Part 1 >

unctothe externa] and lefs principal parts: che which when itis not able to accomplifh, unlefs i make ufe of the blood for a vehicle or (as we fay) a Conduit-pipe of conveyance; and that the ae crimonious humor tt felf excites a pain in chat pare into which ic is chruft and fhur up; hereup- on it is chac there follows a conflux of blood untra chat parr, and from it proceeds an Inflammation. And much afcer this manner, the Pleurifie, the Peripneumonia or the Inflammation and Impo- ftume of the Lungs, the Quinfie, the Phrentie, the Inflammation of the Ears and Gums, che hor Tumors or Swellings in che groins called Bu~ bones, Cacbuncles, and fuch like are generated | and excited,
The Differences.
The principal Differences of an Inflammation (are caken from the vaciety of che containing caufe, jand from the great difference of the blood that | frirs up and begets the Inflammation. For a | Phlegmone is faid tobe (for diftinétions fake} | either that which isatrue and légirimate one, or otherwife that thar is not a true Phlegmone, buc rather a baftard and{puriousone, The crue and
ceeding from a wound, froma fall, from contufi- | legitimate Phlegmone is that which proceeds
on or béating, from a fracture, from disjoyntures, and the like cauless or elfe the weaknefs and im- becillicy of she pare affected receiving, compared and confidered in reference to the vigour and firength of thofe other parts which tranfmic the
abundant ftore of hor blood unto the agprieved | Notwithftanding, an Inflammation never |
act, Protniech to be generased by a leifurely and pra- dual ftoring up of blood ; but it is evermore bred by a fudden and chronging affluence and influx of the faid blood.: For alchough it may fo chance, that {ome kind of Humor may fenfibly and by degrees be collected in fome one part, which be- éng heaped up, as aforefard, may afterward begin to-excite acertain kind of pain in che pare; yer notwithftanding al this, an Inflammation is never
roduced uncil fuch cime as che pain gives caute fuffictiens that a more plenteous ftore of blood fhould forthwith and very eafily make its ap- proach.
Notwithftanding we are tocake notice, That alchough the Bicod be che containing and antece- dent Caufe of an Inflammation, yer norwich- ftanding we fay, that a Cacochymy, or a depraved ill digeftion, and moreefpecially fharp and cho= lerick humors, are che prime and principal caufe that che blood be moved unto the pare affected, in thofe Inflammations which are excited without a- RY apparenccaufe, as Wounds, Contufions, and duch like. For fo it is, Thac when Nature is éwinged and pulled by fuch like Humors , and yee notwithftanding is unable aleogecher to expel
from good biood, and fuch as isin a due natural cemper, or at leaftwife fuch as whereof there is more chan ordinary ftore; and this is abfolutely and‘fimply termed a Pblegmone. Bue the {pu= rious and counterfeit Pbhlegmone is that which hath is rife and original from corrupt and vitia-~ ced blood, and fiuch as fwerves from its natural temperament 5 and this may be occafioned two manner of wates: for if the blood doch neither lofe its nacure, nor chanpe its iubttance 5 but on- ly hach mingled togethet with 1t forme ocher Hus mors, chen there arechree baitard ipurious forts of an Inflammation thar chence artie. To wir, if Choler be mingled with che blood producing an Inflammacion, it is then caliedPhiegmone eryfi- pelatedes 5 if Phlegm, Phieemone oidematodes; if Melancholy, Pbhleemone feirrbodes. but if the blood change its iubftance, tc then excites nok any kind of blood- Tumor : for che blood (as Ga- len writes upon chis very fubjeft, in bis 2d Book of the Differences ot Feavers, Chap. 9.) tf 7 be
overmuch heated, and (as ic may be foexpreffed) _
boyled to an excream intenfe heighth, then its more tubcile and iat part is converted into yellow Choler ; ‘but che more thick pare into black Choe Jer, of, as We vilually callir, the Melancholy hus.
