Part I.

andin other
Feaver, that eafily confumeth and wafteth the Regions fcarcely knowns as the Poet Lucretins fick perfon, that is already overrbelmed vith the Celsus in his fixch Book: Elepbas (lath he.) gg.
The Canfes.
The containing caufe is black Choler Cand this | Hot without malignity ) diffufed and {pread a-
| the River Nilus) # bred in the midjt of Egypt, and no whereelfe, _
Bur alchough it be true that che Difeafe is | More frequently found there; as Galen likewile
broad chroughout che whol body. Now we find | ceftifieth in bis fecond. Book to Glauco,and Chap.
touching the generating of this humor. viz.
, 10. (where he acknowledgeth that in Alexan-
black choler, a long and tedious dilpure among, dria by reafon of the fervent heat of thac Region, Authors; and we find them holding divers and | and the unficcing Diet of the Inhabitants, who eat different Opinions, In chis (che cruthis) chey al, Meal boyled, Lentiles, and Cockles, many falc
agree, chat this humor is generated from the adus
| J . - ;Meats, andche flefh of Affes, with divers other
ftion and burning of other humors; but then in this | {ores ot food that generate and breed a thick me-
they differ, viz. from che aduftion of what Mors this proceederh,
hu- Avicen tn the third Se-
itancholly humor, therearemore chat are trou=
_ bled wich this Elepbantiack Difeafe ) yecnor~
ction of his fourth Book, Tract. 3. Chap. 1. fee! withftanding it is al(o ro be tound in other Regi-
meth to have comprehended themall; whiles he mencioneth five Species or kinds of this humor. |
The firft is chat which proceedech from the Blood; the fecond char from the melancholly humor ; the
third chac which is from che aduftion of bitcer|
Choler; the fourth cha¢ which acifeth from Flegm bucne ; che fifc and laft, chat chat procees eth fromthe chick, and hot parc (asbeing very aptro be burnt) of che Chyle, as co Inftance, from aj] falr Fleth, Fifth, and the like, But al- though it cannot be denied, thac there is here in this cafe an aduftion of humors prefenc, and that fale humors are the caufe of this Malady; yet nocwith- ftanding, fince chat there are very many other Tu- mors and Ulcers that have their original from a- duft humors, here therefore che very {pecifical caufe is alcogetherco be fought for, which not withftanding cannot eafily be explained; buc ic confifteth in an occulc 7.e. an hidden and fecrec Malignity. Bus now chis humor is diffufed tho- rowout all she Veins; and an inductive Feaver as di{perfed ( without any putridnefs ac all) cho-
ons. In Germany Cefpecially in fome parts chere- Of ) thele Elephanriack Perfons are very common ,and ordinary 5 bucin Spain and Africa they are | far more trequently found; andin Gallia Nar- bonenfis and Agititain, there ace more of rhemto be found then inal France befides. Pliny inhis cwenty feventh Book, and Chap. 1. wricecb, chae before the rime of Pompey the Elepbantiafis was never known-co happen in Italy. Living and Converting likewife with the Elephantiack Pere fons much conduceth tothe caufing of the Dif- eafe. Forche Air ( char in breaching is attracted and drawn in) is infected by the ftench of the Members, and the vitiated exhalation of the Breath, From whenceitis chat men defervedly fhun the company ofthofe that are thus affe@ed ; and for {uch as are domeftick, and therefore nes ceflarily conftrained to abide under che fame ‘Roof, do yet (as there is good reafon for it ) fhun their company, and ailneec Converfe with ithe fick Perfons 3 and therefore even for this caufe ic is chat chefe Elephantiack Perfons are feparated
rowout the whol body, and is mingled together | from the fociety and company of others; and are
with the aliment.
But now there are many things that conduce and | make tothe generation ofchishumor. Thereare fome thar contract the original feeds of this Mala- | dy from their very birth; to wit, fuch as either are bornof Elephanciack Parents, or elfe concei- | ved during the Flux of che monthly Courfes, vici- , ous, and corrupr, and declining unto biack Cho- Jer. And moreoveralfoche hoc and dry diftem- pec of che Members deftin’d by Nacure for Nutri- | tion (as forexample, the Liver, and the Spleen ; from whence it is thagche Blood and the humors
are burnt). is defervedly reckoned up and ac- counted among the Caufesof chisMalady, And furchermore, the frequent 4nd common ufe of falc meats maketh likewile very much hereunto, as alio the eating of fharp and fowr meats, and food that is overgrofs and chick: the Air alfo being overhot and dry 3 or elfe thick and Cloudy: from wheuce it is chat this Malady is in fome
| fencaway, and djfpofed of in fome open places,
‘
inthe which they live with moft benefit unto chemfelves, and lefsendangering others. Buc e- {pecially carnal copulation with che Leprous man
or Woman is undoubtedly dangerous and infecti-
ous; endfois hikewife chat carnal fociecy chac any one hath wich het chat before hath had to dao witha Leprous man. Ulato thefe fame Caufes there belongeth aliocthe retention of tbe Melan- cholly Excretions; as the fuppreflion of che
a Difeafetbar ¢ by reafon of the overflomings of |
inti i
{yah betor Hfulne nfo
yor the
Paces tha
{
f, aBie open
NG ponte
ead age th if Cheek Hann unde
bik, the
t ) estaary 1
| bey Day an
monthly Courles, and the Hemorthoids, andthe -_ |
| fudden ftanching and drying up of long continued
Ulcers.For fucha like humor as chis(if ic be decei- ned jong in the Body ) becometh worfe and worfe day}y, and at lengch acquireth this malignicy, and being reteined inthe Body it featech and fecleth ie felfinthe Veins, and infedtech the whol mats of Blood, Moreover this Malady doth more fre- quently invade and {eiz upon men then women 5 and among men, chofe efpecially chag nied in chem
Bur nov at cher
sla dey HAA) 9
Deor and
ioeand | wen of tn¢ ifabroad unduly a ware ex i pt weal im ie app Ne ton of lnuation uh ate a bie dow
© “tou | Uk, th
i Rite
i
ae Winoy f
Sa 4
|
Leal it
Ikewifeh | Chap | decay. | |
ABion | Who eg
lady lal |
ls Other nck Mes |
8 {L(t} H
yetnots |
a Nar §
cheno Hy hi | Hy Id |
by that
Ms Wag ng and Pee be Dife traded 1 of the of the ecvedly Adel; | re nee. | fanie fort) e Wil ucaule arated nd ate
Melan® of che
sndthe +) xinued detéle {wore ya eth 1)a18 f re fier i ome}
ve " rhe
ai)
| them Blood that is thick and | plack Gholer ; and fuch as ufea thick and inor-
| pecime 8 pains ill {pent co enumerate and declare
ver this Malady is niphathand, chere- immediately
| Chap. 40 as Of Tumors Malignant and Poyfonous, ec,
_
vifcous, tending to | dinate kind of Dier.
Signs Diagnoftick.
Although (as for what belongs to the figns of this Malady ) we havegiven you fome few of chem out of Celfus, asthey ace by him recounted and reckoned up 3 yer nocwichftanding ic wil noc
rhe whol entire Hiftory of che Signs and Symp- toms. And cherefore.in che ficft place, whenfoe-
oeth before ir, andis prefent, a fluggithnets. or flochfulnefs, and flow and difficuls breathing, uns | firnefs for motion, a.dayly and continual coftive- nefs of che Belly, Ucines Jikke anto.the ftalings and waters that come trom Beaftsand che greater Car- cel, a Breath flow and, ftinking, and an extream propenfionto Venery, When che Malady hach once gotten forward, into the Skin, then the Na- tive aod ficurifhing trefh colouc. of che Face. is changed, there arife red blew:fh and wan Puttules, | ‘the Gheeks and che Chin become thicker, che | Veins under the Tongue are{wollenup, and wax | black, che Hairs fall off, chere is prefent.an excra~ ordinary Thirft, and a drinefs in che mouth both | by Day and by Night. But now as it isin other Difeafes, foitts here, ‘chat there ace likewife. certain. crimes of chis Malady. The beginning ts, when che vitious hu- mor and the maliguicy.is yen buc asic were laying | fiege and beleaguering the Bowels.. The incre- ment or increafe, when che Malady now fhews it
_felfabroad and openly, and chas the Symptoms are datly augmenced.. Lhe ftace, when the Mem- bers are exaiperated, and the whol concourfe of the fymptoms appeareth publickly, the which wefhal immediately tubjoyn. . Firft of all che
_ Eyes appear exactly round, and the looks thereof
Leprofie. This Malady difcoverech. tc felt like- wife in ocher parts: che Veins under the Tongue {wel, and become blackifh:s.and che: Glandules thac lie neer untothe Tongue (and round akouc it) have in them round. Pumors, like unto. the Scrofile chat ace in Swine, .which we call che Swine pox... The Breach ftinketh, che Voice 1s hoarfe, iheil, and obfcure, by reafon that the Lungs and che pares ferviag for Kefpiration are filled and befecabouc with chick & aduft humors, and by reaion alfo of the drinefs and roughnelé of the Trachea Arteria, oc thegieat rough Artery: In che Hands che Mutcles are excenuated, elpeci- ally becween che Thumb asd.the fore Finger, for whereas thofe Mufcles are naturally lifted up inco an hilly and manifeft (welling, che. depzeflion of chem and sheir being entaciated ( happening by reafon of che defect of alumenc) becomes the more manifeftandremarkable m chem 5 che Nails are clefc; there ispreienca ftupidity, and want of feeling in che Ankles, and che Calves of the Legs, andinche Feet alfo3; fo char alchough the fick Perfons thall be pricked with Pins or Needles in chofe places yetthey feelit not, in regard of che vicious matter filling up and obftrudting the pate
chindering the accets of the (pisits. Phe tame hike- wife fonatimes befallech che Fingers. and Loes, 19 the whichthere is alfo perceived a coldnefs anda certain privation of al fenfe and feeling 3, and fome cimes likewile chat {tupidiry and fleeping(as they cal ic) chanceth unco the whol Skin becween chofe Fingers, and exceedeth it felf even unto the Arm 5 & from che Foor it extenderhitfelf even unro the Knees, the Thighs, and the Hips 3 yea moreover the fenfe of feeling is diminifhed throughbouc the whol body ia Elephantiack Perfons. | Foralithe Nerves and Pores being ob{tructed and in a man nec fhucupby che chicknefs of the humors will not allow and afford any paffage unto the Ant- mal Spirits. . In fonte certain, places under. che Skin chere is perceived and felea kind of flinging
are fixed and immovable; which happeneth by | ( (uch as is caufed by Emmets or Pifmices) asik
reafon of che confumption of hefat, and the ex, renuation of che Mutcless che Eye-lids and che Ears ace contracted ahd drawn cogecher 3, che Eye-brows fall down, che Nofe fwellech out- watdly, and is made flat, by reafon of the afflux of the humor, and it is ftreightened: within; from whence ic is chat che paflage is obftructed, and che breaching hindred, fochacchey feem co {peak as
looks frightful ; chere appear Tubercles and red | Puftules under the Kye-brows, about che, Ears, andin divers places of the Face, and knots hard and round, like unto Grains 5, the Lips are. made’ thick, che Bones neer unto the Ears ftick forch; the Hairs of che Head. fhed and fall away; , and it che Elair be pulled forth, a part likewile of
| Netcles were rubbed. thereupon 3 and likewile @ ‘certain kind of itching and tickling, as if chere | were Worms creeping there, and this is by reafon | of che aduét fumes and butane vapors afcending up ‘underthe Skio. The Skinit felf is wholly Ua- uous and Oyly (fo thac Water poured upon 16 (wil hardly ftick and abide) by reaion of che melc- lang of che far under che Skin, and the effufion of
3 zi | . re hy eae - it were chrough their Nofes5 che colour of che fat excremenss thereintos Qchers there are that Face is wan and Leaden coloured; the afpect and
unco thefe figns add other figns alfo. They ad= vife usco cake fome few grains of Sale, and to caft
‘it uponche Blood ; becaufechat if the Blood be
infected the Sale is penny refolved and meleeds but onthe contrary, if che Blood be noc infected. They command us likewife co caft chis Blood into che pureft and cleareft W acer s andifit fwim ae cop, it is corrupsed ;. bit che contrary if it fink to
the white Skinis pulled away together wich ic; 'theboctom. Ochers, there be chat take the Blood
Which sa moftcercain and infallible fign of che and putting tt ina clean Linen Gloch they wath its Toa te
for
et At sn RRR
2824 Book V. © Of Prathical Phy ick:
Patt L
for if there then appear io it cercain blackifh,
rough, and as it were fandy bodies, it argueth a le-
profie. But there are other figns alfo of chis Ma- Jady 5 and indeed chere is icarcely any evil, mifchief, or inconvenience, chat isnot annexed thereunto 5; and inthe whichthere is hardly any ching within or without chat is found. But yet nocwithftanding the Face ts ef{pecially cobe confidered; neither is any one rafhly co be ac- counted Leprots, unlefs che figure of the Face be corrupted. And therefore fince, that in fome Common-wealths chere is inftituced and appoin- ted an Annual Examination and Search in and about thefe Elephantiack perfons, and chat chis is the chief, if noc the whol bufinefs of the Phyfici- an; he oughe cherefore to ufe che ucmoft of bis endeavor, and co be very cautious, that through amprudence, or by a rafh and precipicate Judg- ment he do noe caufe fuch to be exiled and banith- ed fromalfociecy chat are not infected with chis Difeafe ; and on che ocher hand, for chofe thar are infected cherewith, that he donot permit chem co live and converfe with {uch asare found, to che great endangering of chem. And chis he may eaft- ly do, if he have in bis eye al che figns before recounted and mencioned 3 andif he wil likewife but duly weigh and confider, which of them are proper untochem,and infeparable from them 3 and what chey have common with other Difeafes. In the ferious examination of al which Pranct/cus Valeriola bath taken excraordinary pains, in che fixth Book of his Enarrations , Enarrat. 5. che Reader may do welto confult ehe place alleadged. We muft not here alfo pafs by in filence’ chac which Marcellus Donatus hath in his' firft Book of che Hiftory of things wonderful in Phyfick, Chap. 4. by which we have occafion given us to think and conjeCture, how greac che corruption of the blood may poffibly be incthofe chat are Le- prous. ~Annibal Pedemontanuys (faith he) ba- wing beenfor two yeers vexed and afflitted with anincurable Lepra, be mas at the end thereof taken and furprized with aPleurifie; and ba- ving a Vein opened, this firange thing befel him ; the bot Urine that came from bim (being in quantity more than the pot could wel bold, and upon which ebere fram a blood at leaft fix ounces in weight) fo foon as it was cooled was by the faid blood thickned in {uch a manner, juft as if the tater bad been Milk, and the blood the Curd thereof 5 fo tbat in its confiftency it feemed to be very like unto curdied “Milk; yet {till retaining it§ ovon proper color; of tbe which there was not one drop indeed to be found that wa, fevered from the reft, and not curdled. The caufe hereof is given by the Author beforeciced, who conceived at tobe, and imputerh 1c unto the thickneis and clamminefs of the blood, which being throughly mingled with che Water, (the actual beat of both of them affifting and furthering che diftribucion #n cheir mingling togeeher) when it had abaced of
[very crurh are nor fo.
