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A50152 XCIX canons, or rules learnedly describing an excellent method for practitioners in physick / written by Dr. J. Macallo [sic], physitian in ordinary, first to Rodolphus, late Emperor of Germany, and after his death, physitian in like manner to K. James. Macollo, John, 1576?-1622.; Rudolf II, Holy Roman Emperor, 1552-1612.; James I, King of England, 1566-1625. 1659 (1659) Wing M113B; ESTC R43414 28,981 122

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of the face hard extended and dry the colour of the face pale or black livid or lead-coloured for if this deformity do not proceed of a manifest cause as of lack of sleep or of meat or by reason of a Flux of the belly without doubt it presageth death to be near for this great extenuation is made by the malignity of the disease Canon 22. Where a change is perceived through the whole body so that it is now cold then hot sometimes of one colour then of another it foretelleth a long disease for the indispositions diversly mixed are still longer than those that are of a fast form or fashion for Nature cannot tame or overcome more at once Now the changing of qualities and humours demonstrate the disease to be caused of divers humours in the coction whereof Nature hath need to employ much time for according to the variety of the humours within there appears a variety of colors without Canon 23. It is a good sign to have the Hypoconders that is the space under the short ribs on either side soft equal and without dolour but very evil to have them hard bended unequal and painful for as the former shews the good temperature of the Epigasticks or skins covering the Muscles of the Mesentery the Livor the Spleen and the Stomach so the later declares an intemperature that is an inflammation a skirrh or wind to be in those parts In all diseases it is good that the parts above the Navel and the inferiour part of the belly be gross fat and in good case for the Hypoconders gross and fleshy are marks of strength but the small and extenuate are evil both as signs and as causes for as much as they are signs of the debility of the parts extenuate and causes that the digestion is not well elaborate in the stomach nor the sanguification in the Livor for the grosness or fatness of the Epigastre or lower parts of the belly do augment the natural heat by the parts within being warmed they better digest the meat and so make better blood Canon 24. As to the consideration of the things that fall out in the body every good sign is not an assurance that the sick shall escape neither on the other side though evil signs appear are they to be taken for warrants that he shall die for a good sign may be over-weighed by an Evil being great and on the contrary an evil sign may be overcome a good being stronger Canon 25. The disease quits the sick either wholly at once by way of Crise or by little little by way of Resolution Crise is a sudden change of the Disease into Health or else into Death which is then when Nature separates the vicious humours from the good in order to expell them of it there be two sorts one is by Excretion and the other is by Absesse that comes by a flux of Blood or Sweat or by a flux of the Belly or Vomit or flux of the Urine Canon 26. The good Crise arrives on the 7 14 or on the 20 day wherefore these dayes are called Critical the future Crise was fore-seen by the signs of digestion appearing on the 4 11 and the 17 day hence these dayes are called by the Greeks 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 that is Indicatives Contemplatives for according to the doctrine of Hypocrates the 4 day is the indicative of the 7. the 8 is the beginning of the next moneth the 11 is also remarkable because it is the 4 of the second week and the 17 is also to be observed because it is the 4 after the 14 and the 7 from the 11. Canon 27. When the Crise is to be on the 7 day there is to be perceived on the 4 day preceding a red cloud in the water and other signs correspondent for because the 4 day points out the 7 if there appear any sign of concoction that day it forewarns the Crise to be on the 7 day where then there appears a cloud in the water not onely red but white and yet rather a white Hypostasis or ground united and equall if it so happen that the motion of the sickness be sudden it is a presage of the future Crise When the Crise draws near the night preceding is very troublesome but that which follows is ordinarily more easie to be endured for whilest Nature is making a separation between the good and evil humours which disagree in this exercise of nature the disease is much troubled but so it is that this great work appears the night before the Crise because the sleep is interrupted but the night which follows the Crise being perfect the humours are much more at their own ease because nature is disburthened of superfluous humours Canon 28. The universal signs by which one discovers the espece or kind of the Crise to come are taken from the kind of the Disease from the part that is diseased from the