C. \Quelbaze >)

and Artery afcending, and fomtimes by the fametrunkidefcending (chis being: nioté ufual then the other) and now and then by. borha. For when iris: moved upwards by the afcending, before ever ic cometh co the:hands by the Axillar branehes, fomthing may ealily bethruft forch by the Jugulars: (as well che externalasthéina ternal) afcending up; into the head,:as alfo into the Brain, andi under. the Skins where fome of thefe fick pérfons may be infefted with reftlefInefs and want of dleep, and others of them wath.a drowfinefs;\and exceflive propenfion ro fleepings and fiumbring, .and.others of them by other Symproms. «Bue chaclehaci Humor which infefteth the: Toes fhould be collected under the Skin ofthe H cad,or poured foreh thicher out of the Veins and Arteries, and from thence flow down uhto the Focr, this cannot be proved by.any firm Reafon..| For whatis that right and ftraigte Wa by the which it may fuddenly flow: ftraight down from the head! under cheSkin, unto the Feet and ‘Toes ?) Foriwhen che:niacter’ deftilleth from thelhead under the Skin, itis difperfed hither and thither; and hereand: there ivexciteth pains 3 but ie. doth not tend. directly and ftraight downward unto the extream parts of the Feet: neither likewife if ic fhould flow down by this way) couldic poflibly Cas of& tentimes it happeneth ) fo fuddenly afcend! up into the Hand, by changing its Way. ; (pact 73 | cy
And in {pecial,' as for what:concerneth the exteflivefleepinefs and drow linet: we oftentimesifind inthe fick perfon, Cand if there: be any. orher Symptoms ofthis kind, that arife even in che very brain it felf) chefe do. neither appear in €very Ar- *brites neither ifcthey fhould appear, would they at all confirm che Opinion of Pernelius, butrather confute it, asteaching us, that the mactet is not generated and moved without the Skull, but that itas poured. forth of the véery:Veins them- felves. bor this fleepinefs and drowlinefsis.caufed fromthe matter thatis heaped up within the brain, and not collected without rhe Skul; whichif it be prefenc in the Arthritis, it teacheth.usthus much, to-wit, ichatthere is likewife fome maerer by:the Veins and Arteries poured forth incothe brain ic felf.
And Laftly, icis maniteft alfo by experience, that even other Difeafes Cand e{pe- cially fuch as are acute, whofe matter fticketh jmthe Veins, amd about the Bowels) are changed and turned into the Arthritis; and then the thick Urins atea fign and argument of che.Artbrit# nigh at hand. And Averrées( 7. Gollig. Chap. 3.) tefti- fieth that he himfelf became 4rthritich from an acute Difeale, when Nature by she Crifis had driven forth the Humors unto the Joyats, and efpecially unto the Feet 5 Kaict had not been, if the Artbritis were generated from a matter flowing down
Where the Edumor the Canfe of Axchricis is. generated ; &
» sae the Headis touching which we fhall likewife {peak more hereafter, when we
‘come co exanline the Opinion of Platerns. -L Neither ateshofe things ofany great moment that Fernelins bringeth againft the other Opinion, which weimencioned above; and conceive to bevery agreeable to the cruth.;cForwhen hedémdndeth, how.a finicere humor can flowunto the Joynts by the orifices. ofthe Veinss he calleth that in queftion which we may every day fee done in perfons thanarefick, For. Nature reveinech the blood us the treafury of lifes ‘and left chac it fhould:be defiled and corrupted. by the vicious humors; it exe pellech them divers waies out of the Veins and Arceries.. And certain it is chatin the fluxes ‘and: Purgationsof che belly it choufteth forch the vicious humors alone outof the Vena Cava (or great hollow Vein) unco the Mefaraicks, and fromtbence unto the Inreftinés : and by Critical {weatsit expellerhy the vicious Humors Cand thefe indeed fomtimes fincere, but moft.commonly ftinking and of a very ill color) by, che orificesiof.the Vieins:énding and terminated in che Skin.) And the fame it doth inthe Exyfipelas, Scabbinefs, {mal Pocks and Meafles, and: many other Dif- cafes in which Nature (char fo ir may preferve the Body fafe and found )feparareth the vitious humors from the good blood, and expellerlythem by the Orifices of the Veins, And yet'notwithftanding neither doth that Serous hunor alwaies' flow fincereunto the Joynts, but, oftencimes it likewife. catrieth forcibly along with it the blood, and'many timesalfoother humors. Buras for what Rernelins addeth, thar if che blood fhonld flow forth together with thefaid humor, it muft wece flari- ly excite a Pblegmone, this irideed often happenethas: he himfelf cenfeffech, while eft. as couching the Chiragra; or Gout inthehand, herhus writeth: Dbere is (faith be) inthis affeé a beating pain, witha Swelling, Rednef, Heat, and forthe molt pare with fwoln and firutting Veins. And touching the Podagra, or Gou in the ee there
poure with t| pourer feaver thata Gout 15 ng celta;
An (Teme there ( there buch Skul, Ota th aud fo
m ede,
Wilds lth, Helga Shits tl oD, Said Which
matter
delpe owels) en and
tele
it the blero joynts day {ee uy of ike chat in 5 slofle thence ‘ (end colar) fame iC ; vet Dil- afaretl g of tHE
es flo?
~ als eet ae alata:
‘
rated, &c.
Section of his Aphorifms, Aphor. 49.) atcribuceth this name unto the Arthritis when he faith that fuch as have che Gout are troubled likewife with a Phlegmone. And yet neverthelefs every Inflammation is not neceffarily f{uppucated;.and that in the Artbritis-the humors are noc fuppurated, this fheweth noc unto us the place from whence they flow forth, bur rather argueth the Nature of the humor it lelf,as being alcogether unfic for{uppuraction 3 to wit, fuch as is ferous, falc, and tartarous; the chinner parc whereof is.difcuffed, but the thicker pare thereof that is left behind is Converted into hard knobs or knots. For-there is nothing fuppurated. buc the blood, or that which partaketh of thenature of blood, and hath fomthing thereof mingled cogecher wich ir. ;
Neither yet doth this likewife provethat the humor defcendeth from the hea to wit, thacthis Difeafe doth fomcimes invade the party witha fhaking and trem- bling, or at leaft with an ofdinary and flight kind of Chilnefs and Gold. For this quaking and cold is no fignacal of the humor defcending from che head under the skin, but rather of the humors being poured forth out of the Veins, like as we fee the
ery fame to happenin feavers, and the Gryfipelas.
Ochers alfothere are (as Bujtachins ‘Rudius) who think indeed chat this miatter floweth down from the head; but chen chat ic doth flow unto the Joynts, not only without theSkul, (betweenthe Skin andthe peticranium, by the {paces that are under the Skin) buc chat ic defcendeth within the $cul alfo, by the excream fuper- ficies of che {pinalMarrow: others thereare alfo that tell us, how that it floweth down through the very middle of the fubftance of the {pidaal Marrow. Bue ifiec were.thus, asthey fay. there fhouldrathera Palfy or Convulfion be from thence excited, andinthe middle {pace ¢ by the which the humors fhould flow) the Ner- wes fhould likewife be affected.
Others there are who Joyn both thefe Opinions together; and chefe tel us thatthe Humor doth partly flow from the head, and partly are conveyed through che Veins;. and chisis indeed che moft common Opinion; which therefore Platerys is
“very.large inthe explainingthereof; who teacheth us that the Humors eX citing
the Artbritick pains may fal down either within or without the Veins. Within the Veins indeed, when the bloody humor caufeth the hot Arthritis, Cas fome cal ir) having che Feaver Synochus Joyned with it. For as by afubtile and thin blood poured forth into the fuperficies of the Skin Eryfipelas’s (thar are accompanyed with the Feaver Synochus,or a continual Feaver are excited; fo likewife while it is
poured forth into the feats of the Joynts, the pain of the Joynts (which the fame
feaver likewife doth accompany } is bred 3° fo that indeed who {oever they. be that are Obnoxious unto boththefe Difeafes, when they are fiezed upon by the Gout, they may then comfort themfelves with an Opinion and coneeic chat it is no more then an Eryfipelaa: All which things are indeed moft trie and certain.