its great hear, and was now becomécool, eve the —
oceafion of the {aid coapulation ot curdlipg. Aud he conceiveth likewife cbac hete che very fame
parts and pieces.chat are cut fcoit Hides and Skins are boyled in Water for the making of Glew. Fos
fo foon as ever that Water is cooled, it inftancly }
is thruft and forced clofe together, by reafon of the clamminefs and fliminefs of the juyce; and
the hke alfo happeneth in fome kind of meats chat
We eat, that are made of Calves feet, and the feet of other living Creatures.
Progno/ticks. te Byal which it appearech, That this Malady
is moft grievous and dangerous, bard tobe cured, | }and (the truch is) noc atalcurable unlefs it be cas | ken in band in the very beginning and fitft rite | thereof ; neicher then wichouc much ado and | difficulty. © Foran Elepbantiafis inveterate avd |
confirmed wil at no hand admic of any Cure. For ifa Cancer (being but a paccicular difeafe only)
wil allow of no cure; how! much Jefs wil the | fatal , . ° : ~ i I Elepbantiafis that is an univerfa} Cancer of the |
whol body, admit and receiveany? And indeed there is hardly to be found ‘any Remedy chat can
fubdue and conquer che greatnefs of this Mala- || org
dy.
2. This Difeafe is exceeding great and grie= |
vous, to wit, fromthe great ftore of corrupt by= mors; and thete is inthe body an extreamand ine
cenfe beat, to wit, fo great thac if any one chus |
affected ( buc fora fhort {pace} hold 1n his hand
a new and green Apple, ic wil become wrinkled | and withered, even as if ic had been for fome long | cime dried by che heat of the Sun and che Ai. |
And this fame very malignity hath now ofa lo came taken deep root. cech ic felf buc very flowly 5 neither doch it ac al appear before chac che malipgnity of che humors
rupted the bowels. On che contrary, the ftrengrh of Nacure is but very weak; as ic may fufficien ly
appear from che actions of al che faculties that ace |] : ja XT, th}
’ | (erate
generally hurc and weakened.
3. Wherefore like as we dobut in vain, and to no putpole at al, take in hand chofe chat are alto- gether overmaftered by this malady, and che long
continuance thereof; fo on theotherhand, icar— |
gueth an overgreat defpondency and de{pair in thofe Phyficians, chac deny their help and aff.
ftance for the cure and recovery of thofe chat but | only feem co be affected wichthisdifeafe, bucin | For as Aetins writeth, -| Tetrab. 4’Seim. 1. Chap. 120. It isa fien of bu- |
manity, andan argument of brotherly kindnefi,
in the mofi extream and worft of Maladies, to | : Wier
condefcend likervife unto thofe Experiments that
in al likelibood and probability may tend to the | quelling and keeping under the rage and violence. of the Affee. |
For this Malady difcoves |
_
slo
: B jpitec thing happened that cometh to pafs,when che {maf |
bepllds
iq gut
nied mori
, withal Bd, a8 S ytsous P| ropes im what’
may be by {uch they are nt, be
a ae
whic t Bortag foodth and ai aid pe
as alton
D vihale
than 108
ibere b forte],
19 Kol,
cream 0 Andon woidal then ft0
B dul fo I Onions,
teh Be
8 id clan 1B hat bree
have befieged (as I may {fo fay) and fhal havecor- |]
ld out tay Vt)
| Wiventa i Ristha ay
ls an Ueand
# Hhiac
Voch Mle Nand (;
vei y Ay TY fang a nd Ski
talon al
Malad cated | beta ult tie} ado anf tee 20] te, Feel leony) we the
ofthe indeed
barca
an
;
Nand inf
:
one thus
his baad inked n¢ long fi he Ait (a long dilcovee I
‘icacal &
humo
ave cle feengtt fcien
(hata
i | i 4a l0
re ae belong | iby a (pall 1 and al? | thacbut y but ih wrield
TMA | bonds te ll |
ait |
iit thi ua
pt
| i
i!
Of Tumors Malignant and Poy/onous, The Cure.
rE
; Chap. 40. CF'Ce
Another Diink there isthac is ufefuland fic fora] hot Natures, and hot Difeafes. ( provided:tbat the
As for what concerneth the Cure of chis Difeafe. 5; ftomach-wik bic bear it) andic is made after this
in che curing of an Elepbantiafis, chac is but new begun, itis aboveall ocher things neceflary and requilite chat che vicious. humoxs, be wholly re- | fix ounces the juyce of Lemmons, or of the Ci- moved ouc of che body 5 which to.attempe wal yet | tron, threeounces ; Cuccording to what the flo- notwithftanding. be.bus in vain, unle(s chere be | mach.of the fick perfon, the ftrength of ibe beat, withal fuch a hke Diec firft ordained aad appoin- | and the tat require.) of Citrine Sanders two ted, as by the which «heremay. be no more of che | drams; let them boyla little; and afterroard vitious and,bad bamors gathered and beaped up}add, of Cinnamom one dram and firain cogether 3 buc.thac chereby rather the faule and | them. — whatever’ is amifs inthe humors and the Pay) Thofe thar are of ‘mean eftate and condition may be rectified: and amended. And chis is done|may make ufe of che Pcifan, or. Barley boyled by fuch chings as\coo] and moiften, to wic, as} with Fenel feeds. Bur this following wil ferve chey arecontrary unto che prececnacural diftem- | chem fora more efficacious Drink.
per, being boc and dry... Broths and fuppings}. Lake Sorrel, Marigolds, Meadow-{weet, of ace in chis café therefore very fic'and propers| each one bandful; Pimpernel two drams, Shaq which maybe qualified wach Sorel, Buglofs;and| vines of Ivory, and Harts-born; of each one Borcage 5 unco which hikewife (as unto al other| dram s Raifons ftoned and wel wafbed two food:the Patieoceacs) Harcs-horn may be added |. ounces 5 Liquoris rafped and cut into thin flices and mingled cherewith , as havinginacan elpecial | one ounce ; Barley one pound. Boyl themina abd peculiar vucne of oppugaing and fubduing | gallon of Water until one quart thereof be voafted that aforefaid malignscy.. Lec his Meatsbe fuch| away. And what is ftrained forth let it be foee- as afford a pood and commendable juyce, and | tened with the Syrup or Fulep of Violerr, Or, wihaleafie of digeftion; his fleth rather boyled| Take the Root of Succory one ounces Raifons chan roafted 5 or if ac any cime acbe rofted, chen | three ounces, Liquoris cut thin balf an ounce; among other Condiments, Sauces, or Sallades, lec) Harts- horn, Fenel feed, of each onedram; boyb there be appointed fim chele tha¢follow., viz. |tbem ina gallon of Water, almo{t unto a third Sorrel, Leccice, the juyce of Citrons, Vinegarof | part. And what ts ftrained forth, foeeten it Roles, and Capars,. But chiefly we commend che | withthe Syrup of Violets.
cream of Barley, wichche Milk af {weet Almonds, |. Furthermore, as there fhal be occafion, lec a Andon che contrary, lecthe Pacieot carefully a- vein be opened,and the.body be purged,according avoid al falt meats, and fuch as being falced are | co what the variecy of citcumftanees thal require ; then {moke~dried, and fo hardened 5 al fried and ;-as tor example :
aduft food, al {piced meats; asal{o Peafe,Beans,| Take Caffia one ounces Ble. Diacatholic,
Onions, Garlick, Muftard, Hares ilefh, Hares; two drams; Fenel feed balf a fcruple; aad fieth, Geet; Swines flefh, Fith (chat havea viicous ; with Sugar make a Bole. Or,
and clammy juyce ) and generally alocher meats! Take lett. Diacatholic. balf an: ounce; that breed acthick, melancholick, and aduft bu- Confetf. Hamech one dram or two 3 Conferve mor. And when che: fick perfom is at his meals | of Borrage half a dram; Sugar a fufficient thirfty, mere and undiluced Wine 1s very hurcful| q@antity, and make a Bole. Ox,
for bim, invegard chat the heat anddrineis of the} Take the Roots of Succory, and Scorgonera Pacients body isthereby augmented: and as for} or Vipers Grafs of each three drams 5 Sorrel, Beer, chick humors are for the moft parc thereby } Borrage, Luglof, Fumitory, Harts-tongue, of generated; and therefore ic wil be requifice ta! each one pugil or {mal handful; of al the Cordi- tind out for him anochee kind of Drink that he | a! flowers two pugils ; of the four greater cold may dayly make ufe of wichouc any che Jeaft in- | feeds, and Fenelfeed, of each balf adrams the convenience, Ot which fort, the chief and princi-} Leaves of choice Sene balf an ounce’; Polypody pal is thac drink that is made of thejuyce of fweec| of the Ouk, and Mother of Thyme, of each two ripe Apples, andchen chroughly cleanted from its idrams, Raifons cleunfed balf an ounce 5 boy Lees and Dregs. For this Diink 1s of fingular | ibem in a fufficient quantity of cheer running ufe and benefic, noe only. for chote chat are Ele- | Water 5 dnd in feur ounces and balf of the phanciack, bur likewrle for all Melancholy and | firaining infufe one dram and balf of Rbeu- Hypochondriacal perfons, as alfo for al others, | barb, and balf a dram*f Cinnamom, unto the whofe Liver and Mefentery or Midcif afford mac- | {training wben it is preffed forth, add of the Sy- tec andcaufeofa dileafes Foratcempereth and|7r“p of 2umitory, and ‘Borrage, of each balf an qualifieth che melancholy humor; ‘difcuffech the| ounce ; and mingle them well togethers. Ory
vapors thereof, recicaceth the Hearc, begecceth| . Take the root of Succory, Monks Gbeubarb, sbeerfulnels, cemperech and moiftenecls the dry-| Etecampdne, of each balf an ounce ; Sorrel, Pus
Manner :
“nets of che Bowels, and yieldech a good aliments. | mitory, Scabious, Buglofi, Muiden-bair, of each
ORE
3535
Take af the pureft Water three quarts; Sugar :
2526 Book V. one bandful ; Flowers of Borrage and Bug-
ced, and Raifins cleanfed, of each fix drams; boyltbem ina fufficient quantity of (pring Water; therein the Leaver of Sene, Polypody of the Oak, of each one ounces the rind of black "Helle-
ci enna A AO a
Of Prabtical Phyfick. \
lof of each balf a bandful 5. Liquorifh thin fli-' andloofnech the Skin.