nature of the Patient for hot and quick diseases are ordinarily judged by excretion but the cold and long by Absesse If there be an inflammation in the gibbous or rising part of the Livor then must be expected a Crise by a flux of Blood at the right Nostrill or by a flux of Urine if the inflamation be in the hollow part of it then expect the Crise by a flux of the Belly or by Vomit or by Sweat The inflamations of the Brain and of all the Head are commonly judged by an Hemorragie or bleeding at the Nose but that of the Stomach and Mesentery are judged by Vomit or Flux downward Moreover a flux of Blood falls oftenest to young men cholerick overtaken with a hot Fever and a flux of the Belly to old men phlegmatick there the common and now here the proper Prognosticks of every Crise Redness of the Face and extreme dolour of the Head and Neck a beating of the Arteries in the Temples the distention of the Hypochonders with difficulty of breathing a dimnesse and watering of the Eyes singing of the Ears and itching of the Nostrils prognosticks the Crise to be a flux of Blood by the Nose A heat and heaviness of the Loynes with a pain and extension of the Hypogastre foreshews a Crise to be by a flux menstruall A suppression of the Water with a pricking and shivering through the whole Body with the Pulse soft and watry and the exteriour parts of the body hot and vaporous betokens that it will be a Sweat Belching Ventosities or Winds a bending of the Belly and pain of the Kidneys by a flux of the Belly loss of Appetite or loathing of Meat with a throwing of the Heart soreness of the Head giddiness great spitting bitterness in the Mouth and a trembling of the under-Lip these are prognosticks that a future Crise will be by Vomit When the signs of Concoction have gone before and when the motions of a Crise have been perceived then it may be expected by a flux of Urine if there
cannot be but in a long space by reason of the weakness of their natural heat yea the greatest part of sickness that doth arrive to old people conveys them to their graves Canon 5. The Spring is very wholsome and no wayes mortal when it keeps temperature but in Harvest diseases are very strong and deadly for the most part First because cold and dry are diametrically opposite to life which consisteth in heat and moisture for those humors hinder the generation of blood whereof the body is made and nourished Secondly because it receives from the Summer proceedings from the body languishing and weary Thirdly because it suppresseth within the body the superfluous humours melted by the heat of the Summer which come forth to the skin to the end they may go forth Fourthly because about the twelfth hour it openeth the pores of the body by the heat incontinently after becoming cold it ariseth within the body as an enemy to extinguish by its malign quality the natural heat already feeble and languishing moreover it gathers store of crudities within the body which do choak the natural heat and that especially by the use of fruits which it produceth The Summer hastens sicknesses but the Winter doth retard them because in the Summer the pores being open the evil humours of the body being melted by the heat of the air are suddenly dissipated but in winter they being closed by the cold are retained within Canon 6. Amongst constitutions of the Seasons the dry is most wholsom and not deadly as the rainy for it gathers no Excrements and better resists to putrefaction The humid on the contrary causeth many superfluities from whence are the generation of diseases When the seasons are constant keeping the temperature ordinary so that all things do naturally fall out in them the diseases are likewise constant and easie to be understood but when the season is inconstant so are the sicknesses variable and hard to be understood for the Crisis or conflict is accompanied with dangerous Symptomes where they suddenly cause death or else leave a matter to a new sickness Canon 7. When the sick proves a good second to the Physitian fighting against the sickness it is then easie to obtain the victory now when he believeth the Physitian and puts his Ordnances in practise he serves him for a second and declares himself an enemy to the disease On the contrary if acquitting the Physitian he takes part with the disease by accomplishing that which himself desires he hazards his life two wayes one in leaving the Physitian alone in the combat the other in serving as a second to the sickness which was before alone for it is certain that two are stronger than one Canon 8. The greatness of the sickness followeth the greatness of the cause for as a light cause produceth a light evil so a great cause rendreth a great effect Hence a vehement cause contrary to Nature is a most certain Indice of a great and dangerous sickness Canon 9. Choler doth ever cause quick diseases which determine and end within a few dayes because it is easily resolved by its subtility But Melancholy is the most viscous of all the humours and makes longest accesses because it is dry cold and thick being the life of