And yet notwithftanding he detérmineth likewife that the Serous o¢ wheyifh Ex-
_crementicious humors being heaped up together may excite the Arthritis; and chat
their Original is fromthe head, and chat the Source and Spring of defluxions hath there its exiftence, andchat from it they flow down into: the patts lying beneath : buc chat they are there fomtimes heaped up together inics interior feat, betwixt the Skul, and the crude and impure Blood affording matter untoic. Forthenthat part ofat that is alcogecher unufeful for Nutrition, and Excrementitious, is by fome and {ome heapedup in the brain, which when afterwards it fallerh down it then breedeth the pains aforefaid ; which are accompanyed with a heavinefs of the head, and fomtimes wich a great pain therein, and other accidents, the fare figns and to- thous blood is caufed by the vice and errour either of the firft, or chefecond,or even of the third Concodtion that is made in the brain; by reafon, towit,of fome diftem- pet.or weaknefstherein. And withal hecelleth us, thac alghis filth andexcremene cious Humorsthat are heaped up inthe head, do either by Reafon of their too great abundance, when they areftirredtoand fro, flow downwards, or elfe chey ate prefled forth, and poured all abroad by che externa! cold and the moy ftnets
of
ee ee
oS J j 4
pawn ve * Meg Selina die wh Sienaig Ry ASEAN SiN ORT Ay
ae”
ee
— Sat ta re 5 ren ee
Fiumor the (aufe of Arthritis is generated, &c. Queit. 7.
a a a rE ee OT
Where the ofthe Air; orelfechac they are ftirced up by che heat of che Sun, of fome Bath, che Pores and paflages being opened, and the expulfive faculcy provoked.
And yer he derermineth likewife, chat che very fame ferous and excrementitious humor may likewile be ftored up wichout che Skul, betwixt ic and the Skin, and chat ic may fron thence flow down into the inferior parts,
But he ceacheth us chat che waies and paffages (by which this defluxion is from che Head) are very various. As forthe humor collected within che Skulin che Bafis of che Brain (cons fifting of three Cavities ending in che very bottom of che § ul) he cels us chat itis fomcimes firained through by che hole ot che Bone they call Cribrofin ( bearing fome kind of refem- blance with a Sieve) and diftillech out of the Noftrils, and chat it then exciteth thacdiftil- lation we cal Coryga, or the Pofe: and chac fomrimes likewife it is carried into the middle Cavity, which is full of holes, and lookech toward che Palare ; and char chen ic is either blown forth by the Noftrils, or brought forth of the Jaws, and {pit out by {creaming and retching 5 or chat defcending into the feat of the Eyes, it exftillech forch by tears: andchar fomtimes ic followeth the conveyance of the Nerves in the midft of this fea (of which fome ofthem pafs through by thefeholes:) and that fomrimes it being carried inco the hinder Cavity of theSkul (which is lower and wider) ic defcende:h through the great hole ( in the hinder pare of che Head ) of the Spinal Marrow, into {ome place of the habir of the Body 3 and thac ic ftoppech either in the flefhy parts any where, or about the Region of the Joynts, and there caufeth the aforefaid pains of defluxions, or of the Joynts. :
Bue as for che humor collected wichour cheSkul!, and How ing downward under the Skin Cas it infinuatech ic felf eicber sinco the Joynes or che flefhy feats ) he endeavoreth co produce divers kinds chereof: ali which heexplaineth at large. ‘
But in very truth, as we willingly admie of chofe thingsthat he produceth touching the motion of che humors wichout che Veins (in which he apteeth wich Euftachins Tudius ) fo wecannot be induced to believe chat the Artbritzs is generated from thence.’ For firit ofall, che maicer that is generated inthe Brain, and excitech the Coryga, or abundance’ of {pictle, and is caft forch by che Nofethrils and che Jaws, ieis of a far different nature trom that. which breedeth che Artbrit# , and it could not poflibly otherwife be, bue chac if a mar. ter {0 fharp and fiery, as ic were, fhould be generated in the Brain, it muft needs produce moft grievous fymptoms. Aud moreover whether this humor defcend according to che paflage of che Nerves, or according to che conveyance of the Spinal Marrow, ic could not be, buc chat it fhould firft of all in ws paflage caufe either a Convulfion ora Palfey, or fome kind of pain, betorce ever it could come untothe extream part of che Feet and Toes, and fhould there ex- cite pain; whereas nocwithftanding onthe contrary we oftentimes {ee Cand efpecially in the beginning of this Difeate.) chat there is fuddenly a pain excited inthe Feet, no ain ac all, oc fymproms eifewhere appearing. thac from the matter heaped up under che Skin of che Head the pains of Defluxions ¢ as Platerus tightly callech chem,and diftinguifhech chem trom the Arthritick pains3a ithouph he be maftaken in chisthat he derermineth chat chefe patnsand Defluctions are only in the flee ihy parts of che Mufcles,whereas indeed they are equally about rhe Joynts)may be excited in the flefhy places and Membranes of the Muicles : bur yet I cannot perfwade my {elf chac the Artbritis properly fo called, remucnine by certain intervals, and having alwaies one cime of duration, fhould thence be generated’ For if the humor fhould falldown betwixe che Flefh and che Skin, it mutt firft of all fez upon the parts nigh unto the Head, and upon che
Joynts; feetogthac (as Galen exprefly ceacheth, in his 2. B. of ibe Difference of Fea- vers, Chap. 11.) thofe fluxionsthat are from the Head are wont inthe ficft piace to in~ feft che parts neer unto the Head, as the Ears, Eyes, Teeth, Gums, and the Glandules thar lienext, or the Breaft and Lungs, and the Mutfcles of the Back ; whereupon fuch like pains froma Defluxion prefently in che very ficft beginning of the defcent of the humor from the Head are perceived inthe neck (before and behind ) and inthe Shoulder blades ; but chey icarcely ever defcend incothe Toes (which indeed are moft of al infefted by the Arthritis) Chae fame thin ferous humor vanishing by she way 3 which happeneth noc in the Arthritis, in which che painsare wont firft ofall (and that very fuddenly) co be exciced for che moft paccan che very endsofthe Toes. For what Solenander writeth concerning a certain ncble perfon (as we may find ic in the 24 Confil. of his fourth Section.) who being troubled with the Arthritis about the lacrer end of che Winter, had (as he faith) the humors there-
fore moved from che Head, becaule they were nox {uddenly augmented, but encreafed b
ittleand liccle, and running from Joynt’co Joyat, ftom Foo: to Foor, and from thence in=
coche Kee; and char from hence they afcended and {eized upon the Hands, and after chis
| infinuaced
And furthermore Iikewife willingly indeed grane .
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| ofthes
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Quelt. 7. Where the Humor the Caufe of Arthritis #8 generated, &e.
SAR T Ache isin (ilocos a a eh Sree ell one infinuaced themfelves into che Joynts of the Elbow; this I fay feemeth untom
: ¢a thing very improbable. Wor ifthe Humor had flown from the Head, 1c ought firft of al tohave infes
fted the Elbows, and then the Hands 5 firft che Knees, and chen the Feet 3 whereas here the quite contrary wasdone.. It feemeth more agreeable to truth, that) chis. was done frony che nature of the humor, and che great abundance thereof, For when it wasmore thick inthe Winter time it is was moved the more flowly : but when once there was great ftore chereof heaped up, Nature firft of al deivesic forth unto the extream parts, which when they could not poflibly receive all of is, the chen afterwards thrufk sc forth likewife unto the more neer neighboring parts. Neither indeed caty I {ee any way, by which this humor heaped up without che Skul, fhould be carried down ftcaight and dire@ly unto the Feer, and not ramble and rove upand down, hither and Chither, like as’ do. thofe pains ftom Defluxions. . And be is fo indeed that the Brain doth likewife fomtimes: fuffer certain fymptoms; andcthac the pain may ficft of all bepin in the ‘nook of the Neck, and may after chis feiz upon che Shoulder, afcetwards upon che Elbow, and laftly, upon the Hand 5 yet notwichftanding chat is noc at all yet proved which oughe tobe, co wit, chac this humor defcendech wichout che Skul, betwixcehe Skin andthe Fle(. For fick of all how the Gout odagra comes to be bred in the Feet, is not fhewn in this manner.” And moreover, albeit che humor flow within the Veins and Arteries, there may che very fame fympcoms be produced inthe Brain € which could not at all be if the humor were moved without the Skul, under cheSkin ) andalfo the {ame paininthe Nook, Shoulder, and El- bow. For while nature ts endeavoring to expel chat vicious humot by the afcending Trunk of che greac holiow Vein, and Artery, there may very eafily by che Jugular Veins and Arte= ties fomching flow inco she Brain, which may there excite {ome kind of fymptoms3; and be- fore ever ic come fo far as the Hands, it may eafily happen, chac Naturemay by thofe Branches chat are difperfed throughout the Nook and the Shoulders chruft forth fomching into chofe parte. And whereas all che Joynts in the who} Body, as alfo the parts chae lie about them receive their nourifhment from the Veins and Attertes, thereisno Joyne in the whole Bady into which likewife che humor (the Caufe of Arthritiy) may not flow in by the very fame Veffels, fo chat chere wil be no need at all of feeking for blind and hidden Waies and paflages even from the moft remote parts. . And chat [may in the laft place like~ wife grant chis, chat ic may poflible be, that fuch like ferous humors abounding in the Veins may alfo be chruft forth into che Head, and poured out under the Skin, and upon the ap proach of the Archritick Paroxy{m, and Nacute feteing her felf upon the work of expulfion, they may likewife be moved, and by the Neck may defcend into the Back: yeqnorwithftan- ding thefe are not thofe humors that breed Arthritis; buc defcending under the Skin, and pulling the Membranes in che outfide of the Body ,they excite thofe roving and flitcing pains; yea and fomeimes alfo they breed.a {ptirious and baftard Pleucifie ; but chey are very eafily
taken away by frictions, difcuffing Medicaments, and Sweats, che Arthritis yec ftil remaining, .
