of it hath been dâ—vered to the succeeding Ages by â— more dull wits as appears sufficiently the Testimonies of Hypocrates Aretiâ— Pliny and others There is little to â— said as to the various Appellations this Disease yet I shall give you a touâ— We shall therefore proceed to the opâ—ing and right Explication of it whâ— yet hath been so diffused and doth â—tend it self to such Variety and Multiâ—city of Symptomes that not one dâ—nition or scarce any single descriptâ— can comprehend it Howsoever not wholly to pass it oâ— we have little among Authors thaâ— certain yet among the ancient Mastâ— of Medicine there are various Naâ— appropriate to this disease of which some are taken from the Disease some from the symptomes as it appears from Celsus and others where it is taken from the various symptomes of this Disease Which shall be handled when we come to discover the symptomes signs or evil â—nd pernicious Concomitants of this formidable Disease As to the Name Scorbutus it takes its Original from Scorbuck a Danish word â—ut used by the Saxons and borderers â—pon the German Sea and in Latine by some Gingipediâ—um because that in this Disease the Gums and Feet are infected â—ith a corrupt Blood and thence one inâ—ication of a right manner of Cure is taâ—en to be well atchieved by a well munâ—ifying and cleansing of the Blood Pliâ—y in his Natural History calls it Stomaâ—ace and Sceletyrbe and of his Opinion â—s Strabo in his Book of Geographa but â—thers suppose this 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 to be a speâ—es of the Palsie However or in what â—anner this Disease was found to shew â—orth its symptomes in those dayes when â—s it was but in its Infancy in process of â—me we find it hath arrived to the pitch â—f one of the most formidable Dseases incâ—dâ—nt to these Northern Climates oâ— morâ—â—pidemical than most other distempers To stand much upon the â—â—me and from thence to suppose to deduâ— any thinâ— of the Nature and Essence â— this Disâ—aâ—â— does seem difficult if not iâ—possible bâ—câ—use as was binted beforâ— these Appâ—â—â—â—â—ions seem to take theâ— rise chiefly 〈◊〉 the symptomes whicâ— appear to be â—o numerous that as wâ— said no one single Definition can coâ—prehend it Notwithstanding some have thus dâ—fined it that it is a corruption of cruâ— humours and mostly of Atrabilis refuâ—ing from the Compass of the â—elly aâ— contained Bowels buâ— most of all froâ— the stuffing and intemperature of tâ— Spleen which is proper and peculiar that part And it also acquires â— diffâ—ing degree of putridness from the maâ—cious form and species of other humouâ— and it weakens and 〈◊〉 by littâ— and little by a 〈◊〉 Fertility â— symptomes all the 〈◊〉 of the Bodâ— the Bowels serving and dedicated Nuâ—â—â—tion â—nd placed 〈…〉 Regâ—on â—â— thâ— Bâ—â—y are â—â—â—â—â—pted â—he Suâ—ject and do administâ—r the Original â— this Disease But above the rest it is chiefly attributed to the Spleen in truth the 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 of it the Liver being sound the attraction is hindered by the intemperature and obstruction of the atrabilous humour which for that cause being mixed with the blood doth infect the whole Body with a consuming or pining corruption This definition carryes in it a great proportion with the Disease viz. In respect of the chief Seat the Spleen and the other incompassed Bowels Secondly in respect of the humour which is Atrabilious or burnt Choler Thirdly with respect to the Cause the obstruction of the parts destinated to Nutrition Fourthly to the Numerousness of the Symptomes which are very many Fifthly as to the End which is very afflicting And lastly the corrupting the Blood which as such is accompted the Parent of this Disease all which shall be further demonstrated and illustrated by that which follows CHAP. VII The Manner of the Generation of the Scurvy PHysicians have laboured much to dâ—monstrate the Manner of the production of this Disease and the moâ— evident is taken from an Analogy thâ— the Fermentations of Wines bare â— the Fermentations and Concoctions â— our Food received into our Body anâ— the various alterations that it suffers bâ— our innate heat and other Concomitanâ— of producing Chyle and the fitting it iâ— the various work-houses of our Body â— the great end to which it is designeâ— viz. the Nourishing of our body anâ— to this Analogy it is observable that tâ— Juice expressed from the Grapes begiâ— in short time to put forth it self into mâ—tion and by this there is by a certaiâ— Fermentation an Alteration and a Rariâ—cation the gross and dull is made spiritâ—ous and lively the thick is made thiâ— the tart is made sweet and pleasant Anâ— that that was unfit to be taken into ouâ— Bodyes by reason of its heterogeneit is by this Fermentation made most homogeneous or Friendly to our Nature but in this there are several things or accidents observable First that when the Faeces are separated and cast to the bottom if they are again elevated to motion or if any heterogeneous thing not agreeable to it as Fat or any Exotick Sulphur be cast into the Vessel from thence there will arise a notable perturbation which unless it be
