VII. AndLaftly, although by arc, anda good conrfe of Diet, nich help may

behoped for; yet ueverchelets ii regard rhacthe temper of the Bowels by the long continuance and erievoufnets of the pains is fo fubverted, and the Joynts f6 weak- ned, that chere is no hopes left remaining of a perfed recovery of the héalth, che iick perfon may yet inthe nicamcime enjoy thote benefits and comforrsthat we have mentioned, and with Patience eftablith his mind, after che éxaniple of that great Emperout Charles the fitch, who Was wont to fay, thatco be Paciéne, andor muth to compiain and cry ouc by Reafon of the pain, ale the bei Remedies againft the Gout.
Buc fecing thatitisnot che part of aPhyfitian, (butcaching much unbeféeming him)co make himfelf merry wich che Difeafe and pains of his Pacient, I (hall fot- bear coadd any chingmore of this Nature. But if there be any one that delirech to
knew
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andreft himfelf contentéd in che will and good pleafute of God. And héncéit is;
ee
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ee em f —_— 58 Whether Arthritis comprehend the Gout Podagra,c. Queft.r. | Qu know any Elegant and conceited Jefts upon the Gout, lec him read Lucian his Tra- i
gopodagra. Whichis likewife wel worth the Phyfitians reading, fince that it doth tod moft emphatically exprefs the vehemency of this Difeafe, and thew the Caufe |) fi chereof (and chat indeed more rightly then many Phyfirians) and Elegantly def- KK cribe the time of its invading the perfon, the difficulty of its Cure, che brageing \ id and vain promifes of Empericks, and laftly che Patience chat is neceflary and Ree | ia quifite for the fick Perfon, EG , I elpe LEEESEOOLD ORDERED EELESEAELAL SALE SE: SELELLLG dia ow OACAO2O2 O2OeOsozeveseaees | il TESTES EOLEEERSSE TET ITG ETE E RETR EEEECCSS | “y ¢ Bu “OeAT BE Sot Ob Oa s Be my cath Controverted he
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me PER RENGS OF SUNY NERD } Ans there , ; hy MH Queftion, 1. Whetber the Name of Arthritis, or the Gout, Comprebend likewife x the Gout Podagra, Chirayra, andthe reft of the pains in the Foynts ? Daman
1 Trad
SSLER E havetold you before chat Arthritis is fo called by the Greeks from A cica( en c Arthron (fignifying a Joync) and chattherefore ic very ficly agreecth Tongt i J *. withall che pains of che Joynts, (of which we have hicherro {poken,) | pass ver ee but by the Barbarous and commen Practitioners it is called alfo Gui- with
Sols i ta,bur not fo properly. And yet not withftanding there are fome even i dove, of the latter Phyfitians (andamong the reft, Franci(cus India, one H by
of the Phytitians of Veronaa City in Venice, in his firft B: of Gutta Podagrica, } the Ge Chap. 1.) who deny this Name of Gutta to be Barbarous and improper, it being as | ofthe it were the general Name for all Difeafes which by deftillation are produced inthe | Genus Joynts of the Feer, Hands. Hips, andthe like parts of the Body, and that there- where fore it deferveth to be the general Name; but chey writechat Arthritis cannot pro- | realoy perly be applied asa general Nameunco the Gout Podagra; becaulethat Galentels’ | wede us (in the Sixth Seétion of the Apborifm. Apborif. 28.) that almoft’all thofe that are called troubled with che pains of the Joynts are firft of alltaken withthe Gout. And Dot thi there are likewife other Phy fitians that make the pain of the Joynts fome other, and prod altogether diftinc from the Podagra and the ChiraegraGout. Cardanus Cin Apbo= ~ | nay f rifm.29- ofthe Sixth Seétion) writech, that che Diteafe of the Joyncs and the Poda~ | ntod gra arenot one andthe fame Difeafe : and he addeth, that he had feen many Chil- | which dren that were troubled. with the paing ofthe Joynts, but not one of them chat had | Mereg the Gout ; and that he remembereth not that he had ever read any Author who had F lino: ; feen its and hereprehendeth Galen, for that he makethno difference between Ar- | toe tbritw and Podagra. | of dnp But Luc. Mercatus (in his fourth B. of the C uring of internal Difeafes, Chap. 18.) lyar handleth chis fame fubjed at large, and diftinguifhech Arthritis or che Difeafe of. | lng the Joynts, from Podagra, Chiragra, and Ifcbias or the Sciatica; and he téacheth ane : us that the Arthritis hath a Nature peculiar unco it felf, which confiftech norin pain, pi but in chis thac ic feizeth on all or moft of the Joynts; as alfo chat Arthritis doth villi notrequirethat weaknefs of the Joynts which is neceflary in Podagra, Chiragra; _ hare and Ifchigs, but that a far lefs imbecillicy doth fuffice: and on the contrary, that bis it Fequireth a far greater ftore of matter; and that icis much more rare chen the to tf Gouts, Podagra, Chiragra, and Ifcbias ot the Sciatick Gout : and that Arthritis au hath likewite chis proper and peculiar unto it, that ic beginnech with a fwelling, and ig ehdethina pain; whereas in the Podagra, Chiragra, and Ifchias the quite contra- ity ry happeneth; and the part is firft of all raken with pain, and chen afcerward ic he i“ fwellech; | to
|
f{welleth: and moreover, that ic doth not require fourty daies {pace for its refolu- tion, andthat becaufe the parts are lefs weak and infirm, and becanfe chac the Humor fticketh in chofe parts chat are more fit for refolucion: and Laftly, likes wife, chacic moft feldom or never returneth, in regard that all the matter is difcuf fed, and wholly Rooted out; unlefs haply chat by aninremperance and icregulari- cy inche life, ic collect a new fulnefs of matter. ‘or he determinech that the caufe of che Arthritis is peculiar, to wir, the internal. a fulnefs of the V eifels, and more efpecially of the bloods bur che externalis every occafion chat bringeth labor and unwonted exercife co the Joynts, by the which they become hor, loofened, and dilated ; andthe Humors poured all abroad waxing hot, and ttird up and down flow together in thefe joynts3 whichche parc weakued and made loofe doch very eafily draw untoit, andreceive ir,
Buc (as for che opinion of Prancifcw India), the very truth iss that che Word Gutta is a Latine Word, and noc Barbarouss but yec co ufe it for a fluxion and-Ca= tarch, ot for Arthritis, is contrary coche ule of the Latine Tongue; and cherefore he may very defervedly be accounted for no becter then Barbarous that fhallbufe this word tor Arthritrs, or prefer it before the W ord Artbritis.. And although chac Galen Cin his fixtb of the Apvori. and 28. Apbo_) doth indeed affirm, chat almoft all that are caken with che Arthritich affection (that isto fay, the pain in the Joyntsy are juch as have facit of all been troubled with che Gour, yet neverchelefs chis doch not prove, that che Name of Arthritis ficceth not unto every pain of the Joynts : for there are likewile Joynts in the Feet. And as we told you above (in the firft Chapter) this Name in general is fomtimes taken in {pecial for that Difeafe of the Joynts, when all or moft of the Joynts are affected ; which happeneth nor, unlefs a man be firft taken wich theGout Podagra. But more rightly Guainerius ( in. his Tra&t of the Difeafes of the Foynts, Chap. 1.) (faith he) when I (aw that the Arthe- tica (for foall thePbyfutans of thar Age by. “Reafon of their ignorance of the Greek Tongue called ths Difeafe) had its Name from a.Limb or Foynt, Cin vebich places the pains of the foynts are wont to be) was willing to call all fuch like putas Coebetber with a felling, or witbout) Artbetick, like ae. alfo all that ever were before me bave dare.
Buc as for Cardanus and ‘Mercatws, Ifeeno caufe ac all why they will not have the Gouts,Podagra, Chiragra, Gonagra, andthe Sciatick pain, and.al other che. pains of the Joynts, to be comprehended under the Name-Arthritis, as.a Species ynder its Genus > or if che moft or all of che Joynts be troubled wich the like.affect with chat wherewichthe rect, Hands, Knees, and Hip are wonc tobe grieved; I kaow.no reafon (faith he) why i may notbe called Arthritis. But this inthe mean while
‘wedeny not, thatevery Difeafe of che Joynts, or every {welling arenot properly
called Arthriiw 5 andthat ic fomtimes happeneth, that other vitious Humors, Cand not the blood, as Mercatus will have ic) aleogether of another kind fromthofe chat produce Artbritm properly fo called, may be heaped up in the Body 3 and that they may fomumes with, and fomcimes without a feaver, be driven umto theparts nigh unto the Joynts, and. may there excite and caufe {wellings, and fomcimes allo pains: which fwellings notwithftanding are noc properly the Arthritis, feeing that (as “Mercatus himfelf hath determined) they donot begin from pain, and end ina {wel ling; but onthecontrary, they begin wich afwelling, andchen afterwards there cometha pain. How much lefs chen arethefe fwellings alone worthy of the Name of Arthritis; and on the contrary, this Name.to be denied unto thofe,pains of the Joynts, of which we have hitherco been creating: Efpecially fince chat chofe {wel- lings do. not return (asthe Gout, doth) by cercainintervals; but alchough they have once or fo infefted.and difquieced any perfon, yecthey may afterwards never again
_ return all the whole life long. Andcherefore if Cardanus, Mercatws, or-any others,
will likewife have thefe fwellings cobe called Arthritis; lec themiknow that the Ancients were not wont tocallall kind of Tumors.or Swellings, Gwere the caule what it would they {prung from) and all.kind of pains, [fay, they were notwwont to calallrhefe by the Name of Arthritis... And “Hippocrates (in-the fiath .Epidem. Comment. 4. Text 13.) -calleth chofein Anos that. by excellive eating, af Pullehad gotten a.painin their Knees, not Arthritick; but Gonalgick, (chat is tofay, perfons Difeafed in their Knees) and touching this we thall {peak further in che-Queftion next following.
Queft. 26
Quelt.1. Whether Arthritis comprehend the Gout Podagra; ec.
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In what place the Humor that exciteth Arthritis confifteth, Queft. 3
Queft. 2. Whether every pain about the Foynts deferve the name Acthritis.