Francifcus India (a,Phifitian of Verona) in bis firtt B, of the Gout, Chap 4, rendreth this thing very intricace, whiles he writeth chat che members thar fend forh thele {uperfluities are various and very many, and efpecially che Head, che Scomact, the Inceftines, the Liv . and the Kidneys; and chat chofe Fluxionsare indeed more e{pecially fromthe Head.and from the Brain ; becaufe chat alchough thofe humors draw their Original from che Inteftines, and from che Scomack and other Members, before they flow unto the parts of the Joynts, they fift of al aicend into che Head,and from ic are afterwards tran{mitced unto the parts lying un-= derneath it. But yet he doth noc indeed deny chat chofe humors proceed from the whole Bo- dy. For if ( faith he } che Body were alcogether free from fuperfluities, no humor would at al flow in.And yet nevecthelefs he denieth that rhe matcer doth immediately flow from the whol Body unto the Joynts, feeing ic cannot pollibly be, chat che humor which is found inthe Sco-
mack, or che Inceftines, or inthe Liver, or Spleen, fhould fo fuddenly from chefe pares flow
unto the Joynts, unlefs by the incication of Nature ic were driven forth by chofe waies that
lead unto the Joynts. Now he decerminerh thac chofe waies are rhe Veins, Mutcles, and
Nerves, The Veins, to wit, chae are deftined for the nouriffing of the Hands and Arms,
do catry che exccementitious humors that have theirexiftence throughouc che whole Body unto the Ligaments ofthe Fingers, che Tendons, and the Joynts. “But the Mufcles tha¢ arife from the Shoulder- blades, and the very cop of the Spina and that are implanted inro the Shoulders do receive che fame excrements from the inferior parts of the Body, and derive chem unto the Ligaments of che Fingers, But as for chat maccer which Howeth from «he Head, Nature chruftech ic forch unto the Joynte of che Fingers by chofe Netves thac deicend fcom the lead, And yer noswithftanding arene hedeniech chac she humor is cancied eg eh
?
>
=)
me ae HI
o
SEES EN niin Claes
FAN
“78 Where the Humor the (anfe of Arthritis is
Sehincaeesir caleeeemenimeetienenameeee ene sane °
generated, &c. Quel. 7.
the Head alone unto che inferior parts of the Body 3 as for Inftancey? unto the Knees, the °
Thighs, and the Ligaments and Joynrs of the Toes, buc that by the confent of che Veins and Nerves of che Spina or Back-bone, and by reafon tikewife.of the confent becwixt che Kid- neys aad the Knees, Thighs and Feet, sic isfomtimes alfo carried from the {aid Spina of the Back and from che Kidneys unto che Ligaments of the Knees andunto the Joynes of che Toes.
But in this Opinion there are contained many things that are falfe. For fir of all, whereas itis {aid chac the matter floweth from the whol body unto fome one place, we are noc hereby to underftand al and every part of che body, she ftomack, the Inteftines, the Li- ver, the Kidneys, and other pares, but only thofe kind of parcs in the whol body that are filled wach Veins. For although that cheexcrementicious humors may be generated in. che ftomack, Inteftines, Liver, and Spleen: yec when they are heaped up, they are then. diftri- buted inso the great hollow Vein, as allo into the Arceries, with that perpecual flux and paflage to and again of the blood ; and from hence they are chruft forth unto che external pacts of the body, asin the Scabies we may fee, and fo likewife in very many other Aftedts. And cherefore if vicious humors be heaped up in Arthritick perfons, chere is no neéd ‘ac al} thac they fhould be derived unto the Joynis by fo many turnings and windings, by the Muf- cles, and by the Nerves; feeing thac there is a neec and direct way throughthe Veins and Are cecies, from which as al ocher parts of the body, fo likewife the Joynts receive their nourifh- menr, And furthermore it is no way agreeable to wuch thac che humors fhould flow unto the Joynts by the Nerves: forneither doche Nerveseafily admit of, and receive {o preatan abundance of humors; neither were ir poflible,if chatmatter were received by the Brain,and fhouid flow unco it through che Nerves, but chac ic fhould ficlt of al excite moft grievous Maladies, before ever the Arthritis could arifeand appear. India indeed feeks by al means
to avoid al chefe inconveniences, whiles in bis fixc Chaps. be writeth, thatche matcer which ~
flowech.doth nor fillehe Nerves within ;»but only-diftend the fame outwardly.” Bur this is not to flow through the Nerves; neither doth he in this manner fhun thofe inconveniences, whiles he doth nor fhew us how by a continual paflage fromthe Head (according to the pro- prefs of che Neives) chis maccer may flow, fochat yet notwithftanding ic may in its way and paflage excite neither Convulfion nor Palfey, norany other pain. And indeed to whacend is there. any need of chofe ambages, and turnings and windings about (this way and that way )
by the Muicles 5, when (as we have already often {faid) there lieth a dixect and ftraight way
out of ghe Veins and Arceries into the Joynts ? .
Adrian Spigelins (in his B, of the Arthritis) hacha peculiar Opinion as being held by him alone; who when he would acknowledg that thisafflux is aleopethex made by the Veias and Arteries, and yet nevercheleis would not alcogether defert that Opinion which ‘deter-
maneth chat che humors flow down from the Head, and would withal give us notice, chat -
thac flax cannot poflibly be either without the Skul, or wicbin ic, and {fo from the Brain; he therefore decerminech, chat che fluxion is both from the Head, and from the Liver: but then in this he diffencech from ali others, char he ceacheth us thac the aforefaid Aluxion (which he conceivech co proceed fromthe Head) is very feldom under the Skin (as Ferne= lis celsus it is) and never by the hole of the Spinal: Marcow (by which the Spirits‘are kept cogecher) or by che hole of che Nook, above the external Membrane of che Spinal Marrow 5 but that by the Veins and Jugular Acceries (not only che external, but Jikewile che Ibternal, by che which from the lower pares, ef{pecially che Liver, the humor 39 carried into the excernal and internal parts of che Head ) ic floweth back again into the great hallow Vein, and the great Actery, or us branches chat have thea exiftence uinder the Fhroac; and chat fo from thence they are devolved into the Joynts.
And thewery scuth ts, thar Spigelins his Opinion is indeed right, That che flux of humors in the Artbritz is by the Veins and Arteries; which he mighe wel learn even from this, by obferving chat if before the univerfal evacuation of che body there be applied untoche F oor, or the Hand, any external repelling or cooling Medicaments, that chen the mater flowed back unto the noble parts,and excited acute Feavers,and other Maladies. Buc thar che matter doch from che Brain firft of al cepurgicace into the Veins and Arceries, chis he doch notat a} prove, but producech ic without any firm ground and reafon. For on che concrary rather, chofe chings chat happen unto Archritick perfons do teftifie that this humor is neisher penera-
ted in the Brain, nor heaped up there, nor thence repurgitatesintothe Veins and Arceries ;
fince that if chis fhould happen, a.humor fo tharp as chie"is, and able to effect fo prear pains, mutt needs excite che moft grievous A ffeéts in che Brain. Spigelzus here feeks for fhifcs, fee~ tg Cha many chings teach us chat chefe humors are bred inthe Liver and Spleen, the places and
\
an ft a at slofde
Sou wholb ri
But
: inoa
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generat (anit into when t the fa yed (0 wy: a into th he At Anda: touch Aner joynts
And Jearned and At that de rooeth Para ly can ly done
And
this yra
~ humors
no? | cettain, fromeh them dj Lick per a Higns; fve be, hathth before fonab] doubre Matter Uideed their oy Talons, cally ch tick ber Withint heeded the holt alcendi batn Dele for Waies } Dafas Is flowy Rive the
Huxians
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and ftore-houtes of Sanguificacion, and that from thence they are heaped up in the Veins and Arteries, and by chem ac length thrift forch into the joyntss fothat there isnoneed at al of deriving chem from tke Brain.