Disease And therefore that Salt and the grosser parts of the Chyle when all cannot be attracted from the Spleen and elaborated and attracted by the Liver without Impediment even that which is the subtiler part of the Chyle as that which is familiar to it and naturally more apt to the generating good blood and cannot expell all things from Nature because of the abundance and unaptness they stick in the first wayes and abide in the branches o◠〈◊〉 Porta and Mesaraick 〈…〉 the Mesenâ—ary it self Paâ—â—râ—â— â—nd 〈◊〉 and by reason that it is woâ—â— to administer matter of Cause to such humours they are continually encreased every day And to these salt gross fixed humours there are joyned and mixed other crude and vitious humours and are detained in these places and so â—he Cymists do call the foulness of these humours heaped up in the first wayes Tartarous Having premised these things let us return to the Analogy that seems to be between the Fermentation of Wine and the Blood oâ— Humoâ—rs and concerning ing the first note in the Fermentation of Wine CHAP VIII 〈…〉 when the Faeces are separaâ—â—â— and 〈◊〉 to the bottom if they â—â—â— again elevared to motion or if any Heterogeneous Exotick Sulphur be cast into the 〈◊〉 from thence there will arise a notablâ—◠〈…〉 which unless it be 〈…〉 to the ruinâ— of 〈◊〉 whol◠〈…〉 lik◠〈…〉 there bâ— maâ—y thing â—hich 〈…〉 mixible with â—â—â— blood which â—eing mixed wiâ—◠〈◊〉 â—oe â—iâ—der â—he moâ—ion and Circulation of it â—nd trouble thâ— Oeconomiâ— Indeed these are not so well performed the nourishing Liquoâ—â—eing reduced to a muddiness â—â— inordiâ—â—â—ely ferments the blood and also â—haâ— Liquor is made to degenerate from its statu quo prius into a base and flat Liquor and being such stirres up the Fitts of intermitting Fevers but the vapoâ—ouâ— Excremâ—nts of the Blood the Rasa or Iraseibiles cholerick and atrabilious retained in its bosome it brings forth Catarrhes Dropsies Jaundies Melancholy 〈◊〉 â—any other Effects And Secondly The Sulphâ—â—â—us part 〈…〉 Blood being too much â—â—alâ—ed from thence is produced an inoâ—dinate heat and so is apt to be kâ—â—dled iâ—â—he heart and from thence followâ— a Feverish heat and thence have many Fevers the Cause of their Existence Thirdly There frequently happens a close Union or Constriction of the Sulphur with the wearied or tired spirit the saline parts being brought to a fluidness it excells the rest in power and force and so the Liquor passeth into an Acetum or Vinegar and from the Acidity of the Blood are produced Melancholy Distempers Fourthly There is yet another intemperature of Wines viz. when the spirit being depressed the saline and sulphurous particles combining together are exalted and this may be done in Wines in a two-fold manner And this is very observable Wines may degenerate into Vappa or Vineger and that sometimes from the spirit being depressed and also the sulphur with the salt exalted together doth become musty clammy or slimy which we call Wine over-fretted or become Ropy in either mutation the spirit being brought under the Yoak the sulphur and saline being associated together they grow too powerfull foâ— the other Elements and so they may be changed into the gross disposition of its own Liquor notwithstanding this thing is not done in the same manner in both For in the first Dyscrasia or Intemperature of the Wine the Sulphur somewhat abides with the Salt but in the latter the Salt rather existeth with the Sulphur but whether it be one or the other that is made more powerfull the dominion of the spirit being driven away the other consents with it and taketh away its due state the manner of both is explicable When Generous Wines have long waxed hot and by little and little being wounded the Spirit partly evaporates and being rolled about with the other grosser Elements it is supprest in the mean time the Sulphur the abundance of which is advanced by the great Agitation and the Spirit is brought under the Yoak adhering to the Salt and taking it up it alters the mixture of the Liquor and then by reason of the excellency of the Sulphur combined with the Salt thence comes the mustiness even as with thin Wines long kept the Salt excited and made victorious it depresseth the Spirit and from thence it induceth a sharpness to the subjected Latex and then the exalted Salt which is in it in a lesser quantity getting the Sulphur to it self and joyning it intimately with it self turns the substance of the Liquor from thin into thick and as iâ— were Oleaginous and from a soure savour into a very ungratefull and as iâ— were a Mustiness It is very probable that the Blooâ— may be thus altered in the Scorbutioâ— Affection as Wines as often as theâ— wax hot they degenerate into Ropâ— and stinking For this Disease is not â— much from the Faeculency mixed wiâ— the Blood although such have beeâ— and the Supplement of them may â— known before but it dependeth upoâ— the habitual Intemperature of the Blooâ— and the Argument is this Because a radâ—cated Scurvy is so difficultly cured aâ— sometimes not at all we may state tâ— Dyserasia sanguinis is the Parent of tâ— Scurvy even as we constitute a Dupâ—city of the Wine to wit a Sulphuro-â—linan and a Salino-Sulphurean Fâ— where there is the greatest variety â— Distempers which are attributed to tâ— Scurvy all these may chiefly and veâ— aptly be referred to two heads or Foâ—tains of Evil Viz. CHAP. IX THE first is that in which the Blood is touched with the Scorbutick Miaâ—ines or the prae-existing heat in which to wit the Sulphur having got the prae-domination gets the salt to it self wherefore that being made more rancid or Rammish waxeth inordinately hot in the Vessels and the Excrements being â—urnt to wit the Concretions of the Sulphur and Salt the Sulphur wholly forsakes it self and is dispersed here and â—here the which truely being drove â—utward do produce spots Pustuls Exâ—nthâ—mata and Ulcers but being dispoâ—ed inwardly they occasion Vomitings â—nrdialgia or heart-akings Diarrhaeas â—r Dysenteries and also most cruel pains â—n the scorbutick Rancidity of this kind â—f Blood temperate Remedies onely â—nd frequent Phlebotomies as Scurvy-â—rass Horse-radish and other things enâ—owed with a sharp and biting taste are â—onvenient and for the like reason musty â—r rancid Wines are cured by taking from them their Faeces Moreover by thâ— pouring in of Milk Starch Ising-glass and of other things asswaging or mitigating them In the second place in the Blood noâ—rishing the Scurvy the Salt having gâ— the Dominion it joyns the Sulphur to iâ— wherefore that is not so hot but it bâ—comes thick as ropy Wine and as it we Mucilaginous it is slowly circulated â— the Vessels and whiles it passes the Boâ—els it is apt to stuffe them and to fastâ— the muddiness to them such Effects oftâ— times are made without cutaneous Eruâ—tions there are produced short breatedness and weariness they labour wiâ—
