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A50433 The frequent, but unsuspected progress of pains, inflammations, tumors, apostems, ulcers, cancers, gangrenes, and mortifications internal therein shewing the secret causes and course of many lingering and acute mortal diseases, rarely discerned : with a tract of fontanels or issues and setons / by Everard Maynwaringe, M.D. Maynwaringe, Everard, 1628-1699? 1679 (1679) Wing M1492; ESTC R31211 108,750 246

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his right aims at the morbific cause Hence ariseth all the inventions of cooling and so frequently used in most cases repeated Phlebotomies Ptisans Juleps Emulsions cooling Apozems Embrocations Liniments c. which make the great clutter of Pots and Glasses about the sick and nothing more advantageous to the Apothecary than trifling away the time thus with a number of these hazardous but many times and too often pernicious Medicines This mode of Practice and these devices for cooling feaverish bodies I suppose are taken up in imitation of Galen a famous Master of this Art who appoints exhaustion of blood by Phlebotomy ad animi deliquium until the Patient faints and large draughts of cold water until the Patient turns pale shakes or quivers and the whole body cooled And an Author of our time in his Writings de Febribus appoints the casements to be set open to cool the sick upon what design I know not except to fan the house lest the heat of the Feaver should fire the chamber And a late Author of great Fame in his Works de Febribus supposing Feavers to arise à sulphure accenso exaltato from a sulphurous deflagration of the blood prosecutes upon the indication of refrigerating and quenching this fire by cooling Liquors and for incouragement herein gives an example I suppose his own Patient of a young man about twenty years old that by immoderate drinking of Wine fell into a Feaver with thirst and insignal burning about the Heart who after Phlebotomy and plentiful drinking of water aquae fontanae ingentem quantitatem ebibit the Authors words he recovered The success was good and I may say wonderful but whether from the means or Providence judge you but I shall not imitate the Practice lest ten dye for one that lives but this learned Doctor hath highly deserved in some other parts of his Writings and therefore I tread softly Now to consider all this in gross for brevity sake and apply it to our purpose in hand these ways truly are very probable not rational to cool a feaverish hot sick man and to make him in a short time stone-cold and the probability thereof upon good ground does appear thus First Upon the account of this latent Series and progress Inflammations Tumors c. ushered in by pain more frequently than discerned as already proved this refrigerating course the insisting upon or intermixing these cooling Medicines now and then to quench a preternatural heat is destructive at best a great delay and impediment in the Cure and this is the common way of Practice which needs no farther confirmation but a review Secondly In all other cases and from what cause soever a Feaver doth arise this juleping and cooling mode of Practice is dangerous more or less as the case is in it self but in no wise advantageous making acute diseases to commute and terminate in chronic and chronic or lingering diseases to hold on their course and become more contumacious To prove the first we shall compare that series and commutation of diseases with the designment and nature of these cooling Medicines and by that you shall see what probability and season there is to expect from thence any good effect but rather the contrary promoting of mischief begun and setting forward those diseases Whatever causeth pain whether it be obstruction in the part or oppression by indigested or degenerate incongruous matter by wind and flatulency by any exotic generation as worms stones c. any Tumor or Apostem breeding Inflammation or Vlcer planted c. these cooling and cold inventions touch not the disease except to do mischief and exasperate and remove no morbific cause for the nature of these causes and diseases requires Aperitives Abstersives Catharticks Discussives Diaphoreticks Dissolvents Sarcoticks c. pro re nata each case requiring some or more Medicaments of these Operations But these Coolers è contrà stand in opposition and act repugnant to these properties and consequently to the Cures of those infirmities by obstructing of Ductures and Pores incrassating what should be attenuated coagulating what should be kept fluid condensing what ought to be rarified and discussed fixing and retaining what should be moved and sent off impeding transpiration but promoting putrefaction generally they check and damp the power of Nature endeavouring to extricate and quit her self from those incumbrances and growing evils that assault and beset her To make good the second part that in what other case soever a Feaver or vehement heat shall arise with ebullition of the blood and preternatural fermentation cooling Medicines are very prejudicial in many cases mortal for whether it be a pestilential or other maligne Miasm seminary or taint or other impurity and feculency of the blood that Nature intends by this febrile disturbance and irritation to throw off and separate which Nature sometimes without help does perform and makes a good Crisis but these Coolers act counter to and prevent Natures good work checking the fermentation and thereby hindering the separation of any degenerated or noxious admixture And the reason of these ill consequents from Coolers does mainly lye here for as the stomach doth preside over and hath great influence upon the other faculties and subsequent digestions whose briskness and vigorous performance depend much thereon so likewise whatever subverts the tone of the Stomach and flats the acuteness of this principal part and prime office of digestion injures allays and abates the energy of the rest impedes the fermentation of the blood for depuration in such cases as also for conservation and. supply in the constant daily work And although the Patient escapes this Feaver and comes off with life yet by this male Practice they fall into Dropsies Scurvies Jaundies and cachectic foul habits of body an obstructed or tumified Spleen Liver Mesentery c. Or it breaks out upon the Skin and some eruption or cutany defedation will appear in time or it settles in some Limb and disables the part And it is but reasonable to expect that Patients thus cured should soon be Patients again upon the old account the relicts of the former sickness for that morbific matter and cause of Feaver being retained by checking and cooling the febrile fermentation and not observing Hippoc. advice Quò natura vergit this morbous impurity and foulness must precipitate and settle somewhere and then you may well imagine it will make some appearance or alteration in time upon some part or other and then an after-game is to be played for not having its due fermentation secretion and pass-port formerly when it did turgere and was upon the flight only wanted the Physician 's direction and guidance hinted by Hippoc. 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Aphor. 21. Sect. 1. Now a hole in the skin perhaps is thought on an Issue for a tedious and troublesom vent to discharge the matter which a good laudable course in due time might have prevented And thus or by this means the Patient comes into the Physicians