then take of the ftraining one quart, and infufe
SE ee
Parekh,
| cempereth che drinefs, difcuflech che excremencs, After Baching, the body may be anoinced.ovec with chis Medicament?fol- jowing, or fuch hike ;
\» Take the Fuyce of Nighfhade, and of Scabi- ous, of each one ounces the Root of tbe fbart Dock fix drams, Vinegar of Rofes one ounce,
ae bor balf an ounce, Fenel feed and Anife feed, of 'Elecampane root and Pimpernel, of each balf an
each two drams Citron one dram, ‘Mother of | ounce 5 Oyl of Rofes four ounces , the Rinds of Ibyme (commonly known by the name of Ephy-' black"Hellebor tied up in a piece of skin, three
mum) five drams, Cinsamom one.dram; af- terwoard let them boyl gently, then ftrain them, and {meeten allwith Sugar, and of ehis let the Patienttake Cevery orevery otber day) two or three ounces with the Brorh of a Chicken. Or elfe ue there are other. preparationsand Purgattons to be | appointeds OF the Whey of Mik, Fumitory, ‘Harts tongie,; Maiden: bair, Borrage, ‘Buglofs, Violets, Succory, Endive, Sorrel, Scabious, Thyme, Scordium or Water Germander, Liquo- rice, foarp Dock, called by {ome fover Sorrel, Wc. Of Epithymum otbervoife called voild Tyme, or Mother of Tyme, Polypody, the Leaves of Senes black Hellebor, é'c.
ee ee
i drams 5 boylthem them untibthe Fuyees be boyled away,and after this caft amay the black Hellebor, | and then, , | Take frefb Butter one ounce and half, Vipers | fat, or if thatcannot bebad, the beft Treacle one ounce, burnt Lead balf an ounce, Litbarge and Cerufs, of each two drams;, Frankincenfe‘a dram and balf,Siyrax Calamire and Nitre, of each twe feruples, Mingle and ftir them wel about togetber mith the Fuyce of Lemmons, ina Leaden Mortar witha Leaden Peftle, untill 2t bath gotten the form of a Liniment. | : g
| Afcer baching lec him hkewife ufe thisRemedy, . |
| which fome hold for a great fecree: They burn in
1 | r
i. | cwo, neicher without frequent Purgarions. hee it if extinguifh/and abolith malignicy 5 As,
Now che Purgers and Preparers are often co'be anew Poo cheHead of a Kite, which after: ic 1s repeated ; for fo greetand contumacious 4 Mala-| pulled and. made bare of its Feathers, they-cut off, dy as this cannot be taken away by a Digettive or as alfo the Feet and the Bowels being taken outs and of the Powder hereof shey adminifter: what
Bur thereare likewife in the mean time Cor-| they think requifite in a fie and convemient: Li- diali Medicaments ro be made ufe of, and {uch as’ quor; and they prefcribe likewife che. cating of \ che reft of the Flefl at chrice,. that.is to fay, a Take Gonferve of Buglofs, ‘Borrage, Violets,’ thicd parc each day, for three daies together.
Water Lillies, Rofes, of each two drams; Leaves | ! of Gold three or four Cor more if there be occa- | ae i fion.) Harts-born prepared, the beft Treacle’ four {cruples, Syrup of Apples, or Borrage, as
Hat Or,
; . Take.Conferve of ibe Florers of Borrage, | Buglof,and Rofes of each one dram and balf,rbe | Species Diarrbodon Abbatis, and the belt Venice a a Treacle, of each two drams 3 and with. the Sy- I) rup of Apples make an Blettuary 3° of vobich let eee ihe Patient take every day in the morning the quantity of a Walnut, and twice or thrice befides every meek.
Sofoon asthe Patient hath caken his Electua- ry, lechim prefencly be put inco'a Ceftern filled with {weee Warer ; and lec him fig herein tor che {pace of onehour. Burlecche Bath be fo tem- perate thacthere be no{weat caufed, eitherin the
a much: as° is fufficient; make an Elettuary. ; |
Solenander writech that he himfelf: made ufe ofthis following Remedy, and that with very good fuccefss He taketh two or three Vipers or. Cif they cannot readily be gotcen ) other Snakes, and diffectech chem alive, and then toge~
ther wich good ftore of Barley he puts them into
Water, and boyleth chem until the Barley become fofc, Withthis Barley, as alfo with the very Fleth it felf of chefe Snakes he feeds many Pul- lets or Chickens, and gives them no othem foods | with che which after they have been for {ome few daies nourifhed chey jofe their Feathers, and within a fhere time they apaimget new ones; and afcecward with chis Flefh and Brockhs made of them he nourifheth the fick: Perfon by: little and little. And indeed this Remedy ouc of Vipers we find tobe much uled by the Ancients. Kor | the body being firft purged, in the ipring time e- i{pecially, chey took Vipers and cutting ¢fi the
an RS ba
Bath, orafrer his going out of it. For iftany | Head and Tail ( cafting:away. the Skin) they Sweat be excited, ic isa fign chat the Bach is, hot- | gave the Fleth of thefe Vipersto be eaten by cheie terthenit oughtcobe. There are many Phyfi- | Pacients chus affected. But Julius (Palmariu tians chat forchwich {endéaway che Patients unto | affurech usthat Fernelins Calchough he made ic the Nattiraland Mineral Waters, | But in regard | a good parrot his Scudy ).-yerhe could not once chatthey dry exceedingly there oftentimes arifeth | in all his life time effect what he fo much wilhed thence more hurt chen: good 5 efpecially inthe be- | and fo diligently ftudied for, co wit, the tecovery ginning of che Difeafe, while the-beat and drinefs land reftoring of any by the ufe of Vipers. And are atethe higheft. And there a Bach of {weet | by his advice likewife Palmarins bimtelt admini- Water is far more commodious and fafe, which |.ftred thefe Vipers, and not only the flefh ofthem
} {
prepared |
= ao Ss = c&
eat mile fee And th Dahan Pa linany c Bee onrnuan Beachevari De ere ace Bee latins iedies) Pe itions 3 Pe rience ati care BP it place Be iy, the Hen,
faling tage P idhinth tere hing My and halt tine What Ry othe Dial , LG nye Mad iy Muh un) Sih My Wy
ne 4
y i}
5 hy
Sy
\y i
ESS — _
Of a flatulent or windy Tumor.
| Ch ap. —
25 27
sete Uh ra TN a Mey FI prepareddivers wates ( chus and thus) bue the| Petrus Palmarins likewife in bis Lapis Philo- by | very Treacle it felf alfo thac is made of chem 3 fopb. Dogmatic, Chap. 24. recitech an Hiftory of fol E) and yet nocwithftanding wichouc any the leaft | acertain Leprous Woman, whom he Cured with - fuccefs. For alchough ac che firft in che begin= | Aurum Potabile, exuberated, and exalted upon Seabie }) ning of this Difeate, chis kind of Remedy may |a Sphere, as Chymifts (peak, and with the Antis ‘bot ) feem co benéfic much ; yec nocwithitanding at the | mony of Alexander Suchtenins. whe length by ic che i ae pide th wis “Jan |) Jency is chruft forch inco che Skin, and aJl che 7 7) rae vg ind of i aiotauns fo exafperated (ashe writeth ) chacin Chap. he Of % flatulent a windy ie | -cheend che pucridnefs being augmented, they are Tumor. ‘byl || asic were rornin funder Limb atter Limb. Bur tb, | however in regard chac the Ancients have fo much | Nd thus have we now at length difpatched commended the ufe of Vipers, and fome Iikewife| AW and finifhed the Explication of al thofe Tus Vit | of our Jaccer Phyfitians have excolled the ufe of | mots that have their original from che Humors 3 kom | hem, we therefore in this patciculac advife you | ic now temaineth that in che nexc place we creac tad | “toconfulc experience: of chofe Tumors that arife from winds. For uiian | = The Ancients likewife fora Remedy ufed Caz | chete are peculiar Tamors thae have cheir original iin | f¥cation or Geiding ; and they cell us in their | from flaculency, or a flatulencand windy fpitit ; iecier | weacings, that oiany have been recovered by this | which che Grecks cal] Pneumatofers, and ‘Emp- Vor) means: Which ( as Valefcus de Taranta conje- hetimatofeis, and ‘Emphyfematas but che Lacines tne | €turech ) therefore cometh co pals, becaufe thar
callchem Inflationes. Now this flaculenc Tu- mor (as Galentels us, inhis Book couching the courle of Diet in acure Difeafes, Commenc, 4.
- the Leprofie proceeding from an overdrine(s, the eed, body by the taking away the Scones becometh
5
butnin | much moy ftened, being hereby much effeminated; | Texc. 2;, ) 18 generated afrer a cwofold manner 5 vit | and fo by thismeans che humidity thereof is in| to wit, By a flatulent Spirit collested in certain tof, | great mieafure retained, Cavities thefeCawities being either expofed to the OW _ And thac we may conclude this Difcoutfe, che fenfe, or elfe uch as are Coniemplable by FReajon. own |. Elephantiafis alone(as Palmarius weiteth more
Now by Cavities contemplable by reafon (ashe
title | than any ocher of thofe Difeafes chat are of Jong ! explains himfelf in his fecond Bookto Glauco, $8
atngol | Concinuadce feemech corejoyceit felf as it were | Ghap,§.)he underftandech chofe very Pores of che ifiy,a) am che vatiecy and interchange of Remedies. And fimilary pares, and chofe little {paces that are ine tt there are in chis affect Cif in any other) certain cerpofed betwixe the {aid finilacy pars, : udeue | teffacions and intermiffions € almoft from all Re-
ithvery | medies ) oftentimes to be allowed unco the fick Vipers | Perlons and chen tbe fame Remedies are anew to The Proxime, j.¢. che neeteft and conjuné ‘ule | berepaiced, and new ones ¢o be added; fince | Caufeof chis Tumor is a Wihd,or flatulent Spiric. nope | that fcarcely ever did any tecover of this Difeafe, | Now this is generated CasGalen wriceth in his mint) thac placed che hope of his fafecy in one only Re- ' third Book of the Caufes of Symptoms,and Chap, become || medy, chough ic were never fo generous and pre} 4,)fcoma heat weak and Janguifhing. For as abe ievsy | valenc. | loluce Cold cannot poffibly excite any Vapor, yy Buh | Fulins Palmarius puts much confidence in | fo on the other fide, vehement heat difcuffech the wlcol;.| Hydcarge, which as be wriceth doth every whit as| Vapor, That which fupplieth maccer unto thefe
ant fet || Much in this cafe as che flefh of Vipers, ot the Vi- flaculencies, is a humgr, chick, Aepmatick, or mes
«ad | perineTreacle,or the Iron Inftcument,or the Fire.| jancholick. The fame do both flatulenc Meats
wy; md | But in regard chat ic wil take up coo much of our | and Drinks afford, asalfo a cold, moift, and clou« meal | time, and coft much pains here co acquaint you| dy Air,an ide abd fedentary life,and the {uppref= lead |) Wich all chac we might couching chis fubject 5} fion of accuftomed Evacuations, The chicknefs (Yipes | | And in regard alo chat che fame Palmarites in his! of che part likewife chat wil noc permic che Vas Pt || Book of the Blephantiafis hath caken norice of pors co brearh-forth makech much for the accumu
The Canjes.
iting || Many other fuch like Obdfetvations as Couching | tation and heaping tip of Winds,
ie | this Difeafe sand thac Aetins likewsfe, Tecrab, 4 Th Differences
n) tty | Petm. 1. Chap. 121. &c. hath collected very ma- | | et
py the y things concerning uc 5 and thar much alfo may Now there are of thefe Haculene Tumors many ‘nati | foundia Fore/tus his Rofa Anglica, avd in Differences; and this elpecially in regard of the
que | Pther Authors that have wraccen upon chis Subs ‘ant pect and Jaftly, in regard thac Schenhius like- spiked | wife inthe fixch Book of his Obiervacions bach “cot | Collected many ftrange and rare things couch ag |
pacts affected, whiles chac {omcimes thefe Winds are-collected under Skins and about the Mem- branes of the Mutcles; fomcimes in the Membranes ofthe Bowelss iomeimes inthe very Cavicies of
hd | this Blepbantiafis ; io ali thefe tefpects, I chink | che Bowels, vir. the Stomack 5 Womb, Abdomen; ait | ®not amils corefer che Reader unto chole afote- | and Scrotum, or Gods, | tie | faid Authors, for his more ful! fatisfaction, And Signs
| nye | fC} pee | p -| | rt
: " SEs ers 7 ilahdes BESS eNOS
5 =
ee
ea
gS ees asd Se
}
a
VE tia igen etary ee
2628 Book V. Of Prattical Phy/ick. Pare J. J : tie nt Sree poe ae FETS I ee ————- fet
Cline Diszenoltic (in che places chat fhal be prefently alleadged.
wey WS L LagnOjricn. | : ‘“ 4 — j : "S : : 2 |; Such things asare hotand dry difcuts windis
The flatulenc Tumor is known by chis; That | nefs 5 and of chis fore are the feeds of Caraway, of
che pare is fomumes lifted up into a greater, and | Cummin, Annis, Fennel, Carror, Millec ot et
Lo sintoa leis heighths and ofcencimes like- | Juniper Berries, and Bay-betriez, Camonul, Dill, f a pain excited; Rue, Calamincb, Marjoram 5 as torexample 5
io kind of hea-|..: Take Seeds of Caraway, Fennel, and Cum-
ht 9% 9
enitan
a j
bue yet k
winels felt parts; and unlefs min, of each one ounces Rue, Calamint, and the witd be & ne cavity, ic doth very Camomile flowers, of each one bandful and half; feldon 9 in. one place, but wandereth , Mallet feed three ounces, then make a little bag up and It the Tumor may be prefled or tmo, mbich throughly moiften in warm Wine,
With the finger 1 leave either cefiftech the couch of che fingers or elie the Or, unto fome other pact; and if 1 be» Take of Rue, and Betory, of each one band-
leaveth vo pit; bus the Tumor and-apply them by inrns one after the other.