Veins that passes down by the back but chiefly the spots do bud and put forth themselves in the feet and leggs 4. When the Fountain and Fuel of this Disease is circumscribed in the Bowels that neither much of it is powred forth into the veins then either the Veins it self or both do begin to swell in the Panch-belly and so they are rendered bigger but chiefly the Spleen which swelling or being puffed up with Afflatus and glutted with the muddy part of the blood it spreads to a greater magnitude 5. The fifth symptome of this disease is that from hence is produced an extenuation of the Body by reason of a defect of the more benign Aliment and nutritive Juice or from impure Food the blood being not sufficiently cleansed 6. The Appetite the Faculty of the stomack the desire of Food needfull and necessary to Life is dejected conflicting almost continually with a nauseating loathing and aversion to all food with some it is dulled but with others the natural habit of the stomack is well-nigh lost and truely all these things are wont to happen by reason of the disparity of the humour flowing as from the Liver so also from the Spleen into the Center of the stomack 7. The Seventh symptom is this that sometimes one sometimes another of the Hypocondra◠are afflicted with pain and as it were with an obscure deadness wherefore they are vehemently distended by winds or Flatus that hides and are shut up in these places from whence the power of Rising up and going doth arise 8. Eightly The pain of this place is not perpetually circumscribed and abiding here but every where now here now there according to its wandring disposition now in the sides and anon in the lower parts of the Body and by and by through the whole Body and thus it very imperiously maintains its own bounds 9. In the first which is extended to the Loyns the Loyns seem as though they were broke and in these there is perceived too much blood abounding in the great Veins of the Loyns before the arising of marks Buboes the Haemorrhoids being stopt in men and the monthly Courses in Women and other pains running over the whole Body but chiefly the Joynts sometimes with and sometimes without a tumour sometimes with a certain quivering and discovering its self of its own accord and often times it resembles the Gout 10. The tenth symptome is 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 or swounding which doth assault many the heat and spirit being wearied even as it is wont in the Hypochondraick affection in which often times there is certain Respits or Intervals as it were the Spirits leading themselves to the Castle of the heart as to its strong hold 11. If the humour pass downward because Nature with its own Gravity maketh it to travel into the Veins there is pain with a Flatus and vexes their extream parts abundantly 12. Some are Costive or more sparingly go to stool by reason of the driness of their bodies but others are attended with fluxes 13. The Urin appears muddy and yet it neither resideth to the bottom nor hath any troubled Sediment at the bottome 14. There is such pulsation of the quivering Arteries as there is in them that are afflicted with a Quartan Ague which is weak hard and frequent 15. And if the Praecordia's by reason of ill Living have been inflamed by heat because of the straitness of the place the matter having been shut in as in a hot Oven a Fever will arise gentle to the touch of the hand neither having any period or time of Endings 16. The Scurvy hath frequently its own periods with which by little and little it is dissolved and returns as it were again per Circulatum vel circuitum 17. When the flesh of the Gums by its nature being softer because of its Texture and being moistened with vapours from the impure Bowels scorching by the power of the heat from below truly they then are most apt to be fill'd and then it ariseth into a less and fluid humour 18. The Gummes do begin to itch at their roots because of a scorched putrid salt humor moistened by its Ichor with which by its nature is acrid and sharp propagated either by contagion being stopt no longer and by taking another course and afterward it hath by staying in the place acquired an Acrimonia 19. The Scurvy is alwayes accompapanyed with the stinking foetor in the mouth 20. Another Infirmity that attends the Scurvy is a weakness and feebleness in the knees for which cause the sick can walk but slowly though he endeavour much by reason that the Muscles and nervous parts are over-charged with gross and melancholy humours as also a Contraction of the Nervous parts that many cannot set their feet plain upon the Ground 21. To some there happens an obstinate stifness of the Jawes that they cannot well gape or yawn by reason of the stubborn stifness of the Joynt of the Cheek 22. In some there happens a convulsive motion of the Muscles and Nerves in others a paralytick distemper in some a swelling in their legges in some the Scurvy and Dropsie are complicated together in others there is an Atrophy viz. a Consumption of some one part whiles the rest are in good plight by reason of undue attraction of Aliment 23. There often happens