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A86032 A treatise of the rickets being a diseas common to children. Wherin (among many other things) is shewed, 1. The essence 2. The causes 3. The signs 4. The remedies of the diseas. Published in Latin by Francis Glisson, George Bate, and Ahasuerus Regemorter; doctors in physick, and fellows of the Colledg of Physitians at London. Translated into English by Phil. Armin.; De rachitide, sive, Morbo puerili. English. Glisson, Francis, 1597-1677.; Bate, George, 1608-1669.; Regemorter, Assuerus, 1614-1650. 1651 (1651) Wing G860; Thomason E1267_1; ESTC R210557 205,329 373

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parts to whom the Natural Vital and Animal Faculty is communicated For although these Faculties as to the first act may be said to depend upon the Soul which relation hath indeed no relation to the Medicinal art yet in respect of the second act they are necessarily rooted in some material Constitution of the parts to which they belong For whereas some say that the Vital Faculty is derived from the Heart and the Animal from the Brain unto the other parts that must not so be understood as if the Faculties themselves in a wandring manner were transient from part to part for the passing of an accident from subject to subject cannot be conceived by any understanding but that the Vital Faculty is derived with and in the vital Spirit from the Heart unto the parts or at least is excited by some motion of the Heart and Arteries in the parts themselves and in like manner the Animal Faculty doth descend in and with the Animal Spirit by the Nerves or is produced in the parts by some motion of the Nerves in the Brain Which way soever it comes to passe we must needs confesse that some alteration is imprinted in the part it self receiving it either from the said Spirits or from their motions Which alteration as it is here granted to be the root of the Faculty either Vital or Animal in the respective parts so is it a moveable Constitution because it can be variously changed remitted and intended without the dissolution of the whole and it is the Constitution wherein either Health or Sicknesse may consist seeing that whensoever alteration is deficient unto the parts wherein it ought to be or any other wayes administred then is requisite the action will thereupon be unavoidably depraved but if it be rightly performed then sound and perfect health is said to be present from the part of that Constitution Considering therefore that there are two kind of Alterations besides the natural and inherent Constitution one from the influx of the Heart another from the influx of the Brain in most parts and seeing the said alterations as they themselves are more perfect or more imperfect do render the Faculties in the respective parts at least as to the second act more perfect or imperfect and that the actions are thereupon depraved or sound it is necessary that this threefold Constitution reside in most of the parts and that the said kind of alterations be medical constitutions whereon Health and Sicknesse may be grounded That this Division or Distinction is not frivolous or altogether unprofitable appeareth from hence because the practical Physitians in their Methods do rightly admonish that in obscure Diseases the Faculties must be accurately observed when their actions are seen to be depraved which diligence may serve as it were for a Manuduction to guide us to the Origine of the affect now if it be a consideration of so just importance to note the interupted Faculties in Diseases certainly it will be an exercise of no lesse moment to take cognizance of the Constitutions themselves upon which those Faculties have an immediate and strict dependance Now least any man should conceive that there is almost a coincidence between this third Division and the second he may observe if he will diligently weigh the matter That every member of this division doth in some manner include al the members of the next precedent namely that the natural Constitution doth comprehend primarily indeed the similar Constitution but that secondarily and in order to the whole creature it containeth in a sort the conformation and continuity in like manner that the Vital and Animal Constitution do in their way so clearly participate of all the Members of the said Division that to offer proofs of it were an unnecessary undertaking Only we desire the Reader to take notice which also we even now intimated That the natural Constitution primarily and principally hath respect unto the temperament the common qualities the plenty of the Spirits and the peculiar disposition of them which by some are refered to the form and the whole substance but that it hath respect unto the manner of the Organe and the continuity as it were secondarily and in order to the whole creature and that it can scarce be otherwise hurt or vitiated by them Yet we must not deny but that the natural Constitution is sometimes vitiated as it is meerly Organical for thus it falleth out in the obstructions of the natural passages as for example when a stone is impacted or grown to hardnesse in the passage of the Meter or the yard and in the like cases but this happeneth unto it especially in as much as the passage is ordained for the use and conservation of the whole but for the most