Some there are who determine that che humors are poured forth un’o the joynes from the whol body. Bucthefe by the whol can here underftand nothing el{e but the Veins and Atce- ries, difperfed chroughout the who} body:
Buc that we may at che length conclude this long and tedious difputacion, and concraét ie intoa few words 3 chisin che ficft place is certain, chat the matter the caufe of Aribritis is generated in che Bowels of che lower belly 3 yeay and chat oftentimes it is jong {tabled up (as ic were) about the Spleen the Jnceftines, and che Livers otilat che laft ic 1s eransferred into the great hollow Vein. And Mercatus writeth moft cruly, chatas he himfelf bad feen when che pains of che joynts had arifen from the pains of the belly 3 fo he likewife found the fame co be the Opinion of Auchors none of the meaneft; and I my felf have alfo obfer- ved it more than once tn fuch perfons as were Hy pochondriacal, and {uch as have had the {eur= vy: and from hence likewife tc is, chat Diarrhea fluxes unfeatonably fuppreffed are turned into the Artbritis,. And that there may flow from the Colon Inteftine a humor exciting the Arthritis, we are taught both by Galen and Uippocrates in 6. Epidem. Com.4. Text.3: Andas for che waiesand pafiages the thing is very plain (as we likewife cold you before, touching the Scurvy :) to wit, that from the Colon this humor may by che Meferaick Arteries be transferred into che Trunk of the preat Artery, and from hence be thruft unto the joynts. } .
And Secondly, This alfo isccueand certain, Candthat which is granted by all the moft Jearned Phyfitians) chat che Humor the caufe of the Arthritis is moved through che Veins and Arceties ( fome of chefe fay alwaies, but others of chemvery often, and they are chofe chat decermine thac che humor floweth down sikewife from the Head ) and the thing is al- rogerherc fo plain, that ITbomas Erajius ( who notwichftanding in his 4. Diputat. againft Paracelf. Pape 261. defetdeth likewife another way fromthe Hzad_) writeth, chac he on= ly can doubt of chis ching who doth nos fufilctently attend, and cake notice of what is day* ly done, or be chat hath his minde prepofletled with a prejudicate Opinion.
Ang teen that chefe things are true and certain, the doubt now heth in this; Whether this way be notfullicient? and whecherthere may any other be afiizned? and whether the humorsal{o flowing down from the Head, under che Skin, may excite the Artbritiz, yea or no? And yet notwith{tanding (inthe thicd place) I conceive chat chis is alfomoft ue and certain, and {ufficiently proved above, chat tomumes the beginning of the fluxion is not fromthe Head. Fopwhereas both the part cranfmitting, and che part receiving, do both of them difcoverthemfelves by their feveral and proper fymptoms; and thac in many Acchri- tick perfons there appearech no heavinefs of the head, no pain, neither any other fymptoms as figns and tokens of any humor gathered cogecher and heaped up chere ; it cannog there fore be concluded chat the humor floweth down from the Head. And moreover, neithee hath that Arthritis which is from the Collick its original fcom che head, or from che brain, as before we fhewed you : as likewife neither that which proceedeth from a Diarrbea unfea fonably and. unduly fuppreffed. And cherefore fourthly, chis remaineth chat may truly be doubred of, co. wit, Whether oc no the Arthritis may fomtimes have its original from a matcer, heaped up under the Skin of the Head, and fromthence flowing down? Which indeed, very many of the moft learned and able Phyfitians doaffirm, whom I Jeave free unto their ownjudgments: but yecformy own part I cannot be perfwaded co beleeve ict , for che reafons betore alleadged 5 » which here corepeac, I hold it alcogecher needles, in regard efpe- cially that I,am able very wel co render a reafon of aJ chofe fymptoms thac befal unto Accthris cick pexfons; alchough I determine thacche humor the caufe of Arthritis ismoved only wichin the Veflels, and chat by chem ic flowech intothe joynes; efpectally if this be well heeded, chat chis bumor doth fomtimes moft chiefly flow chrough che defcending Trunk of the hollow Vein, and che great Artery, and fomtimes likewife chat ic wachal flawech by the afcending Trunk; and chac from chence various fymproms are excited abouc che head. What need is chere therfore chac neglecting thofe waies which Nature hach ordained as Chan= nels for che motion. and flux of che humors, we fhould feek for unknown and unheard of waies?) . And chere is one ching chat cannot but at leaftcouch upon; and 1¢ is chis, Thac Grafius indeed (inthe place alleadged) hath this fora fure and cercain fign of the humor its flowing fromthe bead, chat che fick perfons do for the moft part manifeftly feel and per~ ceive the humor to flow down from the head, by the neck, fides, and back, like untoa ae
Miao . Wi
Queft: 7. Where the Humor the Canje of Arthritis is generated, Se. 5
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So Whether there may any thing be
Al ent Anal y chet W bic coil
with a kind of fhaking, trembling, or a flight kindof cold. But this fign feems nor untome _| any whie firm: for chat fhivering and quaking happeneth not only in the Arthritiz, bucof- | centimes likewife in Feavers, the Eryfipelas, {mal Pox, and Meazels 5 and itis a fign and | token that thefe Difeafes are very nigh achand; when from the Trunk of the hollow Vein and Actery (efpecially inthe back.) by che branches chat arife from chem, and the extre-
i mities of che Veins and Arteries, a vapor fromthe vitious humor, or hkewife the thinrece || is ‘a part: thereof is chraft forch into che pactsoftheback. For although thac withour doube | vi Ba We alfo the very fame happeneth even in other parts, yet neverthelefs this Chilnefs and trem= i a, bling is ficft of al exciced inthe back, by reafon of che Spinal Matrow, andthe very many | | ane 4 i, Nerves there proceeding from the faid Spinal Marrow, and being endued with a molt i on \ quick and exquifite fenfe; by che which Spina] Marrow a Chilnefs and fhivering is likewife 2
\ {een fomtimes toafcend, and fomtimesto defcend : touching which jee more in Hippocra- Bs ie | tes his fifth Section, and 69. Aphorifm. And thus much may fuflice as touching chis yon
nA verfie. a time 1 Wee Controverfi Rae a 3 2s t: B i
I 7 © Fothe. ta / ynto
\4 Queft. 8. Whetber there may any thing be gathered together in the Foynts that may punt ria make any thing unto the producing of the fit. } into
arnt N° only Paracelf{us and his followers ( who derive the Arthritis from rhe ebullicion oft Ma A | of Synovia ) have given me occafion co think of this Queftion; but likewife thofe ‘Bm aN | ficange and admirable Cures char have now’ and chen been made inthe Arthritis havechief- | el bal! Jy put me upon the debate hereof, Guilbelm. Fabricius (in his firft Century, Epift.47. kel a and 48.) celatech thac fome by tortures have been fo'treed from the Arthritir that they coll ya were never Known afterward co undergo any fit thereof, . Indeed by affrightment, asalfo by rhe a joy, itis aching very wel known that many have been freed from the Archricick Patoxy fms, hiss Pot But how aman fhould in chis manner perpetually be freed from the Arthritis or joynt- belli id i Gout, 1¢ isnot fo eafie a thing to render the ceafon thereof, unlef{s it be foughc'for in the | wh yaa place affected. And there are likewife other Hiftories of this very thing. That famous fuch: fa and eminent perfon, Da. D. Doringius related unto me, that chece was a Citizen of Gieffa, ing tas who (chrough impatience by reafon of his pain) with a hatchet cut offthe great Toesofboth =| they bt bis Feet 5 and ever after this he lived alcogether free from the Arthritiy «Andreas Libavius done. The likewife (in bis 73. Epift. co Schingerus ) relatech fuch a ftory asthis. There was (faith and b i he) a Pacienc, an Hoft, or publick Inholder: A cercain Phyfitian (a @hevalier, a perion of Hume era great quality) happening cobethere, having agreed with bim for three hiindred Florens, 9 that Aitid promifed the Cure; and when he had received a Writing under his hand for che {aid Sum isnot: hi he fetsuponit. The Patient is commanded co put his feet upon a Wooden Trunki There foynt RYT | were prefene the fervants of this Noble Knight (able and.ftcong men’) that were commanded - We t to hold him down iaa fitting pofture... The Knight himfelf being provided of an Icon Maller, Arh with fix,Nails faftened his feet unco this Trunk of Wood; and immediacely- with all che their {peed chat he could, leaving his Patient crying out in a moft miferable mafiner) taketh his pley
Horfe, and away he ridech. Buc inche mean time he oftentimes privately maketh enquiry oli
whether the Difeafe had ever after returned. And having underftcod (after the {pace of f thel,
three yeers) chat che Pacient had never again been troubled witb the aforefaid Difeafe, he Real
recurneth back tinto the Inn sand chece making himfelf merry wich His Hoft, be came fully and b
# to know that che Difeafe was cured. And thereupon he puls forth the Writing thathe had thin
t under the Hand and Seal of his Hoftyand demandeth the Money chat was promifed- bim, having aporo
made it appear chat he was the Phyfitian chat bad wrought the Gures'° His Hoft Calthoueh he had been moft cruelly handled by him ) confenteth to fatishie him and accordingly he 4 “sh him and his Followers fo long, until chey had eaten and drunk out che three hundred bef *lorens. From al which Hiftories ic feems thac we may colleét thus much 3 That in the place affe- nay cted there lieth bid {ome kind of Mine, which in ics‘own time maketh much for che exciting of che Paroxyfm. Butalchough ic be very hard to determine any thing of a cercainty' as » Souching this thing; yet notwithftanding I wil acquaint you with my own thoughts (at lea ft it in the way of a Paradox) unco which I defice nor ftridtly co engage any man Co give his con- sat, but thal leave every one unto his own Judgment and Opinion,
any
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Quelt.8./Vhether there may thing be gathered together in the Foynts occ. roe
Allthe parts ofthe Body, as they are nourifhed by an Aliment fic and conveni- ent forchem; folikewife in fick and Crazy Bodies, the Humors that beara certain