a trembling and palpitation and great Assaults of the Heart and these Passions are meerly convulsive from the Cardiacous Nerves to wit of the Praecardium and Heart it self by reason of the spasmodical matter that besieges it 24. Some annoyed with wandring Fevers and also sudden suffusions of heat and also Cold in several parts of the Body now hot and anon cold flushing heats in their faces especially after meals untill the Concoction be over 25. Also Scorbuticks are wont to be molested with copious sweats and specially in the night because the nutritive Juice every day brought into the Mass of blood by reason of the intemperature impurity and foulness of it is very little assimilated being rejected of the blood breaks forth under the form of sweat but because that Nutritive Liquor whiles it is assimulating is made worse being sick it produceth not a Fever in its own manner the saltish intemperature of the blood which being less apt therefore abideth in the burning Fits these immoderate kinds of Sweats continual Fevers with other Chronical Diseases doe often happen to scorbutick persons where the Nutritive Liquor by fault of the assimulating Blood is perverted more than the concocting Bowels 26. In Scorbuticks the Urine appears red like a Lie made of Wood-ashes and this we pronounce as an undoubte◠sign of this Disease for whiles the serou◠Latex dissolved with the saltish and sulphurous uncocted particles some do◠impart and communicate to it the highly saturated and as it were the Lixivial tincture and also such a Urin abounde◠much with Contents which when it ◠cold doth praecipitate to the bottom 27. To this
Head Tongue Lungs Heart Stomach Liver Bladde of Gall Spleen Intestines Mâ—sentery anâ— Womb but when they are called Stones peâ— Autonomasiam Catexochen they are theâ— to be understood to be begotten in the Reins â— Bladder because they are more frequently generated in these parts If the Stone besieges thâ— Bladder that is called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 but iâ— the Reins do labour with the Stone it is calle◠〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Nâ—phritis The Stone is defined thus It is a solid anâ— hard body grown together into the form of â— Stone for the most part in the Reins and Bladder affecting them with a Nummeness froâ— an Earthy and salt humour bringing Obstructions and Distention The material Cause of thâ— Stone râ—jecting the Opinion of the Ancientâ— concerning the heat exsiccating indurating anâ— converting the gross and viscid matter into â— Stone is supposed to be a Stonifying Juice viz. An Earthy matter mixed with a Saltish in an equal proportion but the Efficient Cause to be a Stonifying Spirit placed in that Juice we draw in this Stonifying Juice with the Aliment which is found every where in all the Earth And so if by reason of the debility of the Concoctive and Expulsive Faculty or because of the abundance of that Juice all cannot be separated in the Stomach and expelled from thence but it then passes by the Ductum Thoracicum together with the Chyle to the heart and thence with the blood is carryed into the Aorta and at length is drove by the emulgent Artery into the Reins where it sticks to those extream small branches of the Artery or in the fleshy parts joyned to them and being hurried continually by the arrival of the blood in that place by little and little puts on the form of Gravel which if the sense of the Reins be stirred up with the roughness of them it expelleth the Sands leisurely with a serous humour but if the Gravel be generated in the Reins that be weak and there be perceived a dull sense in them and they are retained till they are united together they then grow into Stones which at length by a more forceable stirring of Nature it stirres up the Excretion of them and in the same manner is to be understood the generation of the Stone in the Bladder for if the temperature of the Bladder be not as it ought the Urine which should come out clear exactly mixed with all its parts passeth forth muddy and troubled and the Earthy and Tartarous parts being not exactly mixed with the watery settleth to the bottom of the Bladder and there by an innate power tendâ— to Coagulation and so passes together into â— Stone The antecedent Causes of the Stone are beside the dull and stupid sense of the affecteâ— parts much Cramming and Crudity unseasonable motion of the body after meat all Meatâ— which are gross and afford but a small Juice unripe and austere wines black thick and sweeâ— wines but most of all musty new thick anâ— muddy Beer also continual Riding Leaping and all motion which is made by the Back thâ— immoderate use of Venus To this place belong Hereditary disposition to the Stone but thâ— reason of that Stonifying augmentation in thâ— Reins of some but of others in the Bladder iâ— the strength or weakness of those parts by whicâ— the more weak Reins do fall more easily intâ— this Distemper of the Stone for which causâ— those parts that are more strong are most afflicted with the Stone of the Bladder and is morâ— frequent to Boyes but Old men do mostly labour with the Stone of the Reins These be the Signs of the Stone in the Reins First A fixed pain about the Loyns Secondly For the most part the Urine is crude thin anâ— waterish by reason of Obstruction sometimeâ— bloody when the Stone begins to move it self and dilates the passages and Pipes of the Processes breaking the flesh Thirdly A dulness straight down the Legges Fourthly A pain in the Testicles on that side in which the Stone is and the drawing or Retraction of it upward Fifthly Nauseousness to such a Subversion that they loath all meat and being received in they presently belch it out These be the proper signs of the