Wind paileth unt |
{more with the hand, tc chen fendech forcha noile ful; Parietary balf a bandfals boyl them in
like chacof a Drum 3, and by bow much the cavis Ley until they be foft, and bruifetbems tben add
ty inthe which the wind Is contained isthe grea- pouder of Camomile flowers, and ‘ean “Meal,
ter, (o much che greacer isthe noe or found. of euch two ounces ; boy them widehaleaGare The Emphyfema differech from Oedema; be-' plafm. Or,
safe thar the caute of Oedema doth alwaies ftick Take Oyl of Rue, and Camomile, of each one
Cauie in che pores, aad the {paces of the parts chat are ounce; the deftilled waters of Caraway, Fen-
‘aplapie b; Reafon 5 nowy what thofe parts nel, Cinnamom, of each balf afcruples a little
you May yoderftand by what we have faidin Wax 3 and make an ‘Unguent.
the beginning of this Ghapier. Bur the cauie of
Empbyfema isoften collected in jome one cerca it | Chap. A2« Of Tumors proceeding from
Gaviv.. Andalbeicchactame flaruiene fpoiris be | “ Be, bit
likew te fometnes difperied chrouga the firergh= | the fotsa pare falling down pig
CCR pellages of the pacts yer acrwichftanding, or vejting upon fome other parts, in
(as we have told you) theie Oedema’s being prel- | : ] - : ;
ii do \savea HOle or picibehid cHemy 5 buc as for | Pad ag ‘
the Empby(emata. hey are not hollowed 10f0 a! ,
pic; and che Oedemata ikewsle ui chey be tour. Here remaineth now tobe {poken of the laft
ched by che hand make no.noiieat al, as dq the kind of Tumors, which che folid and living pacesexcite. For thefe if ouc of their OWn pro
Empbyfemata. pic , : nit: | per place they fal down into another piace, of elfe
Prognofticks. | at lg 0
Kates reff and hie thereon, they chen elevate the parts ine “Cumbent, and more efpecially theskin.; andtoby ‘chis means they excite a Tumor ox Swelling, are then w nhout danger. Buc hows the Bones are {hole pnat principally do >. Ifthe flaculene Tumor be great, ic then ar- this. For thete if in einer cnet @ bility of the heat, and an abun- | chey fajout of cher proper pieces Orfeats, of being broken chey change their {ciruation, they then life up the part incumbent into a Tumor. Bur there 1s no need chat we fpeak any thing 10 ie kind of | from, and de-
we eer & o o San Pelt ures,
1, Flatulence Tumors if chey be foal, and be nor cherifed by tome pertinacious cauie, they
1189 oY OLINgS
guetha great ae dance of mactér 4 and cherefore it is more dange* perous, becauie more contymacious and ftub- born. sur | | |
3, Afthe tlaculene matter be detained in the | fpecial, and particularly, crouching
Mufcles, t¢ is then
4
hardly cured; in regard char Tumors.) For like as che d from the ambient Membranes | pend upon disjoyneme)s, dit
oe
the (piricas difperted : inco almoft al the parts of the Mutcie, as Aetins | (0 they are by them welknown; and cieie cing writech, Teccab. 4. Seum. 3s Chap. 2 cured, they vanifh, iss
And hicher likewife belongech Gibbolity, rou-
A The Cure. ching which we have already {poken im our iecond The wind thac diftendech the part is to be ca~ Book of the Pra@tice of Phytick, Pare 2.. Chap. kenaway, aidmeansufed that 1c may not breid | 2168) hoa again,and flow unco th¢part 5 and the pain Cif]. There ss likewife mention made by Galen Cin any thete be) is tobe rhirigated and moderated. Aud therefore fuch akind of Diet isto be ordat= ned that maketh not for she genéracion of winds and the matter out of which che wind isbred 1s co be evacuated ; and the hear of che pare Chat gene~ rareth the windine(s is to be corroborated,and cor- Bones, and efpecially thofe of the Temples, rected, couciing which we have already fpoken | and in other parts allo; bur as couching thete, oF bepa Q
forc of Tumors arifing from the Bones, and chis he calleth Exoftofis, youmay cal is Bxoffatio,
his Book of Tumors, Chap. 14, 815. end 14 of the Method of Phy fick, Ghap.17.) of a peculiar
co wit , Eminencies and ftandings out of the |
prop” that picts ! Fut wed D ind fa find ot equlett it i 0 Rut im hove,
a apd ch
which
=
plates fam cue pr have lp
im Patt. | The B ving th from ¢ which Aner} tes W plan tn them W I Tumos
a '(
aye min, ¥ 9 word th MD vided of MF thole ch Ob ich a Binns, HF gucal io f Aseuty B Artery Mi doudx
B Nfnais # vocwchf Bolum i t hy, Vei joel
1B Ln ca} MB buy
Tanifef
Tung
heury Mp made ‘lua,
i) wo heth yy ey 1 ein iitce
= >
oS =
‘bind. Deh in madd © ‘Neal, { | Caige
dC) one , Fen
a litth &
from nto, Ka
hela di
mito
_ word the Latines likewife recain, being not pro-
iam xyima.
| conglutinated , neitber togetber brought unto a ) Cicatrice 3. neither filled up with flefh, And che
fame Galen in his fitth Book of tbe Method of Phyfick, Chap, 7. bach lefc this written: Unlef (faith he) flefh produced do firft fillup the place that 1 neer about the Artery cut afunder, but that there ftill remaineth fome void and vacant place, tben verily there followetir that Tumor we call Aneuryfina.Ocher Greek Phy fitians chete are that are of che fame Judgment and Opinion wich Ga- len. For thus Aetius writech couching this Aneu- ryfma, Teuab. 4,Serm.3.Chap.10. Aneuryf- ma happeneth inevery part of the Body, but more frequently in the Throat; where ic produceth thac Tumor we cal Bronchocele. Ic betallech of- centimes unto Women in Child=bed, by reafon of the violent detention and holding of their breach : buc ic happenech Jikewife in che Head, nigh unto che places of che Arteries ; and inthe reft of che body alfo, where ever the Arteries are wounded : like as when ignorant and unexpert Phyfitians in- tending and attempting co open a Vein in che Arm, do witha] prick, and oftentimes cuc afunder the Artery lying underneath ic. The very fame iscold us by Paulus A2gineta, in his fourth Book, and Chap. 53.
The fame Opinion is borrowed from the Greeks by 4vicen che Arabian, as appeareth by what he wrneth in Quart. quarti, Tract, 2. Chap. 16.
| And mben the place of the Artery ( fach he) is not from above coarétated and conjoyned clofe to» gether, after the folution of its continuity, and that it findeth a voidnef or vacuity, then the thing comes even to an Emborifwus, which is na- med the “Mother of Blood. And a liccle after, thus he writech: And very many times (faith he) vided of a betcer and more proper ;, ( for as for| the Artery % not indeed covered over with flefh, thofe chae che Arabian Interpreters make ufe of, | but that which containeth the Artery is incarna- fuch as thele, Hyporifna, Emborifma, Embo-| ted and covered with flefbh, and is coarétated and rifmus, Aporifma, they al of chem have their ori- | clofely conjoyn’d upon it. Wherefore the blood ginal fcom the Greek word corrupted ) chat chis{C@mnot bave nor make any fuperfluous courfe 5 Aneury{ma (1fay) 1s a Tumor ariling from an yea, fomthing goeth out of it even unto the ends of Attery precernaturally affected, isa ching out of the skin, which it receiveth and taketh in the aldoubc and concroverfie. For although the Au-| quantity ; and whenjoever it is eafily and gently chor of the Medicin. Definitions faich chat Aneze- | preffed together, it returneth, and it’s altogether ryfma iea relaxation of aveiny lictle Veflel; yer | bidden, like as we Jee it to happen in Ruptures. norwicthftanding, withouc al doubt che word Ve~} And this Opinion very many, and indeed moft nofum is there taken for Artertofum (Cthacis i of che larcer Phyfitians do follow. Yea, and fay, Veiny for Accerial) fince chat ic 1s a thing} Flaterus himfelf likewife, who is otherwife generally wel known, that che Ancients did often- | wont co take liberty enough in examining the O- times cal the Arteries by che name of Veins. pinions of che Ancients, writech, Thac Aneury/- But now what this Aneuryfina is, and from|ma dothnox only arife from the dilatation of the what caule ic arifech, 1s a ching noc altogecher fo} Atcery (it yec remaining fhuc and encite) butale manifeftandevidenr. Galen indeed in his Book! fochac more frequently (it not alwaies, if ic be in of Tumors, Chap. 11. writech thus couching ¢his| the excerior parts.) it proceedech froma certain Aneuryima: ‘But nov (faith he) a mouth be-| mamifeft and appatenc opening thereof. For tng made in an Artery, the Affect m called Aneu-| then the chin and iprightful blood breaking forch Now this bappeneth when the Artery| of the Atcery under the'skin lifceth it up inco a being wounded, the skin that lieth neer unto it) Turnor or Swelling, and there tormecth and fra- cometh unto a Cicatrice; butyet tbe Ulcer of the | mech unto ic felf a hollow nook, and chece in che Artery fiill remaineth, thef{aid skin being neither | Accery caufeth chis pulfation in this Tumor; é@= ven almoft m che fame manner as che Arteries are wont co empty chemfelves naturally into che hol~ VW low
Chap..43. Of Aneury{ma.
referred unto Dod: and Cornwa, Tumors above propounded, Chap. 38.}) there 1s no need ac al thac we {peak any thing further here in. chis Jace.
” Furthermore, there are Tumors oftencimes ex- cited by che fofc parcs moved out of cherr places, and falling down. And hicher belongech chat kind of Tumors chat che falling forth of che Uvea caufecb, of which we havealready treated in our ficit Book, Part 3. Sect. 1. Chap.25. Hernia or Rupcure of che Inceftines, of which likewife above, in che chird Book, Parc 2, Sect.1. Chap.6. and che Umbilical or Navel Hernia, touching which alfo we hve {poken fufficiently in che fame place; Part 10. Chap.2. And laftly, the Uce- rine procidency, and Hernia; and of chis we have ipoken likewife before, in the fourth Book, Parc 2. Sect. 2. Chap. 16, and 17.
There remain yet only cwo forcs of Tumotrs,ha- ving their original from che living pacts; the one from che Arteries, che other from che Veins: of which che former is termed by che appellation of Aneury{ma, and che laccer by che eame of Vart- ces; which Tumors we thal {peak unto and ex- plain in che cwo following Chapters, and with them we wil conclude and fhuc up this Tract of Tumors.
Chap. 43. Of Aneury{ma. A nina, which is fo called, noc fram the
“\ Greek word Neuron, but trom Anaeuren- mein, which is as muchias co dilate above; which
i}
SIE EM PN SSE EER I PS
2530 Book V.
Me er ee SEN een eee! oe a ee. eS a ce EER
SS: Prattical Phy fick. Part 1.
Jow nooks of che chick Membrane of the Brain | notwith{tanding the Flefh and the Skin that co- fohere they do ic preternaturally, by pouring] ver the Artery, continuing ftil robo! and entire forth the blood ( wich and in breathing ) in ics | it doth not alwaies fo infinuate it felf into any Diaftole, and in its Syffole receiving ic in a-|largeand ample {pace, tbat it fhould be made gain. | therebyto putrefie, and rendered deftitute of the
Bur this isan Opinion that I could never ap-" belp and affiftance of Nature. Buc thetcuth is, prove of 5 and therefore in the yeer 1606. ( when | he doth'not here by all shat he alleadgeth acquit Tincterpreted Guten’s litle Book of Tumors) I \and free che Ancients from rhe aforefaid Objecti-
altogether rejected ic ; and I chen likewife pro- jons. For if the Blood that is flown forch may |
pounded another, which out of tchofe Lectures of | be cherifhed by the vical Spirits and the heat of mine, chat noced and famous man Dr. Bernbard the Artery ; why then is not the fame done like- of Sweden made ufe of and Infected likewife in| wife when a Vein is {mitcen and pierced through, his Treatife ofthe InfpeGtion of Wounds. For!and whenche Blood (che Vein being noe as yee if Aneuryfina fhould proceed from che Effulicn ' confolidated and exactly clofed_) iffuech and flo- of the Arterial blood under the Skin; then cec- |; weth forth? Neither doth che Blood only then cainly the faid blood would diffule and dilperfe putrefie when it ts poured forch intoa latge and acfelf, in length, and breadth, and round about; fenfible Cayity, but likewife whenfoever it ts thed
and would dye and colour che Skin of anogher | forthunder the Skin. Furthermore (as'we have |
Hieu; like as we {ee ic to happen in Contufions, faid ) chac Blood which we call Arterial is noc and inthe opening of a Vein, when ic is not ex-; poured forth round abour, asthe Vein Blood
actly and rightly performed; cto wit, wheneither 1s which yet notwith{tanding ic ought much ra- |
the Vein is wholly cur chrough, or elfe when che cherco do, in regard that it is thinner, and more Wound thereof by reafon of the impetuoufnels | {pirizful. For itis nocfuficiens (what Plate- and violence of cheBlood.isnot rightly clofed. For ;rws writeth >) chac the Blood pouted forch under then the blood is very often poured forth under | the Skin doththere form and frame for i¢ {elf a the Skin, even unto the extream and ucmoft pact ; Sinus or hollow nook, noc unlike the hollow {pa- ofthe Hand; andthe Skin is dyed with a Red, | ces inco which the Asceriesin che thick Membrane
Green, and Yellow colour. Which muit necet- farily happeh fomuch the more,if an Artery be o-
_ penéds in regard that che Arcerial blood 1s chinner,
and floweth forth with a greater force 8 violence : which yee notwithftanding never happeneth in Aneury{ma,in the which thac Tumor ts conteined within its own Limics, and as it were in a Blad- der; neither is che Skindyed wih any other co- lor.. And moreover if Aneuryfima proceeded from a Blood poured forth under che Skin, in progrefs Of cime it would fo happen chat this Blood confi; fting and abiding in a ftrange and unfit place would pucrefie likeas we fee ic ufually goth in Eccbymoma, as we told you before inthe feven- ceenth Chaprer.
