part very deep. Concerning which Hippocrates

thus inftructs us, inthe fixch Book of ‘his Aphc= rifms, Aphor. 41. whenbelaith, That for thofe which have afuppuration in the body really ex:- frent and in being , which yet.nocwithltanding appears nor unco.chem, the réafon Why ic lieth
Wax kneaded ‘and miagled ‘with Oyl, che Uns guent natned Tetrapharmacum ; chat’ is, made: up of four Remedies, viz. Wax, Rozin, Pitch, and Fat.° “In' Bodies chat até foft and loote, che fat of Swine 5. butin bodies more compad? Bulls fat is oft approved for ufe, “F or thisis careful- ly co be heeded in Maturatives’; 2) e:: Ripening: Medicamertts; that they ought to have in chem the negreft refemblance that poffibly may be ante the nature of that body whereuiicé they are applied. And therefore in Ghildreb;, W onteny, and generally inal bodies thac are fetter chan ordinary che mo
—undifcovered unco them 13 in fegard of che thick-! &er kind of Remedies take place “and on the o
neis eather of the matter, or of ché place where 1 chet-hand,, in bodies more hard and clofe, Remedies hachitsrefidence, Buc {omtimeg thete is percéi- of che moitter fortate required. And thisin like ved co be (omwhae- like unto chis futtuacion ‘or manner tstobe underfteod couching the Nature floting, albeit chere be no filth or corrupt matter lof a euimoi orfwelling, As ea inffarice in inflam~ underneath 3, which bappeneth about the Kneés, mations. fuch Remedies as moderacely heat’ and and other joynts, Where chere is ndflefh under- moiften (provided alwaies, as Lfatd, chatchey be neath the skin. eis cémperate)y Soa wied with the bef fuceefs,: And . Tae na le a yet notwithitanding, Becaufe chat ifome oches
The Indications and Cure. "1 Famors naturally Mneatd there. isd taruratis
Whilft chat che purulent aiactét ( by! che late fon, though more flow > and che tiaceriof chen Lacine Authors cercmed’ Pus, from the tefemblance | being chicker than ordifiary pe # be noe convereed at hath unco Snot, or Snivel ) is in the way’“of | into’a Yaudable Pus or Quittier, yerit socusniedk| macuration, aid unéi)it hac periedtly ateammed | into d matter néer of kun chereunce J and she beac thereunto, the heat of the part that concotts the | of che parc although ie bo greatly furthered and aforefaid Pus of purulenc mactcer_ muft be ang | carried On by temperate Mattirarives, yer cay ic mented by Meditainents thac cherith ard enctéale | not ripen the Cold matter} upos thele abovelaid the. heat..of the part 3 or élfe by fuch Phyfical Zante ons; Medica merits that are experienced Remedies as ate propér, to wit, thofé chac ced | co be fomthing hoster are to be added Utiro’ the unco fuppuration 5 and by this medjis the produ | former.” The fame iv likewile €o be obferved ia
furchered.
&ion of putulency is to be holpen forward” and haftened,, and the prélent intéenfe pain appeafed.
“Burt iofoonas this Pw or fomwhat like theretin* | which ripen che crude'matter-in Ta- cois perfe@ly generaced in che part, in regard chat | mors, we conftitute two kinds. Of: icisin its whal kind tniverfally preternactiral, | the former fore ate al) chofe that’ are
and{o cannot poilibly be aflimilaced by the ‘parr, it muft ¢hereupon be Caft out of the body 5 which may moft aptly be accom plifheéd by opening thé Impoftume,. whether 1¢ break of ics own accord, or otherwile ic be opened by art. “But feldsay ot never is che acter contaitied in the Impoftime to be difcuffed and diffipated ; and chen’ it olight to be only when the matter ‘is very chin and
fluid. ; Thole Remédies that nor only mi- Mater | tigate, but wholly alfo take away gage a | {rom che part al fenfe of pain,are fach how tobe | a8 We Call Anodyna,. and Chalaftica, | viz.. Milk, Bucrer, Oyl, Swines Far, Gaponi Greate, fie tt
oguent Dial-
}
parts hatyrally cold,as alfo in old age? sen scat!
