POPVLAR ERROVRS.
The First BOOKE; Which concernes Physicians.
CHAP. I. Of Physicians in generall.
SEeing then, as wee have said in the Preface, the number of Physicians is so Great, we must explaine in the first place, who may lawfully practise Physick properly so called: for Physitians that are created in the Universities doe practise, as also their servants, Ministers, Many sorts of Physicians. Mountibanks, Runnagate Quacksalvers, and women who are said to meddle in Surgery; of every one of which Something is to be said in order.
Hippocrates would have a Physitian to [Page 2]be an honest, diligent, and ingenious man, and in his Booke de Arte, he would have him to bee instructed from his childhood in a fit and convenient place, and a lover of paines. Galen in a peculiar book saith, that he ought to be a Philosopher; and Hippocrates saies, that a [...]. Physician which is a Philosopher, is God-like. Aristotle saith, that in a Geometrician, the knowledge of another Science which is diverse from Geometry is not to be desired: And so it may be said of a Physician, onely the exquisite knowledge of his owne Art is to be expected. [...] From whence a manifold Errour of the people doth arise. First, That they call him a learned Physician, and a great Scholler, who can perhaps speak Latine, or understand a little Greeke, but not him that is well experienced in his own Art; and this is it which some thinke is sufficient to fit a man to sustaine the person of a Physician (As of late I knew one, who in that he professed himselfe to be a Physician, (although he was but lightly tinctured with the knowledge of Physick) yet was accounted so for a little smattering that he had in the Latine tongue). But [Page 3]there is a great difference betwixt these; for well said Celsus chiefe of the Latine Physicians, that Diseases are not cured with Eloquence. For although the knowledge of the Tongues (in the compasse whereof the greater part of the Vulgar doth comprehend all Learning) doth make way for the understanding of all the Arts, yet they are not acquired without new labour, care, and industry. Therefore let the people from henceforth, think him a learned Physician, not that knowes a little Greeke and Latine, or some other Science besides Physick, but who being well instructed in the Rules of Physick, and well read in Galen and Hippocrates, understands throughly the Diagnostick, Prognostick, and Therapeutick parts of Physick; for he that is either wholly ignorant of these things, or understands them but meanely and in part, can scarcely be accounted a good Physician. But who is he that shall judge of these things? For they are not a few, who having gotten some fame among the people, and become renowned with a certaine name of Learning, which never read Galen and Hippocrates, [Page 4]do study very little, no not when they are most at leasure, and follow some new Writers scarce worth the reading. But because there are also very many good diligent Physicians, learned, and laborious, we will adde no more. Well therefore writes Aeschylus the Poet; [...] He that knowes profitable things, not he that knowes many things, is wise.
CHAP. II. Of Doctors of Physick.
GAlen makes two sorts of ignorant Physicians, one of them which are meere Empyricks, the other of them that would have a name of knowledge, and yet are but meanly furnished therewith. Of this sort are very many, who, that they may acquire to themselves a better credit, for some small matter get the honours of Universities, which they call Degrees, and yet returne home not awhit better learned than when they went up. Doctores non doctiores redeunt. Now the approbations of Universities have been wisely ordained by our Ancestours, being indeed both proper and necessary, yet concerning them diligent heed is to be taken. But now adayes great is the neglect herein; for [Page 5]on many, although but of meane learning, the Degree of Doctour is conferred, insomuch as from some Universities, they returne Doctours, but little learned, fit for nothing lesse than to teach or practise Physick. And there are few Universities into which that abuse hath not crept; Therefore in Itlay and France the degree of Doctour procures not much respect, nor is it permitted to any, although Doctour, to practise Physick in their famous Cities, who hath not been first approved by the Magistrates of the Citie, being examined by Physicians, of whom also perhaps some are not Doctours. In like manner, he that is Doctour in one Universitie, cannot practise in another, unlesse therein also he take his Degree. The same also was well and wisely ordained at London, that no Doctour of the Universitie should exercise his Art there, before that after new examination he be approved by the Colledge of Physicians. For in many Universities, although Physick be diligently taught in their publique Lectures, yet in conferring those Degrees they are too carelesse, denying them to few or none. Therefore [Page 6]it were an excellent thing, It is most honourable to take degrees at home. if it were permitted to no man to take those degrees and honours out of his own Country, that he might have his own Countrymen, among whom afterwards he intends to exercise his Art, to be witnesses of his learning, as they doe in France. Andreas Laurentius that famous Interpreter of Anatomie, when by the Kings royall Writ he had obtained the office of the Physick-Lecturer at Monspelier, yet could not be admitted, untill he had againe commenced, first Batchelour of Physick, then Licentiate, afterwards Doctour, and had so often kept his Acts againe in Physick, as was requisite according to the Statutes of the Universitie. In like manner at Burdeaux where I was educated, it was not permitted Iulius Caesar Scaliger a man so learned and skilfull, to reside, because he would not be examined by the Physicians of that Citie. He would not, not because he disliked that order of that Citie, which is also observed throughout all France, but because he would not expose his fame to every mean question of a young Physician; concerning which thing there were mutuall Letters dispatched [Page 7]betwixt him and Manialdus, a very learned Physician of Burdeaux, which also Manialdus his sonne, the ancientest Physician of that City had lately in custody. These are the things, which because many do not take notice of, they so easily give credit to every one that professes himself to be a Doctour. To a learned man indeed these degrees doe adde honour, yet they conferre no learning. For he that to day is no Doctour, but shall be to morrow, is not wont of such a sudden to become for that cause more learned, nor if he abstain from that degree, will he be more unlearned than a a Doctour. As therefore I do not speak against the constitutions of the Universities, but rather reverence them, yet so many abuses can no man approve. For many mongrell-Physicians, ignorant of this art, or at best but meanly skilled therein, having bought the title of Doctour in forrain Universities, or perhaps but feigning that they have bought it, and so become proud of that counterfeit honour, return home that they may bee cram'd with the bloud and wealth of their Countrymen. But for the most part it is to be observed, [Page 8]that greater danger hangs over the sick by those practitioners in Physick, which have but little knowledg therein, then from that know nothing at all. For they become audacious, talkative, outbrave and resist their betters, and brag that they either excell them, or at least equallize them. I have observed in some, this evill custome, that whatsoever a Physician shall speak well, they contradict, that they may get to themselves some fame, out of the ruine of another mans name.
CHAP. III. Of the servants of Physicians, and of Apothecaries that practise Physick.
THis is an ordinary Errour, that they that have been Physicians servants, although meer ignorant fellows, Physitians servants, and Apothe caries far short of the abilities requisite to make them Physicians. after the death of their Master, or many times before, address themselves to the practise of Physick; of whom I have known many, and they are also thought by the people to have some knowledg, because for many years they have served a Physician, have written down his prescriptions, which they call Bills and Receits, and have observed the successe.
The same may be said of some Apothecaries, whom some Physician hath long imployed; but all this is not sufficient to make a Physician, nor can the Medicinall art be so easily learned. For Hippocrates, What is requisite to make a Physician. in him that desires to be a Physician, besides a prompt wit, requireth instruction from his childhood, a fit place for his studies, labour, discipline, convenient time, and other things which these men want; as if to follow a Physician were sufficient to learn Physick, or as if those Physicians whom they serve, were more excellent than others, who have commended their learning and experience in their writings, to posterity. Not that I think it absurd for a poor painfull Scholler to serve a Physician, and to learn from him what he can, but that it is too much saucinesse, for such fellows and drudges adventurously and malapertly to imitate their Masters; for seeing that no man is such an exact Physician, to whom many things are not wanting to that perfection which should be requisite for a Physician, how can these fellows so easily become Physicians. [Page 10]And yet they as well as others are much extolled by the people.
CHAP. IV Of Ministers that practise Physick.
AMong men of Ecclesiasticall order, that have dedicated themselves wholly to God, and the Churches commodity, there are many that do seriously, and greedily, and with much gain to themselves, undertake the cure not of souls only, but of bodies likewise, and strive to their utmost to get patients to themselves for the healing of their bodily diseases, even in such places where there is store of Physicians. I know this is disliked by many Physicians, especially by them that gape all for gain; but seeing that many Physicians of lighter note do scarce patiently brook others better then themselves, it is no wonder if they approue not that order of religious men. But this is no new thing, for Marsilius Ficinus, that great interpreter of Plato, was both Physician and Priest, and proves it to be lawfull, because to the holy Priest all the offices of charity doe belong. Wherefore he that to the [Page 11]Priesthood joynes Physick, procures that a sound mind may be lodged in a in a sound body. But if in a Minister the knowledg not only of Theology, but of other sciences also be requisite, why shall Physick be excepted? How many of them are there, that are full well versed in the knotty questions of the Law, why not also in Physick? But some will object [...], who is sufficient for these things? The study and practise of Physick requires the whole man. For the Medicinall art seems to be so cumbersome, difficult, and long, that it cannot be throughly learned of any man, but it requires and exacts the whole man. Wherefore the Divine feems to be blame worthy, who leaving and neglecting the nobler science, to which he hath given up his name, and hath gotten to himself a character never to be blotted out, doth addict himself to another, so slippery, so hard, so unconstant: for it must of necessity follow, that a sufficient knowledg of another art must be wanting to him. But they have many things to object, whereby they can defend that singular charity, forsooth, towards their neighbours. And first, the curing and preventing of diseases is not contrary nor opposite to the study of Divinity, [Page 12]and to the preaching of Gods Word; for even the Apostles and promitive Christians did heale diseases, and also preach. Now, though that kinde of curing was miraculous, yet from thence we may gather, that the curing of diseases in it self, and its own nature, is not oppugnant to the Ecclesiasticall office, but doth well and friendly agree therewith. If it be lawfull therefore to atchieve the end, it is likewise lawfull to use the means that tend to that end, and such are remedies which God hath created to this use. But perhaps some will say, that curing of diseases in respect of the thing it self, doth not oppugne the office of Divines, but only because it doth suppose the knowledg of another Science, to which together with Theology, it is not easie to give diligence. But they may answer, all mens wits are not alike, and the gifts of God to every one are not the same: Some perhaps are so prompt of wit, able of memory, and such lovers of pains, that they can imploy their minds in both arts with very much profit. Yea, at this day there are but few, that to the study of Divinity have not added some other Science, to which their Genius [Page 13]doth most encline. Some are conversant in the study of Mathematicks, or of Astrologie, or of the Lawes, or the like, nor doth any man blame them for it. That the knowledge of both these Arts is possible, the example of some Physicians themselves doth manifest, of whom many study but little, and yet in regard that they are taken for Physicians, they desire to be preferred before any painfull Divine, but for what reason it is unknown. For if a Minister do employ that time in the study of physick, which a mongrel physician doth shamefully spend, either in doing nothing, or in ill doing, or in playnig, as many doe; what should hinder him to become a skilfull Physician? Nor is it a new thing that some Physicians also are delighted with the study of Theologie, and verily I see no reason, why in this our age, where abuse hath corrupted almost every thing, that some Divines may not be more learned than some Medicine mongers, seeing that many Physicians (or at least, such as would be accounted so) doe so little bend themselves to the study of Physick, that it is an easie thing with a light labour, to know more in Physick than they know. [Page 14] Volaterranus reports, that Trusianus (who was called more than a Commentatour) whose admirable and most ingenious Comment upon the Art of Galen, is extant, was made Monke of the order of the Carthusians. If therefore any painefull and ingenious Divine hath adquired so much knowledge of Physick, that he is able to make use of it, why shall he not practise with a good Conscience? It is therefore to be left to their conscience, whether they doe well understand this Science or no, let them looke to that.
Benedictus Arrias Montanus, as Arceus relates, taught Surgery in Spains, but few like Arrias Montanus doth this country bring forth. Neither hitherto hath it been my hap to see any Minister (and I have known many) practising Physick, that understood it well, yea that knew scarce the Tithe (that I may say no worse) of those things which are needfull for a Physician to know. Not probable that Divines should bee able Physicians. Therefore (although the knowledge of both these Arts is possible, yet that seldome happens; for the practise of Physick doth wholly turne away the minde from the study of Divinitie, and the study of Divinitie (in them that preach especially) [Page 15]doth interrupt the practise of Physick; therefore it is very probable, that Physick cannot, with a safe conscience be exercised by any Divine who hath the cure of soules. Nor doe the cited examples move me a whit. As for Marsilius Ficinus, he was a man more wittie than learned in Physick, a busie man, nor doth his bookes of Physick argue any depth of knowledge in that art, and he busies himselfe more about trifles, and dreames of the Platonists, than about serious matters. And as for Trustanus, he grew weary of practising Physick, and therefore relinquished it utterly, and put on a Monks hood. So likewise Arrias Montanus left Surgery, and medled no more with it. And the order of the Decree is cleare in this point in divers places. In generall it forbids Ecclesiasticall persons all negotiations, especially for lucre sake, which withdraw them from their sacred functions. The Decrees of the Church concerning Ministers that meddle in Physick. They that in the Church of God are preferred to the order of Clerkes, let them in no case be diverted from divine administration, nor let them be distracted with cares and Secular affaires, but let them serve day and night in heavenly and spirituall matters. And a little after it gives [Page 16]the reason. Because no man warring for God doth entangle himselfe also in Secular affaires. And in another place. Let the Laickes who have more leasure doe these workes one for another. But in particular concerning Physick in another place, speaking of the malice of Satan, &c. Namely thence it is, that transforming himselfe after his wonted manner into an Angell of light, under pretence of consulting for the feeble bodies of their brethren, and of managing their Church businesse more faithfully, he perswades some regular persons to read the Lawes, and to weigh out Physicall confections, and so drawes them out of their Cloysters. Therefore lest by occasion of their knowledge therein, Spirituall men be aga ne involved in mundane affaires, Wee make a decree, that no man after a Vow of Religion, and religious profession made in some place, be permitted to go forth to read Physick, or the humane Lawes: but if they shall goe forth, and returne not to their cloyster within the space of two moneths, that they be avoyded of all men as excommunicate persons, &c. Where it teacheth that religious persons under pretence of Charitie and Pietie ought not to meddle in Physick, & that it doth proceed from the Devill, the Arch enemy [Page 17]of Mankind, if at any time religious persons employ their studies in Physick. But more cleare is the Councell of Yours related in the same place. Cap. 10. Against religious persons going out of their cloysters to heare Law or Physick Lectures; Alexander our Predecessour made a Decree formerly in the Councell of Tours, that except they return to their Cloyster within the space of two moneths, they should be avoyded of all men as excommunicate persons, and in no case he heard, if they would plead: And being returned, that they be the lowest of all the brethren in the Assemblies, at the Table, and in the Convocation house, and unlesse by the mercy of the Apostolicall chaire, to lose all hope of preferment. But because some of these, through the different opinions of some men, were excused, and found indulgence: We willing that for the future they doe ipso facto incurre the sentence of Excommunication, do straitly charg and command, to the end, that as well by the Diocesants, and in their Consistories, as by the Bishops in whose Diocesses they study, such excommunicate persons be publiquely pronounced lyable to the aforesayd penalties. And because we desire that the study of Divinitie may be enlarged, that the place of its Pavilion being dilated, it may be further [Page 18]propagated, that the Catholick Faith may be environed with an impregnable wall of warriours, which may be able to resist those that oppose it, We will and command, that this be extended to all Archdeacons, Deacons, Provosts, singing men, and others that have Ecclesiasticall livings, moreover Parish-priests (unlesse they desist within, the time limited) and that in the name subscribed it be firmly observed. And in the ninth Chapter it is forbidden, that any Subdeacon, Deacon, or Priest, exercise any part of Surgery, which concernes burning or incision, which notwithstanding is the easiest part of Surgery, as to let blood, &c. But if these easie things be forbidden, without doubt it much rather comprehends harder matters. But our Ministers that practise Physick more adventurously than is fitting, intruding it upon the people under covert of counterfeit Piety, will perhaps, but lightly esteem of the censure of the old Church; wherefore I leave them to the judgement of GOD, to whom one day they must be accountable for all their words and works.
Chap. V. Of Women that meddle in Physick and Surgery.
HAving taken upon me to point out some Errours of the people, or at least the common Errours of many, I have willingly favoured Church-men (as much as I could possibly) so I resolve also concerning Women. For it is not a thing of such consequence, nor ought any Physician of note, or Surgeon to think worse of Women, which are borne for the care and service of men, if they doe their whole endeavour for the good of Mankinde; for they know how to make a bed well, boyle pottage, cullices, barley broth, make Almond milke, and they know many remedies for sundry diseases. But they especially are busied about Surgery, and that part chiefly which concernes the cure of Tumours and Ulcers: Notwithstanding the cure of Ulcers and Wounds doth require very much art; The cure of Ulcers and Tumours require much ar [...]. as first all their differences must bee known, to wit, whether it be a simple Wound, or corroding, contused, with putrefaction of the bone, corrupt, cancrous, fistulous, &c. Then the variety [Page 20]of remedies and circumstances in curing, makes the art to be fallacious, uncertaine and conjecturall. All which things, seeing they cannot be known but by a skilfull Physician, women ought not so rashly and adventurously to intermeddle with them. Againe, they usually take their remedies out of English bookes, or else make use of such as are communicated to them by others, and then they think they have rare remedies for all diseases. But Galen in his bookes of Method, The necessity of the altering of remedies makes the art more difficult. teaches that remedies are to bee altered according to the person, place, part affected, and other circumstances; for in some a deterging Medicine will draw unto suppuration, as Frankincense; in others the same remedy will generate flesh, and Galen gives an example of a Surgeon, who in an Ulcer where hee saw great putrefaction, did daily apply a strong deterger, viz. Verdigrease, and the oftner he did so, by so much the more did the putrefaction encrease, because the remedy was stronger than the disease. The same malady in different parts requires a different cure. The same Ulcer in the Legge doth require a different remedy from that in the breast, or another part, because of the diverse nature of the parts. If therefore they understand [Page 21]well all the differences and causes of ulcers, as also a right method, and a right use of suppurating, deterging, flesh-generating, and cicatrizing medicines, and the reason of varying them according to the nature of the parts, ages, temperaments, and other circumstances, I will easily believe that they may be able to exercise this Art. But seeing that these things cannot bee attained unto without much labour and study, I can scarce be brought to believe that they are able to understand, or performe what they promise. But because a Physician ought to be but little solicitous, who, and how many they be that practise Physick, we will say no more of Women, it sufficeth that wee have manifested their errours to the people: Therefore we will speake a little concerning others.
CHAP. VI. Of Mountibanks.
THere is another sort of men sprung up for a mocking-stock of art, which call themselves Empyricks, the English and Italians call them Mountibanks; the French Chartalans, or Ceretans; one of which called England his [Page 22]best Nurse. And it is a wonderfull thing that many should be so wary in the choise of Physicians, that if a Physician settle in some place, they dare not of a long time commit themselves unto him, and yet they presently trust themselves to a Mountibank, that comes to stay but afew weeks, & (as I have often observed) men of the meanest rank, that plead poverty to Physicians, can finde money enough to give to these Mountibanks.
First of all it is to be noted, 1 that in other parts of the World they are men of no esteem; Mountibanks not capable of honour in forraine Countries. and although they grow rich, yet they are not capable of any honour in the Common-wealth; but if they travail the Country here, they are accounted in great honour, and are sometimes equallized with Physicians, and are taken for a certain sort of Physicians. Secondly, it is to be noted, that though they call themselvs Empyricks, 2 yet they are not. Empyricks in former times were learned men. For the Empyricks in times past were very learned and skilfull men, whom Galen in one place acknowledgeth to have been his Masters, and they understood very well, not only the remedies, but also the rules of Physick, the diagnostick and prognostick signes of diseases, and they followed [Page 23]a certain method, or rather an order in curing, but did not search out the causes of diseases, nor the reason of the rules of Physick. It sufficed them that these things were observed of old, either of the Ancients, or of themselves. If we had such Empyricks, they might be very well endured: For even Physicians do not disdain Empyrie (the dogmaticall part of Physick comprehending it.) But they have moreover added hereunto the reason, and knowledge of causes, not that they may absolutely cure, but that they may more certainly cure. Mountibanks are sar from the learning of the ancient Empiricks But our Mountibanks now a dayes doe shew forth their tricks upon the Stage, and far are they from being Empyricks, for they know nothing but 3 or 4 remedies. If they had remedies for the Leprosie, Gowt, quartane Ague, and other such grievous diseases, seeing the successe, we would commend their experiments. But not any one of them, in Italy, France, and England, have more then three sorts of remedies; that is, the Antidote against poysons; the Balsame for wounds; and the Oyntment for burnings, They sell the common remedies at a dear rate. to which sometimes they adde a perfumed ball; and the common purging remedies which they buy at [Page 24]home of the Apothecaries, do they sell at a very high rate. Something I intend to speak touching these remedies, with this proviso, that I exempt from their rank those manuall Operatists, that cut for the Stone, whom Hippocrates calls [...], as also such as couch the Cataract, and those that cut for the Bupture, for they are lawfull Artificers, although also some of the Mountibanks that wander about England, dare likewise to attempt the same.
CHAP. VII. Of the Mountibanks Antidote.
THeir principall and most highly extolled remedy is against poysons, of which they promise wonders. But first we will demonstrate the unprofitablenesse; secondly the abuse; and thirdly the facility of that remedy.
The unprofitablenesse consists in this, The Mountibanks Antidote is of little or no use. that of all the diseases which happen to mans body, those that proceed from poyson, either applyed outwardly, or taken inwardly, are most rare with us; therefore there is no great need of that remedy; but if they had medicines for the more ordinary diseases, as the leprosie, and the gowt, they might be endured. [Page 25]Besides there is no part of Physick, which doth more abound with remedies, then that which treats of poysons. For if any man read the books of them that have gathered together the descriptions of remedies, what a number, and variety of them shall he finde, in Wekerus, Andernacus, and others that have set forth whole treatises concerning poysons. Moreover there is no remedy that can resist all poysons: Yea, I dare be bold to say, that a draught of Cowes milk can doe more against Arfenick and Sublimate, which are the most formidable poysons to us, than all the Antidotes of the Mountibanks. There are also many things much better then theirs to bee had in Apothecaries Shops, as that ancient, and in all ages well approved Triacle of Andromachus, as also the Mithridate of Damocrates, and Matthiolus his Antidote, which containes in it almost all the Simples which serve for this purpose. Againe, it is an easie thing for any Physician that knowes the matter of Physick, and the art of compounding medicaments, presently to prescribe such things. For first it is to be noted, that these medicaments are not taken [Page 26]out of those things that doe resist all sorts of poysons; for neither butter, nor milk, nor oyle, or other things which resist Arsenick, and Corrosives, are ingredients in their Antidote, but they are selected out of the medicinall matter of Cordials; to wit, they would only have the heart to be defended against the malignity of the drugge, and not the violence of the drugge it selfe to be repressed. As some learned Physicians write, that the poyson of the plague is of such a nature, that its proper Antidote is not yet found out. Therefore whatsoever things are prescribed against the pestilentiall venome, they doe only corroborate the heart against the force of the morbificall cause. Hence the deceitfulnesse of the Mountibanks Antidote may be observed, and that it is not universall, as they report. Any man may conjecture the same by the price; for how can they defray the expences of their companions, and of their journeyes, which are many times very chargeable, if the Antidote were of any price, A way to try the vertue of the Antidote. which (as I have often observed) with the oyntment and balsame, they sell but for twelve pence. That the efficacie of it may be proved (for here is [Page 27]a very grosse deceit, in that they doe usually fore-arme themselves with the Antidotes of the Shops against the violence of the poyson) this caution should be observed. Let a dog be kept a whole night without meat and drink, and let neither milk, nor any fat thing, which may abate the strength of the poyson, be given him in the morning, but give him some Arsenick, and after he hath taken it, let him have as much of the Antidote as the Mountibank pleases, and so the efficacie of the remedy shall be sufficiently proved. The same may be said concerning men, for they make experiment of the poyson upon themselves, and take it in the presence of the people. If they will take the poyson with the fore-named cautions, having seen the effect, wee will commend the remedy. But they shew themselves upon the Stage for the most part after noon, after meat, and after the use of fat things, and such as doe asswage the force of it, as milk, and perhaps of Antidotes. For meat, especially that which is fat, and milk, doe strengthen the stomack, and weaken the poyson; therefore it is no wonder if they doe then take it more boldly, [Page 28]which soon after they vomit forth at home, and so all comes to nothing.
There is another experiment of theirs, which the people doe very much admire, The Mountibank will apply a Viper to his breast, A deceit in their applicatiō of the viper. about the left pap, and taking the Antidote will feele no harm. At this the people stand amazed, the very naming of it is wonderfull. But here is a manifold deceit. For First, 1 as Matthiolus saith, these fellowes have sundry wayes to tame their vipers and serpents. 2 Secondly, the vipers in England, in respect of the temperature of the aire, are not so venemous as they are in hot Countries. Therefore Galen gives strict charge, that in the composition of triacle the vipers be not taken in the height of Summer, which with them is excessively hot, for then are they most full of venome; but with us the vipers are lesse venemous by much, whose height of summer is not equivalent to the spring-time of the Italians. 3 Thirdly, the people is deceived in thinking that the force of the Venome is sooner communicated to the heart, if the venemous creature be applyed to the breast, because of the nearenesse of the heart. But that is false; for the venome [Page 29]is carried by the Veines and Arteries, as appeares in that all the blood of them that have been bitten by a Viper doth turne into a pale greennesse. And seeing that the veines in the papps, are so very slender, and doe not come unto the heart, but with a great many long windings, I affirme, and it is more probable, that if the Viper be applyed to the feet, which are farthest remote from the heart, it will sooner infect the heart, than if to the paps, but soonest of all if it be applyed to the armes. Cleopatra applyed the viper to her arme. And now the story of Cleopatra comes to my minde. Petrus Victorius blames the Painters, that paint Cleopatra applying the Aspe to her paps, seeing it is manifest out of Plutarch in the life of Antonius, and out of Plinie likewise, that she applyed it to her arme. Zonaras relates that there appeared no signe of death upon her, save two blew spots on her arme. Caesar also in her statue which he carryed in triumph, applyed the Aspe to her arme. For in the armes there are great Veines and Arteries, which doe quickly and in a straight way convey the venome to the heart, whereas in the paps the vessels are slender, which by sundry circumvolutions onely do lead [Page 30]to the heart. And therefore in Saint Paul the miracle was so much the greater, in that he felt no harme from the Viper, which layd hold on his hand; for if it had assailed him on his breast, he had had respite enough to take some Antidote, which on his hand he could not doe.
CHAP. VIII. Of the Balsame and Ointment of the Mountibankes.
THey seeme also to doe wonders in curing wounds by the help of their Balsame. They cure onely greene wounds with their ointment. Where it is to be noted, that they cure onely simple wounds, for which union alone is sufficient without a future, therefore in old Wounds their Balsame is nothing worth. But this cure is not very hard; for oftentimes onely binding up doth suffice for the cure of such simple and green wounds, Nature it selfe, by the meanes of the blood, as with the Balsame uniting the divided parts. Besides, there are many remedies of that nature to be found in Authours, whereof two excellent ones are prescribed by Riolanus. The very same also is described by Fabritius ab Aquapendente, as may be seen in his workes, and is [Page 31]extant in the last print of London Pharmacopoëa. That the people may know that there is nothing admirable in those remedies of theirs, nothing that Physicians and Surgeons cannot doe much better.
They have likewise an Ointment for burnings, Their oyntment for burns. for the most part made of Pomatum, or butter washt in Vinegar, with the salt of Leade. Their deceit in washing with flaming oyle or leade. But because some of them proceed so farre, that they wash their hands in boyling Oyle, or melted Leade, something must be sayd of that likewise, lest the people thinke that these things be unknown to Physicians. Albertus Magnus hath sundry wayes of doing it. First he takes Fish glew, and Alome, of each a like quantity, let them bee powred (saith he) upon Wine-Vineger, and annoint any thing with this oyntment, and it shall not be burned with fire. Secondly, take Lime quenched with the water of beanes, and a little Mandrake, and Marsh-Mallowes, mixe them well, and annoint thy hand, and let it dry, it is of that vertue, that a man may touch fire therewith, and not be hurt. Thirdly, take the juice of Marshmallow, the white of an Egge, the seed of Fleabane, Lime, and the juice of a Radid, mixe them with the white of the [Page 32]Egge, and with this confection annoint thy hand, and the fire shall not hurt thee, not though thou shouldest kindle naturall brimstone upon thy hand. Cardanus reports, that if one wash his hands in his owne urine, the fire shall not hurt him. There are many other things, which by their clammy and cold substance doe shedde all over the hands, that Leade, or Oyle, or any hot thing cannot make an impression thereon, but it presently slides off; otherwise if it should abide on, it would without doubt burne at length. Let us adde to this the authority of Andreas Laurentius that famous Physician. They that touch live coales (saith he) without hurt, doe first annoint their hands with certaine Juices, wherewith they defend themselves from the fire for a little space. In the white of an Egge (sayes Plinie) there is such force that wood besmeared therewith cannot be burned; and wood annointed with Alome remaines unconquered of the fire; an experiment of which did Archelaus a Captain of Mithridates make in a woodden Towre against Sylla, which in vaine he endeavoured to set on fire. The clammy juices of Marshmallow, common Mallow, Purselane, and Mercury, prevaile against the sire: And therefore Albertus writes, if [Page 33]one anoint his hands with the juyce of Marsh Mallow, the white of an egge, and dlume dissolved in vineger, he may handle fire without hurt. If one wash his hands in quick silver, quenched in vineger, with the white of an egge, he cannot be hurt by the fire. Their deceit in drinking of poyson. They that drinke poyson in the sight and presence of the common people, do first as it were parget the inward tunicles of the stomack with oyle and butter, or else use preservatives against poyson; thus doe these Impostors blinde the eyes of the ignorant. Thus Laurentius. But because these Mountibanks doe sell their remedies at a low rate, and they seldome or never come into use, though they be bought, and do not hurt Physicians, we will say no more of them.
CHAP. IX. Of them that call themselves professors of Paracelsus his Art.
THis makes me call to minde, that I have seene at London the Tables of some that professe the Paracelsian art, and they make promise of great matters, which they have learned by travailing, when notwithstanding an industrious man may fish out more at home by the diligent reading of books. [Page 34]But these men do cloak their wiles with Paracelsus his name, whose books perhaps they never read, much lesse (which I verily believe) understood; for truly never any man was an absolute follower of Paracelsus. At length the matter is come to this, that these men either are, or would bee accounted Chymists. Therefore in few words I will lay open the difference betweene a Paracelsian and a Chymist. The difference betwixt a Paracelsian and a Chymist.
Chynerstry is not an art of its owne kinde, but meerly a preparation of medieaments, and therefore in proper speaking belongs to that part of Physick called Pharmacie, and so ought not to be treated of but in Pharmacie. Chymistry before Paracelsus It was not at first invented by Paracelsus, but was practised many ages before him, by Raimundus Lullius, Villanovanus, and many others, whose many excellent Chymicall remedies, waters, quintessences, distilled Balsames, and the like we have, who notwithstanding that, did professe the same art with the Galenists, Therefore Physicians doe not dislike that chymicall preparation of of remedies, although under that title doe Iurk many deceits, and almost all Impostors with this cloak doe hide and [Page 35]cover all their knaveries. And the Pacelsian Sect, although it doth more frequently use chymicall remedies, yet doth it not reject such as are prepared after the vulgar way, which is called Galens forme, as may be seen in many places in Paracelsus, and in his counsels, wherein he often makes use of remedies not chymically prepared; yea sometimes he uses them without any manner of preparation; only mixed diversly one with another. So as concerning this part of physick, which belongs to the preparation of medicines, Paracelsus seems not to have affected one more then the other. Neverthelesse he endeavors to overturn Galens method of physick, and brings in a new Physiologie of his own: he tels many strange things of the beginnings of things, and mans generation, produces new causes of diseases, which is his Pathologie, Paracelsus a conjurer and a new method of curing, in which he spares neither spirits, nor words, nor conjuring tricks, for he teaches that diseases ought to be cured by any art whatsoever, whether by the help of Devils, or of naturall meanes; whether the remedies be chymically prepared or no. For indeed Paracelsus was a Magician, as appeares [Page 36]in many of his workes. But in regard that art is long and hard to be understood, they shall scarce perswade me that they are Paracelsians. As for those things which Petrus Severinus, Danus, Quercetanus, and others have written of this art, they are not of Paracelsus, but the meere figments of foolish men. But enough of them.
CHAP. X. That a Physician ought to be skilfull in Surgery.
I Know not how it comes to passe, that men doe more easily give credit to a Surgeon practising Physick, than to a Physician professing Surgery. For in many places Surgeons are wont to arrogate to themselves the function and office of Physicians. A physician ought to bee knowing in surgery That a Physician ought to bee skilfull in Surgery, I shall easily shew. But first this is to bee distinguished as it is in it selfe, from what it is become by the use, or rather abuse of this age. There are three parts of the curing part of physick: One is that which cureth by Diet; the second by Medicines; the third is that which cures by the hand: They are called Diet, Pharmaeie, and Surgery. All diseases [Page 37]for the most part have need of these three. In a burning Feavor, which by generall consent belongs to Physicians, the chiefest remedy is letting of blood, yet this belongs to Surgery. The same may be sayd of other diseases. In Tumours praeternaturall, and Ulcers which are thought to belong to Surgeons, Purging, and the manner of Diet, without which they cannot be cured, doe concerne Pharmacie and Dyet, and so do belong to the Physician, not to the Surgeon. There is almost no disease inward or outward, which doth not require the Surgeons art, and the physicians also. Surgery is a part of physick. Here I speak according to the opinion of the Vulgar, who distinguish physick from surgery, when indeed surgery is a part of physick. Whatsoever is done by the hand is Chyrurgicall, therefore in proper speaking only manuall operations doe make a Surgeon. And so it was of old; but now adaies it is farre otherwise. For now Surgery doth challenge unto it selfe five kindes of diseases; to wit, Tumours besides Nature, Wounds, Ulcers, Dislocations, and Fractures; whereof the three first in proper right belong to a physicall consideration, and in them a [Page 38]formall method of curing is very conspicuous. Therefore Galen beginnes his Method of healing with the cures of Ulcers, and ends it in the cure of Tumours. And although in times past surgeons were different from physicians, yet they did never vindicate to themselves these parts of physick. That they doe belong to a physicall notion it will appeare, if we consider, that these diseases doe not onely happen to the externall, but to the internall parts likewise. Tumours besides Nature of all sorts, may be in the internall parts, the Frensie is a phlegman or erysipelas of the Braine, the Plurisie is a phlegman or erysipelas of the Membrane that covereth the Ribbes; as also the Liver and Spleene may be troubled with a phlegman, erysipelas, or a schyrrous Tumour. In like manner Ulcers of all sorts doe happen in all the internall parts of the body, among which notable is that in the breast, which we call the Consumption. They that have written Tractates of Surgery, doe treate of Ulcers and Tumours, without the determination of any part. Now if a physician know not the generall way of curing Ulcers and Tumours, nor their differences, [Page 39]causes, signes, and prognosticks, how shall he be able to cure those that arise in the inward parts. It is needfull then that he know those things. But if he know them, & that better many times than the Surgeon himselfe, Not improper for a physician to practise surgery. in respect of his learning, which now a daies is not desired in a Surgeon, why shall he not practise Surgery, after the same manner that he doth physick, to wit, by prescribing, not by applying remedies? Hence is it, that whosoever have written any thing of Surgery worthy of praise, from Hippocrates his time unto this our age, have been alwaies physicians, except a few late writers, who have presented nothing to us, but what wee had before. Yea a physician had need to be skillfull in that part which concernes chyrurgicall operations, because without the advise of a physician, the Surgeon himselfe ought not to meddle with those Chyrurgicall operations, as is usually observed in many countries beyond the seas. And in some countries no man doth practise Surgery, but he that is doctour of physick, which is a very good and laudable custome.
CHAP. XI. Whether a Physician may make up his own Medicines, or no.
FUrthermore, a physician ought especially to be skilfull in * Pharmacie, The art of curing by medicines which consists in choice, preparation, and composition of simple Medicaments. For now adayes many of our Apothecaries are to seeke in this point, being altogether ignorant of the operations that belong thereunto, and yet are so bold, that they dare practise physick, because when they have served their Apprentiship, perhaps under a Master ignorant enough too, they thinke well of themselves, and if they have reserved some of the physicians Bills, they use them too boldly. But some thinke it a thing unbeseeming the dignitie of a physician, to prepare his Medicines, and that Apothecaries were therefore ordained by publique authority, that they might ease physicians of that labour. This custome hath been in force ever since * Galens time. 7. de med. secundum locos, cap. 3. And Horace in his Satyres makes mention of Pamphilus an Apothecary. [...] ejusdem. The same * Galen doth distinguish a physician [Page 41]from Herbarists, such as let blood, those that make or sell sweet ointments, and others whom hee calls a physicians servants. Neverthelesse that in times past physicians have compounded their owne Medicines, the history of Philip, King Alexanders physician, doth sufficiently manifest. Galen himselfe made a Triacle: Pachius an * Hiera. A purging medicine. Horatius Augenius doth highly commend that physician which makes up his own Medicaments. Plantius in the life of Fernel reports, that that great physician was wont with his own hands to compound his Remedies. Therefore, I thinke times and places are to bee distinguished; for Galen did not compound at Rome, because there were there Workmen for that purpose, onely at Pergamus hee did. For whereas at first of old physicians did performe both themselves; at length for the multitude of patients, they left that care to their servants, as now adaies Apothecaries doe commit it to their servants, and Apprentices, and so by little and little it became a profession of its owne kinde. Yet nothing hinders, but physicians, when they please, may prepare their own remedies. [Page 42]And that it is not unbeseeming a physician, Physicians may make up their owne medicines. not only the forenamed examples, but even reason it selfe doth illustrate. For remedies doe cure without a physician, but not a physician without remedies; therefore the nature of remedies is more excellent then the physician: wherefore it is no disgrace for the physician, who is only a Minister of nature, to prepare and compound them. But because something must be yielded to place and custome, which hath differenced Apothecaries from physicians, the Physician will have nothing for sale, but he may compound some speciall medicines for himselfe, the rest are to be committed to the care of the honest and diligent Apothecary.
CHAP. XII. Of them that are thought to have some secrets.
NOw because nothing is perfect in every respect, it may so fall out, that common remedies, and they perhaps ridiculous ones, may be extolled by many for great secrets, which they will reveale to no man, and wisely done too, because they have nothing that is worthy [Page 43]the name of a secret. Therefore let us say something of these secrets, for they that professe themselves to have them, may easily obtrude them upon the people, and if any man should lay claime to a common remedy, knowne to all, as proper to himselfe, he shall scarce be convicted of a lye. 1 Therefore in the first place it is to be considered, 3 things necessary to the curing of diseases. that there is necessary unto a cure, the knowledg of the disease, the method of healing, and the use of indications, without which no remedy can be applyed. For remedies are the finger of God, but as a sword in the hand of a mad man, they are good indeed to him that uses them aright, but dangerous, being administred by him that neither knowes well the disease, nor the method of curing. 2 Secondly, the diseases being found out, the physician ought to know the matter of remedies, and the method of compounding, that he may answer the Indications. If he know well these 4 things, the disease, the method of curing, the matter of remedies, and manner of compounding, he needs not these secrets, for he is able to prescribe as good remedies, yea perhaps better then those secrets are, which are so highly boasted [Page 44]of. I have read a story of Gapivaccius, in the Epistles of Scholtius, who being intreated by the Germanes to communicate his secrets, answered very well, read my practise, and you shall finde my secrets; in which book there is no secret, no hidden thing at all. I remember I have heard Varandaeus, the Kings professour in the Universitie of Monspelier, The best remedies are such as are no secrets. say, that those remedies are the best which are no secrets, but best knowne, as being confirmed with more certain experience, and he said truly. But let us now pry into the nature of secrets: they are either simple, or compounded. I confesse indeed all the vertues of simples are not yet perfectly known, as yet many lye hid. If therefore any man hath found out by experience the vertue of some simple medicament, What is properly to be called a secret not yet known, that increase of art is to be commended, and deserves to be called a secret; as he that first found out the vomiting vertue of Antimony; he that invented the compounding, and found out the efficacie of gunpowder; he that first brought Jalap into use, had secrets greatly to be commended; such as these, if any man have, he is worthy of commendation, and I [Page 45]think no other secrets are to be admitted. For those that are compounded of the ordinary matter of simples, as usually they are, albeit a physician doe keep them to himself, and desire not that they be known, yet they are not to be called secrets, for any learned and skilfull physician can at his pleasure make the like of present materials. And therefore I have observed that no man is more unhappy than those physicians, that note their medicines out of books; and many ignorant fellows we see doe cunningly conceale their remedies, lest if they should become known to other physicians, they should be laughed at. Hence it appeares how much many, both men and women here in England are beguiled, where all do busie themselves in gathering receits, (as they call them) when oftentimes those remedies are of no worth at all, and did at the first come from some physician, who himselfe had nothing that was secret. And what though they be good, yet they are not, nor ought to be called secrets. For as good, yea and farre better remedies can a learned and skilfull physician provide out of the matter of physick diversly tempered, [Page 18]as different words are made out of the letters diversly joyned. I once met with a man that had a receit of a purge, which (as he said) a very learned physician lately dead had given him, which I perusing, I could not hold from laughter at the foolishnesse of the composition; he made it up for his Wife, but all in vaine. I perswaded him to give it to the Apothecary, and that he should give her but the third part, wherewith shee was sufficiently and abundantly purged. And I knew a Gentleman that accounted Electuarium Lenitivum to be a great secret, who told me hee paid twenty pound for the receit. Others I know, who have the pils of amber, aqua mirabilis, and many other such remedies, which are to be had in every Apothecaries Shop, and yet they account them as great secrets. So I have knowne others keep for precious secrets, the descriptions of Diet drinks, which many times they believe to be more efficacious, then those that are prescribed by physicians, although the matter is far otherwise.
CHAP. XIII. Of Physicians that are thought to be lucky and fortunate.
Many of them that practise physick, although sometimes they are not thought to be so learned, yet they are esteemed by the people to be fortunate and lucky. Indeed some of them are very fortunate, to heape together so great riches, by an art which they doe not well understand. But they are unfortunate that trust to them; for by art, and not by fortune, are diseases cured; forasmuch as to the cure of discases, there ought to precede a certain understanding and fore-knowledge of them, and their Symptomes; how can it be, that he that is but lightly tinctured with the knowledge of them, can ever performe a good cure, but that after the manner of the They were a sort of people who were wont to fightblindfolded. Andabatae, he wrestles with diseases. It may so fall out, that he may meet with diseases very easie to be cured, which nature it selfe is able to overcome without the help of physick; of which, if a Physician be but a spectator, they will be cured, and then he is a fortunate physician to whom such a thing doth happen. [Page 48]It may fall uut also that he may be sent for in the declination of the disease, or after the principall remedies have been administred by another more able. Aristotle calls fortune an accidentall cause of those things that are done. Now diseases are cured by a due administration of remedies, which due administration doth not depend upon fortune, but on the learning and judgment of the physician. Tis a right administration of remedies, not fortune that cures diseases. Otherwise, he that useth a remedy, and hath not a sufficient knowledge of the Art, undoubtedly he aimes like a blinde man at a mark, which if he hit, it is meerly hap-hazard; from whence it comes to passe many times, that such men, by their unskilfull application of remedies, make diseases, otherwise easie to be cured, to become a great deal worse. Hippocrates sayes well; Lib. de locis in homine. If the remedies of diseases be certaine, what need is there of fortune, otherwise as well remedies, as those that are no remedies, being exhibited with fortune, will doe good. But some man will say, that which we call fortune, is none other then the providence of God, which directs the Physicians remedies, though he be not very learned, to the health of man. But [Page 49]that is not enough; for though all things depend upon Gods blessing, and are to be expected from thence, yet he doth not use to worke immediately, but by the use of remedies. For the most high from Heaven hath created physick; and he saith, that an honest, learned, and faithfull Physician is to be honoured. So that it is not usuall with him to give a blessing to naughty remedies, ignorantly, and unseasonably administred. But on the contrary, if any physician, whether a good man, or bad, know well the nature of remedies and diseases, Gods covenant with nature. and administer every thing discreetly, that is, in due place, time, order, and according to the rules of art, a happy event is to be hoped for, and God is wont to blesse such meanes, in regard of the covenant which he hath made with nature. Otherwise, although one should mis-apply remedies, if yet a happy successe were to be expected, what a miracle would it be, if bad meanes, which naturally cannot attain to the end propounded, besides the order ordained by God in nature, by his immediate benediction, should notwithstanding be directed to the right aime? Although God can doe this when hee [Page 46]pleases, yet he is not wont to worke such miracles, or but very seldome, to his owne greater glory. Therefore wee conclude, that fortune is rather esteemed so in the opinion of the common people, and so it doth often happen, or else because the diseases in their owne nature tend unto health, though perhaps somtimes at the first view they may seeme dangerous; and such men are wont sometimes to say, that diseases are a great deale worse then they are, that the cure may procure to themselves a greater name, or if death ensue, it may be also knowne, that they foresaw it, and that the report may be, that the sick dyed not by the default of the Physician, but through the greatnesse of the disease. Besides they often times prescribe many unprofitable remedies for the curing of a very light disease, as if it were an exceeding dangerous one, to the great hurt of the patient, who oftentimes might better endure the disease then the remedie.
