Part 3. tect. 2. chap. 2,354, 5. Ofche Ophthal-

fect. 4. chap. 2. of Polypus, zbid. chap. 3. of the Tumors of che Lips, in the fecond Book of our
Practice, part 1. chap. 1, & 2. ofthe Tumors of |) the Gums, zbid.chap. 10. of the Inflammation of |)
the
Bigg in Ficus, 1 im leientet pie Cav ilacnat Ma Scurhus fanatic Mb ofche sci a Diople ? ie Loflan mut. peice Bla be Tuber By ofthe
fgnea of th None] ihe Wom Wonh, i Rte Wont Blinmatio devthys a AU, ofthe aid, chap, be Ti
ih hi bid re poe cha beg iid, my, zbid. chap. 12. & 13. of Unguis Oculi, i.e. 9 che Nail or web of the Eye, zbid.chap.14, of the jij adnate Tunicle, zbid.chap.1 7. of the Cancer of the hy Cotnea Tunicle, zbid. chap. 19. of Suggillatio of 1} che Eyes, ibid, chap. 22. of Encanthis, abid.chap. | 31. of che Inflammation of the Ears, zbid. part 36 | fect.3.chap.2. of the Cancer of the Noftrils,zbide |;
iin, Se his, Se hen, ib NN bid ib
ai
=]
Chap. 46. . Of Particular Tumors.
| ¢he Mouth, ibid. chap. 18, of the Inflammation of afis and Priapifmus, zbid. Sect. 2. chap. 3. the Weland, ibid. chap. a1. of che Jaflammacion | Inflation of the Womb, Book 4 chap. 10: of thé WW) of che Topfils, ibid. chap, 22. of Angina, i.e. the | Inflation of the Head, Tract.of Infants Difeafes; Quinfie, ibid. chap. 24. of Sccuma inthe Neck, | Part 2, chap..6.
“Ceill and the Dropfie in che Throat, ibid. chap. 25. of |. , Touching thofe Tumors that arife from the dco ¢he Inflammation of che Lungs,zbid.Pare 2, chap. | foft pacts when they are removed out of theit on
the fol 3, of che Tubercles of the Lungs, ibidschap. 9. of | proper placess we have likewite {poken of chem,in 25, gull phe Inflammiation of the Midrif, ibid. chap. 13. of | (pal 5 aud ficft of all, ofche falling down Of che che Tumors of the Diaphragm, ibid. chap. 14. |‘Uvea, in the firft Book, Pare 3. Sect. 2..Chap, . ‘of the Pleurefie, ibid. chap. 16. of Gibbofity, | 25. of che Hernia of the Inceftines; Book 3» Pate tell gbid.chap.12. of the Inflammation of che Sco- | 2. Seét. 1.Che 6: of che Umbilical Hernia, ibid. bf) mack,Book 3. Parr 1. chap.12« of che cold Tumors | p. 10. Cb, 2. of che falling torch of the Womb,and ll of che Scomack, zbid. chap. 13. of che Inflamma- , che Ucerine Hernia, B. 4. Part 2.Sect. 2. Chap. § cion of the Inceftines, ibid. Pact 2. Sect. 1. chap. | 16. and 17.
y
itt Mell 2. 0f che Tumorsof che ftraight Gut, andin {pe-| »And moreover. as. touching the} ~. t wWhwll cial of the Hemorrhoids, Condylomata ({wel-| Scorburick Atrophy, we have writcen | oe pe ely. Jings in che Fundament fo called.) Thymi and | fufficiencly cherof in ixs proper place. | vat om
\, all Bicus, ibid. chap. 10. of che Inflammation of the | But now whereas we have in the ge~ ‘vail Mefencery, ibid. Parc 3. chap. 4. of che Tumors of | neral fpoken of the augmentation of maghis te ick the Gaw) oc Kel, ibid. chap. 7. & 8. ofthe In- | cudein the who! body,’ and’ in general (above auf flammation of the Spleen, ibid. chap. 5. of che | Chap. 4.)chofe things cherefore which may in ge= ‘idy wh Scicchus of the Spleen, ibid. chap. 6. of che In- | neral be fuccher fpoken of che Atrophy, we think nib tell, Aammation of che Liver, Book 3. Sect. 1. chap. 4 | itjnor amifs co fubjoyn them here in this place. D ofche Scirchus ofthe Liver, zb. chap. 5, of che; Whenthe Body ts not noutifhed voll Dropfie Afcices, ibid. Parc 6. Sect. 2. chaps 3+ of| fo much as icoughtto be, but is di- us hue@ the Lnflammation and Tumors of the Reins, zbid.| minifhed and leffened by reafon of eed Part.7. Sect. 1 chap. $. 8¢ 9. of the Inflammation | che denying of food untoxt, chis may les ell of che Bladder, zbid.Parc 8. Sect. 1. chap. 4, of | indeed in the general be: called an A- : of Coll the Tuberclesin the Urinary paffage, ibid. chap. | crophy. . Buc. yet nocwichftanding the peculiat olay 9. ofthe Tumors of che Tefticles, 2bid. Part 3: | Species ofan Atrophy have hikewife their peculiaz Bitlis] Sedtsa, chap.3.of the Rupture and Tumorsin the | names.: That which proceedeth from the Ulcer | Scrotum or Gods, ibid. chap. 7.. of the Tubercles | of che Lungs is properly called Phrbifss and Ta- | 8 Wares of the Yard, ibid. chap.9, of the Inflam=| bes: chacchatisfrom an Hectick Feaver is na- mation of the Navel, zbid. Pact.19.chap.3. of che| med Marafmus, andMarcor. And that which Inflammation of che Muicles of the Abdomen, 2b. | bappenech wicbout thefe caufes, is called in ge= § chap. 9. of the Puftules of Womens Privicies; | neral, an extenuation of the Body. We here im t nee Book 4, Part 13 Sect. 1. chap. 4.. of che Condylo= | chis place ule the word/Atrophy in'@ peneral fig~ heya Mata of che Womb, ibid, chap. 5. of the Warrs.of aification 5 and underic we will comprehend all Tunosl Womens Privicies, ibid. chap. 6. of che Cancer of | and every preternatural Excésuacior of che Body, {of by the Womb, ibid. chap. 11. ofthe Dropfie of the | by ceafon of the defect of Nucriment. ell Womb, ibid. Sect. a. chap.11. of che Tumor of| | Burnowan Atrophy: is ewofold; : bys the Womb from Blood, ibid. chap. 12, of che In-| the firft is of che whol Body 3. the o- Haven, oa) flammation of che Womb, ibid. chap. 13. of che | cherof fome one particular parc, as rae oe eafqy Scitchus and Cancer of che Womb, ibid. chap. | of che Arm, the Foor, &c. The Atro- ‘
Certain pes
culiar S peci-
| esofan A- | trophy.
MONS |
Atrophy in
4oftit] 24, ofthe Tumors of the Tefticles in Women, phy of che whole (in general fo caken ) is.a pres - foil abid. chap. 20. of Crufta Lattea, Achores, and | ternacural extenuation of the whole Body, by rea jot Pavi, Tract. of the Difeafes of Infants, Part 2. | {on of irs being fruftraced of its food, and its being : iil chap.3. of Tinea, ibid. chap, 5. of Hydrocepha- | denied its due and requifice Nutrition.
s, iil Jus, ibid. chap. 6. of Sirtalis,zbid. chap. 7, of A+ :
tig pha, abid. chap. 13. The (aujes.
Touching che flaculent Tumors, we have like= yes. | wife (in{pecial_) created of themin our former} Astouching che Caufes of an Atrophy, shis in Books: co wis, of cheInflation of the Eye-lids, | the firft place is to be caken notice of, viz. hag
uli, bt 4, ofthe cel oft
‘iio Ache ficft Book of ouc Pratt. Part 3. Sect. 2. | che Caule chat invadech che whole body is exher iL chap. 2. of the Inflation of che Stomack, Book 3./in its own quality and, difpofition according co Lt Part 1: Sect.1. chap. 11. of the Colick pain, zbid. | Nacure, or elfe ic is phecernatural. And then A Pars 2.Se@t. 2. chap. 4. of the Inflacion of che | likewife chat which isNatural,or according to Na | ti Spleen, ibid. Parc 4. chap.4. of che Inflation of che | cure, isthe Marafmus (as we ca) it } in old age; of | Liver, ibid. Pars 6. Sect. 1.chap, 3. ofthe Tym-|and.inaged Percfons. For there was never yet nos um . Pany, ibid. Pact 6, Sect. 2. chap. #. of the windy | chat living Creature born, ar brought forth, shat, | Ruprute. ibid, Part 9. Sect. 1, chap. 7. of Satyri= | wasnot obnoxious to oldage,; and which in old,
i ie an 2 age
of the
i es >
wants
t :
| |
at
Se
TR A LE SN AT SA ES er ese ac A er Ne er
Of Praétical Phy fick.
Pare f.