Abd hence it ws thac of Fach Remedies) | The Diffe-
i ferences of M atur a
| ees.
| moderately Hot and clammy, which-areof fe in hot Tumors’; and thefe ate properly fuch as are faid co fitrcher and baften Maciitatién:;iof which fort are thofe before recited) “Hydrelzam., fweee Oy}, Whedret’ Meal and Flour, Milky che Pich of white Bread; the Fat‘of Swine, freth Biter, Wax mingled with a double quantity of Oy), Mallows, and Matfh-mailo ws decodted wich Oyl che Macia lage of Linfeed; of Feitugteck, of Mallows, sand of Matili‘mallows. >If any défive a }Gompofi« tion, lec him make {uch an’ Gne' as this that followech et 30a aihe Jue atin R25 . ~ Take of the potrder‘of thé Root of Marfh-mals lots, the Leaves of Mallow s, of each one ounce 3 of Wheat flour av ohne and balf 2 of the feed of F és
CEDAIRE arm smite Fann oan At > HE
2414. Book vo
Of Prattical Phyfick.
7
\
Part
Fenuereek , and Linjeed, of each balf.an:ounce 3
of Saffron balf adam boyl thm in the Deco- étion of dried Figs, or inMilk , add hereunto of the Fat of Svoine, and the Unguent Dialchea, of each one ounce; and make berewith a Cata- plafim.
Of che fecond fort-are fuch.as are fomwbhac hot- tec; which are co beufed in cold Tumors, and in
ride ¢ 2 e parts likewiie}’. colder Natures, becaufe, there che parts dikewne ; ing of Apo- |
are colder; and fuch are, Turpentine, the Gum of the Fir-eree, the, Larix-Icee, and che Pine-
eree, dried Figs, Raifons, Fenugreek feed, Line-'
feed, Onions roafted under, embersy Leaven, Oy! of Chamomil, and Oy bof whice Liles, the Fat of aa old. Hea, old Buccer, Bdellium, Galbanum, and Ammontacum:
Out of which {ich alike, Caraplafm as this may
be made: ;
Take of the pouder of tbe Roots of Marfh-mal- lores; Wheat flour, Linfeed,Penugreek feed, dry fies pounded-toa Majfb, of each two ounces 5 of Leaven half an ounce,;, of the pouderof Cbamo- mile flomerstwe drams 3 let them boyl ina fufii-
application of Remedtes that are hor and fe by this means the part affected, asalfo the parts neec adjoyning fhculd be grearly bure and injured; and thecetore for che,moft parc the fateft way is to open the Apoftem, if ic chance not in a convenience cime co be opened of its own ace cord,
Brick wid | opencd in the bigheft and moft emi~ nent place, where the sKin ufually is | at the thinneft 5 ‘but then nocwith- ftanding the incifion muft be in thar place of the part affected which is moft floping, thac fothe pallage forch of the coriuption ‘may be rendered
flems.
liche mote facile and eafie. Now the opening rhere-
of is effected either by fome Catiftick Medica~ ment, or elfe by the help of an Irom incifion knife. Bus moft anend the fafeft way is Co open the im- poftume with an Iron Inftcumehr racher than by a Cauftick Medicament. . For Medicines moft commonly protract and delay the Cure, ‘excite and caufe both heat and pain in the pare; where= upon it happeneth thac the temper and conftiru-
cient quantity of Water » iben.add thereunto of | tion of the part, which was before much weake-
the Fat of anoldHen, and, Oy! of Camomile, of eatb anwunce andbalf, and fo make upa Ca- tapla(m. | Or,
Take the Leaves of Marfh-mallows, the roots of white Lillies, Holy-bock Roots, of each an ounce andian balf, Onions one. ounce; boyl them to ajoftnes, then mafh.them and pafs them through a bair fieve. Ad bereso of Wheaten flour, Linfeed,Leaven, of eachone ounce; Iurpentine balf an ounce; of Saffronbalf a dram; Oy! of Camomile, and Hens-faty of each a sufficient quantity 5 and fo make.a C ataplafm.
