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A61877 An epistolary discourse concerning phlebotomy in opposition to G. Thomson pseudo-chymist, a pretended disciple of the Lord Verulam : wherein the nature of the blood, and the effects of blood-letting, are enquired into, and the practice thereof experimentally justified (according as it is used by judicious physicians) : [bracket] in the pest, and pestilential diseases, in the small pox, in the scurvey, in pleurisies, and in several other diseases / by Henry Stubbe ... Stubbe, Henry, 1632-1676.; Stubbe, Henry, 1632-1676. Relation of the strange symptomes happening by the bite of an adder, and the cure thereof. 1671 (1671) Wing S6044; ESTC R39110 221,522 319

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possible for the sick to recover without any means yet are means to be used the omission thereof is imprudent and criminal but the use thereof if the Physician be knowing and discreet safe and as secure as the condition of our mortality permits any thing to be A few dayes or hours of the encreasing distemper will more impair the strength of the sick than the loss of a little blood which in the condition it is adds not to the vigour or nutriment of the diseased the dammage will be easily repaired and perhaps all this nicety will be to no purpose for after a multitude of vexatio●s sometimes dangerous symptomes Nature may produce in the almost exhausted patient a violent eruption of bloud and thereby terminate that malady which might have been alleviated or allayed before Fluxus sanguinis largi ex naribus solvunt multa ut Heragorae Non agnoscebant medici The Bloud for which they are so sollicitous Nature her self is not so careful to preserve it but that frequently in the beginning and progress of diseases she alleviates her self by discharging it out of the nose and that in greater quantities of more florid blood than the Lancet would take away This evacuation is of all the most facile the most easie to be regulated by the Physician since he can stop it when he will and the most innocent in the beginning and increment of diseases Sanguinis eruptiones haemorrhagiae hanc habent praerogativam prae aliis evacuationibus quod ipsae etiam in principio in aliis temporibus etiamsi non adsint signa bonae coctionis possunt esse magis utiles quam aliae evacuationes quae fere semper sunt malae ex eo quod sanguis semper per apertas partes fluunt semper libere commodum exire possit nec eget praeparatione concoctione sicut alii humores qui per alias evacuationes excerni debent In evacuatione quae per venas apertas fit nullam merito expectamus concoctionem hinc Medici secta vena in morbis acutis in principio mittunt sanguinem hinc spontinae sanguinis vacuationes bonae erunt Addatis sanguinis eruptiones copiosas nedum utiles fieri propterea quod sanguis malus una excernatur sed etiam quoniam ejusdem sanguinis evacuatio universum corpus refrigerat caloremque transpirabilem corpus difflabile facit Quare hac ratione excretiones sanguinis optimae erunt quae in statu apparent plene cocto existente morbo sed neque ea quae cum cruditatis signis fiunt erunt plane abhorrendae timidae In fine that prudence which obligeth us to self-preservation obligeth us to the most probable courses in order thereunto and What can seem more rational than that which NATVRE directs us unto that whereby she so happily mitigates and concludes diseases that which so many Ages have recommended unto us and in the use whereof not only Greece and Rome but all Nations universally as well barbarous as Civil are agreed on And thus much shall suffice for an answer to his first Argument I now proceed to the second The Blood is the support of Life and we are taught by Divine Writ that in the Bloud that Spiritus rubens is Life I answer That the Scripture in the places aimed at cannot be understood literally and properly for then the words infer that the Beasts have no other soul than the bloud Deut. 22.23 onely be sure that thou eat not the bloud for the bloud is the soul and thou mayest not eat the soul with the flesh Thus it runs in the Original though our Translation renders it Life And so Levit. 17 10 14. in which last place 't is said that the bloud is the soul of all flesh Nay in Genesis c. 9. v. 5. Concerning man 't is said The bloud of your souls will I require It remains then that deserting the literal sense we fly to some that is Analogical And hence it is that most Divines take the word 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 for Life Thus Exod. 21.23 Thou shalt give life for life is not incongruously rendred instead of Thou shalt give soul for soul. Thus the Civil Lawyers frequently stile Loss of Life by the phrase of Animae amissio But however these passages may be popularly current yet in Phylosophy and Physick when we would speak distinctly and argue firmly 't is not to be allowed of for Truth that the Blood or Spiritus rubens as our Helmontian most non-sensically terms for as great a Pyrotechnist as he would seem 't is past his Art to demonstrate that it is a Spirit or Chimically to educe a Spiritus rubens out of it is Life for Life is nothing else but the union of the soul with and its presence in the body or to declare it by its effects 't is the conservation of all those faculties and actions which are proper to the animated creature as Death is the extinction of them Out of which 't is evident that Blood is no more properly called Life than 't is possible for the Definition of Life to be acmodated to Blood that is not at all But since common discourse doth allow us often to fix the principal denomination upon the chief instruments and that the Scripture explains it self Levit. 