2540
age did noe wither.and confumeaway. But fince | pure, andnot good: and this cometh to pafs.in chat this Atrophy cannot by anyArt whatfoeverbe! the Cachexy, Lencopblegmatia, Tympany, the prevented ; we wil therefore in this place {peak on- | Dropfie Afeites, the Scorbutick atrophy, and the @’, ly of that Acrophy which happeneth preternatu- | long lafting Scabbinefs: Now as for the Cuufes rally unto fome Bodies alone, and not unto all in | of Sancuification, chey have been already ( in the | general. | third Book of our Pract. )} mentioned andexplai- But now, whereas there are two/| ned: From whence ic happeneth, that albeit things that concur and are neceffiry | there be a fufficiens quantity of Food taken into unto Nutrition, co-wir, Nutriment, | the body, yer notwichitanding there followech no — and the nourifhing faculty; in both | Nutrition; «and ‘this again happeneth for cwo i chefe likewife the Caufeof Nutrition | Caufes, co wit, becaufe eicher there is noaliment diminifhed (and confequently of an Atrophy) is! appointed by Natute for the noutifhing of che co be fought after. In regard of che Alimenc, the | parts; orifthere be any appointed for this pur- body confumech and wafteth away ,by reafon of its | pole, yet notwithftanding it cannot be rightly af- either defect, or vitious qualicy, which we may cal fimiaced, .Thereis no aliment appointed unre ltspravicy. For if there be not dayly asmuch of | the parts, ercher becaufe rhe Chyle is noc fo enagt- this Aliment again taken into thebody, as is every | ly elaboraced inche’ Scomack chat it may be con= day infenfibly difcuffed, then che body waft- | verted into good blood ; or elfe, becaufe although eth. Burtifthere be indeeda fufficient ftore and | the Chyle te fafficiently and rightly elaborated in fiock of blood treafured up in the Veins ; yetnor- | theStomack, yec by reafon of fome faule in che wathftanding this is vitious and naught: and ei | Liver it is not converted into gocd blood 3 or elfe ther ie 1s noc at allaceracted by che parts; orif it| becaufe, chat alchough chere be Chyle generated | be accracted, yeccanic not be aflimilaced. The| inthe scomack, and thac accordingly blood he | body is excenuaced and pineth away, in che defect | bred in the Liver ; yet it is oftentimes difcuffed and want of Foodand Nutriment, when in place | and wafted by fome.cerrain Caufes; {uch as are | it of that Subftance that isdayly watted and diffu-"| overmuchexercife, Wat bings, Cares, Griefs, and jj a 4 fed by an infenfible tranfpiration, and exhs- | Difeafes, which melt away, diffolve, and difcufs jj” , i Jation, chere is no ocher Nutriment, or. at leaft | che aliment; fo that there is too great an evacua= jj i al nota fufficiene ftore thereof, fubftiruted and fup- | tion hereof by the Belly, by Sweacs, and by che. )p™*" plied. Now whereas the blood is the proxime | tluxof Blood; and fuch likewife are, immode- | hie and nigheft Nurriment of the whole body 3. there | rate Reft, Meats and Medicamens that dry excel= | the Nutrition is e{pecially hurt through the defect | fively, Fevers, efpecially fuch of them as are am [9 jie An and failing of che blood. Now che blood failech | cute-and Maligoane. But the Nutrimencis not |jpi ( ficft ofall) in regard of fome default and ercor rightly affimilaced by the parts, in regard of fome | in the firft Concoction ; when there is not a fufli- | vitious qualicy ic hath in ic, by reafon of which 1& cient quantity of Chyle (from whence the blood | cannot be affimilated by the parts; andfolikewife |j Ought co have its original ) generated and bred in | the Nucricion may be fruftrared by fome excernal | stay the Stomack:and his may happen unto fuch as are | error 3 orel{eby reafon of the Object, co wit, jf found and in perfect health, by reafon ofa dayly | becaufe che Blood.1s fuch thac it cannot by che DOUs Fi iy and continued {carcenefs of Food, and their fre- | rifhing faculcy be perfectly overcome and affimila- quence {pare Diets. but ic happeneth in fuch as| ced, are fick and unhealthy, when by reafon of the | But now in regard of the faculcy, | Want of appetice (it being now much dejected | there is nota fufficient Nutricion, by hs Ropes of and weakned ) chey are averfe from all kind of| teafon of fome defect and want of na- ey novi Food, andrefulecotake any or elfe when by| tive beat, and radical moyfture. reafon of their Difeate they are fed with but litle
i. By reafon of the Nu- Cr7ment.
a Theper
i
athe wh
For ; ing faculty. Nature maketh great ufe of this Na» |
Food, and chat likewife not much nourifhing.
Which may alfo happen, ifthe Food that is ca-
ken in be prefencly tent and driven down into the
Guts ( either Ccude or Raw, or elfe curn’d inco
Chyle) and fois by che Belly ejected, without
its ever coming unctoche Liver. The fame may like-
tive hear, asofche next inftrumenc in nourifh- ing. And chisefpecially happeneth by ceaton of the prerernatural affects of the Heart, and prin-
cipally its beat and drinefs; whether it be chac- |
che Hearc be primarily affected (as it ts in the Hedtick Fever )or e!fe chac ic {uffer through fome
Whftand
wife happen 1f (by reafon of any Difeafe whac- | defaulc of che neighboring parts, as ic happeneth ig isha foever in the Stomack, its Concoction being there- | in the Ulcer of the Lungs. For whereas che nou=" /9*8h, 9 by much weakned ) the Chyle chacis generated | rifhing faculey (as we faid erewhile ) maketh | paris be either buc licclein iY ha a or (cthac which | great ufe of che innate and Native beat Cas 1s todered as as bad or worfe ) imperfect and nor fufficiently principal Inftrumenc_) in receining, Concoctings || Cer elaborated. Moreover Nutrition may be bindred | agelucinating, and aflimilaring, and acbeing 10 /itvie;, becaufe of the burt of the fanguifying faculty, co | chac the innate heat is cherifhed by the heat char a wit, When by reafon of {omething amifs in the Li- | floweth ins if the temper of the Hearcbenorright, — hare verorSpleen, che blood that is generated is im~ | and as it ought tobe, then che heat chat flowech | Hi 3 |
¢
ii}
thy ale | } j
fi 4 | eVactide by tell = nodes
1 excel’
enous |
ae Lake Mae
“rime; by che beat whereof not only che alimenct
which ave
_ the Palfie, or elfe from the ftreightnels of the paf-
(
—$ rr
Of Particular Tumors.
And this bappeneth for the moft pare culcy. And thac thas Heétick flowly and fenfibly bring co pats, chis the burning} the blood unto the part for ics Nutrimenr, are and melting Feavers accomplith in a very fhorc} prefled togecher by che bones when they are loo~ fened and our of joynt, or elfe fcom fome certain and {ubftance of the body is confumed and melted | ‘Fumor chat is nigh untoit, ot by che brawninefs away, buc likewife che remperament both of the | and hardnefs of the flefh; or elfe laftly, when che Hearc, and alfo of the whol body: is converted in=) Veins that convey che Nutriment are cut in fun- co thac whichis more hot and dry. The wie der, See likewsle Galen’s Book of “Marcor, a happeneth by reafon of over hard labors, cares, | Species hereof, acifing from an Heéttick Fea- long continued dileates ; and in general, al caufes | ver, thac ace able to confume che Radical moifture, and weaken the Native heac.
| Now this Atrophy happeneshefpe-{ The extenuation of the whol body;as likewife cf
Signs Diagnoftick.
The (ubjed: | Clally in che fofter parts , che fac and | {ome one particularr pare chereof, is vifibly appa
| the flefh 5 and indeed the fac is firft of | rent co che fight, {o that chere wil be no need of ma= al wafted and chen afterward the flefh 1s hike-| ny figns. For ifthe whol body be gieatly waited wife excenuated. Bur now as for the harder | by an-Arcophy, thenthe Face fals away, and be» pars (fuchasare che Membranes, Carcilages, and | cometh lean, che Temples fal down, the feat of efpecially the Bones) although chele may alfo in che Eyes isrendered hotiow and deep, the No- che like manner be dried; yer notwithitanding| ftrils become fharp 3 and {uch kind of Face ( be~ chey cannot poflibly be foextennated and dimini-/| caufechac Hippocrates defcribeth it in bis Prog fhed, chac thence che whol body fhould decreafe.| nofticks }) they commonly cal an Hippocratical And hence ic is likewife chat che faid excenuation! Face. Al che Ribs are confpicuous, the fhoulder and Auophy of the body doth appear efpecially | blades and che Chanel bones fick out, che Neck in thofe parts in which Chere ts much fatnels, and | isextenuaced, andthe Larynx Cor the cop of che where chere are more or greater Mulcies, asin the | rough Artery) .buncheth forth; the Belly fallech Byes and Temples, (down, che Burcocks become withered ahd weak, The Atrophy that happeneth in| che Thighs, Arms, Hands, and Feet, are emacia~
A ones the parcs is various; Ic happenech | tedandgrow Jean. But inregard chac the Atro- - , . : 2 Moo 3 : phy oftentimes privately in che Limbs, | phy hath ics dependance upon many and-feveral
the Arms, andthe Thighs, And hi-} cautes, they are therefore al of them co be qui | ther belongeth the Atrophy of the | redinco, chatfothe Cure of chem may the more
Eye. righrly be proceeded in. — And therefore er quay The canfes As for the Caufe of the particular | muft be made whether exrerna! Caufes, to wit, thereof, Atrophy, like as che Cautes of the | fafting, cares, grief, over bard Jabor, and the like,
Arrophy of the whol body confift in | wentbefore. If we find no- fuch thing, we are fome one principal Bowel, whofe | chenco make enquiry inco the internal Caufes ; to action isneceffary for the nucricion | wit, whether chere be prefent a Heétick or any of the whol Body; or ts indeed univerfal, and fuch | pucrid Feaver; or whether there had not been one aimay exficcace and dry che whol body :-{o in} a liccle while before; and likewife a difcovery like manner the parciculat Atrophy of any one | muft be made couching the Stomach, Spleen, and part hacha private caufe, or ac leaft{uch.a one as} Liver; in what ftate and condition they are: for belongeth unto thac particular parte Yernot- | by che Difeafes of the Bowels ic may eafily be withftanding che Caufes are the {ame as of the uni- | known whatthe Cauieof the At rophy tse verlal Atrophy, cowic, the weaknefs . Tbe weak- | of the heads Faculty, and the des Prognofticks.