Hereare indeed fome of this Opinion, that every pain that happeneth about rhe
Joynts is tobe called Arthritis 5 fince chat if cherebeany ocher fuch like pains, chey
are no where expretied by any of che Phyfitians; neither hath any of chem written of any
pain of che Joynres chat is no: Arthritick. And although we may meet wich fome
kind of feeming difference, either according to the greatne{s, or according tothe duration of
them (a fhorcer ora longer time ) chey conceive chat this difference doth not acai! vaty che fpecies or kind thereof.
But I think that Galen ( in the chird Section, Aphorifm 15. and’ 16.) writeth moft tru- ly 5 thas if che filchinefs be fo great that ic may dry up aod confume the moifture of ths Joynts, a£ may chen indeed caufe a difficuley of che motion, by reafon of tbe drinefs in the Joynts, and that itmay haply caufe pain likewife; yer neverchelefs it never produceth thar affection which is called Arthrité ; unlefs any one be minded co cai} all pains wharfoever of the Joyntsby thisname. For Hippocrates himfelf, for fuch as by the over-earing Of the biter Vetch Orobws and osher Pulte had contratted thefe kind of pains, he doch not call shefe Perfons Arthritick, bute Gonalgick Perfons. And therefore alchough we fcarcely find‘any Author handling all fuch pains as thefe in any one place, yer neverthelefs we fiac chem treated of and mention made of them here and there, in feveral places of che fame Au- thor. For ic very frequently fo bappenech that vicious humors heaped up in the Body, may be’ bya Feaver ( or elie alfo without a Feaver ) chruft forth into the Joynts, and more efpe~ cially the Keees, and may there occafion pains which may oftentimes continue a long while; and fuchno doubt were thofe mentioned by Hippocrates in the place afore alleadged ; which if not alwaies, yer when the fick Perfon defireth tomove his Feer, they then excice Pain: unto which aotwithitanding(co {peak propefly)che name Artbrita properly fo called, doth not fuit not agree. So in {uch as have Dropfies and fuch as are Gachedtick, or ofan ill cop- ftitution, che ferous bumors falling down into. che Feet may indeed excice there a fwel- ling 5° and chofe very humors likewife when the Feet are moved may breed and caufe ‘much pain, which yet cannot be faid to be the Atchritick pain. \ Neither doth rhe humor een flow anto the pace affected by and thorow the Veins, but ic by litele & liccle defcenderh thereinto by the Pores in’ che Abdomen. And if weexattly weigh the maccer,we fhal find thét fuch like humors as chefe do not feiz upon the very partsthemfelvesthat conftinuce and knit the Joyne togethers but thac rather ahumor from without ispoured forth and floweth round abou thefe pares, and fticketh faft becween the Skin and the parts ‘conftituting the Joyne 'And fo in che looféning ot che Joyntsin Wounds; and in Cotnufions, the humors do oftentimes flow unto the Joynrs, and there caufe afwellng and pains which yet is nor worthy of ehe name Artbritm. © And to chofe thae have their Joynts much dryed and hardened (as is is in the Scurvy aid other Difeafes ) thefe Perfons cannot ftrerch forth, not move thofe Joynrs wichout pain, and yet chey are por tobe accounred Archritick Perfons, neichardo we call them fo, | |
And therfore the Arthritis properly and in {pecial fo called) is onlythat pain of che Joymts, when the peculiar humor defcribed ahove, bred inthe Bowels of the lower Belly, and heaped upin the Veins and Arceries,by chem fuddenly floweth into the Joynts,and infinuatech it felf more efpecially into the fenfible and sender parts about the Joynts, aud there partly by cwin- ging, and partly by diftending caufeth pain. Lg
Queft. 3. In what place the bumor that exciteth Arthritis confiftetb.
Any iadeed chere are of this Opinion, thac the humor the Caufe of Arthritis doth confift efpecially in chat Cavity or hollow {pace ¢hat is betwixt the exctemities or
heads of the bones (whieh by Acciculation are joyned together ) and thar the humors flow= ingtogether by the Veins do firft of all flow unco chofe Cavities of ‘the Joynts, and chae they chen after wards f{e:z upon all che parts lying round about, che Bones and the Skin; from whence it happeneth that che Bones {iundering tchemfelves, and departing one fiom the other, the Ligaments, and Nerves, and Tendons, are ali of themfo extended, thac from hence there is excited a moft vehement and wracking pain. And for this cheir Opinion they ficf of ail alleadg chat which Hippocrates writesh: Cin Sect.-6. Aphorifm 49.) that the Artbrit# is not ended before che tourciech day, and that che humors thac have flown un coché part affedted are not fooner difcuffed as being {uch as ftick in a part defticuce of heats
Im lot cove
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Quelt. av Inn wh it ame Fdumer that ¢ exciteth Arthritis coufiftetl the 6 }
BE REP tne Neo! heat § § wherea: s if chey confifted in licihy paits, and {uch as have many Veins and Atteties, - they m gi 1o batt i} y be céefoks ed. And fec ondly, they go about to prove it by this, bec ey Hi sy F | th iat Hage a IK of he bun $1nto the Cavities of rhe Joy tt che bonesare made to di= ' mit J vide chemtelves one from the other, and fo by diften nding the Tendous and Membranes they i) ty |) caufeche pain, Thirdly, becaute chac by che motion of the joyne the pain is enc teated. Vr | Fouthly, becaufe chat a pain is ficft of al pense | ithe botrom of the pare affected, be- i } iore evel the external paits be ' | hac afrerwards when the} humors Eahave gotten
er
| |
amiely WtPA GP BYTE } SP kate tik Gene | f themielves a W ay onto tne OULWalaQ Daft | ]
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he ec ertul patts ateChen lifted up inte a {wel-
oe But the contrary Opinion, which determinerh thac the fluxion is firft. of al made into the ty J very parcs incumbent upon tbe joyne € from whence they may haply fomtimes, bu this is Ot the very rate, tweat chrough into the Cavicy or {pace of che jay nt) is alto; ppt hes more Lseeseahis i the untothe Lruch: and this we are taught ficft of al by the very breeding it felf of the 4rtbri- tha ie Por fince thatthe afflux of che bu mor generating the Arthritis is by th ofe Ve “(lel thar ips: tt of carry along the Alimencunto the parts (as we fhalafterwards prove) it isneceffary charthe Co Of the vicious Rumor chat infinuarech it felfinto the joyne fhould firft of z sifowes into the epatt ly Ei 0 call ing upon the joynts, and Neopia bem cats together; andthac from hence (if the e beany | reac to ni yn intanuate iC felf into the Cavity of che joynr: Se Biotin the ‘ the ftrongeft Ligaments, that there is hardly any {pace at all : way infinuate it felf. Thirdly, The Ligaments a re very thick sia id folrd, ey wil not eafily admic of che humors flowing in untochems; and much | }. fs wil they PeEtnits them firft ofal tc -o flow-into the ve ry Cavity cf thejoyne, -F ourthly, af fh the matter fhould flow into che v ery Cavity, and the bones thereupon divide beaaatanies pe 4 , whic one from the s bebier: ‘the Membranes would chen be mac ESOS which yet we. {ee is never | Pan: done. Fiftly, inthe knotty Arthritis, chofe hardk e fomumes | doth j rt din the {pace berween che bor icone AVy if che hum yr th > i {yale hence be communicates the. + nuh vatal, or ich as would Acarcely be perceive ; enflow apace wn the which ch ney are e knit the.¢ @n eento Hot cove I ero DUE only with a, Cartilage ; and ¢ uch like Werve ac al in thar place. Seven hy 5 che cumor or {wel ‘ling th Ag ee u ¢ Joyne parts, ana trom the juncture of ae} j01 A: is omtimes extended far abr d d about lying Neer unto i, AL y fea AS EOUOE ake of che f nd not contdined in che very joynt ic (elf, t hae he pacts about the yoynt.. And Jaftly, if the hu- sive mor thould be ined an en the bones, st could not be (which yet we di
jeethacic ofte repelling Medic aments fhould forthwith
drive back the humor from the place affected into tf he Ve flels, and from hence into other . 7 places, And as for whacfoever they pean ane bring forthe contrary Opinion, itm ay be eafily antwered. Wor firit otal, Thac the humors in Arthritis are oftentimes ae ere chey can be ova, difcuffed, the caufe is, noc chat c ye humors qorares, in the Cavity betueren the ‘bonds 9 a ‘yeaned but becaule they tick in places void of blood, and therefore ha Vang ut hitcle heat inthem 5 hittl andthe humor it fel€ likewifeis fomwhac ete ide) ase perfectly r difcuffed. Neicher yet ne- bye verthelefsis chis alwaies crue; for oftentimes alfothe macter is difperted and {catcered in a very thort {pace of time, to wit, when chere is not much: thereof, when ‘it is chin,
Fes
or P "ep ¥ pidte cr grate | Pr b 7 when che Pare. is cherithed WHO Heal, ana Ch wicks,
H & ds
And moreover, the pain ts not therefore excited becaufe the Joynts are firetched forth in
matces not thickned. by. unfit To-
Hy dat lenpth, and made sh ty and ite ite feparaced one from che other, “hut becaufe chat a fhar
ss humor flowing ito the Men nbranous parce doth diftend, and: twingetbem, And thirdly, aed although the pain be more excited while che joynt is moved 5 ,yet, this happeneth noc chere- hi fore, becai ife chat che BataGr coheed in che very joynt. (for as we cold you but even of now, chis ts v oid of fet le) buc becaufe che Membranous parts aboue the joynt, being before et precernaturally difténded by y Lae BUIDOr Fis now more firerched forth. | Neither laftly doth een Me Chace prove chac the bumoc doth firft of al fal forth into che {pace of the joync, becaufe that
the pain, when tee Difeate fictt feizech che party, is perceived ro lie deep, before che external
partsiwel up, which when it h jappenste the painis mitigated. It is true indeed that thefe things do often fo come Ca pats, and thac in the beginning there is very litcle or no {welling che mean,time the pain ragecth in che top of che parcaffected, and
pearing, and chat yet inch L, there
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62° What Rind of Feaver that ts that accompanyeth the Arth Titis. Queft, 3,
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there becometh moft grievous 3 whichis afterwards afiwaged when the excernal parts iwe] up. Bucthis doth not theretore happen, becaufe chat «be humor fallerh inro che very Cavity
+ of the Joynt, and from bence makech it felfa way unto che exterual parts, che extream parts
of che Bones being (as we faid before) alcoperher defticute of fenfe; but it happene h from hence, chat che whol vicious humor doth firft of all by the extremities of the Veffels Row unto the Nervous and Membranotis parts about the Joynts, and greatly ofl @ them; but af cerwards when part of che humor is likewile diftribuced into che flethy parts, che pain becometh more mild and moderate; when the humor is diftributed into many places, ir doth chen act lefs powerfully 5 and chofe pares are made more loofe and fo are diftended with lefs pain than ocherwife: like'as we fee che very fame tobe in the pain of the Teeth, which at ficft is very gceat and intolerable, when all che humor floweth into the Teeth, and thefe Nerves inferced into chem ;_buc afterwards when pare of chis humor is diftribured into the Jaw lying neer, as likewife che Gums, then the pain ismitigated. But yet in che meantime (as we faid before ) we deny not this chat at lengrh alfo even fome of che mara cer may poflibly {weact chrough into the very Cavity of the Joynt, if che afflux continue long, Neither do the cwo laft Aphorifms of Hippocrates make at all againft aur Opinion; where (in che {ixch Section) he thus wriceth: Thofe (faith he) that have been long confusing with the pain of the Hips, if in thefe the top of the Thigh fall out of the Hip-Bone, and then return and fallin again, thefe have in that place a Mucous and snotty fleem colletted, And again, they that by being vexed with along continued Sciatica pain have ihe top of

their Thigh fallen ovt of the Hip, in thefe the Thigh wafteth away, and unlefi they be burnt, they balt and become lame. For that Juyne doth noc therefore fall forch, becaufe chat che Bone is chruft ou of its plsce by the humor fallen into the Cavity ; but Cas Galen inhis Comm. upon the Aphorifms teachech us ) becaufe the bonds of che Articulation being foaked and moiftened by the flegmatick humor arethereby rendced more loofe.