the blood Next to Melancholy is Phlegm in difficulty of digestion and expulsion by reason of its viscosity Canon 10. The diseases which have some resemblance with the nature bodily constitution and age of the Patient are less dangerous than those that have no conformity for all sicknesses hot cold dry or moist being conform to the complexion age and bodily constitution of the sick as also to the season hath so much less danger as it is less removed from the natural constitution and so may more easily return as proceeding from a lighter and slighter cause as on the contrary the disease which hath no affinity neither with the temper likeness nor age of the Patient or with the season is much more dangerous than the former being further removed from the natural complexion and therefore worse to cure as proceeding from a greater and stronger cause so that of two burning Fevers equall in grandeur that which falls out in Summer to a young man lean of body and hot of temper shall not be so dangerous as that which falls out in Winter to an old man of a fat body and cold complexion Canon 11. Meek and gentle relenting diseases are commonly long but the sharp fiery and fierce are ended within fourteen dayes and the extreme hot in seaven dayes There can be no certain prediction made of hot sharp diseases either for health or death for because they are quickly ended they become suddenly great so that both for the greatness of the disease with the sudden change which befalleth in the Crise or conflict as also because the humour is often transported from one place to another the issue is uncertain wherefore whilst the humour is in its motion it is best to suspend judgment for it is not certain whether it will rush on a noble or ignoble part within or without by passages convenient or inconvenient and though the humour were stayed in one place yet the Physitian ought not resolutely to affirm that the sick shall escape but with this provision That no new change befall and that he follow the advice and keep the regiment prescribed When a woman with child is overtaken by any fiery hot disease she is in danger of her life for a hot fiery Fever requires a strict diet which she cannot admit lest the child being robbed of the food she be delivered before her time and again if sometimes to save the child the mother should often eat the Fever thereby encreasing the mother shall be precipitate in manifest hazard of her life and if it be any other strong sickness without Fever as Epilepsie Apoplexy or Convulsion she shall never be able to support the vehemencie of it Canon 12. To foresee the event of the disease diligence must be used in considering the part that is offended whether it be noble or ignoble publick or private for the condition dignity and necessity of the part that suffereth are of great importance for the pronouncing of the sentence to the profit or prejudice of the Patient Canon 13. In all diseases the constancy of the reason not troubled together with the bounty of the Appetite still ready for whatsoever shall be offered unto it it is a good sign and the contrary is an evil sign The setledness of the Reason and sharpness of the appetite are numbred amongst the good marks because the former bears witness of the temperate disposition of the brain the tyes and ligaments of the brains of the marrow of the back of the Midriff and of all the nervous parts and the later shews the integrity of the Stomach and Livor On the contrary the alienation and troubling of the Reason and the loss of Appetite are evil signs
because the one betokens the animal parts to be affected the other the natural All they that are troubled with pain or dolour in any part of the body whatsoever and are not sensible of it have the reason troubled because the apprehension doth not in any measure perceive the evil Canon 14. It is good to sleep in the night to make reparation of the spirits animal and a digestion of the humours by the means of the heat that enter within the center of the body and to watch in the day for clearing of the same spirits to give motion to the humours and to make expulsion of the Excrements but it is a very pernicious sign not to sleep night nor day for continual watching cometh either of dolour pain and torment suffered or of the dryness of the brain which in the end will cause an alienation of the mind Sleep likewise surpassing the bounds of mediocrity is in like manner evil because it is a mark of extreme coldness in the brain which causeth a Lethargy or Obliviousness if it be mixed with humidity or else a Catalepsy which is a kind of the Falling-sickness if it be acompanied with dryness When in a sickness sleep is noysome and hurts there is danger of death for if the sleep doth hurt in that time that it hath been accustomed to help much as in the declination of any sickness it is not without cause that it foretelleth death and that because the heat retired within the body in the time of the sleep doth by this means encrease and being not able either by reason of its weakness or the maliciousness of the humours to