ibe fame t
ie feét of Aliment. The Faculty is} 1. By how muchthemore the Atrophy is but 7 . ; : - Faculty. | hure when che part ts over cooled,and | recent and newly begun; by fo much the more ea
lefc deftitute ot ics properhears For) fily itis cured; buc by how much che longer it
if this happen, the pars can nether attra@, nor | hath continued, by fo muchthe more diffiicule i¢ Tecain, por alcer, nor affimilace the Aliment. Now | i¢ to be cured, the parc is refrigerated, and the heat decayed, and 2. When only che Alimentary humor is con= rendered dul, and unfic for action, not only from | fumed, there is chen hopis of an eafie and ipeedy the excernal Air, as alfo from cold waters buc| Cure: but chat Atrophy is more difficulely cured, likewife ic may proceed from overmuch reft, in | in which che fubftance of che flsfh is already wa- fted 5 and moft difficule of al, when the Membra- nous and fibrous parts are already exficcated and extreamly dried, Yea; fuchan Atrophy can no : * more
{ages through-which the Spirits flow
The defeét | in, The Nuccimenc faileth efpeci-
of nutyiment |
Se hy NI tie
2342 Book V..
more be cured than that Atrophy chat befallect
.rifms, Aphor. 10.
cadena iene tenses saison Lea
Of Praktical Phy fick.
1
tn ————... KS ne
Part: I.
a ee er seat
unto Che caufe upon which ic dependech 5 and
all perfons whatfoever thac live unto an old | that our ficft and chief pains muff be beftowed in
(APE
3. Ifthe Native heacbe nor as yet fo far forth weakened buc chat it may poflibly be repaired, there isthen {ome hopes of recovery; fince char the Caulebeing removed, and che heat reftored, there may be nuccicion again procured unto the body. | 4. And therefore we alcogether conclude, that from, the Caules efpecially we are ro conjecture what.we ace to hope for as touching the Cure. For if thofe caufes may be taken away and remo- ved, there ischen fome hopes of the recovery of health; bucif they may not,there is likewife chen no hopes of fafety.
The Cure.
Asforwhat.concernech the Cure of an Artroe | Hens, and Pallers, phy. ;. when the Body is over dried, and chat the Acrophy dependeth uponthe defect and failing | of Nutrition,it fhewech chat chen humectacion or | Broths,
moiftening of the hody is ficft of al ro be procu-
the removal thereof: and afterwards we are to be= chink our felves how the excenuated body may again be fetcht np and reftored by Aliment. There ought alfo to be great care taken, chat chis very re~ ftauration of the body. be rightly accomplifhed. And cherefore ficft of al there ougbr tobe given Aliments that are foon and eafily concotted; and next of al, fuch as doa lictlenourifh, alchough they be more difficulcly and flowly’ concoéted. Unco fuch as are free from Feavers and Obftru@e ons,and chat are not troubled with any pain in the Head, neither have their Hypochondria diften+
ded, Milk may very ficly be allowed 3 Womens
Breaft Milk ef{pecially, chen Sheeps Milk, thirdly Cows Milk, adding thereto a little Sugar ;\.as alfa the juyces and Brochs of Flefh, as of Parcriges, Capons, Werther Murtois, Veal, togecher with Bread ; end efpecially chote Broths that chey cal confummate and’ reftoring Thofe Emulfions likewife are fingular- ly good thag are made of Almonds, Barly; wath
| red. Now che body is moifiened, if} Wheacen flour. Buctthisisefpecially ufeful (and In thofe that we do our endeavor that che Aliment | here in this cate much approved of) thac-is made
are (ound.
may be drawn torch our of che Ves | of che bruifed pulpy flefh of a Gipon, “Almonds,
untoal the paies of the baciy 5 and | Sugar, Milk, and the flour of Rice. They like+
that being atcracted 1s may be recained and aflimi« Jaced by che parts of the body. . Bur firf of al, all phe Caufes, whether they be evident and excernal, Or internal, hey are Co be removed, And chere- fore if fafting and hunger wenr.betore, lec Accing
licicous cares and troubles’ of che mind, and che 3
ike, theie al of themace tobe removed. For | A sote.tou-
thefe, Gaufes being taken away, and convénienc food being exhibited., che body is -eafily refto~ red. | But in. thofethae are fick, if by reafon of the dejected apperice, and fome difeafe, either the Alimenc.be contumed, or che Faculty weakened ; that dileafe being removed, and: the fick perfon taking food again, the reftaucation of the body followecb. © But now for the curing of the difea= fes of the Stomach, Liver, Spleen, Lungs, and’ in whac manner thefe and the like Difeates areto be removed, we have abundantly taught you in our Practical Phyfick. :From whence this likewife appeareth very plainly, thac ic is but in vain for us to ule our wtmoft endeavor forthe nourifhing of che body, whiles che body is replenifhed with vitioushumors; For the more we nouvifb im- pure bodies, the more we burttbem, as Hippo~ crates tels us in the fecond Book of his Apho= For¢ven the good juyces and meats are likewife couthsede by the faid vitious bumots,and fothe Cacochymy is augmented. And therfore chefe bad and offenfive bumors ace firft of alco'be prepared and evacuated. Andthisis alco- gether true in the Cute ofial and every Atrophy, that our main care and cegard-muft be in reference
| refection. ction 1s.co be obferved.
| wife bece very much commend the. Indian Nuc;
and they write, That by the alone ufe hereof ex- cenuaced bodies have been fatned. Inacold Mar= cor Winé 1s allowable, and may benefic; buc ina
g| hot and comid:Marcor it as altogether co be a- food be agata adminiftced ; 1f overouch labor, {ol- | voided.
But now in thée-manner of Refe- ctionand Nutrition, Hippocrates-his feveach Apborifm of the fecond Se- ThofeBo-
dies (faith he) tbat: have been a long time extenuating, are flowly and by degrees to be repaired again but thofe tbat bave bad but
ching the manner of
a fhort time for their wafting, muft in as fhort a. |
fpace be reftored to their wonted flefbinefsi “Foe (as Galen explains it). thote bodies that are ina fhorerme extenuated, they fufter chis, nor from che colliquation and melting’ of the folid parrs, but from che evacuation of che humors and the {pitits: but chofe bodies chat have been long exte-
huating, in thofethe very fleth melceth away ; and |
che other parts ikewife (by which the concoéti-
onatid diftribution,: and (anguification is perfe~ |
éted inthe whol body are rendered and «made lean: wherefore there cannot be fo much alimenc concotted asthe body ftands in need of. ‘And be+ caufe of this we are rocake the longer time in the refection and repairing of fuch like'decayed bo- dies, and cheit Nutrimen¢e muft be but chig and {pare 5 this {pacenefs of Nursimene being -by ‘Hippocrates termed flownefsin nourifhing. “But
as forfuch as have only their humors and {pirite evacuated, inchefe'we may fafely and without aq
ny-the leaft danger ‘caufea fpeedy atid ful refering
on -|
gail
i ye jg mB fen OF f and thel : pave gly Gale Bathsy" jnlomiu rep curioul Date mB cheit ba chew wh MB agit 1M tures o UB endeavor 1B and proc cigs tc WM thet for OB fucher ; Egypt lowing,
————SS—
The ty 1 ofc pare tier Atto
|
!
| bath take a itwtot HA parts do 1a Looof th Mp idahe | |
a0 ought
Lv} { feng | afer, an | Day apa Sore fre
B edthe (y BF Means do
hand m | fhe par,
Jam Yat we
Bin: A itd bea 9 lib 1a like H MUbeatj Wap, | ions tine Pig
etna
OMe ; huly sala ings, UCL, » tools toting gular Wath | (aod made londs,, likes Nuts eof es \ Nae Nut a oka fl
SS" oc be) = aes S wc = = re oes ea
Jeoref ad bu hot om
Ml ie
e102 ot font i
} pity
ind Chea”
pgente
ya ymca : pect nade alien
‘the parc.