The moft ufualare, the Empiafter of Melilocs and Diachylon magnum, with Gums. Whenasthe.corrupt.ftinking mac-
The Eve- } cer is actived.at its ful ripenefs, or che enetion of | career of the Tumor, is changed. inro flinking and : R corrupt mat- | 80-humor cefembling this Pus fo ot- ier. 1 cenmentioned, ic is chen tobe evacue
ated, and.caft out of the Body 5 che which fince it:may, be effected in atwofold man- ner, either fenfibly, or by ananfenfible digeftion 5 the beft courfe,were (more efpectally in the face,
made by an Iron .Joftrument made | ned hot,. or elfe with.an Iron Tncifton
ned by the Difeale, becomes now wholly fubver- ced 5 and from hence dangerous {ymptoms do fre- quently fhewthemfelves. “Now and chen nor- withftanding, asfor inftance, in the wacery Tu- mor of the Tefticles, when withthe Iron wecan- not eafily penecrace unto the botcom of che place wherein che.viciaus matter incontamned, we oughc coufea porencia] Caucery, For the way being once opened by a porential Caucery may after- ward be dilaced as much as we {ee caufe for; that fo che Inftcument may the betcer pietce the pare, and reach even unto the deepeft place, and boc- comthereof. orn “ow The {aid operation with an Icon : is effected whenas che opening is | Hew many hee Wares ath= mor, may, be
kaife chac hath not bee heated in the | penis
fire. We very feldom make ufe of che hot Icon, and then never but incold cumors3 and thatalfo
| only whilft che impoftume 1s in thofe parts that _haye in them either many, or elfe large Veins and Arteries 5 chat fo.the flux of Blood (which we cal
Now then an Iinpoftume is to be
left char a Cicatrix.or-{car fhould enfte_and re- | the Hemorrhage may the beccer be pre-cautioned Main upon, theopening of the Tumor .1mpoftu- | and prevented. Bucas for the Incifion Iron that mated ). co,diiculs:and {carter abroad che maccer | hath nor been heated, we tifeic moft frequently, by an infenfible tran{piration., for which very | and that with,very good fuccefs. But if ic fhalt
purpofe certain Medicaments aredefcribed by Ga-| fo happen, thac upon the opening of the Impo-
Jen m hisfixch Book of he compofition. of Medi- | ftume, fomtimes pain, and fomtimes an cflux of etmes of the fecond rank,the 14,15; and 16. chap~ | blood fhal enfue; ‘and likewife that by reafon of ters; and thereyou'may,. féethem. Butat isnor! the abundant evecuation of the matters or elle often thatchis happens; and when 1t doth, there , that by painand fear, a {inking away or {wooning is caufe-to fear, left thar if there. be great. {tore of | fhould follows in this cafe we muft endeavor that corrupt matter, fome part thereof fhouid be Jefe | che. Section may_ be performed with the greareft remaining and hardened 5 orthac af che filch afore- | {peed, and.the Jeaft pain chat poflibly may be. . If faid be accimonious and corroding, thac chen ic | an Hemorthage be feared, we mutt have'ia rea- may be rendered arore harp by delay, and che | dinelsthofe Medicaments that ftop, che flux of KX : Blood,
| nator
| ould
Oy fal; °
| gil cl I Memb
1) or lat
| patt |
FD Moveo he fibre
Me oshs a be thid
Waldo
\ iT fy allurec
i |
|
| Lem adni
Pea swore,
} | yan
iluch ar ule fo TM An
ge Ratt,
bi tare qiiactq by
| al make f
aS ofthe
Bu, or the iis, wi | len ; 0 iit wt ch We I i and Haconey
a, 4 Mit (Uagys
fh G0} 19 mate
} a js é yi
[ PRESS PACS iat iy ere ae 8 :
: , Chap. 3° - OF Impoftumes. ie Ate
ii by i = sa. Water i are Cor a th ace ee ee iy | Blood, as Frankincenfe, Aloes, the whice of an | therewichal exha mid | Ege, Bole Armenick, Pomegranate flowers, Dra- | {wooning fhould enfu: vay | , 5 rm * | " af snc tk rmamnewingd far \t ¢
ak | gons blood, andchelike, To prevent faintingand | After Incifion, and che emptying forth of the | | - if ° ° ‘ | . Ps a" at AO COAVEHIANL The p flac
mh | fwooning, efpecially in Children, Women, and o- | corruption, it will be convenient the fiifk day to
e, and thereupon a tainting and
we = ZW FI a @ FI bees) & pet Rm 4) = © 3 wm 7 is’) (2) & TO i = 5s oc Fan | 2) i> pa rs a B r=) eT bas 5 = a) yan =a oz = Fond = a 2 = aa SS Re —
t | 4 > 1) H ay ee Be } a Py y "he | nefs of mind. As alfothac chere may be arightand or other, chat fo ifan
1 ® 34 (3) t ie 5 4 y's ‘a Wea GipeMmion Cnerec
ily i
¢ 1} 6 Pe | Dy eo Fie Hey Weed, ANG AL thes
‘with ° ORS | bh of a Tumor ind of uncleannels which
f th 3 t . . f othe ese | and Nerves, as likewife the | othe manner to
ndered | be perfer- ioc We ase. there’
The openiag opening, che condition of the part,
| 7b 3 ¢ 7 ” £3 9 ih... f + - ature | Ver the growth Of Téelh inal chance r r
H
Nature of she Mufcles, all chefe oughe to be | are forthwith to be wiped and cleaniedaway. A exactly known and learned by the) forexample: a ae a | i Chirurgeon from what is written by | Lake Turpentine oneounce, Toney of Rofes Ue ) Anaromifts; left otherwife Veins and Arteries | balfan ounce, and of Barley “heal as much as att ‘ Pate rte LORRY RM AT De OE EN? 5. fap Ss i te fhould be cut, and an Hemorrhage thereby caur | 4 requifite, and fo make amixiure, and ufe it for hit fed; or that pain fhould arife from chis burcing | the purpofe aforefatd. es \ - 2 R .% ferh, lear premiere wer ar oa arcenia claar tt and cutcing of che Werves; or that hereby che; itthe Ulcer require yer a more forcible clean-
5 Wert? 7 5H At. aes OA ALA Te Wt are a ele ee Res Member thould be alcogether deprived of fenfes | fing by reafon of us extraordingry naftanels, chen Fyn z ° ; she rear ha ranger {. i, ee Bes a ie or laftly, chat by che hurcing of the Mufcles che | we ough: coule the tronger Abitectives, as Un TUCLES
pare fhould be wholly deprived of its motion. | guentum Apofiolorum, ic. And at length Sar- Moreover alfo, a {pecial regard muft be had unro coricks, thar 1s, fuck Medicaments as canis fleth che fibres in the Mufcles, fo thar the Section oughe to breed and grow, are wilely Co beapplied; and ro be performed according to che condudt of thefe the orifice of the Ulcer to be fhut up witha fibres, that is co fay, not oblickly or overchwactly; | fcar.