Stone in the Bladder First A frequent pissing so that at length he come almost to piss continually that he can scarcely forbear pissing Secondly A suppression of Urine the Stone beating of it back Thirdly A Tenesmus which comes by the consent thâ—t the Anus hath with the Neck of the Bladder Fourthly A pain afflicting in some the whole Ductum Pudendi and in some only the Glans and that most cruel toward the end of pissing when the Stone is stirred by the course of the Urine and as it were presses the Sphincter Muscle with greater violence Fifthly There is a frequent erection and itching of the privy part Sixthly A sandy substance in the Urine and by that word Sandy understand a gross thick Gravel to which there is mixed a fat Earth this is that Clay-like Earth that sticks so stiffely to the botom of the Chamber-pot like snot For to preserve from the Stone and Gout the use of Rhubarb through the whole year is judged convenient at least to be taken thrice in a month from two scruples to a dramme at a time either by swallowing without the mixing any other thing with it or by mixing it with Sugar of Rosis The continual use of Sugar of Rosis some do approve above all others in preserving from the Stone there is scarcely any thing that may conduce more to the preservation from the Stone and without any hurt or trouble helping all the parts of the body but chiefly the Kidneys this wholsom help is temperate and that if the Reins be made larger tâ— a convenient state of Nature it self that it maâ— draw or cast forth those stones but if they bâ— full and obstructed then it abstergeth if theâ— be hot it cools it cleanseth the Stomach froâ— all Excrements above all others and strengtheneth it it driveth away all distillations therefore it is greatly approved if it be taken eveâ— day in the Morning one hour before Dinner alsâ— if it be taken twice or thrice in a month froâ— one Scruple to half a Dram. Of the Disease of the SPLEEN THE Spleen which is a certain Cook-rooâ— made for the receiving of the earthy anâ— muddy part of the blood that at length beinâ— there fermented and exalted it may pass inâ— a Ferment as in favour of heat to the blood again to be dispersed abroad This Spleen is infested with many diseases such as these Obstruction a Tumor distendinâ— the part a Scirrhus Pain Inflammation â— Wound an Ulcer c. It frequently laboureâ— with an Obstruction and that from the samâ— Causes which we have proposed in the obstruction of the Liver it is known by a weight anâ— resistance in the left Hypochondria with a certain pain and chiefly after long walking in
without the Venereal congress as truly if it be taken by Kisses there is Ulcers about the Mouth if from sucking of an infected Infant there is about the Breast Inflamations Pustles and Chops if from Vestments and common Bedfellowship then there is Pustles every where dispersed in the Skin and so you have the Signs of a beginning POX or Leues Venerea CHAP. XVI Here followeth the Signs of the Increasing Pox. BUt if this evil be now increased and waxeth stronger and this verulentsy be communicated to the Liver and from hence the Nutrition in the whole Body is depraved and all the Symptoms of this Disease enumerated in the History of this Disease do shew themselves which truly though they do not afford every one single and inseperable proper Sign of this Disease by it self yet if they are taken contained and the peculiar Condition diligently considered this Evil is made very clear for there is scarce any Disease in which there is the Syndrome of all so there be many so proper to the Leues Venerea that they are not found in the same manner in any other Disease as Buboes which are perceived sometimes in the beginning sometimes in the increase of this Leues for which cause they may be discerned from other Buboes in the manner declared in the first place the crusty Scabs be the Indiciums or Signs of this Disease and sometimes being apparent in the Forehead and Head resembling the Horns of a Ram in which there is contained a sanies matter sometimes nothing and they appear in the Face Head and Beard and in the whole Body but first about the Pubem or Coxas or Hip if they be joyned with a Tumor and sticking first to fleshy parts and Bones especially in the Head Forehead in the forepart of the Chin they are the most certain Signs of the Leues Venerea for the Venereous matter in the gross Humour hath a Coroding and a Dolorifick verulentsy joyned with it such as is not in other Tumors which do arise from a gross matter for although Ulcers do oftentimes happen to arise in other Diseases yet if they are stirred up first in the Yard and chiefly in the Preputium and about the Glandula and near the end of the Yard and also in the Pallate or Tonsils and what is cast forth is putrid and stinking and there was before no inflamation of the part nor no Signs of the Scurvy but Signs of the Morbus Gallicus the Hairs of the Head do first fall then the Hairs of the Beard and after that the Hairs of the Eye-brows and then that there is perceived Ulcerous Pustles and sordid Scabs this is a certain Sign of the Morbus Gallicus also in the same manner Rhagades and Clefts in the Palms of the Hands and Souls of the Feet having no other precedent Cause are undoubted Signs of the Leues Venerea and so these Warts sometimes depressed and broad and sometimes large and these Excrementiae which they call Figs Condylomata and Crusted if perceived in the privy-Privy-parts or in Ano. Certainly this doth sufficiently discover this Disease and although pains of the Head do happen in many other Diseases yet if litele Hillocks and Gummy do approach the Skin if there be a Gonorrhea and it be suppressed and there hath been a Bubo these be sufficient certain