17.11 and what my Adversary in one place calls the LIFE in another he terms it the principal support of Life let us consider how far that is true That the Bloud is not so much as a part of the body but the Aliment thereof is the assertion of most Authors it is not continuous to the rest of the body but floateth as Liquor in a vessel and in vulgar speech no man takes the loss of bloud for a mutilation or dismembring and there are sundry distempers and phaenomena which conclude in favour of the spirits or what is Analagous to them and the Nerves to assert their pre-eminence above the Blood and its Vessels and whatever may be said concerning Generation which is very disputable 't is a certain mistake in our Helmontian to make the Bloud the principal matter for sensation whereas sanguine persons are not the greatest wits and the senses are most quick in women during their lyings in after a great effusion of bloud as also in dying persons or motion which is not in paralytick members though the Bloud flow unto them continually as it was wont before I add that there is not any convincing Argument to prove that the Bloud is animated I confess the conjunction of the soul and Body and operations consequent thereunto are most mysterious unto me and I think it no less true that our Life is a constant miracle then that we are at first wonderfully framed nor can I determine what particular use the soul makes of all the parts and ingredients of our humane bodies But this appears unto us daily that the conjunction betwixt the Soul and Blood and the
fluid and blo●kish underneath nay I have out of healthful blood in the Spring I am almost convinced that the blood varieth with each quarter of the year cast it up to the surface in just such a mass as covers the top of the blood in those distempers by putting some spirit of Hartshorn into the Porringer before the party bled into it I place the choler in the serum not but that I know that it hath not the taste or consistence of the excrementitious Bile but because it hath frequently the colour of it and the Vrine and Pancreatick juyce not to mention the Lymphaeducts are tinged with it and oftentimes have the Sapor of it I am sure that herein I have the suffrage of Pecquetus thus far that the choler which is separated in the Liver and which tingeth the Vrine is extracted out of the serum of the blood where it circulates first along with it and is percolated out of it in the place aforesaid Et vero nullibi per universas animalium species absque hilis mixtura sanguinem reperius flavescens id serum salsumque testatur nisi forsitan aliquot in suppositis quibus dulcem mitior natura sanguinem concoxit sicut in aliis quibus acciditatis expertem infudit aut nullo prorsus liene instruxit aut sane perexiguo I cite him the more willingly because that If the Galenists seem infatuated for saying the Gall is a constitutive part of the mass of blood whereas they cannot demonstrate signs thereof by its bitterness a great part of the scorn may fall upon Pecquet Backius and Sylvius de le boe and other Neoterics who hold it is incorporated in the Mass of blood But these Controversies can be no better decided than by an Enquiry into the Generation of Blood how that it is at first begun and afterwards continued the knowledge whereof will conduce much not only to the decision of that Question Whether there be in Nature any foundation for those Galenical Humours that they are constitutive parts of the Mass of Alimental Blood But also to the main debate in hand Concerning Phlebotomy There is not anything more mysterious and wonderful in the Vniverse I think then the production of Creatures In so much that Longinus a Paynim doth hereupon take occasion to celebrate the judgment of Moses in that He represented the Creation by a Divine FIAT and God said let there be and it was so The Mechanical production of Animals from so small and tender rudiments out of a resembling substance in all that variety which we see by a necessary result of determinate Matter and Motion is so incomprehensible and impossible that were not this Age full of monstrous Opinions the consequent of Ignorance and Inconsiderateness one would have thought no rational Men much less Christians would have indulged themselves in the promoting and propagating such Tenets 'T is an effect of that Soveraign command that every thing hath its being and faculties Quin nil aliud est Natura quam jussus ille Dei per quem res omnes hoc sunt quod sunt hoc agunt quod agere jussae sunt Hic inquam non