Chap. 46.
on ard reftauration 5 in regard chac che ftrength of the folid parts fervech here for a firm founda
tion.
After fleep, gentle Frictions may
Of Particular Tumors.
2543
“Unguents.
There are many fuch hke Unguents and Em- olafters co be had: as for inftance,
Take Unguent Dialthea, Aragon, and Mar- tiatum, of each one ounce and half 5.0 yl of Lan- rel, of Spike, and of Caftoreum, of each tro drams ; Mingle them and make an “Unguent.
The fridi- } be infticuted, che hands being ficft nei anointed over with che Oyl of weet is ie be ad- | Almonds, A Bath ot Waters is like= minifired wife very ufeful: for ie evidently | Og,
| moiftenech chofe that are over dried § | as we may eafily perceive 10 fuch ashave travelled | long in the bor and feorching Sun, or elle have |
been over exercifing themfelves any other way; |. un, as alfoin fuchas | Diffolve them in Wine, and ftrain them.
and thereby are made over hos 5 have theic moifture overmuch dried up by watch- ings, cares, OF by any other wares and means.
Galen is very
And | frequent in che mentioning of |four ounces Turpentine and Wax, of each one
Bachs3which here and chere he largely createth of; | ounce , mingle them over the fire, and boyl them
Take Mans Fat, the Yew Tree, of each as much as youroil, the Pouder of Savine as\mucis as will {uffice, and make an“Unguent.. Oxy
Take Bdellinm, Opopanax, of each one ounces Then add of Hogs fat three ounces, Goole fat and Hens fat, of each one ounce; Oyl of old Olives
infomuch thac unto us Cwhohaye no fuch great |until the Winebe confumed: and at length add
regard unto baths ) he may {eem fomthing too curious. Butatchisvery day many in Afia do imitace che Cireand Cuftom of the Romans in
magnificence i étuces for this very purpole, and with emulation endeavoring to exceed chem in chis their luxury and prodigality. For there in their Bazhs are al things tobe had “thac may poflibly be defired ei- thet for bealth or pleaiures couching which fee further in Profper Alpinus bis third Book of the Egyptian Medicam. Chap. 15; 16. and fo the fol-
lowing, even unto the end of that Book.
Bucnow as forthe Cure of a par- ticular Atrophy, Galen (in his Book | ofthe Office of a Phytiian, Chap.3. cular Atro- een apo ‘ phy Text 32. and in his fourteenth Book
of che Method of Phyfick, Chap.76.) bath taken great pains to fhew ws in what manner it is to be performed. For whenas che private parts do wicher away, and are extenuated by rea= fon of che hinderance of the afflux of che Aliment, and che lanpuifhing heat of the part 5 the Phyfici- an ought then cowie bis utmoft'endeavor, chat fo ftrengch and heat may again be reftored unto che parc, and that the afilux of blood unto the pate may again be procured. Thofe.means chat. re- ftore ftrength and heat unto che parc, ate, a gen= tle and moderate rubbing of che Member, Motion, and the fuppling of ic with warm water; the fame means dolikewife draw and allure che blood unto Now this friction, and fuppling. with warin water ought folong (and no longer) tobe continued until che parc be made fomwhat red, and beasit were a licclefwoln, but not fo long, until ijbe again affwaged and fallen. The parts
The Cure | of a parti-
: “may Jikewile be fomented 5 or (if their condition
wil beac ic) even foaked and bathed in bachs made
of Sage, the cops of Juniper, Lovage, Lavender,
Mallows, abd Marfh-mallows 5 with which when
the'pare is fuificreatly fomented,ic may afterwards
be anointed with Oyls or convenient Unguents,
| of the Pouder of ‘Maflick, Frankincenje, and |\Fenugreek, of each one ounce, and make an ‘Un cheic bachings ; and chefe Afiaticks place almoft al | their whol delight in their Baths 5 imitating the | of the Ancients intheic ftacely ftru- | impofed :
guent.
Emplafiers. . : There may likewile iuch a hke Emplafter be Viz.
Take Wax, Rofin, Turpentine, of each one pound; mingle them upon the fires and after- wards add, of Maftick, Frankincen{e, Galba- num, Saffron, long Pepper, Cinnamom, Nut |meo, Mace, Cloves, Zedoary, Galangal, Ginger; Grains of Paradife, and ‘Nettle feed, of each lbalf an ounce, and make an Emplafter. O
+3 Take the Leaves of Lovage frefb and uew, tht | tops of Savine, and Funiper, of each two band- fuls ; Camomile flowers balf abandful, Funi- per Berries half anounces when you have fliced and bruifedthem wel, then pour upon them thé + Oyl of ‘Bayes, and Lillies, as much as wil ferwe | to cover them all, of Hogs Greafe three ounces ; of Wine two ounces, boyltbem until all the moi- flure be wafted; andtben add Oyl of Spike, and Funiper “Berries, of each one dram ; Muftard feed poudered one ounce, tbe ‘Root of Pellitory three drams ;. Muftard two.drams; Wax as much as will suffice and fo make a Lini- ment.
A Fomentation.
For thofe that areoffended by Remedies that are fat;they may have a Fomentation made of the Water following, wherewith the Member may be bathed; Viz.
_ TakeCaftorenm one dram 5 long Pepper, Pel- litory, Grains of Paradife, of each tooo drams 3 tbe Berries of Spurge- Olive, ¢ by the Greeks cal- led Coccognidia.) or. of Nettle balf an ounce s Rocket one dram and|ylf , Funiper Berries oue handful; Sage,Mint,Organy “Mother of Thyme St. Fobns wort, of each one bandfuls Spirit of Wine three pints, deftilibem, or at leaftlet them fiand infusing a long bile, to wit, for fome cer= tain daies time ; and_aftermards let.them be firained,
»
se ai tere
Dropax.
|
j i
ne rene ra a Te nee I Ea ~ Peer Ee, on ner sateen
. 7 a eae ——~
2e44 Book V. Of Practical Phyfick, Part: H.
I os {SS = ees
een
aR Poth hal ac all take both a Wound and an Ulcer: yet nore, certhis, the Ancients did alfo on the fourth | withftanding properly 8c:in fpecial, che folucion of day adminifter chofe Remedies chat were vulgar- | Continuity with magnicude diminithed, io a {ofc ly called Pications. Nowa Dropax or Pica-| part,baving its otiginal fron) a corroding matter, is tion was a Medicament thac they made of Pitch) calledan Ulcer. Towir,a Wound fees Na with which blood-warm they | and an Ulcer differ in this, that ina i 4p tices what se in ne for the extenuated parc, and| Wound chere is only a folucion of | it # properly. theret . €pr icon toy was cold; chen they | Unity, bus there ts not any ching
pgrore pes ie applied a frefh one 5 and this was of the part neceffarily loft; but in an Ulcer there often repeated, uncil at length the pact became red, is fomthing diminifhed and loft fcom the. part. af- and turgid or puffed up. ‘Then after this, the| fected; and if nothingelfe, yer ac leaftthe Scarf- Pication being removed, they anoynted the Mem-~ | skin. For feeing thac an Ulcer is alwaies from a ber with the Oy! of fweer Almonds, or fome kind | cortoding Caule, it cannot poffibly be bur thac of fats and inthe Evening the fame was repeated | fomeching muft be taken away from che part, as before ; and in chis manner they handled che | For although in.an Ulcer there be fomiimes fome part folong, until again waxed thicker. kind of {uperfluous flefh growing forth 5 yer Bor
as | Which if chey could noc effect by | wichftanding there is neverchelefs che Skin, yea 1CYK|ES > * pe bee Pee ae = rn s. Bes a Pee Ps in : pee the {aid pication, the Ancient Greek | and the very natura} fleth ic felf wanting: and
Phyficians chen made ufe of a Reme- | that Ulcer isno fimple and fingle Difeate, buta tdyy chat was by them cermed Epi | Compound one,& fuch as is conjoyned with, mag- erufis and Caiacrufis, i.e.a Percuffion. For |nicude augmented. There may likewile coge= they imote che lean pare with cercain Ferula’s | ther with an Ulcer be conjoyned divers other Dif- Cprovided purpofely for this ule) uncill fuch | eafes, a Diftemper, an Inflammation, an Ery/i- time as the parc became curgid, fwoln and|pelas, an Excceicent Fleth, and other Difeates,
ed; and then immediately thereupon they a-} Which yet norwithftanding belong noe unto the noynted it with {ome fat Medicament or other ; | Efence ofan Ulcer, but may be caken away the but our Phyficians for chefe Percuflions do make pe fiil remaining 5 the effence whereof doth ufe of thofe Neceles chat are Green and Sting~ | contift only in che folution of Continuity, toge- ing. thec with fome kind of diminution of the part af fected.