CHAP. XIIII Of Physicians which are thought to be men of experience.
THere are some, who though they be not esteemed so learned, yet because they have been a long time practitioners in this art, are thought to have gained a great deale of experience, and therfore the people doe sometimes more freely give credit to them then to others, yea though they be but surgeons, or Apothecaries. Experience indeed is very commendable, and exceeding conveninient for all that practise physick. Without learning experience hard to be gotten. Neverthelesse unlesse a man be learned and juditious, it is a very hard thing to acquire it. In so much as it is an ordinary thing to see men, that have practised physick a good space of time, to have notwithstanding no certaine experience of any thing. Now experience is nothing else then the remembrance and observation of that which is often wont to happen after the same manner. Thus have the vertues of Medicaments beene found out, as onely experience teacheth that Agarick purges fleame, and Rubarb choler. But this not sufficient for the discharge of a cure; for besides this, experience [Page 52]is imployed about the nature and signes of diseases, and order of curing. And therefore experience alone without learning and reason is uncertaine, and meerely conjecturall. For he that knowes that Rubarbe purges choler, is notwithstanding ignorant when, to whom, and in what disease it is profitable, except he be a learned and skilfull Physitian. And therefore Hippocrates said well, that it is a dangerous thing to make an experiment, in respect of the noblenesse of the subject, to wit, mans body. All that write of the matter of Physick, doe teach that Frankincense doth generate flesh; but Galen sayes, that in respect of the nature of the parts, the vertues thereof are diverse, that in one part it drawes unto suppuration, in another it is mundifying. The same Galen writes, that a certaine Empyrick had a mundifying plaister, which he applyed to an ulcer, and when every day the ulcer became more and more putred, he alwaies used a stronger, and so the ulcer became alwaies worse and worse; now seeing hee did not understand the reason of this, but onely knew the force of the remedie, it was no wonder, if he was frustrate of his end. Therefore men should not trust to those [Page 53]Physitians, which being ill practised from the beginning, are onely busie about remedies, neglecting the other parts of Physick; and it is sure enough such can never be experienced men, seeing that the experience of a Physician must be extended not onely to the remedies, but to all other things which concerne the right administration of them. It is also certaine, that a learned and well grounded Physician, when he doth addresse himselfe to the exercise of his art, will get more experience in one yeare, then any unlearned fellow in a whole age. Which that the people may the better know, to wit, that experience cannot be gained but by a skilfull and learned man: let them consider, Experience gotten two waies. that it is gotten two manner of wayes, either by history, when we give credit to other mens experience, following those things which they have proved, Ones owne sight and view. and this experience any man may acquire by studie: or by * autopsie, when by our observation, wee get a certaine knowledge of things. Many things requisite to the gaining of experience. The former without this hath noe certainty in it. Now that we may gaine experience, many conditions are requisite.
First, 1 the same thing ought to be observed [Page 54]not in one man onely, but in many; for one Swallow makes no Summer, as we said before of Frankincense, which is not sarcoticall in all, but according to the diversitie of parts and temperaments hath sundry vertues.
Secondly, 2 those things that be in act must be distinguished from those that be in power such, as also those things which act by themselves, from those that act by accident onely.
Thirdly, 3 the application of the remedy ought to be made in a certaine or determinate individuall of some species, because what is poyson to one, may bee meat to another, and therefore because I speake here of experience which is made in mans body, I suppose remedies to be applyed to it alone. Therefore they should first be applied to a temperate, then to an intemperate, then to a sick man: so that hee that makes an experiment, ought to know the constitution.
Fourthly, 4 in the sick partie the disease ought to be considered, whether it bee simple, or compound, for experience must be made in a simple affect, not in compound, and therefore an exact knowledge of diseases also is necessary. [Page 55]For if there should be a Fever, with an obstruction of the bowels, and it bee cured by medicaments, it is not yet manifest whether they were hot or cold, whether they cured the obstruction or the Feaver first.
Fiftly, the Medicament whose vertues we would experience, 5 is to be exhibited alone; for by composition the vertue is altered. Spirit of Vitrioll is exceeding hot, which neverthelesse we use to coole hot Feavers, but mixed with other things; hence it comes to passe that they that note compound remedies out of other mens bookes, attaine to no experience at all.
Sixthly, in remedies these things ought to be considered, substance, 6 quantitie, qualitie, age, the place of birth, the goodnesse of the remedy, and the time of using it; for all these things doe alter the vertue of Medicaments. From all which it doth appeare, that certain experience cannot be acquired, but by a learned, skilfull, and judicious man.
CHAP. XV. Of many that peepe into Ʋrines, handle pulses, and prescribe purges.
HAving already spoken of divers sorts of men that practise physick, it will not be amisse to point out the errour common to them all; for they observe the beating of the Arteries, peepe into Urines, and prescribe purges. Yea silly women doe it. And who is able to refraine from laughter, when he sees women feele the pulse. Where it is to be noted, that such observatours take notice onely of one difference of the pulse, to wit, the swiftnesse and slownesse; but there are many differences of the pulse necessarily to be considered by a physician, simple, compound, absolute, relative, in one only pulsation, & in many. All which if they were considered according to Galens minde, & the Ancients, they would be more than two thousand differences. But by us, who have rejected many superfluous things, there remaine more than an hundred to be observed. Nor is it sufficient to know the differences onely; for besides the causes of every one of them are necessary to be known, that the judgement [Page 57]touching diseases may be infallible. Againe, the manner of knowing them is difficult; for every difference hath its peculiar manner of knowing it, which if one be ignorant of, he will never finde out the pulse. If many should heare onely the names of the pulses, they would of their own accord abstain from touching the Arteries, for like Magicall termes they are able to affright the ignorant, as Pulsus arythmos, ecrythmos, pararythmos, mejouros in unâ vel pluribus pulsationibus, caprisans, imparcitatus, aequalis inaequaliter, equaliter inequalis, and many other differences there are, in this place needlesse to bee rehearsed, out of which wee take the knowledge, and prognosticks of diseases. The same may be said of Urines, of which there are many differences, simple, compounds in colour, consistence, contents, and their causes are likewise to bee known, but things that are so difficult, can scarce be dealt withall by an ignorant man, or by a woman. Besides they are wont to administer Cathartick and purging Remedies. Now they must know it is a very easie thing to loose the belly; for many both simples and compounds doe it, but he alone is able to [Page 58]doe it according to the rules of art, that is a good Artist. For purges are for the most part troublesome to Nature, and for that cause ought never to be administred but with great heed and discretion. Moreover they are much mistaken, that without making any difference, if their bellies be but abundantly loosed, doe applaud it, while they consider not the remedy by which it is done. The same likewise is to be said of other remedies, whereof great store may every where be found. Not the plenty of remedies, but the manner of using them makes a Physician; which doth suppose a Physician to be exercised in knowing diseases, and that he is skilfull in the nature of bodies and method of curing, which thing very many of these cannot promise of themselves, nor others of them. Would God also some whom the Universities have approved, fell not into the same Errour, and did not at a venture collect their remedies out of foolish bookes. I doe not here dislike the reading of many bookes, which set out unto us the wits of modern writers, and of those curious Artists, especially that have committed their observations unto writing. But [Page 59]I leave all to the judgement of the learned Physician, I chase from the hives the sluggish drones, and doe here treat onely of some mongrell Physicians, which by mens deaths make their experiments, and would indeed imitate good and skilfull physicians, but cannot attain to them.
CHAP. XVI. Of them that promise an easie cure of the French Pox.
THe last Chapter of this booke we will dedicate to that disease, which they, who are most troubled and vexed therewith, doe alwaies give to others; we will call it by the common name of the French Pox. A most filthy disease, accompanyed with sundry and horrible symptomes, concerning which divers tractates of learned Physicians are extant, wherein they seeke out the time, casie and ready way of curing the disease. But a certaine sort of men are crept up, who gives out that to be most easie, which hitherto hath seemed very difficult to all Physicians, and in their Tables they professe themselves to have a kinde of method, whereby within ten or twelve daies (they say) they are able [Page 60]to root out this disease, although inveterate, nor doe they strickly observe any manner of diet, but leave the sick to himselfe alone, this is indeed an easie, and pleasant way of curing. But how is it that Physicians now adaies are thought unable to cure this disease, but it is beleeved to be the proper office of Surgeons and Mountibankes, when notwithstanding the right way of curing this disease hath proceeded from physicians, and requires a great deale of industry, as well about sudorificks, as ointments, suffumigations, and other preservatives against the poyson of the disease. The curing of which although I denie not but it may be performed by skilfull and learned Surgeons, yet many unskilfull men in that art, perhaps against their wills, and ignorantly bring many evils upon the sick. Yea I am sure I know some, who being supposed to be infected with this pest, have been disquieted and tormented with many Medicines, who notwithstanding never had contracted any such disease; for though the knowledge of the disease be not so difficult, yet I certainly know, that many pains of the joints, head, and other parts, have been taken for the [Page 61]French pox by some unskilfull fellowes, but it was a grosse mistake. And here all men are to be admonished, that first they beware of Whores, and then that they beware of such coseners. This disease not easily cured. For this disease is not so easily cured, and being left sticking to the body some while, it doth so debilitate and corrupt the bowels, that it breeds other incurable diseases, as the A sort of leprie. Elephantiasis. I deny not but the cure of this disease in the beginning is easie enough, yet such as requires the care of the Physician, the obedience and patience of the sick, and heedfull diligence to be had in his dyet. Surely it must needs be a very light disease which any one can cure in so short a time, without regarding any course of living, with liberall and jocund feasting, walking abroad, and using other such recreations of the minde. It requires a strict regiment. Neverthelesse the remedies that are convenient for this disease doe not promiscuously admit or what course of living men please; for it may perhaps be such as doth resist the remedies and abate their vertue. Againe, as in other diseases, the diversitie of temperaments is to be regarded, so also in this, and therefore a strict choice of remedies is to [Page 62]be made, which things if any man do not consider and weigh, it is no wonder, if he undoe many sick persons. Wherefore he that is troubled with this disease, Cautions so such as are [...]ll of the [...]rench pox. lethim not trust himself but to a Physician that is a skilfull Artist, unlesse he desire to lose both his labour, and his money too, which many times men both promise, and bestow more freely on those knaves, then on a learned and faithfull Physician. But enough of this, for it is not my purpose in this book, to handle the manner of curing this, or any other disease, but only to shew to the people their Errours, that they may have alwayes recourse to a Physician if they be sick. Although oftentimes greater danger is like to happen by the physician, then by the disease, and men presently give credit to every one that professes himself to be a Physician. I who write these things, for my owne part, reckon not neither who, nor how many they be, that practise physick, whether learned or unlearned, even as it is with them that be sick, if they doe but consult with some Physician in name only, they care not what he be, if he can but stammer out a little Latine, and [Page 63]they falsly stile him Doctour of Physick, though he be ignorant of the very principles of physick, and never read Galen, or Hippocrates.
POPƲLAR ERROƲRS. The Second BOOK. Of the Errours about some diseases, and the knowledge of them.
CHAP. I. Of the deceitfull judgment of Ʋrines.
NOw is the most common Errour to bee refuted, which first gave occasion to this Treatise: for hee is scarce thought worthy to be a Physician, who cannot by Urines judge of diseases, and their circumstances, which Errour even Physicians doe too patiently foster. It was of old very ordinary with the Arabian sect, and it was a common custome also in France, in the times of Valescus, and Gordonius. Plantius in the life of Fernel, relates, that that most excellent physician was wont to look into urines [Page 65]that were brought from abroad unto him, which abuse not withstanding he approves not, but reprehends them, which like Southsayers doe prophesie many things of the absent sick party, Pisse-prophets. by only looking upon the urine. That there was very great fraud therein, the bookes which Gordonius, and others have set forth concerning the cautions of urines doe plainly shew, wherein a Physician is taught how he may deceive the people, as also take heed to himself of their subtilties. Yea to this day among the Germanes this custome is in force, even whether the Physicians will or no, of whom many doe speak sharply against it, Heurnius, Foresins, Sennertus, and others, but most excellently Fuchsius in the beginning of his chapter of urines, he calls Physicians that peep into urines, asses, cheaters, pisse-drinkers, unworthy with whom good men should contend, seeing they more esteeme of the gain they get by urine, then of truth it selfe. But now a dayes in France and Italy, the Physicians have quite abandoned this foolish custome of divining by urine. First, urine is the whey of those humours which are in the veines: Now the humours are causes of very [Page 66]many diseases, and therefore urine will shew what humours are there. But diseases are not in the veines, they are all in the substance of the parts. Vrine shews not diseases, but their causes. They will not therefore indicate the diseases, but the causes of them only. But from the same cause there are many diseases: The burning fever, frenzie, jaundice, every sort of erysipelas, and herpes, proceeds from choler. If a very cholerick urine be brought, can the pisse-prophet tell which of these diseases doth trouble the patient, perhaps he will conjecture that choler is predominant. 2 Secondly, as in diverse diseases, Vrine varies every day. and sick parties (as we have already said) the same urine may appeare; so in one and the same sick man it is various, and changes every day, that if to day a sick mans urine bee brought to a physician, and againe to morrow, unlesse by some other way he know the disease, he shall scarce judg it to be the urine of the same disease. Yea the water is of one sort in the beginning of the paroxisme, of another in the increase, and of another in the height. 3 Thirdly, the same water may appear in contrary diseases, The same urine [...]n contr [...]ry diseases. even though they depend on contrary and altogether [Page 67]different causes. As for example, let the pisse-prophet resolve me. If a white and clear water be brought, is he well or sick that made the water? A man in health having drunk much wine, or beer and ale, may make such urine as is dayly seen. A sick man may labour of a very violent burning fever with the frensie, Diabetes is when whatsoever is drunke is pissed out again even as it was drunk. choller being carried up to his head, he may be troubled with the Diabetes, or the obstruction of the bowels, or liver, or with the weakness of the stomack, or the stone, or some other diseases; but which of these diseases will he suppose it to be? Will he judge the frenzie to be of a cold distemper? Moreover a bilious urine may be made in phlegmatick diseases, through the obstruction of the passage, by which choler is carried to the intestines. Fourthly, diseases whose cause is not contained in the veines, cannot be knowne by the urine, for many diseases do not so much as alter the urine. Such are externall diseases, luxations, roughnesse, or smoothnesse of the parts, yea, the quartane ague it self, which is an inward disease, although it be an effect of the melancholy humour, yet it holds forth no signes of it in urine, neither in the fit, nor [Page 68]out of the fitt. Gilbertus an English man in his praxis, in the chapter of the quartane ague, and Richardus a very learned man, as Arculanus reports in his Commentaries upon the first section of the fourth cannon of Avicenne, the second tractate chap. 65. did ingenuously professe, that by urines they could never know the quartane feaver, not the epilepsie, nor a woman to be with child. O that in our times Physicians were so ingenuous and free. These are the words of Arculanus, that learned Physician, in whose time this custome of divining by waters was very rife. I doe not believe (saith he) that a quartane fever can be knowne by the water alone, because of the great agreement of the quartan with the quotidian in urine; and especially in the beginning. Of which opinion chiefly was Gilbertus an English man in the first booke of his praxis, in the chapter of the quartane, reproving some ignorant habbling fellowes, that professe themselves to know all sicknesses by urine, as many Physicians in Lombardie even at this day, mockers of men, who (as they say) by urine know all diseases, even the putrid feaver, who neverthelesse when they are present, and consider all the signes, yet know but very little; [Page 69]For as master Richard the most learned and experienced of all the learned saith, (looking upon these pratlers, and boasters of their judgment in urine, that in their much speaking are eloquent, but in reason slender and mute, in his most excellent treatise of urines, whose singular learning to be compared with none, in many things he saith he followed, he blames them in these words.) Some prating (saith he) and arrogant fellowes doe exceede beyond all due bounds, and interlace learning with rules invented by their owne authoritie; But I call God to witnesse, that neither by care, nor art I could finde by urine alone a certaine knowledge of a womans conception nor of the epilepsie, nor of a quartane feaver, for it is but a deceitfull and equivocall messenger. Which things indeed doe very much agree with our times. I have often seene that opinion, which by the urine the Physician had declared, to have beene changed, when he saw the sicke partie: and which is more, many simple fellowes that impudently meddle with Physick, being called to the patient, by whose urine they had before fully explained the disease, not onely to have changed their opinion, but to become lesse able to judge at al of the disease, although [Page 70]they had both the Patient and his urine before their faces. 5 Fiftly the urine is altered by meates, drinks, exercises, aire sleepe, washing, and divers other causes, and so makes the judgment to be but conjecturall; therefore Avicenne after six houres, others after two houres would not have an urine looked into. How grosly then doe they erre, that rashly judge of urines that be brought to them many miles. Hence it comes to passe that many that are noe Physicians, but meerly made to cheat the people, doe promise more then good Physicians are able to performe. Nor can I except even ministers that practise Physick, who of all men should be most holy.
Sixthly * Galen sayes well, 6 that in urine there are noe signes that doe certainly portend the frenzy, 2. proch. text 2. or the affects of the head, for it onely signifyes (saith he) the distempers of the liver, kidneys and bladder, but there be other signes and symptomes of the diseases of the braine. Yet Actuarius saith, that the diseases of the liver, braine, necke, breast, yea and of his joynts also may be discerned by urine; and Hippocrates writes that when a mans urine is like to the urine [Page 71]of a beast, it shewes a paine in the head. In like manner the excrements of the whole body have recourse (as Physicians say) to the belly and the urine, by which it may be changed; thus thinne fleame falling from the head makes a frothy urine, 4 aphot. 73. and Hippocrates thinkes that the grievous frettings and gripings of the gutts and hypochondres may be resolved by urine. But this belongs onely to prognostickes, for the very gripings themselves cannot be knowne by the urine, & much lesse their solution. But the most witty Argenterius did deservedly laugh at Actuarius, for endeavouring to point out in urine the signes of diseases in the braine, the breast and the joynts. For though the excrements of the whole body may be evacuated by the urine, yet that happens not alwaies, for many parts although grievously affected doe not alter the urine at all. Moreover the excrements are but the causes of diseases, and not diseases themselves. As for that which may be said of the headach, and the frenzy, Galen answers it: Text 4 Sect 1. proch. * where he saith, that the signes of the frenzy are either those that are alwayes in the phreneticke, and in them onely; or [Page 72]which are alwaies in them, but not in them onely; or which are neither alwaies in them, nor in them onely; but sometimes are apparent, and sometimes not, and happen from other causes. From whence it is manifest (saith hee) that neither in urine, nor in dejections of the belly, nor in spittle, nor in vomits are there any signes of the Frenzy: Neither doe troubled Urines, nor such as have any elevation aloft, nor frothy Urines alwaies betoken the aforesaid affects, but doe likewise proceed from other causes, and if at any time they declare any of these, they doe it with other signes; for the aforesaid affects may bee without such Urines. From whence it may bee concluded, that those signes which doe not alwaies accompany a disease, nor yet folely, cannot indicate any disease, but such are urines. For Galen teaches, that they by chance may betoken a frensie, because they iddicate a windy blood, but not by themselves and properly. Therefore (saith he in the afore cited place) what hath been said of Urines, makes nothing to a judgement of the Frensie, yet they doe conduce to the discerning whether the sick bee in any great danger or no. [Page 73]And therefore in all diseases it is not amisse to consider the Urine, that the danger may be discerned. Galen teaches in many places, that the excrements are signes of the parts affected, and of the disease; as that the dejections are signs of the belly; the spirtle of the breast; snot of the brain; and the urine of the liver and veines; to wit, that they are signes of the concoction which is made in those parts, but seldome of the diseases themselves. Therefore Urine cannot shew forth all diseases; as for example the Plurisie is known by a paine of the side, a Feaver, a hard Pulse, difficultie of breathing, and cough, without the urine and spittle; for if these come likewise, they shew the cause and prognosticks of the disease already known by other signes. For though the Plurisie and Frensie cannot be knowne by urine, yet if the urine appear very much changed, it is an ill signe; for it hetokens a distemperature not onely of the vitall and animall, but of the naturall parts also: And when many parts are out of frame, the sick lies in so much the more danger. Moreover, sometimes the Urine shewes whether the disease be joyned with a Feaver or no, for [Page 47] Galen teaches, that in the affects of the belly, 2. De Cris. cap. 7. if they be without a Feaver, only the excrements of the belly are to be looked into, but if with a Feaver, then the urine likewise, not that wee may know the disease it selfe, but that we may the better judge, what will be the issue of the disease already known.
CHAP. II. That the sexe, and being with childe cannot be discerned by Ʋrine, whereof a certaine story.
THey that bring Urines to Physicians, doe often aske them, whether it be a mans or womans water, and whether the woman be with childe or no. It is admirable to see how cunningly some in this case deale with the people, But that neither the sex nor graviditie can bee discerned, I will demonstrate. For although the Urine of a young man and an old man, of a man and a woman, be different each from other, yet that is onely in colour and consistence, which seeing they may bee changed by divers other causes, it will not properly shew, whether it be a mans or a womans; for a cholerick woman after exercise, and the use of hot meats, will make [Page 75]higher coloured urine than a flegmatick man. Moreover, she which hath a Feaver, or some other disease, without doubt changes her urine according to the nature of the disease. How shall he therefore that lookes into an urine discerne the Sex, when he knowes not the temperature of them that made the urine. Therefore if a healthfull man be compared with a healthfull woman, a cholerick man with a cholerick woman, and a sick man with a sick woman, and no externall thing happen, which may change the urine, perhaps the womans urine may be in some respect discerned from the mans, but otherwhiles not at all, when oftentimes it is unknown from whence the urine is brought to the Physician. And so it is to be understood, which some Physicians write concerning the difference betwixt a mans water and a womans; for because men are said to be hotter, and are given to exercises, they make thinner urine, and higher coloured, with fewer contents, but women because colder, make whiter urine, with a larger sediment. A whitish colour (saith Fernel) is a signe not onely of cruditie, but of the Sex likewise. But even the hottest man may make [Page 76]such urine, by reason of the causes that change urine. Therefore in this there is no certainty, and it is too much rashnesse to pronounce any such thing by urine.
Concerning women with childe, A woman cannot be known to be with child by urine. it is a greater doubt, and it is ordinary with women for this cause alone to send their waters to a Physician. Avicenne teaches to know it by a sediment like unto carded cotten, and by some other markes. But seeing experience shewes the contrary, he is deservedly to be rejected. It is not necessary for every urine of a woman to have a sediment, but that only which is well concocted.
First, 1 Hippocrates who hath exactly searched out all the signes of conception, never made mention of urines.
Secondly, 2 the urine is not changed by the graviditie it selfe, but onely by the suppression of the flowers, which as cannot be denied, may alter the urine, by the reflux of blood and excrements into the veines. But that same change of urine may appeare as well in Maids by the stopping of their flowers, yea in all diseases that arise from the like suppression, as also in the obstructions of other internall parts. Thus urine will [Page 77]manifest here no proper or peculiar thing. Wee see urines sometimes of a low colour, as happens frequently in obstructions, sometimes very high coloured, sometimes like to the healthfull, when the woman with childe is in health, sometimes thinne, sometimes thick, such as may likewise be seen in other affects. But if the woman bee sick, the urine is so changed by the violence of the disease, that all the signes of being with childe, if there bee any, are obliterate.
Thirdly, 3 that the knowledge of graviditie is not so easie, Hippocrates himself shewes, who after he had reckoned up many probable signes of it, as if those were not certaine, he betakes himselfe to some Empyricall signes. Aphor. 41. lib. 5. If you would know (saith he) whether a woman hath conceived or no, give her some water mixed with honey to drinke when shee goes to sleep, if shee feeleth gripings of her belly, shee hath conceived, if not, she hath not. And in his booke of the Barren, he saith, Stampe Honey and Anise well together, dissolve it in water, give it her, let her sleep, if she feele gripings about her navell, shee is with childe, but if not, she is not. So that hence it may appeare, how hard a [Page 78]thing it is to know if a woman be with childe before the stirring of the infant, when besides many other signes, Hippocrates hath recourse to such Empyricall signes. How foolish then are they that professe themselves to be able, so easily to divine that by urines. Avenzoar, a Physician of principall note among the Arabians, reports, that he was deceived in his own wife, although hee had seen her urine, and had other signs whereby he could know a woman to be with childe, if the knowledg thereof were so easie. Saxonia relates, that he was judged by Physicians to be a * mole, Or false conception and that his mother did take many medicines to destroy the conception, which yet did not prevail. And to this opinion do all the modern Physicians assent, who have written of the diseases of women.
Hither is to be added a certain fable, A merry story. which hath been related to me as a story by men of good note; and this is it: A certain maid did carry her Mistresses urine to a Physician, and having by chance spilled it, not knowing now what to doe, she catched the urine of a Cow, which at that time by good hap staled, and carryed it to the Physician: [Page 79]he gave answer, that the patient did eat too many sallets. Indeed the Physician was worthy to be commended for his skill, who could divine that. I say this is a fable, because I have heard the same in divers places of sundry Physicians; as also because it is alwayes ascribed to some Physician that is dead, the like to whom is no man living. And its true indeed, no man this day is living, or ever was, that could certainly know a beasts urine from a mans. If the urine be like to that of beasts that are accustomed to the yoke, Aphor. 70. l [...]b. 4. paine of the head is either present, or will ensue, saith Hippocrates; noting, that a man may make urine like in colour, and consistence, to that of beasts. Therefore hitherto it hath been doubted, in what respects a mans urine might be discerned from other liquors. I know there are some rules and marks prescribed by Avicenne and others, whereby they may be discerned from each other, but they are all false and uncertain. And nothing is more easie then to deceive a Physician, though wary, by shewing him him other liquours and urines. But if a man may make urine like to that of beasts, how can a Physician, not knowing [Page 80]from whence it comes, discerne one from the other.
CHAP. III. The Solution of the arguments that seeme to favour looking into Ʋrines.
SOme that too much approve Ouroscopie, or looking into Urines, do use the authority and arguments of Hercules Saxonia, a very learned Physician heretofore among the Italians, who desired to patronize a little Ouroscopie. For he would have not only the causes of diseases, but also their Idea's, magnitude, and states to be known by urine, not in generall only, but also in particular, whose opinion we will briefly lay down.
First, 1(saith he) urines shew diseases in distemperature, without matter, and with matter. A hot distemper without matter, is either universall, or of a determinate part, and this is sometimes without a fever, sometimes with a fever. An hot universall distemper doe these urines shew, to wit, reddish, saffron colour, greene, black, fatty; atomous, branny, or scaly sediments, and sharp urines. Neverthelesse these doe not shew a distemper without matter, but with matter, [Page 81]for urine hath not these colours but by the mixture of humours; hence in a diary fever Galen writes, that the urine is made somewhat reddish through the mixture of choler. Moreover, 1. ad Glauc. cap. 2. & 3. method. cap. 2. & 10. de crisib cap 12. these doe only betoken a hot distemper in generall, not any particular sort of it; for a hot distemper may be Synochus, a burning fever, or a tertian; it may also be a phlegman, or erysipelas of some part. The same Galen doth aver, that a hot distemperature of the parts may be discerned by the very same urines: what therefore can the Diviner say, if urines doe only shew a disease in generall, and not in particular, how will he know by the urine rather the heat of the reines, then of the liver, or of the whole body?
Secondly, 2 he objects that urine is as it were the whey of the humours, which are distributed into the substance of the parts, so that when the whey is severed, it carries with it the excrements of those parts, and thereupon it may shew their affects. But I answer, the alteration of the whey is so diverse, that it cannot be discerned, what part especially hath altered it. Again, the excrements of many of the parts are the same, and unlesse [Page 82]of the contents the urine be extraordinary, as matter, dregs, or the substance of some parts, the whey will shew nothing in particular, or yet when these are apparent, except there be other signes, can we scarce know whence they come, unlesse out of the bladder it selfe, as bran doth argue an affected bladder.
Thirdly, 3 he teaches in my judgment a very vaine thing, to wit, how the whey of the liver may be differenced from that of the veins, as if the liver had any whey proper to it self, or as if the whey of the veines be not first digested in the liver. Now this he teaches to know by the quantity, and substance, because the whey of the veins is more in quantity, and thicker in substance, then the whey of the liver, which is false, for the quantity of the whey is from the moyst matter, which is taken in, which first passes to the liver, before it come to the veines; but if the urine be more in quantity then the drink that was drunk, it is necessary that some other thing must be mixed therewith.
Fourthly, 4 he sayes that Galen would have the urine looked into in a plurisie, and the diseases of the lungs. But we [Page 83]said before, that in such diseases, Vrine notes the event of the disease, and not the disease it selfe. urines serve not for discerning of the diseases, but for the fore-knowledg of the event. The same may be said of a cold distemper, which in generall we grant may be discerned by urine, but never in particular; for in Diabetes, in the beginnings of fits; in an ill habit of the body, dropsie, lethargie, and other diseases, although urines may be crude, yet they doe not shew the affects of these parts more then others. Therefore he is mistaken, when he sayes that a cold womb may be discerned by urine, because in respect of its vicinity, the distemperature of it is imparted to the urine. Notwithstanding, why shall a crude urine rather shew the wombe than the liver? Againe, if the urine distill into the bladder high coloured by some hot cause, the wombe, although cold, shall not bereave it of the colour, which it hath from the mixture of the choler, and although the wombe being somewhat hot, may give some colour to the Urine, yet being cold it cannot take away the colour, which it hath contracted some other way.
Fifthly, he saith, 5 that the humours may flow from all the parts in the bladder, [Page 84]and therefore the Urine will shew the severall diseases of them. I answer.
First, 1 the secondary humours doe not return unlesse there be a melting of the whole body.
Secondly, 2 the humours once departed out of the vessels, doe seldome returne againe into the vessels, but are purged out through the habit of the body.
Object. But saith he, there is the same matter of sweat and urine, and the matter of sweat is without the veines. Therefore when through want of sweating the urine is increased, the whey returnes into the veines.
Sol. I answer; it is false; for the matter of sweat is onely without the veins, when we doe actually sweat, but not when we are about to sweat. But no man sweats of his own accord, unlesse he be not well. Againe, although the humours doe returne into the veines, yet they will not shew the peculiar affects of the parts; as if a matterie urine flow out, it will indeed manifest that matter is purged out, but whether it flowes from the breast, or from some other part, not the urine, but other signes of the affected part will shew.
Lastly, he uses the authoritie of Avi [...]enne, who writes that urines which have in them a thick and clammy water, are signes of the paine of the joynts, which notwithstanding is false, for a thick humour may proceede from some other cause; but enough of this.
CHAP. IV A Breaking of urine. troubled urine in diseases is not alwaies a good signe.
NOthing is more ordinary, then to heare the people hoping well of the sicke, when they see the urine which is pissed out bright and cleare, It is oftentimes an il signe. afterward to be troubled; which notwithstanding is not alwaies true, but rather on the contrary it may be an ill signe; where it is to be noted, that urines are either pissed cleare, and continue so; or they are pissed cleare, and are afterwards troubled; or they are pissed troubled, and remaine so, or else afterwards become cleare, either being set to the fire, or by laying downe some thick substance, which settles in the bottome; of the causes of which urines much may be said, which appertaine not to this place. The best urine is that which is meane in colour and consistence, Best urine. what recedes [Page 86]from this is evill. Therefore if it be thinner then right, it betokens crudity. But that which is pissed cleare, A troubled urine betokens a disease coming on in those that are well. and is afterwards troubled, in them that are in health notes some danger of a disease, because it indicates a crude humour which nature sets upon to concoct it, therefore it is pissed cleare, but the heat and spirit being lost, it is troubled, for heat makes all things equall. In the sick it shewes an increase of the disease. But in the sicke it betokens an increase of the disease, especially if the substance, quantitie, colour, and other signes be naught; now if in them that be in health such urine notes feare of a disease, how shall it shew concoction in the sicke? When any healthfull man falls into a disease, his urine doth not necessarily become thinner then right, and then againe thicker, and troubled, but it is rather troubled from the begining, and shewes a future disease. Therefore a troubled urine is never good, for from a thinne urine to a meane, which is according to nature, the passage is not made by a troubled, for the thinne comes neerer to a meane, then to a thick urine. If therefore a yellow and thinne urine become yellow and thick, and troubled, it betokens not concoction but danger, because of the [Page 87]increase of corrupt matter, as Montamus well observes. Therefore they are to be condemned, that account thick and and troubled urine a good signe, because the obstructions seeme to be opened, and the humour that breeds the disease to be evacuated. This happens indeed sometimes in the stone, in criticall evacuations and by vertue of medicament. They betoken crudity. But when such waters are made without a diminution of the disease, they argue a crude and stubborne disease, and heat, and cruditie of humours, for all concoction makes cleare urines. But they are the worst of all, which are pissed out troubled, and continue so, because of the very great agitation of the humours in the veines, and the great conflict that nature hath with the disease, and as Hippocrates observes, they foretell the headach, frenzy, convulsion, death; 7. Epidem. Polyphantus with such an urine was distracted in his mind, and dyed in a convulsion.
CHAP. V. That the consumption cannot be knowne by the urine.
IT is a familiar thing also with many, when they bring their waters to Physicians, to aske them, whether they [Page 88]thinke the sick party is in a consumption or no. In which particular they erre two manner of wayes.
1 First in that they doe not distinguish the true consumption from other diseases, but call every wasting of the body, by what cause soever it comes, a consumption, as we shall treat more at large in the following chapter.
Secondly, 2 because neither the ulcer of the lungs, nor the hecticke, [...] which are properly consumptions, can be known by by urine. Nor have Galen and Hippocrates taken any signe of these diseases from urine: the reason is, because no proper nor unseparable signe of a consumption can be drawne either from the substance, colour, or contents, because urine is the whey of the humours that are contained in the veines, therefore upon the diversitie of humours the change of of urine doth depend. But in them that have the consumption, the lungs especially are affected, and the whole body in hecticks, and not the humours. Wee have said already, that the diseases of the lungs are discerned by spittle not by urine, and though it be good to looke into urine, yet it helps not to the knowledge of the disease, but onely to the [Page 89]prognostication of the danger that is like to ensue, for if it appeare to be naught, it increases the danger; But the Arabians said that these urines are fat and oyly, whom also many of our late writers doe follow, although they doe not agree among themselves; yet for the most part they grant that in the beginning of a hectick, nothing certaine can be knowne by urines, but in processe of time when the fatty humidity is consumed, such urines doe appeare as we have already said. But Alexander Trallianus makes noe mention of fatty urines, but thinne and fiery, and crude, for in regard that concoction is made by the solid parts, if they be distempered, the urine cannot be well concocted, but be thinne, fiery and crude, as in a hot and dry distemper. Neverthelesse from thence it cannot be concluded, that a Physician not seeing the sick can by urines know a hecticke feaver, for such urines appeare in other affects, and may happen through divers causes, and therefore except other causes doe concurre they note no certaintie. The same may be said of oyly urines, of which much might be spoken, seeing that there is a diverse acception of this word with Galen and other Physicians. But in [Page 90]this place those urines are meant, which have fat swimming aloft, which Hippocrates will have to be a bad signe. 2. progn. tex. 35 If fat like to spiders webs float aloft, it is to be disliked, for it betokens melting. Yet it doth not from thence follow that these urines doe shew the consumption, for such urines are oftentimes seen in them that be in health, 4. de sanitat. tuendâ. as Galen observe. For seeing that grease and fatnesse are made of blood well concocted, it is noe wonder if some portion thereof swimme above the urine, as is usually found in coole broths. Moreover it may come to passe by much lying upon the backe, the fat of the kidneyes growing hot therewith; and these two cases are very ordinary, and there are few that cannot observe such urine in themselves: But those that come from causes preternaturall, doe appeare in malignant and burning feavers, which we call melting or wasting. syntecticke feavers, seldome in a consumption and hecticke, in which no such melting doth appeare, but the humours are wasted by an insensible transpiration. 10. meth. cap. ult. Hence Galen puts this difference betwixt syntecticke & hecticke feavers, that in these what is wasted is resolved in forme of a vapour, but in them it flowes downe into the [Page 91]belly, for the heat of a hectick is but very little and gentle, so as the sick do scarce perceive themselves to be in a feaver. Therefore neither Galen, nor Hippocrates; nor the ancient Physicians who observed these urines, did ever attribute them to hecticks, but to burning and pestilentiall Feavers onely. But if any fatnesse do flow out with the urine in hecticks, it argues that another Feaver is joyned with the hectick, to wit a malignant or burning Feaver; which case is exceeding dangerous. I have now, while I write this, a hectick in cure, in whom such urine never appeared, which I have often observed in others that are not sick at all. And although we should grant that such urines appeare in those that be in a Consumption, yet because they may also proceed from other causes, how can the Physician, that onely lookes upon the urine, and perhaps knows not the party himselfe, certainly finde out the disease. But as we have said enough of the deceitfull judgement of Urines, I will only adde thus much, that it was wisely prohibited by the Colledge of Physicians at London, that any Physician professe that counterfeit divination. These [Page 92]are the words of that order. It is a ridiculous and foolish thing by looking into Ʋrines alone, Judging by urine a ridiculous custome. to goe about after the mannor of Witches and Conjurers, to divine any thing as certaine and solid, either of the kinde and nature of diseases, or of the state and condition of the sick; Wee admonish therefore all Physicians, that they behave themselves for the future in this particular much more warily, than hath been wont heretofore to be practised by many. And for this cause we forbid all that practise physick, that they preseribe any thing in Physick for those idiots and silly women, that carry about the urinals of the sick, except they either first know well, or see the sick party himself, or at least be plainely, fully, and sufficiently informed by them that aske their counsell, of the whole disease wherewith the sick doth labour, and of the severall circumstances thereof: For by this meanes we shall both better mainetain the dignitie of the Physician, and also more fitly and skilfully bethink our selves of those remedies, which shall be most profitable for one that is in danger.
CHAP. VI. Of the Consumption.
BEcause in this Country the Consumption is an evill so ordinary and tremblable, we will speak something thereof, seeing of many it is not well understood, Every pining of the body not a consumption. for the people under that name doth comprehend every pining away of the body. It is therefore to bee noted, that if wee retaine the generall signification of the word, there is almost no disease, which a Consumption may not succeed. But indeed the people doe erre when they speak of the Consumption, as of a disease different from others: For it is not a disease, but an accident following many other diseases, especially if they be long. For seeing that the substance of our bodies doth daily decay, unlesse it be repaired with food; if the strength of naturall heat, and of the parts ordained for concoction be impaired by diseases, the body cannot be well nourished, and therefore necessarily the bulke thereof doth pine away. So that such Consumption doth happen. 1
First, from externall causes, Severall causes of a consumption. as a hot aire, want, cares, troubles, watchings, [Page 94]too much evacuation, and other emptying causes.
Secondly, 2 it happens through a decay by reason of age, in the Marasmus of old age; for naturall heat is weakened in old men, and radicall moysture is spent; the losse whereof is irrecoverable.
Thirdly, 3 leannesse of body is naturall to some, as in hot and dry bodies, which are easily made lean, by causes that are of a dissolving faculty, and such bodies live longer than grosse bodies. They that are grosse by nature, 2 Aph. 44. doe sooner die than they that be slender. Which is to be understood of them that are very grosse, whose veines are small, and blood little.
Fourthly, 4 it followes burning Feavers, which doe by their heat wast their alimentary humours, and the substance of the body. Hippocrates writes: They that die of a burning Feaver, Lib. 1. de morbis. doe all die through drinesse; the extremities of the body, as the hands and the feet, are first dryed up, and then the dryer parts. And some Authours report that all the blood hath been consumed, Cap. 2. lib. ad Gla [...]. as * Argenterius writes of Mutius Medices Captain of the Castle of Pisa, in whose dead body not [Page 95]one droppe of blood was found. And though the sick dye not, yet it is usuall for the body to consume away in a violent feaver, whereupon it is called a hot and dry passion, and therefore Hippocrates prescribes a moystning diet, in the sixteenth Aphorisme of his first book, that it may hinder that drying which the feaver causes. Hither also ought to be referred those feavers which are melting feavers.
Fifthly, 5 it may follow the affects of the spleen, and tumours of the same: Febres syntectica. Hippocrates in his booke de locis in homine, and * Galen, and * Averrhoes, doe affirme, Gol. 2. de facul. nat. cap. ult. Averrh. 4. Colliget. 56. that when the spleen growes the whole body decayes, therefore the Emperour did compare the spleen to the Kings excheques, for as the Kings exchequer sucks up the wealth of the people; so doth the spleen the substance of the body. The same might be said concerning the liver, and other the inward parts, whose evill affects doe consume the body. The dropsie The watry dropsy. ascites or The tympany or windy dropsy. tympanites doth often succeed a hard spleen, in which maladie it is usuall to see the belly swolne, when not withstanding the upper parts doe very much pine away, through penury of good blood, and it doth [Page 96]much resemble a consumption, thus I have seene dropsick persons whom the people have thought to be in a consumption; and indeed one disease doth easily bring in another, for as we have said, the pining and wasting of the body is not a disease of its owne kind, but an accident proceeding from very many, both externall and internall causes. Therefore every wasting of the body ought not to be called a consumption. But coming closer to the businesse we affirme,
Sixthly, 6 that a consumption is properly taken for a hecticke feaver, Hecticke feaver is a consumption properly. in which the substance of the body is wasted by little and little, and insensibly, for in this feaver the heat at the first approach seemes to be milde and gentle, afterward it is sharpe and biting; the sick perceives neither a feaver nor any other malady, and yet he feeles his strength decay by little and little. 7
Seventhly that word (consumption) doth agree with A disease when the stomacke receives meat, and yet the body is not nourished. Atrophia, which likewise is the consequent of many diseases, and in generall also by Atrophie, any wasting of the body may be understood. But now properly it is, when the body pines away neither for want of foode, [Page 97]nor by immoderate evacuation, nor by reason of any other evident causes, nor by an acute disease, nor by a hecticke feaver, nor by the ulcer of the lungs, but when softly and by degrees the body is not nourished, though it take foode; either because the nourishment is badly attracted, or badly retained, or badly concocted, or lastly, the superfluities of of it not well expelled, The causes of an Atrophie. although many that have written of Atrophie, have produced all the causes of leannesse in the body.
Eighthly, and lastly, 8 by the name of Consumption most properly ought to be understood Phthisis, Phthisis is most properly called a consumption hard to be cur'd. which is an ulcer of the lungs, consuming the substance of the body with a gentle continuall feaver. It is a disease much to be bewailed and hard to be cured, yea perhaps impossible, for three causes alledged by Galen.