But now what thofe parts are about the Joynt chae receive and entertain the humor chac floweth untothem, neither do they al fully agree in their Opinions as couching this. Ga. pivaccins andfome others with him determine that this afflux is made only unto che Liga- ments, and that in the Arthritis the Ligaments are filled ful, but not fothe Nerves and Fen~ dons; fince that ifchefe parcs were filled there would chen be Convulfions: for chefe parts come to be affected only by the confeng of the Ligaments, whiles that they are preffed toge- ther by chefe Ligaments being filled wich che humor. But che Ligaments are fo hard and folid, that icis not credible chat thefe efpecially fhould receive che humor flowing ungo them, and bereplenifhed thereby. And che pain is nor therefore excited, becaufe tbat only the Ner- vous and Membranous parts are preffed together by the Ligaments preternaturally filled wich the huwor. For ifthis were the Caufe, che pain could not poffibly be fo fierce and biccer but becaufe chat a fharp and gnawing huwor doth prick and twinge che cender and fen fible parts. For as in other parcs the Membranous Perzoftia, and Nerver, are che fubject of the pain: fo likewafe in the Arthritis they contain the nigheft and moft immediate Caufe ofthe faid pain. Butnow chat chere isno Convulfion excited, we have already thewn you the reafon thereof above, co wit, becaufe thar the parts thac are by Nature affigned for mo-= tion are not affected, but fuch only as are appointed for fenfe, as the Membranes, or the Nerves likewife chemfelves ( fuch of chem as are not deftined unto motion) according co che Membranes.
Queft, 4e
f Rese are indeed very many that affere this Feaver to be only fymptomatical. Buc fince fymptomacical Feavers are thofe properly which follow the Inflammations of other partsCand more efpecially che Bowels)co wit,when chat heag that is in the affected Member, or likewafe even the putrid and foory vapors are communicated co the heart, and kindle up che heat in it, and fo che fewel of he Feaver is in another affected part : it eafily from hence appeaceth, chat the Feaver which is joyned with che Arthritis is not Symptomaticall, but primary. Forin che Feaver chat accompanieth the Arthritis, the Fewel of che Feaver is noc in the part affected (that isto fay, the part chat Jaboreth under the Artbritzs ) but ic asin thegreat Veffels. Yea and the Feaver either it precedech che Arthrit7s, or elfe it inva- dech together with che invafion of the Artbrit#, and doth not in any wife follow the fame. And cherefore this Feaver is defervedly referred unto thofe contmued primary Feavers, which now adaies we cal accompanying Feavers ; to wit, thofe that are nor folitary, buc fuch as have fome other Difeafe joyned wichchem, and that depending upon the very fame caufe with i 5 cowic, when by che motion of fome bumior which Natuce endeavoréth co ey
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Queft. 6. VV bat the Caufe of Arthritis is 2 } 63 [
By. wee |) ‘ Sata CARERS RENNER
RPS. Re ey ae : : . > Th 7 4 7) 4 forch unto fome outward part, or intoche habic of che Body, a Feaveriskindled ; ovat Jeaft the matcer chac is moved uhto any parc, becon
nech withall fo putrid, that it’ may caus and kindle a Feaver, Andasitisinthe ‘Eryfipelas, Pleucefie, {mal Pocks and Meafels, and che
like Difeafes 5 fo thiscometh hkewife cto pats inthe Arbtritss ; which fucha like
wont oftentimes to precede, and ro invade the Parcy a day before; or arthe leatt
tainly invadech cogecher with it; although ic be oftentimes very fmal; and therefore we ig
not fo much as caken notice of by many fick Perfons, and e{pecially fuchas aleogether heed
and mind nothing but their pain. But now this Feaver is continual 5 which yer never
remitetch fomwhat in the morning, bucabour che evening returpech again in ics ful hei
and chis happenech from che reeurn of che Blood unco che wward prets; this &
voluntary, or elfe fuch as is caufed by che coldnefs of the ambienc Aw, very famil
continual Feavers. :
But ehe very Feaver it felf according cochenature of the-humor (which toga: her wih Nee
the humor that is che nigheft caufe of Arthritis is fomcimes excired)is wontro be angmented oO
day afterday. Nowchac humor which kindleth the Feaver is not contained
lone, but fomtimes alfo in the Arteries; and chen the figns of purridrefs are not fo evident and ‘apparent in the Urines: yea inthe beginnirg the Ucines are oftentimes very thin, and like
unto cleer Water, wanting a fetling; which kind of Ucines are likewife very familiaz in other. iE
Difeafeschat proceed from the motion of the ferous or wheyifh Blood, Say
By ed ay vie ii} SEaAVer 19 at
> Moftrers
" RE ee ee ee ee

fe
a. a ‘e] wee a
S - 2 , Cing eicher | lar unto all
in the Veinsae wg
Queft. 5. Whether the failing of Mulberries may produce ibe Gout 3 or wbether the ; Pruits of the Mulberry Tree may Cure the Gout 2 Va He Occafion of this Queftion was at ficft given by Atheneus who ia the fecond B. of his
Dipnofopbiff.. chus writech : Pitbernus(as faich ‘Hegefander ) bath left it bebind him
for our information, thatin his A ge the Mulberry Trees did not bear any fruit for twenty
yeers together; and that then the Gout asa common and Epidemical Difeafe raged fo
fiercely among the People, that it feiged upon not only Men, but even Children, Virgins, 4
Eunuchs and Women: and not only fo, but this Difease became fo vehemently outragie
ous among the {maller Cattle, that it( wept aboay two parts of all their Sheep. Whereupon
fome thoughe thar chis happened by teaton of ct detect of che Mulbecries for thofe rwenty.
whole yeers; and they arcribuced unco che Mulberry Fruica Power and virtue of curing
and driving away theGout, And crue indeed ir js, char Mulberries do loofen the Belly, and
that they afford much benefit unto a bor and boyling Scomack: but chac they fhould
have inthem any power, or peculiar virtue tocure People of their Gour, this neither Rea»
fon, nor Experience can perfwadeusco. Neichercan this be proved frombence, thag when
Mulberries were wanting for twenty yeers, the Gout greatly raged among che common Peg= Hee
ple. Forit is more probable, chat by reafon of fome extraordinary Notable faultinefs in the
Ait € which fo continued for Cwenty yeers together, thacic every yeer burt the Mulberry
Trees) vitious humors fit co generate che Gout tere hes pedup. Which may appear even |
from chis, chat not only Men and Women, buceven the Sheepalfo ( which yec never eat of 4
the Mulberry Fruit) were not free from this Difeafe.
Queft. 6. What the Caufe of Arthritis % 2
E have told youindeed chat the higheft and moft immediate Caufe of Arthritis, V ¥ isthe folution ofcontinuicy in chofe parts chac'are abou the Joynts, proceeding. from a humor thachach flown inco them, whiles ic either diftendeth thofe parts, or elle pric= kech and Jauncerh them 3 orelfe doth both thefe. And yec nor ithfanding as couching this ching, che Phyfitians donot a Jictle differ among themfelves ; and as forthe nigheft caufe exciting che Arthritis, fome of chem determine one thing, andfome another, Which dif- agreement among Phy {itians, I conceive hach not been the leaft Caule why the Arthritis hath oftentimes been to unbappily and unfuccefsfully cured. For when the Caule of a Difeafe is not fufficiently agreed upon, it is not poflible chac che Cure fhould ever be tightly performed,
And ficft of all, chere are fome likewife that do indeed reckon up a naked and bare difteme whether per among the Caufes of Arthritis, and chis is alfo aflerced by Coftews (in his third Book «bare diz upon Avicen.. Fen. 22. tra#ate 2, Cha p: 5.) for this reafon, becaufe chat fomtimes there if 4 cll is a pain felc, without any {welling ac all, which is wont to be joyned unto adiftemiper with Geale of ’ matcer. Buca bare diftemper (ler it be even whatit wil) isnot che nigheft catufe of this Affects arhritis? fecing that che diftemper that fomtimes excicech {o longa continuing pain, cannot poffibly.
Le 3 fub-
ee a
seta ee cumn nn sas a ——
What the Caufe of Arthritis is? — Quel 6s
ee
fubfift alone; neither can it likewife be che caufe of fo great and grievous a pain. And moreover, the very humor it felf (oftentimes manifett enough) dorh futhiciently thew ciac befides che diftemper chere is likewife prefent an afflux of che humors.
And-although in the beginning there 1s oftentimes na {welling ac al chat appeareth out wardly, yet neither doth chis fufficiently evince that chere is cherefore no humor within. Like as in the Pleucifie, the Toothach, and the many other pains of other parts, the humor lying hid within difcovereth 1c felf by pain alone, but by no {welling acall. Moreover, pur- ging and {weating Medicaments are of fingular ute m the curing and prevention of chis Dif- eafe; which yer are no waies neceflary in a pure diftempet.