Eve Subject of anUlcer is a part foft }
« nthen Ba | @, | ot tlcthy, che word Flefh being here | rH Subjects ER OL, 5 Bee8s D6 fh 02.8 : taken ina large acceptation 5 Vig, NOt |
only for che Mufcalous flefh, buc for that like-
THE wile chat comprehendech the flefh, of which che
Inceftines, the Bladder, and other of che Bowels
EF ] F T EH BO O K. coniift 5 and herein lierh che difference becween tt and che roctenne({schae is in che Bones. THE The Canfes. S E Cc) ‘@) N D PA RT. The neereft Caufe is any matter whatfoever it
be chac bath in ic any corroding quality; which
O UI comprehendeth under i¢ not only che fharp hu- fF CEVS » |mors that are bredin the body, but likewile all
| chofe excernal Caufes chat have in them a cor-
crufis:
ee
Chap. 1. Of thé Nature and Diffe-
rences of. an Ulcer.
dicaments. and poyfons: for it as falfe (cthac which fome affere) thac the very fame Ulcers jarife only from internal Caufes; fince, thac expe~ rience teacheth us, that che very fame Ulcers may be excited alfo from external Caufes. And to (Galen himielf being witnefs in his fourch Book of the Method of Phyfick, and Chap. g. )it is moft ap- areatly known even by experience it felf, that by the Fire, {calding hot wacer, Oyl,and other the like fervent juyces, in burnings and {caldifigs,they are not Wounds that are excited, but Ulcers ; like as allo Medicaments, and Poyfonsthac caufe pu- erefaction and burning, excite Ulcers. And fo poy- fonous and cogtagious vapors breed Ulcers 5 like as Scabbinefs by contagion and infection breedech Scabbinels 5
BSES EZ lthouck the word Helcas, “Ulcus ‘e
bs.
= A nal for every folution of Continuity
GV ina fofe parc, as we may. fee in SSee we Galen Uidihittecoch Book of the Method’ -of Phyfick, Chap. ult. where he underthe fame fignification comprehen- deth likewife a Wound thac is properly fo called, in which manner Celfus in his fifth Book, and Chap. 6. doth oftentimes without any difference
> €
a
\ Beer
Bi eglceral
ba gone Byy reduc
Bound! found
Bix ll Bounds
i vhereas Bux \ike Cale ¢ Bab its aicle, (0
|
Hacing Ca
a besncer PBanencstt
|
| } |
| ‘ an Ul
burge’
Piontapo
he Pah hile, F ih) w
ieliken Pipa, wi ii Peomote t jam,
‘), tha Px obec
coding power, fuch as are corroding. Medica- "|
}
hough ‘oc hay Aver beth
TheD ttl, Until imofth Phe Bin the AN ‘iF Bae gy PY, ote iM litrow Mahed Nich iy ey | a Na
Nt, and |
|
ge lee Hes ‘
| han
Wl adhd
f\: \ yi
y the t doch | LOK.
art af
Suit
kee | chthe. Jowels
weed |
=~
ayer tt which | 1p be wile all | acole fy Medica” 9 a ( chat s [Ilcexs Cape ars ay And 10 } Book yolk apr that by pes the
tn thy i
"ny
s; Ihe
fopoy*
~ Wounds then unco Ulcers.
|
i | pie
Scabbinefs; to wic, whileft che Contagion tharis: The Differences arifing from he Ca
Of the Nature and Differences of. an Ulcer.
imparted and communicated unto the Skin, corm, fhewn in the next following Chapter, wherein rodethict, And inthe very fame manner che Vapors! Our purpofe is cocreac of che Canfes of Ulcers,
thacare drawn in ( by breaching ) from the Lungs| of Phthifical Pecfons do exulcerace the Lungs,and
by contagion do breed a Phtbifis or Coniump. tion. Andin che like manner, upon che very fame ground, Venome and Venereal Poyfon be- ing tub’d and chaf’d into any body, or by any means communicated thereunro, infectech and exulceratech che fame. Neither is it of any weight or moment, chat Euftachius Rudins endeavorech to reduce fuch like Ulcers as thefe racher unto For by this means he confoundech alcogecher the Difference chat is be«
b ewixe Ulcers and Wourdssin repard chat Ulcers &
Wounds do not differ only in this, chat Ulcers are evermore wich a lofs of fome of che fubftance, whereas Wounds may be without any fuch lofs;
| buc likewife, in chac Wounds arife from fome | Caufe chat either cutrech inco che part, or prick- Peth its oc breakech, or bruifeth ic; "Y) thefe, co wit, the Ulcers, proceed from aGor- | coding Caufe, whether ic be external, or whether | ac be incernal. | camencs chat putrefie (for who can deny that co
but
And chis is alfo manifeft in Medi-
| be an Ulcer chac is excited from che Fuyce of
Spurge? ) from che which faid Medicaments that Contagion that is in Scabies, the French Pox, and the Phtbifis oc Confumpzion, differech but very
| Nittle. For although (as Rudins there Obje- | &teth) wedonot deny chat fuch Ike Poyfons ) have likewife in chem a power of infecting the hu-
mors, which being corcupeed may afterward allo promote thefe Ulcers: yec nocwithftanding we fay, thac all power whatfoever of correding 1S nor to be denied unto this very Contagion ir felf, akhough afterward ( when the corruption of the humors happeaneth in the body) che increale of che
The Differences.
The Differences of Ulcers, fome of them are Eifential, ochers ofthem only Accidental. The Effencial are chofe chat are caken from the very form of the Ulcer, from the Subjeét, and from the efficient Caule chereof. Thofe chat are taken
) from che form of the Ulcer ace drawn from its fi-
gure, its Magnitude, and the like. Forfome Ul- cers ate great, others buc {mal; fome of them Jong, others fhore ; fome of chem broad, others bucnarcow : fome ftraight, others again oblique, Wreathed in, and fiftulous; fomeof them equal, an which che flefh in allthe parts of che place affe-
| Ged is equally wafted 5 others unequal, in which
there is a greater parc of the flefh confumed in this place, and a fefs portion in another place of the fame Ulcer. From che part affected fome Ul- cers are faid to be Exteimal, others Incernal ; fome fleight and fuperficial, others of them profound
But now the Accidental Differences of U'cers are chofe that are taken from fuch things as are withouc che Nature & Confticucion of the Ulcer ;
and they arefuch as are taken from che {cituaci- | on of the Ulcer, or elfe from their time ; viz. chac | {ome of them are Recenc and new 3 others of chem old and invererate. :
And hither likewife there may not unfitly be | referred chofe Differences chat are taken from Caufes accidencal, and fuch as are not common unto all Ulcers; to wit, chat fome Ulcers are joy - ned together witha fluxion, but chat orhers of them want the faid afflux ; that (omeof them are pure, others of them fordid and foul, corroding, eatingup, andCreepingalong. For thefe Dit- | ferences depend upon the Caufes. And hitherto | likewife belong chofe Differences that are taken from the Accidencs and Symptoms of che Ul- cers; to wit, that fome of them are alrog void of pain, others of chem. accompanied with a pain, an itching, pricking, and burning; fome of them eafie co be cured, others difficulc and rebel~ lious, by the Greeks called Dy(epulota ; iome of them benign and favorable, ochers fuch as have con- tracted a moft peftilent and malignant quality, And hither likewifeareco be referred thofe Ul!- | cers that they commonly call Chironiaand Tele- | pbia. And yex neverchelefs befides thefe Di fferen- ces, that may be properly called fuch, there may yet fome ochers be given, chacare improperly fo jcalled 5 and fuch as may rather be termed the Complications of Ulcers with other Difeafes, then | Differences 5 and fuch like Differences are thefe. [Co wit, that {ome Ulcers are conjoyned with Pain, ia Diftemper, a Phlegmone, a. Callous or Braw- iny Fleth, a Gangrene, a Cancer, Worms, and
» Ulcer be chereby much promoted and furthered. | the Rottennefs or Corruption of che Bones.
And (che truth is) the Differences and Diftin- ctions of Ulcers are drawn from the Springs a-. forefaid. Butie beingacruth likewife chac tome of che forts of Ulcers are raken and drawn from divers and {everal Fountains (chat fo we May no¢ creat of Ulcers without any Mechod ) I conceive thac our Difcourfe touching chefe Ulcers will be moft Mechodical if we handle chem in che order following; towit, 1. If we ficft ofall ereac of a
fimple Ulcer, or an Ulcer canfidered in the Gene-:
ral. 2. Ofan Ulcer wich a Diftemper. 3. Of an Ulcer with anafflux ofhumots. 4. Ofa fer did and foul Ulcer. 5. Ofan Ulcer with Tumors, 6. Of Fleth growing forch luxuriant and proud. 7: Of an Ulcer that is wan or Leaden coloured,and withal}Callous, 8, Of fn Ulcer chat is hollow,
and fiftulous ( which we commonly call the Fi- | fiula.) 9. Of an Ulcer wich Worms.