for chis kind of Section wil greacly annoy the a~ | Here we areto ta is tion of che part. We mult again heedfully fomtmes Impottumes may for a}
nftitys reikee ubver- 0 free 1 NOt. y Tue
ce ndrice,
we FY é F nam] 4 3. pee ro ! ? Seed
Of Impo-
Le
We Calls . jaar en ¢ ; frirg ann oes | land frioce lia hin nne-anls mngaeres i r i weigh and conlicer, ih) what meaiure, ahd now long 1pace Me $1134 Oot ie place ; } Oaftian onone rr mr ar ae he nver | neath L2epyerern: A eat alae fyree sree alien aS fm preat the Section OURRE £O be. For if oF. be Over | neatly the =, 4 f To VELELE ICS but lal ¢ : | Rories. ef dacele, che Pws or corrupt mater, efpecially af ic | note protoubd, yea, |
Pers V
ig Mufcles alto: Concerning ater
at that pi, id bot»
more mfernea hore Rise d Lhe
land chet without compreflion of the part, which wal both | che Impoftumes of the Mutcles of the lower belly aflluredly excite pain, and bepet akind of brawny | or Paunch, we have already fpoken in the chicd hardnefs inthe part, which may be the caufe of a} Book, [email protected]. Astouching the Im- Fiftula. Andon the ocher fide, if che fection be | polfumes in che great Mulcle Poa, Gulielmus
made overgreal and wide, there Wil chen be left | Fabricius iQ hig hi it Centu: V5 and LIXCy tt irda
Mb.
ivy | remaining agreat aud untightly {car and whii hl ODI Vann relates two Hiftories : And firt bie yes eM | as worle, che ambient Air getting #0 wih sehashs che | Reis us, that a certain Mati on cook her pers com=- mk f parc: and cherefore the Section ought to be made) plaining of acute and extream pains about her
f anfuch amanner and meafure, asfhal be moft re- | Loyns, which was accompanied with a Feaver
| uifue for she evacuation of che Corruption and | {woontng fits, and difficulty of making water. th | filch. And alehough the {¢Ction be fomwhac with} And when ic was fulficiently underftood by che bata | the leaft, it may nocwiathftanding very ealily be| kind of the pain, and other figns and cokens, tobe ‘n a | dilaced by chruftinga cenc into che hole thereof. | an inward Impaftume ( for outwardly there ap- in To make che [ncificn we admit of eichec the Ra-| peared not any ching, neicher could there any vd zor, or-the Karfe of Myrele wood edged on both | thing be difcerned by the touch) and thar chis A- Moe fides, with which the kalians and French open poftem could be no where but under the ‘Poa
at Veins; or elfe chac Knife which we-cal Pblebo- | Mufcle; and whenthacche fick party was fore- ue | tomus, which the Germans ules or laftly, chac | cold che excream danger and hazard of ber life, ich | which we cal Syringotomos, an Inftrument croo- | unlefs che Impoftume were opened,and che humor elnpe F | ked, and of ufe omly in the incifion of'an internal, | caufed to flow. forth 5 both her. felf and hep HN or a concavous body. | fciends gave theic confenc, that on one fide of aon | | The incilion being made, if there | che Spina dorfi, ox bagk-bone, the skin and che OR) Khe evacu- | be bur lictle filch, che parc is with che | exterior 'Mutcles even unso the Pfoa Mufcle potnlh F) atton of the | fooer co be prefled down, tothe end | fhouldbe opened by an Incifion with a Razor: vat ne Be ahs that ic may the move readily flow | which wasdone accordingly, and out there flows ct Ce * forth + but if there be great ftore of | a putuleat and ftinking humor, and fo, afer chat be this filth and matter, it is chen co be drawn forch | fome cextaia cleanfing and abtterfive Medicaments We P| Jeiucely, and by liccle ag.arime, left haply (if ic | had been for fome few months applied, the became fs @ | fhould be evacuated al cogether, {uddenly, and on perfe@tly recovered. The other Hifhory which Te ee heap as ic were) much of the fpirtcs fhould | he telaces,isthig: Inthe Year One choufand five
| hun
oneno
Ct
iis | fone PE ca noe
i eR A a Pc SSeS ms
Of Practical Pbyfick. Part I.