And althoughthac ‘Pareus celaceth a Hiftory of bis own Difeafe, by which he would prove chac a naked and bare diftemper may produce the Arthritis; yer this ftory of his doch not fufficiently prove chat there was noafflux at al of che humors pretent 5 fince that the qualities of che external Air may excite an afflux of the humors. Petrus Salins Diver{us indeed ( in his Tract of che affect. of che parts) makerh mention of an Lchias or Arthritis fromdrinefs ; che caufe whereof was neither known to Galen, nor yet unto any of thote chiat came after him: but Hippocrates only knew it, as appearech tn his B. of che internal Affe étions. But (ashe writech) we are not by drinefs to underftand any dry diftemper of che parcs conftitucing che joyne ic felf C ro wit, of the bones, ligaments, and rendons } bie 4 wafting and confumption of its glucinous humidity, by which 1 is naturally nourifhed, and whereby che joyne it felf is oyled asic were, and made che more fic for motion. For if upon any occafion whacioever ic fo happen that this humidity be wholly dried up, there the moc on of che joyntis hindered ; anda difficulty of the motion, and withal a pain fucceedeth. And he cels us, that chis Affedt, af ic be in che yoyne of the Hip, i is then by Hippocrates called che I(chiadick. or Sciatick pain ; bucthat he bimfelf bad likewife caken notice: chat tc might be bred in any other goync what{ioever.
But Galen was not ignorant of this Affect 5 only bedenieth it to be the crue Arthritis ; and he tels us chat ic was only acercain kind of Impediment inthe motion, whilft chat in che third Section, and 16. Aphorifm, he thus exprefsly writeth : If immodetace drinefs confume che humidity ofthe joynts, ic chen indeed caufeth acertain difficule mocion by reafon of the. drinefs; and perhaps likewife now and then a pain. Bue thac this paflton (which they cal Aribritis.) is inno wife caufed, unlefs any one be difpofed to cal al the pains vwhacfoever of the joynts by the nameof Arthritis. And moreover (1 fpeak it without detracting in che Jeaft from the worth of men fo eminent). be it fo indeed, that fucha pain and impediment of the motion may proceed from deinefs: yet I much doube of this, Whether or no chis pain be caufed only by che wafting of that humidity whereby the heads of the bones are as 1t were anointed and oyled. For inthe whol fpace in che which chey are joyned cogether, the bones are not covered with any Perioftinm, and thereupon they ate wholly void of fenfes and therefore in this place pain cannot be excited. But it feemeth to be more apteeable co
truch ( if there be any impediment of the motion, or any pain excited in the joynts by rea
fon of drinefs) chaz this happenech by reafon of the over drying of che Tendons, the extre-
mities of the Mufclesand Ligarnents; by means of which the Members are rendered unfit for
motion: and if it be fo chac they ought to be moved, there 18 a neceflicy of their being vio~ lently extedded 3 and this violent ftretching forth breedeth a pain.
Seeing therefore chat a baked and bare diftemper cannot caufe the Arthritis, ic remaineth that we make enquiry from what matter it_may be excited. There are fome indeed (as cauje the GHainer ius, and Mattheus) chat make menwon of wiridinefs, and of the degrees cheteot. Arsbritts 2 Buc a windinels cannot poflibly excite fo great a pain, and oftentimes alfo of Jong continu-
_ance in thefe pacts; unlels by windinefs any one be minded to underfkand the {piric 5 touching
whether & windi- nefs may
which we fhall {peak mote hereafter. And alchough the pain be oftentimes movable, and -
fliccing from place ro place; yet thisisnot from any windinefs, but from the humor,’ which is alfomof apt and fit for motion. : There are (ome likewife chat unto Arthritis refer that Affeét which by’ che Arabians 1s
Nakir which lbucafis Cin his fecond B. and'93. Chap.) thus defcribeth : Tberets
what kind called Nakir 5
Affeé t . ‘ : ‘ is Ae ‘ > : ef nie (faithhe) inthis Country of ours acertain ficknefi or Dileafe vebich they call Nakir ; and it is a pain that bappeneth in fome certain Members, and afterwards is changed from one
EMiember to another: and of this difeafe Ponce faw fuch an‘Example ag this thai I fhal now relate. Iwas upona time called unto a certain woman being fick and weak in a Village not far from me. She uncovered her Arm, voberel bebeld a {mal Inflation in the Vein of the Arm and about an bour after Law tbis Inflation to proceed forward with great fpeed Clike aga worm creepttb ) and afcending upwards unto the Shoulder much fooner than
could
think Ande neffes | wells ech tha Bowel: were li led wit the thi |
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peoards like as Quick-filver is mowed vebenit runs frons place ty place. The pain therefore departed out of the place tehere: it wos at firft, and fixeth irfelf inthe Shoulder. Anda ftermards, as foe ber (elPrald me, it rowled up and doven throughout the hole Body: even as I my Self might very eafily di‘cover it to befo. | tberefore greatly admired the fwiftnep of its motion from Member to Member 5 for indeed I bad newer until novo Seen any fuch kind of Difeafe asl fa in to Woman. Indeed i bave {een many thatbave felt the pain changing and going from one member to another ,but nov after this mannersor with this céleritysnaither could U bere con- picture any otber caufe thenthisto voir, thattbe Woman. was quite (pent, and difpirited by the beat of the Sun, and ber bard labor and pains-taking, uch as they areppont to.under ~ 20 that livein vill veges) ber Body being very drys and ber Veins wncovered, And bere- upon therefore thar windineft appeareth to be changed even fenfiblys and of mecefjity 1# 7 that tt cannot appear after this manner in fuch as live idle and delicated lives, and in moift Bodies, and where the Veins are kept covered. | And therefore vobenfoever thor atteinpteft tbe curing bereof, dnd the Patient Feel that pau; then if it be the (ame, it appeareth to tbe Byes, ae vee faid before. Then baften and bind both Uponitt, andun- der it, and cut’ syon iz, till ihe WindinefS that is pent up and kept in bath avent and paffage made for it to go forth, and Cauterize the place. But if it be fo that thon caufk not
could poffibly be imaginedy andit was moved upwoa
feéthe place that @ affetted, and the pain, then Cure tt with the excu {ton of the ‘Body, and {ome kind of Remedy that. expelleth windineffer, and extenuateth them. And for this pur poje,very neceffary and wifes sohtird ha Poccnt ye i ; as | like. Thus far Aibucafis: :
But this Difeafe is not Arthritis. For neicher is it only about the Joynts,but it arife eth from.a Windinefs, or furious {piric poured forth out of the Veffelssand running to and fro throughouc all the external parcs of the Body. There are fome who think chat this motion of windineffes, and fpirits, is made in the Veins themfelves, And true indeed ic is, that oftentimes in che Veftels and Bowels fuch hike windis neffes do run up and down with ¢rear violence and rufhing ; like as Antonius Beni- venius (in his Lract of bidden Difeafes, andthe Cure of the Caufes, Boe ech chat Ludomicus Nicolinus was fo aif: &ed with a winde rufhing vitienaivae One Bowels and Scomack, that not only his Bowels and Breaft, bur his fhoulder-blades were likewile extended with an incredible pain; and. he was likewife forely troyb: led with a great and milerable {treightnefs of breathing 3; whereupon alfo he died thechirdday. Bucinthac cliltory of Albuciefis, it is Ree ape dou eo dy poured forth of the Veffels inco the very fuperficies and out fide of the Body. ‘For feeing thac the motion there fpoken pf was joyned wich a great pain, chat {piric could not be contained only in the Velfcls, as being fuch that are defticure and void of all fenfe.
And fome there are who think (and this rightly enough) that this Affect, (ifir-be not on¢andthe fame, yet that ir pis very neer of kin unto that defcribed by Wiervs, ia a peculiar Tract, Cina Book he wrote inthe German fongue, touching unknown Difeafes : Yok which likewile Henvicus a ‘Brar,wrote an Epittle to Petrus Porefiys:; which Epiftieis annexed unto the obferwations of Foreftus, in his tyentyethb B. of Obfervations. Thofe of our times do for the moft pare refer them to inchantment 5 and they telus [know nor what of Elves aud rl ue cam om = thole pains; when yer norwichftanding chefe and fuch like of flitting pains thac run up and down inthe Body may alio have their Natura! Caufes, and =e ig Leah Sipibegag hag ea eit adie fharp whey bredout of a Humor almoft Scorbutick, and roving up and down the Bady bytheMembranous ae Muicles. And from hence it is alfo eee el Neither wnto the Dracuncult of whe Ancients 3; in regard that there is Here ny worm chaclieth underneach. The Wefipbalianefor the Cure hereof ufe (asa : Remedy) Earth-worms 3 of which fee Wierus,in ee
But we fhall addno more touching this affedty in regard that ic doth nat properly appertain unco Arthritis, of which we are now treating, » And yet bythe way I think ic noc fit to pats over in filence what bfind meacioned inthe Hiftories of thafe that were troubled with the Arthritis, Gwhich tpiadeliibcingert in tines teases likewifein his 14. Obfervation) where we find mention made of one Heo Cornelins; twenty eight years of Age, who over wearicd and tired ont ia the “hn Goran
4 2
ee
Quett. 6. VV hat the Canfe of Arthritis : |
a
66 Vi hat the Caufe of Arthritis Quelt. 6. his Husbandry, and very fleepy ashe was, laid himfelf down upon the Ground, and there he flept for {ome certain hours 3 at leagth awaking, tn his left hand, abouc the wrift, he felt an intollerable pain, which at length feized h's whole Arm, infc- niuch that he was not able to move his Hand, or fo muchas to ftir his fingers, which were now grown {tiff as ic were: andfoon after he was troubled with the fame pain about the Foot, unto which was added likewifea very ftrong and violent Feaver, Of all which notwichftanding by purging and altering Medicaments, and by the adminiftring of Topicks, he was curedin feven daies times, or Jefs. Where he likewife maketh mention of another, whovery drunk as he was, lying all nightin his Garden upon the cold ground, when he awoke was immediatly taken with a vio- lent feaver, and moft incollerable pains, of, which in avery fhort time he died. Buc as irfeemsto me, thofeaffedcts were noc properly Archritick, but racher acute feavers contracted from Vapours exhaling out of che Earth, which they both of them received by fleeping thereon; in which feavers Nature thruft forth part of the vitious Humor unrothe extream parts of the Body ; and fo from this Humor there were not only pains excited inthe foynts,, burt alfo inthewhole Arm, the Mem- branes of the Mufcles being there affected : and fo great was the pravity of this Humor, that ic likewife fnatchc away one of thefe two by a fudden Death. whether Seeing therefore that neither a naked and bare diftemper, neither yet a windi- a Humor, nefs alone can be the caufe of Arthritis, moft Phyfitians indeed therefore agree in and wat chis, that it isfome Humorthact caufethcthe Arrbriti: but what kind of Humor kind of this is, herein chey greatly differ. Some of them chink that allthe four Humors pha (co wit, Blood, Choler, Flegm, and Mclancholly) may be the caufe of Arthritis: ther al the and.this they endeavour taimake good more efpecially from hence, that in Artbri- four dn tes there appear many different colors of the {wellings, divers kinds of pains, and mors may various accidents ; the term of che declination not one and the fame, and a-much be the different way and Method co be obferved inthe Cure, according to the yaricty of
Fy of the Caufes.. Towit, (that I may ufe the very words of Petrus Salius Diver{us, in CNTitise J
his Treatife of the Parts affetbed, Chap.-16.) in fomethe Colour is much inclining tobe ted; in others yellow, andinathird fort, white. The {welling is nowand then ofa confiderablebignels, andfomtimes again ic {carcely appeareth. Andas for the pain, itisfomeimes indeed very troublefom, but yer norio bur that it may well be born; but then ac other times €accord ng to the Humor, the caufe thereof) iris moft harp andintollerable. _ Andthen again, ‘this pain is fomtimes 1oon gone and vanifhed, but that continuetha long while. Bur oftentimes alto divers evil Symptoris do follow, as an extraordinary great heat and burning in the place affected.’ Bucfomtimes again, either there is prefenc no heacat all, or on rhe con- trary, chereis acoldnefs that greatly croubleth the party 5 {ome ofthefe pertons being oftended by the Air when ic is over hor, and others by an Air too cool. The wavy and courfe of Curing is fomtimes alfo very various, becaufe in fome'of thefe fuch Medicaments as heat are found to be moft beneficial, andin others thofe bene- fic moft that cool 3 the pains inthofe being the more enraged by things that are cold; :but in thefe chey are beighthened by fuch things as are hot. And chen again, fome of chefe pains are appeated by the Evacuation of the Blood, fome by the pur- sing forth of Flegm, «athird fort fromthe emptying forch of the Choler, andthe laft kind of chem by che Evacuation of Melancholly are very much mitigated andal- laied. Al which feemeth so denote thus much unto us, thac the caufe of the Artbritis isfomtimes hot, and now and then cold and fomrimes, the matter thereof very vatious and different.