10, Of an Ulcer with a rottennefs of che Bones... 13. Of the Ulcer by che Greeks called Dyfepulot, Malignanr,
yet tnd deep 5 and chey may be in this, or in chat pare. | che Ulcers Telephia and C hironia, and Phageda-
nt
> ae Neds
25.45
ules fhali be
ny
. it ii i
i
Pe i it
—— Se ee ae
Pius Book Mi “Of Praétical Phyfick. Part HL.
pa a EN a
ao na: 12 Of pain with an Ulcer. 13. Of the} as havebad exercife enjoyn’d them, for the pur= Ulcers of che Legs and other parts. 14. Unto | etng out of bumors. that lie low and deep, this figs which we wil add fomeching couching Burnings. | their exercife dravoing forth untothe skina Caco= iol!
15. Wewilconclude all with a fhort Diicourfe | chymy, that is tofay, abundance of bad and of= ¥ jgitté
th Aa touching a Gangrene, and Spbacelus. fenfive bumors, and {cattering it thro ugbout the | git Hi! } parts, doth for the moft part excite and caufe Us= yt! | 4 ih Chap. 2 Of a jimple, or Jingle cers, and the Scabies or ScabbineB. For this ig © fystll ) ih allt COleer | that which Hippocrates binteth unto us, when be nce ata : ca |faith, That if me exercife animpure and impur- — & guest ay | BN che ficft place therefore we wil handle a fim- ged body, Ulcers oil from thence arife. And fo py heb Me ple Ulcer, and thew you what are the Caufes|zndeed in the very like manner, in the Spring jest! ie ofan Ulcer confidered in che general; and. what | time, the beat.of the ambient Air diffolving the} fected (ap AP differences it hath according co its form, its cau- bumors calleth them forth unto the skin, by an ody (8 “44 ant fes, and the place affected : by whae figns che effect altogerber like unto that of exerctfes. iG or be Not {ns | lcer and irs effentwal differences may be known 3.|the effetts of the Spring do not only refemble the fi yrupii A lai and what isto be preeadviled as couching che cure; |effetty of Exercifes, but they are alfo moft like Wi yichti tm te and wiat che Ulcer in.general indicatech.and poin= |wnto the works and operations even of ‘Nature B {puting Vt a cethouc 3 and Jaftly, what kindof Méthod and ber felf. ‘For indeed the parts that the Spring Bp ehh beta i tg courfe ic requirech tor the curing of it. time ateth (like a doth Nature ber felf_) are,as Biyvhit ee BE The Gal hes | wel 10 caufe that occult and fecret per{ptration Bitte es Wa pear Mtoe sh J | throughout the whol body (by tbe which all the A (de de Ve have already cold. you in the precedente | fuperfluities of ibe body are emptied forte) He Wins lint haw dae cd chapter, chat che neereft caule of an Ulcer is a| throughly to purge the body alfo by difeases, after Op borabea Wiel 4 ma‘cer that hath in 1¢ a corroding quality , whe- 4 various and different manners Thus tar Ga- Wij, | 7b a ther ic be bred inthe Body, or whether 1c happen j/en. But chen thele Humors get thei acrimony ait {| ee unto Che body from wicthour. in the parcittelf, by cealop of tome diftemper in BD icenule sae ie dey Ot che firft fore are al Humors whatfoever thar | thefaid part. Andafrer this manner, like as even Mice Pa ie are fharp, and endued with acorroding Faculty |che Pus or. purulent matter it felt, by its conco= Dow, Ii a i i | bred in thebody. But now chis:humor is eather ction and long abode in the parc becometh more ing Py | bred without the pate affected, orel{e ic is gene- | tharp, and ftil fo much che fharper and corroding, fir if ian raced in che very parcic felfthac is affected. Wach-| by how much the humor (out of which it is gene= | ar Vane YG out the affected pace here is generated a cholerick | rated) is more care and fharp; fo likewife doch ‘ i ee humor, a falc flegm, a Whey chat is ialcy nitrous the bicod, which is corrupted by the part affected, [fh | and tharp, and black Choler or Melancholy, . For|and {0 putrefieth, | finer AP thele it chey be bred inthe body, and flowunto} But now the Caufes that happen unto the bow | Pe A i ' any one pare, they may corrode avd exulcerate the | dy from without, are Septick Cor putrefying ) Madihe $; es a faid pace, Bue from whac Cautes tuch like hu- }and Cauftick Medicaments. _ Netcher do | hece Brecfint Ue) a mors may be generated in che body, we have alreae | exclude the very actual fice it felf, from bearinga a i fi am dy thewn you in che fecond Book of our Infticu- | parc in che number of che external caufes; inregard |j What eb tions, touching the caules of Dileafes, and elle- | chat che Efchar chat is left remaining appercaineth ine d iH) | i where. Now they flowunco che pare affected,| rather unco ulcers chan unto wounds, And hither | boca | abe), Eel either by ceanfmiflion, or by atcraction 5 both| likewife is co be referred chat contagion, by meang | ar 1 which from what caules they proceed, we have! whereof che vapors exhaling from the Lungs of | b Chin Le declared above, in che firft Pavt, and Chap. 5. of| Phchifical perfons,&& by others attraéted 8& drawn | oe i HWE an Ioflammation. | And more efpecially in che | in with the breach, do likewile exulcerate cheig | . Mt By a Spring time, various Ulcers are wonc co arife from) Lungs, and fo caufe inthem a Phihifis or Con- | b foe af a fome internal vice of che Humors, as likewife| {umpcion 5 and alfo the naftinefs and infections of | fivla | from unfealonable and immoderare exercifes.| fuchasare {cabbed, Leprows, and affected wich | Bh i A Forif Cas Galen weiteth ia his third Book upon | the toul Difeafe, being communicated unco the | 4 ua fhe Apboritins, Aphor. 20.) 1n ibe Spring the | skin, doexulcerace ir, and there generate a hike | i he
by Body be impure, there bappeneth indeed then fome | difeafe. But that attraction which 1s cauled in|
Wer ite i, 4 Such liketbing in the Spring time, even as we fee, gauling 8 intecfairing,or in wearing of che skin by iit
ae there ts pont to be in the exercifer of the Body.| the wringing and ftreightnefs of the fhoo, is nog | ‘ yh | \ F or although thefe exerctfes be never (o fafe and|mphtly and ficly referred unto, and reckoned up | E. Ly Wh healthful in them{elussyet nevertbeles if you bring | amongft the nigheft and moft immediate Caufes, | , i Bieta forth ainan that is full eisher of flegm or yellovo | For by the faid aterition the humor only is ate | ‘i {0 ie choler, or blackcholer, or €venalfo of blood it felf | cracted, chat afterwards corrodeth the Skin, ang | eet VN i, ny toexerctle, you foal undoubtedly by this exercifing | exciteth cheretn liccle bladders or blifters. Bug | pi 7 ea : of bim procure unto bim either the Falling-fick~| now wha che {pecial caules of {fpecial Ulcers are, | oe on #2B,or the Apoplexy 5 or if not thefe,yet moft affu-| we fhal afcecwards fhew you in ats proper place, || it i I) redly the rupture of fome Veffelintoe Lungs, or a| where the peculiar caufes of each particular Ulcer a Ita
Rie | welt acute and violent Peaver, But ur:> Sch ' thal be explained. Szeng | 9
a * ‘
Wd
di all HI \ D} y d
per in
as EVEN
he box ying ) I beg alge cepa raneth et jhichet y ea a | + dca Bl te thet ot Com A ions B) ed Will On | | ule i i askin OE 0,19 | oned Up B
Cail
I ma | i, a ee» cess lf
sp le | . Silt Be
A
Signs Diagnoftick.
External Ulcers are vifible and apparent both unco che fighs and couch; neither need there any figns be given whereby they may beknown. but as for the internal ones (chat oftentimes lie hid ) chey are known by che Chirurgeons fearching In- firument (or Probe) if way be made tor it to pierce unto them; by che touch, or elfe by the exccements thac come from them, by the pain,and by the burc chat the action hath received. For she excrements do fhew forch and declare the part
| affected. and if by any paflage whatfoever of che | body (whether ic bethe Arfe, orche Bladder, or - the Noftrils, oc che Ears) “Pus or rotcen filch and
corruption flowech forch; or otherwife if ic be rejected and caft up by vomic, or by coughing and {piccing, itis a fure and certain fign chat there lt eth hidden within fomekind of Ulcer; but chen in whac parcit liech hid, the property of the pain, and the {cituation, and che action of che part that gshurt, wil ceacband inform us. A pricking pain is a fign that che hurc and affected parc is nervous; but a beating pain acquainteth us that an Artery ishurct. Theteatofcthe pain wil in hike manner manifeft the part icfelfthat isexulcerated. it in che exulcerated pact che fenfe or motion fhal be hure, ic becokenech thac che part affected is Ner-
vous. Ifcherebe fele after meals a biting or twir- |
ging pain, ic isa certain fign thatthe Stomach is exulcerated. External Caufes do here likewife furnifh us with figas : If any one hath drunk or
NN) eaten che Flies Cantbarides, che Bladder will | then be exulcerated 5 it he hach drunk any Medi-
cament, or any thing elfe thac burnech (as for in- ftance, Aqua fortis, or the like) then the Jaws and the Stomach wil be exulceraced. See more hereof in che 3d Book of our Infticutions, Pare 2. Chap. 4.