» Analogy with them are carried up and down unto the other parts; whereupon
there happeneth avicious and corrupt Nurcritian.. Mincchote what are: fomnciamee which is unufeful for che nourifamenc ofthe other parts’ is ( in-men) wafted and confumed in the Nails and Haires; andin Bruites alfo it is converted into the mat- ter of cheir Hoofs and Horns. Infuch asate unfound and fick, the vitious Humors are alfo carried untothe parts appointed for them 5, which as it happeneth 1n other Difeafes, fo we may fee it more eipecially in the Plica Polonicas in which chat vi- tious Humor isnot only driven forch unto the haires of the head, which it clammeth and as ic were gleweth taft cogether, buc likewife unto the Nails of che Feet, which are thereupon made hardand black.» In the Fractures of the bones the ftone Ofteo-
- colladeing taken tendeth unto the bones; and paffeth into a Callus, (aud this fom-
times overgreat) as Guilbelmus Fabricius makes it appeat unto us by examples, ia his firfh Cent... Obfervat. 90. and gi yt shepefoge Efamors fir for the generating of f unto the Joynes, and chat wich che Aliment of the bones they infinuace themfelves into the very fubftance of them; and that-there the Excrement proper unto the bonésis collected, asa Mineral and Rudimenc of the Artbritis that 1sto follow. And Galen feemeth to teach us this very manifeftly, whiles inthe 39. Apberifm ofthe 5. Settion, hecellech us that each part of the Body asic hath ics Nutrimenc, fo ic hath likewife its Excrement 3 andthacthere is a fuperfluous Humor left behind, like unto the Nature of the parc where ic remaineth. And: indeed it isa thing very likely and agreeable unto the cruch,chac there fhould be fuch a Tartarous excrement colleéted, efpecially inthe appendances of the bones, which are more porous then rhe Reft of che parts of the bones. 5 and therefore Cas Andreas Laurentius hath it in his Second B. and 4. Chup.) they are fo framed, that they may be as it\were the bellies ofthe Bones, in the which the Aliment of the bones may be concotted, which by degrees may be ftreyned through into their Caverns. If therefote any fuchhumor, or Excrement, thall be collected in the bones, the like humor flow- ing thereunto, ic boy lech as i were with heat; which being done, iris diffufed ince che parts lying neareft; and there icexcitetha pain in them : and this is efpecially done in the Epzpbyfes or additions of the bones, out of which the Ligaments arife, and by which the fenfible parts about the Joynrs are knic together. But if the faid Humor or Excrement,be diilipaced,or poured out in any other manner, itis credible that the fick perfon is then altogether freed from the Arthritis. Whereupon alfo ic is not without good caute chat fuch Medicaments as confume the humors about the Joynts ¢ and wholly dry t hem up) are here greatly commended. And this might likewife have been brought for the confirmation of this Opinion. that fuch as are Arthritick are prognofticators of the weather (as they fpeak) and they perceive in their Feet chahoe of Air, and Alceration inthe weather 5 and asthe common peo~ pleufeto tay, they have an Almanack in their Feet. Which indeed Fobannes An- glicus Cin his Rofa Anglica) chinketh to happen, becaufe that Air may enter into the Joynts the more freely by Reafon of their V acuity and Dilatation. Bat this Reafonis ofno moment, in regard that the pain 1s notin the Cavities ofthe Joynts5 and becaufe likewite chat other parts have greater Cavities, which yet feel no fuch thing: buc wichoutdoubr, this pain doth therefore arife, becaufe that the neer “ he Air do forcibly ftir up and movethe Excrementitious
1 ize 2
‘the Arthritis be mingled with the blood 3 1cis very probabife that they are carryed
Lamy
LAE = f2 cpa Meet PR PEN a appt oat ning Changes Ort
humors {ticking in the Joynts- . bs | And if any one would inrerpret the Opinion of Paracelfus and his followers inthe beft fence, he may even here have a good eround for his fo doing. For Paracel{usy and Petrus Seaorpius, teach us thatthe Arthritis 1s oeneraced from the extraordi- mary heat and Ebullition of the Synovia ; where if by Synovia they underitand a t i cr { bi 0 aris ewer 2a 3 7 a3 = ° Humornot Natural, bue fomthing chat 1s Excrementiqious collected in the Joynts, they then reachus the very fame that hath hicherco been fpoken of. But Quercetan the foynts, and the Stone, doth-explain the fame far more
in his Confil. of the Gout in ;
erly. where he derermineth cleerly 3 where he dere > 2 : ) LOE and, onteinedin the Joyntsis the nigheft and moft immediate Caufe of the A;thrize $
c ? : ‘its and that ic is fomtimes conteined inthe Joynrs, and there remaineth idle: hat 10 foon as there is any new fluxion, Cwhich forcibly moveth it) ic then exeicth aPa-
toxy{m 5
that the Yarcar that is heapedup together, and
SORA N Na OLY lence SERENA INS
’ ”
82. Whether Boies, Eunuchs, V, irgins, &c. may have the Gout. Quelt.g.
all
ee a : Be ir a de eee ant eee he
it ae toxyfin, no otherwife, then asicis when Water is poured upon burning Lime, Mir
there is thenacerta nEbullicion, and heat. ifth
ails
Queftion, 9. Whether Boies, Eunuchs, Virgins, and Women ma 'y be troubled a
with the Gout. set
| [ppocrates indeed writeth (inthe Sixth Sef. of his Apbor. Apb. 28) Eunuchs H are never troubled with the Gout, neither do they ever becomebald. Andin the
} fame Sect. Apbor. 29. A Woman (faith he) #s not at alltroubled with the Gout, un- Ti Rie leSber monthly Courfesfailber. And ibid. Apbor.30. Boyes are not affetted with the fe / I Gout, beforetheufe of Venus. But Galen in his Comment upon the 28. Aph. writeth hie | } \ the very truth inthis manner. twas true indeed (faith he) that in the tome of Hip~ - } \ pocrates Eunuchs were not at alitroubled witiy the Gout; but it is not now found to be (i ‘ One atruth, aswell in regard of the idlenep, as the intemperancy of their liver. Forin bisa Ah / the time of Hippocrates there were very few of any condition that were affetied with Diet ( t this Difeafe, by Reafon of their temperate liver, and their Extraordinary “Mcderation. b f 1 hy Bui inthis our Age, (wherein there bath been fogreat an augmentation of delights, Lux- Fh 4 ay ury, and dleafures, that there cannot peel he any furtber addition unto them) there is nies Hh an infinite multitude of {uch a are troubled with the Gout 5 fome never fo niuch as exer- 4 i holy cifing themfelves, but ill digefting and concotting their food, and continually diftempe- i Hee ia I ring themfelves with all forts of drink, without taking any “Meat at all before their drin- HUG LW ing of ftrong wines 5 and overmuch additted to venery 5 and others of them Cif they of- | Ii 4 in fend not in all and every of thefe particulars, yet) in fome one ox other of thefe exceffes nal Hh i, . taking too great aliberty. And inche 29. Aphor. touching Wemen, he writeth: Fbzs at bee was formerly atruth (faith he) that Women (before their monthly Courfes failed them) | dish a mere not at all fo muci as attempted by the Gout, by Reafon of thofe fero Errours and ex- } tad. Lita ceffes they were guilty of in the former Age. Eut now adaies by Reafon of ibofe many y fxp iwi Exorbitancies wherein they offend, there are fome of thefe Women affiitted with tbe Gout. | cout Pai And Seneca Cin his 95. Epift. ) writeth norably co this purpofe. Women (faith he) alg a taking th: lige liberty and licence with men, and equalling them therein, bave thereby alfo it Y f yaaa made themfelves equal unto menin their fufferings, and Difcafes of their Bodies. “For ) Hom fi they come not a whit behind men in-their nightwatchings, they drink as much as mens and | Dead ahh they even provoke men to excels in Oyls and ftrong Wines; they equal men inca fring up at | ton Day tbe mouth what{oever they bad cramb’d into their farfetted Bowels; and all the Wine they pio Hew drins is by vomiting returne back avaininfulmeafure: and tbey equally with men take pt iy, delight in qualifying the boyling beat of their inflamed Stomacks by melting of Snove in Gout, a their ‘Mouths 5 neither come they fboré of men in their twantonnef and lufis, a8 being born } ofhis Aa) to fuffer. And therefore phat vronde: is 1 that the beft of Phyfitians bath been found ina ) conce Bag lie, in regard that there are fo many Women troubled withthe Gout? They bave by their | theC ‘hig | vitious lives loft the benefit of their (ex 5 and baving put off Womanbood, they have con- into demned themfelves unto mens Di feafes. Thus Seneca. Unto which even this alf OQ vely may be added, that the Gout which at this day is fo frequent and common, is from othe
the Grand Parents and Parents derived upon the Children and Nephews of both | uted
sexes. And many fuch examples there are every where extant, thac much dero- matt
gate from.the truth of what Hippocrates faith ih his Aphorifms. Iknewayouth liege Ca Noble mans Son of Silefia’) who.not many years fince coming hither to ftudy, neve,
before he was eighteen years of Age, (although I verily believe him to be altoge- Book ther free from Venery) he was ofcentimes afflicted with fits of the Gout. Antoni- tit) W us “Mufa (upon the 31.Aphor.of the Sixth ‘B.) writeth thac he had feen one Alpbonfus with Daffonius (a Noble youth and one of great note) not above fifteen yeers old, and play
yet troubled with the Gout 3 who denied that he had ever excercifed himfelf in the Age
School of Venus. And Hollerins Cupon the fame Aphor.)) wriceththat hehadfeena cpa Boy (not aboveten years old) much rroubled with the Gout. And Michael Pas- atup|
cbalius Cin his firft B. of the Meth, of Curing Difeafes, Chap. 15.) tclsusthat he had thire feen a Noble y ouch (not above {even or eight yeats.of Age) troubled not only with Ana
. the Gout in his Feer, but wich che Arthritis a\fo, orthe Gour running up and down their “an all che Joynts of his Body 3 and yee hotwith@anding this Difeafe in his loynes dy Ot Hoc at all hereditary, his Parents and Grand Parenrs having never beenaff icted ted
| ene@ewith. Antonius Mula Braffavolus (upon the 28. Apher. of the fixth B. of (of Uy Fi ppobeazes) celarech, that he faw at Venicean Eunuch (almoft sOurty years of Age) ind. wtp? 5 ey ; a Lurk, Ramee
ha MEET ; , | ‘ sy, \
Queft. 10. Whether the Arthritis be Curable ?