part the Organical vices in the natural Constitution are of lesse note and consideration then the similar These things may suffice to be spoken in a general way of this triple Constitution We will now in particular speak a few things of them in few words The Natural Constitution which is proper unto and inherent in every part may be known by this discription That it is the manner of the natural Being setled in the parts competible to them in as much as they are aptly constituted by their temperament and common quallities by their sufficient portion and convenient disposition of ingenerated Spirits and by their just conformation and continuity to a perfect performance of natural actions together with the concurrence of the Vital and perhaps the Animal influx Therefore when there is in any part a just temperament convenient common qualities an exquisite proportion and harmonious disposition of inherent Spirits Finally when there is a laudable conformation and unity and yet notwithstanding all this the natural action is depraved we may well conclude that it is not vitiated by the natural Constitution but by reason of the concurrent cause namely the vital or natural influx or of both together for the natural actions in creatures in regard of the union and wedlock of life are exalted to a more eminent condition then otherwis they would attain unto by the natural Constitution alone And from hence it comes to passe That although the natural Constitution in slain Creatures remaineth after death undepraved for a while yet the attractive and retentive Faculty the concoction of the aliment and the expulsion of the exctement do altogether cease And in Diseases also many times the natural Constitution is at first untoucht yet the natural action is vitiated meerly by the defect of the due concurrence of the vital influx after the same manner somttimes the natural and vital Constitution being sound and healthful yet some natural action is depraved by reason of the defect of some animal influx and concurence but this for the most part happeneth only in the Nervous Fibrous and Membranous parts especially where they make a hollownesse but seldom or not at all in the substance of the parts As in the
evacuation hath gon before is first Indicated and indeed the viscous humors Indicate incident and the thick attenuant remedies Again when the Diseas is very Chronical and extended to many months yea perhaps to a year and upwards it is not to be supposed that the whol matter causing the Diseas can at once be prepared or evacuated wherfore in this rerespect it Indicateth that we insist upon things preparatory and evacuant by turns Besides we must know that Cholerick humors require one preparation and evacuation and Melancholy humors another flegm another and watry humors another And that the preparation and purgation is Indicated variously according to the diversity of the humors commixed with the Blood The humors that are impacted in certain parts of the Body do much more require preparation before they are evacuated according to that of Hippocrates When you would purg a Body you must first make it fluxible Neitherdoth a certain general purgation suffice to subdu thes humors but such a preparation is required that hath a peculiar reference to that part in which they are inherent and therfore the humors in the Liver require one kind of preparation those in the Lungs another c. Finally Seing that the propounded kinds of all humors after they are evacuated may grow and breed again they Indicate an avoyding of such things which may dispose the Body to an easy generation of such humors And thus much of Indications Preservative it remaineth now that we consider the Vital and Conservative CHAP. XXVII Indications Conservative or Vital THis Indication ariseth from those things which are according to Nature For Life in it self consisteth in these things namly in a triple Constitution of the Body the Natural Vital and Animal above rehearsed The Natural comprehendeth under it First The Temperament Secondly The Inherent Spirits with their plenty and vigor Thirdly The Tone of the Parts Fourthly The Structure of the Organs Fifthly The Continuity The Vital containeth First The Generation Secondly The Distribution of the Vital Spirits Thirdly Their participation with those parts unto which they are distributed namely from the union of them with the said parts and the communicated heat The Animal comprehendeth First The Generation Secondly The Distribution of the Animal Spirits Thirdly The due Stretching of the Parts depending upon the Influx of the Brain All these things because life consisteth in them are called Vital Indications But among Authors for the most part they are known by the common name of the Spirits but this name is somwhat to gross seing that in propriety of speech the Spirits are radicated in the said Constitutions and are faculties of them Yet we have no design to innovate the custom of speech provided that the things may be understood as it is These Indicants so long as they continue firm and sound they require only a general and ordinary conservation by the right use of the six non-Natural things but when they are all alike vitiated or obnoxious to imminent hurt they require not only a general conservation but such an one likewise as is mixt with cure and preservation Again Where