2416 Book V.
Probe) he wel perceived by the fenfe of prin ar~ twenty leven years, or thereabouts, as he was tending ic, chat he had faccefsfully accomphifhed, defcending from che higheft pirch of che Mountain without any more ado he lanceth on the left fide Cinecius unto tbe Joweft pare thereof, not well| the Meth nich unto the fourch Vertebra of che minding his foorfteps in avery fteep path, he or | Loyns, with a fire-hot Razor, making a Wound ever he was aware fel or -ather tumbled down | as deep and long at is the fore finger from the end backwards ; and that which added uncocthe mif-) thereof unto the hollow of rhe hand 3 as afterward chief of the fall, was this, the bile of his Sword | it was eafie for him to conje@ure by chat Ione lighting under the fhort Ribs and che lefe Kid- | fharp tent which he puc thereinto. And mote- mey exceedingly ccufhed and bruiled his Loyns. | ‘aver, when be bad conveyed down two of his fin- Afcer this bis fall, for a few daies at the firft, | pers into chat fame Wound (to the end he mighe the pains be felc were not many 3 not long’ widenche paffage forth ) our there iffueth greac after be grew fenfible of pains in the Jefe’ ftoreof matier and ftinking ftuff. And then ha-
ag ec
hundred eighty five, a certain yong man, age
part of his Loyns, but chey were as yec very Ving prefcribed the manner of evacuation accof= gentle and cemifs > now from hence fore dingrocherules of Arc, the Chirurgeon ordains ward thele never lete him, until ac length by | for che Patient a fharp cent made of Silver, the an infentible and gradual growth they arrived which being firft dipe in cleanfing and abfterfive
1
ac the beighth of their mcrement, infomuch thac’ Unguents, at length they became excreamly fharp and incol- | months. lerable. Upon this immediately follows the lofs
he enjoyned him to ufe for fome So that by chis means the lips of the “Wound came clofe together of their own accord ; andthe yong man recovered his former perfect health. with any great thuft, or very violent Feaver. | Andthis is likewifezsa ching-remar- | Toe bumor Neither wast pait aftected ever a whit difcolo- _kable to be raken notice of, Thar Im- coe flows red, or as we fay, black and blue: nor did chere | poftumes lying concealed in fome pla- Toe a¢ al any outward {welling appear, nor wasther 3; ces, if chey beshot opened, chen they b ramalines | the leaft imaginable external blemifh any where} fomtimes feekk out another paflage, | rranflaed co be feen; but alche parts feemed to be, and in- land thereby flow forch unto fome o~ ; ito other deed were what they feemed, plain and even, and | ther place, And fothe afore menti-| Pt: inno point acal altered from their nacural {eitua- | tioned Gulielmws Fabricius, in his tionorcolor. Butasafterward the event ic felf firft Century, and 81. Obfervat. relates of a child plainly evidenced, abundance of humors from all | three months old, thac was forely afflicted with an parts of che body had met cogether in the Mufcle | Impoftume neer unto his righe fhoulder. But Poa. In the firit place he was by a certain Phy- | the Parents would by no perfwations be wroughe jiclan tampered witha} as a Nephricick Pecfon,, upon to admic of an Incifion; fo char by deprees chat is, one troubled with the pains of bis Reins ;| the Tumor feemed much leffened and abated. Bue but the Dottor was much miftaken. For at! at length ic being opened, fome fmal and inconfi- length whenas no one fign of the aforefaid Ne- derable quantity of matcer iffued forch, and che phricical effect appeared 5 and the fick patty had Tumor by little and litcle became ina hore {pace not received che leaft benefic by what’ had been) wholly excin@, and funk aways; the humor now preicribed ; he was in the next place fent unto and thena Siccle ata cime gliding downwards ine Fobannes Griffonius ; who inftantly difcovered | che lower belly, and the genirals; by which che the whol griet,and che mifchief chac ic threatened; radical Native heat being deftroyed, a Gangrene 1} which he very wel knew ; and likewife che follows chereupon,’ and after a few daies a Spbha- Ganger impending from the fhutcting up of the celws, and ina very fhort time death demands his noyfom purulent matcer in the inwards, he fore- due. told the yong man 5 and that his Opinionwas, is/ And this may