a Turk, who was extreamly tortured wich the pains of his Joynts. of che Scholia upon the 63. Chap. of the firft B. of Hollerins, (touching miernal Dif= eafes) tell us that he fawthe fame, Andchere is noueed at all, neither is it worth while co relate any examples of Women troubled with the Gout, fince thét they are every where fo obvious, and.apparent before our Eyes.
~Queftion, ‘10. Whetber the Arthritis be Curable.
T is che common and ‘eceived Opinion of many, that the 4ribritys is alrogethe: incurable. And the very truth is,there have been many found thus affected, whom the aforefaid Difeafe hath attended all their life long, andeven unto their dying day. Whereupon it likewife happeneth that many of thefe Archritick perfons (conceiving their Difeafe to be defperate) will not at al feek unto the Phylitian for his advice 3 and for the fame reafon alfo they refufeco abfrain from any Errors in Diet. But onthe contrary, there are many examples to be found of fuch as eicher by the affiftance of Phyfitians, or bya good Diet, or by fome fudden and unexpe- ted chance and accident havebeen freed fromrhe Gout, and have ever after lived altogether free from the fame. ‘Porphyry Cin the life of Plotinus) writech, that Rogatianus, a Senatour of Rome, a Platoniit, and Scholar of Plotinus, by his frugal and {paring Dyet attained fo much benefic in this affect, that when as before he was very violently handled and vexed with the Gout, fo that he could not fo much as go one ftep forward, but was fainto be carryedin his Chair, he hereby reaffumed his ftrength again 5 and whereas before he was noc able’to ftretch forch his hands, he by this his frugality and temperance became fo wel recovered, chat he had now more command of his hands, and could upon all occafions ufe them more expiditely chen {uch as did their dayly drudgery with chem. ait fo likewife above Cout of Trincavel his 12. B. and 2. Chap. Touching the manner of curing the affetts of all be parts of Mans Body) we related a f€ory of a certain Phyfitian Can old man) at Venice, who by his abftaining from wie by the {pace of five years was delivered from the Artbritys or Gout during his whole life, even unto the very day ofhis Death. Andwe likewife relatcedunto youbefore Cout of Prancifcus Alexander) of one Francis Pecchivs (a man much troubled with the Gout) who being caft into prifon, and there detained for twenty years, was inthe end freed both from his imprifonment and all his Arthritick pains, and {fo contintied free from all fits of the Gout for ever after dutinghis Natural life; And Marcus Gattinaria (1n that Chap. ot his Book, tousbing the Cure of the pains of the Foynts from a bot Cause) writerh as concerning himlelf that when he firft began to fuffer che fits of the Gout, this was the Courfe he cook for the recovery of his health, and eafe from his fits: to wit, firftofall, heimpofed upon himfelf an abftinence from Wine for two yeats, and e- very month he emptied his Body by Evacuations, and then he took fome Pill or other for the diverting of the Humor, (the caute of his diftemper) and chis he made ufe of twice intheweek ; that fo Nature might be diverced in her tranfmirting the matter unco the Joynts, and that fo fhe mughe rather evacuate it by che way of fiege : and by uling this courfe for a while he was fo throughly Cured, that he was never after that troubled with any fuch like pains, And Carolus Pifo allo (ibis Book of Difeafes from Serous or Wheyifh impurities, in his Confil. touching the Arthri- gig) writeth, that a certain man who had lived all the time of his youth infefted with perpetual pains of the Arthritis, and making his moan and continual com- plaints thereof; by the counfel and advice of Nicolaus Pifo, in the flower of his Age, he wholly denyeth unto himfelf che ufe of Wine, although he were the prin- cipal of thofe that were fet over and had che charge of a Wine-Cellar (a rare ex- ample indeed of admirable temperance) and fo by thus doing he kept himfelf for thirey years together Cal the tume of his life afcer) alcogether free from thofe pains. And Hiftories likewife ceftifie, that fome even by a due and orderly regulating of _theic lives, and others again by their being reduced unto poverty, and fo neceflica- red unto.a frugality in point of Dyer, have thereby been wholly freed and deli, vered fromthe Gout. And this witha] is a ching moft ftrange and wondet ( of which Guilbelm. Fabricius rejateth three examples, in his Fir! ‘ote and 79. Obfervat. ) that fome ceftain Archricick perfons the Lay
Dit “7 fences » by them ition of fome Notorious Offences been, who upon fufpic anita
a a re eet cena me a tS DATA Re ‘ ithe! aan
57+ verses And the writer
a
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Whether the Arthritis be Curable? Quel. 10.