Mor, The Signs Diagnoftick:
| The Signs of Inflammation (as may be gather- ed out of itsdefinition,) ace, beat, pain, a {wel- | ling and ftretching out of the part, a renicency
them out of che body, co the end thar fhe may | or Refiftance, arednefs of color, anda pulfation free the principal parts from the danger impending | or beating.
by ceafon of them, the affaysto chruft them forth
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Di abiponco meee ghia ies Semele deliberate * : ou,
if an Inflanimation.
s aeietmimaniieiiememialementin
pain, co wit, when wich grief and extrem ick- fomnefs chere is perceived a beating of the Actery inthe inflamed part, which while che parc was found was norco be perceived, From whence we areinitructed (as Galen writes in his fixt Book
fi ail ra! cali SIRE tae oa CN chereis prefenc fo incenfe a hear, that from it che Tumor bath its very name and denomination 5 and many indeed are che caufes wherefore this hear is neceflarily raifed and ftirredup. Fon ficft ofall, che blood thac through us overgreat a- 1 ( bundance excites the Phlegmone, is hot, which | of che parts affected, Chap.7.) thde chis beating heat it alfo communicaces co the part affected. | pain doth not happen unto al the parts, but only Moreover, whenas by the plenty of blocd, and of- | co {uch of chem as have in them cér- tentimes likewife by a certain kind of chicknefs | cain notable and rematkable Artes ! The beating al che pores are fo filled up and obftructed that| ries, and chae have a pate endued | pein bowiit the hoc exhalations cannot {ufficienrly be fent | with an exquifice fenfe; and when j 4 canfed. forth and evaporated, neither the beac eventilaced | the Inflammascion 13 ratifed up untoa ! ot cooled as isought tobe, the beat by recenrion | magnitude worthy of obfervation. Now chis of thefe exbalations and fuliginous vapors 1s Pulfatory or beating pain chanceth from hence; much encreafed. Usco which alfo achirdcaufe| thac when they are lifted up and difténded, the : for the} pares intlamed by reafon of their {tore of blood do
blood courained in the inflamed pact affaumes at|nocallow nor afford a due, free, and fufiiciene a
length a putredinous quality, by which € as isco be igen jikewife in other things) the heat is exct- | chac chemfelves are rather {trecclied out by the ced, and communicated unto the pare inflamed. | Accery hitting it felf up; whico faid diftenfian And this heat 1s fomtimes greater, fomtimes lefs,| excicesthe pain. And chis pulfacory pain is chen
i molt of al perceived, whenas thé Inflammaticn
room unroché Arcery now diftending ir felf, buc
according co the greatnefs and growth of thofe caufes, - lcendeth coward a {uppuracion.” . For then the
The fecond fign is Pain: for wh-reas chereare blood boyls as ic were, and prows ¢xceeding hot 5 tworemarkable caufes of pain, én Intemperies ov ‘from whence it alfo comes co pals, that it aflumes diftemper, andthe folution of continuity, they ‘and makes fe of a larger {pace of room, and fo both of chem take place in Inflagimations. For much the more diftends the part; by che which intruth:this extraordinary beat by its diftemper part che Artery is henceforth much prefled & kepe firft of all excites pain: and then che abundance , down inics motion, which we cal Diaftole ; and of blood by filling ful and diftending the part dif- thes afterward hereupon the Arcery likewitle
folveth continuity, and thus doing is the.cante of , compteflech and bears d6wnche adjacent and neér
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this pain. Again, che pain chacis thus caufed is va- | neighboring parts that he round abouc ic, rious & much different, VIZ, diftending OK ftretch- | The Prognofticks.
ing out, pulling or twinging, preffing and burm|
dening, accordingto the variety of the partsaffe-! Inan Inflammatton there aretwo cted: buc more efpecially there is pretent.a bea- | things chat at mainly and principally cing pain, which likewife for this very reafon is, behoves us to prelage, to wit, its e-
The term3- nation of ar
peculiarly reckoned up amongft the proper figns , vent or cerinination, and they the Be of a Phlegmone, and of which more hereafter. | €xact and pun@tual cime of the faid | — gpip 2 Io the chird place, a Diftenfion, For when | termination. Now the Event is (aid | threefold.