Signs of the Disease also pains in other parts of the Body for if pains are not in those Joynts but in that Region which is in the middle part of the Bones and near the Joynts as in the fore-part of the Shin or in the Shoulder-bone between the Head and the Joynt of the Elbow and these be most intent and sharp and do wax sharp about the Evening and in the night these also are certain Signs of this Disease also that Distillation which is familiar to this Disease by which much Flegmatick and waterish Excrements are cast forth by the Mouth and Nose by which the part by which they pass are exulcerated but first of all that Gallical Gonorrhea is the chief and certain Sign of the Disease CHAP. XVII Signs of an inveterate Leues Venerea THirdly if the Evil be inveterate there may occur also the Symptoms of the Disease of every Kind as Callous Fistula's and Cancerous Ulcers Tophies in various parts of the Body Caries of the Bones in the Shins Arms but chiefly in the Crannium or Skul in the Bone of the Palate and Nose a Hectick Fever Pthisick Cachexia Falling-sickness the falling of the Teeth Deafness Blindness To the truth of these things the Histeriographal part doth abundantly witness as to what concerns the Differences Verulentsy although the formal reason of it is known which is known from the Effects for sometimes more sometimes fewer parts are infected sometimes the Contagion has a greater power of acting sometimes a less And thus we have run over the Signs and Symptoms of the Leues Venerea with as much brevity as a matter of such importance would admit and with so much clearness that there is not any person of the meanest Capacity but may from this discovery discern whether he or she be infected with this Distemper and in time make out for Cure you may here as in a Glass discover the least approach of this Disease in your selves or Relations and by that prevent a great deal of shame and misery to your selves Relations and Families and prolong your own Lives You have here stated the Essence Nature Signs Symptoms Concomitants and Effects of this direful Disease with its occult Quality how it is contracted and that is always by Contagion in its first Rise though from thence may and often is hereditary with all its Diagnostick Signs We omit the Prognostick Sign so call'd by Physitians because by them they do determine whether persons be Curable or not and foretel the Effect that is like to occur according to the Concomitant Signs because First it would extend this Work beyond its design being chiefly to acquaint how every person might come to a certain Knowledge of their own Disease And Secondly we cannot suppose without a Delirium in our own Brain that any person that is infected with so Hostile and Formidable an Enemy as this is and a Domestick one too would being in his right Wits neglect his Cure and not immediately seek out for it Thirdly some upon Examination finding the Disease deeply rooted the Symptoms great the Tyrant highly insulting over him might dispair of Cure when it may be had and so through mistake and too much timerity run themselves upon ruine Fourthly some who having but a lighter Touch or Infection might slight it and think it nothing as we have known many of this sort and so go on neglecting their own Cure until they ruine themselves and their Relations if they have any whereas there are but few or rarely any but may be Cured and of whom we our selves have Cured many and some too that have not hindred the least business and
lyeth heavyer for that certainly a heap as it were weightily pressing into the Stomach and Praecordia The Inflamation of the Liver which the Greks call 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 is a hot Tumor of the Liver with a continual Fever stirred up from an impetuous affluxion of Matter accompanied with a sad Pain afflicting with the sense of weight the Signs of this grief is a weight in the right side of the Praecordiums stretched out from the Jugulum to the Bastard Ribs a small Cough and that dry difficulty of Breathing an accute Fever a Queasiness of Stomach a great thirst the Colour of the whole Body inclining to a Yellow this Tumor easily passeth into an Abscesses which if that happens it pronounces certain death and when it becomes an Imposthume Pain Fever and other Symptoms wax strong the Fits invade many times without order which being over an Exacerbation of heat follows the Puss being made all these things are remitted but the strength remaining is much weaker the Pulse frequent small and languid a frequent fainting of the Spirit the Abscessus being broke there breaks forth much filth from the Puss the Sick is detained with sometimes a hot sometimes a cold Intemperature there is a great loathing of Flesh nevertheless hunger does much hurt the thirst is vehiment the whole Body and specially the Palms of the Hands and the Souls of the Feet are hot the Face white soft habit of Body and raw and crude dejections CHAP. XXV A Cachexia A Cachexia is an evil habit of Body and as it were a Dropsie it is a more soft and loose Constitution of the fleshy and skinny parts of the whole Body and as it were a puffing up with an ill favour'd Colour of the whole Skin either Pale Livid or Leadish this evil is wont to come from impure naughty and corrupt Aliments but if these be not the cause it is charged upon the Imbecility or Impurity of the Stomach and Viscera for Imbecility produces a weak and crude Concoction for the parts of the more pure Aliments being carryed into the habit of the Body notwithstanding it is sent to and as it were agglutinated to the parts yet it is not perfectly assimilated and from hence is made not true and legitimate nutrition but a viscious and unprofitable the Impurity of the