1 First because an ulcer is cured by the voiding out of the matter; now it is voided out by coughing, and the ulcer is made larger through a cough.
Secondly, 2 because the vertue of remedies reaches scarce to the lungs, but being much weakned, for their vertue perishes in the stomach, liver, hollow veine, and other passages.
Thirdly, because to the cure of an Ulcer there is need of rest, but it is necessary that the lungs do alwayes move. Adde also, that to the ulcer there is joyned a fever, which requires cooling and moystning, but the ulcer drying remedies, for the cure of every ulcer is drying. Besides it is to be noted, that this disease is contagious, as * Hipp. 3. Epid. Hippocrates, Gal 1 de diff feb. cap. 2. Galen, and other Authors have observed, and that augments the danger. Now, that the people may not be too much deceived, they must know that this disease is not so much to be feared in children and old men; Old men and children not subject to the consumption of the lungs. for according to the rule of Hippocrates, in the ninth Aphorisme of his fifth book; The consumption of the lungs is especially in those ages, which are from eighteen to five and thirty; and in his third book, the 29 th Aphorisme, Spitting of bloud, and Consumptions doe happen to young men: for seeing that young men have abundance of hot and bilious bloud, and at that age the body grows but little, it comes passe, that both by the plenty and heat of the bloud, and by salt fleagm arising from choler, the vessels are corroded and broken, as also by their immoderate exercises, and other defaults in diet. [Page 99]But they do seldome happen to children or old men; to them, because of their gentle and vaporous heat, unlesse the naturall conformation of the body do incline to this disease, or the contagion of another, that hath the ulcer of the lungs, doe hasten the maladie: and to these, because in an old mans body there is but a little quantity of humours and heat. Therefore Celsus erred, who translating this Aphorisme into Latine, corruptly placed the 12 th for the 18 th, as Mercurialis observes. Avicenne in an error. Avicenne likewise was mistaken, who would have old men especially to be subject to the ulcer of the lungs, except it be understood of the Marasmus of old age, (which in a manner happens to all by reason of old age) but not of the ulcer of the lungs. For although incurable catarhes, and distillations of rheum happen to old men, yet the humour is not so sharp, that it can exulcerate the lungs. Therefore he that hath not contracted this evill in his youth, in old age, by reason of his proper temperament needs not to fear it; although I deny not but it may happen some other way, as by the plurifie, inflammation of the lungs, corrupt matter betweene the breast and the lungs, [Page 100]and other diseases, but not by reason of the proper constitution of old men. Which things I thought good to adde, that if at any time some of the people aske a Physician, whether the party be in a consumption or no, he may know how to distinguish of the divers acceptions of a Consumption, and need not feare the principall kinde thereof in old men and children. I know, Cornelius Celsus, among the severall sorts of consumptions, reckons the Cachexie, in which the habit of the body doth rather swell than fall; and I believe, if we look unto the nature of the thing, it is true; yet because to the sight it rather appeares contrary, I was for that cause willing to omit this signification. If I had added here the causes of all these diseases, the signes diagnostick and prognostick, and manner of curing, which once I was determined to do, the book had grown into too great a volume; nor doe I think that to be needfull, for it is my purpose only to demonstrate the Errours of the people, and not to teach Physick: the people may for that advise with learned and honest Physicians. Let us now hasten to other things.
CHAP. VII. Of the Plague, whether it be infections or no.
SOme men are so froward, Stoicall, and obstinate, as that they go about to take away from the plague all contagion and infection. Others, although they doe admit of it, yet they think it an impious thing for a Christian to fear the evill, or to fly from it. Touching the former sort, experience shewes, and the authority of great men doth confirme, that the plague is contagious. No plague if no contagion. Yea, that is no true plague which wants contagion.; for though some diseases doe kill like the pestilence, yet they are not the pestilence, if they be not contagious, but malignant and pestilentiall diseases without a plague. The scab, or itch, otherwise a very light disease, the skall, leprosie, madnesse, the ulcer of the Lungs, the Ophthalmie, or inflammation of the eyes, and the french pox doe infect those that are neere, why not also the plague? And unlesse it be contagious, it could not be conveyed from one City to another, which often happens, without any precedent fault of the aire. Indeed Galen, Hippocrates, [Page 102]and the Ancients, made no manifest mention of contagion. Yet Thucidides affirmes, that that plague which he described, was most contagious, and therefore he perswades unto an early flight, and a late returne, of which counsell Galen being mindfull, withdrew himselfe from Rome; and in his 1. book de differ. feb. 2. he observes, that it is not safe to converse with those that be infected. For seeing that whether wee will or no, wee must inspire aire, there is no way to escape it, but by removing far from them into some place where the best aire is, and by late returning. It matters not therefore what Petrus Salius, a Physician otherwise very learned, alledges to prove that there is not alwayes contagion in the pestilence.
First, 1 that Hippocrates, Galen, and the Ancients, neither made any mention of it, nor feared it.
Secondly, 2 that the Turks, and other Nations think it to be an impious thing to avoid the company of them that are infected therewith.
Thirdly, 3 because many that converse among them that bee sick of it, are not infected. That Galen and Thucidides [Page 103]knew the contagion of it, it is evident by what hathe been already said. But yet we must confesse, that they did not so exactly search out the nature and manner of it. Aristotle in his problemes hath said something of it, but very obscurely. Galen also spoke a little of it, 1. de differ. feb. but darkly and covertly. The Ancients knew not all things, they have left many things to be added by them that come after; many things to bee changed; many things to be more clearly explained. Nor ought the Turkes example to move us, Foelices errore suo, quot ille malorum Maximus haud urget lethi metus they are happy in their owne errour, whom that greatest of evils, the feare of death, doth not molest. Therefore so often as the pestilence strayes among them, it rages so cruelly, that sometimes in one City it destroyes an hundred thousand men. Nor is that which followes of more power to perswade, that we see many men alive, who without harme have conversed with infected persons, who without doubt had perished, if there had been any force of contagion in it. But yet if so many thousands of men, whom this communicated disease hath swept away, and the families that have been wholly abolished, should returne from [Page 104]death againe, they would easily refute the opinion of a few survivours. To set on an action 3 things are required; the dominion of the agent over the patient; the preparation of the patient; and a convenient space of time, for nothing acts in an instant. To the dominion of the agent, not only the operative vertue of it, but also a due quantity is required, for even deadly poysons doe little in a small quantity; a spark of fire burnes but little. The preparation of the patint is either manifest, or occult, Marsi are a people of Italy, so called from Marsus Circes son. Psilli are a people of Libia, whose bodies are venime to serpents. from an inbred propriety of nature. Hence the * Marsi, and * Psilli were not hurt of serpents, and Pyrrhus his finger was not burnt by fire. And hence it is also that some even in a most raging plague, remain free from all hurt, and some are infected upon the least occasion. By the same occult quality it happens, that what is poyson to one is wholsome, a remedy, yea and sometimes meat to another. Seeing therfore that the natures of bodies are unlike, & very different, thence it is that some are overcome, and infected presently, but others not without much difficulty. For no cause can act without a disposition of the patient, otherwise all that dwell together [Page 105]under the same Sunne, Lib. de flat. should be alike sick of Feavers, or otherwise alike affected. Hippocrates saith, one body differs from another, one nature from another, and one temperament from another. And for that cause the same things are not profitable or hurtfull to all. To this concurres also a moderate diet, a healthfull body, voyd of corrupt humours, of free transpiration, temperate, dry, rather than moyst, Lib. 7. cap. 50. cold rather than hot. Therefore Plinie hath observed, that old men are not so soon infected with the Plague as young men, because of the coldnesse of their bodies, and especially if they use a moderate diet, and exercise.
CHAP. VIII. Whether it be lawfull to fly in the time of Plague, or no.
THe second was, whether it be lawfull to fly, The Turks fear not the plague and withdraw a mans selfe out of danger, although the Plague be defined to be contagious. The Turks, as Prosper Alpinus relates in his first book of Egyptian remedies, doe not regard the Pestilence, because they thinke that God hath destinated to every one his manner of death, so as he that must perish in warre, cannot be killed with [Page 106]the Plague, of which opinion are some Christians also. It is the office of Divines to enquire more diligently into that, whether it be lawfull for a Magistrate, or a Master of a Family, or Children, and such as be bound to others by a naturall or civill right, to fly, and in what cases. I will only adde thus much, that holy men seeme to have feared death, because never any man hated his own flesh: for both Elias, and Moses fled; Abraham chused rather to expose his wives Chastitie to hazard, than his own life. Yea and it is lawfull to avoyd all dangers. Though GOD send a Famine for the punishment of our sinnes, yet it is lawfull, yea it is necessary to shunne it; for he is guilty of his owne destruction, who doth thrust himself into present danger. Who will not shunne the raging enemy, who will not avoyd flaming fire, who is he that in swimming, if he can will not save himselfe from present drowning? Ought no man with clothes and fire to drive away cold, because it is a punishment of God, or being wounded or sick entreat the help of the Physician? God promises long life as a blessing; it shall therefore be lawfull by any meanes to preserve it from [Page 107]eminent danger. The end of reason. Therefore reason is given to man, not that he may promise to himselfe the immediate help of GOD, but that he may wisely and discreetly make use of those means which he hath created and ordained. What man that is in his wits, will expose himselfe to a roaring Lion, and will not rather provide for himself by flight or some other means? But the Pestilence (as Galen teaches) is as cruell as a wilde beast, L [...]b [...]de Theri. ad Pisonem. sometimes depopulating whole Cities. Wherefore if a mans calling hinder not, no man will suffer himself to be perswaded to stay among those that are sick of the Plague. Which policy I see many do wisely follow, neglecting the rash pietie of some. For that Christians ought not to feare death, is to be understood, that they must not bee daunted in courage with the fear of death; nor yet are sins to be committed that death may be avoyded. And lastly, in death, if by no meanes it can be avoyded, they must not despaire. And therefore Hippocrates saith it is the safest way, Hippocrates his counsell. to fly soon and farre, and to returne late. Yet it is not expedient for all to fly, for some are to be appointed to provide things needful for them that be sick: But they to whom [Page 108]it is not granted to fly, let them take heed to themselves by alteration of the aire, and by Antidotes.
CHAP. IX. What kinde of death may be prevented by the help of Physick.
THe Turks, as we have already said out of Alpinus, doe rush adventurously into all dangers, because they are strongly perswaded, that there is destinated unto every man a certaine manner of death, either by Famine, or Warre, or Water, or Hanging, or by a Disease, or by Age. Yea amongst us there are some so superstitious, A superstitious conceit. and I have known many such, who would have a certain number of daies assigned to every man, that it is not possible for the life to be prolonged beyond it, and if any man chance to perish by the default of the Physicians, or of the by-standers, they excuse them; because it is impossible to save him whom GOD calls to himselfe. Thus word by word I have expressed their opinion. Which absurd opinion doth very much favour some mongrell Physicians, who at hap hazard without any art attempt the cure of diseases. For thus the choice both of [Page 109]Physicians and Medicaments is taken away, nor matters it whether to a learned or unlearned, to an experienced, or ignorant man the life of man be committed, seeing of necessity he must have dyed, whom the rashnesse, or ignorance of Physicians, or by-standers, or some other mischance hath taken away. God can doe whatsoever he pleases: But because he doth usually work by the help and means of secondary causes, except a man make use of them, he hastens his own death, as he that hanged, poysoned, or otherwise killed himself, made his life shorter, which might have been longer. The art of Physick doth not promise any man everlasting life; for at the length wee must all yeeld unto Fate, as the God of Nature will have it, who therefore made the principles of our bodies passive, that at length by causes internall and externall they may be overcome. Nor yet doth it excuse the Physician by whose default the sick doth perish, but it keeps off the eminent dangers of our life, lest it perish before the time, and before mature old age. Who knows not that the body is shaked, and weakened by the violence of diseases, and that it is patched [Page 110]up againe by Physick, and that by the neglect, or unseasonable use of remedies, it doth at length sinke under the burden? Who knowes not that a man by a fall, or a stroake, or, by some other way may be wounded, and that he may die thereof, unlesse it be well cured, who otherwise might have lived longer? There is a certaine naturall death, Naturall death and its causes. proceeding from the principles of life, exhausted in extream old age, which God hath appointed for all men, which therefore no art can keep back. And those terms of life are divers, in respect of the diversitie of temperaments, and other causes; therefore some live longer, some shorter, some wax old sooner; some later, but every one when his innate heate is spent, dies in his own time appointed by nature, as the flame of the Lampe dies out when the oyle is spent. For there is an order of all things in nature, and every time and life is measured out by circuit, 2. De gen. & corrup. cap. 10. as Aristotle sayes, to whom all Philosophers and Physicians doe consent.
There is another death violent and untimely, What kinde of death is to be prevented by physick. which is caused by Feavers and innumerable diseases, and other chances; against this it is that a wise, skilfull, [Page 111]& faithfull Physician goes forth, and by the right administration of wholesome remedies, hee calls back into the breast, the life that was ready to depart. For what else is it for a sick man to be delivered from a dangerous disease, then for death to be deferred? The Squinancie, Apoplexie, Plurisie, Pestilent Feaver, and other such acute diseases may by their own nature bring death, unlesse they be driven away by remedies. What else is it to prevent diseases, then to keep back old age, and death which is incident to it? Naturall heat weakned many waies. How many sundry causes do weaken our naturall-heat, as a corrupt diet, surfeiting, want, watchings, troubles, cares, which doe call in untimely old age? But a good manner of living, according to the direction of Physicians doth prevent these, that the substance of the body be not too soon dissolved, but that it may come to extreame old age, which old age hath its appointed limits in nature, known to God alone, which may indeed be hastened from divers causes, but yet by taking away all the causes that alter heat, it cannot be put off or prolonged any further; and such a death happening in extreame old age, is very [Page 112]rare. For who ever led such an exact course of life, that he never harmed himself by those six things which physicians call non naturales. For they that doe not keepe a wholesome manner of life, dye sooner then nature hath appointed, as saith Galen 6. de sanit. tuendâ.
CHAP. X. Whether intermitting fevers, commonly called Agues, becurable or no.
MAny are of opinion, that against intermitting feavers, which they call Agues, there is no remedie, but that they doe transcend all force of Physick. But seeing experience shewes that to be false, Agues curable. (for men may see them often cured by Physicians) we need not say much of this matter. They proceed from divers humours, cholericke, plegmaticke, melancholick; If they be exquisitely cholericke they are easily cured. Aph 59. lib 4. For an exquisite tertian in seven fits is judged the longest, therefore it will be much shorter, if it be helped by remedies seasonably administred. And it stands with reason. For if other diseases that arise from the same humours may be cured, why not also intermitting feavers? Onely this is it that deceives the people, [Page 113]because some of them continue very long, and become chronicall, as doe some bastard tertians and quartanes. Neverthelesse that takes not away the possibility of curing them, seeing that these diseases have been often cured, although not alwayes in all that have them, otherwise it might be said also that al continuall feavers are mortall, Diseases are of 3 sorts. because some have dyed of them. Diseases are by some Physicians divided very well, into such as by their owne nature tend unto health, such is the one day feaver: secondly into perpetuall and incurable, A sort of leprosy. such is the * elephantiasis; and lastly into those which are sometimes cured, sometimes doe kill, of which sort are very many diseases,, among which intermitting feavers are to be reckoned, which in some haply are soone cured, but others doe continue a long time; for all diseases of the same sort, have not alwayes the same times, and the same end but some doe end sooner, some later, Some diseases are longer some shorter, and why. some are cured, and some doe kill, according to the diverse disposition of the peccant humour, in quantitie, thicknesse, toughnesse, acrimonie, malignity; according to the state of the patient, and and his strength, time of the yeare, country; [Page 114]temperature of the weather, manner of diet, constitution of the noble parts, diligence of the Physicians & others that be conversant about the cure, and other circumstances, the explication of which belongs not to this place. 4. aph. 4 3. Hippocrates saith, that Feavers after what manner soever they intermitte, are not dangerous at all. They are therefore curable by a wise and learned Physician, although perhaps unskilfull fellowes by a preposterous way of ministring Physick may make them incurable. aph. 25. lib. 2. Thus summer quartanes are said to be short, but Autumne long, especially those that reach unto winter. That in some men many diseases remaine incurable for divers-causes, it is not therefore to be thought that they are such by their owne nature, nor is it to be concluded to the dishonour of Physick, that they cannot be overcome and conquered by art. Neverthelesse men should not give credit to the boasting words of some moungrel-Physicians, who feare not to try, and spare not to promise any thing, and yet performe but little. If they chance with a doubtfull remedie to cure a hard disease not well knowne of them, with what words can the glory of so great a miracle be expressed, with [Page 115]what reward can it be requited? But if the cure succeede not well, they lay the blame not upon themselves, but upon the negligence of the patient, or the by-standers, or on the wilfullnesse of the sick.
CHAP. XI. That the heat of the liver cannot be known by the heat of the palme of the hand.
IT is an ordinary thing with many, when the palme of the hand is very hot, to thinke that they are affected with a preternaturall heat of the liver, which notwithstanding is not very certain, although some Physicians also have been of the same opinion. For what greater sympathie is there of the liver with the hands, then with any other part; No extraordinary sympathy between them. Galen in Arte parvâ writes, that if the liver be hot, the whole bulke of the body is not likewise, unlesse the heart doe hinder it, and in like manner the whole body is made hot by the heart, if the liver hinder not, and therefore it ought not to be attributed to the hands onely. Againe that unusuall heat of the hands doth rather proceede from the heart, which communicates to the whole body hotter spirits, and warmer blood then the [Page 116]Liver. Moreover Galen in his booke against Lycus proves, that there is no sympathy betwixt the stomach and the hands, because there is a threefold reason of sympathie. A threefold reason of sympathy. First, of vicinitie; the second of familiaritie of function; the third, by communion of vessels; which things we may apply to the Liver and the hands: For betwixt them there is no vicinitie or nearnesse in regard of scituation; no familiaritie of function; if there be any sympathy, it must be of the third kinde, to wit, by communion of vessels; but the vessels that issue out of the Liver, are not carried to the hands alone, but to the whole body. In the hands besides the veines, there are arteries, which convey to them a greater heat from the heart: Therefore from the hands ought not to be inferred rather the heat of the Liver then of the heart. Besides the heat of the Liver is perpetuall, or at least of long continuance, but that heat of the hands is fugitive, 6. Epid. Sect. 2. text. 32. Fen. 13. lib. 3. tract. 1. cap. 3. 4. Colliget. cap 4. often goes and comes again. Againe, other Authours attribute it to the Spleen, to wit, if the Spleen tend upwards, but if it incline downwards the lower parts are said to be hot. * Avicenne will have long fingers to shew [Page]the magnitude and heat of the Liver; but * Averrhoes laughs at him: And the man whom thou knowest saith, that the shortnesse of the fingers betokens a little Liver, and herein it appears that he knew not wherein the power of forming did consist, and considered not but in the parts themselves, but let him goe with the rest. Which are the words of Averrhoes, who believed not that the signes of the temperature, or conformation of the Liver could be drawn from the hands, seeing there is no more peculiar sympathy between these parts than others. Therefore Galen in Arte parvâ, when he explicates the signes of an hot Liver, omitted that figne of the heat of the hands, as did the rest of the Greeks, Aetius, Aegineta, and others. Argenterius in his commentary on the forenamed place of the Art of Physick, blames Galen, for omitting this sign. But more rightly do others defend Galen, because that signe is nothing else then the vaine imagination of the vulgar; for not onely the hands, but the whole body is necessarily made hot, neither is that heat of the hands permanent, but unstable, and uncertain.
CHAP. XII. Of them that complaine of a hot Liver, but a cold Stomach.
IT is a common and ordinary thing for many to complaine of the heat of the Liver, and coldnesse of the Stomach, because they feele winde and crudities in their Stomach, together with some running heats in the body, as in the face, hands and feet. But these are to be admonished of some things.
First, 1 it is certaine that the Stomach, because it is a spermaticall part, membranous and bloodlesse, and white, is of a cold temperament, The Stomach is naturally of a cold temperament. but to thinke that the heat of the Liver can hurt it, is an absurditie: For Galen writes, that it was fenced about by Nature on every side with hot Intrailes, that it might more compleatly execute its functions: it lies in the middle, between the Liver, the Spleen, the Caule, and the gut Colon, and is encompassed with them on every side, that like a cauldron among a great many fires it may be made hot by them; wherefore Riolanus in his Anthropographie doth not thinke it a thing probable, that the heat of the Liver should diminish the heate of the Stomach, [Page 119]but rather augment it.
Secondly, it ought to be observed, 2 that the forenamed symptomes doe often happen in them that be in health, that have a hot temper of the bowels, but use an ill diet. For by too much drinking either of wine, and of Ale and Beere, abundance of crudities in the belly doe grow, and swimmings, belchings, windinesse, and spittings doe arise; for it is an ordinary thing, Strong drinks breed cold diseases. for cold affects to proceed from too much gulleting even of hot drinks, which do not happen by a distemper of the part, but through the fault of him that takes them. In the mean while the Liver drawes unto it the thinner spirits of those drinkes, whereby it is enflamed, and so distributes too hot blood to the whole body. Thence it is that they seem to feele heat in the body, and cruditie in the Stomach at the same time. And so they falsly accuse the contrary distempers of the parts, not blaming their owne intemperance. But if they would live soberly, and use moderate drinkes, they should experience no such matter.
Thirdly, some are troubled with it, although they live soberly, and such are [Page 120]hypocondriacke persons, whose They are the parts contained in the belly. hypocondres are hot and dry, and obstructed, which evill is very common in this country, and it arises most commonly from the aforesaid cause, namely a disordered diet. But in them the Stomach is not made colder, by reason of the vicinitie of the hot hypocondres, but because many melancholy and flatulent humours are cast into the stomach, which vitiate concoction, whereupon they thinke they have a colder stomach than indeed they have. Thence it is that Physicians demand, how it comes to passe, that hypocondriake persons, seeing they are oppressed with a hot disease, doe neverthelesse abound with winde and cruditie [...]. The cause whereof, although some Physicians referre to the cold Stomach, yet it is better as we have said, to referre it to the corrupt humours weakning the temper of the Stomach; from whence proceed not onely tart crudities, which come from cold, but also nidorous belchings, which doe arise from heate, especially if the party cat nidorous meat, as fried Egges, and the like. Hence one sayes well, that the symptomes in an hypochondriake passion [Page 121]are many of them cold, but the cause is hot.
CHAP. XIII. That the Husband cannot breed his Wives childe.
AMong very many Errours, this seems most worthy to bee laughed at, that the husband is thought to bee sick, and troubled with the same symptomes, wherewith a woman with child is wont; yea and many will have this thing to be confirmed by experience. I had a patient sick of a Feaver, with a very high coloured, and troubled urine, who would not be perswaded of any other cause of his sicknesse, then his wives being with childe. I doe not remember that I have read of it at any time, nor heard it observed in any place but in England. It is certaine that women with childe, in the first moneths of their conception, are wont to bee troubled with very many and sundry symptomes, especially they that are of cacochymick and impure bodies: Now they doe usually arise from the retention of their Flowers. For seeing Nature is wont to use that Flux, not only for the purging out of superfluous blood, but of corrupt [Page 122]and vitious humours also, such blood being retent and kept in, they are likewise retained. That blood retained, because for the smalnesse of the young one in the beginning of her graviditie, it is not at all spent for the nourishment thereof, doth putrifie, and hath recourse either to the noble parts, or at least annoyes them with filthy vapours which it sends forth, from whence arise the aforesaid symptomes in the stomach, intrailes, belly, head, and the whole body, as vomiting, loathing of meat, unsatiable longing and lusting, gripings, dizzinesse of the head, and such like. Seeing therefore the husband hath not in him the causes of these affects, but his wife onely, it stands with reason, that shee onely should be sick. Nor, if any husband be sick when his wife is with childe, was hee infected by his wife; for that distemper may happen through some peculiar fault of his owne body. As while I write this it raines, yet neither is my writing the cause of the raine, nor the raine of my writing. It is no new thing for husbands and their wives to bee both sick together. But it is a wonder, and heretofore a thing unknown, that graviditie, [Page 123]or a womans being with childe is a contagious disease, and that not other women, but men only, whom nature hath freed from this travaile, should be infected therewith. Furthermore it is observed, that the same symptomes do not happen to all women, or at least not all to every one, and yet it often falls out, that when the woman is in good health, the husband is sick, yea sometimes being many miles off. But if he endure that by his wives being with childe, how comes it to passe that she continues well at the same time? For naturall causes doe sooner worke upon the near, than upon the remote subject: And for that cause, seeing the woman carries about her such noxious humours, she should be sooner, and more grievously sick. I know something might be said of simpathy, antipathy, contagion, fascination, and other such trifles. But if these things be so, why do not maids and widows, who are very often troubled with the like symptomes, through suppression of their flowers, infect their bedfellows and familiars, seeing there is the same cause, and without doubt they may have a sympathy with some of them. To cause a [Page 124]contagion, not only the efficacie of the agent, but also a disposition and analogy in the patient is requisite. But who believes not, that another woman is more prone to receive and take the symptomes of gravidity than a man, seeing they were all created for propagation of children, and therefore one woman ought to take great heed to her self of another. Moreover it may happen, that a woman that is sore troubled with the green sicknesse (as they call it) is married to a man, whom notwithstanding although her flowers be suppressed, she shall never infect: why then when the same woman is with childe, and there is no other reason of sickness, then suppression of the flowers, shall her husband be sick? Men would be in an ill case, if as often as there were a suppression of their wives flowers, so often they, not their wives should bee sick? But because by the very relating of it, the absurdity of this errour doth appeare, I will adde no more. Iupiter bore Bacchus in his thigh, and Pallas in his brain; but let this be proper to him alone.
CHAP. XIIII. Whether forraine Physicians, and Aliens can know the temper of the sick of another Countrey.
TO know the temperature of the sick, conduces much to the knowledge of diseases, and their cure, and this businesse requires a long and difficult handling. I will onely say thus much, that some are of opinion, that Strangers cannot know the temperature of them of another Country, as French men of the English: But that is repugnant to the nature of the Art of Physick, the precepts whereof are generall, The precepts of Physick are generall and may easily be applyed to any Country. For every art is of universals, not of particulars, therefore here in England, all that are skilfull Artists doe practise Physick according to the precepts of Galen and Hippocrates, which if any man doe well understand, he is able to discerne the diversitie of men according to their ages, countries, and the different temper of the aire, and what medicaments are convenient for them. Concerning which, Hippocrates hath written an excellent book of aire, waters, and places. For the Art of Physick, [Page 126]wheresoever it is taught, doth lay downe marks and signes which are taken from Countries, both for the knowledge and prognostication of diseases, and indications, which the diversitie of Countries doth afford, for the appointment of a right diet, letting of bloud, prescribing of purges, and administring of all other remedies. Otherwise it were no Art, if it should accommodate its precepts to some particular place only. Galen, who was borne and brought up in Greece, practised Physick at Rome: Hence 3 prognost. Hippocrates saith that his documents may be applyed to any Country, either hot or cold, to Lybia, Delos, Scythia, and the rest. Also the Arabians have borrowed from the Greeks their precepts of curing, which are the very same with the Galenists, which we promiscuously follow. Therefore it was wisely ordered by the Spaniards, and Portugals, that in India, where they beare rule, Physick should be practised after the self same manner that it is in Europe, according to the doctrine of Galen and Hippocrates. I know much might be said of that variety of temperature which Countries doe give to the inhabitants, for even in one and the [Page 127]same Kingdome there is a great diversitie of inhabitants, in respect of the divers situation of the Countryes, nature of the soyle, blowing of the wind, and other causes, for the diligent search of all which, the Art of Physick layes down rules. And yet whatsoever the Climate and Country be, even in the most Northern Climates, there are men of every temper, hot, cold, cholerick, flegmatick, sanguine, melancholick. One that without license practised Physick, a Surgeon by profession, that he might doe me a displeasure, was often wont to say, that Frenchmen cannot understand the nature and constitution of the English. I once asked him what was that constitution of an Englishman, wherein he differs from a Frenchman, by what signes he could know it, seeing that in every place are men of every temperature, which things seeing they cannot be knowne but of a learned Physician, it is no wonder if every simple medicine-monger be ignorant of them. For it is a thing exceeding hard to be known. Therfore Galen said, that if he could but perfectly know the temperature of his Patients, he should be another Aesculapius. I will now only adde thus much, [Page 128]that what is talked by the vulgar concerning the temperature of divers people, is well understood but of few, for all men have their proper temperaments differing from others, ingendred in them from the principles of generation; they cannot therefore have any thing common in which all men can agree. That same therefore is onely a certain custome, and inclination of nature to a mans own Country, aire, and usuall manner of diet, which wee acquire by little and little, without changing of that proper and inbred temperament, which we derive from our parents, from whence it comes to passe, that some live better in their owne Country aire, although unwholsome, than in another. Avicenne saith, that an Indian would be sick if he were in Sclavonia. Although that is not always true, for it may be that some Englishman may live more healthfully in Spain, than in his own native Country.
CHAP. XV. Of them that referre almost all diseases to a Cold.
IT is a thing very frequent and ordinary, when any falls into a disease, [Page 129]or is not well, to blame some externall cold, from which, he hath not carefully preserved himself. And indeed this may oftentimes be the cause of many diseases. For the aire is attracted by us continually by inspiration, and transpiration, and it doth impart its qualities to us, whatsoever they bee. But it hurts most of all, when the pores being opened through heat, a cold comes of a sudden, for it obstructs and stops them presently; from whence, by reason of the fuliginous vapors retained, fevers doe ordinarily ensue in cacochymick bodies; but in others, pain, wearinesse, difficulty of breathing. Cold aire being inspired, makes the gristles of the lungs become stiffe, so that the lungs can scarce bee dilated. Hence oftentimes the vessels of the lungs are broken, and of other parts also, and the bloud runs into some capacity, and putrifies, corrupts, and stirs up naughty symptomes. But concerning this thing, it will not be amisse to give some notice of a few monitions.
First, that all that blame this cause, 1 are not therefore sick by reason of it, for there are sundry other externall causes [Page 130]of diseases. Therefore commonly they that live in a cold aire, reap not any evill thereby; but the same parties, even in the height of Summer, and being well clad with cloaths, doe notwithstanding complaine that they get cold to their hurt. the same may be said of other externall causes of diseases. In one and the same City, there are many that breath in the same aire, use the same exercises, and the same diet, yet when they fall into diseases, they are troubled with sundry, and in every respect, different diseases. If any man shall say that he is sick through a surfeit of meats or drinks, perhaps he had eaten or drunk as largely a hundred times before, and without any harm to himself: which in like manner may be said of cold aire, and immoderate labour; when many a time hee hath endured a colder aire, and undergone the same labour without receiving the least hurt, it is a wonder how now he should bee sick thereby. So we often see the last meat, or that exercise that one hath last used, or the last cold which he hath taken before the disease, to be blamed, as also the last remedy is thought to have procured [Page 131]health. Where it is to be noted, that these are called externall causes, and that they doe not alwayes, and at every time affect the body, but then onely when an inward disposition lurks in the body, and a morbous preparation, which such causes do stir up.
Secondly, they must take notice, that those externall causes doe vanish away, and continue not, but their effects, to wit, the diseases stirred up by the inward causes do remain in the body, and therefore the contemplation of externall causes is not always necessary for the knowledge or curing of diseases, but of the internall alone, which stirre up, and foster the disease. For wee see a disease that hath had its beginning from a cold aire, neverthelesse not to be cured, although the temper of the aire be changed, but often to continue hard to be cured.
From whence also, Thirdly, it is to be noted, that remedies are not to be measured according to the nature of externall causes, for they indicate nothing. For so hot things should bee alwayes good for them, in whom cold hoth been the cause of the beginning of a disease, which is not true, for many times cooling [Page 132]things doe profit more. From a cool aire, as we have said, many times burning feavers doe arise; as also from baths that are too cold, whereby the pores of the body are stopped, and the fuliginous vapours retained, by which the bloud is inflamed. If the people doe here (as usually they are wont) encounter the disease with remedies that are of a heating quality, they will be so farre from vanquishing the disease, as that they will rather increase it more. In this case inward cooling medicines, and as Galen often teaches, letting of bloud is the principall remedy: In the eighth book of Method hee lets bloud in a diary, that is generated by the obstruction of the skinne, lest there follow putrefaction. For though the externall cause bee cold, yet the internall, to which alone the cure is to applyed, is often hot, and is made so by reason of the corrupt humours that are kept in.
POPƲLAR ERROƲRS. The Third Book. Of the Errours about the Diet, as well of the Sound as of the Sick.
CHAP. I. Of the goodnesse of Waters.
HIppocrates, Galen, Avicenne, and other of the principall Physicians, doe so commend the drinking of water in diseases, that next to the letting of bloud, they attribute thereunto the chiefest place in curing burning feavers, and it is also the ordinary drink of many Nations. Yet now a dayes some doe so much abhorre from the use thereof, that they think it almost present poyson. Now they think that the waters in England, in respect of the coldnesse of the Climate, are more crude, and not so pure and wholsome as those in France, Spain, and the hot Countries. And indeed every one ought to be solicitous of the goodnesse of the waters. The best is discerned by the smell, colour, [Page 134]taste, levity of it in the hypochondres, and by the quick and speedy receiving of heat and cold. So as that is best which is bright and cleare to the sight, tastes and smells of nothing at all, as also which is the lightest, thinnest, and soon passes through the belly. Since then such water may bee found every where, Good waters even in cold climates. even in the most frozen Countries, and I have often found such in this Country, we may conjecture of their grosse errour, that doe generally condemne their owne Country waters. Now this is their errour, that by the coldnesse of the Country they reckon the goodness or unwholsomenesse of the water; hence they think that it is excessively cold, and therefore crude, and hard of digestion, which Hippocrates calls [...]. Which thing is not to be admitted, for the water borrowes not its crudity or goodnesse from the Sun, because the heat of the Sun cannot warm the water in the bowels of the Earth, for it cannot penetrate so far, which scarce pierces through the roofs of our houses unto us. This doe the cellars under the Earth manifest, which in the height of Summer are exceeding cold. But if the Sunne bee not the cause of [Page 135]this, much lesse can the parts of the world, which are hot onely because of the propinquity, or remotenesse of the Sunne. Therefore others doe more rightly blame the cold or heat of the earth it self: for if the heat of the earth be moderate; the water is well concocted; but if there be burnings in the earth, it breaks out either hot, or warmed, so as all sorts of water may spring forth in any part of the world, which is especially to be understood, if they be drawn out of the fountaine it selfe, before they bee altered by the cold aire. To this adde the manner of transcolation; for that is the purest, What water is the best. not which lyes open towards the Sunne, or runnes Eastward, but that which is best strained. For in its own nature it is a simple body, which unlesse it be tinctured with some other mixture, will alwaies in every place be of equall goodnesse. Therefore that which is well strained, and so purged from dregs, is the best, in as much as it comes nearer to the integritie of its owne nature, and is free from the mixture of another matter. Therefore seeing this is done by the transcolation and thorough-straining, there is no doubt but every where good [Page 136]and evill waters may spring forth, as the straining through is made better or worse. Now this depends upon the nature of the earth. On this Errour hangs another; An Errour in not boyling beere well. that they do but lightly boyle thinne beere made of water ofttimes impure enough; for by a light boyling it cannot be amended, nor the cruditie taken away, and hence doe happen the evills which Authours attribute to crude waters, that they are thick, heavy to the belly, stick long in the bowels, cause swimmings, are easily corrupted, and doe not distribute well the nourishment; for drinke should be very light and passible: They doe worse who drinke it very new, as many are wont, especially in the North parts of England; for so it doth neither please the palate, nor is wholesome to the body; for it is heavy in the hypochondres by reason of the abundance of dregs, and it causeth obstructions, the meane thereof is the best, being well boyled and throughly purified.
CHAP. II. That the linnen of the sick ought often to be changed.
IT seems to the common people to be a hainous offence, often to change the linnen used about the sick. For they think that the sick are enfeebled and weakened thereby. This Errour Hollerius in his chapter of the burning Feaver, and Rondeletius in his chapter of the Feaver Synochus, have noted among their countrymen, and reproved, but they give no reason for it; yet they bid that the linnen about the sick bee often changed: For by long keeping of them, three inconveniences doe happen to the sick: To wit, 3. Inconveniences by foule linnen. the transpiration of the body is hindred; sweat and filth are hept in their shirts, which doe putrifie and contract an ill favour; the sweat and filth doe obstruct the body, and so double the heat: Which three things what great hurt they bring to the sick, and the healthfull also, all Physicians know. Hippocrates bids that all things be kept clean about the sick, and Galen studies by all meanes to preserve transpiration free, that the cold aire may be attracted, and filthy vapours excluded, [Page 138]especially in continuall Feavers, in which for the most part the Feaver comes by the obstruction of the pores of the skinne. Therefore these being obstructed, both by the filth and the sweat, there followes a retention of the fuliginous vapours, and thereby the Feaver which was before, is encreased, or is kindled afresh. On the contrary, it can scarce be, that he whose body doth transpire well, and so is free and open, should fall into grievous and dangerous diseases. The Ancients that did not use linnen, did keep a frequent use of baths and frictions, whereby the body was opened, and cleansed. Adde to this, that the excrements being retained doe putrifie, and the sweat stinks, from whence succeeds an encrease of the feaverish heat, nor doth that evacuation by the pores of the skin commodiously ensue. Therefore it is very good often to change the linnen about the sick, and when they sweat diligently to wipe or cleanse their body.
CHAP. III. Of Lessius his Diet-booke.
LEssius the Jesuite, a most learned man, in his Eloquent Diet-booke, hath so endeavoured to mote out every mans course of Diet, that he would have twelve ounces to be a sufficient quantitie of meat for any man, and fourteene of drinste, which he that will observe, ought to refuse no kinde of meat which the people uses, nor shall he easily fall into diseases, through fulnesse or ill humours, but shall alwaies be furnished with a lively body, and cheerfull mind. All which is true of sobriety in the generall. 6. Epid. Sect. 4. aph. 20. For the study of health is not to eat too much-meat and to be quick to labour. But that quantity of meat seems to me not to be agreeable with the opinion of Physicians; for the same quantitie of meat cannot be sufficient for all men, but it must be diverse in respect of times and places, kindes of meat, exercises, labours, and nature of him that takes it. He seems to have accommodated that course of diet principally to religious men. In Summer a lesse, in Winter a greater quantity of meat is convenient, because th [...] * belly is hotter, 1 Aph. 19 and [Page 140]sleep longer, as saith Hippocrates: Because therefore one body differs from another, one nature from another, and countries differs, times of the year, ages, and the nature of meats are diverse, a certain measure cannot be prescribed. Some meats are very nourishing, of which a small quantity doth suffice; some nourishing but little, which ought to be given in a greater quantitie. Therefore Hippocrates in his book de veteri Medicinâ said well, that neither the measure, nor waight, nor quantity can be known, nor any other certainty be found, then by the sense of the body. So Galen teaches, 2 Aph. 27. that such a quantity is to be administred, as may not burden the stomach. 1 Aph. 5. And Hippocrates is plaine, that a slender diet is more dangerous for those that are in health, than a full diet. To whom Celsus doth assent, who perswades to meat twice a day, Capa. lib. 1. rather than but once, and alwaies to eate liberally, so that it may be well concocted. The same Celsus writes, that a man in health, and that is at his own libertie, ought to tie himself to no lawes; yea, that sometimes he should eat and drinke liberally. Diet is indicated by the strength, now the strength indicates a preservation of it [Page 141]selfe; but such a diet doth not preserve but diminish strength, Diet is threefold. and exhaust naturall heat. Physicians make a threefold difference of diet; Slender, which impaires strength; moderate, which preserves strength; and full, which increases it. Now a slender diet is never convenient for the healthfull, but for the sick onely. Lib. 7. aph. 65. For as meat is strength to the healthfull, so to the sick, it is a diseases Lib. 2. aph. 10. and impure bodies, the more you nourish them, the more you hurt them. But in them that be in health, the strength of nature is alwaies to bee preserved, or to bee augmented by food, not to bee impaired: Now a full diet doth encrease strength, a amoderate preserves it, and a spare diet doth diminish it, therefore in health, it is alwaies good to avoid this spare diet: But it will not be amisse to use either of the other, whether it be a full diet, or it concern the upholding or maintaining of strength by a moderate diet, as the present state shall seem to require; as Galen teaches in his Comment upon the fourth Aphorisme of the first book. But if there be any found among the holy Fathers, that have lived to the hundreth yeare of their age in continuall fastings, and extreame abstinence from meat and drinke, that is rather [Page 142]to be attributed to a miracle, than to any naturall cause, Ad aph. 4. lib. 1. saith * Mercurialis. Notwithstanding Lessius himselfe saies well, that this was no miraculous thing, but possible to nature. In the generall, such a spare diet creates but few spirits, and those not so quick and agile, and makes the body unable to endure labour, and externall injuries; for where there is hunger, Apha 6. lib. 2. labour ought to be abandoned. It may perhaps be good for moyst bodies, and such as are accustomed to it, as also old men, and such as live a contemplative life: 7. Aph. 59. * for hunger dries the body, Aph. 13. lib. 1. and * old men easily endure fasting. Therefore although I doe very much approve of this book of the most learned Lessius, and think it very fit for religious persons that lead a contemplative life, yet it is not so convenient for others, that follow another course of life. In generall onely, any one may learn out of it, that sobriety is a vertue highly to be commended, and very profitable to the body, for the preservation of the health of the body and minde, and for prevention of diseases.
CHAP. IIII. That not a full, but a slender Diet is convenient for the Sick.
HIppocrates said wel in his first Aphorisme, that not only the Physician, but the by-standers, and the sick himselfe also ought to doe their duty, otherwise remedies cannot be fitly administred, if what the Physician hath rightly prescribed, the by-standers doe either omit, or use unseasonably, or attempt any thing about the sick, which afterwards may prove hurtfull to him, without the advice of the Physician. And therefore in this Chapter wee will speake somewhat of the bystanders. For those women that serve the sick, as also the kinsfolks and friends that come to visit the sick, doe usually obtrude upon his abundance of meat, and that very often, as they say, to uphold his strength, alwayes fearing lest he dye with hunger. Their intention truly is very good, for the integrity of the strength is the conservation of the whole man. Now the diet hath especially regard unto the entire safeguard of the strength, and by accident unto the cure, in as much as it ought to [Page 144]resist the disease and its cause. Athreefold errour in the point of diet. But they commonly erre in quantity, quality, and time, wherewith the circumcumstances, not only of meats, but of all remedies are wont to bee determined. As concerning the quantity, (for we will begin with with it) it is to be noted, that the sick have the causes of diseases lurking within them, which do impaire their strength; now meat, although it doth by its owne nature preserve strength, yet it doth not subdue the causes of diseases, from whence it comes to passe, that the disease oftentimes forbids the meat, which the strength requires: therefore the more more you nourish impure bodies, Ach. 10. lib 2. A good civeat. the more you hurt them, saith Hippocrates. Which thing all they ought to consider, who who while they busie themselves to help the sick, doe thrust them into a sure destruction, and whether the Physician command or forbid any thing, yet they doe of their own accord what they please. It is an ordinary thing for the sick, especially such as bee sick of feavers, for whom principally keepers are provided, to refuse meat, by reason of ill humours that oppresse the stomack, by which, as Galen sayes in [Page 145]his Commentaries, the meat is corrupted, and so the ill humours are increased, and their quality not amended at all; hence it is so farre from increasing the strength, It is not the eating of meat, but the concocting of what is eaten that nourisheth as that it is rather impaired thereby; for as the same Galen said well in another place, the body is not nourished by those things which are taken into it, but by those which being taken, are well concocted, which is not usuall in sick persons. For a weak stomack doth not well concoct meat, but it is rather corrupted by the abundance and contagion of vitious humours, 7 Aph. 65. and so it nourisheth the cause of the disease. Therefore Hippocrates said well, If any give meat to one in a feaver, as it is strength to the healthfull, so it is a disease to the sick. In Hippocrates his dayes, as well as in our age, they erred in their manner of diet, as hee complaines in his first book of the diet of Acute diseases. And therefore after his counsell it is best to use a slender diet, which if it may suffice them that be in health, as we said in the former Chapter, much more the sick; therefore more ought not to bee given to them then their strength can digest. Here also the nature of diseases is to be [Page 146]observed, for some are Chronicall, in which it is lawfull to nourish more; others Acute, in which a spare diet is very convenient. 1 Aph. 7. When a disease is very acute, the patient hath exceeding great labours, and an exceeding spare diet is to be used; but when it is not acute, but it is convenient to use a full diet, so much meat is to bee taken as the disease abateth of extreames. And in the following Aphorisme, When the disease is in the height, then the patient must use a very spare diet; because, as Galen sayes in his Comment; nature must not bee withdrawn from the concoction of the humours to the concoction of meat: Therefore seeing that according to the strength of the party, and nature of the disease, the quantity of food is to bee judged, and that a great part of the remedy doth consist in food seasonably administred, the by-standers ought not importunately to obtrude it, especially women, who are alwayes afraid lest the sick dye with hunger. Yet I doe not altogether disallow of meat, for by it alone is the strength preserved. But I have in this Chapter insinuated, that the quantity, quality, and time of using it, [Page 147]ought to bee prescribed by the advice and counsell of Physicians.