the plenciful ftore of blood doth noc only fill che | co be good, when Narure overcometh Veins and Arteries, buc even tHe whol {ubftance | the matter chat breeds che Inflammation, which of the part, all things are now diftended and ftret~ | hapnech when either che Tumpor isrefolved, and ched our, but chiefly the skin; che which as ic} the matcec infenfibly’ exhaled ( which ts che beft lieth round about al the other pacts, abd hath a, kind of folution of an Inflammation ) or elfé Membranous {ubffance, mutt neceffarily patcake | when che matrer is fuppuraced and turned into of the diftenfion, and the extentive pain, chat which wererm Pus, being a thick and purus 4. Fourthly, Renitency or tefiftance, or Cas; lencozaccer. Orocherwife, fecondly, The event the Grecians cal ic) Antitipia, in like manner| may be faid co*be evil, or if ye wil, worft of all, follows upon this repletion and diftenfion. For! when Nature doth not overcome and nvaffer ‘che albeit che inflamed pare be not hard in its own | peccant matter; which hapnech when the Intlam- nacure, yet itis fo ftufted out, and diftended | mation (if ic be external) fuddenly vanifheth and with ftore of blood, that now ic wil no longer an- | retires back co che incernal parts; oc When the na~ {wer thecouch, neither yield thereunto, buc re- | rural heat being overcome and extinguifhed, the Git and withftand ic 5 and witha! ic appears hard Member thereupon becomes puccified and leized unco the couch. upon by a Gangrene, jnfomuch ‘char if ft be nor 5. Fiftly , che parts inflamed wax red, the| forthwith cur off, ruine dnd death te felitireacen blood imparting chis color unro them. “For chere | the wholbody. Orelfeimthe chitd plate, there follows a Neurtal Event (as fome calit) which is
of color, befides che blood and fieth. ely ev: the | 6. Andlaftly, In che fixch place, there is pér- | ang when upon the ré(olucrom and difciilion oF G& che
24-25
| abfolarely evils whet che Tumot is h¢erdeneds
“2426 Book V.
she thinner parts (thermore thick and grofs parts remaining bebind ) che Inflammation degenerates intoa Scirrbus. But now, which of chefe events 19 Co be hoped for or expected, may probably be guefied at by comparing together the vigour and ficength of Nature with che matter that caufeth the Difeafe. For if the matcer be not overmuch, not thick, not over deeply fcituated, not fhus up underahard andchick skin; if che body be nos rsh greatly impure, and Nature be ftrong, then are- Wh olution, and an evacuation by an infenfible cran- {pitation may be hoped for. Buc if che macter more abound, be more than ordinary thick, be contained in a deeper place than ufually, and be pent up under a thicker skin, chen a fuppuration is tobe expected. That the matter is retreaced unto the inward parts may be conjectured by this token, co wit, When we perceive che Tumor co bedimimifhed, albeicchere were no repulfive re- medies adminificed and applied, to drive back the
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the heat sneer approaching may be prefaged by | wrienas the heas, rednefs of color, pain, and ie a zhe pulie or beating is leffened, the Tumor nore ip) ab withStanding ftiJl remaining ; touching which me more hereafter, when we fhal come to treat of a Gaugrene. But chen laftly, an Inflammation for che moft part then degenerates into a Scirrbus, When the matter is over vifcous and clammy, and hard cherewicthal ; and when the Natural heat being ftrong and vigorous, forshwith even in the very beginning of the diftemper remedies thag dif- cufs and diffipate over forcibly are thereunto ap= plied; which faid remedies difperfe and fcatcer the chinner parts chereof, and leave the thicker fill remajning.
That the cime of che Event may be known, it is requifice thar the cimes
The times |
te ey As of the Inflammation be firit of al! tae known ; and they are likewife heed- fully co be obferved by us (upon our
Of Praétical Phyfick.
knowledg of them) in relation unto che-Cure. For unlefs che times of an Inflammation be well’ Known and confidered, we may foon run our felves into an Error, whilft we adminifter and ap- ply Remedies that are any waies impropér or in- congruous unto any one particular of chofe feve- faltimes. Now chen, Inflammations (like as all
other Tumors and Difeafes) have four times or periods ; ics beginning, encreafe, ftace or perfecti- | On, and its decay or declination. Itcommenceth | or begins when the pacts are replenifhed with | blood, and when the {welling, pain,and firecching | Out are encreafed, this we cal che augmentation. The ftate or perfection is then, when the Tu-
mor, Diftenfion, Pain, and all the other {ymp-|
their extremity. And laftly, the declination is | then faidtobe, when the matcer generating the’ Tumor is diminifhed, and che pain, bear, cope= |
remifsand gentle s or ocherwife the matter is cone |