Wherher the Ulcer be grea or fmal, ftraight or oblique, or whether it be of any other figure (and fo for al the reft of the like differences) in che ex- ternal Ulcers chey are known by che fight, and by the Chirurgeons Probe. But in al Incernal Ul!- cers they cannot foeafily be known. Bur yet ne~ verthelefs, whecher an Ulcer be great or but fmal, the ftore of filth and corruption chat iffuech out of ic wil manifeft; for in a greater Ulcer there wil be greater ftore of this Pus .or purulent mat- ter, and in a:lefs Ulcer chere wil be lefs here- of.
Caujes.
As for what concerns the Caufes (and firft of al the internal ones) if the Ulcer hath its original from the afflux of the humors, chen there wil be prefenc figns of a Cacochymy, either in the whol body, or elfe ofa vicious and faulty confticution ofthe Liver, Spleen, or of fome other Bowel. Which if they be abfent, anddo not appear, but
-thatonthecontrary there be prefene a diftemper rly
and weaknels of che part affected, ac ischena fign
__
Of a fimple, or fingle Ulcer.
ei as tense
{ chac che Caufe ofthe Ulcer was generated in the | pact it felf chac is affected. Buc then what kind | Of Humor ic ts chac caufetb the Ulcer, whe:her |Choler, or falc flegm, or a ferous and wheyith | Humor, orblack Choler, wil manifeftly appear | fcom che figns of each particular Bowel ; and eipe- \cially by the Pus and rotten filch chat flowerh jouc 4 asalfo by the color of the Ulcer, and the pain thereof 5 by the pricking likewile and the twin- [Pee aia and the figns of {pecial Ulcers wil | alfo inftiuét us in the fame.
As for the exrernal Caufes, chey are known by the relacion of the fick party, who wil acquainc | us, whether he were hurt by any fharp and corro. | ding Medicament, or by poytcn, or even by che fire ie felf; ur ocherwife whecber or no he bath
converted with any one that was difeafed with chefe contagious Ulcers, and whether or no he were not infected by him. | The times of thefe Ulcers have hkewife their | figns. h | wacerifh, crude, thin, and greac ftoreof 17, it 15 | then in ics beginning, which very beginning mey | likewile neverchelefs be dticovered by che lente, by | the couch, and by the fighr, as allo trom rhe caules }of che Ulcers, both excerna] and internal, and by the prefenc and fubfequent fymptoms, the pain and itching. Whenatcerward the Pus orrotten filchy matter bepinnerh to be better conco&ed, and that its ftore and plenty 1s diminifhed, chen the Ulcer is faid co be in its incremene or increafe. Jn the ftateche Pus is atthe beit, and inthe decli- nation of che Ulcer the Pus is moft of a} leffencd and diminifhed. And yee neverchelefs che fame crimes are likewife known by the patn, by che irch- ing, and by the hurt a@tions 3 which if they be augmented, we may then hkewif conclude that the Ulcer is encreafed; but if they remic and flacken,and thac al chings return unto their Natu- ral ftaces they then demonftrare and fhew chac che Ulcer is then diminifhed, and in its declinati~ Which very thing may likewife be learned both by the fight and by che touch, in che external
15
OMe
parts. Buc as for the figns of fpecial Ulcers,they thal hereafcer be propounded io cheir own proper places.
Prognofticks.
t. What isto be hoped for rouching the Curé of an Ulcer, may be known by the greatnels and heavine(fs of che Ulcer it felf, and che condition of che part affected.
2. For if the Ulcer feize only upon the Skin, and be only {uperficial, icis then the more eafily, (and in she fhoreer time) cured: but by how much the deeper it is; and by how much the part that is affe@ted is more nobles abd co be preferred before the Skin, by fomuch the more difficule wil the Cute thereof be.
3. Andin thisregard, thofe Ulcers that are in che extremities of che Mufcles are more dangerous XY 2
»
than
2547
Be ass | =
= — — Q ~-- —- _ care Se ae aa ae ae seleataiees : a ra chanchote Ulcers that are in che middle of the| chofe that are nigh unto death, a little before th
AE A A pe
2548 Book V. Of Praktical Phyfick. Part II.
, e Mutcles. die, che Ulcer appeareth pale, black and blue, a 4. And for this very caufe, thofe Ulcers are | leaden colored, and withered, by reafon of the ex- more dangerous thac arein a noble part, and do| tinétion of che Native heat, belong al{o uatoa noble pare 5 as alfo a Nerve, a 15. When aftera long flux of bad and i] colo-
Vein, or an Arrery. And in che general, che | red filth and corruption, good and laudable Pus _
more intecna! Ulcers are altogether more dange- | begins coappear, it affordeth good hopes of the rous chanthe excerior Ulcers, recovery of health; andatis afipgn, both chat che 5. Thofe Ulcers that are able co draw a prineie | ftrength of Nature is uniting it {elf together, and pal pace Cora pact neer untoa principal one) into ; that the master is changed and turned into better a confént and agreement wich chem , .oftencimes \ than it was before. caufe death unro che fick perfon. 16. And the Pus ir felf doth alcogether fupply 6. Thofe Ulcers are more eafily cured » unco/ us wich a fign and coken whereby we may. guels, which che Medicaments chat are to be adminiftred | what hope thereis of che Cure of the Ulcer. For do eafily reach and attain unto, and more eafily | if the Pus chat is dayly thruft forch be goods it adhere and ftick unto chem: bur choie Ulcers are then yrejdeth unto us hopes of an eafie Cure ; bue more Gtiliculily cuted, unto which che Medica. | il and naughty fignifieth che contrarye For good ments cannot be rightly applied; and uno che | Pus fignifieth unto us both che good condition of which chey do not to eatily fick and adhere. thoie bumors out of whichit is generated, and 7: Ulcers are hardly cured in chofe parts thac | likewife ibe ftrengrh of che part affected : but bad Go naturally abound with many humidicies and | Pus fheweth the contrary. Now che Pus thac excremencs. | We are fa.account good, 3s of amiddle confiftence 8- And foare likewife chofe chat are of anex- | beewixc che thick and the thin, white, {mooth, quifite fenfe, and fuch as are able to draw into con= | equal, and liccle or nothing noy {om and ftioking. dent with themlelves thofe pacts chat are endued | Bur then che evil Pus is chat which isvery chin with an exquilire /enfe. and fluid, pale, leaden colored, dregey; and il fa- 9. As likewife they are neceffarily altered by | vored. | | the external Air, or upon any orher. Cau 17. The Sanies. likewife it felf ( which is a fes. humor fomwhat thinner than che Pus, and more 10. Lhofe Ulcers are likewife dangerous, and | waterifh) flowing forth from Ulcers, and like- of long continuance, in the which che rotcennefs | wife fomrimes fom Wounds, fheweth evidently of the bones 1s co be feared. what we are £o hope ascouching the Cure. For ri, Agreat Ulcer (al arher ciccumftances be- | much Sanies chat is over thin, pale, leaden color- ingan{werable) is more difficulcly cured than a }ed, black, and ftinking, and tbat which corrodeth {mal Ulcer. Forina great Ulcer many parts are | he Skin chat isnigh uncoir, evidenceth chat che expoied unto che excermal ambient Air, and the | Ulcer is hardcobe cured. But if che faid Sanies pacts lying underneath ( co wit, the Veins, che | be but indifferently chick, not much of 1¢, fome Acceries, and the Nerves) are more burt. As! what red, ox fomthing whire, ic then fhewecth chat alfochofe Ulcers char are nacrow and fomwhat | che U'cer may eafily be cured. , long are eafily, bur che round are hardly| 18+ Ifthe Ulcers be Annual (viz. fuch as re- cured, iurn yeer after yeer) or of a longer continuance 12. If the Body be pure, and the principal | than ordinary, it wil then follow of neceffity that Bowels in good {tate and ccnftituiion, and if the | the bone muft impofiumate, and that bollow Ci~ pact affected it feli be ochecwite wel and in a | catrices mut be made therein. So faith Hippo- good temper, chere is then hope of an eafiecure. | crates in the fixth Book of his Aphoritms, Buc on che contrary,if the Body be Cacochymical,, Aph. 45. Forif che Phyfitian cake in hand che che principal Bowelsal affected, and the part ex-} ure ofan U'cer, and put forth che ucmoft of his ulcerated likewife 1!) affected, we may chen wel] arc and $skil in- che, profecution of the fame, fa conjecture, thac che Cure wil prove difficul:, | chat he neither omis nor incermic any ching chag and that che Ulcer ts like co beof long continu-| is therein neceilary, and yer neverchelefs the Ul- cer fhal nocaftera long time becured, or elfe be- ing covered over with a Cicatrice thal become crude and raw apain, it chen fignifiech chag che caufe why che Ulcer is not healed lieth in the bone that is corrupted: the continual afflux like=
t
fuceeed other difeafes are for che moft pare not cured without much difficulcy, in regard that Na- ture throftech forth and crantmaceeth thofe vitis ous Humors that ate inthe body unto the exter- nal pace. mf
14. And fo ic 13 likewife in chofe Ulcers chat rend toa preenne(s oz blacknefs af color 3. becaule that chis fignifiech chae che heat of che affected part Isvery weak, and elmodt excinguifhed. And in
lafting Ulcer may eafily corcupe the bone that h- ech underneath it. For by reafon of che diftem= per of the part thag hath been of a Jong time en=
and by reafon of the impoftumated bone, the Cas vity |
ps gS SSNS
| |
|
wife of the exccemenrs that are generated ina long |
compafied about and furrounded with an Ulcer, ¢
(i
6H ity ° ie! jt ip ipa jen & ai! im [ljet ¥ Bo : Hit, won! 4 Groin, and cac » yt (0 mm vey B |ooie an a in am BD artha a cherith Spleen mors tt © theret i now bec Hout mud b cacefull 1 cblerved
D bricus FV iebusa bad ani Han tsk FH Sometey 19 ichis Je ' ty hi f 17 excremer W theulcer 19 feventeen MD bkewitef Alone, | There
) he (pect
Since
a
1A the folge
TWeayl Maid ui
) \ \ | ride
belich Nay i
‘
1
Chap. 2. ae Of a jfimple, or fingle Ue | 2549
7
ial | vity of the Ulcer cannot be filled up, neither can |touching which we fhal hereafter {peak further in \0) there flefh enough grow forth 5 from whence it |the {pecia] differences of Ulcers.