CHAP. V. Of the quality of meats about the Sick.
IT is an usuall thing likewise for them to erre, not only in quantity, but in quality also. For they are often wont to offer to the sick, yea to such as bee sick of feavers, divers strengthening meats, as they call them; as ale boyled with eggs, mace, nutmeg, and cynamon, and other meats which they call by sundry names; yea, and they urge them sometimes to take solid meats; but all this very foolishly.
And first, it is certaine, that solid meats are unfit for the sick, seeing they cannot be well concocted by the stomack. Supping meats sooner nourish then solid meats. But those meats that are to be supped, are more easily overcome by the stomack, and doe soonest nourish; and therefore Hippocrates in divers places perswades to nourish the sick with supping meats, rather than with solid meats. For by such a diet nature is sooner strengthened, and is not hindred from the conflict which it hath begun with the disease. Aph. 11. lib. 2. It is more easie to bee filled with drinkes than with meat: [Page 148]where by drinkes he meanes whatsoever is taken by supping, as interpreters observe.
Secondly, it is to observed, that in the healthfull, meats ought to be alike, because the naturall state doth require to be preserved, but every thing is preserved by things that are alike: But in the sick, the quality of meats ought to resist the disease, that there may be medicine in meat, for to every disease its contrary must be applyed: To a hot nature, 6 Epid. sect. 6. cooling, drinking of water, rest; From whence it comes to passe, that they that goe about to strengthen the sick with such a diet, doe oftentimes more hurt to them, and more increase the cause of the disease, and so the strength is more impaired. Therefore the judgment of a Physician is alwayes to be used; nor ought the by-standers rashly to exhibite any thing, which otherwise is profitable to the healthfull, for the same doth prove many times very hurtfull to the sick. And let this suffice to be said in this place; for the larger explication of this subject, belongs to them that write of the matter of Physick. For it is not my purpose to teach Physick, but onely to [Page 149]shew to the people their errours, as I have said in another place.
CHAP. VI. Of the time of using meates.
A Physician ought also to be consulted withall, at what time meates may most fitly be administred, otherwise a pernicious Errour may happen to the sick, and at this day this Errour is too familiar. For the By-standers, especially the women, doe usually offer meat to the sick at inconvenient seasons. Where they must know, Not good to easin fit. that in the fits they should altogether abstaine from meat, as Hippocrates teacheth. In the fits it is good to abstaine, Aph. 11. lib. 1. for to give meat then is hurtfull; and they to whom the fits doe come by circuit, must abstaine in the fit. And in the nineteenth Aphorisme of the second book, It is good to give nothing to them that have fits by circuit, nor to compell them to eate, but to withdraw from their ordinary diet, till after the crisis. Wherein they erred not a little in Hippocrates his time, as also in this our age, in which there are many, that without difference doe feed the sick, having no regard to the time. Now he doth not here onely forbid to give meat in the [Page 160]fit, but also to compell the sick to take it; for it is the fashion of many to urge them to eat. For while nature in the fit wrestles against the disease, it is but little intent upon digesting the meat, whereby it comes to passe, that it being unconcocted doth encrease the disease, and the symptomes thereof. Now what what harme comes by the unseasonable eating of meat, 4. De acut. the same Hippocrates teacheth.
The First is, 1 the suffocation of heat, for in the paroxysme the morbous humours returne into the inward parts, and oppresse naturall heat, but much more after the taking of meat.
The Second, 2 is the increasing and lengthning of the paroxysmes and the disease; for the matter of the disease, and the meat cannot be well concocted together, and therefore excrements are necessarily increased, which doe afterward increase inflammations, heats, and other symptomes of the disease it selfe. But because there is a certaine case, wherein it is not onely lawfull, In what case it may do good to nourish the sick. but also necessary to nourish the sick in the paroxysme, to wit, when the sick is of an hot and dry temper, hath the mouth of of his stomach feeble, and of a most exquisite [Page 151]sence, so that it is easily offended by every humour, and causes danger of swouning. At that time to nourish with those things which corroborate the stomach, Galen judges it to be most profitable; 10. Method. cap. 3. where he tels the story of a young man, who in Summer lying sick of a Tertian, unlesse he did eat meat in his fit, he fell into a Syncope. But this case is very rare, and requires not a little skill and judgement in the Physician, and exceeds the capacitie of the vulgar, and therefore it is not safe to imitate this without the advice of a prudent Physician. All which I have said, that men may seriously consider, that they ought not adventurously to use those remedies, which otherwise seeme to be most familiar with nature; for in the application of every remedy, many things are to beloonsiderect, which the skilfull Physician alone doth know. But many that adveaturoufly practise Physick are ignorant of them, who take care onely that they may get popular applause, and please the people, that they may seem to be solicitous for the strength of the sick, the confervation of which neverthelesse doth not depend on words, but on the seasonable [Page 152]administration of remedies. Let all men know therefore, that the sick ought not alwaies to be obeyed, as if he desire that which is hurtfull to him. 6. Epid. sect. 4. text. 7. But in these things (saith Hippocrates) the sick are to be obeyed. Namely, that their meate and drinke be cleanly dressed, When good to obey the sick. that those things be pleasant which they see, and soft which they touch, provided they hurt not too much, and that they be easie to be amended, as the administring of cold water when there is need, and such like. So Avicenne in the third Section of his first booke, wils that those things which are desired of the sick be granted, so as no harme come to the body. aph. 38. lib 2. And Hippocrates saith; Meat and drink a little worse, but pleasing, is to be preferred before better, but lesse pleasing. where he doth not grant corrupt meats, but onely such as are a little worse, so that the sick bee very much delighted therewith, and prefers them before such meats as the sick doth utterly abhorre, which are never to be given to the sick. Thus Galen did yeeld to some that were sick of Feavers to taste simits. 1. ad Glavcon. As therefore I doe not approve of too austere Physicians, Too much indulgence in a physician not good. yet they that be too indulgent are worse, such in times past was Asclepiades at Rome, who granted to [Page 153]the sick, bathes, wine, flesh, and whatsoever was liked and wished for by the sick, and so with a wonderfull craft he drew unto him the mindes of men, doubtlesse not without the apparent danger of many. From what hath been already said another errour is conspicuous; for in Agues, when the sick are cold all over their body, they give them drink both actually hot, and very heating, that they may drive away the cold fit, which is contrary to the judgement of Hippocrates, 1. Acut. and of the ancient and moderne Physicians, who forbid to administer any thing in the fits, and perswade rather to lessen the quantity of their meat and drink. Hence Hippocrates commands when the feet are cold, to abstain both from supping meats, & drink; for drink, especially if it be hot, is soon corrupted, and exasperates the aguish heat; therefore in the beginning it is best to give nothing at all, but when the heat hath descended to the feet (as the same Hippocrates saith) something may be given, but it must be such as is not hurtfull for the disease, as those hot drinkes usually are.
CHAP. VII. Of the drinke called a Posset.
IT is an ordinary thing to preseribe for the sick a Posset to drink; now it is made of curded milk, which I doe not disallow, in that it hath the vertue of whey, which is opening. But I will here only note some abuses.
First, 1 that sometimes the milk is coagulated with strong Ale, or Wine, either French or Spanish, and then as it may indeed fitly, profitably, and delightfully be given to the healthfull, so it hurts them that be sick of Feavers, and of any cholerick disease; for it hearts the body, increaseth the causes of Feavers, inflames the Liver, by reason of its sweetnesse, and penetrating quality, troubles the head, and causes the same evils, which the drinking of wine is said to bring upon them that are sick of Feavers.
Secondly, 2 this drinke is alwaies administred hot to the sick, whereas cold drinkes are more pleasant, and more profitable to them that are sick of Feavers; for it is not so fitting to give to them that bee thirsty, hot and heating drinkes; and therefore Galen prescribes cold water to temper the heat. As therefore [Page 155]in some diseases I doe not dislike this drink, so in acute and cholerick Feavers especially, I think it not fit. But if at any time the by-standers would administer it to such as are in Feavers, or the sick themselves desire it, let the boyling milke, be coagulated either with the juice of Lemons, or a little vinegar, adding thereto a little sugar; taken take away the curd, and so there remains the whey alone mixt with the acide juices, an excellent remedie to coole Feavers and to open obstructions. As for the healthfull, they may use it prepared any way even as they please. Also if the milk be curdled with thinne beere or small ale, it will not hurt the sick, for it is of a cooling and opening quality, and may doe very much good to the body, for small beere is of the same vertue with barley water, which Avicenne and others doe highly commend. I finde in Dioscorides a darke manner of making a Posset, Dioscorides his way of making Possers. under the name of Lac Scissile; The milk, saith he, must be boyled in a new earthen pot, and stirred with a green figge-tree branch, and after it have boyled up twice or thrice, so many cups of vinegar mixt with honey must be put to it, as there are pints of milk, [Page 156]and so the whey is separated from that which is congealed into curd. Although now adayes so much art bee not used, yet the manner of preparing it is the same; for first the milk boyles up once or twice; then by powring thereinto Wine or Ale, there is made a separation of the whey from the thicker substance; Lib. 1. cap. 88. Cap. 96. lib. 2. tetrab. 1. and Dioscorides approves of this kind of drink, to whom assents * Paulus Aegineta, and * Aetius.
But more plainely Galen makes mention of a whey made with Oxymel, which he commends for those that are in Feavers, to purge choler, and loosen the belly, Com. 4 de tict. cat. in acut. and he teaches the forme of making it. It were therefore better if in imitation of Dioscorides, Galen, and the Ancients, our possets, which are at this day so common a drink in England, were made with acide juices, or oxymel; for so they would bee more convenient for Feavers, and cholerick diseases.
CHAP. VIII. That the decoction and broth of an old Cock is not well prescribed for nourishing of the sick.
IT is confessed of all, that meats that are easie to be concocted, and of good juice, and quickly nourishing, should be prescribed for the sick, and therefore very well are gellies, and restorative broths made for them. But many times the flesh of which they make these broths is not so fit and proper. Among others, its ordinary to make these sorts of broths of the flesh of an old and fat Cock. This practise hath drawn its originall from the counsels of Physicians misunderstood, among whom the decoction of an old Cock is in singular esteem. Of this did Dioscorides a very ancient writer make mention, and it is also in frequent use among our moderne writers in Physick; but not to nutrifie: forasmuch as all old flesh is of hard digestion, and makes thick chyle, and and yeelds but little good, and alimentary luice, and therefore it is in no wise convenient for the sick, to whom nothing ought to be given but that which is * easie of digestion, [...] and which * yeelds [Page 158]good juice. Lib. 2. cap. 43. Dios [...]o [...]ides teacheth that; for saith he, Broth made of an old cock loosens the belly, drawes down grosse and raw humours, black choler, and excrements, is good for long feavers, sighings, the diseases of the joints, and winde of the stomach; and hee teaches the manner of preparing it, and Galen in his 11. Simpl. saith, that Hen-broth hath the vertue of binding the belly, as that of old Cocks hath the force of loosing; where likewise by the way take notice, Hens broth not good in purges. that the broth of a Henne is not to be administred to them that have taken a Purge, before compleat evacuation; for although it doth nourish, yet it staies the belly. But the broth of a young Cock doth nourish very well, and tempers the humours, and therefore is very good for them that be sick. I read in the old copies of Dioscorides, and others, except that Translation of Ruellius, as Mathiolus reports, That the broth of a young Cock especially is given to temper vitious humours, and in the heats of the stomach simply prepared. But Mesues saies very well of this businesse, Cap. 23. de simpl. purg. where after he had reckoned the flesh of young Cocks and Hennes among the best meats, hee addes, as Silvius interprets: The nitrous [Page 159]and salt flesh of old Cocks especially, unfit for meat, is Physicall, chiefly in the broth thereof, but principally of hazled cocks, which are quick for motion, hot for copulation, strong to fight, meane betwixt fat and leane, and the elder they be, the more Physicall they are, saith Galen. This broth, in respect of the nitrous and salt substance of it is hot, it cleanseth, detergeth, attenuateth, discusseth winde, being boyled with the seed of Dill, or wild Carrot, Polypodie, and Salgemme; it asswageth the paine of the stomack, colon, small guts, and reines, arising from wind; opens obstructions, purgeth fleagme with Turbith and Carthamum, and therefore it is good against the paines of the gowt that arise from thence, &c. From whence it is manifest, that an old cock is not used for to nutrifie, but for the Physicall vertues thereof: wherefore for the future they shall doe better, that shall administer young cock-broth to the sick for to nourish them. For the opinion of Hippocrates, Galen, and of all Physicians is stable, that old flesh is not fit for nourishing, and therefore we must conclude, that it is not convenient for the sick.
CHAP. IX. That gold is in vaine boyled in broth for them that are in a Consumption.
IT is usuall with some to put gold into the broth of the sick, especially for them that are in consumptions, which although I doe not hold to be hurtfull, or any way pernicious to them, yet I thinke it is altogether unprofitable. Touching the vertue of gold, there is indeed no small controversie among Physicians. The vertues of gold. For many excellent Physicians are of opinion, that it is good for the affects of the heart, to renew the sight, to cure the palpitation, syncope, leprosie, epilepsie, and being quenched in wine, to cure the paines of the spleene, to help those that be melancholick, and to hinder putrifafaction. Fen 5. cap. 7. Avicenne saith, that in gold there are hidden qualities, which are good against poyson; if a new borne child hold it in his mouth he need never feare the Devill; if a woman with child drinke it, she shall not bring forth an abortive. But in his book de medic. cordialibus, he places gold betwixt silver and the hyacinth, and he will have it to be of more vertue than silver, but [Page 161]lesse than the hyacinth. The filings of gold is an ingredient in the remedies against melancholly. But hee addes that silver is somewhat cold and dry, Of Silver. and that the operation thereof is like to the hyacinth, save that it is weaker. Of the Hyacinth. Now to the hyacinth he attributes the vertue of cheering and comforting the heart, and of resisting poyson, which vertues (saith he) doth flow from the hyacinth, as the vertue of drawing iron from the loadstone; neither can gold be dissolved and overcome by our heat, as vegetables are; for (saith he) the substance thereof doth not yeeld thereto, but only our naturall heat helps the penetrating quality thereof. Fernel himself highly commends it, in that it partakes not of the malignity that is in most mettals: Also Paracelsus contends that all diseases, even the leprosie, and the gowt may be cured by the use of it: And them doe many moderne Physicians follow, and mixe gold in sundry medicaments. But others deny all these things; Antonius Musa Brassavolus, Andreas Baccius of Baths, Fallopius, Erastus, Rondeletius, Duretus, and other excellent men. Savanarola extolls aqua vitae above all gold, as being [Page 162]drawne out of a vegetable, and so a cordiall familiar to the nature of man.
This controversie I will not make mine in this place; for though gold may seeme to be an excellent cordiall, and a strengthening medicament, though it be not hurtfull to seeth it in broths, yet it doth no good at all, for nothing is dissolved from it, nor passes into the liquor, except some drosse, because of the substance, which is so very compact, as it can bee dissolved with no fire, with no boyling: Againe, it is not easily [...] consubstantiated with us, it cannot be overcome by our heat, nor doth it turne into bloud, nor can it repaire the losse of spirits, seeing it is so different from our nature, and cannot be converted into it: for the substance of mettals is so different from the nature of man, that after what manner soever they be prepared, they can never become aliments; and for that cause gold can never cure the leprosie, nor a hectick, nor a consumption, nor diseases that are caused of evacuation, which diseases need not only alteration, but also addition of some substance, which no mettall can supply. Seeing then that those that that are hectick doe not require to [Page 163]be corroborated in quality alone, but to bee repaired by a substantiall moysture, in vaine shall gold bee sodden in their broths, for verily it cannot repaire the losse of radicall moysture, seeing it it is not converted into aliment, but is voyded as it was taken, or boyled, without any diminution of the weight. Yet all this doth not take from it the cordiall vertue which perhaps is in it, to conquer poysons, and melancholy diseases, but only proves there is no vertue in it for nourishing. Gold nourishes not. Sennertus cheated by a Germane Impostor. Not long since, the good man Daniel Sennertus, in the preface of his booke de consensu Chymicorum, being deceived by a Germane sycophant, wrote that a hen being crammed a whole moneth with leafe gold, doth so perfectly turn the gold into her owne substance, that three pure golden lines, as if they were drawne by a workman, may be seene in her breast, which is indeed an extraordinary manner of nourishing, to wit, for the food that is taken, so to retaine its owne nature even to the third concoction, that it should be altogether unchanged; this is plainely repugnant to the nature of the body nourished, that it should notwithstanding [Page 164]be turned into the substance thereof. But they that have made triall, can testifie that this experiment was false, as that learned man, and heretofore well knowne of me at Montauban, Petrus Laurenbergius (under whom at that time I studied Philosophy) doth professe of himselfe in his examination of the Aphorismes of Augelus Sala. But this is not the onely deceit of the Chymicall Impostors, who to one true experiment doe use to annex a great many false ones, and extoll such vertues of things which they can no where make to appeare.
CHAP. X. That milk mixt with water is good for those that are in consumptions.
BEcause among the remedies for those that are in a consumption, (of which we have spoken in the precedent Chapter) milk doth not challenge the last, but the chiefest place, we will speake something of it, it being for this purpose much better than gold, for it nourisheth, refrigerateth, and confolidateth ulcers, and it is profitable for many other things. Yet in administring it, divers eautions are to bee [Page 165]observed, Cautions in using of milk. which the Physician ought to consider, lest he doe more harme than good, for it is soone corrupted in the stomack. For sometimes it turnes into a nidorous and burning savour; sometimes it growes tart and sowre, or curdles in the stomack. When it becomes tart and sowre, a little honey or sugar may be boyled in it; for the coldnesse of the stomack is the cause of the tartnesse; but if it turne into a burning savour, it is corrupted through heat, and then it is good to put thereto a good deale of water. But the people like not this mixture. Yet most excellent Physicians have allowed of it, for it moderates the heat, hurts not the milk it selfe, and is good for hecticks, and such as are in a consumption, in respect of its cooling and moystning, especially if it be Cows milk, which at this day is most ordinary of all. 7 Epid. Hippocrates ministers Cowes milk with a sixth part of water, both because this milk is by its owne nature somewhat thick, and also because it quickly turns into a burning savour. 5 Epid. tex. 56. And he tels a story of Pythocles, who ministred to the sick milk mingled with much water: [...]. And there [Page 166]is the same reason why Avicenne and others doe prescribe butter-Milke, because it is more watery, and so doth refrigerate more. So Galen commends Asses Milke, because it is very thinne, full of whey, and hath very little curd, therefore it is most fit to amend drinesse, and to temper heate. But if such milk cannot be gotten, it will not be amisse to bring Cowes milk to the temper and consistence of Asses milke, which a mixture of water doth most fitly performe. This not onely the Ancients, but the moderne Writers doe observe, Gordondus, Ioubertus, Hollerius, and others. Hollerius in his chapter of Phthisis, and the Hectick, saith, If belching doe * savour of burning, Nidorous. a little water must beboyled with the milk. Which counsell if many would follow, they should perceive more benefit from the use of Milk than they usually do.
CHAP. XI. That the common proverbe is false, Milke must be washed from the Liver.
BEcause this so familiar, and ordinary Proverbe is not of any great moment, we will speake but little of it. Many when they eat Milk, do presently [Page 167]drink Beere or Wine, and say that Milk must be washed off the Liver.
For which saying there is no reason; 1 for then the Milk is not yet come to the Liver, but is contained still in the stomach, and therefore there is no sence why it should be washed off the Liver. But they must rather stay three or foure houres after the taking of the Milk; for then is the first concoction of the stomach finished, and the milk is in the Liver, that it may be turned into blood.
Secondly, 2 no reason enforces why milk should be washed from the Liver rather than other meats, for there is the same reason of all meats, which necessity urges to be contained in the Liver, that they may be changed into blood.
Thirdly, 3 it is sure, that by this meanes the Milk is curdled in the Stomach, The evill effects of curdled milk. and so is afterward more easily corrupted, more slowly concocted, and burdens the stomach; for Milk curdled in the Stomach, is reckoned among poysons, and I knew a man, that by this meanes dyed suddenly. Let them therefore observe it, that use to eat milk, that they doe not unadvisedly drinke Wine or other liquours that dissolve milk, seeing that by the use of them milk is soon corrupted [Page 168]in the stomach, waxes sowre, and becomes hurtfull.
CHAP. XII. That strong Beere or Ale should not be drunk in the morning fasting.
THis is the most usuall custome of all, that in the morning, after they are risen, they must have their morning draughts of strong Beer or Ale, and sometimes of Wine. I know that by very many Physicians, that custome of drinking in the morning any sort of drinke whatsoever it be, is by no means approved, because that moystning doth dissolve the strength of the stomach, loosen and debilitate it, so as that the body becomes afterward more replete with crudities. But I am not of their minde at all, for a mornings draught, so that it be not of strong drink, helps forward the distribution of the meat, Small beer best for morning draughts. purges the stomach (and as they say well) cleanses it, tempers naturall heat, moystens the body, and which I think most true, hinders the generation of the stone; for it tempers and moystens the Kidneyes; as many of our ancient and moderne Writers prescribe broths of Butter, Mallowes, and other such things for to temper [Page 169]the Kidneyes, why not by the like reason small Beere, which doth coole, moysten, and is diuretick. But yet singular heed is to be taken, that in the morning while the stomach is empty, The evill effects of strong drink in the mornings. strong Ale, or other such drinkes be not powred in, for they hurt the nervous parts, from whence the Gout, paine of the joints, inflammations of the bowels, and other grievous diseases may arise; for by reason of their subtiltie, and great force of spirits, these drinkes do insinuate themselves into the nervous parts, insomuch as they are usually troubled with paine of the joints, that are eagerly delighted with such drinks, and therefore advisedly is wine forbidden them that are Gouty. Neverthelesse the diversitie of natures is to bee considered here; for they that are of a temperament somewhat moyst, because they need but little drinke, ought not to drink in the morning fasting. But they that are of a dry constitution both may, and ought to drink fasting, but not strong drinks; for by them the nervous parts are sooner offended and dried. Galen confirms this in his Comment upon the 21. Aph. lib. 2. where he saith, that if before the use of meats, any man [Page 170]use a liberall drinking of Wine, hee is very much troubled with Convulsions, and taken with Frensies; and in his Comment upon the 20. Aphorisme, lib. 6. Among the causes why so many are vexed with the Gout, and paine of the joints, he reckons this, that they drink strong drinks before meat; for they do very soon offend the substance of the nerves, as doth carnall copulation. Also Plutarch in his Symposiacks, disputing whether new diseases may breed or no, produces this as a cause of new diseases, that they use to drinke strong wines before they have eaten any meat. There is the same reason for strong Beere or Ale, which may bring the same, yea greater evils. Therefore as I doe not dislike the drinking of small beere, though indeed it is not fit for all, so I thinke men should abstaine from strong drink, for fear of very many diseases.
CHAP. XIII. That strong waters are ill taken after grosse meates to help concoction.
THis likewise is the custome of many, that if at any time they eate meats of hard digestion, as are Venison, [Page 171]Beefe, Salt-fish; or that soon corrupt, as Summer-fruits, they presently drink after them strong distilled waters, as Aqua vitae, Cinnamon water, Rosa solis, and other such like, namely, to help concoction. But that is not done without hazard of health; for seeing that the forenamed meats are not wont to bee concocted but by a long stay in the stomach, The evill effects of strong waters. these waters being of a penetrating and piercing quality, draw the meats downe into the veines, not yet fully concocted, from whence proceed cudities and obstructions. Thus Physicians doe well forbid to use diureticks with meat, or presently after meat, lest they carry the cruditie of the stomach to the passages of the urine, and make the evill worse. So likewise they forbid to use them, when there is abundance of vitious humours, or when some corrupt humour is lodged in the first passages, before that purging be premised, otherwise there is feare lest obstructions in the passages of the urine, or in the bowels be either made or increased.
There is the same reason of waters, which they take to further concoction, for that great vertue of opening with [Page 172]which they are endued. And this have many Physick authors observed: Rondeletius in his Chapter of the Palsie, prescribes a water for the Palsie, which he will have taken into an empty belly. Those things (saith he) which are very hot and attenuating ought to be taken with an empty, and first purged Stomach, and are not to be mixed with meats, for they would force the meats not yet concocted to goe down with them, and so would breed obstructions. And in the 31. Chapter hee tels a story of two Physicians, whereof the first, when hee would have provoked the flowers with the use of opening and attenuating syrupes, hee brought the woman to a palsie, by reason that the crude and glutinous humours which were in the passages, by force of the Medicaments were drawne down to the parts, and lying upon the finews caused the Palsie. The other, while hee went about to cure the * pale colours, Or Greensickness. by the same way brought the Maide to a palsie of the legges. But most excellently in his Chapter de Palpitat. Let those things be taken inwardly (saith he) which heat the stomach, and discusse wind. To which thing speciall heed is to be taken, for three or four houres before meat we may give those things which do strongly heate, [Page 173]and dispell winde, so that the Liver bee not very hot, such as are Diatrion pip. Diacim. Dianis. Aromat. Rosat. Diagaianga, and such like. These ought not to be given immediately after nor before meat, because by their heat and raritie, they would presently carry along with them the halfecrude meat to the first passages: Hence it appeares that they erre that minister very hot powders after meat, which ought to be but moderately hot. Which counsell is also approved by others, to wit, that those things which help concoction must goe before, not follow meat, as saith Riolanus, Gordonius in his praxis, and Fuchsius in his Chapter de Cruditate.
The aforesaid waters doe seem at the first to heat very much, but afterwards, especially if there be a familiar use of them, they doe very much harme. Savanarola a famous Physician in his time, tels a story of Franciscus Gonzaga Marquesse of Mantua, who when for the curing of the weaknesse of his stomach, by the advise of Physicians he used Aquavitae, he fell into so great feeblenesse, that all his meat turned into winde, and but that he used a very good diet in the six things called Non naturales, hee had [Page 174]soone perished. And Rubeus observes well, that they doe very ill, who when they feele their stomack much surcharged with yesterdayes gulletting, do drink strong waters, for hence do palsies, tremulations, and other evils arise, for in that they are of thinne substance, and doe soone penetrate, they carry up presently to the head the lighter parts of the humours, and wind themselves into the beginning of the nerves, from whence come palsies, tremulations, and sometimes apoplexies; therefore he adviseth, that they be not taken when the stomack is repleat with crudity, and that they be drunk at least 3 or 4 hours before meat, which may be a rule also in other remedies that are prescribed to help concoction. Of the same opinion is Aetius, describing remedies for crudity. Lib. 3. Serm. 1. cap. 24. After meat (saith he) never let this, nor any other remedy be taken, which doth vehemently penetrate; for some of the crude meats is distributed and carried along with it, and it causeth stopping. It is good to use it after morning friction, two houres before exercise and the bath. Thus Aetius.
What we have said of meats hard to be concocted, may be likewise said of [Page 175]those which are easily corrupted, as are Summer fruits, for those things that are hot and opening, should not bee taken after them, as the learned Valleriola doth well observe. Lib. 2. locor. com. cap. 7. Neither after the eating of fruits or bad meats, is drink to be poured in, especially much, and of strong wine, for it makes that by too swift a course the vitious humour passeth into the vessels, and so being unconcocted, it doth contract putrifaction, and an ill condition. Then hee addes. Wine after [...] not good. If after evill meats, especially fruits, a man must needs drink, I think it more wholsome to use water than wine, lest by the drinking of wine, heat and ebullition do ensue, and a too quick passage of the meat into the bowels, and so putrifaction, obstruction, crudity, and corruption doe follow thereon, which are the usuall effects of wine. In like manner they erre, who when they feele wind and crudities in their stomack, doe use to drinke these strong waters to heat and strenghen the stomack. These men doe seeme indeed to feele some benefit thereby, as long as these waters doe heat the orifice of the stomack; but by reason of the rarity of their substance, they doe soon penetrate into the bowels, and increase [Page 176]their distemper, whereby afterwards the pain growes greater, and the more they drink these waters, the more their their bellyes seem to bee refrigerated, and enfeebled. For those things which doe heat too much, are so far from heating and strengthning the stomack, as that they rather coole, by rarefying, or by driving the inward heat from within to the circumference; as Rondeletius saith in his Chapter of palpitation. Therefore Mercatus counsels, that with exceeding great caution wee use the helps which further concoction, or discusse winde. For we are often deceived (saith hee) by windinesse, and we are enforced to discusse it, not without the great hurt of the sick. These things are especially to be observed of them that abound with hypochondriack windiness, whose bowels doe boyle with heat, but stomacks seeme to bee somewhat cold. Some perhaps will object that Physicians doe prescribe pepper grossely beaten; and Aetius commends the use of wormewood for this hypochondriack windinesse. Gross pepper commended. But as Amatus the Portugall, a most skilfull Physician, observes, pepper grossely beaten is good, because it goes not to the bowels, but [Page 177]only strengthens the stomack, and so it heats not the liver. Againe, the heat thereof is extinguished in the first passages, and is soon dispersed. Lastly, it detergeth & casteth out sharp humours. Wormwood commended. Also wormewood is good, because as Galen teaches, it binds the stomack, it helpeth by its detersion not against flegmatick, but adust cholerick humours, which foment this disease, and purgeth them out by siege and urine.
CHAP. XIV. That Midwives doe ill, who give to women in Childbed nothing but hot drinks.
I Have often heard women in Childbed complaine of a grievous thirst, and heat, because it is a maxime received by evill observation, that they may take no cooling thing, but only drinks actually and potentially hot, as burnt wine (which drink is too common in England) brewed with hot spices, cinnamon water, and the like (to wit) to strengthen and comfort them, for ever the by-standers are solicitous of those strengthning meats and drinks, as also that the cold may not hurt them, for by reason of cold, gripings in their [Page 178]belly doe often happen, especially afthe birth. But this is a very great errour, and often pernicious to women in Child-bed, but alwayes very tedious. Now there are divers conditions of women in Child-bed, for some of in them a morbous preparative, and the sickly humours being moved with the travaile of the birth, do bring forth in them divers diseases; but others enjoying a more perfect health, doe quickly returne to themselves, and by little and little grow well againe without any dangerous symptome: To the former, those strong and hot drinkes are very hurtfull, for they inflame the inward parts, and amend not the morbous humours at all, but increase and corrupt them; And to the latter sort, which otherwise would recover their health, they may cause feavers, and such like diseases. Now, although I doe not approve of very cold drinks, but rather would have them to bee somewhat warme, yet I cannot allow of hot drinks for the forenamed reasons. If there be a feaver, Physicians doe prescribe altering and cooling syrupes, why not also cooling drinke? [Page 179]Therefore I have oftentimes permitted drink not so strong, and somewhat cool, to women in Child-bed, burning and thirsting after small beere, by which they have felt themselves much refreshed; much more will such drinkes bee convenient for them if they bee in a feaver.
So likewise they doe ill, who feed them with much meat, and very nourishing, for in the beginning their diet should bee slender and sparing, as in them that have been wounded, because nature is weak, and not able to digest a great quantity of meat. 2 acut. Thus Hippocrates teacheth, that after a large evacuation we must not presently hasten to a full diet, for hereby there is feare lest the excrementitious humours bee multiplyed, a feaver ensue, and other symptomes happen. But let them be fed sparingly, as with broths, till all feare of a feaver, and other symptomes be quasht, and she be well purged from her flowers, and then by degrees they must passe to a fuller dyet, and thus without any danger their strength is renewed in them.
This errour doe almost all observe, that have written of womens diseases. [Page 180] Rodericus a Castro saith. Cap. 1. lib. 4. It hath been alwayes a vexation to tolerate women, that have the charge of keeping a woman in child-bed, for unlesse they cheere her up with delicate meat and wine, they thinke that they doe no good at all, for they have I know not what lawes and rules, exceeding hurtfull to the poore women, but sacred to themselves, which being neglected, a prudent Physician may give order to provide those things which he shall judge to be needfull. So Petrus Salius doth very much reprove the same errour among the Italians. As concerning their dyet (saith he) know that it is a common errour almost of all women, to think that women in childafter the birth, must presently bee refreshed and nourished with the best meats, and therefore presently proceed to capons broth, and their flesh; to spices, and strong wines, except a disereet woman be by, or a skilfull Physician bee sent for, who may correct such errours. Hee bids therefore that they abstaine from flesh, wine, spices and other things which are apt to breed, or augment a feaver.
CHAP. XV. Two Errours about the choyse of Nurses.
THose Gentlewomen that will not undergoe the trouble of nursing their children themselves, doe sometimes even by the advice of Physicians, (unlesse necessity enforce them otherwise) reject those Nurses whose milk is old, that is to say, which have given suck a long time, to wit, a yeare, or two: for they thinke that milke is not so wholsome for a new born child. And therefore they sometimes preferre a Nurse, although elder, which hath but lately given suck, before one that is young, if she hath given suck longer. But I thinke they are in a great errour, The breast doth every day afford fresh and new milk. who suppose any milk to be old, seeing that every day the breasts of Nurses doe afford new and fresh milke. If therefore you suppose a Nurse to be young, well behaved, of a good constitution, using a good and wholsome dyet, and abstaining from venery, it matters not how long she hath given suck. For seeing that the milke doth participate of the nature of its materiall and efficient causes, and is generated out of these causes only; if the Nurse be healthfull, [Page 182]and free from care, anger, and sorrow of minde, and feed on good and wholsome meats, there is no doubt but she gives alwaies good and wholsome milk. For the milk doth partake of the nature of bloud of which it is made; Milk is made of bloud, I which if it be good, the milk cannot be bad. but in a healthfull body, nourished with wholsome meats, good bloud is alwaies made: And of good bloud is not wont to be made bad and unwholsome milk, if the body be in health. Nor can giving suck it self alter or vitiate the milk, forasmuch as nature ordaines nothing that is evill, and it would be ill for the child, if every day the Nurses milk were made worse by giving of suck. It is not worse for giving suck Experience shewes in women of the meaner rank, who are not so curious in their choyce of Nurses, that their children are as well fed, and as healthfull as others. When therefore occasion is offered of chusing a Nurse, let only her constitution, healthfulnesse, and age be considered; for if these be right, there is no doubt but using a commendable diet, she shall alwayes give good and fresh milk, because every day new milk is made, and hath the same causes of generation after five yeares, which it had the first moneth.
There is another Errour of some, no [Page 183]lesse superstitious than the former, and that not only of the people, but some Physicians also; namely, that they are very cautelous, even more than needs, in observing whether the Nurse hath brought forth a male or a female, and they will have the Milke of her that hath borne a Male, to bee better for nourishing a Female, and contrarywise the milk of her that hath brought forth a female, to be more proper for the nursing of a male, because the milk of her which hath born a boy, is thought to bee hotter, and therefore more fit for a girle, which is thought to be of a colder temperament, because it doth moderate her coldnesse; and contrarywise, because a male is hotter, the milke of her which hath borne a female, doth temper his heat. Some women are hotter then some men. But these are all false.
For First they suppose amisse, that a female is alwayes colder than a male, when as indeed experience testifies, that some women are hotter than some men. Nor can a cholerick woman, without errour, bee thought to be colder than a flegmatick man, which I shall prove by divers reasons in another place: Neverthelesse, although wee should grant this, yet our opinion will stand stable and unshaken.
Secondly, they erre in supposing that the childs sucking can change the temper of the milke. A childs sucking cannot change the temper of the milk. For seeing (as wee have said) the nature of the milk doth follow the nature of the efficient cause, and of the meats of which it is made, what can the child do against these. For while it sucks, it cannot by contact alone change the constitution of the mother, nor the temper of the meats which she eats. Perhaps some will think, that the child, so long as it is in the wombe, doth communicate its temperature to the mother, by heating her, if it bee a male, or cooling her, if a female. But that is very doubtfull, for a female should also heat the mother, because infants are alwaies hotter than those that are of riper age. But besides, we know how hard a thing it is to change the naturall constitution, so as it can scarce by any long use of meats or medicines be so weakned, but it doth easily return to its pristine condition. And we see the mother, when shee hath brought forth her child, doth retain her old temper of body, and we can discern no footsteps of any new temperament which she hath taken from the child. And if there were any, it might neverthelesse be easily lost in processe of time, and by change of diet. [Page 185]It is therefore the surer way to consider the nature not of the childe which the nurse hath born, but onely the constitution of the nurse her selfe, and the diet which she uses.
CHAP. XVI. That strong drinkes are ill permitted to children.
THat the people doe erre much about the education of children, it is certaine, whereby they come to bee troubled with many grievous evils, and so many die, whereof an ill diet is not the least cause: For I have seen some frequently to give their children Wine, Ale, or strong Beere, which is indeed very hurtfull for them, 1. & 5. de fanit. tuenda. and is repugnant to the counsell of the ancient Physicians. Galen doth not permit wine to children before the fourteenth year, The evill effects of strong drink in children. because it heats too much, and moistens, and fils the head with vapours, from whence ensues harme, not onely to the body, but the minde also. Paulus likewise denies it to them before the 21. year of their age, because it heats, dries, quickly stirres up to anger and lust, fils the head with vapours, debilitates the nervous parts, so that afterwards they are subject to be troubled with convulsions, [Page 186]the gout, and other the like affects of the sinnewes; it weakens the inward parts, especially the Liver, overthrowes a good constitution of the Braine, causes a weaknesse of the sinnewes, calls in cold diseases, and all these sooner in children, whose nerves are somewhat weak by nature. Moreover in the opinion of Plato, 2 De legibus. Wine is not good for them, because it makes them fiery spirited, and dulls and troubles the minde. For seeing that children are of a temperament somewhat hot, a moist diet, and somewhat temperate is convenient for them, lest by such drying drink, untimely old age bee procured, and by the many sharp vapours carried up to the braine, convulsions, and the diseases of a distempered brain and sinnewes doe ensue. But if there be some urgent necessity to administer strong drink, let but a little, and that allayed with water be administred according to the counsell of Hippocrates. Lib. de victu idiotar. tex. 23. The like may be said of strong Beere, or Ale, for the same, yea and greater evils doe proceed from the use thereof, then of wine, in respect of the thicknesse of the liquor and the impurer spirits. But thin and small beere well boyled and fined, is most fit for them.
CHAP. XVII. That solid meat ought not to be given to children before the comming forth of their teeth.
I Have also observed flesh, and other such solid meats to be given to children, before they breed their teeth, which is likewise a thing very hurtfull to them; for verily Galen saies well, Cap. 7. lib. 15. de usa part. that nature doth then give unto children their foreteeth, when they have need of solid meat, which also he doth elegantly explicate in his first book De sanitate tuendâ. cap. 10. That children are to be fed with nothing but milk, Milk best for young child, n. before that they put forth their foreteeth; and in very deed solid meats are but badly concocted in their ventricles, they oppresse the stomach, corrupt with their mixture the Nurses milke, hurt their tender gummes, and makes them cry out and become unquiet. And it stands with reason, for Nature is never deficient in necessaries; wherefore, if such meats were good for them, it had never denyed them teeth to chew them: But because for some moneths space it hath denyed them teeth, it is a signe, that nothing but supping meates is fit [Page 188]for them, and especially milk, which nature hath afforded to all young creatures, as the most familiar food. Therefore during the first moneths, Good counsell. let the infant eat onely milk, a little after, being growne somewhat greater, pulse also, which neverthelesse is not in familiar use in England, but is used by other Nations, as the onely and most convenient food for children. After the foreteeth are come forth, let the childe by little and little be accustomed to chewing, and use flesh minced very small, and bread which with a little chewing it may swallow easily downe. Note. Here note also, that when infants begin to be accustomed to meats, it is very good for one houre to abstaine from sucking of the breast, lest the milke being mixed in the stomach with the other meats, and too long kept there, be corrupted. Many Authours doe observe, that children are scarce ever troubled with wormes, while they use Milke alone, which yet I doe not beleeve to bee alwaies true.
CHAP. XVIII. That a man may drinke liberally for health sakes.
I doe not desire here to bee thought a Patrone of Drunkennesse, being a vice which I hate exceedingly; I commend and approve of Sobrietie as a Vertue beseeming a man. For I know how many evils drunkennesse doth bring upon the body and minde. Nor doe I like the custome of some of the Ancients, who thought it wholesome for the body, to be drunke once a moneth. I will onely intimate thus much, that there are some cases, in which it is very profitable, according to the opinion of Physicians, for a man to drinke wine liberally. As for that ordinary drunkennesse, which is too familiar with many, although it bee commended by the Ancients, to wit, the Grecians, who loved drinking and fuddling, it is very dangerous, and not undeservedly reckoned among the causes of diseases: Concerning that we speak not in this place, but of the extraordinary use of Wine, profitable for the curing of diseases, 1. Probl. c. 2. Aristotle demands the reason why diseases are cured through excessive drinking, [Page 190]and in the cited place he gives the answer; whereupon many thinke, and write, that a Quartane may be cured by drinking of wine, which thing experience sometimes confirmes, because the causes of diseases and their remedies are contrary to one another, hence it comes to passe that by the excesse of one, another may be reduced to a temper. Moreover Amatus the Portugall gives the reason, because nature is stirred up to cast out the matter already concocted, by vomit, sweat, or siege. Furthermore Hippocrates writes, Aph. 21. lib. 2. that a Dog-like appetite is cured by the drinking of Wine: He call it [...], by which word is signified sometimes the onely drinking of strong Wines, as also a liberall drinking of them, even to entoxication, and Galen in his Commentaries writes, that hee hath cured that disease by the liberall pouring in of Wine; and they will have this word to bee derived from [...] Pectus, because the breast is made hot with wine liberally taken; as the valour of great Cato is said to have been enflamed by wine. They are said to be [...], that have drunk largely, and yet are not drunk, but have their memory, reason, and ability of discerning still free. Clemens [Page 191]Alexandrinus allows wine to Christian old men, 2 Paedag. so as they doe not exceed the bounds of these [...] Therefore Hippocrates in the aforenamed Aphorisme, prescribes a somewhat liberall drinking of strong and pure Wine, because by its heating, it cures hunger proceeding from a cold cause, and refreshes the spirits, and revives the strength. And in another place hee writes the very same thing of the Strangury. The liberall drinking of Wine, Lib. 7. aph. 48. and letting of blood cures the Strangury, and difficultie of pissing, to wit, when it is generated of windinesse, or a cold distemper, or of some obstruction. And in many places hee commends a liberall drinking of wine for divers diseases. Lib. 1. cap. 95. Paulus Aegineta allows it, because it, provokes urine and sweat. Object. But the morall Philosopher will object, this is contrary to good manners, Solut. and against Christian Lawes. I answer, I doe not here goe about to plead for drunkennesse, which if it ensue, that will bee by accident, in respect of the nature of the partie that drinks it. For if to two patients both sick of the same disease a Physician prescribe a pinte of Wine, perhaps one of them will be drunk, the other not; for [Page 192]the intoxication followes by accident in respect of the Physician, seeing that some men are inebriated at the first or second draught, others not, but with many reiterated. Therefore the Physician doth not command drunkennesse, although sometimes he perswade to a liberall drinking of wine. Moreover it is the part of the same Artist, to prescribe the remedie, and its quantitie, but if the remedie may lawfully and without sinne bee used, the quantitie also may be used without sinne, otherwise the remedie would be in vaine and unprofitable. Lastly, hee that doth use such a remedie, not with a lust to sin, or for pleasure, but for his healths sake only, doth scarce seem to have committed [...]asin.