Viscera maketh an evil and corrupt Blood which at length is brought into all the parts and being unuseful to be dissipated into the Substance of the Body thence follow an unmeet nourishment the external Causes are Meats of evil Juice frequent gorging of the Belly studying too late at night over much watching suppressae evacuationes mensium suppression of the Hemorrhoides frequent bleeding at the Nose or stopping of other Matter which were wont to flow as a Diarraea and Dysenteria longa Long being in Prison and Subterranian places Venom being drunk or the Bite of venomous Beasts that also which makes much to this Disease is continual Fevers stubborn obstructions of the Liver or Spleen hard and Scirrhous Tumors old people are also corrupted with this Disease by reason of the Imbecility of the Native Heat and Women ob retensionem mensium and Children by Gluttany or excessive eating And also a Cachexia sometimes hath its original from an Ulcer of the Reins where there is Gravel when the perulent Matter by reason of the Obstruction of the Ureters flows back into the Reins and so infecting the Blood the whole habit is defiled CHAP. XXVII Of an Inflamation of the Lungs PEribneumonia is an Inflamation of the of the Lungs with an accute Fever difficulty of Breathing and a Cough the part affected is the Lungs either the whole Lungs or part either the right or the left side the Cause is Blood breaking copioufly into the Lungs and kindling an Inflamation the External Causes are vehiment Exercises especially after long quiet and repletion of the Body overcrying and Extention of the Voice anger the Cold Northern Air especially following the Southern the use of Stagnent Waters as Lakes c. Venomous Diets and sometimes mrlignant Humours as when the Peribneumonia or Inflamation of the Lungs are Epidemical The Signs are straightness of the Breast with a heavy and grievous pain reaching to the Spine of the Back difficulty of Breathing and truly a greater than in the Pleurifie an accute Fever troublesome Cough a Redness of the Cheeks in the beginning no Spittle but in process of time there follow Crude Chollerick or Frothy Spittle The Cure is to be begun with opening a Vein a Glyster if need be being first administred CHAP. XXVII The Pleurisie A Pleurisie is a Disease of the Thorax or Breast the most molesting and accutest of all and there is none that assaulteth the life of a Man more it is an Inflamation which extendeth it self under the Ribs and the Membranes thereto adjoyning and taking its Rise from a thin Chollerick Blood with a continual Fever and pricking pain of the side vehiment Cough difficulty of Breathing it is caused either from pure Blood or hot and Chollerick Humours being mixed flowing into the Membranes the remote Causes are Cacohimia Plethora wonted Evacuations of Blood being supprest Flux of the Belly unseasonably stirred a Contusion of of the Breast from a fall or a violent stroke vehiment Exercise and after that Exercise a large draught of cold Water or the like a large drinking of more pure Wine too much hot or over much cold The Pathognomical Signs of a Pluresie are accute pains of the side difficulty of Respiration as also frequent and little a continual Fever and often observing the Fit of a Tertian in the beginning a dry Cough afterward moist with foul and colour'd Spittle there is an Inflamation of the Intercostal External Muscles this arises sometimes from Blood poured out into those External Muscles and sometimes from Winds and sometimes from a Distillation the true Pluresie is known from a Bastard that the sick cannot lie on that part opposite to the pained side because of the Membrane pained by the newly conceived weight But in the Bastard Plurisie it is difficult to lie down upon the side affected CHAP. XXVIII De Impyemate 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Puss and 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Putrefaction Suppuration it is a Collection of Puss in the Capacity of the Thorax or Breast coming from the foulness and filth of the whole Lungs but it floweth thither either from an Angina or Peribnenmonia or it happeneth more frequently from a Pleurisie for these Coughs not being well cleansed there happeneth an Abscessus from which at length being broke there floweth a Puss into the whole Capacity of the Breast CAAP. XXIX De Pthisis 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 tabes 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Corrumpo in Latin Tales and in general it is taken for the Extenuation of the whole Body and it is accepted for any thing that flows from the same Cause and in that sense it is taken among Physitians and so it is
taken frequently for that Consumption of the whole Body which flows from the Ulcers of the Lungs and so this Calamity may be defined it is an Ulceration of the Lungs from a sharp Matter coroding cum febre lenta a Cough with a foul and perulent Spittle by which by little and little the whole Body is Consumed aad Extenuated The Cause of the Phthisis is besides the viscions Constitution of the Lungs a sharp and salt Distillation from the Head as also a sharp Humour from the neighbouring parts cast into the Lungs as Inflamation Suppuration of the pleura mediastina Diaphragma and aspera arteriae which is converted into an Epyema and from those naughty depraved Humours which are generated there is produced a Phthisis and moreover from the broken or eroded Vessels of the Lungs and putrifying there this evil is contracted The Anticedent Causes be viscious Humours Collected in the whole Body which when they be moved or stirred from External Causes and transmitted to the Brain and thence flow into the Lungs and if to this there happens a suppression of other wonted