“OD is chac an hollow Cicatrice is caufed. | If therefore that Humor chac excited the ulcer | 19. Ifthe Ulcer afcer fuch time as it is filled | be ftil prefene, it is co be evacuated : for in every Oh up wich fiefh, and that a Cicatrice ought to have | affect in which che caufe 1s ftil prefent, che Cure ‘Tne been brought thereupon, wax crude and raw a-|isevermore co be begun from the removal of rhe Yt gain, there is chen greac caule to fear, chat the|Caule. And moreover,becaufe ¢hac in che begin-
ning there wil alwaies fal forth {ome of the blood wichout their proper veflfels, and becaufe chat of- centimes togecher with i¢ ocher vitious humors in the body flow thicher; left cherefore chat which
x Ulcer wil curn into a Fiftula.
a 20. Ulcers chat are in che Feer, and in the “0 Hands, are wonc fomtimes co haften on Inflamma- tions of the Glandules in che Arm- pits, or in che
$
Una Groins, and Tumors in bodies that are plechorical fticketh tu che pores of che parts Thould purtrefie
and cacochymical. For che matter flowingdown |and breed an Inflammation, chis blood 1s to be
Fat unto che ulcer in che Hand, orin che Foor, chofe }concocted, and changed inco good and laudable
tt ") very parts chemfelves likewile being become more | Pus. From whence likewileicis chat Gale tn
5 bu) loofe and weak do firft of al receive and drink it | his Book of the rimes of the who} Difeate, and
‘fool Gn. | Chap. 3. wiicech thac ulcers have cheir peculiat
mn 21, Theulcers of the Thighs are for the moft |rimes; and chac in the beginning there is chrutt
a pare hardto be cured, and efpecially if they be fortha thin, inconcotted, and waterifh Sanies,
inal) cherifhed by any diftemper and default in the| which in che augmencation by the help and be-
: ha Spleen: for chen the chick and melancholy hu-|nefie of concoction becomech thicker; and at Bel dl inst iit mors that flow unto che ulcer do hinder the Cure | length Cin the ftate) is changed into Pus chat is vik oot thereof. good and white. “And therefore in the beginning Hi | iktag 22. Ulcers that have continued long, and are} ofanulcer it wil be cequifire to ule Concocters, Pai we (hit now become invererace, are not to be cured with | which they commonly cal Digeftives, And fur= AB ‘le ill) gue much danger, unlefs the body be firft of alf| chermore che filth and impurities which are wont ii tha 4 carefully purged, and agood courfe of Diec be|cobe generated inan ulcer ( in regard that they BY Ke hia obferved; of which very thing Gulielmus Fa- | hinder che curing thereof ) ate to be wiped cleag OW {mare bricius Cin his third Cencury,and Obferv.39.) gi- | away. So foon as the ulcer is cleanted, che Cavi- Bi tlk) yerh us aninftance in a certain man, who having {ty theteofis cobe filled up with flefh : and at the te atl had an inveterate ulcer cured in his Jefe Thigh by | length che ulcer is to be fhuc up with a Cica~ Mai \
' a an unskilful and immechodical Empirick, after Crice. i ual ci fome tew monchs was furprized wich 2 Pleurifie} There is yet neverthelefs likewife regard to be Pepa he oleh Gn his Jefe fide, upon which be died: and chat du- | had unto the parts affected. For in che ulcers of
tc ring his ficknefs he {pit forch jutt fuch fluff and| che external parts, the preen ruft of Brafs, burns Sa | excrements as before were wonc co flow forth of| Bra{s, Vicriol, Antimony, and che like, have their {ome 6 gheulcer. See I:kewife Ambrofe Parry (in his} place; which neverthelets are by nomeans co bz tha } feventeenth Book, and Chap. 51.) couching Pus | admitted of inthe incernal pacts. It hikewife che , @ dikewile from an ulcer in che Arm evacuated by the| pare be fo conftiruted and framed, thac ic may harem Uline. give a paffape unto other chings ( like as che Gul nuance The reft of che Prognofticks fhal be handled in| lecdoth) che Medicaments are Chen fo to be or- iyinh) the fpecial differences of the ulcers. dered, chac they adhere unco the pate. Thole ow CN Indications patts char are endued with an exquilice fenfe wil Tipo A vias not admit of fharp Medicaments; which chofe vl Since that the Effence of an ulcer confifteth in| parts chat are of amore dul fenfe wil welenough
oft) = magnitude of che affected pare 5 the folution of| there) inthe particular ulcers.
me, ON unity fheweth thac union muft be endeavored,} Bucnow how an ulcer may be filled up with ino tt) «= and chat which is loft and diminifhed indicateth | flefh, Galen ceacheth us im his third Book of the elk) its own ceftauration: co wit, the ulcer (as an| Method of Phyfick, and Chap. 3. To wit, unto lebe -ulcer) isto be filled up wich flefh, and united, | the generating of flefh thereare neceffarily requi- ‘ycomt) «and then fhut up with a Cicatrice. But chen) red the efficient Caufe, andthe matter. The effi- md when theulcec isconjoyned wich ite caufe, thac| cient is Nacure, which € as ic dorh in the whol sig WR) either exciced the ulcer fcom the very beginning, | body, fo likewafe) in each particular part dothac= wi © Orelfert Cin the Cure) ic obtainche Natureof) cract anddraw fo much Alimenc as is neceflary, g2/0 8) Shat caule without which cheulcer had not been, | and there fhe cetaineth ir, conco¢teth, appliech, icf the faid cauleisthen firft ofal co beremoved. But | and affimilacesh it, The macter is a pure and die then scis requifite likewife chag che temper of the | fincere blood, chat is generated from meat and it “parc affected, as aifo che blood chat floweth there-|drink. Bue becaufe (in every concodtion) there ‘ Ulf tobe fuch asic oughecobe: but afchere chanceto/|is generated a twofold excrement; (one more ieGeB|, be any ching amifs in cheley ig is tobe cortected 5\ chin, shas infenfibly exhalech, orelfe is difcaf= ii) : fed
| } and te | che folution of unity, and the diminution of che/ fuftain’: couching which we fhal {peak (hereand
»)
fed by Sweat; theothermore thick; ) the fame likewife happeneth in the generation of Flefh in the Ulcer 5 andif they be left re-
maining inthe parc, they wil moiften ic, and ;
hinder the generation of Flefh. And there- fore thefe Excrements in the Ulcers are to be clean wiped away, and dried up. And this is that which is fo frequently &com- monly alleadged our of Galen ( in his third Book of the Method of Phyfick, and Chap. 4. and in his foureh Book of the Method of Phy- fick, and Chap. ¢. andin other places, here and there) where he faith that every Ulcerre- quireth exficcation. And Hippocrates (in the beginning of his Book of Ulcers.) chus writeth: Thatmbicbis dry (faith he) com- meth ne:r unto that wbich w found 5 but that which #s moift cometh very nigh unto that that w witiated. “Andfothe Cure of an Ulcer ic ts indeed the work of Nature, chat reftoreth che flefh that is lof from the Blood flowing untoche parc, and bringeth a Cicatrice over
the Ulcer being filled up with flefh. The, Phyfitian he only removeth thofe impedi-| be wiped away : ments that are an obftacle to Nature in her o-| perfwaded to make ufe only of Suppuratives 5