Antonius Saporta indeed iwnhis firft Book of Preternacura) Tumors, and Chap. 43. doth his endeavor to falve and anfwer chefe objections,
it altogether leaveth its own proper Veffels, and caft it elf fortbinto a greater Venter or Cavity,
_ being left deftitute of the influx of the beat that
fbould flow in unto it, wil neceffarily putrefie: but in Aneury{ma (which proceedetb from the opening of an Artery) it # not (o far forth left deftitute by the beat thereof, and by the reft of the ‘Blood thai is contained therein, that its native beat and colour fhouid jCrifb 5 neitber is it expel- Jed forth into any great {pace or Venter, that it Should corrupt and putrefie. Forit # cherifhed by the vital {pirits containedinthe Artery, fince that its matier remaineth yet entire and continu- ed. or albeit tbe Artery be divided, and the Blood caufine the Tumor doth pafs forth; yet
lof che Brain do infinuate chemfelves; and thag |
che Skin is inftead of an Arcery unto that Bload tha is poured forch out of the-Artery 5 and that the Blood may from chence untnterruptedly re- pafs, and flow back again into the Arcery, with- ous any Corruption. For the Sinus’s are fta-
med by Nature, and fo exactly fhuc up with jj
Membranes, that nothing at allcan poffibly flow forth ofchem. Butnow che Arrersal blood can
no manner of way frame foritfelfany fuch Sinus, |
buc whenfoever it faliech forch wichouc'the Arcee ry ic diffufeth ic felf every where round about 5
and in regard chac under the Skin al] chings are | confluid, therefore the Blood eafily maketh an ir |
ruption intothe adjacent parts by that way and paffage that is opened ; che which we may like-
wife fee che Veiny Bloodto do (which ts ‘much |
chicker ) and chen the faid Blood being out of
whiles he chus writech ; Ihe Blood (faich he) if |its own, andina ftrange place, foon putrefiech.
Which appeareth even from that very Hiftory
to make much for che confirmation of what he had writrentouching Aneury/ma,io his firftBook of preternatural Tumors, and Chap. 43. Neither in truth was that Difeafe which he there defcri- beth an Aneuryfina, but only an effufion of the Arterial Blgod, upon the rupture of the Artery,
rupting. Bucchis is the Story chac he tellech us. Whenas Johannes Fabn that moft acute and fedulous Scribe of the “Palace at Montpelier had fpent the chiefeft part of bis youth in ytotows and inordinate Revellings and Feaftings, and
frongeft
that Antonius Saporta writeth, as conceiving tc |
inco the places lying neer about ic, andchere cor- |»
in afrequent and unfeajonable Drinking of the |
=
peo i Pica, ah od perf dle ie wiped By Phy i yore be Guie Ba wap | Ghoulde |
{
Joo l red uo Wm andatter Ma dv Ui lly bi Blioner ta ira ln ig, (D nin Wig Sut wow UM sinty bo
19 Difeate, I tbat har . hat par Ma of hich | Wa king wo) here apt bier th bereat Ver nodmaly tedinely
decendtin econ Mat flor oF the ind cory Biter
Ur alo
And th | kang of Puhr ay ' The A
ic
| K|
}
po eS
ca
2 => a r
vehave fl | is noe Blood Uch Ta d mare Platee f under elf a W [pa ubtane nd thar
t Blood
nd that § aly re , with: are fra p with Ff y flow
00 can SERMS,
e Artery about sf nt se bali fl nay atd | ay lke iy much ut O
“teh Hiftoty
diving tf whe rftRook Nene sel of the Artery ese col
mr
A A ER ————————
rm ET firongeft fort of Wines, without any diluting, or; cernal, which is flender, chin, and foft, having of qualifying the beat thereof, be began about the| ftraight Fibres very many, but of oblique ones very fiftieth yeer of bis age to draw bis breath with) few, and of cran{verfe ones none at all: che other
¥
AY Yeu:
Of Aneury{ma, S521
al
much difficulty, and to be affetted witb an ex-| internal, which is clofe, chick, andi
tream troublefome palpitation and beating of bis Heart. per there were many Remedies prefcribed and
oj a ae aa: | i ts Pa adminiftred; not only by my felf, but Tikereife by| may be in regard of its hardneis) ox elie: i
For the removal of this great Diftem= | lique ones.
cran{verfe Fibres, buc wanting ftraighs ana And therefore if the Inrerna cle be either, broken by extenfion-¢ a:
the moft expert Phyfitians of our ‘Univer fity | Opened by Section, ic doch not eafily, Cem
ij
there. prevail over this contumactous and bead-firong
and perfevering in bis accuftomed ill cour{e of Di- et, be grew the worfe thereby » and after fome fere montbs were paffed, inthe which by the advice of
the Phyfitians betookno Phyfickat all (for they
were willing to commit unto Nature a part of the Cure of this Chronical Affett ) be began to complain of that part that leth under bis left Shoulder-blade. \ The place of bis grief being lookt upon,and throughly confidered,tbere appea- red uitto me anotable Lumor, foft unto the touchy and attended with a beating; and when preffed down with the Fingers, it war then feemingly wholly bid and non-apparent; but thefe.swere no fooner taken off. but forthvoith it returneth as be- fore. In fhort. the Difeafe having gotten deep roo-
‘ting, & being now become incurable, our ‘Patient
within a very fort time after-departed thas life.
But now ibat we might ger the truth and cer- | tainty both of the nature and conjlitution oj this
fs ‘ x x8 i Difeafe, as alfo of the Caxfe thereof, we diffetted | that partibat was affetied with the Tumor. out| of which there iffied forth great fkore of Blood, | oes |
unfavory and flinking as it was , all which Blood | i !
being whally evacuated and throughly cleanjed, there appeared the prime and principle Artery under ibe Heart (having its original from the great Vein in its af{cending up into the Head )ex- |
defcending downward creepeth along through the | Revion of the Intercoftal Mufcles 5 the Blood that flovved forth of it being heaped up in the {pa-
All cobich when they could not in the leaft | and clofe together again, becaufe it 19h | now cheexrernal Punicle in regard of ic Difeale, by reafon of the Patients continuing | doth eafily and {oon grow together again ;
1
caufe icisfofofc, and wancech both ob tranfverfe Fibres, 1c 1s thereupon extend Blood and the vical Spiric, teeking the: forthinan
eo i
fumor cometh co be excited
of che blood and the vital {piric may be difcevered by the very rouch. Nei er is chat which ‘Platerus objecteth of any weight or moment 5 to wir, when he cels us, chac upon che alone bare Section that be faw made inthe skin chat covered cv -r che Fumor, the blood forchwach at firft bid at felf,ouc chen in~ ftantly {prang forch amatn 3 and chis, oftentimes, faith he, is info great abundance, chat i¢ cannos by any one (ufehe what means he wil) be any more ftanched; but thaciiffusch-forch in grea- rer abundance, infomuch that the whol: ftock of
Blood being almoft dpenc 1c hath, ofcentimes ies eae Ves by - rhea fil P ya brought a fudden Death upon the fick Perfon.But indeed if we ild decermine, thac. che, Aneurif-
a = ma, proceedect he dulacacion cf chefe Tune
apes walpd al hee Peicae Aha acres eiata it ee ou fs OUCH Attery, tis Obj ection Wonuic Cilen care x ~ )
A?
Cc
CV iceme We f} 4 ng Wh nh if Riser en regard chac ¥ SOAS Uv¥ G at Gauaine Vw ea ® ASL. Bae fete 65,0 (45 ta i
r MS Saye Arai phy RaaRie denok f Senos galego SUES ee
( according to.ihe crutihor Che matter). we nave
Tielnage Gamal pong poser Bad phlei acee teas a, {PERE AT gl already ailerced.and determined thacan Aneuryj-
t ee ee fee Feta awe rent ee Re nT rifech from che dilatation of cheexceror Tu-
: oe al Beate . a eat cs rena D Pvemk-o rs nicle alone of che Artery .¢ che internal being opes-
ceedinoly dilated, and extreamly torn. Thx Vein| nedeiherby Section, orby Ruptute ). we can ; g 3 y : 3 y P j
not therefore by any-means grane, that the Arce- rial blocd lech hid under the whole Skin: bie becauf2 che exrernal Tunicle ts extraordinarily
ces of the Mufcles,anu in trat of time putrefying| extended, it cohereth and fticketh {o clole un» and corrupting, bad fo vitiated and marred tbe|co the Skin, chatic is extended cogether with its
to us altogether rotten and putrefied. And therefore ( fay we_) fome other way and
means of che generating of this Tumor is ¢o ail
fought and found out. The Author of the Book of the Medicin. Defi-
nitions defineth Aneurjfna by the relaxation of} That the proxime and, nigheft caule
anArtery, Andfolikewile Fernelius inthe fe- venth Book of his Patholog, and Chap. 3. affer- teth chat Aneury(ima isa dilatation of an Artery ful of fpiritful blood: bucallchiswhile they do not expre{s the manner how thisis.done. Neither asit ever a whit credible chat Aneurifma is cauled by the dilating of both che Tunicles of che Arcery, but only by the widening of one of chem. Korthe Aicceriés have indeed a double Membrane, one ex-}
f
Vertebra aiid Rib of that place,that it feemed un-| and % 4a a manner fo become one. therewich,
chat it s almoft impoffible to cuc che Skin. with= out cutting the external Tunicle of the Arc= tery.
And fo then the refule of al chat
hath heen faid wil be this, co wit, | The nighet
canfe of A= ee eas : 5 neurilima. of Aneury{ma is, the opening of the
interior Tunicle of the Artery, and the dilatation of the external. Now it 1s very frequently opened by Jedtion, when ‘unex pert Chicurgeons inftead of a Vein open.an. Arcery 5 or when at leaft cogether with che Vein they cuc chrough che Arcery chat lieth underit.. Now if this at. dny Cime happen, the external Tunicle in regard of its fofenels and neer alltance wich the V3 Tunicles
Oh) dae
Mh | in
rot i?
} ha fe | j ae a hae
\ ie! } |
Sg a es crt ee
Book. Vie
a
Tunicles of the Veins very eafily and fooncloféth cogecher again; but the interior ( by reafon of its hasdne(s ) vemaineth open , from whence ehrough che patent and open place the Blood and vital Spirit endeavoreth to break forch, and by chis means diftendeth che exrernal Tunicle, and caufech chis kind of Tumor. The fame may likewife happen if the internal Tunicle of the Ar- cery be broken either by the violent and impetu= ous morion of the Arteria} blood, or by any vio- fenc external caufe, and che overgreat diftenfion of the Artery 3 theexcernal Tunicle ( chat is more apt for extenfton) being althis while fafe and found,
ARR ce
But now, Whether or no that pulfation of the |
Arteries, af which ‘Platerus maketh mention in his Tract touching the palpicacion of the Hearr, €and touching which out of Fernelivs, and Ludo- vicus Mercatus, we have already treated if the
fourth Book of our Practice, Part 2. Se@. 3. |
Chap. 9.) may or ought properly co be referred unto Aneuryfna, 1 very much doubt. For whenas the Membrane of either Artery is then
whol and entire, it feemech racher to be an Affect | fene doth) inche Veins, of kin co che {woln and diftorred| at al.
Veins that we cal Varices, than chis Tumor .4- neuryfma, of which we are now treating. Signs Diagnoftick.