fuffi:eto have been fpoken con= Ought to be evacuaced. Unto whofe will che cerning Tumors in general arifing from the hu» yohg man giving his confent, commits himfelf un-| mors. Now we wil take a view of them particu- cothe Cure. Whar doch this expert Griffonius Jarly and in their feveral {pecies or kinds. Now - hereupon ? Inthe firft place he takescare, chat! in the ficft place, thofe Tumors that cake their sife the matter. which bad now feized upon, and did] and original from che Blood prefenc themfelves- poffefs che whol Region of che Loyns, fhould.al] | unto our confideration ; and among them,we fhal of at be drawn together inte {ome one place chere- | firft {peak co that kind of Tumor which we call of (by che applications of chafe Medicaments Corpulentia nimia, or extream corpulency, Which had a vertue inthem powerfully w accract | from on bigb) to wic, fuch aplace, where che principal Veflels were but few, and where the Infttuments of motion might leaft be harmed amidft their operation. Which his defign when Cever and anon attempting the pact witha Silver
a
Chap. 4. Of extream (orpulency, or overmuch flefhine/s.
mors, Chap. 1, afficma, chat Fat and Gorpu- lene
‘Ruch ic is, chat Galen in bis Book of Tu-_ |
1 dochino ivaftne Oy uch Oy ound ia the fey lacy, 0 : ne i inthe 9 | ofthed | man, 1 ge (0 could no it 0 bough new, ace (City wo inh meted ny {elke mote th Atanding you the B toalay Nous Or Paty Lane ilo,in wi oa
ioryet for pale? Peer H0ctem wh ily of they hie and
|
NN el Reape, =z = = we eS
lt. inate
Nhhog hed ined:
: Muh | peat ial] has atcors | cn |
achild: | with an Bi tought ioreet 1, But # conte nd the {pace (now sine Bf ich the
nent i
nds DS |
an COns 4 he bus
ticle
it le anelves
well | we cil a | i, ,
if | | Now |
Spa" | .
Chap. 4
Of extream Corpulency, or orvermuch fle foinefs.
1 in al
ey CAA 7 TT ag Ra a” UNG aa id aaa aR oe ra fent men are faidco be fuch as have a Bulk and of the bloody Tumors char are propérly io called vaftnefs, not fuchas is altogether precernatural, fpring from the Blood ifuing out of che Veins or
that is, befide, above, or beyond Natures incenti-! Veflels inco fame othec places;w hich never hapen
Crs
on (much lefs contrary unto it) but fuch as, eth inthis extream and ¢xcraordinary corpulens may be faid to be noc Natural, and above chat) ‘cy, inche which Blood is never known co fall of which ig accordingto Nature. Yer notwicthftan-) iffue forthinto other places, burit isevermore prc
ding in che very fame place he immediately adds,
chat che excefles of difpoficions which are not by Nature are cherefore befides Nature 5 and chae Cin very eruth ) che hurting of the actions doth germinate the exceffes of fuch as are corpulent. And therefore, fince chac the Bulk of she Body doth now andchen attain unto. (o extraordinary a vaftnefs, that Nacures operations’ are chereby much impeded and burc, he doth upon very good grounds ( in his Book of the differences of Difea- fes, the ninch Chapter ) redace extceam corpu-
~ lency, or overmuch Fiethinets, unco che Difeafes
of magnitude augmented. For che fame Galen in che place alleadged, viz. Chap. 9. of his Book of the differences of Difeates, repores of a certain
man, one ‘Nicomachus of Smyrna; that his Body |
grew tofo huge and extraordinary a bulk, thar he could not ftic from one place unto another. And within our remembrance alfo, by che Pictures brought hither and here expofed unto publick view, acercain’ Rope-makers Wife of Strasburg (a City of Alfatia)) became very wel known ; who in the yeer 1613. and of her own age the 36%» weighed four hundred and eighty pounds. And J my felf of lace daies faw here aman who weighed more than four hundred pound 3: yet potwich- ftanding chis man appeared in publick : and cocel you the whol cruch,inchis Perfon Nacuze began co aflay fome certain kind of evacnacion of the fe- rous or wheyie humor by che Navel, . And the
‘ Very fare hath been found a @] happen unto others
alfo, in whom che Body hath attained unto fo im menfea bignefs, that they could neicher move, nor yet fo much as breathe freely. But now in {uch like Perfons asthefe, there as noc an equal augmentation of all che parts ofthe Body (asic is in chem who erow,and are naturally enlaxged)but only of cheic Flefh, and of cheir Fat there is an ex- ceflive and over-preat encreafe.