eee
Sc ne
committed, have been oftentimes fet upon the wrack, and put upon the extreameft of allexquifite Toreures; but when they have conftantly maintained their own mMnocency, they have at once been abfolved and for ever fet free from their Crimes, and withal from che fits of che Gout, withthe which they had formerly been moft grievoufly afli@ed. And wonderful alfo is that example which che fame Auchor (in his firlt Cent. ‘Epift. 47.) celateth of a certain envious and maleconrented Perfon that lay fick of the Gout; who though he were faftened unto his fick Bed by his painful Difeafe, could nor yetreftain from craducing and {peaking iloforhers. Which whena merry conceited Fellow there pretent percei- ved ( who had alfo himfelf been lafht by the petulancy of the others Tongue ) aboue the dusk of che Evening ( caking his opportunity when che fick Perfon was lefe all alone by all his Family ) enters che fick mans Houfe privily in a ftrange difpnife that he had yotten, like unto an chiopian or Blackmoor, and thus difguifed he goeth neer unto che Bed-fide of thelick Perton; who aftonifhed wich the unu{ualnefs of the form, his own folitarinefs, and vitball cecrafied wich the datknefs of che place it felf that he Jay in, demandeth of him who he was, and from whence became, ‘The Whifler an{weri ng CO none of his Quefticns, bug*ma= king his approach clofer unto the Bed-fide cacchech him by che Arms (which were likewife much troubled and pained with the Arthritisjand baving thus laid hold on him he throweth him upon his back, and {o hanging upon the fame and crying out with all che noife he could make, he carrieth him out of the Chamber where he lay, everand anon crufhing his Feee again{t the Scaits by which he wastogodowne Whenhewas come into the Yard, hethere fets down his burden, purting the fick Perfon upon bis Feet, {peaking nat a word to bin all this while, only ftaring kim ful inthe Face. And then fuddenly again heruns cowards him and made as thouph he would once more have feized upon him, and fo have carried him out ofthe Houle. But now he who before could not do much as fet his Feet to rhe Ground, by reafon ot his Difeafe, nor walk aca}l upon plain Graund, much lefs getup any whirher by the Steps, now russas faft as he could up Stairs, andco thecop of themhe gets, and fo anrohis Bed-Chamber he comes, and thorow the Window’ with che loud ‘noife he made aj} the N=ighboshood was raifed, and {o come running in uoco’ him co fee what the matter was, He our of Breach as he was, and half dead with afftighemenc, tels them thac he was by a Ghoit drapp’d out of the Bed where he lay, and then being carried forth of his Lodging-room be was mutt milerably handled and chat had he not otcen called tipen and ingeminatred the name fefus he had without doube been gone, bad there been no more men in the world : And wonderful indeed ic was, that he who was before fo forely afflicted with the Gout thouid hereupon recover his health and ftrength, and never after be troubled with any che leatt fic of his former Difeafe. Fabricius bach there likewife another H iftory of a cer- tain Maletactor that had ihe Gout, who being broughe forth and led unto Execution € bis punifhment being to have his Head cur off_) by chaccime he was come half way Cothe place of - execution there was brought him an unexpected Pardon granted him by che Clemency of his Gracious Prince... Tbe miferable man was fo affected with this good cidings, thac he who tilnow wanted the ufe of almoft all bis extream Members, now ona fuddain caft hinelf on bis Feet witha quick and {peedy. motion, and lived after this. for many yeers wholly free fromall kind of pain and trouble that formerly he had undergone by reafon of che Gour. And I my felfcemember likewife that wehad here with us pot Jong lince'a Noble Youth, much troubled with the Gout; chis Youth, che neer neighboring houfes happening one Nighe co.be allon Fire, and the Houle wherein he was in danger co. be burne, he’ fuddenly for fear gets him ouc of his Bed, and down a Ladder he runs ; and intending co fly inco ano- ther Houfe, he fell (with that Foot where hisprief lay ) inro a pit which che Winters Ice had made, it being now ful of Water ;.and fo by this means was freed not only from the prefenc fic, but likewife from al obher pains of che Gout for the furtre ; and io he lived many yecisafier. Neither have we only examples of thole who either by an exaét and accurate Diet, or by afiiightmenc, or Joy, and che like means, have been delivered from the Gout; but we have examples of them likewife who have been recovered by the help of Medicaments, Cardanus (iu his B, of admuable Cures, Numb. 16.) relateth four examples of fuch as he biolelf had recovered of the Gout. And we have tlikewife other examples mentioned ; of which we find certain of chemin Schenkins his fifth Book of Obfervars And Solenander
‘alfo Can his §. Seéé. Confil. 1.) wriceth in this manner: Ayr we have Cfaithhe) knovon ma-
9 at bave been cured by others, fo wehave alfo cur selves fet many free from the Gout
for dPreys yeers togetber 5 and this we bave done by curing them- without any great ado,
who bef every balf yeer Cand fomtimes oftner) were greatly afflitted ith ihe Gout: of evhom some ave yet alive to teftafie the truth of wbat 1 fay, And very remarkable is chac . 2, ai | | which
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which Carolus Pifo Cn che place alleadged ) relaceth in thigmanmer: One Cornelius Pet= deus Picardus (4 man well skilled in Rhetorick ) vas fubjett unto the Gout, from tbe fe- wenth yeer of his age, and fo forveards, the Arthritis returning oftentimes every yeer, and much bindering bimin tbe profecution of bis fludies. This Patient advi ing with Caro- lus Pito, and befeeching him to afford what eafe be could unto bis intolerable pain, bad fo comfortable an an{wer from bim, thatit much cheered theyong man: for be promifed bim his defire, if be would but only yield obedience unto thefe few Precepts of bis 3 to wit, If be wonld indeed by degrees with-bold from bimfelf a third part at the leaft of bis dayly allowance, and more efpecially in that of bis Drink and inthe firft and chief place, if be would altogetber abftain from Wine, and sven in the next place, if be would alwaies a carefully and exattly keep bimfelf from the injuries of the Air, and efpe- cially from the cold 5 and morecver alfy if inthe night be would cover bimjelf {uffictently with ‘Bedcloaths, fo tbat confiantly every morning, about the end of bis fecond fleep there might appear upon bis body, if not a {toeat, yet at leaftamoiftnef and dewinef as it were 5 and if (lafily) be would with the Syrup of white Rofes Ctaken three or four times ewery month) purge out of bis body all the ferous or wheyifh fuperfiuities. ‘Ibe yong man yiel= deth obedience unto thefe Precepts for two yeers aid fomucbat more; and by this means (beyond all mens expettations) be prevented and cut off all the matter and fewel of bis Difeafe; and fo lived altogether free from all pain whatfoever in bis joynts.
And therefore cescain 1c is from dayly experience, and che obfervacions of Phyfitians, that many there have been troubled wich the 4rtbritis, who have not been recovered and cured thereof ; and on rhe contrary likewife thac very many bavebeen perfectly recovered of the faid Difeaie. Now whothey be that are Curable ‘Hippocrates teacheth us, 2 Prorrhet. Lam confident (aithhe) and I {peak it fofar asl know, or ever yet beard of (touching thofetbat are troubled toitb the Gout) that whofoever of them are either aged, or bave Callous and bard knobs and knots growing about their joynts, or fuch of them as live careful and forrowful lives, baving tbeir bellies bard and coftive,that al and every of shefé are (for ought Lknow) altogether incurable by theart of man. Luadeed the Dyfentery (if it chance to happen upon it _) is the beft curer of thofe fick perfons 3 and fo indeed alfo are other {courings very beneficial and profitable in this cafe, if they reach unto the lower parts. But a for fuch as ave yong, and have no bard knots as yet growing about their Foynts 5 if they live accurately and carefully in point of Dyet, if they be fuch as love to ftir by laboring and exercifing themfelves, and fuch as bave a good mind to obey the Prefcripts of Phyfitians Cevery one as be is able, according to bis feveral employment and ftudy) thefe without doubt (if they advife with an underftanding and expert Phyfitian, may be perfettly cured. Thus Hippocrates. © Yee neverthelefs we may very rightly and defervedly account’the here= dicary Aribritis among thofe Gours that are altogether incurable. “Foras al other Difea- festhacare Hereditary, fo likewife che Hereditary Arthritis is not to be removed and over- come without much difficulty, ifever it be done.
Now there are many Reafonsco be given, why divers of chofe that are of themfelves cura- le, are yet never cured, | For firft of all, the caufe is ofrencimes in the Phyfitian, who is noc fuificiencly expert in che Nature of chis Difeafe, andthe caufe hereof. For when as there arefo many Phyficians chat chink amifs of che Nature of this Difeafe, and cherifa in chem- {elves falfe and erroneous Opinions couching che fame 3. ic isindeed no wonder, chat thefe do not rightly cure ic, fince chat of a Difeafe unknown (andthe naturé and caufe ‘thereof nor underftood ) there can be no right and mechodical Cure expected. And there aremany Phy- fatians likewifechat with Leaden Weapons (as I may fofay) fight againft an Enemy fo po-. werful and obftinate. And chen again fecondly, the caule may be in the fick perfons them- felves; who ufually offend inthreethings. For moft of chem are perfwaded chat chis theix Malady is incurable ; and therefore they never trouble theit beads with thoughts of Phyfiti- anor Phyfick, neither wil chey advife with che skilful Arcift, but fuffer the Difeafe (chat at firtt might have beencured) to take fuch deep root that ic is now become altogether incu- rable. And fecondly, As for fuch of chem who do confult che Phyfizian, they hkewife of- fend an chree things, the firft whereof is this, That for {uch as are indeed able and expert, they for the moft part fleight thefe, and give credig uato Empericks, confileing wich every Mountebank they meet withal ; by whofe tampering with chem the Difeafe is made the worfe, and che harder to cure. And fecondly, chey wilnor contintie the ufe of che Medi~~ ments long enough. Wor chat chat vittous difpofition in the body (whieh maketh verv rns . for the augmenting and confirming of che Difeafe) as alfo chac che vicious humore ret"
may betaken away (after hey have by Heer been collected and heaped preter , =
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36 Whether it. be fit to purge in the beginnthg &c. _ Quelt. t1
as not fufficienc chat the fick petfon be purged once or cwice every yeers but i will be very needful co continue the ufe of che Medicaments according to the Phylitians pref Cripts and therfore we find the Ancients giving their Arthricick Poudersfor a whol yeer rogether, And thitdly, another thing wherein they offend isthis, Thac moft of chofe that are Artheiick defire only the mitigation and affwagemenc of their prefent pain; and fo that they may bu be freed from the Paroxy{m they lie under, they chink thac che worft is now paft; never fo much as troubling chemfelves in adviling, how and by whac means they May prevent the like fits forthe furure. And laftly, this is allo a chief and almost che principal caufs of Arthritis ‘Ms being fo feldom cured, Thae there are but very few who wil be per{waded to keep an exquifice and accurate Dyet ; and they wil chufe rather co endure the Arthritick pains, unto which they have been fo long accuftomed and inuced, chan fubmic themfelves unzothe Laws and Rules of a more ftritt and fevere courle of Dyet. And very few there ate of them char will deny chemfelves the ule of Wine, the drinking of which unlefs ic be omicted, chere is in very many Patients no hope acal of a perfect cure. And from hecce it bappenerh, chac there are more of che Rich, and petfons of Quality that are troubled with the Gour, than there are of the poorer fort of people, and Peatants; inregard that chefe lat Keep @ very ipare dyet, and drink no Wine at al; whereas thofe former guzzie in Wing cocfreely 5 and in many other points of Dyet offend far more than the poor. Neither yee notwithitanding as chis at all co be denied, F hac there are fome, who although they do nor commit aby nocori- Ous errors in she courfeof their Dyer, yet they can hardly be fieed from the Gout, because thac che preateft pare of their Aliment ( by reafon of the weaknets of cheit bowels ) is cone verted inco vicious humers, like as we (ce tharthere are in others alio vitious humors ellwhere colletted. And therefore in tegard that ic is oftentimes impoflible cocorreet that weakne!s of the bowels, che Arthritis likewile from thence proceeding wil icarcely ever be cured.