The Aneury{ma is eafily known and difcerned from Ecchymofis, becaufe that in Anenry(ma the color 1s like unto the reft of the skin, and che Tu- mor is foft and loofe, and for che moft part pi- veth way and yieldech unto che compreffion of the fingers, the blood running back into the Artery, from, whence it inftantly again floweth forth. There is hkewife a Pulfeco be fele in an Aneur y{- mas Although that Parews hath obferved, chat fomtimes in the Aneury{ma (if itbe great) there is neither-any pulle cobe perceived, nor any re= turn ofthe blood (upon the compreffion) unro the more internal parcs; and chis Ialfo obferved my felfinacertain Woman: but chen notwith- ftanding there isco be perceived a motion, andas it were che loud noife of boyling wacer 5 and that not only when it is prefled down with the fingers, but likewife'at other times; and this hiffing or | finging noife is not only to be perceived upon the | touch of the fingers, but alfoupon the puiccing of | the Ear clofe thereto; which proceedeth from the | motion of the vital {pirit in its paflage through | dtreighc and natrow places. All which figns pro-
Of Practical Phyfick.
Pare. I.
ae aR A aun
| and fo chey are no waies tobe cured bur by Segti- | on) wilhardly admit ofanycureatal. Forthe | Tumor being opened, and the Artery (asic isne= | cellary) being cuc, che Arrerial blood flowech | forch Ccogerher with the vita] {pitit) abundantly, | al ds ac were at once, and with great violence ; fa that che fick perfon is oftentimes to extream hazard and danger of death. And | there are many remarkable inftances thar mighe | be given of fuch fick perfons asin che opening of the Anexryfma have died under the hands.of un- skilful Chirucgeons. | 3. Neither hath the Tuer chatis joyned wich an Aneuryfina any great danger inic; bue chac ithe lite may cogether with ic be lengthened. ouc jfora longtime. Ikmew a cercain neer Neighbor |ofmine, in whom an uaskilful Chirurgeon when | he fhould have opened a Vein, cut an Artery; and if is Now already above chiccy yeérs char fhe bath had an Aneuryfna as bigasa Walnut in the in- watd bending of che Arm, and al this while hi-~ | therunto fhe hach enjoyed (and {til even ac plé= perfect healch, as if the ailed nothing Aod cherefore we conclude chac better it is
| famctimes for che Patient co bear and undergo this
fleight inconvenience, chan to fubmit himfelf un-= to a dangerous Cure.
The Cure.
And therefore forchwich (even in the very fact rife of it) fofoonas ever we perceive chat there isan Aneuryfina excited, ( for itis not fuddenly idone, but chat dilacation of the exterior Tunicle of the Artery is caufed fenfibly and by degrees) lec | Affringents and Repellers be impofed upon the
| place affected, chat fo the force of che blood may
be abated and qualified, and the open hole of the Artery may be fhucup. For which end and pur- pote there may likewife very fitly be adminiftred athin Leaden plate, which doth tepel, thicken, and bind. clofe together che loofened Atrery, There may alfo be adminiftred aftringent Caca- plaims, and the Emplafter againft a Rupture.
| And becaufe thar che Aneuryfma {omtimes alfa
arifech from the cutting of an Artery, we muft da ourendeavor, that ifan Arcery be cuc (whecher ic be purpolely done,or whether it happeneth by any
accident) thac ic may immediately fhuc and ||
clofe up again, and shat in aright mariner: which in regard that i isnot here foeafily effected Che--
ceed not from the effufion of the blood under the skin, but from the dilatation of che Artery,
Pro gnofticks.
a. Al Aneuryfma’s are very hard co cure:
2. Yet notwithftanding chofe of them that are lefs, and newly arifen, wiladmitafaCure. But fuch of them as are old, and greater. (in regard
wat that bloodcannor be driven back by Aftrin-
caufe of the violent and imperuous morion of che Artereal blood ). asit is in che Veins, cherefore we preicribe che following Medicament as very fic and proper for the Confolidating of the Wound of the Artery.
Take of Frankincenfe two parts, of Aloes one partand an half; Minglechem; andhaving fha- ken them wel together with the white of an Ks tyeup all wich che Flixof a Hareas much as wil
fuilice,
| gents, neither may che Arrery be coniolidaced 5 |
precipitated in~
ited B feat pacha
[tant 1B den ad; 0 Ui (vade u \% ened, G cpt hen it a af hel polene’ wound IW bloods: ij muortha bam ner or cll Tab ys with it im inthele
ae fon | Hibreds; iPenh MA ive eh ven beta
i) At ele "ny
ffardr
ey
whe ito Q
\a
berebe H) and wihey | Urouely bin Nee V0 doy hin ly Ith De f) Sao iif
Me Oe
yety th By
b| left remaining that was tied about 5 and then a! | long fleen-like ‘Plaifter wel moiftened in Wine
che Arrety.
But who is be chat
And of this kind there are divers other Medica-! feech not, chac this kind of Cure is not only cruel,
ments co be prepared, of che Roots of che greater Comtry, Meftick, Frankincenfe, Pomegranate Rinds, Acacia, or binding Béan-tree, Hy pociftis or the hardened juyce of Cyftus, Myrtle,Gals, Aloes, fealed Earth of Lemnos, Bole-armenick, Lapis Hemacices or the Blood-itone, and the Emplafter Diachalcicis, . |
If in this manner ‘and by thefe méans the growth
and fo cruel chat few or none wil fubmict unto it 5 bu chat it hath Jikewife much danger inir, and yet for al chat doth not heal the fick perfon? For although the Artery be bound about; yet nots, withftandineg afcer the chreds are loofened there tg
| caufe co fear, left char either an Hamorrhage fol=
lows or elie that a new Aneuryfma be caufed. And therefore the more fecure and {afe courfe is,
and encreafe of the Aneuryfma cannot be hinde- red; there are indeed fome that advife and per- {wade us unco Section; and the Tumor being opened, the Arcery that is tobe cut mult be incer- cepted by binding it about with ¢wobands; and chen it mult be diflected berween the cwo bonds ; and thefe bonds (as they ceach us) are not co be Joofened, until chat Na‘ure hath covered over rhe wound with flefh, and chat now al che fear of the bloods iffuing forch, and al the danger of an He- morthage be paftand gone, ‘Now as tor the mane ner of cutting che Aneury{ma, AAgineta acquaints us with it in his fixth Book of Phyfick, Chap. 37. gn thefe words: If the Tumor (faith he) be cau- fed by opening, then we ufe to inflit upen the skin @ ftraigbt Settion made lonewaies 5 and then after this thelips of the shin being parted and far fundred by liitle books ,we make bare the Artery, fevering it from its Membranes. by Inflruments very fit for this piirpofe, and then after the tran{- mifjion of a Needle under it, we tie it with two tbreds ; and then fo foon as we bave pricked with aPen-knife the middle part of the Artery, and | bave evacuated vobat war therein contained, wre | then betake our felf unto the (uppurative cure,un- til at lengtiy the ties of the threds fal off. ‘But | nove if the dilatation be caufed from the rupture of an Artery, then it bebovetd us (as far forth as pofjibly we can) to lay bold upon the wbol with our fingers, togeiber with tbe skin: then to caft through it ( beneath that. we bave laid bold on with the fingers) a Needle, that may (if you
| | pleafe) bave init iwo tbreds, or rather onetbred | doubled: and after the cafting through of the |
Needle anditbred, we are then to cut in two the | 3
only cobind bard, and prefs eogecher the Tumor wich Bands and Medicaments, that {fo 1¢ may not gain any further augmentation.
Chap. 44. Of the fwoln Veins, cala led Varices, Ns hail
y the name given unto it by che Greek Phyfi- ans only , for we find Ariffotle in the chiurd Book of his Hiftory of living Creatures, Chap. 11. and rg. and Plutarch in the Life of Caius, calling ic Ixia 3 as Galem in his tench Book of the Method of Phyfick, and laft Chap. defineth ic; and as out of him Paulus A:gineta hath tranfcribed it in his fixth Book, Chap. 82. and Aetizs, Tetrab. 4. Serm. 2. Chap. 48.) isthe dilatation of a Véing this faid dilatation of a Vein being called Variz, as chat before mentioned dilatation of an Artery was termed by the Greek Phyficians Aneuryfma 3 of which in the foregoing Chapters But now, thefe’ Varices happen in divers patts of the body, buc moft frequently in the
| Thighs, and yet nocwithftanding fomtimes Jike-
wilemche Temples; as Paulus telléch us in the
place before alleadged; and fomtimes in the lows eft pare of che Belly, under the Navel; and’ of ‘cenctimes alfo abouc rhe Tefticles, and the Cods 5
The Caufes.
They are generated from great ftore of Melari- cholly blood, which Cas Galen writeth in his
very bandle (as | may fo calit) of thé dowble | Book of black Choler, Chap. 4.) Nature often-
thred, and foto bind about the Tumor (on this fide, and on that) withthe twotbreds, Bat if there be any caufe to fear left thefe threds fhould
nother ‘Needle to be caft through, that may
| cimes tranfmitceth unto chote Veins that are inthe i Thighs, by che which being diftended and dilated [they are rendred Varicofe or {woln up; and the
a de x x 4 : > | . ad . * : P | flip and fail, then inthis cafe there # likerife a- iskin that coucheth upon thefe kind of Veins in.
‘
procefs of time becorhech of a blackifh color. But
througbout lie and prefi upon the former , and | bow as tor {uch in whoin there is only preat fore thes Needle may like voile drave after qt tivo ibreds, | of blood flowing In chat isnot Melancholy 5 wre-
ov a doubletbred , and the handle thereof bein hg
| fting indeed,and whollyyelying upon thofe Veins
cutin funder ve tben bind about the Tumor with | which cbere in that place’are naturally more weak
four threds, or elfe tbe Tumor being opened about the midft of it, after the emptying f orth of mbat is | therein contained, we cut off ibe skin, that being |
than el{where, doth dilare them, buc icarcely ever dye them of fuch a like color, as it bappeneth when Melancholy blood fhal produce hele Varz- cete For fuch are in very greac danger (if any
| one affay ro cut forth tae Ving affetted ) of be-
ing
2533 -
and Oyl being laid thereon, we conclude and per-
sod t, al ard ‘vert? ing furprifed with }
olly. . For this is te
o happen, nor only in Varices, but! rhoids alfo thae confift of che! asthe coming of chem) upon thoféthar.are mad is wont to be a freeing
ah ah 5 lea iJ Re INE og wAhat. . 2 and difcharging om theic madnhefs; as
humor
nding, {carcely ever doth 2)
it abound never fo much ) by |
he produce and caufe Varices,'
=
SOF Prattical Phyfick.
Prognofticks. 1. T[hefe Varices of themfelves carry, little er no danger inthem; nexher bring, they any unto the Party thus affected 5 but chey rather preferve and free iuch as have them from other Difeafes,
his Aphorifms, Aphor. ‘efpecially Melancholly Difeafes ; couching which
THippoc. in the fixth of his Aphorifms Aphor. 216 thus writeths If Varices, or the Hemorrhoids
bappen unto fuch as are mad, they are thereby”
icbe boch plentiful, and withall if it freed of their madnefs ; and the whole Bedy
by its weight tendeth downward FP
Whereupon ic is alfo chat the
by them throughly purged from all fiatulent Blood.
t their being uncil che ripenefs of ~ 2. Buc if they be unfeafonably takenaway (as dge 3 as Hippocrates.in Coac. prenot. tawatd Galen in his Book of Venefedction apainit Eriff. che ead ceacheth us 3 tnrégard chara chick and me- ffratws, and Chap. 6. and in, his Book of black lancholly blood is not generated footer in the Bo- Choler, and Chap. 4, teacheth us ) Madnefs, the dy. And likewife Pliny in hiselevench Bookand Pleurifie, che pain of the Reins, the Hemorrhoid Chap. a5, writech thatthe Varices happen ip the Flux, che Cough, and {picting of Bloud, che Apo- Thiphs o '
fMen only, and very rarely in. Women. | Such likewafe as are bald, in chefethe Varices be- come not great.: but tor fuch as ( while ches
baldnefs is upon chem) are afflicted with chee
Varices, thefe come again coreceive their Hair, @ippocrat. ip the fixth of his Aphori{ms, Aphor
¥
34. Which yec notwithftanding Galen ail tabeafalfhood ¢ in his Commenc) .uniefs haply apy one wil udderftand
Pay 4
Ay Seine oe
SOR ee? ooh ere. Oi fas,tP OFF O} ue riair.
rE DD) Teetn. | \ |
his of chat aftect thac | & ficians call Madarofis, that is, the thedding | {ize, and chac the Veins and che Skin by reafon of For this Affect fince ttheir extenfion be fo extenuated tha¢ chere be
plexy, Cachexy, Dropfie, and other Difeates a- rile.
3. Sometimes thefe Varicer do pafs ‘into the Elepbantia of the Arabians, touching we fhal ipeak further in the next followin
cer, ‘ The Cure.