The Caujes.
The conjunét Caufe cherefore of this Tumor of the whole Body isthe Flefh and the Fac. And here truly one while che Flefh, and otherwhile
\ unto the Body. |. Bucnow what the Caufes may be char much | Fleth and Fac fhould be generated, with eafily and | foon be difcovered, if we wel conliderthe Caufes | of breeding Flefh and Far. Now: then Fiefh « abundantly bred inthofe whom we call “Hufarcoz; ‘chat is, Perfons ofa pure;. worainted, and found Fleth 5 yee alwaies provided, thac che macerial caufe of Flefh, cowie, nourifhing Food, by nos wanting; and likewife thac che nacwe virtue genes ) racing Fleth be as oughtco be, vigorous and a= (ive. Thac which adaunifters matter cowards che breeding of fleth is preat abandance of good blood; the which to produce and generate, meats of a good and plentiful yuyce, and alfoa due and righe cemper of che Liver, to wir, hot and moift, are e- vermore requifite. Buc now again that much Fleth may be bred from much Biood, it isrequi- red chat chere be a found and healsbfui habs of Body, anda good temperament of the mufcalaus parts in che Body; which faid cemperamenr is hkewife hot and moift. Hereuntd alfo-€as we ‘are counderftand ) very much conduceth an eafie or idle kind of life, in che which chere is not much | Blaod wafted ; asalfoche fuppreffion of ther ac- | cuftomed bleedingsy and evacuations of Blood, e(pecially in Women. - As touching the original and increment of Fat, many and vatious are che Opinions and controverfies among the Phyficians )at this very day 3 che which for me 4n chis place [tO examin Were altopether impertinent. And therefore ina word we fay, that Fat 1s peneraced |from the Oyly and facrifh pact of che Blood, fal- ling from out of the Veins and Arteries into the membranous parts, andchere digefted by the in- nate virtue and cemperare hearof the Membranes, That great ftore of Fac fhould be bred, inthe firft place, the Liver is a principal cauite thereof, For jaf by reafon of its excellent and pertect cempera- | ment it doch not generate either much earthy and cold, nor much cholerick and hot guyce, bur pro= Ilducea {weec far, and ayly Blood, and fi) the i Veins and Arteries therewith 5 and it this Blood [be not contumed or wafted in che babic of che Bo-
‘the Faciis augmented: and fometimes they arej| dy, buc thar ic ftir] continue to be more cool and
Both alike encreafed. . Bur the Anrecedent Caufe | moift, chen chis Blood is there converted into Fats is the over-preat abundance of Fat and good | Eafelikewife, and che incermuffion of Exerefe,
Blood. And for chis caufe it is, chac his Tumor is referred unto Tumors proceeding from the Blood. And yecnotwihftanding the Reafon of thefe is far differing from that of other Tumors a- tifing from the Blood, Forthe-concteining Gaufe of bloody Tumors is che Blood, but che contei-
hing Caufe of chis Tumor is che Fat, and Fleth 5 / and che ancecedent Caule is the Blood; The reft
&
| che recention of accuftomed evacuations, aliment cemperately hot and moift; and genexally all | chings which eicher outwardly or inwardly any waies conduceco the making up of a plentifulf and temperace mafs of Blood or chat have in | chem an efficacy in qualifying and allaying the o- | ver-incenfe heat of the Blood of the Encrails; and ofcheHabic ofthe Body. Hence it is chat Galen