CHAP. XIX. That red cloths are not to bee preferred before others, for the voyding of the measils.
THat in the measils and small pox, the endeavour of nature, purging out the humours into the habit of the body, is to be assisted, it is manifest by the verdict of Physicians, and seeing that Nature it self teaches it, therefore every [Page 193]one, even the most ignorant among the people knows it. And therefore the ambient cold is diligently to bee avoided, lest the noxious humour return back again from the habit of the body to the inward parts. Wherefore many doe use to cover the sick with red cloaths, for they are thought by the affinitie of the colour to draw the blood out to them, or at least some suppose that it is done by force of imagination. And not onely the people, but also very many Physicians use them.
1 But that colour of the cloath seemes to me to be superstitious; for the colour operates not unlesse it be by accident, as it moves the sight, and phantasie, which afterwards, being set a worke by the likenesse of the colour, drives the blood to the extreame parts. But so it would suffice to lay the colour before his eyes; for when they, adhere to the body, and in the night, and under the bed-cloathes they are not seen.
Secondly, 2 the cloathes doe not draw out the humours, except as they heat the body, open the pores, and keep out the externall aire, which things not only red cloathes, but all cloathes of what colour soever may doe, but white best of all.
Thirdly, Amatus the Portugall, Valetius, and others, that according to the custome of the vulgar doe approve of red cloaths, doe yet straitly charge, that they touch not the body, because they have in them a certaine astringent quality, from the tincture and mixture of allome. And therefore, although I doe not altogether disallow them, yet I thinke it a vaine thing to regard the difference of colours. Yea rather I would commend the whitest, White colour preferred before red. because that colour doth dissipate the sight, and call forth the spirits to the externall parts, and so by consequence further the springing forth of the humours into the skin.
CHAP. XX. That they erre who thinke to drive away a disease beginning, by labour.
IT is the custome of many, when they feele themselves begin to besick, to labour to shake off the disease by walking, exercises, and labours, following herein the old saying;
And somtimes it succeeds well to them, not alwayes, except the cause of the disease be very light. For exercise is troublesome and hurtfull to the sick, in regard of the agitation of the morbous humours thereby. Prodicus was wont to molest those that were in feavers with much walking abroad, coursing about, wrestling, and dry fomentations; but he is blamed by Hippocrates, 6 epid. sect 3. text. 23. because (saith he) a feaver is exasperated by hunger, wrestling, walking abroad, coursing, and frictions; for from thence did happen a rednesse of the veines, palenesse of the face, and some gentle paines of the sides. This custome of walking to and fro in diseases; Plato attributes to Herodicus in the beginning of Phaedrus: So Asclepiades in the beginning of a burning feaver would have the Patient to use violent exercise; but he is blamed by Celsus: He thought (saith he) that the strength of the sick was to be disquieted with labour, light, lib. 2. cap. 4. & 15. watching, and vehement thirstinesse, so as that for some few dayes; in the beginning of the feaver, he would not suffer their mouthes to be washed. It is not therefore alwaies safe to strive against the disease with such violent exercises, for many times [Page 196]the Patient becomes farre worse after them than the was before.
POPƲLAR ERROƲRS. The Fourth BOOK. Of the Errours of the People about the use of Remedies.
CHAP. I. Of them that despise those Remedies that are Chymically prepared.
THE principall part of Physick concernes the use of remedies, for it is an Art ordained for the vanquishing of diseases: Now diseases are vanquished by the proper and right administration of remedies: Therefore in this Book, we will take notice of certaine errours of the people, about the administration and use of remedies.
And first the opinion of men concerning remedies is two fold. A twofold errour. Some do neglect, and greatly feare to use any remedies that are chymioally prepared. [Page 197]Others on the contrary doe extoll them beyond measure; but those of Galens method, (as they call them) to wit, which are prepared after the vulgar, and long since received manner, they basely account of, and contemne. We will say something of them both, but they are wise that keep a meane. Medium tenuere beati. And as almost all the errours which are rife among the people, have heretofore at first proceeded from Physicians, whose meanings the people have not well understood, so this also among the rest: Wherefore something is to bee said of the aforesaid errours. Chymicall remedies not to be rejected. — Now in this Chapter, I will plainly manifest, that chymicall remedies ought not to be neglected, being administred by a prudent Physician, and an honest man. As touching this manner of preparing medicaments, it was not invented by Paracelsus, as we have already said, Chymistry not invented by Paracelsus. but was practised many ages before Paracelsus was borne, even by those Physicians which followed Galens method, as Raimundus Lullius, Villanovanus, and many others, who have left behinde them for us some excellent remedies chymically prepared. And after Paracelsus his time, many learned Physicians judiciously distinguishing [Page 198]the chymicall preparation of remedies, from the doctrine of Paracelsus, have followed that, and disallowed this. Fernel, the chief of the modern Physicians, did frequently practise that art. Matthiolus used the spirit of vitriol and antimonie prepared chymically; and in his Epistle to Andrew de Blaw, being the last of his fourth book of Epistles, he doth not only approve of this art, and commend the admirable operations of it; but he thinks that no man can be an absolute Physician, The knowledg of it necessary for a Physician. no not an indifferent one, who is not of good experience in this most noble science. Crato, a Physician to 3 Emperours, in his counsels set forth by Scholtzius, doth highly commend chymicall remedies, and professes that he himselfe used them. Yea Erastus himselfe, the great Antagonist of the Paracelsian Sect, in the preface of his works against Paracelsus, confesses that he doth not implead, or dislike this chymicall preparation of remedies, but commends and approves of it very much. Ioannes Riolanus, a most excellent Interpreter of Physick, whiles that at the appointment of the Colledge at Paris, he had abolished all the deceitfull figments of the Paracelsians, writes that [Page 199]this Colledge, wherein are the most excellent Physicians of Europe, doth leave free the use of Chymicks, so as the old manner of curing, according to the precepts of Galen and Hippocrates, remaine in force. Indeed that art in Galens time was not practised nor knowne, Chymistry not known in Galens time. neverthelesse it is not therefore to bee rejected. For it hath been, and ever will be free for posterity, to adde something for use and ornament, to an art already well established. Thus we use many remedies which our ancestors were ignorant of, as Sene, Rubarb, Cassia, Tamarinds, and other things far better than peplium, coloquintida, and the like. Moreover, the Rudiments of the chymicall art do appeare even in the vulgar preparation of medicaments: Now according to them, all remedies are prepared, either by addition, detraction, or immutation; for either the matter of the medicaments is required, or else the faculty and vertue separate from the matter, the matter in thickning, astringent, and drying remedies; but the vertue alone in attenuating, dissolving, and purging medicines, because the grosseness of the matter hinders their efficacie. For [Page 200]this intention Mesues makes 4 kinds of operation; decoction, dissolution, infusion, trituration, or grinding to powder. What is infusion but an extract begun? What is decoction, especially roasting with fire, but the beginning of calcination? But in this manner of separation which they so much wished for, and the Ancients accounted so necessary, the chymicall Art doth excell, for by divers wayes it severs the pure from the impure, and so extracts and stirs up the divers vertues of medicaments, which otherwise had been hid under the grosse matter, and could never have been drawn out by naturall heat, as especially may be seen in minerals. Besides, it concocts, and attenuates the earthly parts; alters, or else quite takes away the malignant, venemous, and corrupt qualities, and increases the vertues; for there is more vertue and efficacie in cinnamon water against the Syncope, and other diseases, than in whole cinnamon. The same may be said of distilled and extracted oyles; the oyle of thyme, brimstone, or cloves, is more efficacious, and powerfull, than the simples out of which it hath been extracted. Againe, it makes [Page 201]many things to become more pleasant, and familiar to Nature, and contracts many vertues into a small lumpe; as in extracts, waters, distilled oyles, sundry kindes of salt, and such like. Now seeing that it is the duty of a Physician to cure quickly, safely, and pleasantly, without doubt hee shall be able to doe it more compleatly, being well skilled in chymicall remedies, whose efficacy being greater doth sooner work, whose small dose, and neatnesse of preparation help unto pleasantnesse.
Object. But some perhaps will object, the whole age of the Ancients wanted Chymicall remedies, who notwithstanding cured better than we doe, and it happens yet daily, that without them Physicians do perform many wonderfull cures.
Sol. That no man denies, so men in old time did feed on Acornes, and lived long, yet having found out the use of Corn, we reject Acornes and leave them for Hogs. But if the Ancients themselves (the ancientest of whom was in his time a new Physician) had added nothing to the inventions of their Ancestours, we should have all the Arts to be onely begun. Again, if they did performe [Page 220]such cures, yet they did them but slowly, and unpleasantly. Therefore Chymicall operations were added for the solace of the sick, honour and ornament of Art, not that Physicians might cure absolutely, but better and more commodiously. But there are some things which doe terrifie the sick from the use of those remedies. The first is, because they think that all the remedies of the Chymists are very strong and violent, doe presently either kill or cure, and are (as they call them) desperate Medicines, that they do operate quickly and pleasantly, but not safely, and that they leave behinde them a stain in the bowels, which can seldome or never afterwards be washed out. Now they think it better to bee cured slowly, so that they bee safely and surely cured: Soon enough (saith the Proverbe) if well enough. Sat citò, si bene sat. But these things have their originall from their ignorance of that art, and the audacitie of some knaves, who use onely the most violent, and such as are prepared by a preposterous operation; for every chymicall preparation is not convenient for every remedy; we use Mercurius Dulcis with good success, but Mercury sublimate, or precipitate, [Page 203]not without hazard of life. For the Chymists have many Medicines which are very gentle, and not at all violent. And indeed the Chymicall Apothecary and common likewise have the very same matter of Physick, out of vegetables, animals, minerals, and all other things as well gentle as violent which are used in Physick. But the chymicall preparation doth amend or quite take away what is hurtfull in the violent, and makes them more safe and pleasant for mans use. Besides the Chymists have very many cordiall and strengthning remedies, oftentimes much better than the vulgar. But many times diseases doe require verystrong remedies, resisting the force of the weaker Medicines: Yea Hippocrates, Galen, Malo nodo malus cuneus. Aph. 6. lib. 1.5. Meth. Cap. 15. Aetius, and other of the Ancients did use stronger remedies than many Chymists doe; For unto desperate diseases themost forcible remedyes are to be applyed, was Hippocrates his counsell. And Galen himself blames Erisistratus for using only milde and gentle remedies, which he wil have to bee hurtful in great and dangerous diseases, in which if opportunity which is very speedy be pretermitted, either the patient dies, or the disease [Page 204]becomes incurable. It is therefore more ordinary with the Galenists, to wit, those Physicians that follow the old way, to use violent Medicines, which Chymists doe either better make use of, or at least better prepared. Nor is it true, that the Chymists doe prepare all their remedies with the most violent heat of fire; for most commonly, a gentle heate is used. Yet Galen affirmes, that by a violent heat of fire many Druggs doe lay aside all their acrimony and sharpnesse. And it is certaine, that by this spagiricall art, the most unruly medicaments are made serviceable, and many that are otherwise poysonous, their deadly qualities being corrected, do become cordiall.
CHAP. II. That the use of Mineralls is not to be rejected.
ANother cause why many are so fearfull of these Chymicall remedies, is because the Chymists are thought to use Mineralls. And indeed it is certain enough, that many that cloake their knaveries with the title of Chymists, doe often use Mineralls, both ill prepared, and wronge applyed. But as wee [Page 205]have said before, the matter and subject of operation is the same, of both the Apothecaries as well Chymicall as vulgar, nor doth the Chymist lesse use vegetables than the Galenist, and it is an easie thing for him to administer vegetables alone to his patients, if they doe much impugne Mineralls. Neverthelesse the use of Mineralls was more familiar among the ancient Physicians, before the invention of the chymicall art, than now it is: For I know many Chymists that seldome use them, but rather make choice of vegetables alone. But the writings of the Ancients doe testifie, that they were wont to use steele, burnt brasse, the flower of brass, and such like, either not at all prepared, or but very sleightly. The flower of brasse whole doth purge vehemently. Some give it, saith Dioscorides, Lib. 5. kneaded in dough, and made up in a pill. Burnt Brasse (saith he) being drunke with honey and water, doth provoke vomit: the flower of Brasse given in the weight of two scruples drams out grosse humours. Very many use the Armenian stone not prepared at all. Is not that art highly to be commended, which, if at any time it use these things, doth exhibit them diversly [Page 206]and elegantly prepared, not whole? Dioscorides writes, that Silver is good against the poyson of Wolvesbane; and Avicenne will have it to bee excellent against the trembling of the heart. If therefore the authority of the Ancients be of any moment with us, it must not be imputed to Chymists as a fault, that sometimes they make use of Mineralls, seeing they whom they call Galenists are guilty of the same errour, if it be one, but herein they are excelled by the Chymists, in that they prepare them better, insomuch as they may bee administred with lesse harme. Matthiolus in his fore named epistle, saies well, that great and chronicall diseases can scarce be overcome without Mineralls, but those Mineralls are not to be administred without the knowledge of the Chymicall art. And the use of Bathes is ordinary, all which doe partake of the vertue of some Minerall.
Object. But perhaps some will object, that Mineralls are altogether poysonous and hurtfull to nature, and cannot be brought into action.
Sol. Which although it be after a sort true of many Mineralls, yet that hinders not, but they may be made good [Page 207]remedies in stubborne diseases, that stand in need of strong Medicines, and it is the nature of all Medicaments, that they alter our body; for as we have said, forcible remedies must bee applyed to extreame diseases; hence sometimes it comes to passe, that some Empyricks through their adventurous rashnesse do cure diseases that are given over by others, to the disgrace of Physicians. If therefore the Ancients without scruple or doubt did use them whole, how fortunate are our times, in which we are wont so curiously to prepare and dissolve them, so as they may by our heat be more easily brought into action, although to confesse the truth, there are many of them, which doe not require any great labour to reduce them into action, as the flower of brasse whole (as the Ancients did prescribe it) though unaltered by our heat, doth neverthelesse purge vehemently. Avicenne when he makes Gold a meane betwixt Silver and the Hyacinth, attributes to them the vertue of corroborating and cheering the heart, and of resisting poyson, which vertues (saith he) doe flow from the Hyacinth, as the power of drawing Iron from the Loadstone, and cannot [Page 208]be dissolved and overcome by our heat, as vegetables are; for that (saith hee) the substance thereof doth not endure, but onely naturall heate helps forward the penetrating quality thereof: Therefore according to the judgement ef Avicenne it doth not appeare, that the Hyacinth or Gold, or Silver are reduced into action, or that they are changed and dissolved by our heat. Also there are many such things which do help by contact alone, as Galen commends Peione hung about the neck, and Monardes, the stone of Kidneyes bound to the arme, which help onely by the diffusion of their quality like light; and many such things have been observed by divers, which would bee too tedious to rehearse. Moreover not onely Minerals, but also some vegetables are poysonous, which neverthelesse are profitably administred, at least in such a dose, Mineral's may bee taken inwardly. as nature is able to resist. Seeing then it is manifest that Mineralls are prepared by Chymists, and that the oyles, quintessences, and tinctures of them are extracted, it is also as true and manifest, that they may profitably, and without danger bee conquered by our heate, and taken inwardly.
CHAP. III. Of them that attribute too much to Chymicall Remedies.
ALthough I have already in the generall allowed, and approved the Chymicall preparation of remedies, yet we must know, that not all remedies prepared chymically are good and wholsome, for many questionlesse are badly prepared, which perhaps required another kind of preparation; it will not therefore bee amisse to endeavour to repell and root out that selfe-love, through which they extoll their owne medicines with innumerable commendations, and preferre them before all others. For they are not sparing in promising great things, going about to perswade us that they will work miracles, and they forcibly obtrude remedies on us, which (if they may be credited) are good for all sorts of feavers, and doe cure divers kinds of diseases, which even contrary causes have produced. Which of them doth not highly commend the dissolving of gold, Aurum potabile a deceit. which they call. Anrum potabile, teach, extoll, and admire the divers wayes of making it? Verily, if all the wayes of [Page 210]preparing this one remedy were written downe together, it would make a large, and full volume, and yet they are all fabulous, and meere deceits; neverthelesse for all this, they doe audaciously and impudently brag of the efficacie of that not yet invented remedy. The same may be said of other remedies much more easie, for they set forth many things for tinctures, oyles, salt, and the like, which are nothing lesse then what they avouch them to be, as might bee manifested of many things in particular, but so this tractate would be too long and tedious. Neverthelesse let us heare their reasons, which we have touched in the first chapter, we will here briefly repeat them. The vulgar, or common Medicines (say they) are usually poysonous, as are almost all Catharticks, or purging remedies, and very many altering medicines, as saffron, hemlock, coriander, if they be taken in too great a quantity. But the Chymicall are altogether free from any poysonous quality, and from all impurity, which may weaken the force of the remedies; whereas in the vulgar this same impurity doth remaine, which is no more amended by [Page 211]the mixture of other things, then if birds should be boyled with their nests, guts, dung and all, only a little cinnamon and sugar added thereunto. So pils, electuaries, lozenges, opiats, have in them as well hurtfull as profitable qualities; wherefore they cannot commodiously bee brought into action by our heat. But in chymicall remedies, the noxious qualities are severed from the wholsome, and so they are more easily brought into action, and are of greater efficacie and certainty. Honey and sugar, which are ingredients in divers remedies, because they are of quick spirits, and abound with sharp, and filthy vapours, are ill mixed therewith. In like manner they like not decoction, because thereby many of the vertues are lost, the remedies become of an unpleasant rellish, and the efficacie is dulled by the mixture of a strange liquor. Thus they commend their own remedies, for their purity, safety, efficacie, pleasant rellish, and small dose. And indeed this is true in the preparation of many of them, especially minerals, yet not alwayes in all.
And First, they falsly suppose that they have all some venomous quality [Page 212]in them, for they doe ill to call that poyson, which is only somewhat gross in substance. For there is scarce any mixt body which is not heterogeneall, and consists not of divers parts, every one of which severally have in them divers wholsome and profitable vertues, as the chymicall resolution it selfe doth demonstrate. We must confesse, that many things that are poysonous, are by the chymicall art made harmlesse: But forthwith to call that hurtfull and poysonous, which is, or seemes to bee lesse pure, is too much rashnesse, seeing that the mixture of divers parts is not made without the speciall providence of nature. This doe meats and drinks shew, in which God hath not without cause mingled the wholsome part with the unwholsome, for the good of mans body. Do not we more commodiously use wine, than the spirit of wine, the ordinary drinking of which doth rather harm than good, whereas wine it self doth yield a profitable, pleasant, and comfortable drink to the body? Therefore one said well, they that doe so much dislike the earthy parts, should be nourished with nothing but spirits, as the spirit of wine, oyle of corne, and extracts [Page 213]of flesh. Not that I deny preparation to be needfull, though not alwayes a chymicall preparation. So we prepare wheat for the making of bread, by grinding, fifting, kneading, baking: and flesh, by washing, and boyling; which if they should be chymically prepared, would become hurtfull, and utterly lost. Wherefore is the separative faculty given to the body, but for the separation of those things that are unprofitable? And therefore Faber, a late writer, one that makes large promises, Fabers Errour taxed. after the manner of the Chymists, seems to me to be injurious to the God of nature, in saying that the mixture of pure, and unpure, that is to say, of different parts in one and the same mixt body, doth proceed from the Creators curse for sinne. As though if man had never sinned, God had created onely spirits, and not corporeall substances; oyle of cinnamon, and not cinnamon, which is an absurd thing to suppose. And therefore he doth falsly define a medicament to be a purity of nature, which doth by altering help and succour our nature, when it is violated and oppressed with a disease, and hee will have only that which is pure, and without [Page 214]mixture, to be a medicament, because that alone is capable of action, and efficacie. O fine pate! Are not remedies compounded out of the drosse of things, excrements, dregs, things of least reckoning, out of use, and in a manner nothing worth? Who ever denied the power of working, and of altering the body, even to those excrementitious parts? which of the Chymists doth not make use of excrements for Medicine? Verily there is no part of the drugs, which hath not in it some vertues wholsome for mans body, either for externall, or internall uses. But let us look back to our own task. Not only in aliments is this mixture of gross and subtile parts profitable, but in medicaments likewise. Wee often give Rubarb with good successe to purge, but powdered, this is a kind of preparation; but more commonly we administer it being infused, when we do not stand in need of the grosser part, for the vertue thereof is kept in the infusion: But in the extract, which is a Chymicall invention, and is exceeding profitable in many things, part of the vertue is exhaled. Therefore the infusion of the Galenists, is better than [Page 215]the extract of the Chymists. Prepare Rubarb chymically, by distilling, drawing out the salt, and extracting the spirits, and it will then be good for nothing, all the vertue of purging will perish quite, although the Chymists will have the salt thereof to bee cathartick likewise. Moreover, as we said in the first Chapter, in thickning, binding, corroborating, and drying medicines, the matter and substance is requisite; thus experience shewes, that the conserves, preserves, and powders of the Galenists, are oftentimes more safely given, than the oyles and spirits of the Chymists, for there is often need of whole medicaments, nor ought all things to be chymically prepared. And therefore many times the Chymists are forced to cloth those their medicaments with another body, which but a little before they had separated from their owne; for who dares taste of oyles of Origanum, Brimstone, Vitrioll, by themselves, without mixing them with another liquor; and therefore they adde these same to opiats, lozenges julips, apozemes, in a very little dose, otherwise they would scarce worke without a great deale of danger and harme to [Page 162]the body; for that part which first they should but touch, they would alter not without apparent hurt. Therefore not every separation of the grosse parts from the subtile is wholesome for the body, but sometimes pernitious and deadly. Wherefore there is no reason, that for this cause the Chymists should preferre their own, except in some few Medicaments, nor is there the same vertue in the whole, that is in the dissolved parts.
Secondly, 2 they do not only deceive the people, but perhaps themselves also, while they so commend the separation of the grosse parts from the thinne, and the security of their own remedies; for the noxious part is not alwaies severed from the other in a chymicall preparation, but is many times increased, whiles that it being all contracted into a little bulk, doth worke more strongly. Let I pray all the purging extracts, and the other chymicall preparations of purging Medicines be duely weighed, whether any of them bee voyd of danger; yea they are oftentimes worse, although by such preparations they many times lose their own strength for the noxious qualitie is not alwaies in [Page 217]the thick substance, but oftentimes in that thinne substance which is extracted. The Trochisks Alhandal doe purge very well, the extract is as hurtfull, and the sediment which remaines from the extract, doth loose in a manner all the noxious qualitie of the Colliquintida, because this together with the purging qualitie goes all into that liquour, out of which the vertue is extracted, which, as usually they do in other things, they call by a fond name Menstruum, whereupon the Chymists doe no lesse use correctives with those extracts, than the Galenists. Admirable with them is the extract of Opium called Landamum, the Opium being prepared with divers mixtures to correct it, which, after they have used all their art in preparing and changing it, they dare not yet administer without correctives, as they call them. Whether then hath this chymicall preparation taken away the violence from the catharticks, and the noxious quality from the Opium or no?
Now as concerning the small quantity, and pleasant relish, these do not alwaies accompany Chymicall Medicines. We will exemplifie in purging extracts, and other things which are exhibited in [Page 218]a large Dose, and are no lesse unpleasant, for the purging quality is a little exhaled. If some things by their too great quantity be noxious, they have it common with all meats, yea and Medicines, though chymically prepared: neither if strong Catharticks be hurtfull, are they therefore to be rejected, seeing that all remedies if they be ill used may doe harme. Therefore chymicall Medicines are not alwaies the more pleasant, the extracts of Colliquintida, Rubarb, and Aloes, are no lesse bitter and unpleasant, then they are whole, and yet they are administred in a greater Dose, yea if a Drugge have an unpleasant relish, it can scarce be taken away without losse of the strength. Take away the bitternesse from Aloes and Wormwood, and you take away their vertue. What I pray is the extract of Rubarb, but the infusion of it vitiated; for when the infusion is by a gentle decoction, brought to the consistence of an extract, the subtile parts, in which is contained the purging vertue, doe evaporate, insomuch that the infusion of two Drammes of Rubarb will purge better than the extract of four Drams. Thus the juice of Roses purgeth excellently, [Page 219]the distilled water not at all. The extract of Coloquintida is exceeding bitter, although it be a chymicall preparative, and notwithstanding that it is administred in a greater dose than the Trochisks of Coloquintida called Alhandal. And indeed in respect of cathartick vegetables, the chymicall preparation must give place to the ordinary and common, but in purging Mineralls, especially those that provoke vomit, the chymicall hath the preheminence. The smalness of the Dose renders it suspirious. Now the smalnesse of the dose alone, whereof the Chymists make great bragges, ought many times to be suspected, seeing it is not alwaies requisite, and argues a certaine venomous qualitie, or at least not so benigne, as appears in the aforesaid oyles of Vitriol, Brimstone, Gloves, Origan, and other such like, which whether they may be taken alone without any danger, or no, they shall be able to testifie, who like fooles are desirous to make experiment; and therefore they administer but a few drops of them, dissolved in other mixtures. It is better therefore to administer some things in a larger dose with their own substance, than their spirits in the least quantitie, although in many [Page 220]things, we do not dislike the contracting of good vertues into a small body, so as it bee used with right reason, to wit, those things being observed which the Medicinall art of Galen and Hippocrates teacheth to observe.
In the next place they disallow of decoction, because much of the strength doth perish thereby, the unpleasant relishes remaine, and the vertues are dulled by reason of the mixture of a strange moysture. But first, the inconvenience will bee avoided, if the decoction bee made in a double vessell, that the spirits evaporate not; as for the relish, they themselves do more correct it than the Galenists doe; and in like manner they use water as a vehicle to the spirits. Now it is certain that decoctions are many times farre better than distilled waters, and extracts, because the vertue of the simples passeth into the liquor, without altering of the temperament at all. The decoction of Anise good against the colick. Thus Heurnius observes; that he did more successefully cure the pain of the Colick with the decoction of Anise, than with the spirit or oyle of it. The same thing have I also often observed, the reason whereof may bee this, because the Decoction drinks the [Page 221]vertue of the Anise into every part of it, whereas three or foure drops of the Oyle doe most vehemently affect the part which they first touch, but do not diffuse their vertue any further, neither if they be administred in broth, or any other liquor can they bee throughly mixed therewith. The temperature of many things is sometimes lost by distilling, and Paracelsus himselfe doth often confesse as much, yea that somethings which in substance may safely be taken, by distilling do become hurtfull, as honey, which (saith he) being thrice distilled turns to poyson.
We infuse Medicaments, when wee stand in need of the subtile parts, but if there be no need of them, then they are administred either whole or prepared some other way, neither are infusions made in water onely, but in divers other liquours also. They seem also too much to feare the addition of honey and sugar, because (say they) they have venomous and deadly spirits. Paracelsus averres it of honey thrice sublimated. But being taken whole, they doe not send forth such noxious spirits, wherby we know that the separations of Nature and the Chymists are not alike: [Page 222]Who would believe that the hot spirit of Wheat can be drawn out by our heat, as it is by Art? Nature of meats doth create chyle, blood, choler, but Art spirits, oyles, and quintessences, which do very much differ from the nature and temperature of their matter. Although therefore I do not think that the operations of nature, and the chymical art are not alike, yet it is sufficient if those things which do result from the chymicall operation, be made convenient for mans body, to withstand the diseases of it; and that art in my judgement is praise worthy, which in imitation of Nature doth so diversly change bodies for the use of man. Therefore it is manifest from what hath been already said, that chymicall remedies are not alwaies to bee preferred before the other. Now though the Galenists doe justly refuse the doctrine, of Paracelsus, yet they doe not disallow of chymicall remedies, but leave them their own place in Physick. And the Chymists themselves cannot be without remedies prepared after the vulgar way, Chymists are not without vulgar remedies. as is evident in Quercetanus, and others, yea and Paracelsus [Page 223]himself, who prescribes many decoctions and infusions, and uses many things whole, not changed at all by any chymicall art. Therefore to both of them their own praise is due; for sometimes there is need of using chymicall remedies, sometimes, yea, very often the other. Most indifferent therefore are the Galenists, who do not reject chymical remedies, but the Chymists are blame worthy, in that they never use other then their own, whereby it comes to passe, that oftentimes they promise wonders, which as experience shewes they are not able to perform. It is a sign of an unskilfull man alwaies to use Quintessences. Frankincense being whole cures wounds, which can never be cured with the oyle therof. Conserve of Roses performs that in corroborating and binding, which the spirit, water, or salt thereof shall never be able to do; for distilled oyles; and sharp Spirits do violently and speedily assaile naturall heat. Therefore in regard of divers circumstances, sometimes a spirit and extract is to be used, sometimes a Conserve, Electuary, and Decoction. For all remedies doe not need a chymicall preparation, many thereby being [Page 224]utterly annihilated. Now some things cannot conveniently bee used, except they bee chymically prepared, especially mineralls, and some things perhaps are prepared after one manner, which ought not to have beene prapared after another. An errour in Chymicall remedies more dangerous then in the other. In generall it is to bee noted in Chymicall remedies, if at any time there be an errour, it is more dangerous then in the common medicines. Which things have beene said not in disgrace and contempt of the spagiricall art, but because of empiricks & others, who too adventurously, and without judgement minister remedies, which they take out out of lying bookes, and if something hath beene chymically prepared, although perhaps badly enough, they highly commend and admire the same.
CHAP. IV. That the remedies are not to bee changed, although the cure doe not presently follow.
BEcause (as we have said) there are many stubborne diseases, very hard to be cured, which doe not yeeld to remedies, unlesse often reiterated, therefore some that have undergone a long and tedious cure, desire to make triall [Page 225]of other remedies, which they heare have done good to others, or else do altogether lay aside the use of Physicke; but they erre in both particulars, for as Hippocrates sayes well, 2 Lib. 52. aph. One that doth all things according to right reason, if it doe not succeede according to reason, should not passe to another thing, so long as that remaines which was seene from the beginning. Which although it be principally meant of the Physitian himselfe, that he must not slightly, and without cause change his course of Physick, yet it may also bee fitly applyed to the patients. For as Galen saies well in his Commentarie, it is a point of sound discretion, not to receede from those things, which have seemed to bee right. As water drops are a long time in penetrating a stone; so in diseases that are crude, and hard to bee concocted, if a man have once found out what is needfull to bee done, he ought not to recoile from it. That Physitian goes wisely to worke, who having fully found out the diagnosticks, and prognosticks of a disease, doth apply remedies convenient in quantity, time, manner, and place. But if he bee mistaken in the knowledge of the disease, as sometimes it happens, it [Page 226]is lawfull to change not onely the remedie, but also the Physitian himselfe, or at least to call another to him, that consulting together, they may diligently seeke out the nature of the disease, which when they have well and perfectly found out, the patient committing himself to them, ought to hold on in the use of remedies. How to know when remedies are to bee charged Now that hee may know when the remedies are to be changed, this is to bee noted. First, if the remedies that have beene administred, I doe helpe a little, it is a signe that that the nature of the disease was thoroughly knowne, and those must not be changed; for Physitians doe gather the signes of diseases even from those things which doe good, and harme. Cures (saith Hippocrates) doe shew the natures of diseases. Cornelius Celsus in the beginning of his third book saith that, in acute diseases, remedies that helpe not ought presently to be changed, but in long diseases (of which wee speake in this chapter) not so: for wee must persist so long in the use of remedies, untill their operation being often frustrate, we perceive that the nature of the disease was not well knowne. 2 Secondly, if by the administration of the remedies [Page 227]the symptomes be exasperated, it is a signe they were contrary to the disease, and are therefore to be changed, to wit, in cronicall diseases, for in acute diseases, if the exasperation of the symptomes doe happen with signes of concoction, it is a token of a disease tending to a crisis. Thus Antonius Musa Physitian to Augustus Caesar, when hee perceived the paine of Caesars stomack to become worse by the use of hot things, he applyed cold remedies, and so cured him.
But some will say, Ob. remedies by daily use doe become at length familiar to nature, and so are unprofitable.
I answer, Sol. the remedies may be changed, and their quantitie, but not the manner of curing, so long as the disease remaines the same, and yeelds the same indications; for if the disease it selfe be changed, as if of a Tertian bee made a Quartane, or the patient become weaker, or there be a flitting of the humours from one part unto another, or the like, not onely the remedie, but also the method of curing ought to bee changed. Therefore I thought good to annex this chapter, because it often falls out, that the patient, which hath [Page 228]used perhaps a good Physitian, if the successe which he expects doth not presently follow, abjuring the Physitian, consults with empiricks and silly women. Now those medicine-mongers do after the manner of the Andabatie (that is to say blindfold at adventure) fight with diseases, try divers remedies, and never hold on in the use of that, in which they should have persisted. Usually the last remedie is applauded, & those that went before are of no moment with the people, as letting of blood, purgation, alteration, and the like, which notwithstanding subdued the greatest part of the disease. It falls out also many times, that the Physitian himselfe being overcome with the importunity, & complaints both of the sicke and the by-standers, is forced to make too much hast with his remedies, and contrary to reason to change them: wherefore those that be sick ought patiently to wait for the time of the cure, which cannot bee the same in all diseases.
CHAP. V. Of them that reject all remedies, if they be not presently cured.
OThers, (as wee have said in the foregoing Chapter) doe utterly reject the use of Physick, if they be not cured by the first or second remedie, who, besides the wrong that they offer to nature it selfe, which will have all things to be done in time, doe injure themselves most of all; for diseases neglected doe take deeper root in the body, and become at length altogether incurable, and past all helpe of Physick. Or others that by their proper nature doe usually tend to health, of which sort are intermitting feares, which (as Hippocrates saith) are not dangerous at all; for Fevers after what manner soever they intermit, aph. 43. lib 4. are void of danger, those diseases (I say) continuing long, and being neglected, do stamp such a blot upon the bowels, that they leave behind them perilous diseases, although they perhaps went away of their owne accord. Galen in divers places teaches, that the cause of a tertian is seated in the liver, of a quotidian in the stomack, & of a quartane in the spleen; nor [Page 230]is it any wonder, if the parts by whose oeconomie the whole body is served, be at length enfeebled, and therefore many times very grievous diseases doe follow in those parts, after fevers that have been neglected, as grosse obstructions, putrifaction, scyrrhous swellings, scurvie, dropsie, and others, which because the temperature of the bowells is quite overthrowne, are altogether incurable, as too frequent experience manifests. Physick preserves the inward parts though it perfect not a cure. But this is the excellency of the art of physick, that though it doth not performe the cure, yet it preserves the inward parts, and doth so weaken the causes of diseases, and dull their force, that the noble parts are not harmed thereby, and so those great & perrilous diseases are prevented. Yet what hath beene said, ought not so to be understood, as though there ought never to be an intermission of the use of remedies; for Physitians doe in very long diseases wisely allow some respit to nature, after they have for a few dayes together administred preparing, evacuating, and corroborating medicines, and other such which they thought convenient, and afterward they returne againe to the cure; thus they provide [Page 231]for the preservation of strength, which might have beene wasted with a constant use of Physick.
CHAP. VI. That remedies are not to be rejected for their unpleasantnesse.
WHen I reade the writings of the antient Physitians, who have bequeathed unto us the vertues of remedies, and their precepts of Physicke, I cannot but wonder at the multitude and abundance of remedies wherewith they pestered their patients, as also at the unpleasantnesse of them, so bitter, unsavoury, and ungratefull to all the senses, yea and many times rudely prepared were many of them: it being a familiar thing with them, to dissolve those things, and give them to bee drunke, which we take in pills to deceive the tast, and prepare more finely; for a Physitian should endeavour to cure quickly, safely, and pleasantly. Citò, tutè, factlè curandum Thysick is neatlier, administred now then heretofore. What shall we say then of the frowardnesse of the sick in this age, who though they have more toothsome & pleasant remedies administred to them, then our forefathers had, doe neverthelesse detest Physick for its unpleasantnesse, and had rather lye long under a disease, [Page 232]then be cured with a very few remedies. Wee must confesse indeed, that very many remedies have by the care and diligence of moderne Physitians, beene made more neate and pleasant, then heretofore they were, but yet all unsavorinesse is not taken from them. In which particular wee may admire Gods wonderfull providence; for if he had put the like relish into medicine that he did into meare, mankind had long since either utterly destroyed, or much weakened it self therewithall. For all remedies have in them a nature in some measure contrary to our body, because they after it, otherwise they were not remedies, and so they may also do harm. We use them, that we may reduce the body from a preternaturall to its naturall state againe. But if the sick use them either preposterously, or longer, or oftner than is meet, of healthfull causes they may at length be made the causes or diseases, and imprint on the body their qualities, which are so different from the nature thereof, and therefore it is well said in the Proverb, Qui medicè, miserè. They live miserably, that live Physically. Wherefore it were not amisse, if many both men and women [Page 233]did take Physick more sparingly, for they prejudice their health, and they that are ever and anon taking Physick, doe seeme almost alwayes to have need of it. In like manner others that are sometimes sick are to be admonished, that they do not for a little unpleasantnesse of taste or smell, perversly reject wholsome remedies, that are discreetly administred by an able Physician.
CHAP. VII. Whether home-growing Remedies can bee sufficient for any Country.
IT were to be wished, that England were as well able to furnish it selfe with Remedies, as it doth with food and rayment. There were in times past, and even at this day are very many, that have endeavoured to reduce the whole body of Physick to common, and home-growing remedies, rejecting such as are brought from Forraine Countryes. Plinie, the great Antagonist of Physicians, was of that mind, blaming Physicians that call in the Indians, Aethiopians, and Arabians for help. At length (saith he) the craft and subtilty of men invented those shops, [Page 234]in which every mans life is proffered to be sold to him; then presently compositions, and unutterable mixtures are provided, Arabia and India are brought in for aid, and for a little ulcer, Physick is fetched from the red Sea, when every poore man eates dayly to his supper the right remedies. But that could never yet be brought to perfection, nor hath ever any Nation been so happy, that it could be sufficiently furnished with its own remedies, India sufficiently furnished with its own remedies. except the Indians. For seeing that the same things doe most commonly grow in diverse Countryes, it is certaine that they cannot every where be of the same vertue and goodnesse. It is therefore lawfull to fetch them out of those Countryes where the best doe grow, for the vertue of plants doth vary according to the nature of the places. The Arabians say, that some plants are hot in the third degree, which the Grecians will have to bee hot but in the second, the Germanes in the first. Wherfore Galen, who lived in a most temperate Climate, did not think his own Country remedies to be sufficient, but received Lemnian earth out of the Isle Lemnos, approved of Candy dittander, Macedonian parsly, [Page 235]and such like. And in purging medicines, it is most manifest, for they doe not grow at home, but it is necessary that they bee brought from forraine Countryes, as Sene, Rubarb, and many others, some whereof being transplanted, although with good dressing they be made to grow in our Gardens, yet not without a manifest wasting of their strength, nor in that plenty which may be sufficient for the whole Country: Thus we dayly use sugar, pepper, spices, wine, which are supplyed unto us from other Countries. The Lybian Iris (saith Galen) doth differ as much from the Illyrian, as a dead body from a living, no smell at all proceeding from the Lybian, but the Illyrian yielding a very pleasant savour. God would not that every Country should abound with all things, nor alwayes, that humane society might bee maintained. For as in every Country, one City supplies necessaries to another, so one Country to another. If one City doe stand in need of the help of another, why shall not one Country supply the defect of another? But they think that those remedies which grow at home, have a greater affinity with [Page 236]the temperature of the Inhabitants, than the other. But experience shewes that we doe use profitably, and without any hurt, wine, and spices that are brought from abroad. Again, Physick is not agreeable to nature, but after a sort contrary, because it alters nature, and therefore it is necessary for a Physician to use those remedies which can most fitly performe it; and seeing that the same medicament, even in the same Country, doth changes it vertues according to the situation, and nature of the places, it ought to bee gathered there where the best grows, and therefore sometimes to bee fetched from forraine countryes. But if this can be done with equall commoditie, let the home-growing remedies be alwayes preferred before the forrain.
CHAP. VIII. Of them that feare to bee let bloud, and purged, lest they accustome themselves to it.
THere are many that doe willingly use purging and bloud letting every yeare, to wit, in the Spring, and Autumne, for the voyding of ill humours, lest afterwards, namely, in Summer, [Page 237]and winter, 47. Aph. lib. 6. they fall into diseases; which Hippocrates perswades unto; They that finde bloud-letting and purging to doe them good, ought to purge and let bloud every Spring; which words he repeats againe in another place. 53. Aph. lib. 7. Yet some are so timorous and fearfull, that though they stand in need of these remedies, yet they refrain to use them, lest they accustome themselves thereunto. For they think that if they should use them once or twice, and afterward leave off, A grosse Errour. they must either of necessity be sick, or not be in sound health, whose Errour it is my purpose in this place to declare, although some Physicians have been also of the same opinion, forbidding any man adventurously to accustome himself to such great remedies, as letting of blood, and purging, lest by intermitting or leaving off that custome, he fall into dangerous diseases. But herein they are mistaken; for it is an Axiome of Physicians; One thing is indicated or betokened by one. And custome it self doth not properly indicate any thing, but together with other signes it indicates somewhat; for it hath reference to nature, being also called a second nature; whatsoever indicates [Page 238]any thing, doth indicate either the conservation or removeall of it selfe; conservation if it be according to nature, and removeall if it be besides nature, as a disease, and the cause of a disease. Seeing then only the cause of the disease doth indicate evacuation, either by blood-letting, or by purging, it cannot be that custome should indicate and betoken these remedies, because (as we said) it hath reference to nature, but one and the same remedie cannot be betokened by diverse things. If in any man abundance of blood, or some other such cause require blood-letting, lest he fall into some grievous disease, Nature will not necessarily the next year require the same remedy, unlesse he labour with the same disease, unto which nature custome hath reference, because only the cause of the disease, and not nature doth indicate this remedy. If therefore he must be let blood againe, it is in respect of the cause of the disease, not because of custome. Nor doth it follow, if this year Socrates his blood be so faulty, that there is need of evacuation, that there shall be the like faultines the next Spring; for both the temper of the man, and of the aire, and his manner of diet may be changed: [Page 239]Otherwise diseases should never be perfectly cured, if he that hath been once abundantly vacuated, must necessarily relapse into the same disease. Therefore custome it self doth not urge unto a reapplication of a remedy, but permit the same, because accustomed evacuations are lesse hurtfull, and they that are accustomed to it may more boldly admit of evacuation. Thus custome alone makes nothing unto future evacuations, unlesse there be the cause of a disease with it; but if some diseases use to return every yeare, as the Gout, pain of the joints, melancholy, and the like; because the causes of these diseases do lurk in the body, it is very good to prevent them with convenient remedies, (as Galen saith he did, in his Comment upon the forenamed Aphorisme) which remedies are convenient to be applyed, not for assuefaction and custome, but in respect of the causes of the disease, which, so often as they appear, ought to be corrected with such remedies. But all diseases are not of that nature, that there is eminent danger of them every year, and therefore there is no fear of accustoming a mans self to Physick, except the disease also [Page 240]be made accustomary and familiar. The remedy that cures the disease, is not the cause of the return of the disease afterward, which it should be, if use should inforce a necessity of the remedie, because only the cause of the disease requires evacuation; from whence it would necessarily follow, that the use of evacuation doth afterward encrease the cause of the disease unto the administring of the like remedy.