Unlefs therefore the Varices be of the bicge
56
tivac i hachics original from vicious humors (as |great canfe to fear a Rupture, a profufion of like wtle the Alopecia hath, and alo that we call} blood, and Deash it (elf; and again ublels they
Opbiafis) 1b thots sanflised into the Ehighs do caule the Varices, thé fick Perfons may chen poflibly recover and re-
ceive their Flax again. «Por iatthe farft che lols
ne ttayr procee ; x
? anc Cerroeay j
“ts APRS a ne pie» ood ae mec Ame , za lars 1OW CME SOULE ADCO iome other pie ce,
, ind 33 {3A 3 ms re tr H PFA “mat 71 Vala @) ghe Hairs will-again cecurh wnco yo
ie ee Pa > , nA mA. and breeding of thick and me-
lagcholly blood 5 and et
rear ary hs ¢ Sneracen
°
forthe
OL ARE oS o
{
*
yecially the Spleen when
1. sdiftempered maketh much unto, and belpech fo ithe oeverasion of thefe Varices, And chat hi hich much furthereth che flowing ofthe aforélaid humors uote this part,may be comprited under on of e Heads, to wit, etiber a blow, or ficeining overmuch, Jong and tedious {cot jour- neys,¢xcceam hard labor, and che hike.
ss yanleg. : Signs spe i Fa
Bhefe Varices ace eality known, whenas {wel-
ling Veins ia the very fuperficies of che Members
wandripecially ofthe Tnipghs) appear uno the
ws ‘i } Rd ERA aie Themore remote Caufesare all chofe chat make | '@)
\ !
VeLy a “praved humors being be inflamed, aud extreamly painful 5 OF that chere
be prefent fome great and malignant Ulcer; they ace by no means to be healed, left chacthefe being removed, fome more grievous Evils befall: Since
see
‘ded from vitious bumors their | thac chofe things only may be faideo heal-that do o the very ceats of the |altogecher free the Party $ and not chofe chings
“4
Cqueftionle(s ) thete faid humors | that generate another Affect more dangerous chen
| cheformers as Galen teacheth us, in the fixth of
theic natural! | bis Aphori{ms, Aphor. 26.
And therefore af it Jike you to Cure ghefe Va- rices, this ought tobedone with great Caution; chere muft be fome of the blood Jet forth; che
| Body muft then be purged, and chat not only
once, but rwice or thrice gand whacfoever is amifs inthe Liver andthe Spleen Cif they be ill affes ctéed, and adminifter caufe unto the Varices ) is firft of alto becorreéted. And afcerward we are co make ule of Aftringent, Drying, asd Digeftive Medicaments 5 as alfo of Swath-bands, and Liga-- tures, chat may thruft forth the blood from the inferior parts unto the fuperior. °
Thete things ifthey proficnot, but prove fuc- celsle(s, che Ancients were then wont to berake themfelves unto Section or Cutting. Oppius is our Author (as/Pliny relatech ic ia his eleventh
very figiicic {elf andthe parc effected appeareth | Book, and Chap.45, ) chat Caivs Marius (who either Leaden coloured ot black ;. and the Fumor | had been {even times Conful ) was the one man
being. prefled down feemingly retreaterh
ror | bhayerh rartarnarh again bur forthwith cecurnech egain. |
back, |
chat fkanding fuffered chefe Varices to be caken outofhim; the one man (faith he) Ical him, be= caufe
fe int ie illo iy a0 i (ict qin Q ind val nt cu a) peeve jig bow pill $ tole \ sin Af ei), an gta ig pain, dap on ibe aft at onl fay fold a i a Rat pe ereater pa Wie whole conf nding ping Pu ii; Hem Piarch) . Ui Thighs Hee, and poe i i Pring of 0 Wfhedid neither
MM} then
Wich Sone vi He itiento hota
1) oe |"hoval
tle " Unto | eleryg aly | Which
4 Wy
1
ee ee Tootdy i |
erly }
yt BI Ady 8 | | ult |)
‘thers alfo chat fuffered che fame to be done unto
| folved man was contented to fuffer pain, but then | as a Rational “Man be refufed to undergo a| | greater pain then there was neceffary Caufe for : | tbe whole of what thou art taught by bis tics
————s
caufe that ashe was che firft, fo he was che man iin chofe times.
only But after bim there were o-
ther ftanding, and even without any bonds. For fo Cicero tels us in the fecond Book of bis Tut: clild.ne Queftions, cowards the end thereof, ‘But! ingood truth ( faith he ) Caius Marius, a Coun- trey'-man( but yet aman every inch of bim)ovben
themto bind bin: ‘Neither before Macius pvas|
‘there ever any beard of that was cut without be-
ing bound. Why therefore were otbers after- words? His Authority and Example caufed it fotobe. Seeft thow not therefore that the Evil of this Affe% vas more in Opinion , thenit was really, andin Nature. And yet notwithftand- ing that this Affett voas not without its fharp bite- ing pain, the {ame Marius fheweth : for be yield- eduponly one Thigh (whereas they were both of them affetted) to be cut, and not bis otber Thigh that atled altogetber as much , fotbathe as a re-
ple confifts inthis, viz. that thou carry a Com- manding power over thy felf. And of the fame
_| thing Piucarch writeth in the life of Caius Mari- us: He may be for an example unto us (faith
Plutarch.) in that when be was difeafed in botb bis Thighs,and baving them both ful of thefe Va- | tices, and bearing the deformity of them with a| wery 1 will, be took unto bim aPbyfitian for the | curing of one Thigh only , inthe cutting vobere-
KY | * of be did not fo much as blinch, or once ftir bis bo-
dy, neither was he beard fo much as once to figh 5 |
Of the fwoln Veins called Varices.
SS
about another String above the Knee, and by this means the Vein being elevated into a confi- derable beighth, we cut with a Penknife in that very place which we marked, no deeper then only through the Skin, that {o we may by no means di- vide theVein ; andthenthe Lips of the Settion being diftended with little books, and the Mem-
branes being excoriated and fleyed off by those ‘bewvas cut of the Varices, at the very firft forbid |
crooked Penknives that are provided in Watery Ruptures, and the Vein being altogether made bareand naked, and laid opento the viewon all fides, we then loofen the Thigbbands , andthe Veffel being elevated by alittle book , we caf un- der it a ‘Needle drawing along in it a double Thread, and cut in two the nookof the Tbread; and then (the Vein being divided in the midft by a Venefettory Penknife ) we evacuate and let forth as much of the blood as is needful: then af- ter this, vith one of the threads we tie clofe toge- ther the upper part of the Veffel,and the Thigh be- ing extended ftraight forth, by the expreffion or bard prefjing of the Hands we empty forth that blood that is in the Thigh: and afterwards we a- gain beneath tie tbe veffel clofe togetber3 or we cut off and take quite away that part of the Vein that leth between the bonds, or otbervife we permit it to remain, until that at length together with the
bonds it fal ont of its own accord: & then putting
in dry Liniments,and a long fpleen-like'Emplafter after it hath been throughly moyftened in Wine © Oyl being laid thereupon, we bind it down clofe, and {o vee cure it by the continued courfe of {uppre= rating Medicaments, thatare to be adminiftred and applied inthe nature, and after the manner of Linuments. Neitber ain] ignorant, that (ome of the Ancients ufed none of thefe bonds and Li-
a a . a | “ :
but when in filence, and with fixed Eyes\ caiuress for (ome of them prejently cut forth the ‘ >] ee EA 1S” £ y i
be bad rendred himfelf to be cut, be was not | Veffel fofoon as ever they bad made it naked and
atallaffraid (during the time this cutting took up) tofuffer-and undergo certain intervals of
bare, and certain otbers of them voith violence draw forib and break off the faid Veffel fo {oon as
pains caujed by paufes and deluies. But yet be| they have extended it fromthe bottom. But the would not in the leaft confent unto the Phyfitian | truth is, that before mentioned way of Manual requiring bim to render & yield up bis other thigh | operation is abfolutely tbe beft,and of all otber the
‘Remedy can no waies countervail thefe fo great pains. And baply thefe are thofe things,
faith 5 He, chat whileft he was fuffering thofe Varices to be cut forth continued al the while rea-
ding of a Book. ‘But yet at this day there is bard- | ly any one that wil admit of this Remedy, for the
:|| tobe cured; but thus be faid, Tknovo wel that the| moft fecure. ‘Moreover, as for the Varices that | confift in the bottom of the Belly, we bandle them
| of | in like manner ; as likewife thofe that confift in the “which Seneca in bis eleventh Book, Epift. 79.
Temples. Thusfac Higineta, ?
Cornel. Celfus inhis teventh Book and Chap. 31. celleth us of a cwofold manner and Method of curing thefe Varices by Chirurgery; whenhe thus writeth; Every Vein (faith he ) chac is hurtful
removal of that deformity thatis caufed by thefe | eicher withereth and wafteth away upon its being
Varices. As forthe manner of cutting them out,
Paulus fegineta,in bis Book 6.Chap.82. teachetb
us bow it ought to be performed. The man being
washed ( faithhe) and a ftring tied about on the i{| upper part of bis Thigh, we command him then to
walk, and then whenthe Vein is filled ful, with
| weriting ink or with a Colliry we markit, accord- _ ing to its {cittation, the length of three fingers, or p) Somewhat more ; the man being then laid upon
bis back with bis Thighs extended, we then bind
burnt, orelfe it is cut forth wich the hand. If ic be ftraight, or if though ic be cran{verfe, yet nor- withftanding if it be fiaple'; or elfe chirdly, if ic be not overgreat, icistliebetcer burnt. If ic be crooked, andbe as it were implicated into cercain Orbs, fothat many of chem are as it were invol- ved, and folded one within the other, ic is thea more convenient cocake them forth, The mane net of burningis this. The Skin having ficft an
incafior
f
2636 Book V. incifion isto bea litle preffed with a chin and blunt piece of Icon heared red hot 5 and great care muft be had left chat che fides of che orifice it felf be burner, w“*
very hard matcer. fing welnigh four fingers ina rank. throughout che
whol Varix ; and chen there is to be impofed |
thereon fucha Medicament whereby chofe things thacare burnt may behealed. But chen it isto be cuc forch afcer this manner. The Skin ( hkeas before) having an incifion made init upon the
Of Practical Phy fick.
Part ry
made upon it, then the difcovered Vein | That which is already fioven in to be evacuated,
And the widened Vein to be ftreightened and Por the intercepting of the Wg)’ courje of the blood, in the beginning and the end |q) codraw back again with (mal hooks wil be no | ef the Varix, we ought to caft abond and tie upon | This is Co be done by interpo- | 7t 5 mbich is done either by that we cal Sella re- | cutvata, or bya Hook, or by laying bold upon | the vein with the top of two fingers, and lifting it | up thereby, and then tran{mitting aneedle druve- | ing a thread along wiih it through the lower part | of the vein, and there tied together : upon which | part the skin is to be cut, that fo the vein may ap~ |
made narrower.
Vein, che orifice is cobe kept open witha little | pear, andmay be tied ; and it i not to be cut hook, and with a penknife the Vein is to be drawn | when it hangeth forth unto the external parts.
alittle and loofened from the body; and here | great care muft becaken left chat in the doing of
what went before che Vein ic felf receive any furr: y
We might likewife adminifter the fame means, | | and ufetbe very fame way to intercept the blood, | | \that Farriers ufe in intercepting the blood ix | and under ic a blunced hook is tobe caft, and there |‘Horfes, that is, to prefs the Vein clofe together |
wth ay {% ail) @ il
being interpofed almoft che fame diftance as we | With a little thin Iron Plate faftened unto the
fhewed you above, in the fame Vein chere ts the very fame thing co be done as abovelaid 5 which {aid Vein whicher ic cendech, is eafily known by the extended hock. And fo foon as che fame hath beendone whereloever the Varices ate, the Vein being brought unto fome one place by the hook is there co be cut off ; and chen after this, in thac place where che litele hook 1s next unto ir, ic is chere co be drawn forth, and there a= painitiscobecucoff. And fo the Thigh being on al fides freed from the Varices, then the mouths and orifices of the incifions areco beunited, and ftriétly clofed cogether, and upon the fame chere is to be impofed a conglutinacing Empla- fter.
Avicen ( Book 3.Fen.17. Tr. 1. Chap. 18.) cuscetb che Skin until che Varix appeareth, and chis he doth indeed longwaies, and not e1:ber obliquely or tranfverfly: and chen he extra~ étech and draweth forch al cheblood that is 10 it; and chen hecleanfech ic by cucting tc in length. Buc fomtimes (as he writeth.) ic isto be drawn forth witha Needle, and fotobecurt. Headdeth moreover, thac a drawing of tc ouc with a Cautery us beccer than the cutting of it forch.