F bach
2417 A
a rE ET RR A NY SANTIS
Pe eid ones hacia cane
Ft ee EE
3 " ij 1 a iw | \ Wide 4 6 Se My re iy! i / i}
On ee aE RO
a
2418 Book Vv.
bach lefc ic upon record; chat all Bodies cen- ding towards a cold and moift temperament be- come Fat. And with this of Galen agreeth what Profper Alpinus in bis Book of the Egyptian Phytitians, Chap. 9. hath writcen 3 bis words are thefe, The Bodies of the Egyptians Cfaith he) arehot and dry, in regard chat they live under the hotteft ( arid withalldry ) pofition of the Hea- vens; bur becaufe they moderate) and leffen chis heac and drinefs by their dayly drinking of watery by their continua) ule of meats chat have in chem a cooling virtue, and likewife by cheic frequent ufe of Baths which they make for chemfelves with {weet Water 3 their bodies hereupon become ex- eraordinarily fat, co fat, chache never beheld in any part of the world im fo great a number and ge- nerally {uch extream fat and grofs Perfons as-he faw ac Grand Cayre in Egypt. For he reports that very many of chem are fo exceeding profs and corpulent, and generally fo fat in their Breafks, that they have Paps of a far larger fize, and chicker than the preaceft that ever he had obferved in any Woman. Other thingsthere are which demon- firate unto uscthe truth of this affection, to wit, thaca hot temperament of the Liver makes very much for the breeding and augmenting of fat. For I my felf knew a Perfon of Honor, who after he had been fick, and was recovered of a malignant Feaver, grew co be fo extreamly fat and grols, that he could very hardly move, or ftir bimfelf in any place where he fac 5 and as for che bulk of his bodv, he came nevera whit behind him whom we have formerly mentioned.
Signs Diagnoftick. As concerning Corpulency therefore, ic is futh- ciently obvious to every mans Eye.
¢
whecher it be not co be accounteda Difeafe or pre-
cernatural affect, che hurc and offended actions
wil evidence unto us; of which we wil now {peak. Prognofticks.
q. What the inconveniencies and difcommodi- tiesare chat this overepreat flefhinefs or Cas we term it) extceam Corpulency carties along with it, I fal give you an account thereof in the words of Avicen thatexpert Arabian Phyfician. For tuus he, in his fourch Book, Pare 7. Tract. 4. Chap. 5. Superfluous fac ( faith he) is that which hindersche body {rom and in its motion, walking and operation; and {treightning. the Veins with an uindue and dangerous conftriction : whereupon it oppilaces amd ftops up the paflages of the Spirit, fochat hereby it is many Cimes ¢x- tinguifhed 5 and for che fame reafon likewile tc is chac fuch Perfons have no cefrefhment from the breathings in the ambieng. Air, which finding the paflages obftructed, proceeds not fofar as the Precordia Cor Entrails) to moderate and qualifie
Of Prattical Phyfick,
Buc chen, | whether or no it only produce fome kind of defor- ; mity and be no more then a Symptom; or elfe|
LS :
their exce fiiv
forth unto the\ftreightned place. Whereupon haply they wil pve way thata Vein be fuddenly opened, which may prove very pernicious unto \them. And tfuly in this kind of dit poficion there | happeneth untorhem an extream&&danperous con- | firiction or ftreightning of cheir breathing, &a bea- | CIDg of the ¢art. Hereuponthey are evermore expoled to a iudden death 5 and e{peciakly thofe | OF them chat are fatned in cheir younger dates 5 for \thefe have alwaies their Veins very {mal, and much ftreightned. And they are likewife expo= fed unco the» Apoplexy, and Palfie; and chrob= ‘bing of the Hearc, and the Flux Diarrbea, by een of theix bumidity; they are alfo fubject ; CO fainting and {wooning fits, and the worft forts of Feavers neither can chéy away,with fac- {ting or thirft, by reafon of the conftriction of the | paffages of breath, che vehemency of the cold of | theircomiplexion, their{mal ftore of Blood, and ithe abundance of theix Phiégm. | moreover may be added, chatthey are ( whether ichey be Men or Women) iffuelefs and barrens ithe Male being not able to nor | che Female to produce the Embryo in the Womb. | As alfo their Seed is little or none ag all (to wit ) | becaufe ig, is'concocted, chrough cheambecility, of | che heat ; alchough chere may be ftore of Seed.an {regard of che bumidicy or moifture 3 yet not~ | withftanding fuch as is wateriih, and (in Galens | judgment ) chin, and unmeet for Generation ; or laf ic be generative, it is of Femalesonly.. And che like may be faid of Women, thac thofe of chem |which are fat; do not conceive, orif they do now ‘and chen conceive, they forthwith mifcarry ;~ and laftly, theic apperite (ro wie chat which 1s nacural.) is exceeding weak. Thus, far Avi- | cens
2. Thecruchis, thatthe Cure of chis affect may be hoped fors but icis wont co proceed but | very flowlys neither isit co be compleated in a fhore time, ‘aod it is mainly requifice hereunto thae the Patienc be, as we (ay, morigerous, and in | all points ready and willing co fubmict.
| The Cure.
The Gare of this Tumor confifts in che removal | of che Caufe which is-an.over- great ftore of Flefh land Fac. Wow this abundant flefh and fac is ta= | ken away, by wafting and annihilating what is al- | ready generated, and then by caking a courfe chae ic May not again be multiplied : and this may be | done, if we take care chat
Generate,
che Body, thac it beby degrees wafted and leffe= ned. Both thefe intentions are accomplifhed by chofe things chac heat, and exficcate, or dry
(much. For whereas the Liver, ifichath a gen- |