CHAP. IX. That no regard is to be had of the Stars for letting of Blood and Purging.
IT is an usuall thing with many in taking Physick, to observe the Signes, to wit, whether the Moon be in this or that Signe, which is thought to governe this or that part. Others take notice of the Conjunctions and Oppositions of the Starres, when they must Purge or let Blood; as when the Moon is in Conjunction with the Sunne, they think it to be a dangerous thing to use these remedies. 4. Fen. lib. 1. Some do advertise ( saith Avicenne) that Cupping-glasses be not applyed in the beginning of the moneth, because the humours are not yet swelled up to the height, nor in the end of the moneth, because [Page 241]then the humours are lessened, but in the middle of the moneth, when the humours are in their height, following the increase of the Moon, at which time also the braine is increased in the Skull, and water in the rivers that ebbe and flow: Which his interpreters do referre to other of the great evacuations, during the same cause. And here two opinions are to be weighed, the one of Hippocrates and Galen, the other of Astrologers. Hippocrates in his Book de aëre, aquis, & locis, advises to observe the great changes of times and seasons, and the Solstices, that we neither administer Physick in them, nor Cauterize the parts about the belly, nor make any incision, till at least ten daies after. Now by those great Changes, he understands the variations of heat and cold, which happen at the Solstices, Equinoctials, under the Dogge-starre, and before the Dogge-starre, and at the rising and setting of some Constellations. For hee addes, Both the Solstices are very dangerous, but especially the Summer Solstice; so both the Equinoctialls are perillous, especially that in Autumne; the rising of the Starres are also to be observed, principally the rising of the Dogge-starre, Arcturus, [Page 242]and the setting of the Pleiades: Because at those times diseases do either end, or else are changed. These things therefore according to the opinion of Hippocrates are to be known, in respect of the sudden changes of the aire, which are wont to happen at the rising of some Starres. Some to the forenamed Constellations do adde the Moon, which hath great dominion over these inferiour things, and experience shewes that it hath much soveraigntie over the humours of the body, and * Galen also acknowledges the same. But Astrologers have gone further; for they attribute the signes of the Zodiack to the severall parts of the body, and when the Sun and Moon are in those signes, they hold it a dangerous thing to use remedies which concern those parts, over which those signes are thought to have dominion; and the common people in reading of Almanacks which come forth every yeare, are very cautelous in observing them, whereof wee will treat more at large in the following Chapter. But if all these observations of Galen and Hippocrates be true, there will scarce any time remain for administring Physick; for in both the Equinoctialls, Solstices, [Page 243]at the rising and setting of Arcturus and the Pleiades we must forbear ten daies, and before and under the Dogge-star at least forty daies; so likewise according to Astrologers we must abstaine from Physick in all the Oppositions, Conjunctions, and Quartile aspects of the Moon: All which if they should be superstitiously observed, there would be no time left for Physick, although we neglect those Starres whose influence is not yet observed; some of which may perhaps hurt as much as the rest.
The Starres are not to be considered in the curing of diseases, as they are in the Firmament, but for their influences, and those alterations which they make in the Aire; as Hippocrates forbids purging under the Dog-star, only because of the heat of the Aire. Neverthelesse whatsoever the alteration of the Aire be, the same cannot be equally good, nor alike bad to all, for evacuation, but to some it will do good, to others harm, according to the different constitutions of men, nor was there ever such a temper of the Aire and Weather, which was not more or [Page 244]lesse healthfull, or hurtfull to some. For some Natures in Summer, 2. Aph. lib. 3. some in Winter, are better or worse ( saith Hippocrates) so likewise some diseases are made better or worse in regard of other accidents; 3. Aph. lib. 3. and so are some ages according to times, places, and manner of diet, because the influences of the Stars, which evermore are universall, do act after the same manner only, and do hurt to some, and good to others, according to the different nature of diseases and the patients, as also according to their age, country, time of the year, and other such circumstances, which do limit the operation of universall causes. Again, the concourse of the Stars is only a procatartick and universall cause, which moves and stirs up the internall causes. Now these are known by their proper signes. Nor is there any necessity to consider the stars, but only the motions of inward causes, which make the times of diseases. But as concerning Astrologers, they do with a vain conceit attribute all the parts of the body to the stars, to wit, to the Planets, and the signes of the Zodiack. And because the Planets, and the signes of the Zodiack have not one and the same [Page 245]motion, some of the Planets having a swift, others of them a very slow motion, but the Signes, the same motion alwaies equall, it will seldome happen that the Planets concurre with the Signe that is referred to the same part. For the Moon runs through all the signes every moneth, and therefore is often conjoyned with them all: But Saturne which they set over the Spleen, doth very seldome meet with the signe that is dedicated to the same part. The Stars therefore which are said to have dominion over the severall parts of the body, have influence either into the substance, or into the conformation of the parts; but not into the substance, because there is no organicall part in the body, which is not made up of sundry parts, which are of a diverse nature, as the hands and feet consist of bones, nerves, arteries, muscles, which cannot be equally subject to this or that Star. And seeing the like parts for substance are in the other organes likewise, as bones in the feet, hands, breast, head, why shall not one and the same Starre bear rule over them all? It remaines then that they have influence into the conformation onely, which is accidentall [Page 246]to all the parts, for every part severally may be without the same conformation, as bones may be as well crooked as streight, and be well nourished too. The conformation of every part depends on number, magnitude, scituation, and figure. The influence cannot bee made into the number of the parts, because number in respect of it selfe, is not ens reale, that is, hath no reall existence, as also because one particle being added or taken away, the influence into the part, is not thereby changed, as if one finger of the hand bee wanting, the influence ceases not. In like manner not into the magnitude, for then the influence into an infant should differ from that into one that is grown up to ripe age: not into the scituation, because so the scituation being changed, the influence should also be changed, as into the hand stretched out, and laid upon the head, or on the feet. Lastly not in the figure it selfe, because in like manner the figure being changed, the force and efficacie of the signes into the part is still the same. Hence it appeares, that the attribution of this power and dominion to them over one part rather than another, is nothing else then [Page 247]an idle fiction. But if any such thing be granted, it is likely that that same influence will extend it selfe onely to those parts, which have their proper substance distinct from the rest, as the Heart, the Brain, the Liver, &c. and not to the Hands, and the Feet, and other such like parts, whose similar parts are the same for substance, and differ only in conformation. In very deed, many Physicians seem to have given but little regard to those Astrologicall observations. I have seen many sick in the Solstices and Equinoctials, to whom the forenamed remedies were applyed with good successe, which if they had been omitted, peradventure the sick had died. And therefore in acute diseases, as the Apoplexie, Squinancie, Pleurisie, burning Feaver, and the like, it is very dangerous to omit, or deferre necessary remedies for the disposition of the Heavens, but wee ought rather to have regard to the times of diseases, and natures working, and according to that observation, prescribe sometimes one, sometimes another remedy, as at sundry times the disease requires. But when a Physician prescribes Purging or Blooding, only for prevention of diseases, [Page 248]he may observe the four quarters of the Moon, and use the forenamed remedies rather in the first, than in the last Quarters, because the Moon having a manifest power over the humours, when it increases they are augmented, and it decreasing, they are diminished. In like manner he may avoyd the Equinoctials and Solstices. But in the sick, these cannot be observed without danger, seeing that diseases do not permit such great delaies. But the figments of Astrologers, touching the dominion of the signes over all the parts of the body, are altogether to be rejected as faigned subles; for it is an absurd thing to suppose that one Star rules over this part, and another over that, seeing that all the Stars do rule over all the parts, and act not immediately, but by the alterations of the aire, by which the whole body is changed and altered.
CHAP. X. Of the ridiculous Physicall observations of Almanack-makers.
WHo can hold from laughter at those Caveats, whereof Astrologers do every year warn the people in their Almanacks, about the taking of [Page 249]Physick, among which that is not the least, of which we have already spoken, that they attribute the parts of the body to the signes of the Zodiack: We will now prosecute the rest.
And First, 1 they say the best time for Purging is when the Moon is in the watery signes, to wit, in Cancer, Scorpio, and Pisces.
Secondly, 2 when the Moon is in such a signe purge with Electuaries, in another signe with Potions, and in another with Pils.
Thirdly, in such a signe purge Choler with Electuaries, 3 in such an one with Pils, in such an one with Potions, and so of the other Humours. In like manner they say it is good to let the Phlegmatick blood when the Moon is in Aries, or Sagitarius; the Melancholique, when it is in Libra, or Aquarius; the Cholerick, in Cancer, or Pisces; and so the Sanguine when it is in either of these. But it is to bee noted, That any kinde of diseases may happen at any time; Aph. 19. lib. 3. and be exasperated, as saith Hippocrates. Because as Galen teaches in his Commentaries, not only the Aire is the cause of diseases, but also the proper temperament of the sick, and the peculiar [Page 250]manner of every mans diet, whereby it may come to passe, that even in Summer any man may be taken with cold and flegmatick diseases. Seeing therefore at one and the same time, many men may be sick of sundry diseases, all neither can nor ought to be purged after the same manner, and in diseases that are acute, there may be danger in delay, while we stay till the Moon hath run through such and such Signes, in the mean while the opportunity of helping the sick (which is said to be swift and variable, in the first book of Hippocrates his Aphorismes) will be lost, so as perhaps the like will never after offer it self again, because as Galen saies in his Commentaries, occasion is said to be very quick, and soon gone, in regard that our bodies are daily changed, not only by externall causes, (as the Aire and Stars) but also by internall. From whence it comes to passe that they that fall together into diseases at the same time, ought notwithstanding to be purged on divers daies; for although there be the same aspects of the Stars and the Moon, yet the inward temperature of the body doth diversly alter, concoct, and expell the humours, which the Physician, [Page 251]who is a Minister of Nature, not of the Stars, ought to consider, that he may administer all things to the sick in due season. For the curing of diseases is varied according to their different times. Now seeing that the times of diseases, are in some longer, and in some shorter, if we waite for the aspects of the Moon and the Stars, we thereby lose that healthfull indication, which the times of diseases do afford unto us. For in some diseases we do not purge untill a perfect concoction of the matter be made, but in others in the beginning; now in some diseases the beginnings are sooner gone, and they quickly come to their height, whereas in others they are very long. Wherefore the same time of purging cannot be seasonable for all, which it should be, if the aspects of the Moon were to be observed; for so it may fall out, that when Nature requires purging, the Moon may hinder it, and so all were to no purpose; and therefore have the most learned Physicians, as well ancient as moderne, with good grounds rejected these observations.
But it is more absurd and frivolous which they talk concerning the formes of remedies; An absurd opinion of Almanack makers. for seeing that the very [Page 252]same remedies may be prescribed by a Physician in forme of a Potion, Electuary, or Pills, even as he pleases, in vain is the Moons influence regarded. For it is an easie thing for a Physician to administer the Electuarie Hamech, Diasenna, Catholicon, or the like, in form of an Electuary, or to dissolve it in broth, distilled waters, or some other liquor, to make it a Potion. It seems those Astrologers do not know what Electuaries or Potions are; for although all Potions be not made of Electuaries, yet Electuaries may be changed into Potions; yea we commonly use the same purging Simples, Sene, Rubarb, Polypodie, &c. both for Potions and Electuaries. Physicians do prescribe a divers form of Physick, sometimes to please the sick, of whom some do more willingly take solid Medicines than liquid, others the contrary: Sometimes for the better purging of the remote parts, or because of the toughnesse of the matter, and other the like intentions. The same may be sayd of Pills, for even the ancient Physicians Aetius, Paulus, and others did dissolve Aloes, Coloquintida, and whatsoever we take in Pills, even what is most untoothsome of all, and gave [Page 253]them to the sick to be drunk, which we administer in a solid forme, because of their too much bitternesse; and that they may stay longer in the stomach, when we would draw from the head, and the remote parts. Lastly, it is to be observed, that what remedies soever are taken in a solid form, do melt in the stomach, before they put forth their strength into the body, which is all one, as if the Apothecary had dissolved them in some liquor; for both Nature and Art do the same thing. Yea those things that are administred in a liquid substance, do sooner beginne to work than the other, because they being already dissolved by Art, are more easily overcome by Nature; and therefore in Apoplexies, and other cold diseases, Physicians do dissolve Pillulae Cochiae which are very bitter, in Aqua vitae, or some such like water, that they may the sooner put forth their strength. In like manner, Another grosse Errour of Astrologers. that which Astrologers talk of bloodletting, is but vain and frivolous, for whatsoever the influence of the Moon be, bloodding is never good for a Flegmatick man, or for one that is sick of any disease that arises from Fleame, except together with the Fleame there [Page 254]be also an abundance of bloud. Galen likewise forbids to let melancholly men bloud, unlesse the bloud which is voided doe appeare to be melancholick. It is good only for cholerick and sanguine complexions; let the Moone be in what signe it will, if the disease, age, and strength of the party doe permit, and that for the reasons already alledged. And therefore Galen sayes well in his book de venae Sect. that we may let bloud at any time of the disease, if the indications of bloud-letting doe appeare, yea though it be on the twentieth day from the beginning of the discase. Now the indications are these, to wit, the greatness of the disease, and the strength of the party, and not the disposition and aspect of the Stars, which if we should observe, (as wee have already said) we should lose the opportunity of using convenient remedies, to the great hazard of the sick.
CHAP. XI. That it is not hurtfull to purge in the Dog-dayes.
SOme perhaps may be found, who slight, and laugh at the aforesaid observations [Page 255]of Astrologers; but who is he at this day that takes not notice of the Dog-dayes, A grosse errour. and feares not to take a purge at that time of the year, grounding that their conceit upon the 5th Aphorisme of Hippocrates his fourth book, where hee saith, That under the Dog, and before the Dog, cures are difficult. So that many, although they be at that time sick of those diseases which have need of blouding or purging, doe neverthelesse abhorre from the use of these remedies, not taking notice of these two things.
First, that in so doing, they leave the diseases to nature alone to bee cured, when it stands in most need of the help of Physick.
Secondly, if in the Dog-dayes diseases may be cured without Physick, why not also at any other time of the year, and so the use thereof might bee quite abandoned in curing of diseases? But let us weigh the reasons why Hippocrates said that purges are difficult in the Dog-dayes, which according to Galens Commentary seemes to be threefold.
First, because the body being inflamed through the heat of Summer, cannot [Page 256]endure the sharpnesse of Medicines.
Secondly, 2 because nature being feeble enough already by reason of the heat, is made weaker by purging.
Thirdly, 3 because the heat of the aire hinders purgation, for it drawes the humours from the center of the body to the circumference, and the Physick drawes them back againe to the center, and so there are made two contrary motions, so that there is either no purgation at all, or if any, it is very difficult. Neverthelesse these reasons are of small force in a cold Climate, because in England the heat is not so intense and violent in the Dog-dayes, (especially in the Kingston upon Hull. Northern parts of England, where I write this, where neverthelss they feare the biting of this Dog as much as in Spaine) and therefore there is no cause to feare that our bodyes should be too much inflamed, or that they should be weakned, or that the humours should be too forcibly drawn into the skin.
Again, our remedies are much more gentle than those which Hippocrates used, Our remedies are moregentle than the Ancients. as are Cassia, Tamarinds, Sene, Rubarb, and the like, which doe neither [Page 257]inflame the body, nor trouble the humours.
And Lastly, because though wee should use strong remedies, And our preparations better. yet we can so prepare them, and administer them in such a quantity, as shall offer no violence to the body. But seeing that Hippocrates his Country was exceeding hot, and that all his drugs that he used were very violent, and hot, it is no wonder that he was so wary of that time of the yeare. But in this Country those dayes are not so hot. Besides Hippocrates did not say absolutely that we must not purge at all in the Dogdayes, but only that purgation is difficult, not impossible; and therefore seeing that at this time of the yeare there are very many acute diseases, which cannot be cured without bloudletting, and purging, the Physicians of hot Countryes, as Spaine, Italy, the South parts of France, and the like, doe very wisely use purging remedies, but not so frequently, nor violent.
But some are of opinion, that wee should abstaine from purgation, not only because of the violent heat of the weather, but for the malignant effects of the Star; and the Ancients did attribute [Page 258]so much to this Star, It is accounted the most principall star of the first magnitude. that for eminencie sake they called it the Star, as having some more than ordinary power above the rest, not onely over the body, but the minde also; so that both men and beasts, especially dogs, are then more sick than at other times, and dogs are thought to go mad through its influence. Wherefore Galen also forbids blouding at this time: But all the mischiefes which Plinie reckons up to proceed from hence, are not of infallible credit, for they are seldome or never observed to happen here in England. Again, it is an absurd thing to think that any of the Stars are mischievous, for they are all benigne and propitious to man, and those things which the Ancients have written concerning this Star, doe not correspond to experience. We see every yeare there are divers degrees of heat, and not alwaies the same, because the power and influence of the Star is altered by the diversity of Conjunctions, and Aspects, so that those malignant effects (if there be any) of the Dog-star, may be hindred by the aspect of other Stars. Nor doth it necessarily follow, if there be a great hear this yeare, that there shall be the same [Page 259]the next yeare. Wherefore there is no cause alwayes to feare purgation under the Dog-star, or all the Dog-dayes; for if this day be exceeding hot, peradventure to morrow the weather will be more temperate, only at this time of the year we must use remedies more sparingly, and those not so strong as at other times; for even those remedies which Hippocrates did ordinarily administer to his Patients, are scarce at any time prescribed by us, no not in winter. To this our opinion do assent Ioubertus in his Popular Errours, Mercurialis, Argenterius, Hollerius in his Commentaries upon the forenamed Aphorisme, Fernelius, Fuchsius, Valleriola, Claudinus, Ʋallesius, and all that have written of this subject. It shall suffice us to conclude this Chapter with the testimony of Iacobus Hollerius, a most judicious and learned man. Note. This precept (saith he) takes place in Hippocrates his Country, and such like places, which are very hot, but not in these Countries, (now he speaks of Paris in France where he lived) for besides that we have gentle and easie medicines which we use, as Cassia, Catholicon, Asses milk, &c. We doe here experience no time of the year to be more wholsome and temperate (especially [Page 260]when the East-winde blowes) then the Dogge-dayes; so as experience shewes, that diseases begunne in June and July, are wont to terminate in August, even under the Dogge-starre. Wherefore if a disease happen in those daies, wee doe not feare many times to open a veine, and to administer strong Physick. Neverthelesse if there happen a vehement and canicular heat of weather, as we have in France oftentimes, even in the moneths of May and June, we follow the advice of Hippocrates, both in letting blood, and prescribing purges. Where he shews that that very number of daies is not to be regarded, but only the heat of the weather is to be observed, which if it happen in the Moneth of May, before the Canicular daies, yea what time soever it happens, Hippocrates his rule is to be observed. I might adde here, that there are divers opinions concerning the rising of the Dogge-star; for with the Ancients it rose sooner than now it doth, but with us it rises at those times when it is not wont to be so hot, and therefore at that time purgation ought lesse to be feared, concerning which thing we may see more at large in Dionysius Petavius a most learned man.
But that it may appear what great difference there is betwixt England and Greece, which was Hippocrates his country, we may observe what Hesiod saith, Lib. 2. operum. to wit, that their Harvest did begin at the rising of the Pleiades, at which time the Spring is scarce begun with us. For the Pleiades do rise in the Moneth of April, after the old account, or not long after the beginning of May.
CHAP. XII. That Purgations are often to bee reiterated.
BEcause Physick (as we have said) is tedious and irksome, many doe expect a perfect cure by one only purging medicine, and they think the disease exceeds the capacitie and skill of the Physician, and if after a Purge once taken, it be not cured. Nor are they willing to hear that the remedy is to be reiterated, little knowing for what causes Physicians are forced to renew Purgations. It were indeed to be wished, that diseases could be cured with one cathartick alone, which thing although it sometimes happens, yet it is not alwaies so; and truly a Drugge that makes a [Page 262]full and perfect purgation, Note ought not to be administred without diligent heed taken, because all vehement catharticks are exceeding adverse and hurtfull to nature: Therefore a perfect evacuation ought to be prescribed only when the strength of the sick can bear it, the matter but little and thinne, and nature it self leads the way, when the humours are fully concocted, and all the passages in the belly are open. But if the humours be not all concocted together, they must be evacuated at several times, beginning alwaies with the gentlest remedies. The same is to be done, if the sick be weak, or the humour abundant, for who can in a Cachexie is an evill state of the body, when all the nutriment turns to ill humours. Aph. 51. lib. 2. Cachexie draw all the vitious humours out of the body at once: And therefore Cachexie is an evill state of the body, when all the nutriment turns to ill humours. Aph. 51. lib. 2. Hippocrates thought it to be a very dangerous thing to evacuate very much at once, and suddenly. For if when Empyricks and Hydropicks are cauterized, or scarifyed, the matter and water should flow out all together, 27. Aph. lib. 6. they would dye assuredly, saith Hippocrates. If the letting of blood even to swouning doth not evacuate all the noxious humours, 8. Method. as the dejections of the belly, vomiting of choler, and sweats which follow do testifie; much [Page 263]lesse may we by a purgation, void out all that which is noxious and hurtfull to the body. It is therefore more safe to purge by little and little, according to the strength of the patient, condition of the part affected, nature and place of the humour offending, because all the humour is seldome after the same manner, and in the same place of the body, but is diffused through divers parts. Many times one part of it is concocted, another crude, one thinne, another thick, one quiet and still, another boysterous and in motion, all which cannot be throughly evacuated at once. Note. Therefore it is better to cure safely, though slowly, than quickly and with hazard: Wherefore they that be sick should not be any more peevish and froward, if a wise and learned Physician do counsell to reiterate purgations; for though the disease be already cured, yet they are very good for to take away the reliques of the disease, and to prevent a relapse.
CHAP. XIII. That purging pills should not be taken after Supper.
THis is no new errour, but hath been excellently refuted by many that have written of Physick, although some Physicians do maintain the custome. For many think, that when the head is to be purged, it is best to take Pills after supper, for so their vertue and strength is most commodiously carried up to the head, The humours drawn from the head to the stomach by the veines, and not by the throat. together with the vapour of the meat, which is false, namely that the humours are drawn from the head to the stomach by the throat and jawes and not by the veins, for so they might, if not altogether, yet for the most part be easily voided by spittle, neither doth the sick any time perceive any such deflux of the humour in the time of purgation, as Iulius Cesar Claudinus well observes, Cap. 9. lib. 2. in his most learned and excellent book, de ingressu ad infirmos. For in very deed there is the same time for administring Pills, that is for other Medicaments, namely the morning, after perfect concoction; for otherwise the force of the Medicine is dulled, and quite overwhelmed by the abundance [Page 265]of meat, and the meat it self is corrupted; for the Medicament drawes ill humours to the stomach, and mixes them with the meat, & besides it twitches the superiour orifice of the stomach, and so it may provoke vomit, as Galen saith; 4 De sanittuend. And Paulus blames them that use to administer Aloes in the evening, Lib. 7. cap. 4. and after meat, because it corrupts the meat, and doth not purge out choler at all. If therefore Aloes, Aloes not to be used after meat. which is such a gentle cathartick, may do so much hurt being taken after meat, what harm will ensue thereon, if strong purging Pills be taken before the meat be concocted? Therefore Pills are to be administred rather in the morning than at night. I know they may be given at other times for divers intentions, as at noon, and in the evening; but alwaies long after meat. Thus Galen in the evening did administer Pills made up of Aloes, Seammonie, and Coloquintida, but not after meat; for it is likely the sick had not then supped, both because his tongue was swollen, and he was sick, for they that be sick do seldome eat meat, unlesse by constraint. Concerning this subject, Fuchsius in his Paradoxes hath written more at large, and [Page 266]therefore thus much shall suffice in this place; for the sick do in this particular more easily and willingly obey Physicians, then in any other thing of as great consequence.
CHAP. XIIII. That Rhysicall potions may not onely bee taken hot, but cold also.
MAny are wont when they take purging potions, to warm them before they drink them, as if there were the same reason of medicines and broths, which custome I do not speak against, for so they seem to work sooner, and more quickly to bee reduced into act.
But yet they are to be informed, that they may as commodiously be drunk cold, in Summer time, into a hot stomach. For many of the Catharticks, which are ingredients in the composition of these Potions, do not well endure the fire; for their vertue exhales with a gentle heating, which if it doth not all perish, yet some part of it is abated, as may be seen in Rubarb, which being put to the fire, becomes slower in operation, as the extract thereof doth manifest, which is first made by infusion, [Page 267]whereby the tincture and vertue of the Rubarb is drawn out, and afterward by a gentle drying, it is brought to the consistence of an extract, so that a few drammes which are sufficient for many infusions, are scarce enough for one extract, because by drying the infusion, the purging vertue doth likewise evaporate.
Secondly, 2 a cold Potion is not so unpleasant to the mouth and palate as that which is hot.
Thirdly, being drunk cold, 3 it is more easily kept, and not so subject to be vomited up again, for all warm things do of their own nature overthrow the stomach, provoke vomit, and the sooner if they be also unpleasant and offensive to the stomach, as almost all Catharticks are.
CHAP. XV. That it is not hurtfull to take cold drinks on the day of purgation.
ALmost all men doe think it to be a heynous crime to drink cold drink on that day wherein one hath taken a Purge, but only hot drinks, as Possets, which are the only drinks now adaies in request, which custome I do not dislike, [Page 268]for they further the working of the purge, and deterge and cleanse the stomach from humours. Thus I read among the Ancients, that hot water is good after the taking of a purge.
First, 1 if it be a solid Medicine, to dissolve it.
Secondly, 2 to correct the mischievous quality of it.
And Thirdly, 3 to wash it from the tunicles of the stomach, lest it cleave thereunto. So likewise they used it after compleat purgation, to cleanse the stomach, to expell the reliques of the Drugges, as also to restrain the violence of it, if it hath purged too vehemently: and there is the same reason for the possets spoken of. Yet it is not alwaies necessary to forbid them cold drinks, Cold drinks good in some cases during purgation. for without harm, yea with very much profit they may be sometimes drunk. But some Physicians command cold water, if the stomach be hot, that the acrimony of the drugge may be taken away. So saith Aetius, Terrab. prim serm. 3. cap. 133. If they be easily purged, after they have drunk the medicine, wee will give them cold water to drink. John de Vega Viceroy of Sicilie being sick, took a purge which wrought but slowly: His Physician offered to the Viceroy [Page 269]the broth of a chicken without salt, but Philip Ingrassias that learned Physician comming to visit him, gave him a pint of cold water, with a little sugar, presently his disposition to vomit, and the gnawing of his stomach was stayed, and the purge wrought very well; then together with great thanks to Ingrassias, he gave him the silver bowle worth fifty Crownes, wherein he had drunk the cold water, as he himself relates in his book concerning the drinking of cold water after Physick. And Sanctorius hath the fame story in his comment upon the Art of Galen. We need not therefore so much fear cold drinks, as Beer or Ale, in them that are purged, especially at meales; for seeing it is permitted to take a little meat 4. or 5. hours after the Physick, why should coole drink be denyed, especially if he that is purged be not actually sick, but took Physick only to prevent diseases. But let us hear what Mesue a most excellent Writer saith. He in his third Theoreme, treating of the causes that hinder the working of a purge, saith that if it happen through the weaknesse and debility of nature, the working of it may be furthered by the drinking of a little cold water. If [Page 270]the expulsive facultie be feeble, or the operation and working of the medicament bee remisse and weake, give the sick a little water moderately cold, and an hower after some astringent thing, and thereby the Medicine will worke effectually. And in the same Chapter: If the Physick doe not worke, but cause grievous symptomes in the body, besides the forenamed helps (saith he) the drinking of very cold water (as Rusus saith) takes away the malignity and acrimonie of the Drugges. And in another place he blames them that drinke fat broths too soon after they have taken Physick, Theor. 4. cap. 5. canone. 1. because they do loose, soften, and fill the stomach, and so beget loathing of meat and nauseousnesse, although he confesses that there is a time to use them, and therefore he commands rather to use strengthning drinks, among which he reckons thinne wine, of a pleasant smell, and quick, allayed with water warmed a little with the sun or the fire. (Then he addes) but let him beware of sweet wine, thick and troubled, as also of water both exceeding hot, and extream cold; for the hot water looses the stomach, and dissipates the strength thereof, and the cold extinguishes the feeble [Page 271]and gentle heat of it. From whence it is evident and clear, that after one hath taken Physick, it may be sometimes lawfull to use cold drinks, and not to limit themselves alwaies to the use of their hot possets.
CHAP. XVI. Of them that will never be purged but in the beginning of the Spring.
MAny that are wont to be sick of an anniversary disease, to whom therfore some remedies are made familiar by custome, do neverthelesse only use them in the beginning of the Spring, fearing greatly the end of the Spring, as being too near the Summer, but herein they erre exceedingly. For these remedies are prescribed to preserve from diseases them that are yet in health, but would be sick, if it were not prevented with the use of Physick. Now this ought to be done especially during the Spring, because at that time of the year, the body is in its vigour and strength, and it is the most temperate season, and the humours which are as it were asleep in Winter, are stirred up by the heat of the Spring, whereby they do more easily yeeld to Nature and Physick [Page 272]also. But the same humour is not predominant in all, but divers in divers men, either in respect of their peculiar manner of living, or in regard of the particular natures of men; for some are Cholerick, and others Flegmatick, hence it is manifest, that neither the same evacuation, nor the same time of evacuation is convenient for all.
Secondly, 2 the Spring time in some places begin sooner, in others later, in respect of the diverse scituation of the countries. For Physicians do not limit the times of the year by the space of three Moneths, as Astrologers count them, but esteem them according to the temperature of the aire. Thus many times Winter is very cold and sharp in England, when the Sun enters into Aries, in the beginning of March, at which time Astrologers make the beginning of the Spring. Wherefore they that stand in need of the forenamed evacuations; let them take care that they be prescribed, not according to the computation of Moneths, but according to the temperature of the aire, yea though it were the end of May, May the best month for taking physick. which I account to be the safest and fittest Moneth for that businesse, because then the weather is [Page 273]most seasonable and temperate, most like unto naturall heat, and the strength of the body is most vigorous, like as in Countries that are much hotter than England. Physicians do preferre this Moneth. But Galen according to the diverse constitution of mens bodies, would have some to bee purged in the beginning, others in the end of the Spring. Best to purge the flegmatick in the be ginning of the Spring They in whom Fleame is predominant, must be purged in the beginning of the Spring; for the humours that are gathered together in Winter, are melted by the temperature of the Spring, so that except they be purged out, they are easily diffused throughout the whole body, and cause grievous diseases. But as for them that are cholerick, And the cholerick in the end. it is best to purge them in the end of the Spring, lest the hot humours be inflamed by the heat of the ensuing Summer, and so putrifie, and beget Feavers: Ad chap. 47. lib. 6. So saith Galen in his Commentaries. One that was wont every Spring to be sick of a Tertian, hath not been troubled with it these many years, I having purged him from choler in the end of the spring; for at that time it is best to purge such; but as for Epilepticks, Apoplecticks, Arthriticks, & Melancholicks, [Page 274]and as many as are sick through the grossenesse of the humours, are most fitly purged in the beginning of the spring.
CHAP. XVII. That purging ought not to bee rejected, although the sick doe eat no meate.
IT oftentimes happens to Physicians, that when they prescribe a Clyster, or a Purge for their Patients, the by-standers (especially women, and such as keep the sick, whom nothing can please, but they desire alwaies to dissent from Physicians) these, I say, doe intercede for the sick, that he is weak, and takes nothing at all, when notwithstanding in secret, they do preposterously urge him to eat meat, and do even glut him therewith. Yet it hath been often observed, that such as have so much loathed meat, have with a very gentle Clyster, voided many excrements dried and hardened with the violent heat of the Feaver. And it is to be noted, that purging is not prescribed onely for the emptying of the belly, but to purge out morbous humours, for that want of appetite [Page 275]to meat, wherewith the sick are usually troubled, doth arise from vitious humours, which requires purging out, which being evacuated, the appetite and stomach to meat doth come againe. For the loathing of meat, bitternesse of the mouth, and other the like symptomes, doe manifest that purgation is necessary, saith Hippocrates: Aph. 17. lib. 4. Loathing of meate, paine of the heart, dizzinesse of the head, and bitternesse of the mouth in one that hath a Feaver; doe note that there is need of a vomit. For these symptomes are caused by the humours which lay about the mouth of the stomach. Therefore though the sick take nothing, yet they have lurking within their bodies many vitious humours, which unlesse they be voyded out by a Cathartick, the appetite will never returne of it selfe, but the disease becomes every day worse than other, and perhaps at length is made incurable.
CHAP. XVIII. That a Purge is not much to bee disliked, because sometimes it is cast back by vomit.
I Have sometimes heard the sick complaine, that when they have a Cathartick, whereby they should have been purged downward, a contrary effect succeeded, and they were purged upward, to wit, by vomit, which manner of evacuation is indeed very troublesome; for vomits do usually offer much violence unto nature. Now they must know, that it may often come to passe, that the working of the Physick may be changed, and a purge become a vomit, and a vomit a purge. The body indeed by an ordinance of nature, is emptied rather by siege than by the mouth; for the belly seemes to have been created for that purpose, as also the humours by their proper inclination do flow to the belly, and there are a great many Mesairaick veines that carry the humours unto the guts. Now a purging medicine becomes a vomit, either by reason of the medicine it self, or by reason of the sick.
Of the Medicine; 1 First, if it be strong, [Page 277]and do greatly provoke and pull the mouth of the stomach.
Secondly, if it be very unpleasant, 2 of a strong smell, stinking, and noysome to the stomach.
Thirdly, if it be light, thinne, 3 and do easily swimme above, as if it be mixed with fat or oyly things.
Fourthly, if it engender windinesse, 4(as Sene, Epithymum, Agarick) which windy vapours being carried up to the orifice of the stomach, do trouble it, and so provoke vomit.
Fifthly, 5 if it be taken in a very great quantitie, and by these means not onely medicine, but meat also may cause vomit. Also sometimes by reason of the sick a Purge becomes a vomit: as if he be of a very weake stomach, and exquisite sense, if hee looke upon things that are unpleasant to him, smell such as are noysome and stinking, or use violent motion; for motion causes vomiting, as appeares in them that saile upon the water. Furthermore it is to be noted, that when one hath taken Physick, if after an houre or two he vomit it up again, there is no danger at all; for in that space the Medicine is dissolved by the heat of the body, and (as [Page 278]Physicians speak) is brought into act, and so doth diffuse its vertue throughout the whole body, whereby it purges no lesse than if it had been all kept in the body, It is sometimes good to vomit after one hath taken a purge. Yea many times it is very good to vomit it up; for it carries out with it grosse, flegmatick, and other such humours, that stick fast to the stomach, which happily it had never purged out by the stoole. Wherefore it is not to be imputed as a fault, to the Physician, or the Apothecary, if the Physick do sometimes work the contrary way, for thereby no harme at all, but many times a great deale of good doth come to the sick.
CHAP. XIX. That purging ought not to be feared, though there be a flux of the belly.
THe common people many times wonder at it, and think it a needlesse thing, yea and dangerous, when one hath a flux of the belly, that Physicians do sometimes prescribe a purge, which is rather a means to encrease the flux, and to weaken and spend the strength of the sick: But the thing is quite contrary; for nothing doth stay the belly like to a purge. In health it [Page 279]is good sometimes to bee loose in the belly, so as it be not too great a laske, nor impaire the strength, if so be (as Celsus saith) it stay within seven daies; But in them that be sick, it is sometimes good, sometimes evill to have a laske, in respect of the diverse nature of the disease, constitution of the sick, and time, as if it be a criticall flux, if such things be voided as ought to bee, and it be such as the sick is well able to bear. Therefore sometimes it is to bee let alone, sometimes to be stayed; but if it be stayed by astringent remedies, the noxious humour being retained in the body, is oftentimes the cause of a greater evill to the body, and corrupts and infects by its contagion the rest of the humours, whereby afterwards the noble parts are hurt, or else the flux returns worse, and is more malignant than before. It is a common proverbe among Physicians, The causes of diseases must be taken away, before the diseases themselves can be cured. So likewise in such a flux, the safest way to cure it, is by taking away the cause, which thing purging among other remedies doth most fitly and safely perform, so that the working of it, the flux either staies of its [Page 280]owne accord, or if it doe not stay, yet it may more commodiously, and without danger bee stopped by astringent remedies. I have often seen the sick, which by reason of a lask went to the stoole many times every day, whose loosenesse was stayed by a purge of Rubarb, to which, though sore against their wills, I had perswaded them, which nature of it self could scarce have cured. Therefore it is a common axiome among Physicians, one flux is cured by another, and one vomit by another, not that all diseases are cured by their like, but by accident only, insomuch as the causes of the flux being voided out, the flux stayes of its owne accord.
CHAP. XX. That the use of Clysters is void of danger.
MAny reject clysters, as being perillous and dangerous Physick, but they are grossely mistaken, for clysters are the most gentle and innocent Physick of all, for they never touch any noble part, in that they goe not beyond the great guts, and therefore if the disease require it, we sometimes [Page 281]adde to them very sharp remedies, which another part of the body cannot endure, and yet they are administred without any harine to the body at all. Much lesse can mollifying and cooling clysters hurt the body, which we prescribe in feavers, and other diseases, in which there is nothing, except the quantity, which might not be taken by the mouth. Clysters good in many respects. Now a clyster is profitable for divers parts of the body, as the braine, the eyes, the stomack, and all the inward parts; for it doth not only loosen the belly, but also by its liquid substance, it doth deterge and cleanse the tunicles of the bowels from many grosse and viscous humours which cleave thereto; and besides, it lyes like a fomentation upon the kidneys, and the bowels, and therefore it oftentimes brings that out of the body, which a reiterated purgation can never doe. Galen experienced this in himselfe, who being grievously tormented with the cholick, with a clyster made of the oyle of Rue, purged out grosse, tough, and viscous fleagm. Seeing then the use of clysters may be so profitable, they need not for the future be feared, but ought rather to [Page 282]be more familiarly used. 3 things necessary to be conside [...]ed. Therefore I would admonish the people of three things.
First, 1 that they use a clyster before bloud letting, and unto this doe all Physicians advise, lest the impurity of that first region bee attracted by the empty veines, and so the bloud bee tainted.
Secondly, 2 that if the belly be costive, and there seems to be a necessity of taking a purge by the mouth, it be first asswaged with a gentle clyster, that the excrements may be more easily voided out. For the belly being costive, hinders the operation of the cathartick; and seeing there is in every medicament a certaine generall vertue, and propensity to purge out the excrements, besides that proper power, whereby it doth draw unto it selfe by a peculiar propriety the humours that are most familiar to it, if the belly be very costive, and the excrements hard, they they cannot be extruded without great paine, and gripings of the guts, and many times the strength of the Physick is spent in thrusting them out, and the humours that are attracted by the Physick, not being purged out, but kept [Page 283]within the bowels, cause gripings, the pain of the colick, vomiting, frenzie, dizzinesse of the head, and many such symptomes. Hippocrates seems to have pointed at this, when he saith, Aph. 9. lib. 2. If one would purge, let him first make the belly soluble. Now seeing that by many wayes the belly may bee made soluble, this by preparing clysters is not to be neglected, and Galen commends this counsell. Sect. 4. d [...] victu acut. * Et aph. 72. lib. 7. And in another place Hippocrates saith; When one would purge the belly, it is good to make it soluble; and if thou wouldest make it fluxive upwards, it is good to stay the belly; if downwards, to moisten it. Now the belly cannot be more fitly moistned than with a clyster. Thus Galen shewing for whom purging is convenient, among the causes through which evacuation succeeds not well, when one hath taken Physick, reckons this for one: Oftentimes (saith he) hard and dry ordure in some of the guts, hinders evacuation.
Thirdly, not only before purgation, but also after, it will not be amisse to inject a gentle deterging clyster, (as the best Physicians doe advise) for to wash away the reliques of the humours, which sometimes stick to the bowels. [Page 284]For a clyster cleanses the guts, and taketh away whatsoever noxious matter is left after a strong medicine, especially if it bee of that sort of medicines which have Scammony for an ingredient; for it by the sharpnesse and acrimonie thereof, doth corrode the intestines; and there is the same reason concerning all other strong medicines, as among others, Valleriola saies well in lib. 3. locor. com. cap. 16.
CHAP. XXI. That Clysters are not well injected by bladders.
SEeing then the administring of Clysters is such wholsome, facile, and harmlesse Physick, we will in brief observe somewhat touching that manner of injecting clysters by an oxes bladder tyed to a pipe. This I confesse is no very grosse errour, for we see it many times well enough injected this way, and it seemes to be the ancientest custome, for I read in Galens fifth book of Method, that the use of such bladders was very frequent in old time: But now it is left off in many places beyond the Seas, and that manner of injecting is altogether unknowne, but [Page 285]they use a Syringe, or a hollow pipe of tin, or brasse, and that with better conveniencie, for it is both more easily injected, and also more safely, A near way for injecting Clysters. and sooner, and which availes very much in this businesse, it goes higher, and passes into all the great guts. For seeing naturally a clyster doth not go beyond the great guts, by reason of a certaine valvule placed in the beginning of the gut Colon, and the end of Ilion, it would be much to the commodity of the sick, if a clyster could but goe so farre, for so a great benefit would accrew to them by the washing of the guts. But a clyster that is injected by a bladder doth not ascend so high, but stayes in the strait gut, and in the beginning of Colon. It were well therefore that these Syringes were brought into use, of which almost all our Apothecaries, except those of London, are destitute. But sometimes it happens that a clyster is vomited out of the mouth, although but seldome; I do not remember that ever I observed it, save twice in two patients, which happens when the forenamed valvule is loosed by reason of a vitiated and corrupted peristaltick motion of the bowels, which [Page 286]opens an unwonted passage to the liquor, yet how this can be done, I doe not conceive. I would rather think it comes to passe, because the aforesaid Valvule is broken by some preternaturall cause, and cannot any more execute its office. Therefore if any man that is ignorant of the art of Physick, chance to observe such a thing, let him neither blame the Physician nor the Clyster, seeing that no Physician can foreknow this, but let him accuse the particular constitution of the sick, and know that nothing happens then, which hath not been heretofore, nor let him be troubled at such an event.
CHAP. XXII. Of vomits, that possets ought not to be drunk immediately after one hath taken a vomit.
IT is not my purpose in this Chapter to treat of the commoditie and profitablenesse of vomits to the body of man, I wil only give notice of thus much about the use therof, that there are some Vomitories which do only cleanse the stomach, and others which draw humours from all the parts of the body, which in sundry diseases are more profitable [Page 287]than the former. When therefore one hath taken a vomit, let him not hasten as many do, to the use of possets; for by filling the stomack, they do too soon stirre up the working of the vomit, which is thereby cast out of the stomach, before it hath diffused its vertue into the whole body, and so it doth not at all attract the noxious humours, and yet molests the stomach not a whit the lesse. But let him rather rest awhile, till it be reduced into act, and work twice or thrice without taking any drink at all: Thus wee shall be sure, that only those things which be hurtfull in the stomach and body, shall be voided out.