aliud quicquam cuique rei suam dedit speciem formam Per hunc non agunt modo pro sua natura hoc est prout preceptum est ipsis res creatae omnes sed per eundem reguntur conservantur propagantur Et nunc etiam quasi creantur This is that which gives a beginning to the Faetus particularly and by unknown wayes contrives the seminal vertue its receptacle or Egg and that colliquament out of which the Body is formed Because the first rudiments of conception are tender and minute such a provision is made in order thereunto that the albuginous substance of ordinary Eggs is no other than what is derived into the female womb And if we may continue the comparison it will seem most rational to imagine that the parts of the whole are contrived at one time though they neither appear all at the same nor in a proportionate bulk for in some their minuteness in others their whiteness and pellucidity conceals them from the Observer But that even then ●●re are exerted the preludes of those vital operations which are so visible after in Nutrition I doubt not and that as in the Coates of our eyes the minute veins and arteries convey their enclosed liquors though undisernable except in Eyes that are blood-shotten and as in the brain there hath been discovered veins by some drops of blood issuing in dissection though no Eye can see most of the capillary vessels and as even the veins and arteries themselves are thought to be nourished by other arteries and veins rendring them that service which they do to the more visible parts even so it is in the first formation wherein after some progress the vessels begin to appear and blood first discovers it self in the Chorion and thence continues its progress to the punctum saliens or heat and undoubtedly proceeds in its Circle though the smalness of the vessels as in other cases conceal the discovery So that we may imagine that the Plastick form or whatever else men please to call it doth produce the blood out of that albuginous liquor which seems as dissimilar as the blood out of which it is derived though the parts be providentially more subtilised and refined by its own power as it doth the rest through the assistance of warmth and concurrence of the contemporary fabrick for the first blood can neither give a beginning to its self nor is it comprehensible how the weak impulse thereof should shape out all the veins and Arteries in the body according as they are scituated Out of which it is evident that the Soul or Plastick form doth at first reside and principally animate in the Spermatic parts so called not that they are delineated out of the Sperme but out of the Colliquament which is Analogous to it and that they are her first work the blood is but the secundary and generated out of the Colliquament for other Materials there are none by the Plastic form which is the proper efficient thereof and besides the Auxilary Heat the●●●re no other instrumental aids but the spermatick vessels wherein the Colliquament at first flows to the punctum album which when blood is generated do become the Heart and sanguiferous Channels This is avowed by Doctor Glissen himself Liquor hic vitalis antequam sanguinis ruborem induit sese a reliquis ovi partibus quibus promiscue commiscetur segregare incipit in rivulos seu'rdmificationes quasdum excurrere quae postea venas evadunt Rivuli isti in unum punctum coleuntes in eum locum conveniunt qui postea punctum saliens cor appellatur Idque fieri videtur diu antequam sanguinis aliquod vestigium compareat Herewith agree the most exquisite Observations of Doctor Highmore Most certain it is
dependance of our Life thereon is not so great or intimate as that upon the effusion of a little no nor of a great deal of the bloud Death or any debility extraordinary and durable should ensue unavoidably and if it happen but sometimes 't is apparent thereby that 't is but accidental and not a proper consequence of that effect 'T is manifest that the operations of the Soul are not restrained to one determinate proportion of bloud in every body nor to the same in any albeit that there seem requisite in all Animals that there be some bloud or what is equipollent thereunto 'T is also manifest that this Bloud for which some are so sollicitous doth continually expend and waste it self in nutrition and that even the nourished parts are in a continual exhaustion so that without supply it would degenerate ●nto choler except in those miraculous fasts and diminish to little or nothing as appears upon great fastings and several diseases 'T is no less manifest that upon great evacutions of bloud by wounds or otherwise when the Bloud hath been so exhausted that very little can be imagined to remain yet in a few dayes the veins and arteries do fill again and nature is so replenished and vigorated that this lost bloud seems not only as good in order to the functions of life but better in order to health and strength since the production of this last in the end of diseases is accompanied with convalescence whereas the precedent did not hinder the indisposition Out of what hath been said the Answer to this Objection is