Evacuations of the Hemorhoids vel Mensium The External Causes are Contagious Air very hot or cold or the Autumn Air. Those which are disposed to a Consumption are such who have narraw Breasts their Neck long and narrow and their Shoulders standing up The Signs be these a continual Cough at first a Bloody Spittle and afterwards perulent a small and continual Fever which afflicts most in the might an Extenuation of the whole Body a difficult Respiration the Disease being confirmed the Puss becomes stinking The Hair falls off the Nails are bowed inwards the Cheeks wax Livid the extream part and the Feet sweat and lastly there follows a Diarrhea CHAP. XXX A Catarrh or Rheum THe Head may be said to be the fountain and root almost of all evils and so it is proclaimed to be both from Hypocrates and the rest of the Ancients for when a Catarrh falls from the Head it is the cause of many Diseases for there are few parts of the Body safe from the Incursion of this Enemy the Ears the Eyes the Nose Jaws Lungs the Sides Arms Shoulders Flancks Glandula's Hips Legs and what part is there it doth not Invade for from hence follow Apoplexies Blindness Pleurisies Consumption of the Lungs Palsies Deafness Quinses Orthopnoiae Coughs Horseness Vomitings Inappitency Inflamation of the Liver Bladder and Reins pains of Collick Iliaca passio Fluxes of the Belly and Gouts of all sorts and all Rheumatism and what a Number of Diseases may proceed from a Catarrh so that it deserves to be called the Fountain of all Diseases and Complaints It is by the Latins called Distillatio but from the Greek 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 The Name of a Catarrh taken in the largest sence signifyeth a Defluction from the Head to the inferiour parts but when it is taken more strictly it is defined to be a Defluction of an Excrementious Humour from the Head into the Palate Mouth and Lungs having its Rise from the Expulsive faculty of the Brain being excited The Material Cause is a Flegmatick Humour sometimes insipid and sometimes acid salt and sharp and sometimes also corrupt and hurting the substance such as is begotten and gathered in the Head in a contagious or malignant Catarrh or the faculty of the Brain it self being weak chiefly by reason of a moist and cold intemperature for that cause the Head is not able to concoct the Aliment destinated to the Brain neither is it able to dissipate the superfluities begotten there for either by Vice of of the inferiour parts for oftentimes the exhale from below and by studies and business presently after meat are attracted to the Head the Vapours and thick Fumes which the Brain bccause it is not able to beat back the approaching nor dissipate the Fumes already received must retain as in its proper Inn. Thus the Head in this manner being repleated with much Flegm or Vapours condensed into a waterish Humour at length the Expulsive faculty of the Brain being awakened ariseth which being desirous to unburden it self thrusteth forth the burden with which it is over much prest plentifully to the lower parts The External Causes which do either multiply or press out this Excrementious Humour and excite it to a Defluction is the more cold Air Northerly Wind cold Medicines applied to the Head a sudden change or mutation out of a hot Air into cold and so on the contrary the immoderate use of the more thin and clear Winds as also by the flowing of hot Humours hence it is that Catarrhs are more frequent in the Spring season also hot Baths unseasonable friction of the Head with hot cloaths vehiment Motions of Mind and Body heat of the Sun long Sleep over much Watching night Studies some Catarrhs are cold some hot others sweet some salt and some are suffocating when they rush with violence into the Lungs so that they expose a person to the hazard of suffocating and lastly some are contagious CHAP. XXXI A Dysenterie GAllen hath stated four Differences of bloody Dejections The first is when the Blood is cast forth pure by Stool by reason that there is an Imposthume in some inward part or from wonted or accustomed Evacuations is intermitred or from such like cause The second sort is when the Matter Ejected is like Water in which raw flesh hath been washed and this is called Hepatick or Flux of the Liver But the third is an Excretion of Black and shining Blood and this is Gold Melancholly But the fourth and last is a Dysentery in this the Intestines are primarily affected which does appear by the Torments and Gripings of the Belly and it is defined thus it is a frequent crude and perulent Dejection with pain and ulceration of the Belly and Intestines from a sharp Matter Eroding which is peculiarly contrary to the Intestines The next causes are certain sharp Humours obtaining a peculiar and an occult disposition with which the Intestines are Infested and Exulcerated The remote causes are naughty and unsuitable Food Musty Drinks Water that runs through Leaden and Old Pipes the use of Autumnal Fruits as of Grapes and other such like venomous and violent Medicines the Air in the Spring being hot and dry after a rainy aed slabby Winter accompanyed with Southerly Winds for oftentimes this Disease is stirred up at the end of Summer and beginning of Autumn and in Countries very hot for it doth shew forth very much Contagion in those hot parts of the World in the production of this Affect The parts affected are the Intestines sometimes the thick sometimes the thin and sometimes both if this distemper be in the thiner Bowels it bewrayeth it self very much in these following Signs The Torments do come by longer intervails the pain is more sharp and sheweth it self to be about or above the Navel the Feces and Blood are very much confounded and mixed together because