But in regard that the Cure of Varices by ex- cifion or cutting forth is not only rough and very difficule, but alfo becaule thac for che moft parr itis mot attended wach an happy fuccels,by reafon of che flux and effufion of blood chat hinderech the operation 3 therefore Hieronymus Fabricius ab Aquapendente, in his Treatile of Chiturgical Operations, ceacheth ushow we may cure chefe Varices in another manner, that is far beccer, to wit, without the extraction and drawing them out; onchis wile. Singe tbattbere are (faith he) three things to be Lond that concur unto the conflituting of Varicess viz, Ibe Blood that flowetb, ‘Ibe Flux thereof, And the Dilatation of the Vein 3 therefore there aretbree things like- wife that are foewn and potnted out bereby; to seit, That the flowing Blood is to beintercepted,
Serna
| Vein with a pair of Tones. ut then for the Evacuation of the blood that bath already flown
in, Hippocrates in bis Book of Ulcers, about
the end thereof, teacbeth us bow and in what | In the place alleadged | besiveth in charge, that the Varicofe or feooln | vein be not cut web any great and wide gafh left | that tbereby aigreat Ulcer be caused, by reafon of | the influx of the Varix 3 but rather Cas Hippo- | crates faith.) the Vatix itfelf is again and again |
manner this is to be done.
to be pricked whenfoever we bave any opportuni~ ty, and fhal find it to be fit 3 from wobich faid
| prickings the blood tbat bath already flown in, | and filleth the fwoln Vern, # evacuated and emp- | tied forth; and this done by degrees, and by |
little and little; and not al at once, and on a
buddle as it were, and with much danger unto But however, it evacuated, if
the Patient. not wholly, yet at leaft{o much thereof (even to
the greater part of it.) that the vein may withal \\ likemife fink, and fal down im {ome one part or o= hy ther. Uhis being accomplifhed, we come then un- |
to the third and laft (cope, that is, the aftrition and ftreighbtening of the dilated and over widen ed vein. up aMedicament of Tragacanths macerated in
the Wine of Pomegranates, or the juyce of unripe | Grapes; and then after this, | add the Pouder |
of Bole-armenich, Maftick , and ‘Dragons bloed,
in equal portions, until the Tragacanths being
melted or foftened become as thick a1 Wax, fo thatin the bollow of the Hand they may be redu- ced unto the fbape and form of a Candle: which
being done, I put the Medicament longwaies up= |
onthe Varices, and above upon it the rind of a Reed, that by its Cavity may anfwer unto the Convexity of tbe ‘Medicament, and that may thé
better keep down the Medicament : it # to belaid |\@\. onin the length of it, and to be tied about the | Thigh with bonds, or elfe with a narrow Swatb= |My,
band: for fo both by this comprefjion of the
Swathband, as alfo by the aftri&ion of the Reed, and
For my own part Lam wout to make |
rey i 0)
[Anne yj Hypo
yeu
| the ly i olne wid yond | er yiyili? I Hyoatton in ade pec
pavrch | Gull iblerv, 8 yamontt is ( (ai han who wera p ult mp buco that Hath a
mean tnt
ia “ited, ! Ty]
“0 and | 4 the | He end |
ir tinea draype ver bang which
tunes fo ftreightened and clofe bound, that tbey have feem’d even to confume and witber aveay.
“tad Thave now and then. likewife made ufe of the cons Pua i] lla Its ||
d "hon
denied Fuyce of Hypocittis or the excrefcence of the Plant Cyftus. And lafily, I bave fomtimes made ufe of amore mild and yet more gentle kind of Chirurgery , and efpectally when the Vatix bath been but {imal andinconfiderable. For lay-
| ing afide the Ligaments, and the compunttions
lay aps
be cup | party,
Means, |
blond
|, 1 oto
» about n that 8. leadged i
fovol |
or prickings of Hippocrates, I made ufe only of the Medicament before mentioned, according to the
| length of the Varix, and binding tt down witha
part of the Reed tied faft therexpon 5 or elfe a Spunge fombat long and writhed, and of the thicknefs of ibe Vatix, bound about with athred, and moiftened inthe juyce of Pomegranates, or of Hypocift’s, and then vightly tzed and bound on
| pith a narrovo Sxathband: and for thy pur-
i
afb lef }
onof | Hiya idagain
portunis | ih fad | own i, | nd emp | and by | id on a} er Unto |
ated, iff
‘event
wit rt OF |
|
ride |
somnale mated of ut
Ponder |
ws blood) by being War, fo he redae ? oobi Ais
ind of
yp naj
tin
" be Ind
Wa |F
Small
{ of he 8
py an
i]
hen Wile | iho |
eae
bt Fi
i
| i
|
|
‘then in che very Ham. he
pofe wery beneficial likewife are the unripe fruits ‘of the Wood Guajacum wel bruifed,and impofed 5 all which by. their aftriéion do intercept the blood, and bind the veins together, and by their much drying they likevoife evacuate. And lafily,for pre~ fervation of the part, [made ufe of a bofe or buf- kin made of adogs shin, which was to be put on, and exattly fajtened on about the Thigh. Thus Pabricius.
Gulielmus Fabricius , in his feurth Cenc. Obierv. 85. relatetha Hifforys asalfo che Cure ofamonttcous Varix. The ftory ischis: There was (faich he) a cereain extraordinary ftrong man who had in his left Leg amalignant and in- verecace great Ulcer, copether with a Varix of a vaft magnisude. For in ehicknels ic was equal unto that pare of che Arm that is nexct unto the Wrift, andic was weloigha {pan long. Now ic began inthe very Ham, and defcending toward the Foor it made a Ring, and two Circumvoluti- ons. Butchac which was here worthy of obfer- vation, Was this, That fofoon as ever che man life up his Legany ching high, forchwith the blood drew back 5 and no {ooner did he pur st again up- onthe ground, but it again defcended, and char inan inftanc and moment. -And (Cinfhore) che blood did ebb and flow no otherwife chan as if ic had out of ome narrow pipe been caft forth fom- times incothis, and fomtimes into that pare. As forthe Cure, he thus proceeded init: Having ape poinced unco the Patient a fic courte of Dier, and feveralcimes likewifle purged his body, and
having alfo opened a Vein in the Arm of the fame |
fide, he placed the fick perfon upona Bench, and gently feparated the Skin from che Vein tc felf. Then, wisrtva thread twice doubled, and put intoche Eye of acrooked Needle, he woond about the Varix; and ia the lower pace of the Varia be proceeded in the very fame manner. Bye before he cred che thread, and made faft che knot, he caufed his Leg to be
taken off the Bench and fer upon the ground; and
This being done, with a Penknife he maketh an in- cifion in che almoft uppermoft pare of the Varix, that.fo the blood chat was contained in the Varix, asina long and litle bag, might che becter flow untoir. but when the flux of blood proved co be greater than what was proportionable unto che preatnefs of the Varix, and chat he artentive- ly and exactly viewed the place, there was found a blind paflage, which from out of the lower pace of the Lipature entered into the Varix. Thi paflage whenas 1t could not be cied with a thread, he firft applied unco the entrance thereof fome of the Efcharotick Unpuenc ; and afcer charg he ape plied in great abundance bis own Pouder toge-
\ther with che white of an Epp, for che ftanching of
the blood flowing from it 5 and al thefe things be bound faft on wich a Swachband throughly moi= ftened and wet in Oxycrate 3 andchus he lefe ic e=
hiss ; XS biny
veo untilthe day toliowing. Ac length he cured the Wounds thac him/felf had made, fter the man- nerof others. And fothisman (by Gods graci- ous afliftance .) became perfectly whol and
| founds
| Chap. 4s. Of the Elephantiafis ‘ of the Arabians.
W'S kind of Affect Elepbantiafis and Elepbaniia ot che Greeks 1s, as like- |wite Lepra of the Arabians, we have told ycu bee |fore inthe 40. Chapcrer; co wir, chat ic is amaq lignant Tumor of che whol body, and as it were an univer{al Cancer. And of that Tumor 4vi- }ce, 10 his chtrd Book, Fen. 3. Tract. 3. Chap. r: And Abafes, in his fixch Book co Almanfor, and Chap. 35. have difcourfed at large.
Buc as for the Elepbantia (of which the Greeks {peak not one word.) the Arabian Phyfitians make | frequent meticion thereof, as being ! neerly allied unto che aforefaid Varices, and hae ving its original from them, and being only a Tu- mor Of the Feer. OF this Elephantia Avicen treatech in his third Bock, Fen.22. Traét. re Chap.18. where he likewife handlech Varices 3 Rbafes io his ninth Book to Almanfor, Chap.93; Yet socwuhftanding aly Abbas diffentech
| Elepbantia of the Ara= bians.
in che eighth Book of his Theoric. Chap.15. and in che fourth Bock of jis Practice, Chap. 3. W hich Jaft fairh chat Elepbas 1s a difeafe corttp- ting althe Members of che Body, and as i¢ were lanuniverial Cancer. But neither do we find this Author alwaies in ose and che {ame opinion ; for lin the eighth of his ioe » Chap, 18, we have
from thefe, and followeth che Greek Phy fitians,
LE
9838 Book V.. Of Prattical Phyfick.
A tn
a
Pare I.
bien writing thus: ‘Thofe Ulcers Claich he) that this Elepbantia, unto a certain Tumor of che
arife inthe Feet, and in the Thigh, are called Hands 3 bus this he doth much befides cheir
Elephas. And the Elepbantiack Difeafe a me- | | Elepbantia, they do not fo much as make any the | | leaft mention of the Hands, but only of che Feer. Ij? (And yec inche mean time it is notcobe denied § _Cwhich I have fomeimes obferved, and in the fe- §
lancbolly Apoftem, that appearetb in the Thighs, and inthe Feet, and the fign thereof ts this, that the bape and figure of the Foot is likeunto, and much refembleth the figure of an Elephants foot. Allche ceft of them creat of Lepra and Elepban-
tia apart and feverally 5 and they fay that ‘Ele- |venthe Reader notice thereofs alchough 1 have | not as yet met with any Anchor that makech any 9! mention in fpecial of this Tumor ) chac often- @il4
phantia is a Tumor of che Feet, arifing ftom me- lancholy and Hegmy blood, and from Varicess by reafon of which blood the feec ofthe fick per-| fon are in cheir figure and thickne(s very Iike unto che Feet of an Elephant. And chis kind of Tu- mor is oftentimes co be feen inthe highway Beg- gars, chat get their livelyhood by asking relief in thofe publick and common places.
Signs.
The Affect it {elf is manifeft enough; whenas the Thighs of the fick perfons are tumid and much {woln, very red, and f{omcimes wan and leaden co- lored, and oftentimes black, and forthe moft pare ful and abounding with Ulcers.
Prognofticks.
Buc it is very rarely cured, not only becaufe fuch as are herewith affected are for the moft part ofthe. meaner fort and condicion, and cherefore dre not able ro allow themfelves Phyfick 5 bur alfo becaufe that from al parts of the body chere are abundance of Humors thruft forth thither, viz.
unto che Beet. The Cure.
And therefore there is no Cure at alto be hoped for, unleis chofe vicious humors be oftentimes | evacuated and emptied forch of the body 5 andthe vitious difpofitions of che Bowels (from whence there is a continual fupply of chofe naughty and corrupt humors ) be corrected; and as Avicen in the place alleadged writeth, The whol fum and fubftance of the Cure confiftech in che cont- nuing and perpetuating of the cure, until it be per- fected. Which, how and by what means ic may and ought to be accomplifhed, we have hitherto ofcentimes declared unto you.
And now when thisis done, the gcowch and én- creafe ofthe Tumor isto be prevenced by aftrin- gent and dcying Medicaments; and that which is already in being oughc tobe difcuffed by ftreng Felolvers.
But if che Malady bach been of long continu- ance, and be now confirmed, chere 1s {carcely any che leaft hope of recovery lett ; of which fee fur- cher in Rbafes his ninth Book co Almanfor, Chap. 93.
Antonius Saporta in his fourth The Tumor \ Book of Preternatural Tumors,and of the Hands, | Chap.25. applieth al whatfoever
{the Mauricanians afferc touching
;minds. For when the Mauritanians {peak of chis
| a
Ch ee veil
| M We
j uel
‘cond Book of our Praétice, Parc 1. Chap, 25. rede pil
times alforhe Hinds (the reft of che body being i
| found and wel )do fo {wel up;& thac being prefled fj down by the fingers, in che manner Of the Oedema, Which Ma- | lady withouc aidoubc hath ics original from hus |
they leave a prt or dent behind chem.
mors cold and thick. And unlefs 1c be cimely and in che very ficft rife of ic met withal, and prefently cured, it is very rare that ic attecward
admitceth of any Cure 3 in regard thac che fick,
pertons refufe for che moft part univerfal evacua= tions of chebody, without which this Malady. is not co be removed, and wil not away with the redioutne{s of along Cure. eis Univerfal Evacuations of the bady having gone before, and the Bowels in which che vitious hu= mors are generated having been firft ftrengcheneds then afterwards che ftronger fore of difcuffers are to be adminiftred, viz. Such as are made of Ca- momile, Flowerdeluce Roor, round Ariftolochy
or Birchworc, Walflowers, Ammoniack, Bdelli- j
um, Opopanax, and the like.
Chap. 46. Of Particular Tumors.
"er Here is likewife by Phyficians frequent mene |
cion made of other Tumors; buc they are
{uch as either may be referred unto chofe Tumors ithac have been already bitherunto treated of by
us; or elfe chey have been {poken of and explai- ned among che patticular Affects of Mans body; fo that ic wil be alcopether necdlefs here co add any thing more in{pecial unco what bath already been faid of chem in genera). Wetreased of che Tumors of the Brain, in che firft Boek of our Practice, Patt 1.Chap. 28. Of che Fungi of che Brain, zbid. chap. 26. Ot Hydrocephalus, ibid. chap. 29. Of che Tumors ot the Eyelids, zbid.