facile viz. The Blood is not so the seat and residence of the Soul nor so absolutely necessary to Life granting all that can be desired of us as that some of it may not be let out without present danger or irreparable detriment so that if the motives for Phlebotomy be cogent or so probable as to render the Action prudential no difficulty can arise from this scruple It is written in Deut. 24.6 No man shall take the upper or nether milstone to pledge for he taketh a man's life or soul to pledge Here the milstone is called the life or soul of a man as much and as properly as ever the Blood is any where else But though there be a prohibition for a man to deprive his poor neighbour thereof as of the support of his Life yet undoubtedly none was ever interdicted by virtue of this precept to help the distressed Miller to pick and dress his Milstones His third Argument is this Moreover one would think it should put a stop to their prodigal profuse bleeding if they did but consider with what difficulty Nature brings this Solar Liquor to perfection how many hazards of becoming spurious and abortive it passes through how easily it is stained by an extraneous tincture how often intermixed with something allogeneous and hostile to it how many elaborate circulations digestions and refinings it undergoes before it be throughly animated and made fit for the right use of the immortal Soul One would imagine by this Objection that the Generation of the Bloud were as difficult a work and required as much of sollicitude as the Philosophers stone and that the least errour would disappoint the process and eject the poor soul out of its tenement and mansion But there is not any such thing he that considers the perpetual supply of Chyle by the Ductus Thoracicus and with how much ease it is transformed a great part into Blood by the similar action of that which pre-existed in the veins together with the concurring aid of the Heart and sanguiferous emunctory vessels and the previous alterations in the stomach and intestines will imagine neither the production of Bloud nor the reparation of it to be so tedious and hard a matter Nor is it true that the Bloud is so easily stained with hostile tinctures since it is a liquor that is in perpetual depuration and hath the convenience of so many out-lets to discharge it self by Neither will every crudity in the immature Chyle or bloud render the blood unfit for the use of the immortal soul there is extraordinary and unimaginable difference betwixt the bloud of one person and another as appears upon distillation burning and mixing it with other liquors yet are all these within the latitude of Health and with equal perfection exercise the operations of Life Nor doth every allogeneous mixture vitiate or deprave the bloud for the Chyle Bloud and Flesh retain some particles of the original food taken into the stomach hence it is that sheep fed with pease-straw though as fat as others yield a flesh differently tasted from other mutton the like is to be observed in the feeding of other Animals generally Nor is this more evident in other Animals than 't is in Men for not to mention those Medicaments which by the alteration they make in the Vrine do demonstrate they have passed along and been once mixed with the bloud as Cassia Rhubarb Annise-seeds c. In fonticulis observavi quod si praecedente die aliquis allium aut cepam comederit pus quod in fonticulo est odorem allii aut cepae obtinebat sanguis autem qui per fonticulum expurgatur non nifi per vena● expurgari potest unde possumus dicere quod sanguis acutum odorem detinere possit The like phaenomenon is to be observed in wounds and ulcers which feel detriment according to the various food and drink of the patient Nay in pleurisies and other wounds it hath been taken notice of that the purulent matter hath discharged it self by the veins re-mixing with the bloud into the intestines and by urine The Bloud of some persons in perfect health hath been observed to stink worse than rotten eggs even as it was issuing from the arm upon Phlebotomy yet when it was cold it did not stink nor seemed to differ from the best bloud except that it was of a more beautiful red than is usual I conclude therefore that in this Argument many falsities are contained and there is nothing of such force as to deterr a prudent Physician who understands the rules of his Art and those cautions which are suggested to us in Phlebotomy to let his Patient bloud and emit some of this solar Liquor His fourth Argument They should never attempt yea rather abhorr to enervate in the least by the Lancet the strength with its correlative bloud and spirits without which there is no hopes of attaining a desired Cure For it is a most established verity taught by Hippocrates that Naturae sunt morborum medicatrices the most assured means of sanation is to keep up the vital pillars without which all falls to ruine So that Van Helmont is without controversie in the right when he sayes utcunque rem verteris ignorantiae plenum est procurata debilitatu sanare velle i. e. make the best you can thereof It savours of gross ignorance