Queft, 11. Whether it be fit to purge in the beginning of the Aribyitich Paroxyfin 2
Flere are divers and different Opinions of Phyficians as couching this point, For fome there are who affirm rhac in che very firtt bepinning of che Paroxy{m purges are there~ fore tobe adminiftred, chat fo by then the Humors may be drawn back from the Joynts, and that fo the pains may be leffened, aodche firs made fomwhat fhorter. And they appeal hike- wife uneo Experience; by which ic appearech chat upon che adminiftring of Purgations in the beginning of the Paroxyim the fick perfon hath been delivered from al the pain chat ar- cendech che fics like as before we told you of Petrus Bayrus, who writeth ofhimfelf, chae he was fo weak and impotent, chat he could move no pact abour him but only his Tongue 5 and that he was-carcied and put upon his Clofe-ftool by four men; but having taken his Caryocoftine EleQuary, and after chat his belly had been thereby five cimes loofened, and made foluble, he found {uch eafe from al his former pains, chac now he could go and eafe him= felf without any help at all, and fo in like manner ceturn fromthe Clofe-ftool, and thae he was able alforhe very fame day ¢o walk from one end of his ftudy unto the other.
Buc others chere are,chat maintain the contrary Opinion; and thefece) us, Thar ifche hue mors be moved by a purging Medicament, chey chen rufh unto the Joynts and the pare affex ced more vehemently, and with greacer force and violence, as alfo in greater abundance ; and fo they excite and caufe the greater pains. And thefe al(o refer chemfelves unto Experience, by which ic wil be found, chat by che ufe of Purging Medicaments the pains have noe only beenaugmenced, but chat likewife ifthe Purges were ever a whit more hoz, and ficonger than ordinary, the humors were then inflamed by them, amd drawn uncoche internal and more noble parts, amd chere excited burning Feavers that were bath dangerous and deadly.
Ludovicus Septalius (in the 7. B. of his Animadverfions, Numb. 177.) wrirech, That by forcy five yeers Experience he had found chat Pur gaciousadminiftced in che beginning of the Artbritis fucceeded wel infome, butthar others again had no benefice at al -by chem; and therefore he givech us this diftinction ; When there is (faith he) prefen: in the Arthritis both a fluent matcer, anda ftrength ofthe part expelling, asalio a weaknefs of the regipient OF pare receiving ; If che abundance of matter, orcthe firengcth of the pact expelling thall ap-
epiadad h2 aieah then (without any furcher conccovertie) that tmaeter is with a} {peed
evacuated, andcalled away from the Joynts, either by a Vomit, or elfe by fome pure EeMedicament. . Bue if che loofnefs and weakneds of che Joynts be che tautfe of che fluxion, fo that~Gn every light occafion, and. whatfoever the quantity of che maccer be, Nature be ftill suneee et? thruft forch che faid matter ( {0 foon as it is collected in che bod ¥). unto che Joynes, tht ashe tels us) upon the taking of a purges as the fluxion is thereby aug- mented,
t {ome
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sand Wit ons (0 hat at»
But in very truch, citis isa chingindeed moft certain, Phar the matter doth ruth unto this or chat parc with fomeimes a greater, and tomeimes a lefs violence and imperuoul- nefa: buc as for the caule of this fluxion, it is never the alone weaknels of che Joynis Gwhich only difpofeth che pare for che more eafie receiving of che matrer, buc mever drawech or al- Jureth che humor unto che pare affected ) bue chac ic fomtimes rutheth more ealfily unto chis, and fomcimes unto that parc, this 1s rather co be afcribed unto the Exfullive ficulcy, which is accuftomed now unto this, and as {oon again unto that way and pare, tor cle expel- ling forth of che peccanchumor. And cherefore it chere be any Fear of the matters fudden and violent rufhing upon the part, purgation is not checeupon prefencly tobe omitted; buc racher fucha purgeis cobeadmuiniftred chat may not only move che humots, bur thar is able alfo wholly coevacuacechem. But yet neverthelefs, ic 1s here che fafeft courie (as Septa- Jius perlwadechus) toconfuls Experience. For if we find chac the pains ave the more ex= afperated upon the giving of a Purge once or twice, and that chereupon they continue the longer, we muft chen forbear to purgefor che future, But onthe contrary, if wefind che pains to be hereby diminifhed, and the Paroxyim made more eafie and light, we tay then alfo even with boldnefs and confidence goon to purge, as there thal be occafion. But icis moft fic and convenience co purge, even at firft, inthe very beginning of che Difeafe, Foc whenas the impecuous motion of che humor unto the part affeted is not as yer alcogether fo great, che humor may eafily be drawn another way ; whereas if it already with great violence ruth unto the part affected, i¢ isthe harderco be recalled. “Buc left char ocherwife fome FKeaver fhould be kindled, the condition of che htimors, and the natute of che purges,are wel co be weighed and confidered; and they are fo to be tempered, chat no fuch ching may bappene
Queft. 12. Whetber Baths be good andufefal for fuch as are troubled with ibe Gout ?
Aths are by many Phyfisians commended unto Accheitick perfons 5 and many alfo thus B affected becake themfelves unto chefe Baths, asuncothe only facred Anchor of cheig Hopes, anda moft fure Refuge, as from whence chey expect anealing of al their pains and gortures, But yet on the contrary, Experience hath often caughe us, that {ome even in chofe very bachs have fallen into the fitsand pains of che Gout; and chat others hkewife by che ufe of the faid Baths have become much the worfe. And therefore feeing that chereis a Truch in both chefe Affercions; co wit, Thac Baths ace fomctimes ufeful and good for Ar- chritick perfons, and now and then likewife very hurtful for chem; we mult firft of alk know chat fcom Baths alone there was never yet any thac ever recovered (or conld fo much
as probably hope for) his perfect health and ftrength. Neither alfo doch the Artbritis
Cas we fhewed you before) proceed only from the weaknefs of che joynrs; neicher is ic fut ficient to ficengthen the joynts, chac che fick pecfon may be cured of the Gour. And more= over, that che Bachs do fomcimes help, and fomrmes hurt che perfon thus affected, chis 1s not to be aferibed meerly and fimply unto the Baths, but unto the conftitution of che fick pecfon, and likewife che courfe of Dyet by him obferved whilft be made ufe of chofe Baghs. Figr if che Body thal be firft rightly evacuated, fo that there are only che reliques and re- mainders co be confumed, and that the Joynts be co be ftrengthened, Baths may then be al- lowed as very fit and profitable for che fick perfon.. For they domore powerfully diffolve and diffipate the remainders of che Humors in che joynts than do any Medicaments whacfoe-: ver, and fo ftrengchen the paris; and wichal (if che ufe of them be cemperate) they che= rifh and preferve che Native heat of che Body. But ifthe Body be ftill impure, and as yer ful of vicious humors, the Baths melt and pour al abroad thefe vitious humors 5 wheceupon che fick pecfons fomtimes fa) inco cheir fits in che very Baths, and fo are forced co defi from any fuccher ufe of chem ; or elfe chefe humors being {cattered and poured abroad are carri-
‘edinto che other parts, andunto che bowels; and there they caufe many dangers and mif=
chiefs. And fo we may even very culy conclude, thac Baths are more buriful chan helpful unco perfons in this condition, uolefs they obfecve a right and due couse of dyes, while chev
make ufe of them,
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Books Printed by Peter Cole, Printer and Bouk-feller of LONDON, at the Exchange.
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2 Chitin Tr,
feafe ad Cure: Dilcovering the Leprofie of Sia'and Self-love 3 re te Cure, vin. Self-denial ang SCHtD_
| comen ot Dedkam. A fermon. | Clows Chyrurgery. | Marks of Salvation.
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| Mr. Scepben Maiflbals New WORKS
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