overcome the causes of the disease it shews that Nature no way strengthened or comforted by this means but rather hurt is ready to sink under the burden the disease being stronger Canon 15. The Pulse is the faithful messenger of the heart bringing certain news of death or life The Pulse great and strong is a token of strength on which is builded the hope of the healths recovery but the Pulse little weak and languishing sheweth the weakness of the vital faculty from whence is the fear of death The inequality of the Pulse is also evil when it continues an intermission in young men it is most dangerous for it threatneth present death if it be not from an obstruction and oppression of the Arteries it is less dangerous in children and least of all in old men Canon 16. The respiration free without stop or let is very wholsom in all sharp and quick diseases because it denotes the temperature of the breast and of the parts therein contained So also the respiration remaining whole declares the natural heat yet to be strong to fight valiantly against the disease On the contrary the difficulty of breathing shews the indisposition of the vital parts and the suffocation of the spirits For the respiration frequent and great is a sign of some inflammation of the parts within the breast but the great and seldom breathings do foreshow a future alienation of the spirit as the respiration little and rare betokens death because it bears witness of the extinction of the natural heat which is clearly perceived by the coldness of the breath issuing at the nostrils and the mouth Canon 17. It is a good sign to have constantly a whole heart for they who fall often into Lipothamy or swounings without a manifest cause do die in the end suddenly because of the debility of the vital faculty Canon 18. The coction of the humour appearing in the Excrement of the Patient signifies the Crisis or conflict to be speedily in assurance of health but the crudity denotes that either there shall be no Crisis or that the Patient is mightily troubled or that the disease shall be longer or that afterward it shall return or finally that death shall follow upon it For as when the coction is made Nature is victorious over the causes of the disease so the contraty comes to pass when she is overcome by them for instance the foecal matter being soft equal and yellow not having any evil smell is judged to be good because it is well digested in like manner the water being of a middle consistence of colour somewhat yellow having grounds white united and equal is reputed to be singular good because it bears witness that the vitious humours are digested and consequently that Nature hath gotten the victory over them On the contrary the digestion liquid and watery white and pale is reputed evil because it is crude and raw so also the Urine watery and smal white and exceedingly shining is not good because it is raw and without digestion Canon 19. When the Excrements of the sick are not very different from the Excrements of the whole it shews the disease to be light but if there be a very great difference the disease must be apprehended to be deadly for the Excrements differing shew Nature to be overcome by the greatness of the disease Therefore the foecal matter black livid green and stinking are mortal because they are wholly alienated from the natural constitution and the water that is black and thick and troubled like that of Oxen is most evil because extremely removed from the natural The same mixed in colour foreshews a long disease for they denote diverse indispositions caused of divers humours and therefore it is necessary that Nature employ her self a long time to the concoction having so many Enemies to combate The Urine in which grease is seen to swimme like spiders webs is evil because it declares a melting of the body by an extraordinary heat Canon 20. Sweats are good in all sharp and fiery diseases when they fall on critical dayes and they cause the Fever wholly to cease They are good also when they make the disease more easy to the Patient provided they be universal but the sweats which bring no ease nor serve to any use as also those that are cold and appeare onely about the head face and neck are most evil for in a hot fiery and quick Fever they prognostick death and in a gentle Fever they shew the longness of the disease A cold sweat running without ceasing and in great abundance is a mark of a long disease because it comes by reason of a great quantity of gross and cold matter which cannot easily be dissipated or tamed by the natural heat A hot sweat on the other side shews a short disease which being caused of a subtile matter will in a short space be dissolved Canon 21. If the visage of the sick be like to the countenance of whole persons it is a very excellent sign chiefly if it look like it self being whole On the contrary it is a very evil sign when it is different from the natural and when it is hideous to behold as it is when the nose is sharp the eyes hollow the temples abated the ears cold and drawn in the lap of the ear turned the skin