Where it is to be noted, that posset drinks are not prescribed by Physicians that they may further the operation of the vomit; For what posset drink is prescribed in vomits. for in the beginning they rather dull and diminish the strength and vertue of it, but only to take away the irksomnesse of vomiting, namely, that the stomach may be more easily overwhelmed, for many times repletion alone doth cause vomiting, otherwise it were better to take nothing at all, that the Physick not being altered by [Page 288]any mixture of meat or drink, might draw nothing but the noxious humours into the stomach. But perhaps some say, that Paulus and Aetius two famous Physicians did prescribe a vomit after meat, when there is a feaver of a long durance: And Avicenne is also of the same minde, speaking of the cure of an impure Tertian. And know (saith hee) that nothing helps them more then a vomit after meat. Canon. 4. tract. [...]. cap. 40. Galen likewise prescribes a vomit after meat, but Alexander Trallianus blames him, because it is better to provoke vomit before meat, which is true for the forenamed reasons. For a vomit after meat purges the stomach only, and the humours contained therein, and not them which are in the veins, unlesse with a very great forcing of nature. I must needs comfesse therefore that the patient doth vomit the easier after meat, but with lesse commoditie: But if the sick be prone and apt to vomit, it is better to provoke vomit fasting, and before meat or drinke; for so the Physick drawes the humours better out of the veines. Gentilis and Ar [...]ularius two most excellent interpreters of Avicenne, are of this opinion, in the [Page 289]Chapter of the cure of a quartane Feaver. If the patient vomit easily, it may be administred before meat, to draw melancholy from the Spleen to the stomach: But if it come difficultly, it is better to give it after meat, that he may vomit the easier, which may also be applyed to drink taken presently after. If therefore the vomit be prescribed, only for emptying the stomach from grosse humours, it will not be amisse first to eat or drink, or at least presently after. But if the whole body be to be cleansed, it must be taken fasting, and the patient must not eat nor drink any thing after, untill the vertue of the Medicine brought into act, hath penetrated the whole body, because immediately after the taking of drink, the attractive vertue of the remedie is dulled. Therefore those possets should not be taken before the patient hath vomited once or twice; Best to vomit once or twice before one take the posset drink. but afterwards they may be taken, that the sick may vomit the easier, and the grosse humours bee better dissolved, and cast out. The same hath Hartman a late Chymicall writer in his Notes upon Crollius observed, who forbids to drink immediately after the taking of a vomit, untill the patient hath vomited two or three times; for [Page 290]otherwise it dulls the force of the medicine, but when the humours have been sufficiently moved, hee permits a good draught, and in the end for to cleanse the stomach, and evacuate the reliques.
CHAP. XXIII. That old men may bee blooded without danger.
THe common people most commonly are disposed to thwart and contradict Physicians, which as in many other particulars may bee seen in this, that if one be sick of a Fever, wherein it is profitable, yea necessary to let blood, they are ready to excuse declining age, as not able to endure this remedy, and this I have often heard of some not fifty yeares old, and otherwise very strong, and vigorous. Indeed in the administration of all remedies, the strength of the patient ought especially to be regarded, insomuch as if it be defective, we must withhold strong remedies even from a boy, or a young man. But because there is not the same duration and continuance of strength in all, but some at threescore and ten are more cheerfull and vigorous than others at fifty, the [Page 291]Physician regards not so much the number of yeares, Physicians regard not the number of years but strength. as the strength and vigour of the sick. Therefore if a strong old man be troubled with the Pleurisie, inflammation of the Lungs, burning Fever, or other such diseases, there is no doubt but he may, and ought to be let blood, for these diseases can scarce bee cured without this remedy; but if the sick have not strength to endure the remedie, he must of necessity perish, and so all diseases in old men should be mortall. Galen himselfe in his booke of Phlebotomie prescribes blooding for old men of threescore and ten years, and I my self have seen a man threescore and thirteene years old, who was let blood, foure times within the space of three daies, and had thirty ounces of blood at the least taken from him. Rhazes also did let blood in a decrepit old man, which was sick of a grievous Pleurisie. Therefore age is not to be measured by the number of years, but by the strength of the patient, which if it be vigorous in very old men, why shall remedies, necessary for their diseases, bee denied them? It is indeed certain, that every old man is weaker than when he was young, and therefore hee must bee let [Page 292]blood more sparingly than if he were yet young, neverthesse it may be that if hee were compared to another young man, he would bee found stronger than he, and more able to endure physick. There is then no age, except decrepit old age, but it may endure some evacuation. Now decrepit old age, because it hath but little blood, and very many raw humours, is unfit for this remedie. But the other ages, that are in the middle betwixt the first and the last, have their degrees of strength, and therefore doe admit of some sort of evacuation. This did Cornelius Celsus teach very well. Lib. 2. cap. 10. It is no matter (saith he) what the age is, or what is within the body, but what the strength is. Seeing then this is a thing not doubted of among Physicians, the sick ought not to gainsay, if at any time a Physician command blood-letting, for any man though hee bee well stricken with age. The same may be said of children before they be fourteen years old; for even childhood hath its strength, Children may bee purged or blooded. for even childhood hath its strength, and vigour, according to the proportion whereof, why shall it not be lawfull to evacuate, especially if he be a boy of a good habit of body, with large veines; well and freely educated. They endure [Page 293]purging, why not also blouding? They are wont sometimes to bee wounded, and to bleed very much, without any harme at all to them, why may they not also abide artificiall emission of bloud? There is therefore no age which may not endure some measure of evacuation. Wherefore seeing that properly the disease and strength onely are necessary marks to direct unto this remedy, they alone are to bee considered, and not the age, except as it doth concur with them.
CHAP. XXIV. That it is but a vaine thing to bee so curious in the choice of the veines in the arme.
SEeing that the veines in the arme are wont to be opened, either for preservation from diseases, or for curation of diseases, therefore the sick doe many times aske what veine is to be opened. For they have heard something touching the distribution of the veines in the arme, one of which they depute to the head, another to the liver, the third they make doubtfull, available for either of these two regions of the body; which opinion not Galen [Page 294]nor Hippocrates, but the moderne Physicians did set abroach, before the clear knowledge of Anatomy, which at this day the people do follow, and not they only, but also very many practitioners in Physick are still in the same errour, meerly out of their ignorance of Anatomy. It is manifest enough that all the veines of the arme, in that they proceed from one and the same trunck, do evacuate from the same parts, and that which is called the cephalick vein, and is referred to the head, doth no lesse evacuate from the liver, than that which they call the basilick and liver vein, although this same cephalick veine, because it sometimes receives a little branch from the head, is thought to be more profitable for the affects of the head, yet both of them do equally help the diseases of the inward parts, and draw bloud alike from the hollow vein. And in very deed these termes basilick and cephalick, although they be Greek words, were neverthelesse unknowne to Galen, Hippocrates, and others, but were invented by late writers, which did ill in bringing in this opinion concerning the choice of veines. Which thing, that it may more plainly [Page 295]appeare, wee will describe the originall and beginning of the veines in the arm.
The hollow vein ascending out of the Liver to the upper parts, An anatomicall difcourse of the distribution of the veines in the arm as soone as it comes to the channell bones, is divided into large branches, which take their name Subclavij, from the situation of the part, because they lye under the throat, and channell bones, which are called Claviculae. One part of these branches sends out many veins within the breast; the other part, springing forth of the breast, is carried to the arme-holes, which are called in latine Axillae, from whence it hath the name Axillaris, and in the beginning of the arme, is divided into two great branches, called the cephalick and basilick veines, in bruits the cephalick hath its beginning from the jugular, but in men alwayes from the axillar veine, neverthelesse it doth receive a little small branch from the externall iugular veine. From these two branches doe all the veines of the arme arise, which are carried unto the extremities of the fingers, which now to describe is altogether needlesse, it being sufficient for our purpose to have shewn their beginning. Seeing then all [Page 296]the veines which are in the arm do proceed from one and the same trunck of the hollow veine in the throat, in vain is one chosen rather than another, for they all draw bloud from the same fountaine. And lest it should seem to be onely our owne private opinion, know that even the best Anatomists do assent thereto. Vesalius, the chief of all the Auatomists that ever were yet, Lib. 3. Anatomes. cap. 8. although he seemes to derive the cephalick from the externall jugular, yet he saith, our Aesculapij (forsooth) do ridiculoufly contend, whether the shoulder veine, or the common, or the axillar veine must be divided in the hand, as if some peculiar veine from every affected part of the body, might bee found in the arme, when indeed from one only trunk of the hollow vein divided in the throat, all the veines of the arme doe proceed, as in that place he declares more at large. To him assents Boehinus in his Theatre of Anatomy, where he affirmes, that it is but a triviall thing to bee so curious in the choice of those veines, seeing that each of them have the same beginning, Quae magis turget magis urget. wherfore hee counsels alwayes to take that which is most * conspicuous. Of the [Page 297]same opinion is Riolanus in his Anthropography; Gabriel Fallopius in his institutions of Anatomy; Bartholinus, and other Physicians that excelled in the knowledg of Anatomy.
CHHP. XXV. That it were better to observe the quantity of bloud by measures, then by ounces, pounds, and weights.
IT is an ordinary thing, not only with the people, but also with Physicians, when they let bloud, to define the quantity thereof by ounces and pounds, which also was Galens custome, who sometimes drew bloud even to many pounds. If this be a commendable custome, then they should alwayes have weights at hand, that the weight of the bloud that is drawn out, may be certainly known, which they have not, but both the Physicians, and the bystanders do guesse thereat. Bloud-letting (saith Hippocrates) is comprehended under the head, called the emptying of the vessels, 2 aph. lib. 1. and is not used but when the bloud is faulty; now the bloud is not faulty in weight, but in quantity, or quality. And though it be heavy, yet it is not drawne out for that, but [Page 298]because of the quantity, or some other fault: now the quantity of liquids is better discerned by measures than by weights, for one bloud is heavier than another. As for example; let us suppose Titius his bloud to bee heavy, he having a plethore, or fulnesse thereof ad vasa, and Sempronius his bloud to bee light, he having a fulnesse thereof ad vires, if you take six ounces of bloud from each of them, Titius his bloud, because it is heavier, will be contained in fewer vessels, and Sempronius his bloud, because it is lighter, will fill more vessels. So that if from each of them the same weight of bloud bee taken, yet the latter hath bled more than the former. The bloud in the veines and arteries is contained as it were in vessels. Now repletion, or inanition, hath reference to vessels. A pitcher that is half full of iron, or heavy stones, is not so full, as if it were filled to the top with the most light spirit of wine, although the former weigh heavier. So likewise in emptying a vessell, he takes more away, that out of one vessell drawes a pottle of the spirit of wine, than he that out of another takes half a pottle of stones, although perhaps this weighs [Page 299]heavier. Seeing then there is the same reason in bloud, because one is more ponderous than another, if in letting bloud we only consider its weight, we shall never define well the quantity thereof; for it is contained in the veins not as heavy, but as filling, unlesse one imagine the same ponderosity and weight of bloud in all men, which I think no man will dare to affirm. The quantity of bloud (saith Galen) is indicated by the more or lesse faultinesse of it, and by the strength of the party, and according to these two, is more or lesse bloud to be drawne. So that in a great distemper of the bloud, the strength being vigorous, we must use a larger evacuation; but in a light distemper, the strength being feeble, we must let bloud more sparingly. But if you judge of the quantity by the weight, it may so fall out, that when the sick is feeble in strength, you may draw more bloud than when he is most lively & vigorous, which is a grosse trespasse against the rules of Physick. For if in debility of strength the bloud be lighter, and in validity of strength it be heavier, if in this latter case you take halfe a pound of bloud, and in [Page 300]the former but foure ounces, the vessels into which these foure ounces are taken, will be as full by reason of the levity of the bloud, as those vessels which receive the half pound of the other ponderous bloud, and so the same quantity of bloud is taken from them both, which should not have been done. Nor do I see any reason, why the drawing of bloud should bee defined by weight, more than the dejections of the belly in a purgation, seeing that out of the veines the humours also are purged; for under the manition of the vessels is purging contained, as faith Hippocrates. 2 aph. lib. 1. Seeing therefore the vessels are not replete with any thing, as heavy, for the capacity of the vessels is not varied, although the weight of the contents be different; and it is apparent, that a greater quantity of oyle than of honey goes to an ounce; it will be better for the future, if the quantity of bloud be accounted by measures, and not by ounces, and pounds, seeing the judgment thereof may be so deceitfull. I know there were among the Ancients as well pounds in measure, as in weight, for their vessels were drawn about with lines, whereby the pounds and ounces [Page 301]were marked out, and whatsoever they measured after this manner, they called Mensurall: As for example, a mensurall pound of oyle or wine, which perhaps Galen meant, when he drew bloud according to ounces and pounds. But because the things that were measured were of divers weight, the pound in weight did seldome countervaile the pound in measure: for though there may be the same measure of oyl, wine, and hony, yet there is not the same weight, and therefore that manner of measuring was very uncertaine, and we now adayes have no such vessels as doe marke out ounces and pounds, nor if wee had plenty of them, could wee use them, without a manifest errour, in respect of the different weight of the bloud. Therefore though I doe not disallow the received custome, yet I thinke it safer to judge of the quantity of bloud by measure, than by weight.
CHAP. XXVI. That Sleep and Drink ought not to be wholly forbidden after bloud-letting.
AMong many observations of the people, this is not the least, that they are very wary lest the sick sleep, or eat [Page 302]and drink presently after he hath been let bloud, which was also the opinion of some Physicians, because they think the bloud returnes to the heart, which neverthelesse is not alwayes true, except there bee an immoderate evacuation of bloud, or timorousness, which may cause swouning. However, no reason enforces that that return of the bloud should be so pernicious.
And first concerning sleep: the bloud is wont in sleep to recoile into the inward parts, to the exceeding great refreshment of nature: The benefit of sleep to the sick. Now in them that be sick, who have not slept for many nights, all men know what great benefit a little sleep affords, for it repaires the strength, concocts the morbous humours, and corrects them; wherefore we are oftentimes forced to apply remedies to provoke sleep. Therefore if immediately, or a little after bloudletting sleep doe ensue, it may be good, both as a signe, and a cause. As a signe, because it shewes that nature which was oppressed with the morbous humours, is now refreshed, and so doth performe its naturall functions. As a cause, it may be good, because when once sleep ensues, nature doth concoct the remainder [Page 303]of the morbous humour. In what cases sleep is forbidden. I know in some diseases sleep is not good, as in the inflammations of the internall parts, in the beginnings of fits, and in pestilentiall diseases. Therefore in those diseases, it is not good to sleep immediately after bloud-letting; but in other diseases, I see no reason why the Patient may not sleep. Galen saith, that if the sick after long and tedious watching do fall to sleep, it indicates a perfect crisis, for sometimes it falls out, Ex 2 Prorhetic. * that the sick after the crisis sleeps a whole day, especially when he hath not slept, of a long time before, and that to the great solace and refreshment of nature. Yea sometimes it happens that the sick sleeps in the very crisis. If therefore sleep be good after other evacuations, why not also after bleeding? Moreover, sometimes it falls out, that in some feavers, such a preternaturall sleep possesses the sick, that he can scarce be awakened, and yet many times in such feavers it is very good to let bloud, as of late I did to a woman that lay in an acute feaver, possessed with an heavy sleep, who otherwise had scarce recovered, being adjudged of all as a dying woman. If therefore with good success [Page 304]bloud may be drawne from one that is actually asleep, why shall sleep be hurtfull immediatly after blouding? Galen seemes to account it a good thing, 9 method. cap. 4. that the sick after blouding falls into a sound sleep. Two houres (saith he) after hee was let bloud, having given him a little meat, and commended him to rest, I departed: And returning at the fifth houre, I found him lying in a sound sleep, insomuch as he did not feele me when I touched him. Then comming againe at the tenth houre, I found him still fast asleep; Afterward having beene abroad to visit some other Patients, I came againe in the fifth houre of the night, not being silent as before, but of purpose with a loud voice to awake him from his sleep. But perhaps some will say Galen did not command sleep, till two hours after bloudletting. I answer, it had been well, if the sick could have slept immediately after he had been let bloud; and in no place doth Galen disallow that, for we know we cannot alwayes sleep when we desire it. But seeing the aforesaid sick man could not sleep, comming againe two houres after, he bade him lye still, that he might sleep, which Galen had not done, if he had judged sleep to [Page 305]be hurtfull after blooding. If any man object, that sleep is prohibited lest the ligature should be loosed, and the patient bleed againe; that is nothing; for that may be prevented by the diligent care of the by-standers, and the sure binding of it. As touching drink, Good to drink after bleeding. Amatus the Portugall proves that it is not hurtfull immediately after blood-letting, but very wholsome, commanding that the patient doe presently drinke a little cold water; for in regard that the veines are emptied, it is instantly distributed into the whole body, and doth both easier, sooner, and safelier coole the body.
CHAP. XXVII. That blooding and purging is not hurtfull for women with child.
ANd this Errour is none of the least, that if a woman with childe be sick, they will not suffer her to take Physick, nor to be let bloud, for fear of an aborsement; which is contrary to reason, the authority of the Ancients, and daily experience.
To reason, 1 because a woman that labours with an acute disease, as a Fever; or a Pleurisie, is in very great danger, as [Page 306]saith Hippocrates, Aph. 30. ib. 5. * it is mortall for a woman with childe to be taken with an acute disease. Fevers in women with child are most dangerous. Therefore no delay is to be made in applying remedies. Again, in respect that the child is nourished with the mothers blood, if she be sick, there is danger, lest through that sicknesse, and the corruption of the blood, the childe perish, which if it happen, as sometimes it doth, then is the mother in danger, both by reason of the disease, and of the dead childe, namely, lest she being weakened by the disease, the childe dye through putrefaction of the blood, and she bee not able to bear the childe; at least never doth an aborsement happen without danger. Now it is evident enough, that these evills cannot be prevented without taking away the cause (for indeed no disease can be cured otherwise) and the cause cannot be taken away without blood-letting, The disease is not cured till the causes be taken away. or purging. They that think it such a dangerous thing for women to use these remedies, and thereupon do not admit of them, let them seriously consider this: Note. If a Physician can cure a woman with childe sick of a putrid Fever, without blood-letting or purging, much more easily may he cure her of the same disease without these remedies, [Page 307]when she is not with childe, and so the use of them might be quite abandoned. But if he cannot cure her not being with childe without those remedies, he cannot then cure her being with childe, and sick of the same disease. For the same disease indicates the same remedie, and the being with child doth not take away the indication of the disease, but onely after a sort alters the quantity of remedies, and the manner of using them. Yea much rather are these remedies to be used in women with childe, inasmuch as they stand in greater need of help than others. But they think that all the nourishment is drawn from the childe by blood-letting, and that there is danger of abortion by purging, and other remedies: The danger to the childe is from the disease, not the remedy All this while not knowing that great danger hangs over the childe, by reason of the blood being corrupted, to wit, lest it die, and kill the mother, who is already weakened with the disease, so that there is more danger of abortion from the disease than from the remedy. And first we must never take away such a great quantitie of blood, as that thereby nourishment should be withdrawn from the infant, but rather we observe, that the [Page 308]infant becomes more lively after the corrupt blood is taken away; The child becomes more lively after bleeding. for there is blood enough left behinde to suffice both the child, and its mother. Again, a purgation, especially a gentle one, although reiterated if need stand, can do no hurt, A woman with child may take a purge, being given by a discreet Physician. but rather good, for the strength of the Physick doth scarce reach unto the childe, or at least in such a long circuit, the noxious part of its strength is lost. But what if it should attaine to the childe, yet it cannot kill it, if it be exhibited in a moderate quantity. Onely the blood comes unto the the childe, which by vertue of the Physick is purged from noxious humours. Also in women with childe the wombe resists it much, for the safeguard of the infant; for in them the retentive faculty is more busie then the expulsive.
This Errour Secondly oppugnes Authoritie, 2 for Hippocrates commends purging for women with childe, from the fourth Moneth till the seventh. Women with childe may take Physick, if there be an ebullition of humours in them, Sect 4. aph. 1. from the fourth moneth till the seventh, onely they must bee more gently dealtly withall than others, but when the infant is younger than this, or elder, it is best wholly to abstaine. [Page 309]Which if it were Hippocrates his opinion notwithstanding the vehemency of his remedies, Our purges more safe then the Ancients were. much more is it true of ours which are farre more gentle; for the purgations of the Ancients were more dangerous than ours.
Againe, Experience testifies, 3 that the childe cannot bee so easily expelled by the use of physick, 7. Epid. as the history of Harpalaus his sister manifests, who being foure moneths gone with childe, and sick of a Dropsie and Asthma, the infant being so weak that it had not stirred of a long time, tooke Aethiopian Cumin with honey and wine, which though it was exceeding bitter, diuretick, and therefore of great force to provoke the flowers, yet being discreetly used did her good, and neither hurt the child nor provoked her flowers; intimating thus much, that the child is not alwaies killed by taking Physick, unlesse the Physick be very strong, and constantly used. There is a notable story out of Avenzoar, whereof we have made mention in another place, who not knowing that his wife was with childe, did administer unto her exceeding strong physick, and yet the childe was not hurt thereby. I will (saith he) relate what befell [Page 310]me while I was in the prison of Haly, my wife was with childe, and I knew it not, and she was troubled with such a discase, that of necessitie I was to give her a purge, and such an one it was, that none would thinke, that a woman with childe taking it, in but a small quantitie, could save her childe unhurt, and yet shee tooke it without any harme to her selfe or her childe; but when afterward I perceived that shee was with childe, I was sorry for that mistake, and craved pardon for it of God, and shee brought forth a sonne, whom I have now at home with me. Thus Avenzoar a Physician of principall note among the Arabians. Hercules Saxonia writes, that while he was as yet in his mothers wombe, and Physicians thought him to be a Or false conception Mole, they administred very strongremedies to cast out the Mole, but all in vaine; for the infant remained unhurt, and afterwards became a most excellent interpreter of Physick. This happens oftentimes, because the force of the Physick is much weakened before it come to the infant, and the wombe endeavours to its utmost to keep in the childe, and but with great violence will not part with it before the time. There is another reason taken from the [Page 311]birth; for when the womb endeavours to put forth the perfect infant, then doe these remedies help the travail, but they availe little or nothing when the womb strives to retaine the infant. I have often seen blooding and purging, even in the eigth moneth, prescribed with good successe, for women that laboured with an acute disease.
CHAP. XXVIII. That Physick is good for women in child-bed.
WHat wee have said of women with childe, may be said likewise of women in childbed, if they bee sick of acute diseases, as a Fever, Pleurisie, and such like; for they are wont to bee troubled with many diseases, in that very respect that they are in childebed; but there is a different reason between them and women with childe; for in women with childe their flowers are stopped, and doe never flow without danger to the infant; but in women in childbed, the humours that were gathered together in the matrix do flow out, and are never suppressed but with very much danger, and thereby they fall into grievous diseases, for [Page 312]the curing of which Physick is to be administred, Speedy help is to be procured for women in childbed. and by so much the more speedily, as in them all things are most dangerous. For besides this, that the secundine, or after birth sometimes staies behinde; their flowers also doe either flow too fast, or are suppressed, or flow but slowly, from whence divers great and perillous diseases, as continuall Fevers, The diseases to which they are usually incident. burning Fevers, Frenzies, vomiting, loathing of meat, Epilepsies, inflammation of the bowels, Plurisies, and other such diseases do arise. So likewise it may fall out, that by an ill regiment of body alone together with corrupt humours lurking within, exagitated and stirred up in the birth, as also by an erroneous diet, although neither the flowers be suppressed, nor flow immoderately, such diseases may happen. These cases are difficult and dangerous, and can scarce by natures strength alone be amended: For if they come by suppression of the flowers, they cause grievous symptomes, and fevers, with watchings, and frenzie, but if they arise from an [...] wholsome regiment of body, they are so much the more dangerous in women in childbed▪ because they betoken a great putrefaction of humours [Page 313]within the body, which the expurgation of the flowers could not take away nor amend. When these things happen, it is necessary by the consent of all Physicians, to attempt something by blood-letting, and purging, and other altering remedies, which the Physician shall think convenient. But what veine must be pierced, when, how, and with what remedies she must be purged, is not my purpose to explicate in this place, in that I am not now reading a Physick Lecture, but onely discovering to the people their Errours in Physick. Onely thus much I will adde, that it is not safe to open the upper veines, lest the flowers bee thereby suppressed, and drawn back again into the body.
CHAP. XXIX. That it is not hurtfull to take Quicksilver by the mouth.
THis Errour is to bee pardoned in many, because it is maintained by the suffrage and consent of ancient Physicians. Lib. 5. cap. 7. * Dioscorides saith that Quicksilver drunk hath a deadly qualitie, and that by its ponderositie, it gnawes the internall parts; Lib. 6. cap. 28. and in * another place he saith, it causes the same [Page 314]symptomes that the spume of Silver doth. Tetrab. 4. serm. 1. cap. 79. With whom assents * Aetius. And Galen himselfe reckons it among the poysons. And so doth Avicenne, although he differs from himselfe, when he writes concerning the qualities of it; Lib. 1. tract: 2. cap. 47. for in * one place he saith it is cold and moyst, but in * another place, Fen. 6. lib. 4. tractatu 1. cap 3. hee reckons Quicksilver among hot and sharp poysons. Some will have naturall Quicksilver to be cold, and the artificiall hot: which controversie in this place we will not spend time to decide. Also some moderne Physicians will have it to be a poyson. If it be taken in too great a quantitie, it congeales the blood, saith Conciliator, producing the example of a certaine Druggist, who being in a burning Fever, instead of a glasse of water to quench his thirst, unhappily chanced to light on a glasse full of Quicksilver, and drinking up a great quantity thereof, he dyed congealed, insomuch as when his dead body was opened, the Physicians found the blood about his throat congealed and frozen. Fernel likewise is altogether against the using of it. But others more rightly taught by experience, do affirme that it is not so hurtfull. As for Dioscorides, he saies [Page 315]that it hurts onely by reason of its weight and ponderositie, which it cannot doe, unlesse it bee taken in a great quantity. Galen confesses, that he never made triall of it, whether it kills or no, being taken by the mouth, or applyed outwardly, so that if at any time he reckoned it among the poysons, he seems to have done it according to other mens opinion, not out of his owne judgement and experience. And the moderne Physicians have found by experience, that it may safely be administred, if it doe not exceed due measure. For no medicine is taken in excessive quantitie without hurt to the body. And therefore if it did congeale the blood, as Conciliator speakes, that was onely by reason of the too great quantity, and for that cause it must not bee thought to be of a more noxious quality than other medicaments. Neverthelesse Rorarius tells a contrary story; 9. simpl. In contrad. Galeni. 20. I knew (saith he) a Germane, who being drunke, and sleeping in a Goldsmiths house, hee awaked out of his sleep being very thirsty, and groping about for drinke, by chance he lighted on a vessell, in which was three pound of Quicksilver, and powring out that cold and moyst liquor, being halfe asleep he [Page 316]drunke up all the quicksilver, and forthwith cast himselfe againe upon his bed, and awaking in the morning, and feeling in the linnen some cold humour neare him, hee found quicksilver. So Avicenne in his second Chapter concerning poyson writes, that many of them that drinke of it, are not hurt at all, for by its naturall disposition, it comes forth by the lower region. And therefore it cannot be poyson in any respect, unlesse by its gravitie, not by any deadly qualitie. Quicksilver used to facilitate the birth, and to cast our the after birth. Rorarius in the forenamed place reports, that he knew very many women, who without any bodily harme used it to facilitate the birth, or to cast out the secundine or after-birth. Some likewise affirm, that they have administred Quicksilver to children half dead through worms, Good against wormes in children. who were thereby presently restored to health. The same writes Brassavolus, a famous Physician in his examination of Simples, namely, that he hath given it to children, in the weight of a Scruple, but if to children, much more safely to them of riper age. And many doe assent to Brassavolus. The same Contrad. to Avicen. Rorarius reports, that naturall Quicksilver hath not any venomous quality in it, but that that it kills by its weight alone, so [Page 317]as he hath not only heard of it, but also seen it safely administred by some Physicians, and women likewise to children halfe dead through wormes, and to women in childbed, to facilitate the birth, and to bring down the after-birth. Amatus the Portugall upon Dioscorides, calls all them that speaks against it, unexperienced Physicians, because it is deadly onely by reason of its ponderosity, as saith Dioscorides, and he saith that it is prescribed by the Spanish Physicians, as a most excellent Antidote, Used against fascination. for children that are bewitched, and for such as are troubled with wormes, even with good successe, and without any evill symptome at all: And hee tells a story of a certaine boy tenne years old, which drunk up more than a pound of Quicksilver in stead of wine, and felt no symptome from it, except the weight thereof, and by the help of Clysters purged it all out again, and remained free from all further harm. Also Matthiolus a famous Physician, seems in divers places to be of the same opinion, as in one place he saith, Cap. 28. lib. 6. unlesse it be drunke in a great quantity, it kills not, because that both by its weight, and fluid substance it quickly passes out by the inferiour [Page 318]parts, without making any stay at all in the stomach and guts. Wherefore it is no wonder what Avicenne wrote, that there are some who drinke Quicksilver, and feele no hurt thereby, for it quickly slides through the body, if so bee they that have drunk it, doe but walke to and fro for a good space. The women of Goritia do for their last remedy, administer a scruple of Quicksilver to be drunk of women that have hard labour in childbirth. Nor are they wanting that give it to children to kill the wormes of the belly, to the quantity of two seeds of millet, without any harm to them at all. Cap. 70. lib. 5. And in * another place, he saith, that for such like examples, he is easily perswaded, that Quicksilver is not so deadly, except it exceed due weight or measure. But most clearly in his Epistle to Stephanus Laureus, Lib 4. Epist. in which hee permits children to take Quicksilver, seeing that there is no other deadly qualitie in it, save that it hurts the intestines by its weight, as may be seen more at large in his works. Me thinkes the authority of so many excellent Physicians might suffice to convince men of the truth hereof; but besides these, many Physicians even of our [Page 319]dayes have found the same true by experience. Its best for the flegmatick. I my selfe who write these things have often given it, and never but with good successe, especially in the phlegmatick, in whom it workes much better than in others. Therefore whatsoever evill symptomes Fernelius, Palmarius, and others do affirme to arise from it, as Stupefaction, Convulsions, Tremulations, Lethargy, paine of the Guts, and such like, are true of it, being either ill prepared, or being administred in too great a quantity, for nothing is absolutely, and in every respect perfect it were not a medicament, if it should never hurt in what dose soever it be given. Experience alone shewes the strength of medicines, which hath likewise manifested, that there is not in quick-silver that noxious quality which the Ancients have attributed thereunto.
CHAP. XXX. That quick-silver even without any preparation, is unhurtfull.
SOme man, although convinced with the fore-named testimony, will notwithstanding thinke that it ought to be exactly and diligently prepared, and [Page 320]indeed the name of preparation seems to point at some notable thing. But it is plaine enough, that what we have said, is to be understood of crude and unprepared quick-silver; for even this did Brassavolus, Matthiolus, Amatus the Portugall, and others, administer to children, and women in child-bed. It is administred quick, saith Matthiolus in his Epistle to Laureus, and not quenched or dissolved, as so me think. For that which is quenched, doth stick to the stomack and bowels, and stirres up grievous symptomes. Where it is to be noted that quick-silver is prepared divers wayes, both for purging, and for provoking of sweat. But in none of these preparations is the nature thereof taken away, but onely hidden; and though it be diversly commixed, yet it remaines entire, and with a little art returnes to its own nature. Mercury sublimate and precipitate most dangerous poysons. But especially it is fixed by the mixture of salt spirits in sublimate, and precipitate, so as that which before might be used without danger, is now become a most violent poyson; for seeing that of it selfe it is of a quick operation, those sharp spirits, one drop whereof doth burne whatsoever it touches, doe the [Page 321]more increase it. I know some have been so bold, as that they have put a graine or two thereof into the pills intituled Barbarossae, which is too grosse adventurousnesse. But yet from thence it is manifest, that the crude (as they call it) is not so hurtfull as that which is prepared after this manner, Crude Mercury safer then any preparation of it. because the crude Mercury holds faster together, and is very moveable, and therefore is quickly voided out of the belly. Some therefore have ingeniously invented a sweet Mercury (as they call it) which they pretend may bee given without harme, Mercurius d [...]lcis. which thing I have found true by experience; and thus the people that are otherwise terrified with the very name of quick-silver, under colour of a white powder, are beguiled with a profitable deceit. Neverthelesse I doe not believe that it may be more safely used than the crude; for this sweet Mercury is made out of sublimate, which is a most violent poyson, whereunto they adde some crude quick-silver, which is sublimated the second time, and so by the mixture thereof, the corroding vertue of the spirits of the salt, and vitriol. doe vanish away, and it is made a sweet powder, which before [Page 322]was very sharp. Here I doe not see any preparation at all, but onely a certain mixture and addition of quick-silver, the nature of which doth for all that remaine whole and entire, and with a slight art is brought to its former temper. But if Mercury sublimate be such a deadly poyson, the ensuing addition of live Mercury doth not take away the force thereof, but only allay it, and so the strength being dispersed, it is weaker than when it was united. And it is manifest for this reason: to wit, because there is the same reason of naturall things of the same kinde. When it is first sublimated, the mixture of the salt spirits with the quick-silver, makes it to become noxious, yet the quick-silver it selfe doth not take away from those spirits their force and violence, but rather friendly unites it selfe with them: Afterwards, when fresh quick-silver is added thereto, to make it sweet, in regard that it is of the same nature with the former, it doth likewise conjoyne it self with the fore-named spirits, and can no more abate their violence than the former quick silver. But because there is a greater quantity of quick-silver added [Page 323]than was in it before, although the aforesaid spirits in their owne nature, are no lesse forcible than they were, yet they cannot do so much harm, because they are allayed and corrected; as a few drops of the spirit of vitriol mixed with water, may be drunk, which otherwise is a corrosive medicament. And therefore this sweet Mercury is not so safe as that which hath not been sublimated. But if crude quick-silver, being mixed with mercury sublimate, doth take away the poyson thereof, Nihil dat quod non habet. and makes it harmlesse, much more shall it self be harmlesse: Nothing gives that which it hath not. If therefore it doth give relish and sweetnesse to that most strong poyson, without doubt it hath it in it selfe; for propter quod unumquodque est tale, illudest magis tale. If then the onely commixture of the crude quick-silver doth make the sublimate to become wholsome and profitable to mans body, much more shall it self be wholsome and profitable. The stories recited in the precedent Chapter, doe manifest as much, from which it plainly appeares, that quick-silver even unprepared, hath been administred with very good successe. Wee must [Page 324]confesse indeed, Cautions in using of quicksilver that if it bee taken in too great a quantity, or if there be no corrupt humours in the body for it to work upon, it may doe harm; as also it is not so good for the cholerick and melancholick, as for the phlegmatick. But if for that cause quick-silver were to be rejected, in like manner almost all remedies should be abandoned from any use in Physick. For they are never so good for one, but they may hurt another, yea even all, if they be taken in too great a quantity, or unseasonably.
We will adde here the testimony of a late writer, and a most excellent Chymist, to wit, Hartmannus, one that taught divers wayes of preparing Mercury, yet treating concerning the curing of wormes in the belly, he saith, The most excellent remedy of all is quick-silver, either taken crude by it self, from a scruple to a few drammes, or else first quenched with the juyce of Lemmons, but then the dose must be lesse, because being quenched, it stayes longer in the belly. Where he seemes to preferre the crude before that which is quenched, as wee have already sufficiently manifested.
CHAP. XXXI. Of Tobacco.
BEcause Tobacco is growne so familiar in use, that there are few or none but take it, something must bee said concerning it; and first of the nature of it.
Many thinke, yea, and some have written, that Tobacco is Stupefactive. Narcotick, and therefore they call it Henbane of Peru, whose opinion experience seems to confirme, for it provokes sleep, and asswages paine. Which opinion, although it hath learned men for its Authors and Abettors, yet to me it doth not seem altogether agreeable to verity. For that which provokes sleepe, doth it by a vapour either stirred up in the brain, or carried up thither, or by furthering concoction, for then do we sleep most soundly, when the stomack is not overcharged with meat. It asswages paine, because it either takes away, or alters the cause thereof, but it doth not benumme the part affected by any narcotick quality; thus I have seen inveterate head-ache cured with Tobacco. Tobacco is not narcotick. That it hath not any narcotick quality may be known by divers tokens.
First, 1 because (as they confesse) Tobacco is hot and dry, and doth attenuate, penetrate, and resolve the humours, which is found true by experience. But all these are repugnant to the nature of narcoticks; not that I thinke that all narcoticks are cold, for many of them are hot, but because whatsoever is narcotick, doth thicken the humours, so that if the paine arise from gross humours, they do a great deale of harme, because they make the humours more grosse, and so the disease is made harder to be cured. But Tobacco is best for cold natures, and cold humours, contrary to the nature of narcoticks.
Secondly, 2 if there be a great evacuation of the belly, or a flux of bloud, which cannot be stayed with astringent medicines, we use narcotick and stupefactive remedies, as a principall meanes to settle the humours. But Tobacco doth purge the body both upwards and downwards in a violent manner like Hellebore, or Antimony. And any man shall as soone prove Hellebore to bee a narcotick, as perswade mee that Tobacco is so. It may perhaps stay a vomiting, but that is in regard it takes away the cause, as a vomit [Page 327]cures a distemper of vomiting.
Thirdly, 3 Stupefactions being applyed outwardly, doe bereave the part of sence, and refrigerate very much, but Tobacco doth no such thing, as any man that pleases may make experiment.
CHAP. XXXII. Of the right use of Tobacco.
ALlthough I never yet took Tobacco, nor doe I desire to take it, yet I have observed very many of every sort of men to use it, as the slender, grosse, cholerick, phlegmatick, and others, who receive no harme thereby, insomuch as I cannot approve of their opinion, who think it to be very hurtfull, unlesse when it is immoderately used, and thus the Proverb is true, Too much of one thing is good for nothing. The Indians doe think so reverently of this plant, that they believe it to bee the most wholsome and sacred of all other: and I have commended it to many, who by using it have been very happily restored to health. Lewes Mercatus, a famous Physician among the Spaniards, doth in sundry places highly extoll it, and he commends it in divers diseases.
Object. But many things seem to shew that the use of it is very pernitious.
First, 1 because it is contrary to nature, in as much as it purges violently both upwards and downwards: now all purges are after a sort adverse to nature.
Secondly, 2 when one doth first begin to take Tobacco, he is troubled with dizzinesse, swouning, cold sweats, which are signes of a malignant quality in it.
This is true indeed, Sol. when it goes downe into the body, but when it is onely taken in smoake in a pipe, and goes no further than the jawes, it cheers the brain by its heat, and by voyding out pituitous humours; nor doth it trouthe stomack, but it rather strengthens it, and helps digestion. So Orpiment is a deadly poyson, and yet many Authors commend the fume therof against the stuffing of the lungs. It is reported the Turks do take Opium as familiarly as wee doe Tobacco. For nature becomes at length accustomed to such remedies, and so is not in the least molested with their malignity. Seeing then experience shewes, that so many do take it without any harm at all to them, why [Page 329]the use thereof should be repugned, I see no reason.
Yet they must know, 1 that First it must be used moderately, Cautions in taking Tobacco. which as in all other things, is true also in this particular, although indeed I have observed little hurt to happen through the immoderate taking of it. It must bee used moderately.
Secondly, 2 it is best for them that be grosse, and flegmatick, Best for such as are fat and flegmatick. and for such as are troubled with defluxions, by reason of its heating and drying quality. Neverthelesse although the slender, hot, and melancholick doe use it moderately, it doth not hurt them much, for there is scarce any man of such an exquisite temperature, which is not often troubled with vapours ascending up to the brain. Nor have I yet seen any man too much dryed by using it. And I wonder at them that have written that it is narcotick, and yet deny it to the hot, and cholerick, seeing that narcoticks are more proper for them than for the flegmatick.
Thirdly, 3 although I know many that have been in consumptions have received good by it, Tobacco is not good in consumptions of the Lungs. yet I do not think it to be convenient for them, whose consumption happens from a defluxion of [Page 330]rhewme upon the Lungs. For though it draws the pituitous humours from the brain, yet it inclines nature at other times to send downe the humours into the breast. Therfore because according to the rules of Physicians, we should never draw towards the affected part, but rather draw back, or divert the humours from it, those things which purge the head by the mouth should not be used; I commend rather evacuation by the nostrils, as more convenient. So Galen in this very case applied to the head shaven, a very strong metasyncriticall plaister, to prevent the defluxion of humours, and draw them another way.
Fourthly, 4 it is observable, that many are grosly erroneous in the use of Tobacco, Not good to drink with Tobacco. in that when they take it, they are continually drinking, yea and some make themselves drunk, hereby bereaving themselves of that benefit, that would accrew to them by the right thereof. For though it may seeme to resolve the humours, to heat, and dry the braine (and a hot and dry braine doth generate fewer excrements, In arte medic cap. de signis catidi & fitri cerebri. saith Galen) yet a braine of that temperature doth draw unto it more forcibly, and is more subject to be replete with vapours [Page 331]arising from the inferiour parts, so that afterwards being every day filled with fresh vapours, it becomes lesse sensible of that benefit of drying, as Galen saith in the aforesaid place. When the braine is hot and dry (saith hee) the head is more then ordinarily filled with vapours (for evermore some such thing befalls those men, especially when they keep not a good diet) they are troubled with more excrements, but not so crude, their heads are filled and oppressed with vapours after the use of hot meats, drinkes, smels, and all such things as happen from without. And this is agreeable to reason, for vapours doe quickly ascend to any part that is made hotter than ordinary. Seeing then by the taking of Tobacco the brain is made hotter, if men observe not a good diet, but poure in abundance of Wine, Ale, and such vaporous drinke (as indeed they use too frequently to do) the head is the sooner filled againe, so that it is observable, that they that take Tobacco, doe spit forth more excrements by the mouth and palate, than they that take none at all, by reason of drunkennes and intemperance, which is too common with many.
Fifthly, 5 they that have a long time accustomed themselves to take Tobacco, Tobacco not to bee histily lest off. ought to bee very cautelous, that they do not rashly afterwards leave it off, except they keep a very temperate diet; otherwise they shall feele their heads, yea and their whole bodies oppressed with abundance of humours, which the daily taking of Tobacco was wont to evacuate; as also their sleep will be short and troubled through the defect of vapours, which the Tobacco did raise up, nor shall they finde their Stomachs concoct their meat so well as formerly, and many the like evills may arise from thence: And therefore our counsell is, Good for old men and cold stomachs. that old men, and others, whose Stomachs are by nature somewhat cold, doe take Tobacco, although that they have not formerly been accustomed thereunto; for it may preserve them from the Gout, and likewise from divers other cold affects.
CHAP. XXXIII. That Tobacco doth not goe up into the Braine.
THat Tobacco is good, and in no wise hurtfull, wee have already shewne, and the whole Nation of the West-Indians doth witnesse as much, among whom there is scarce one of a thousand, that doth not take it, and yet they live there very long. Now when it is taken into the mouth, it is easie to be observed, that as much smoake is puffed out againe, as was sucked in; for it is all contained in the mouth that is taken. Wherefore I have thought it false which some imagine, namely, that it goes up into the Braine. Nor is it necessary that it be carried up thither; for Masticatories, and Gargarismes, which are appointed for drawing of humours out of the head, although they be holden in the mouth, do neverthelesse extend their force to the Braine, and it is not absurd to thinke, that this attenuating and drying fume is of the same operation. But besides it is easie to prove that the smoke of Tobacco taken into the mouth, is not carried up to the Brain.
First, in that we only perceive the tast, and not the smell of it.
Secondly, because wee receive the smoke by inspiring, keep it by holding the breath, and puffe it out again by expiring. Indeed when we inspire by the nostrils, the aire goes to the braine, but when wee inspire by the mouth, it is carried only to the Lungs and the Stomack. Seeing then the aforesaid smoke is attracted by inspiring by the mouth, it doth not go into the Brain. When wee expire, or when wee hold our breath ( saith Galen) wee never smell, although the sent bee in the very nostrils; for in expiring we repell the smoke together with the aire. Againe, in holding the breath, wee doe not admit it into the braine, because when we hold our breath no aire passes to the braine of its own accord, seeing the braine is already full of the aire that was inspired; and this is the reason why wee doe not perceive the smell of those things that are holden in the mouth, and the stomach, (otherwise a man were not able to endure himselfe) because the perception of smels is made by inspiration onely; but by the mouth we doe not inspire into the braine. From whence it necessarily followes, that the [Page 335]smoke of Tobacco taken in at the mouth is not carried up thither. Besides if it should pierce so farre, in that these vapours are very sharp, they would vehemently disaffect and pull the brain, and provoke sneezing, and other affects which are not usuall. As we see that if the same smoke be inspired by the nostrils, immediately it causes sneezing, because then it is indeed carried to the braine. Let it therefore remaine established, that the head is affected onely with the vertue of it, and not that the substance thereof doth pierce into it.