But thefe Reafons de not fufficiently prove that which they ought. For although that according to the various treafuring up of Humors) divers kinds of Humors may flow unto the patt affected; yet thefe are not the prime and principal caule of the Arthritis, but together withthe Serym, or Whey, they are forcibly catryed unco the part affeted; or elfethey aredrawn thither by the pain. And chat that Humor which breedeth the {welling is not the principal Caufe of Arthritis, appears eth even from henee, that in the beginning before the part {welleth, the pain 1s moft intenfe, and violenc, but as. che parr by degrees fwellechup, fo the pain mere and moreremittech. ‘Neicher indeed is this opinion agreeable tothe truth. For many
there are who although they be troubled wich a Plethory and Cacochymy, yet not- with=
:
men hefo fron no 8100 At that dul! pall Bt sbrit yort fort! ptick jeaft, the hi tobe time: toch On ms Chole with ( he dot may b chore thal b: mitts, are tr
‘anda
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Quel. 6. What the Caufe of Archvitis w: withftanding they are not at allcaken and feized upon by the Arthritis. {pecial, (as for what concerneth the Blood) Way, generate the Arthritis by its abundance.
And in
it doch not at any time any manner of For the blood is the Treafury of #7 ¢apfe
OF: wheiber the blood,
Nature and therefore althoughirc doch abound, yet nevertchelefs Nature dorh nor (72.4
€afily and upon all occalions expelic unto any part whatfoever, bur more efvecial- ly thofe parts that are void of blood, fuch as they arethat are’affedied inthe .4r- thrit#. And then again, if che blood thould alfo happen to be driven torch rhicher’ feeing that ic is milde and harmlefs, it could noc pollibly ftir up fo great and vehe- ment pains; which yec arealwaies prefenc even inrhe beginning of the Arthritis; before fuch time as the parc begin co fwel, and growred. Anditthe Arthritis were fromthe blood, why fhould notthe Tumor then be fuppurated ; fince chat there is no Humor foeafily broughe toa fuppuration, and converted into (Pus, as is che Blood? )
Andas for Melancholly, the Cafe is likewife very plain; anu chereare but few that will have this Humor to be che caufe of 4rtbritis* for it being avery chick and dull Humor, it cannot eafily infinuatce ic felf into thofe moft ftreight and aarrow pailages.
But as for Choler, there are fome whoupon very good ground will have the .4;- thritis co proceed fromit alfo, and not only fromthe flegm; and this they endea- vor to prove even by thofe very figns thar appéarinche Artbrits. For the pain is for the moft part extream fharp and violent ; and not unlikeunto chat Pain that is pricking and fhooting; and che Diec chac went before was dry and hoc; or at heaft, very much tending thereunto: the €x¢ercifes alfo were over-violent } and the habic of che Body thin and {pare. Andthe very truth is, chat this is noc indeed tobedenied, that thofe chings do fomcimes befal che fick perfons; and chat oftep- times alfothe pain is fo fharp, that it cannoc poflibly by any meanes be referred yn- tothat Crude Humor Flegm, but argueth rathera hot Humor. Butnowa Que fti- on may be here made, whether or no every preternatural hor Humor may be called Choler; and wethink that we may well deny chis cobeatruth: and we determine with Carolus Pifo, thattheremay beaSerous or Wheyilh Cacochymy, (although he doth not rightly explain it) andchat there may likewife bea Serous Humor that may be moft hot 5 and that under ic there may alfo be comprehended chofe thar Ichores, (of which we find Hippocrates and Galen making mention, and of which we fhal have occalion to {peak more anon ) or if you had racher {peak as do the Chy~ mifts, that Tartatous Sale, orthe fpirits of Tarcarous Salts. Neither are al] that are troubled with the Arthritis of a thin and lean, or flender conftitution of Body,
’anda Cholerick Confticucion and temperament.
Fernelins Cin his 6. B. of the Difeafes of tbe parts, and the rejecteth all che other Humors 3 and he there determineth,
that nor blood, nora Choler, nor Melancholly, but only che cold piruitous or
Flegmatick, and Serous ¢
ee CUSLCLS,
‘hetber Welan choly may be the cane of Arthri its
Symptoms, Chap. 19.) whether or
0) Flegm ccording
Humor, may be the Caute of the Arthritis; andthat every Arthritis is cold, and‘? Feme-
proceedeth fromacold Himor. And in this indeed his Opinion is right and agree- able co the truth, chat of one Difeafe there is but one only caufe; butin this he is very much miftaken, whenhe telsus thac chis Humor is cold >, fince that almoft al] the Symptoms that befal Arthritick perfons teach us the Contrary 3 to wic, that moft acute and fharp pain, burning heat, fudden motion, and the reft of them; For alchough when this Humor firft beginnethto be moved there may arife fome kind of coldnefs, by which che whole Body may be extreamly Chilled, and made co fhake 5 yet notwithftanding this is no fure and cercain fign of a cold matter ; fince chat even the hot Humors alfo (when they are moved through thofe parts that have their fenfe and feeling) ntay by litcle and litcle produce 4 coldnefs, or chilnefs, and horrour ; as it isalfo very manifeftly co be feen in Choleri¢k Feavers. And then Secondly, heerreth likewifeinthis, chat he accounteth
flegm and the Serous Hy- mor for all one Humor; as likewifeinthis, chat he will have the Serous Humor tobe finply a cold Humor.
For albeic that inthe Serous Humocs there are man parts that are wacerith ; yetthere are alfo many parts cherejn that are fharp and Sale, by which it differerh from fimple and pure Water. _
_ But Pernelins feemeth to havetaken this his Opinion from Galen, Book of the Gompofit. of Medicaments according to the place, writeth, thac che Humor which excicéth the Arthrits
Cin his tenth and 2 Chap.) where he is fomtimes indeed the Blood;
lius #s ay be the Cane.
ee
Re ewes Ne cy RS eA Oy tonne
hoe
ee
Wumeor which moft an ends called Crude and indigefted, ‘and is for the moft part predominant about the Joyuts, isnow and chen very chick, and like unte : buc when it hath for a while continued in the joynts, it w (hen cen-
There are very many other Phyfitians chat in chis follow the Opinion. of Galen and Fer- nelius 3 andthey account the Flegmatick, Cold, Crude, and Serous Humor, forone and che {ame ; and wichal chey ceachusthac it 1s the caufe of Arthritis, . But in chisthey are alofthem miftaken; feeing that neither can fo fharp a pain proceed. feom {uch a cold and crude humors’ and becaufe chac che ribritis invadech che fick perfon tuddenly 5 and then
oftentimes lieth hid again for a while, and is removed inta anorher place ; for the doing of
{ufficient Co fhew tharit ss caufed by a humor both fubeil and fharp (and this alfo penetra- cing into the moft ftreight and natrow paflages, and pricking the Membranes) and thatit pros ceedeth not from any thick andcold humor. 1 thar are peneratéd in Arthritick perfons fufficiently evince thac Flegm, 1s the cauleot 4rtbritis, becaufethac thofe Topi or hard knots before {poken of do rather proceed from a humor chae 1s Tarta= rous and neerly allied unco Baccthy Minerals, than from acrude and raw fleem. . Thomas Eraftus wdeed Cin his fourth Difpucat. againtt Paracel(ys). writeth chat he never but once faw the Gout bred froma pure and meer flepm 5 and chis.was.ini acertain noble petfon of ‘Helinftadt, who was fick withoucany painatal, if he kept but his hands,and feet quiet: there was no rednefs ro be feen 3 but a white {welling loofe enough 5 although that bis zoynts were not without hard knots, but had many of them, and chat for many y¢ers before he had
not beenable co ftandupon his feet. But chae Affect at chis time was vot indeed the
wr wy > a. = pense a rat | tt) oO vr Hae os _. a —_ mD* “4 ££ Mawes» Se te ee ery x
Gout truly and properly to cai
( by. reafon ofa long and lafting afflux of rhe humors) were much troubled, But. now that in the very beginning the blood wach the flegm Corrather indeed a ferous bumor) flowed down into the Feer, and corrupted them, chis is confefled even by Eraftus bims feilf.