hands again and the same especially that cured him of the dangerous Feaver and thus the supposed good Physician drives on and is thought a very necessary Advisor and an able Assistant upon all occasions emerging Truly this is according to the homely Proverb but Tinkerly doings stop a Feaver if it can be this way and introduce what is more contumacious difficult and worse to be dealt with But some may object and say That Lemons and Oranges are used in Feavers and with good effects from their cooling I answer That Lemons Oranges Barberries and such like are allowable and what good ariseth from thence is not to be ascribed to their cooling virtue if any but to their acidity which acuates and sharpens the ferment of the stomach by whose reinforcement and strength regained by this means the whole body is refreshed fares the better and some allay at least more ability to bear the febrile heat and therefore likewise such Liquors are to be granted the Patient for refreshment and support as are most agreeable to the stomach and desired and the dictates of Nature in these cases are to be marked who prompts for her own help and satisfaction and generally the Drinks so desired by them are fermented Liquors no Juleps Beer Ale Cider Wine c. and such are most agreeable to the stomach which discreetly used are no promoters nor continuers of the Feaver but beneficial in their kind and a relief to the sick but always to impose medical drinks upon a weak sick man as if he were to be nourished and live by Physick is very absurd and irrational And here pertinent to our Discourse I must recite what I have formerly noted elsewhere but by the way I must tell you wherein I differ from other Physicians when I grant my Patients cooling Drinks as Whey Cider or such like when desired in Feavers or hot bodies they lay a stress upon Coolers as principal means against the Disease and to reduce the distemper I allow them not as Physick against the Disease but as refreshment to Nature being delighted therewith and coveted So that I do not impose them as of necessity because the Disease does not require it but observing the propriety of the body being comforted and refreshed with such of such cooling Liquors So that these are not given as Medicine for they cure not nor is heat to be regarded otherwise than as signal but they may be allowed as refreshment A labouring man that toils and heats himself must have drinks to refresh him even so it is with a man in a Feaver his Spirits labour more than at another time and more thirsty he is requiring drink more than at another time and it must be such as delights him that Nature does desired not Barley water Juleps and such slops that the Patient nauseats and give him no satisfaction Tract Of the Scurvy Chap. 11. Edition 4. And in the same Chapter controverting with Dr. Willis about Antiscorbutic Remedies there is much more to this purpose shewing the indirect proceeding against Feavers with repeated Phlebotomy and cooling Medicines whither I refer the Reader And here I might animadvert and take notice of the strange invention and irrational use of epispastic or blistering Plasters to draw away a Feaver shewing thereby also that Feavers are wholly mistaken in the notion of them but I must wave the Argument as collateral which otherwise would interrupt our present occasion and divert me from the direct prosecution of the business in hand Now in tlje close to observe the order and dependence of this Discourse and to take a review of the whole matter compendiously drawn up you will find we have not deviated from the subject proposed but prosecuted directly the scope of this designment which in short is thus That this latent internal Series of Diseases more frequent than discerned their dangerous transition and complication is masked and covered with an apparent or outside garb of a Feaver or febrile preternatural heat which signature and external character hath so ingrossed the Physicians endeavors and taken up the Practice of this Art that little hath been done in searching out the radix of diseases and opportunity neglected for prosecution against the morbific causes And for as much as this Feaver being only the estuation of the vital Principle throughout the body generally attending these and most other diseases is no farther to be taken notice of than as signal shewing the cause to be greater or less in provocation as the heat is more intense or remiss and does in no wise divert the Physicians intentions and design of Cure nor ought to be applied unto since it is only a consequent and dependent occasionally from the morbific cause which febrile heat riseth and falleth as the said cause does more or less provoke and irritate and vanisheth quite away when that cause is removed or ceaseth to disturb It necessarily then follows that these Coolers generally used and mainly insisted on are generally noxious often mortal giving great advantage to the train of diseases our subject towards a Cure whereof they contribute nothing but è contrà promote the progress I might have amplified and inlarged thisDiscourse in several parts thereof but this will suffice at present for a dawning and discovering light which hereafter may appear with greater lustre as occasion shall be offered by any opponent to these Truths And thus much in general touching this Series of Diseases their latency their frequency the danger by in advertency and improper mistaken means and too late discovery Our next undertaking is to view more particularly the gradations of this progress tracing from stage to stage and remarking the capital occurrences the chief causes antecedent and conjunct beginning with Pain the common leader or warning Sympton Pains afflicting humane Bodies the different Nature and Causes thereof OF all Symptoms that attend or are the consequents of Diseases Pain is the most troublesom and irksom to bear Weakness and languishing are tolerable evils but pain is restless tormenting and full of complaints And although this be the worst in extremity to abide and the most mournful accident that befals mans Body yet no part thereof hath a priviledge by Nature to be exempt or protection from this calamity the reason whereof we will inquire into All parts of the Body wherein is the sense of feeling are liable to pain and by virtue of this sense pain is communicated to this or that part and therefore dead Bodies parts paralytic benummed or mortified are not capable of pain because in them there is not that sense of feeling and although the Organs of the other senses are subject to pain as the Eyes Ears c. yet pain is not proper to them quatenus as they belong to those senses but as the sense of feeling is seated there also having a greater latitude than the other and is extended through the Organs of all those Senses True it is the other senses have