some one Constitution or som one part therof is depraved more than the rest or subject to such depravation besides the general preservation it requireth in like manner an especial one to be associated to the peculiar Curation Lastly When a Constitution Subject to error or actually erroneous is fixed to som certain part it doth higher specify that conservation namly that respect may be also had of the part so labouring more than the rest But because som say That the Vital Indication is the only and that Conservation is the simple end and that they cannot be further subdivided because that all things which are according to Nature are comprehended in the word Spirits and that they Indicate one Action namly the preservation of themselvs We grant indeed that the Spirits if as we have already noted they be improperly taken for their causes namly the three Constitutions aforesaid may in one word comprehend al things which are according to Nature but then this word must be Generical and divisible into three species namly the three Constitutions as Spirits Natural Vital and Animal We grant also that the end or that the Indicated action is one namly Conservation but by the unity of the Genus not of the ultimate species For those very things which are according to Nature however they agree in the Genus yet in the species they may differ among themselvs and require a different conservation yea it is possible that thos things which conserv the Spirits on one part may impugn them on the other as for example Wine given may in one respect cherish and strengthen the Vital Spirits or rather the Vital Constitution but in the interim it may offend and debilitate the Animal Spirits or the Animal Constitution In like manner the Temperament requireth one preservation the Structure of the Organs another and the Continuity another Yea the very different Constitution of the parts Indicates a various conservation neither do we after one and the same manner or by the same actions provide for the special conservation of the Liver Lungs Brain c. Wherfore when som one Constitution is more infirm then another or when som one part is weaker than another it Indicates a proper conservation peculiar and special to it self and therfore both Conservation and Conservants may be divided into their Species For the Conservation the Conservants appropriated to the Animal constitution differ from those which are destinated to the Vital or Natural And from hence the three first kinds of Conservation are to be deducted namly the Conservation of the Animal the Vital and the Natural constitution In like manner the Conservation of the Liver is accomplished by the use of the Hepaticals and of the Lungs by Pectorals c. Yea all parts of an eminent diversity do subdivide the conservation into so many more species Thus much of the division of Conservation into its species Moreover The same Conservation seemeth to be further divisible unto its parts For this Conservation is somwhat complicated and doth not only relate to simples but in som sort to contraries to wit Indicates both Curative and Preservative and either permitteth or disalloweth those same things being estimated with the Spirits It seemeth therfore to be branched into three parts into an election of like matters into an election of contraries under a certain condition and into a prohibition of the same under a diverse condition The election of like things is the most appropriated Action to Conservation and seems withal to have reference to two kinds of things alike namely such as are easily assimilated and are properly nourishments and such which although they cannot be assimilated in respect of their substance yet they contain within the same qualities like unto the constitution of certain parts in respect wherof they are reputed amicable and familiar to Nature and
do cherish and strengthen certain parts You wil say These are indeed Alterants and do belong to the kind of contraries We answer That in a divers respect they may be referred to each kind but in as much as they obtain qualities like unto the du Nature of the parts although otherwise they alter som smal matter yet they are to be referred to the similaries For the very nourishments do in som degree alter and are directly contrary to emptiness and conservation it self doth implicitly include a certain correction as we have shewed above Now these indeed in regard of a middle nature which they have between similaries and Alterants are not called Medicaments but Strengthners Conservants and Cordials Again these are Indicated as Conservants by the peculiar debility of the Spirits and as to be elected and not only permitted and so they are esteemed in the Books of Practical Authors The Permission of a remedy somwhat contrary to Nature doth likewise belong to this Indication For such is the dignity and valu of this Indication as it summons both the Curative and Preservative Indicates to an examination before they are reduced into practice and doth not only moderate and limit the quality and quantity of the remedy but also the very time of repeating it yea whatsoever appertaineth to the use therof or the manner of using it and al this least in any wise it should exceed the Spirits of the Patient or be injurious to them nor is the excellency of it thus circumscribed but it requireth more namly