whether. Garolus Pifo. Cin bis b. of Difeafes from a Wheyith filthinefs, in two of his Confilia or no the touching. Artbriits) will have the fecous and wheyifh uucleannefs co be the ane only caufe ferous filth of Arthritis. Which Opinion Cif ic be rightly explained) is abfolutely erué¢ dnd undenia-
9p fhe r > » — b,| * 4 4 Foe by M ADE ne ~ Re * ~ a. be ~~ 6dblew §©Butin this he 3s deceived, that he chinkecth chis Serzm or Whey co be a pure Water 5 oa ance that we.are. taught far otherwile by the fymptoms, and thofe things, that befal Archit-
Avibritis 5%. : acterding €iCk perions, i 148 | to Pifo 2 Rutothers there are and Camongthe reft Mercurialis) who both knowing and acknowled-
Whether ing chat {uch vehement ana ptievous pains cannot poflibly be excited froma flegmatick and crude humor. (ip cegard thar it is ceréain thac thofe moft vehement. and wracking pains are from a hot cafe) and, thar likewife the flegmatick and crude humor 1s alcogether wafit for
o quick and Cadden amorion as we feeco bein the’ Arthritis, and chat ic. camnot poffibly : hofe Membranous parts; they therefore cake the latrer of the two Opr- Mercuria- nionsintheplace alleadged out of Galen, and determine that the Aribritis hath its origi- with nal from Fleem mingled with Choler 5 and thac the Choler is mingled together with the
thick and cough flegm , being unto tt as a Vehicle, or Conduit-pipe, for conveyance. But yet neicber doth chis Opinion fatisfie us, unlefs thac mixture of Flegavand Choler be under- food of the ferous or wheyifh humor. For feeing chat they chemfelves do acknowledg that (o fierceand cruel a pain doth requurea hot caufe, chis cannot therefore be from Choler mingled with Flegm, fince chat fegm doth dull and blunt the actimony of Choler, rather tha increale.irc.
Yoeiver Ludovicus Mercatus whileft he acknowledgeth, that che vitrous humots ( although they evudicy ac- abound in the Body.) do not prefently generate Artbritis, bur even other Difeafes 5 ala cherefore be berakech himfelfuntoa Crudity allo 5 and chereupon dererminecth chac ¢he vie dercatus yous humors Ought to be Crude and undigefted, before they cam generate che Artbrités.
may be the =] petty cane? But cthen when he would again acknowledg, chat a Crudiry 1s noe fimply enough and fuffici-
with che- der, accor:
ding to §anhanuate it felf into t
dity ; and deceimineth that that Grudity alone is fis. for che generating of Artbritis ; which ; proceeded
lled, but only an Oedematoys tumor, with che which che feet.
ent for che generating of Arthritis , he fergneth and inventeth divers chings as couching Crue -
roel
| opel | ) Fit
|
real! with he (or fuych @ ther 1 per un any Ot their which toshe what tt now, humo! called ment Chya ftood Ding An that eh chat av detertr witht thishe: all che than thi part af which ( place o and enr when th } Galen) 9 forall;
J Dluncee
4 ‘ommor
tbritit ) fomuha } alleadg ) aby pec ) Forthe
“} deth fro
) othe T
agai liicy Medicam Inthe me,
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: the vr
ht {ii / ng Ce
gc test
enor
SE a
proceedeth from the rarity and chinnefs ot che hear (now. whether, or po he bere army oe
A
° - ° . By 3 he by reafon of its diffolucion froman Exterual hear. Thirdly, becaufe thac is hath mingled
with, i¢ fomwhae that isuinconcocted, bue hor. And yet notwithfeanding at the len ee he @oncludeth, thac this Crudicy of che humors is noc any. ofdwary kind of huittielt fuch as che reft are that procreate and beget Feavers, Defluxions, aud many o- ther Difeafes buc chacitisa Crudicy which obtaineth fomrhing chat is peculiar and pros per untoit, by reafon of which it more inclinech unto, and fooner cauferh this A fect than any other: and this (ashectelsus ) is thendone when the humors are made more thin by cheir being poured all abroad, and likewile by theirmordacicy and corroding quality 3’ by which they are eafily feparated from, and rejected by all che other parts, until chey come coche Joyncts. In chisindeed he rightly and moft truly afferceth, chacchat humor ha:h fom- what in te that ts peculiar, by which ic generaceth the Arthrits and no other Difeates, sur now, if we well and exactly weigh and confider «iis Crudicy, or rather che Condition ofthe humor (ashe callethic; but yer every humor cthacas preternatural may noc rightly be called Crude) miofi cercainly agreeth with the ferous, falt, and tercarous humor before mentioned and defcribed by us 5 as fuch which is thin, biting, poured abroad, or ¢ as che Chymifts {peak ) cefolved by che carcarousfale. So chac Mercatus feemeth ro have undet- ftood the thing welenough, but yee was not able wel coexpre/s himfelf in words, as concer= ning ic. Vhethes AmbrofeParry Cin his 17. B.and 2.Chapter’) whenas he himfelflikewife cook novice # ior that che bucsoc which generacech che Arthritis was a nature alcopether different from thole ee chat are che Authors of che Phlegmone, edema, Eryfipelas, or Scirrbus, he for his part hid sh determineth, chat the nature ot this humor was neither better nor worfe, buc che very fame thy ey with chat from whence the Plague, French Pox, or the Epilepfie have cheir Original 5 and the caufe this he endeavoreth co prove: 1. Becaufe this humor never cometh toa fuppuration, as do #42/4iag. all che reft of the humors. 2. Becaufe that it produceth pains far moze thasp and bitter 7?" *"S* than che other humors; infomuchcha€ the fick Perfors often complain thac they feel che
pace affected coburn asthey think. 3. Becaufe chacicis changed inco hard knobs or note which doth noc happen unto any other of the humors. 4. becaufe chac it wil very badly give place orremove forany Remedies whatfoever3 but is rather more ftird y Pp, ¢xalperaced, and enraged by chem 5 fo chacthe Pacients are ready tocell.us, chac icis far becter with them when they are without any remedies at all chan when they have them applied. 5. Becaufe Galen himfelf ( inhis B.of Theriacato Pifo, Chap. 15._.) faith that Treacle is very uleful for all Archricick Perfons whacfoever, as chat (in Pareus his Opinion ) which dullech and blunceeh the maligaity of che bumor. In this indeed Parcus bis Opini®n is right, chat che common ordinary humors ( Choler, Flegm, and Melancholly ) do not produce the Are tbriti, but thag che humor which is the Caule of the Artbrity doth obtain and hath i it fomwhat that is proper and peculiar, and this 1s fufticiently proved by the Reafons above alleadged by him: but indeed there is noneed a¢ all chac we fhould here have réecourfe unto any peculiat Malignity, and occule quality; neither do the Reafons alleadped prove ir. For there appeareth here nothing chac is Malignanc ; but che vehemency of the pain procee= deth from the Actimony ofthe humor 3 the which happeneth likewife fomcimes in the pain of the Teeth, Ears, and other parts. Andalchough that Galen commend Treacle as good againft che Artbrits 5 yec this doch not ac all argue, nor make thac it fhould fubdue the Ma- lignicy of che humor, but rather chat ic fhould confume che vicious humars ; and many other Medicaments of this nature are alfo before propounded, in the Cure of che Arthritis. Bur yec in the mean time we do not deny this, chacchehumor ( which is che caufe of the Arthritie) may fomrumes likewife obtaina peculiar Malignity 5 like as we fee it co be in che Scurvy, | and the Polontan Plica, . And yet notwithftanding we fay, chat ic doth nor produce che.
?
_Artbrifys, asicis a Malignant humor, but asic hath chat difpofitton which o:ber humors alfo |
( exciting the Artbrtitss ) do obrain ; chat yet are alcogether void of any the leaft Malignity, _ Whether And faftly, (chac we may likewife a lictle confulc che Chymifts ) we do indeed very te. Ebul- much expect and hope for fome light cobe given us by them, for the cleering up of the point one of nowiacontroverfie. Bus we thal hardly get any che leaft light or facisfadtion from Paras ele te celfiss and his followers, who for che moft parc even obfcure che plaineft cruth, For Para- Spirit, ac- celfus (as heis wont) ipeakech very varioufly couching che thing in queftion: For in his ¢ording to Tract crouching che Podagra Gout, pag. §40.) be chere faith chat the Gout isa difeafe, the #6)
feat whereof is Synovia; which when tc is exalced, the Gout is then excited: And that she li ,
M difeafe. Arthritis?
SIS Sa Nc aaa eee Ra nh San oN Soins, CORSO aS . wt
Dj
go. ”~™~*~*~CS:C« What the Cafe of Axchuritis és, Quelt. 6.
~ —a
difeafe isa Mineral liquor, or afowr juyce, fuch as are, Allum, Vitriol, Vinegar, Barberries, Acacia, and the hike; for feeing that chefe Salts are contrary and oppofire unco the Syzovia, if chey be generaced in any man, and mingled cogecher with che Synovia, they then canfe the Syovia to boy] over : and then he afterwards cels us ftrange and wonderful chings touching che influence of Heaven’ (which here I fcarcely chink worth the relating ) as hkewife thofe chines which: he hach in his2. B. ofthe Gout. In his Paramiruim he referreth this Difeafe co Mercury precipitare: Buc in his 8. of Tartarous Difeafes, Chap. 19. hereferrechit unto Tarcar. Petrus Severinus Cinbis Idea Medica,cap.12.) teacheth us, that the excited Roots of rhefe Podagrick A fects, if chey have their feat in che blood, they boyl up wach hear, and fend fpititual and vaporous Tinétures unto the Domeftick places; and that che Matrixes of che Roors having there rotten fruic, do by a dolorous calamicy of che Symptoms abfolve the revolutions of che Predeftinacions. But cthetruth is, che differences of the:pain € chat 2 may in plain and eafrecerms fhew you what he by an affected pomp of words obfcurech y do all of chem proceed from a diverficy of the Salks, of which fome are more, andfome lefs {harp and biting: but thac chefe {piritual and vaporous Tinétures are received by their Matcixes, (chat is, chofe parts that are obnoxious unco the drawings out of the Podagrick fruits, when they arerefolved ; and they have in the general an affinity with them, and cherefore. readily admnic of, and give enrertainment to che gueft coming unto it) to wie, the joynts, or che Sy- novia of the Hands and Feet. But here they do by their words obfcure a thing that is in ic {elf moft plain, and they like~ inole falficies with truths, Foras for what they bring touching the Ebullicion, of the and the fervent boylingheat thereof, this Synovia of Paracelfys is a meer fiétion invention of bisowns couching which we have already {poken in out Tratt.de Confanf. do dif, Cbymicor. cap.15. But as for whacthey fpeak of the fale Spirits, chis (if te be righrly explained, and wel underftood), 1s very agreeable unto thecruth, as we fhal fhew you by and by. And fo hkewile we may wel enough bear with chem in chis, chat chey en- deavor to éxplain the differences of che pains in-Arthritick perfons from the differences of the Salts thac appear in Veperables and Minerals 3 in regard that our own ableft Phyfitians Cand among the ceft, that moft experienced Felix Platerus_) are al of Opinion, thac the humor which is che caufe of rtbritiris not fimply a Water, but endued with a quality of a difference Nature , and mingled together with che Icbores and Excrements of che Humors, by which icis rendered more vehement, And fo we likewife judg this more fic co be rejected inthem (which yet Severinus delivereth unto us tn words too obfcure }) to wit, chat theo- cher excremengitious bumorsare moved unto other parts ; and chatthe humor which is the caufe of Arthritis hath in ita peculiar tendency unto the joynts; as we alfo fhewed you The Aus above, And therefore (chat We may at length conclude chis controverfie) 1¢ appeareth thers Opi- from what hath been hitherto faid, chat neither {imply che blood, nor flegm, nor melanchol- oes wont ly,nor yet a Water, is the neereft and immediate caule of the Artbritis. Buc when I have A of wel weighed al chofe things that befal Acehricick perfons, and which cannot poflibly be deri- Aribrizis, Ved from the Humors (as is manifeft by what hath been hitherto faid) I cannot otherwife determine, than chaca falr, fharp, fubcile humor (and fuch as forthe moft part refemblech chenature of the fallow fpirits, 1s the nigheft caufe of Arthritis. And now, lec whowalcal it Choler, or Flegm mingled with Choler, or Sale, or Farcar, or what he pleafe, he maydo ic forme, fo thatthe chirp be but rightly explained. I for my part fhal make ufe of Cite word Serum or Whey, Salt, and Tartar, thac fo I may likewife by a proper and peculfac word explain a thing thac differech from Choler and the ordinary and common Flegth. Burnow thatthe Serzm or Whey is nor only a watery humor, even the Ancients have ac~ knowledged 5 and Galen in che fixth of his Epidem. Comment 3. text.33. writech thac.che ferous or wheyith blood is by Hippocrates and Plato called nor only a Water, and waterifft
humidiry void of biting, but bicing likewife and corroding; to wit, which refemblech the ©
Hartre of che Sallow or Willow {pirits ; and therefore ic is chat ic prickech and biteth chafe parts chac are fo fenfible and quick of feeling, and in thele tc exciteth moft acute and intolles rable pains. heres, cowtc, ithe Earch Cout of which Plantsgrow, by which both Man and bruit Creatures are nourifhed ) fomthing that is falc, which an{wererh unro Mine- rals; and it may not unficly be called the fale of the Earth; which yec notwithftanding is {catce}yy ro be found pure and alone, buc itis mingled together with other bodies’s from whience divers kinds of Earths have cheir Original; and thereupon (according to the greac variety of Soyls) it is very vatious and different 3 as Muddy, Clayie, 8c. and chen a¢ the Jength in Plants and Animals it ts called Tarcar; and {oie cometh ro be tranfufed inco men.
Buc this, albeicchac in Plantsand Men ic become in the maby various Goncoctiona very fubs cile
Qu
riled Gu 0 intee body; \elsit evacli jist matte Jec an font! rey ( dies, the: recwa made anda on V Glatt’ thin! bout ati lated, wile a’ thisde andG
Qi
Cura
We But be aus) ¢ of Man
fotien the CK Cue th downy ‘erne| and Qs; thin) fl COgethe by the mOmach
v ew Hey pre us} hl ENCES Ot wliians
hac rhe
rejected attheo: fl chs the ye yOu ppearell lancholr bane § be deti- herwile femnbleth jowilcl 920 |
fe of (Ue
mots, by |
chat he | water bet af hoe Aintolle 5 sch bott o Mae ie . }
ie |
7 liyofa
TR a IT
Queft. 7. VV here the Elumor the C aufe of Arthritis generated, 8c €. vt .
cileand volatile (if it be noc fuch before) as very manifeftly alfo ic appeareth from ché Sale of Urine, and chat aclength ic is mingled even with che blood ic felf : yet neverthelefs in regard, chat from the very firft original of icit,is altogether, unfit for the nourithing of the body, andis (as “Hippocrates {peaketh) wholly.unferviceable thereunto, at.che lengch.Cuns Jefs 1¢ be forthwith, even in che firft Concoction, expelled, forth by the belly,-or afterwarde evacuaced forth by {weacs and Ucines). ic is treafuced.up:;, and being -burdenfom co. Nature it 1s chruft forth unto che Joynes. ( as-havinga.cectain kind of neer allyance, with {uch like matter _).where by ics acrimony: ic exciceth moft vehement and, grievous, pains, » Neither let any be hereat moved, and wonder that we fay thas this matter.is one while{piricual, and fomtimes alfo T artacous,and fo very fit Jikewife,for the generating of chofe hard knots which they.cal Topbi. For Ccthat I may {peak with che Chymifts,). {pirics may proceed tram bo- dies, and again bodies may be from {pirics. . This matcer in its.origina}, and while it was in
the Earth, was a body, and fomwhac as ic were Earthy, and. Mineral like > bue.iccometh af
rerwards co be attenuated in che various Conccétions both in Plants and Men, and. fo, it, is made as it were {piricual: which bath been acknowledged. by many of Galens followers 5 and among the reft, by Cardanus, who upon the 47.and 49, Aphorifs of che fixth Se@i- on, weiceth chat the Matter, co wir, the caufe.of Arthritis, is as 16, were a fpiric.., Aud Ly. cian inhis Tragopoedagra calleth ica violent and injurious {piric.. And, yecafcerwards thie thin humor or ipicit, when it bach once gocren a fit place (to wit, che bones, and che.places ay bout chejoynis) ic again becaketh ic felt incoche body, and is there coagulaced,; like, agit is a thing generally wel known unrothe Chymiltss and otber falc {pirics may,again be coagu- lated, and return incobodies. And yecneverrhelels ifany one thalaflerc that chere is hke- wifeavolacile Sale: in che very Earth ic felf (which, the Plancs draw unto, chemfelves } chis doch no way thwart or oppote this Opinion of ours 5 buc che whol cefult of the bufinefs and Gonsrovertie1n band cometh al unco oneand the fame conclufion.
Queft. 7. Where the Humor the caufe of Atchritis, # generated, and by what waies it flowetb into the Foyutes.
| ee what place the Humor thacis che caufe of the Arthritis is bred, and by what waiesand pafleges ic floweth inco rhe joyars, in chis Phy ficians do greatly differ among hemfelves: which diiapceement of theirs hach much hindered the Cure, and made it far more difficule than othecwife ic would have been ;. and therefore not wachout caufe is it chat Fernelivs Cin his fixchB. of the Ditleafes of the pats, and che Symptoms, Chap. 18.) writeth chac from the very ignorance of rhis ching che pain of che joynts bach hithecco been held and Jefe for ans curable, and called che fhame and difgrace of che Phyfitians. We have briefly above given you our Opinion as touching chis ching im Controverfie, But beceufe there are many (Cand chofe fome of chem of the more able and learned Phyfiri- ans). chat ace of another Judgment, and differ fromme intheir Opinion (asin chis darknefs of Mans mind i is.generally woucto be even in, the greateft and moft ferious Gonteoverfies:) 1 fhal noe think i:.cune mil-{penr,nor my pains i] beftowed, in laying before you (with what brevity Ican) their {everal Opinions; andin the recital of them I fhal weigh theawaccor=
dingly. i ‘ed firft I thal indeed begin with Fernelivs ; who 2fferteth that they.are much miftaken, who-think chacche Humosthe cauleof 4Artbrite. doth bieak forth of rhe morefecrerandan- mott pattsof che-body into the Joynts. , or bom ( faith he): # it opoffible thas cany ipuré and fincere bumor canfrom the bowels, andthe moft inward feats be carried. through dhe Veins or that that bumor which was folately mingled with the blood fhoubd now: (poith- out any mixtureibereof.) by theOrifices of the veins fall pure into. the bloods. oraf there foould alfo togetber with the humor flow forth any of the blood, which being colletted: and gotten tegetber in the Foynts doth it not excite a Phlegmone 2, And why Isremifedotbuot the crud» bumor whichis carried into the Foynts by any other paffages than: by the Veins caufe tbe Accoritis? For inthe Cachexie, the icrude bumors that from sbe-bomels fall down into the feet, and cauje them tofwell, donot yet excite tbe Gout in.them.| Butiewen Fernelius bimtelf caketh itor granted, and plainly affertech chac the Head: is, che Fountain and Original of this Malady, fcom whence ¢ faith He) afiegmatick humor (andychis very thin) flowech forch inro the Joyntse, And this humor (ashe cels us) isnot indeed gathiened together in che Brain (as whofe excrements are either purged forth by the Nofirils, or elfe by the Palace fall. down upon che great rough Artery, and the Lungs, of el{e inco che Stomack, and the more inward feats ) buc it - Claich he) collected in, the external parts of 25 che
SNe O ea MNS
WR NN adn ert SPOR RRNA 7 BO acetone
ap
72 Wherethe Humor the Cauje of Arthritis is generated, So. Queft. 9.
the Head, and fuch as ate placed without the Skul, and by the cop and /uperficies ot the bo-
dy run along downward under the Skin. For feeing‘thac there are many Veins running forth chithec that are derived from the extérnal Jugular Veins, he conceiveth that chey may there lay up their thin and ferous excrements3 and chat in regard the Skin of the Head is ‘thick and impenetrable ({othacche humors cannot eafily expire and breach through the fame) that therefore in progrefs of time they are there ftored up, and from thence by the fuperficies and outlide of the body falldown into the joynts,
There are very many othet Phyficians that follow: this Opinion of Fernelins 3 of che which fome of them wil have che humor (the Caufe of Arthritis ) co be collected in the Head alone, betwixt the Skul and che Skin of che Head 3 and they cel us chat is the one on- ly place from whence the matter floweth down unto the Joynts : but chere ace others of chem, who alrhough they likewile add other waies, yet notwithftanding they do withall joyn this way of Fernelivs : and there are very few or none of them, who do not believe buc chat chis.maccer doth withall flow down likewife from this place of che Head.