that more profit and advantage may accrue to the things according to Nature by impugnation of the Diseas then hurt or detriment by any violence offered to Nature And under this Law and Condition Vital Indication permitteth many things to be don which of themselvs are contrary to the Spirits yet always in favor of health never to the prejudice of Life A prohibition of a contrary is altogether a commanding Action of this Indication and by a kind of Authority dictates this or that thing not to be don although it were otherwise Indicated becaus perhaps it endangers life it self or brings more disadvantage than benefit of health to the parts And this is the third and last force and use of this Indication We shall now in one word apply these things to the present Diseas All Constitutions in this Affect are very weak and infirm and this is manifest from the bare consideration of this tender age But the Natural doth yet further suffer by the force of the first Essence of the Diseas and from hence also the Vital is somwhat weakned and indeed neither doth the Animal escape wholly free as was shewed above Wherfore both a general and also a particular regard must be had to these Constitutions as wel in the Election of Similaries as in the permission or prohibition of contraries First Therfore in this Affect you must make choice of the best nourishments such as are easy of concoction and as neer as you can agreable to the custom and age of the Patient to the time of the year c. the contraries must be abandoned namly such things as nourish little are difficult of digestion and incongruous to the custom age and season Secondly Those things must be chosen which cherish and strengthen the weaker Constitutions and the parts that are most Affected and these must be either exhibited severally or they must be mingled with nourishments or Medicines but such things as are neither serviceable to this scope nor otherwise Indicated must be totally avoyded Thirdly Benign and gentle evacuants or othertherwise sufficiently corrected must be allowed in a moderate quantity just and du interval of time being observed But the contrary things namely violent and fierce purgers especially such as are apt to dissolv the parts or are exhibited in an undu quantity or too often repeated are forbidden Fourthly Remedies alterant or such as prepare the humors or correct the Diseas must be permitted such also as are friendly and familiar to Nature or such as may be made such by good company that is by composition or sufficient correction Remedies violently alterant extream hot and vehemently discutient or any other which in any wise resolv and dissipate the parts CHAP. XXVIII The use and right administrations of the Indications aforesaid HAving propounded the three kinds of simple Indications and deduced them into their lowest species we shal in the next place consider the right use administration of them The exact knowledg wherof seems impossible to be obtained without rode and experience For it descendeth unto Individuals and comprehends not only the Election of a thing among so many Indicates simply to be don in the Species but also the invention of quantity place form time order and matter of the remedy to be exhibited The Consent and Dissent of Indications do contribute much to this invention Now the Consent may be twofold of Coindication and Permission Permission may be either an Advantage or a Loss to him that permitteth or neither of them A Permission that cannot be granted without hurt must never be allowed without the greatest circumspection and so much the greater as the damage may be the more to him that permitteth For although the Permittent may part with somwhat of his private right to advance the publick good yet in respect that he is a member of the whol he is supposed to be a gainer The Dissent of Indicants is twofold namly either Contradictory or Contrary The Contradictory among the Books is called Interdiction or Prohibition and for the most part it is appropriated to the Spirits unto which in this respect we must always yeeld obedience The Contrary is called Contra-indication and this doth not simply forbid but so far forth as it undergoeth the Nature of an impediment or som more urgent Indicate First Where Indicants consent either by Coindication or Permission satisfaction if it be feasible must be given to al the Indicates But if this cannot be performed Medicines of that Nature are to be preferred before the rest which are correspondent to most or at least to the most urgent Scopes But if such simples cannot be found out then you must institute an apt composition of diverse simples one with another The Essential parts of this Diseas although they are very various yet is there not any considerable disagreement among them and nothing hindreth but in a great part they may be considered together For Medicines temperatly hot and dry may at once cherish the Inherent Spirits and perhaps conduce to the scattring of the numbness in them and withal somwhat fortify the Tone of the parts and facilitate the equal distribution of the Blood and consequently the equality of the Nutrition also it may increase vigor in the Vital and Animal Spirits proritate the Arteries in the first affected parts and strengthen the Nervs unto which Heads almost al the Indicates of the Essence of a Diseas may not