But in very truch, what Fernelins complaineth of ccuching the other Opinion ( thac by reafon of it it fo came to pafs chac che Archricis was almoft left as a defperace and incu- rable Difeafe, and was termed the Opprobinm or difgrace of Phy fitians yl conceive Cwith- out difparagement unto any mans Judgment.) tharis may more cruly be affirmed of chis his own Opinion; and Iamof Opinion thac that Phyfitian who feeketh for che Spring and Fountain of this Malady in the Head only ( neglecting in che mean time the crue Fountain and fourfe thereof > is fcarcely ever likely tocure the Arthritis. For albeit it be indeed Crue, that cercain various flitting and wandring pains may be here and there excited by the ferous|humor falling down from the extenal part of che Head under the Skin, by the ouc- fide and fuperficies of the Body; yet notwichftanding the Arthrités is never from hence ge- nerated; neither is chat matter wont to fubfift about che Joynts, but for the moft parc a= bout che membranes ofthe Joynes. But now the generating of che humor chat is che Caufe of the Arthritis is very different, and of a farother nature. | For chisis generaced in che fan- guificacion, by reafon of the Errorsin Dier, and the weaknefs-of che Bowels : and fomtimes jikewafe icis {upplyed from che fuppreilion of the Courfes in Women, and the fudden ftop- page of che Hemorcthoids in both Sexes 5 and then it is heaped upin the Veins and Arteries : whereupon alfo fo oonas ever it beginneth robe moved, andro become as it were boy ling hot, there is almoft alwaiesa Feaver joyned with the Artbritis: yea and fomcimes’the Feavers are cerminated in the faid Arthritis; and henceictlikewife cometh to pafs, chat in che Arthrity the Urine giveth forth moft fure and manifeft figns and Tokens ef the hamor that is pescantinthe Veins. And hence it is that Galen himielf ceacheth us (in the chird Section, Aphoriim 20.) that in licele {wellingsand pains of the Joynes, the deeper pattsof
the Body are throughly purged, the vitious humors being thruft from che more principal parcs .
unco che outfide and (uperficies of che Body :’ Neither can there any ching elfe be proved by firm and fonud Reaions. Al which being true as is alleadged, and che cafe ftanding chus ;and it being mwft undeniable; that the Humor the caufe of the Arthritis is contained in the Veins and Arcertes, chere can no reafon be rendered of any neceflicy Ceither in Nature, of elfe in che Difeafe)) why chefe Humors ouphc neceffarily firtt of al coafcend up into Che Head before they be carried into the Feec; in regard more e{pecially chat there is an open and ftrait way by which themay be moved through the Veins and Arteries, and fo carried into the Joynts. Andthat che matter, the caufe of Arthritis, is carryedunto the Joynts through the Veflels and not without theni, appeareth alfo even from hence, that the Veins in thofe joynts that are liketo be invaded by the Arthritis, twel up and grow big when it firft beginneth 3 and in chat che Humor exciting the Arthritis ( if Repelling Me- dicaments be unfeafonably applied) runneth back again into the Veins and Arte- ries 5 and is either tranfmicted unto the Noble parts, and there excitech Acute Fea- vers, anxieties of heart, and other dangerous and deadly Symproms ; or elfeiris fuddenly conveyed into another joynt y whereupon the pain which but ere while infefted the Foot, inftancly, Cif Repellers be unadvifedly adminiftred) chraftech it felf forth and appeareth inthe hands which ¢ould not be done, were it not that the Humor were moved through the Veffels. Foricis not at all poflible chat the Humor which but juft now was in one of che Toes, fhould under the Skin be fo
fuddenly carriedupinto the hand. And if che Humor fhould in fome {pace of time
mount up thicher under the Skin, yet ic mult of neceflity caufe pain in all thofe parcs through whichic paffeth, as we may often take notice in thofe pains that arife from the Serous Wheyifh Humor defcending without the Skul, that the pain is firft of all mcthe Head, andthen afterward ic is excited in the Neck, and chen inthe fhoulder
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the Ar | TUN Up | When ) andeh ! Length alltot } Othery | tome | out by otter g | Opinio, | edunde ted fo | tetnal | Lick pai list by tice throug} | Uofe hy Low Ye Lying ee | Kind cfg | Nat the
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AF Al , ; a) HI | Q 4 i Quelt..7.. VVhere the Humor the Caufe of Archritis is generated, & ¢\ a3 : een ESIGN ec SN sede Ne ep NIN A bs Be ial es Sia ose tetas : } ¢ a blades, andthe back 3 and thar ac the ‘length boch the: Humorand the pain des ‘e ; i fcend even unto the Thighs 3. which doth not-at allshappen iA the! Par tbinivis. Anti Sel. ti, | Moreover it oftentimes cometh ro pats, thacaman by owrach,/or.feabs as tudden bye: hie A caft intothe Arthritis 3 which happenech mot certainly:from thes Hamors beng = : te fuddenly movedin the Veins and Arteries: “but if che headcfhouldihave the fe Mus ] j age mors fenfibly and by degrees heaped up in ite own $kinj!thiscouldnb waies happeny h | th ) Andagain, if the founcain and original of this Malady weve under the skin OF che \ al ; te Head, why is not then the Cure chiefly directed co tharfear,*and why are novvetih Be iE catories, Cauteries; and iffues applied unco the Neck > decing thavthere ds icarcely \ we fitter place chen this cobe found, whereby: the macrei gathered togerher ber 1xU: ) iki! the Skul and the Skin of che Head may bevevacuated: ¥ And furchetmone, if the | Fibs Original of theHumor were alwaiés in the excernal parcofthe Head 5 then of ndoef= f ficy there would be prefenc likewife fome figns thereofiheaped up cherésanddafeens ve ) dings which yet inthemoft are not at al taken notice of, them Heads beings leoges O° thy | ther fafe and found when yet their Joynes are invaded by che Arthritis. 9 erneling tr indeed among other the figns:of the Humor heaped ups! reckonerh the -heavinefs of ik 9 the Head for one, as alfo overmuch delire of fleep, an external pain of the Head,’ hb and which is ftird up only by the touching thereat, Ce{pecially if the hairs be kenis Le hid bed back but never {0 little) ait Oedematous watcrifh {welling, « likewnto foft wax, a ina fying under the Skin, more efpecially in the hinder parce of che Heads: but he rec: . ied Koneth up for figns of the Humor flowing downward, a pain running: up and y the down fromthe Neck, or by the fhoulders,, into che Armand Hands 5 or elfecurnd 1, out: down by litrle and little along the back inco the Hips, Knees, andfeer; there ariling: f te fomtimes fome' kind of fenfe and feeling of Cold. But’ indeed it cannot at all’ be va denied, that chefe. figns are prefent, when: there is.aSerous and Wheyith Hanyéz Cale heaped up together inthe Head, and falling down by the external/parts of the Bo: la dy; butthey very feldom appeanin the Artbritip; ic being moft manifelt by expe) is | iit}. Fience, that fuch as are troubled with the Aribritis are. yer for the moft parevery io» fF) -welincheir Heads. . Neither do fuchas are caken with the Artbritis alwaies per- ts Fs ceive chac deflux of Humors frenthe Head, andthe pain proceeding therefrom, a® oylng | | bur even now wecoldyon.« And grant indeed that icbe fo, thac inthe beginning of isthe
the Arthritis the head may likewile in fome (where icis but weak } be offended; titi0 ) and chat there may bea kind bf heavinefs and pain perceived therein, Yet neverthe- nino} des neither doth this fufficiencly prove that the Humor (the caufe of the Arthritis ) itid J 4s generated in the head, Cin regard that the very fame often happeneth in Feat“. acto : alchough the caufe of the Feaver be not generated in the Head) but the head ig OXCS
pare offended by ics confenct with other parts. . For whenthe Humors boyl with heati# S ed by the Arteries and Veins, andthat they begin to be moved, they partly rove aad yd = tun up anddown by their own impetuous motion (this being proper unto then; Yeo) 9} whenthey aboundand {wel up) and parcly they are by: Nature chruft forth hichet nie W andchithers andchen they more efpecially fiez upon the-weak parts, uncilac the “y toe 9) = Length they feat and fix themlelves in ene cerrait place.: And therefore it is noc'ae : wy 9) . allco be wondered at, that in {uch perfons as have weak’ Fleads, and heads that are joys | otherwife very {ubject to excite defluxions, im the firft invafion of the Arthritis hte fome of rhe Humors (now about co ruth forth unto che Joynts, ) fhould be poured
“ist $) = out by the Capillary Veinsunder theSkin in theheadj and there excite pain, aid we) |} otherSymptoms. Which yer notwithftanding doth nothingat all patronize this sole | Opinion of Pernelins, fince that even thote very Humors are not bred and coltedt- ie | edunder the Skin ofthe Head, (ashe would have it) ‘but they are fuddenly poui- eFee bed forth thither by the Veins and Arteries that are fent unto ché Head ftor the ex.
eis “ternal Jugular Veins and Arceries. And grant icindeed to bé true, that the Arehri- while J tick pains properly fo called were excited inthe Neck, as he faiths yet neverehe- ptt? 19 defs this is nor done by the matter that by degrees is cobledted under the skin; anid. ich’ | by liccleand lirtle foweth chirher, but becaute the humors are poured out thither tt | through the Capillary Veins by which chofe Joyats are nowrithed. For ike as
thofe humors are carried downtothe Fect by the defcénding trunk of the gtéat hols low Vein and Artery 3; fo the fame may be fent ipwatds unto che head andthe pares
he 10 ‘4 { , , ne Maat : at lying néer about ic by the fame trunk aicending. And that there: dappéareth fome
ol kind of difference of che Symptoms in the fick perfons, it happeneth from hen¢e, that the humor floweth and igsmoved, fomtimes by the trunk of the hollow Veir
and
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