Object. But some will object, that by long using it, a heavinesse in the head is caused, and dizzinesse, and the braine is as it were intoxicated.
Sol. But I answer, that it comes to passe onely by the frequent and daily taking of it, which would quickly happen, if the sinoke should fill the ventricles of the braine: For dizzinesse is not alwaies caused by vapours, but may proceed also from the spirits, when they are too much heated, and agitated, or from the vapours of the humours, that are stirred up by the immoderate heat of that smoke, and from divers other causes, [Page 336]which would be too tedious to recite here. Yea some have such weake heads, that they are soon taken with dizzinesse, through any light externall cause, so as they may be also taken with it by the smoke of Tobacco, although it enter not into the head, namely, through some inward cause stirred up by it. Again, many times a great purgation may cause dizzinesse, 2. Aph. 37. as Galen witnesses in his booke concerning them, for whom purging is convenient. Wherefore it is no wonder, if the braine be too much purged by the immoderate use of it, and the spirits exceedingly heated and inflamed, doe draw unto them corrupt humours from the lower parts, which cause heavinesse of the head, and dizzinesse, although the substance of the smoke doth not reach thereto.
CHAP. XXXIIII Whether Tobacco be a preservative against the Plague or no.
I Have heard some averre that Tobacco is a preservative against the Plague. Monardes commends it against poyson, but especially against wounds that are made by poysoned weapons, and venemous beasts. Which those that write [Page 337]hereof, doe understand of the green herbe, or of the juice thereof applied to the affected part, and not of the smoke taken as now adayes they use it. Yet it may be that the smoke may doe good against the Plague, but not as many think, Tobacco ha [...]h not any Antidotary quality against the plague. by any antidotary qualitie that it hath against poyson, but for other causes. For those things that preserve from the Plague, are either such as cleanse the body from excrements, or that dry it, whereby it doth not so easily receive the poyson. Now that the smoke of Tobacco doth dry the braine and the body, and voyd out the humours by the mouth, and sometimes by vomit, it is evident enough; and thus perhaps it preserves from the Plague. But no peculiar vertue of effecting that after this manner is found in the smoke; for those things that doe evacuate, doe onely by accident preserve from the Plague, as purging, bloodding, &c. Therefore no reason enforces that we should attribute to the smoke any peculiar vertue of preserving from the Plague. But besides many observe that in the Plague a man ought to abstaine from all strong purgers, because the humours are then soon disturbed by any light cause. I [Page 338]know very many have promised that they would cure the plague, or preserve men from it, by vomits of Antimony, when perhaps they could not defend themselves from it. As Platerus in his observations reports of one Adam of Bodenstein a famous Chymist, who in his writings professed a most certaine manner of curing or preventing the Pestilence, who neverthelesse got it himselfe at Basil, when it was almost quite ceased, and died of it. So infirme and uncertaine are all those things which are prescribed against this sort of poyson, but especially vomitories who do debilitate a noble part, and offer great violence to Nature.
There is another manner of preserving from the Plague, to wit, by Antidotes, which have also a vertue of curing it; for the very same things in a manner are good both against eminent and present diseases. But as yet we have no experience of any such vertue in Tobacco, for so many thousands of men, whom that great plague at London, and in other places in this Kingdome have swept away, the greatest part of whom did without doubt take Tobacco, are as so many witnesses to testifie, that there [Page 339]is no such vertue therein, and none of them that recovered, can attribute any thing to Tobacco as a means of their recovery. But if it hath no curing vertue, it hath no preserving qualitie neither.
Moreover they must know that other poysons have their proper Antidotes, The Pestilence hath no proper Antidote. but the Pestilence hath none at all, only Physicians use cordiall remedies, not whereby the poyson is extinguished, but onely Nature fortified against the force of the poyson, which it afterwards expels by sweat, or some other emunctories of the body. But that there is not any cordiall vertue in Tobacco, the dizziness, swounings, cold sweats, vomiting, and other symptomes that are caused by it do manifest, which rather betoken a venemous than a cordiall quality. Therefore although I doe not believe that it doth any hurt, yet I thinke it doth not much good. Moreover the braine (as Galen saith in Arte Medicâ, in the chapter concerning the signes of an hot braine) is easily offended with the ambient aire; Those that have hot brains (saith he) their heads are very subject to be distempered with hot meats, drinkes, and smells, and all those things that doe occurre [Page 340]from without, among which the circumjacent aire may be reckoned. And therefore seeing by the use of Tobacco the braine is very much heated, there is danger, lest it bee offended with the Pestilentiall aire. Hence it is that old men are not so soon infected with the plague as young men are, because of the coldnesse of their bodies, as also Plinie observes.
But in that this plant is said to be good for poysoned wounds, and the bitings of venemous beasts, it followes not therefore it must have an antidotary faculty; for the Spaniards did first use sublimate for such wounds, and wee doe usually prescribe divers things which in their proper nature are not preservatives against poyson, but are either such as draw out the venome, or that extinguish it, as an actuall cautery, and such like. And it may bee that Tobacco may likewise bee good for that too, although it hath no proper or peculiar vertue for to resist poyson.
CHAP. XXXV. Of the unseasonable use of Cordialls.
BEcause in all diseases speciall care ought to bee had of the strength of the patient, it is no wonder if the sick be so desirous to have their strength preserved, from whence arises such a frequent use of cordiall remedies. Therefore it is that some are often blaming Physicians because they doe so seldome prescribe Cordialls and Antidotes for them, especially at night and when they lye down to sleep. Notwithstanding the unseasonable use of them, doth most commonly more hurt than good, as doth Triacle, Mithridate, and the like. For not every thing that is said to be cordiall doth by and by strengthen nature, nay it may destroy it, and thus the drinking of cold water doth more help one that is in a Fever than Aqua caelestis, Imperialis Triacle water, or any other strong water whatsoever. And it is to be observed, that the imbecillitie of the heart, and the decay of the strength which depends upon the spirits in the heart, may proceed from divers causes; now every sort of remedy is not convenient for causes so different. But if the [Page 342]cause of the disease bee encreased by some kind of remedy, although it may be sayd to be a Cordiall, the Cordiall is no better than poyson to the sick; as if an hot remedy bee applyed in an hot discase, the diseaseis increased, and the sick is not a whit strengthned, but made weaker. Therefore they are too blame, who without judgement and skill doe prescribe these cordiall and strengthning medicines. Moreover it is observable, that it is possible that Triacle, Mithridate, and other such like, which are in most frequent use, may doe much hurt: For as Galen saith, 5. Simpl. they are a meane betwixt the body and poysons, so that there is the same proportion betwixt the body and the Antidote, that there is betwixt the Antidote and the poyson; and therefore hee saith, that all those things that are of the nature of Triacle, Cordials do hurt if there bee not matter within to work upon and Mithridate, being taken in too great a quantity do hurt the body, as also unlesse there be some poyson within, upon which they may worke. I know this comparison of Galen doth not please Averrhoes that subtle Physician and Philosopher, 5. colliget. cap. 23. who notwithstanding confesses that they do the body no good at all, unlesse they bee taken in a stomach, [Page 343]that hath in it some poysonous matter for them to worke upon, and therefore (saith he) they are not good for them that be in health, but become as poyson to them, as likewise do all those things which are commonly called Bezoarticks. For by their forcible working, unlesse they bee discreetly administred, they hurt the body like poyson; and therefore Galen forbids Triacle to them that are hot and dry, as also to children.
Although therefore I do not absolutely dislike the using of these sorts of medicines, nor judge them to be venemous or pernicious, yet hence it follows, that they are to be used very warily; for they have qualities in them that are many times very hurtfull to the body, except they meet with an object in the body for to worke upon. And therefore corroborating and cordiall remedies are to differ according to the variety of diseases, hence it is that some of them are cold, some hot, some temperate, some corroborating the heart with an occult, and unexplicable property, some resisting poysons which cannot bee fit for all those different causes, from whence a decay of strength may come. [Page 344]And therefore those things may very fitly be numbred among Cordials, which doe relieve nature by evacuating the causes of diseases, and by altering, which thing many of our ordinary Cordialls doe not performe, and such remedies ought to be called Cordialls by accident onely, neverthelesse they are the most certaine of all others. Lib. de viribus cord. Therefore Avicenne saith very well, that in seven respects a medicine may bee said to bee cordiall.
First, 1 because it recreates the spirits, as wine, Seven kinds of cordiall remedies. egges, broth, and those meats that are easie of digestion, and of good nourishment: And indeed the strength is much augmented by meat seasonably administred, but if it bee unseasonably taken, it is much impaired by it, as wee have said already.
Secondly, 2 because it doth cleare and purifies the spirtis, as Pearles, and Silk.
Thirdly, 3 because it compacts the substance of the heart, by hindring the resolving of the spirits, as doth Garrabe, terrae sigillata, Bolearmoniack, but these are not good for all, because they are astringent remedies, which in some cases may doe much harm.
Fourthly, 4 because it is delectable to the [Page 345]heart, as are sweet things, and odiferous, as Aqua caelestis, Imperialis, and Maria.
Fifthly, 5 because it doth corroborate the heart by manifest qualities, as that which is temperate, as Borage, Buglosse, Gold.
Sixthly, 6 because it doth purifie by evacuating the melancholick humour, and by purging out whatsoever is hurtfull to the heart, as do Myrabalanes.
Seventhly, 7 because it corroborates the heart by an occult qualitie, as the Hyacinth.
But all these severall things cannot be proper for all causes, but now adaies, when the people desire comforting and cordiall medicines, they doe not meane broths, or bloodding, or purging, but Triacle, Mithridate, Strong waters, good Ale, burnt Wine, and such like, which oftentimes may not onely do harm to the sick, but to such as are in perfect health too.
CHAP. XXXVI. Of the Errours about the Bezaar Stone.
BEcause we have been treating in the precedent chapter concerning Cordialls, something is to be said of the Bezaar [Page 346]stone, which is now adayes had in such familiar use, being thought by many to be endued with an admirable vertue of corroborating the heart, and a very strong Cordiall, to which, neglecting all others, they fly as to some sacred anchor. But they erre in three particulars.
First, 1 in that they attribute too much to that stone.
Secondly, 2 in that they are ignorant of the quality of it.
Thirdly, 3 in that they do not mete out a due quantity of it. Concerning the first, some derive the name of the stone from the word Paser, What the Bezaar stone is. which among the East-Jndians is said to signifie a kinde of goat, in which that stone is found. Some would have it to be called Belzaar, which word in the Moores language doth signifie the Lord of poyson, & it is a common name with them, for all those remedies which we call Antidotes, and preservatives against poyson. So * Cap. 23 l. 5. colliget. Averrhoes after he had beene treating of poysons, in the presedent chapter, at length he discourses of Bezaar, which is as if he should say, an Antidote. The Medicines (saith he) which are called Bezahar, which preserve from poyson, Lib. 2. fen. 1. cap. 4. &c. And Avicenne saith, Albezaar is a remedy, which by his owne property [Page 347]doth preserve health and vigour in the Spirit, that it may expell from it the malignity of poyson. Where it seemes to bee a generall name, for all such remedies. But among us, it is peculiarly taken for that stone so much in use, which is taken out of some creatures, and brought to us out India. Now such is thought to bee the excellency of this stone by some, that they preferre it before all others, for the Arabians do highly commend it against poysons, the plague, jaundice, and all obstructions of the body and bowels. Avenzoar in his booke Theisier, saith that he saved one that had taken most deadly poyson, with three graines of Bezaar, dissolved in five ounces of the water of Gourds. But if wee consider well what Avenzoar writes concerning that stone, wee shall finde that it is not our stone which is brought unto us from the Indies, but the teare of an Hart, A precious stone dropping from the eye of a Hart. of which he talkes so much. The Hart, as Plinie also testifies, by the breath of his nostrils drawes serpents out of their holes, and eats them, immediately he is taken with a grievous thirst, for the quenching whereof he runs to some standing poole, in which he plunges himself up to the neck, but through natures instinct hee drinks not; for if he should, hee would [Page 348]fall down dead presently. Then a certaine humour distils to his eyes, which by degrees, thickens, unites, and compacts together, and grows to the bigness of an acorne, which afterwards being come out of the water the Hart shakes off, and is sought for by men, which some call the Bezaar stone, being as they say broad, tending to a Pyramis, of the colour of honey, Comment. in Dios. or. cap. 39. lib. 2. which * Amatus the Portugall saith he hath seen. And Scaliger in his 112. Exercitation to Cardanus tels the same tale, and saith that he had the stone, let them beleeve him who list. But this stone of ours is not the teare of the Hart, which is too rare, if ever there were such a stone: But this stone which wee use is very common. Now it is, Severall sorts of Bezaar stones as writers testifie, of divers sorts, yellow, duskish, whitish,; but the yellow is the best, then the duskish: Rhazes writes thus of it, it is a soft stone, of a yellow colour, without any tast, which he saith, he used with good successe against the poyson of Wolvesbane. Now it was of a yellow colour, tending to white, light, and glistering like light. But Garcias ab Horto Physician to the Viceroy of India, describes it otherwise, who neverthelesse confesses, [Page 349]that he had only heard, that some by the use thereof had been preserved from deplorable diseases, and he will have it to be of a dark green colour; and he saith that they must all of necessity bee brought to the King of the country, and that they cannot without much difficultie bee had from thence, and therefore seeing they are now so common, much doubt is to bee made touching their goodnesse. And here Matthiolus notes well, G [...] cause of jealousie concerning Bezaar. that there are many adulterate stones of this sort, in shew very like it, but accompanied with no such vertues, And in his third book of Epistles, in his Epistle to Quacelbenus, the stone (saith he) which the Moores call Bezaar, did the most noble Prince reserve for his owne use. I saw long since many stones like to it, but whether they were true or adulterate, I know not: But if wee consult with Serapio and Rhazes, I see not why I should allow of this stone to be legitimate. Where hee ingeniously confesses, that he knew not whether the Bezaar stone of the Emperour were true or no, and he rather thinks that it is adulterate. Now there are two sorts of this stone, Two sor [...]s of Bezaar stones. one brought out of the East, from Persia, and the adjoyning countries, which is found in a certaine [Page 350]kinde of Goat; the other brought out of the West, from America, which is found in divers creatures. Concerning which it is to be noted out of Iosephus Acosta, Bezaar is found in the stomachs of certain beasts. that this stone is found in creatures which are called Vicugnae, which are a certaine sort of Coats, as also in a beast called Taruga, and in all those creatures which are proper to the country of Peru alone, it is found in their stomach and belly, sometimes but one, sometimes two or three, and sometimes more. Now these stones differ from one another, in magnitude, forme, and colour; for some are not bigger than a hazell nut, but others are as large as walnuts, pigeons egges, and henne egges, yea sometimes they are as great as an Orange, as Acosta reports he hath seen: The forme likewise is diverse and very different; so for colour, some are black, others greene, white, of the colour of Gold, grey. Therefore neither the colour, nor the figure can be certaine and infallible signes of their goodnesse. In Peru they are taken out of severall sorts of creatures, both wild and tame, as the Ganacus, Pacus, Vicugna, Taruga, which creatures he describes; the Ganaci, and Paci. are a sort of Rammes, they have but little stones, [Page 351]and blackish, inferiour to the rest for use in Physick. Those that are taken out of the vicugnae, are larger than these, and better, being green and somewhat white. But the best are those that are taken out of the Tarugae, they are thick, white of colour tending to grey, having thicker shels than the rest. In new Spaine they are found also in Stags. But those that are brought of the East Indies are more excellent than these, being of an olive colour: the next in vertue are those that come out of Peru, and those that are found in new Spaine are to be put in the third place for use in Physick. The Indians expert in counterfeiting these stones Lib. 4. cap. 42. But the Indians doe counterfait them with a notable sophistication, as * Acosta explicates at large
From what hath been already said, it is manifest that too much credit ought not to be given to this stone.
First, Bezaar not to be relied on. because the effects of the stones that are brought to us, are not answerable to those which Authors write of them. 1 For they will have them mightily to provoke sweat, and sometimes vomit, which thing if any man make triall in ours, he shall not finde to be alwayes true. I have very often given it to my Patients, but I never perceived [Page 353]any of those effects which are attributed unto it. The same have many of our moderne Writers observed; Hercules Saxonia, a famous practitioner among the Italians, doth ingenuously confesse, that he could never observe any remarkable effect of them, although those stones which he had, were thought to be the best in Venice. Cap defebpestiferis. * I (saith he) to confesse ingenuously, while I practised at Venice, spent a great quantity of this Stone, and yet never could perceive any notable operation of it; I know many to whom I administred it were cured, but I did never attribute it to the Stone, for this cause, because I finde in Writers, that after the taking of it, a great sweat ensues, after which they presently finde much ease. But I never saw any sweat break forth, or if it did appeare, it was a very imperfect sweat. Therefore for my owne part, I abandoned all hope of any good by this Stone in feavers; It may bee I chanced on a sophisticate and adulter ate Stone. But when I administred Physick in the Noblemens houses in Venice, they perswaded me that they were the most excellent of all others. Notwithstanding Matthiolus, and other Physicians do commend this Stone, but it is likely they had some [Page 352]true stones, which are very rare with us; yea, and he himselfe in his Epistle before cited, conresses that those stones which the Emperour had, were not naturall, but sophisticate. Vallesius, Neither the Emperour, nor the King of Spain had any true Bezaar. lib. 4. method. a most learned man, chief Physician in ordinary to Philip the second King of Spaine, thinks that there is not a true Bezaar in all Spaine; but if the King of Spain had not a true one, much lesse is it likely that a true one should bee sold among us.
Secondly, 2 that ours are for the most part adulterate, Its very probable ours are all sophisticate. this is not the least ground for suspition, that they are taken out of creatures that are slain and eviscerated; and it can scarce bee that one Country should afford so many creatures, but at length the species would become very rare. For such a number of these stones are in England alone, that it seemes a wonder to me that they are not more rare. And if we consider the other Countries of Europe, we shall find abundance of them every where. Neverthelesse the Physicians which have practised Physick among the Indians, doe confesse that these stones are very rare there, and wondrous deare; and that the Indians doe keep them carefully [Page 354]for their own use: from whence then have we such a continuall supply of them in such plenty, if they bee not counterfeit.
Thirdly, 3 it is a very difficult thing, yea I think it altogether impossible, certainly to discern the naturall from the artificiall, such a notable craft have some of these Impostors. I saw a fellow at Paris, who made them so cunningly, that he himselfe could not distinguish them from the other, but by certaine marks which he set on them. Saxonia confesses that he could never finde an infallible token whereby to know this stone. Some say there is a tender sprig of some plant in the middle of it, or a little sand, I have seen a pin, Acosta saw a straw in one; but these, and other such like things doe these jugglers know how to put into their counterfeit stones. Rodericus a Castro, in his Second Book of Womens diseases, teaches to know them thus. That which we have (saith he) from East India is the best of all others, which is smooth, transparent, coated like an onion, of a dark green colour, without taste, the powder whereof, if you mingle with water and chaulk, it yields a pale green colour, and being cast upon the [Page 355]fire, doth presently vanish all into aire. But neither are these things very certaine. Authors write that these stones are of divers colours, but almost all ours are of the same colour, somewhat blackish, but the yellow are said to be the best; therefore the most excellent are seldom found with us, because wee have seldome any that are yellow. Acosta confesses that the Indians doe counterfait them, which is very likely, seeing that is usually done in medicaments of much lesse price and moment. If any man therefore have a stone, which hee certainly knowes to be true and naturall, I am not against his using of it, if hee hath once experienced the vertues therof; only I would advertise thus much in this place, that men should not give credit to all stones of this kinde, that the true Bezaar is very rare, and which is worst of all, that there are no sure and infallible tokens, whereby the true may bee distinguished from the false. And there are stones sometimes very like to the Bezaar found in divers creatures, as in horses, swine, and others, consil. 1. which are of no vertue at all. Andreas Laurentius commends the Bezaar against melancholy, so that it be naturall and [Page 356]true, not counterfeit and adulterate, such as at this day the pedling Quacksalvers, Mountibanks, Confectioners, as also the fraudulent and covetous Apothecaries almost throughout all France doe usually fell, a hundred graines of which counterfeit stone can never procure the least moment of health.
CHAP. XXXVII. Of the temperature, and dose of the Bezaar Stone.
I will suppose in this Chapter, that the true Bezaar is familiarly found, because the people doe so confidently believe it. Neverthelesse many are very much afraid of the quantity of it, as if it were a very hot, and strong working medicament; and I have often seene women, which give the sick hot remedies to comfort them, as cinnamon-water, burnt wine, and the like, to bee notwithstanding very fearfull of the omantity of this Stone, and to contradict, and thwart a Physician, if any time he prescribe more than two, or at the most four graines at once. And indeed reason it selfe seemes to favour their opinion, for they say it provokes sweat. Now sudorificks doe seem to bee hot, [Page 357]because they attenuate, and cut tough humours, and expell them to the skin. Therefore this Stone seemes to bee so much the hotter, in that it performes this thing, being exhibited in a small dose.
But First, it is to be noted, 1 that this Stone doth feldome provoke sweat now adayes, as dayly experience shewes.
Secondly, 2 if one take a very great quantity of it, he shall never perceive that he is any thing hother thereby; which any man that is in health may make triall of in himself.
Thirdly, 3 of them that have written concerning this Stone, some would hand it to be temperate, others cold, but none not, for it hath neither taste, nor smell, which were a wonder, if it were so nor. It is therefore more probable that it works by an occult property, to wit, in corroborating the heart, and fortifying it against the malignity of poyson: wherefore by the way I inferre, that this Stone is of no force to corroborate, or comfort the heart, as they call it, except there be malignant and venemous humours in the body, and therefore though it doth no hurt [Page 358]to take it, yet it doth no good.
Fourthly, 4 they that have written concerning this stone, do not agree touching the dose thereof. Avenzoar gave it unto three graines, which is the common dose, but his Stone was not this Bezaar of ours. But Matthiolus prescribes it unto seven graines at the least, Garcias ab Horto unto thirty graines, and confesses that yet more may be taken without any hurt at all. I have heard some famous Physicians attribute very much to this Stone, who alledged this as the only cause why it is not so efficacious, namely, because it is taken in too little quantity. But moreover, I have read that Edward the Confessor had a dramme of Bezaar, that is threescore graines given him, as may be read more at large in Monardes, Fumanellus, Abra, Conciliator. Now because as we have said, the right Bezaar is seldome found, Bezaar only for the rich, and in a large quantity. and that which we have is sold at too deare a rate, my counsell is, that it be prescribed only for rich men, and not for others that are not able to undergoe the charge, and that it bee alwayes admininistred in a large dose, for else it will bee altogether unprofitable. Yea, I verily believe it may be safely taken [Page 359]to a dramme, it is such a gentle and innocent remedy. Fumanellus in his booke of the Plague commends it unto a Dramme, and Garcias ab Horto reports that it is usually taken in India unto thirtie Graines, too great a quantity (saith he) for although it a have no noxious quality, yet it is more safe to take it in a little quantity. But if this stone be unhurtfull, a great quantitie is likewise unhurtfull, as some have observed. Therefore there is no cause to feare to give some children three or four graines thereof. For although Galen forbids to give children Triacle, yet there is a great difference betweene it and the Bezaar stone; for Triacle is a very hot medicament, and consists of divers simples, which may injure, and offer violence to the naturall heat of children, whereas Bezaar is not hot, but only corroborates and comforts the heart, by an occult, and not a manifest qualitie.
CHAP. XXXVIII. Of the Ʋnicornes Horne.
IT can scarce be said, whether to the Bezaar stone, or to the Unicornes horn the common people attributes greater vertues, for those are thought to [Page 360]be the prime Antidotes of all, although the Unicornes horne is not so common as the Bezaar. Yet many bragge, that they have great pieces of it. But it is a thing doubted of by many not without good reason, Doubts concerning the Unicorns horn. whether there be any such horne or no. That there are divers sorts of creatures which have but one horne in their head, the writings both of ancient and moderne Authors doe sufficiently testifie. There are foure reckoned up by Aristotle, Aetian, and Plinie: Aristotle names onely the Oryx, and the Indian Asse; others to these do adde the Rhinoceros, and that which is properly called the Ʋnicorne, of which is our present discourse. But it is not yet manifest what this Unicorne is properly, seeing hitherto it could not bee certainely found out in any Indian voyages. And they that do report that they have seen such a creature, doe much differ in their description thereof, as that they seem in a manner fables, whatsoever they relate. Plinie and Solinus, who never saw such a creature, do notwithstanding thus describe it, without doubt from other mens relation; Plinies description of the Unicorn. Plinie describes the Unicorne to be a very fierce beast, in other parts of his body like an Horse, in his head like to a [Page 361]Stagge, in his feet to an Elephant, in his taile to a Bore, with a terrible voice, having one black horne in the middle of his forehead two cubits long, and they say this wilde beast cannot be taken alive. Cap. 60. Solinus his description * Solinus describes him thus. The Ʋnicorne is a most fierce creature, with an horrible voyce, having the body of a horse, the feet of an Elephant, the taile of an Hogge, the head of an Hart, his horne stands forth of the middle of his forehead foure foot long, stately to behold, so sharp, that against whatsoever hee pushes, it easily pierces it. Being alive he is not subject to man, he may be slaine indeed, but cannot be taken. But Ludovicus Vartomannus, a famous writer, Scaligers description reports, that hee saw two Unicornes in his travailes, as Scaliger relates in his 205. Exercitation: The Unicorne (saith he) is as bigge as an horse, hath the legs, feet, and head of a Stagge, his haire of a bay colour, his maine thinner and shorter than an horses, his hips rough with haire; at Nice we saw one whole horn, others elswhere, one of a tawny colour, another yellowish, comming near to the colour of box, another of a reddish and we have some with a white crest upon them. And hee differs much from Plinies description; for he saith, that hee [Page 362]is a gentle and meek creature, and he attributes to him the feet and legges of a Stagge; but Plinie the feet of an Elephant, and others in their descriptions do vary from these. Yet Amatus the Portugall in his 52. Narrat. upon the second book of Dioscorides acknowledges, that the Portugall Physicians, and others that have travailed through the inland of India, doe make no mention of any such creature, save that it is held in great account among the Indians against poysons, Vnicornes horne is of a blackish colour. and pestilent Fevers. And the same Amatus notes, that the right Unicornes horne is of a blackish colour, or at least of an ash colour; as also that if it be too old it is of no vertue, as it falls out in other medicaments, and likewise that there are many counterfeit and adulterate ones, made up of chaulke and other things after the form of a horn; and that others do sell the bone of a Whale for it; yea, and I have heard that Sea-horse teeth, and Elephants teeth have been taken for it: These things do seem to raise a doubt touching these hornes. But some will say, the holy Scripture doth in sundry places make mention of that creature as the most fierce of all others. But perhaps that word which [Page 363]Interpreters have translated Unicorne, is not properly known what it is; for as Morinus Blesensis a most learned Clerke observes, the Jews do confesse, that they doe not understand many of the names of Birds, whereof Moses makes mention in Leviticus, and why may it not as well be, that that word is not understood; which neverthelesse Interpreters have translated Unicorn in generall. But it is likely that it was not the Rhinoceros; for this beast may rather be said to have two horns than but one, and is not nimble, but slow, having a very short horn, but the hornes of the Unicorne which are brought unto us, are for the most part very long, and taken from that creature which the Scripture saith is very nimble; and therefore Scaliger blames Cardanus, for describing the Unicorne under the name of Rhinoceros, whose picture the same Scaliger saith hee saw, namely of that Whose dead carkasse was cast upon the coast of Tuscanie, with the head of a Bore, a scaly back, two hornes, the one very little in the forehead, the other very strong in the snout, wherewith he sights adventurously, and overcomes the Elephant. And this seems to be the very same beast of which Amatus the Portugall made mention, which Emmanuel King of Portugall [Page 364]sent to Rome, but the ship being cast away neare unto Marseille, the wild beast perished in the sea, the skinne whereof the adjoyning borderers brought unto Francis King of France. But whether by the name of Unicorne the Indian Asse ought to be understood, it might perhaps be a doubt, but that Aelian hath distinguished them. Therefore I doe not say that the Unicorne is a fained creature, but it is very rare, and not yet certainly known. But furthermore Caesar in his sixth book of the French Warre, makes mention of an Oxe that hath but one horne, and there are also such in India as Historians report. And not only the earth, There are Sea unicornes. but the water also hath its unicorne Monsters, which perhaps live both in the water, and on the land, as Garcias ab Horto reports of a certaine Monster that lives both in sea and land, about the Cape of good hope, which hath but one horne in the forehead, wherewith he boldly fights against the Elephant; Two Vnicornes hornes found in the sand in Greenland were brought to Hull. so likewise out of the Northern countries, as out of Island, and Greeneland are brought hornes, which are thought to bee the hornes of Sea-Unicorns. Not many years agoe, there were brought into this towne of Hull (where I write these things) out of Greenland [Page 355]two heads of Sea-Unicornes that were found upon the shore, with large horns in the foreheads, some pieces of which I have seen. From whence it is evident that there are many creatures which have but one horne, as well in the sea as on the land. But besides all this, Daniel Sennertus a very late writer, in the fifth booke of his naturall Philosophy, makes mention of a certain horn that is digged out of the earth, Horns digged out of the earth. which is found in Thuringin, Bohemia, and other places of Germanie, which is taken for the Unicornes horn, to which they ascribe a vertue against the Epilepsie, and malignant diseases, and he teaches to distinguish it from the naturall, in that the true horne is very hard, but that which is digged up out of the earth is not hard, but is easily bruised and broken, and being applied to the tongue cleaves to it, like unto terra sigillata; or some kind of Marle. Also Gesner, Fallopius, Agricola, and others that have written of Minebills have made mention thereof. There are therefore divers forts of Unicornes, but yet they have not all vertue against poyson. And Aelian who describes the Unicorne, doth not attribute any Antidotary facultie thereunto, but onely to the Indian Asse; for hee writes that the [Page 396]wealthier sort among the Indians are wont to drinke out of these homes, and that whosoever drinkes out of them is healed of incurable diseases, nor is hee taken with convulsions (say they) nor the Falling-sicknesse, nor hurt with poyson. Moreover if hee hath drunke any deadly thing, he vomits it up, and returnes to his health againe. Lib. 3. And the same doth Philostratus write in the life of Appollonius Thyaneus. But the horne of the Indian Asse is very rare, the upper part of it is reddish, the lower white, and the middle black, but the Unicornes horne is all black, as saith the same Aelian. Ambrosius Pareus, and other most famous Physicians have found no effect at all of this horne, and he doth not approve of that custome of touching the Kings meat with the Unicornes horne; which custome I heare he hath abolished who is the chiefe Physician in ordinary to the King of France. In like manner Aelian attributes to the horne of the Indian Horse a vertue against poyson, and Garcias ab Horto relates the same of the horne of the Rhinoceros, it is but short, very strong, black, some say that it is within of dark yellow colour, and being wet with the tongue, it yeelds the smell of some burnt matter. Garcius also reports [Page 367]of his Monster at the Cape of good hope, that lives both in the sea, and on the land, which resembles a Horse in shape, that the horn thereof is very much commended for a counter-poyson, an experiment thereof being made on two Dogs, the one of which that had drunk a double quantitie of poyson, taking the powder of this horne was well againe: but the other which had none given him, dyed presently, although he had a lesse quantitie of poyson given him. So likewise the hornes which are brought out of the North countries, and which are digged out of the earth, are reported to have no small vertue against poyson, although some deny it, Those that are digeed out of the earth are the best. and these are the hornes for the most part, which many shew for the Unicornes horne, although the colour corresponds not, which is black in the true Unicorne. But all that have written of them, do preferre those that bee digged out of the earth, as Gesner, Cesalpinus, and others, for they have an antidotary and preservative facultie, and do mightily provoke sweat, like Terra Lemnia. Therefore that I may conclude this Chapter, seeing the vertue of these Medicaments can be found out no other way but by experience onely, it will bee easie for any one [Page 368]that hath a piece of such hornes, or desireth to make triall of them, How to make a triall of the vertue of our Vnicorns hornea. to give some poyson to a Dog or a Chicken, and if it be preserved by taking some of the powder thereof, hee may keep it as an excellent Antidote. For though it be not knowne from what creatures they are taken, yet their vertue is not to bee denyed, seeing the originall of Exoticks hath not yet been fully known. If we allow of Harts horn, why shall not other hornes have the same vertue, yea there are some, that will have a certain wholsome qualitie to bee in all hornes, even of Oxen, and therefore the Ancients did drink out of hornes, hence are those words [...], [...] ad potum miscere, & [...] poculum, a [...] cornu. to mingle for drinke, and [...] a cuppe. Seeing therefore the hornes which are carried about for the Unicornes horne, are diverse in colour, magnitude, and figure, it is probable that they come from diverse creatures. Therefore whether it be the horn of the Indian Asse, which Aelian commends, or of the Rhinoceros, or of some water creature it is all one, so there be experience of the vertue of it. Wherefore I would not curiously enquire, whether it be an Unicornes horn, or some other creatures, so it be good and efficacious, yea and it [Page 369]is no matter whether the creature hath two hornes or but one. Yet it is most certaine, as we have said before, that Elephants teeth, and Whale-bones, and Sea-horse teeth, and common hornes burnt, and those which are digged out of the earth, which we have spoken of, and other counterfeit and artificiall hornes, Elephants and Sea horse teeth commonly sold for Vnicornes hornes. are commonly sold for the true Unicornes horne. Cardanus saith that Elephants teeth may bee made so pliable by art, that they may be made streight like hornes, and so set out for the Unicornes horn. Neither give eare to them (saith Amatus the Portugall) who when they goe about to try an Ʋnicornes horn, do infuse the scrapings and powder thereof in water, which they say forthwith is troubled and bubbles up, for you may perceive the same to happen from the scrapings of any bone infused in water, as you may make triall in Ivory. So likewise we must take heed that wee doe not give credit to other such experiments, which some use to prove the goodnesse of the Unicornes horne; for they say that if poyson, or some venomous creature be neare unto it, it sweats, as if it did suffer, and were affected with the poyson; as also they bid make a circle of the powder of it, into [Page 370]the middle of which, or into an hollow horn they put a spider, which if she passe over they will have it to bee a counterfeit horn; but if she burst and die, it is naturall, all which are false: but enough of this.
CHAP. XXXIX. Of certain distilled waters ordained amisse for to drive away feavers.
BEcause it is such an usuall thing here in England, both for men and women to hoard up remedies for divers diseases, and to communicate them to one another for secrets, we will speak somewhat of certain feaver curing waters, which many use especially for agues, the which although sometimes they may do good, yet many times they are hurtful and pernicious. In some Physick-Authors also such waters are found described. Quercetanus in his Pharmacopoeâ restitutâ, as he calls it, names two, which he saith are speciall waters for all sorts of feavers, especially agues, but principally for bastard, and exquisite tertians, so confidently doe these Chymists make promises of health. 1 ad Glauc. & 3 de simp. med. Galen himselfe prescribes worm-wood a very hot plant for Tertians, and in another [Page 371]place he commends cammomile for the same. There are some that will provoke sweat with such hot things. And in generall all those waters that I have seen, were distilled out of hot simples, which adventurously they will use in any intermitting feaver, many times to the great hurt of the sick.
First therefore it is to be noted, 1 that intermitting feavers are caused by divers humours, both hot, and cold, unto which one and the same remedy cannot fitly be applyed.
Secondly, 2 seeing that every disease is cured by its contrary, it is certain that cholerick humours are inflamed more, and increased by the use of these hot remedies, and so of an intermitting feaver, it may become a continuall.
Thirdly, 3 the cause of an intermitting feaver most commonly lies in the mesentery veines, the panereas, and other the first passages, which dregge it is too dangerous to bring into the habit of the body by such remedies, lest the bloud of the veines be polluted, especially in cholerick feavers, whose cause is for the most part thin, and very moveable.
Fourthly, 4 Galen forbids to use vehement [Page 372]and hot remedies in the beginning of a quartane ague, which is caused by a cold and dry melancholick humour, and he tels a story of Eudemus, a Philosopher, who in that he did unseasonably use triacle for a quartane ague, of a simple, it became a double quartane, whom neverthelesse Galen cured with the very same remedy seasonably and rightly administred. Therfore these hot things are good in those feavers only, which are procreated by cold humours, or in a bastard Tertian, in which there is a great quantity of flegmatick humours mixed with the cholerick, Aguish waters not to be used till the humour be concocted. or when there are very gross and stubborne obstructions, and the bowels very feeble, and weakened, but not before the concoction of the humour; thus Galen for a quartane prescribes a medicine of succus cyrenaicus, but not untill the humor is concocted. So hee commends wormewood in a Tertian, but utterly dislikes it before concoction. In like manner, and by the same reason, these hot waters are to be rejected, but after the concoction of the morbous humour in a stubborne disease, they may be profitable. Therfore these hot things are not to be rashly, [Page 373]administred in feavers, for one that had adventurously used them in a quartane feaver, of a simple, made it a double quartane, as we said before. And there is the same cause of feare likewise, lest the same happen by the use of these waters. The advise of a learned physician ever requisite. Therefore let the advice and counsell of a skilfull, learned, and faithfull Physician bee alwayes taken, who may appoint convenient times for all remedies. Nor let the people rashly trust to their Receits, as they call them, for they are even the hand of God when they are administred by a skilfull Physician, but as it were a sword in the hand of a mad man, when one meddles with them, who doth not well understand the rules of Physick.
CHAP. XL. That Iuleps, and other cooling Potions are to bee administred in a large dose.
I Have often observed, when Physicians prescribe Apozemes, Juleps, and other cooling potions for them that bee sick of feavers, that the by-standers doe usually administer them in a very little dose, as but 2 or 3 spoonfuls. But here is to be noted, that those remedies [Page 374]that are prescribed to prepare the humours, are not of the nature of them that contain much strength in a very little quantity; but contrary wise seeing they work by the first and second qualities, unlesse there be a proportion in quantity betwixt the humour that is to be altered, and the Physick, it is but in vaine prescribed, for if they doe notovercome the humour, they are overcome by it, and corrupted. In a very hot feaver, if the aforesaid Juleps be either altogether denied, The necessity of cooling and altering juleps in feavers. or but sparingly administred, the body is dried by the heat of the feaver, and decaies, so as no small damage is like to befall the sick. To such therefore they ought to be given more liberally and frequently, for to temper the feaverish heat, and to refresh nature, and the more boldly, if concoction be already made, for it helps the criticall evacuations of nature, by sweat, siege, and vomit; and therefore in this case Galen allowes as much cold water as the sick can drink; And Avicenne, till the sick be wan, and shake with cold. Nevertheless, in the beginning of the Paroxismes in intermitting feavers, the best Physicians, according to Hippocrates his counsell, [Page 375]thinke that nothing is to be taken. For Hippocrates saith, When the feet are cold, 1 acut. the sick must abstaine from supping meats, especially from drinke; but when the heat is descended unto the feet, then it is good to take it; for then the heat which in the beginning was as it were suffocated by the morbous humour, enjoyes a pleasant bloome, and is diffused into every member of the body, and so is better able to encounter the cold drink, yea the drink doth then further evacuation by sweat, which is wont to be made in the end of the paroxisme. Hollerius layes it all open in few words. Lib. 2. cap. de s [...]i. Wee must not permit them to thirst long, especially in feavers, and where the body is dry; yea in the declination they must bee compelled to drink; in the beginning and increase of the fit, drink must be withholden from them, lest as by water, or other liquor cast on a Smiths forge, the heat of the feaver bee more inflamed. In the height they must use washing of the mouth, and gargarismes, but when it asswages and declines, and they be exceeding thirsty, they must drink as much as they can, for so it comes to passe, that by the sudden motion and contrariety of the drinke the heat is stirred up, and dispersed to the [Page 374] [...] [Page 375] [...] [Page 376]extreame parts. Mercurialis also wrote well in his Comment upon the ninth Aphorisme of the second Book. Many (saith he) thinke it enough to take their syrupes at the most to the weight of six ounces; but I have learned by reason and experience, that it is better to take them alwayes in a greater quantity, yet with respect to the condition and nature of the sick, and the sick to persist long in the use of them: For so the vessels being somwhat moystened, do yeeld better to the attraction of the humours, and the humours themselves being better prepared, doe more easily come forth. I know Aristotle demands why drink should be given but a little at once, 1 prob. 57. and often, to them that are in feavers, because (saith he) a little drinke, and often given, doth sink, and insinuate it self more into the body, then a large draught taken altogether. Arist [...]s'e & Hippocrates differ in their judgments. Now the Philosopher in this place will have a frequent taking of drink to be equivalent with a great qualitity taken at once; but Hippoorates sayes otherwise, that water drunke too sparingly, turnes into choler; and in his book de locis in homine, he saith, that in feavers waters should be administred hor, mixed with honey, [Page 377]and vineger, and that it is thus to bee drunk in a great quantity. But besides Juleps, of which wee now treat, are not simple drinke, but have also a Physicall quality, as opening, strengthning, or such like, according to the divers intention of the Physician that prescribes them. So much therefore ought to be drunk, as may suffice for concoction, and to quench thirst, but not to increase the causes of discases, in which particular they doe erre grossely, who doe either kill the sick by being too sparing in affording them drink, To deny drink in in feavers destroyes the sick. In libris epid. 1 acut. 43. (which thing Galen in divers places blames in the Physicians of his time) or who by too much humidity oppresse the body, and increase the humours. Galen writes, that if water bee given to abate thirst, so much thereof is to be taken as the sick can drinke with one breath; but if to quench heat, he may take as much as he will, (as he teaches also in * another place) and that altogether, or at once, as Amatus * the Portugall teaches more at large. 9 meth. 8. curat. 11. Cent. 1. Thus Galen gave in the first fit two pints of water, to a young man sick of a feaver through anger, in the dog-dayes.
CHAP. XLI. That the Stone of the Bladder cannot be dissolved with Remedies taken by the mouth.
THey likewise that are grievously tormented with the Stone of the Bladder, are likewise to be admonished, that they do not too easily give credit to every one that makes large promises. For I know, not only wandring quacksalvers, but some Physicians also, doe prescribe not a few remedies for to break the stone of the bladder. And indeed Monardes, Augenius, and others doe report, that the stone of the bladder hath been cured. Augenius commends a remedy made of Hog-lice prepared, with which Laurembergius in a peculiar treatise reports he was cured. Notwithstanding, others who have made triall of the same, have found no help thereby. Quercetanus in his Pharmacopoeâ restitutâ, describes a water to break the stone in the bladder; without any paine at all; Chymists promise mountains but performe mole-hils. but these Chymists doe many times promise more than they are able to performe. For if the stone of the kidneyes bee so hardly dissolved, much more the stone [Page 379]of the bladder, which is further off, Note and harder than that of the kidneyes, as also there is danger lest such strong medicines hurt the parts through which they passe: But though we should grant that the stone might be broken with the use of remedies, yet except it be so broken that it turnes into powder, or into such little pieces as might with ease be voided out, we shall attaine to no other thing, save that of one stone we have made many, and those cornered, which are like to cause a greater torment to the bladder, and which perhaps by degrees will grow bigger by the addition of slimy matter. Galen in his Chapter de lapide Iudaico, laughs at Dioscorides for commending this stone for the stone of the bladder. The vertue of medicine is lost before it can come to the bladder. A Medicine (saith he) cannot come to the bladder in perfect vertue, and though we should grant that it may come so far, yet the force of the medicament is abated, both by the spaciousnesse of the bladder, and by the urine in which it swims, and by the hardnesse of the stone, and by that which involves it, and by the great quantity of fleagm wherewith it is encompassed. Hippocrates himselfe in his oath, although at other times he would exercise Surgery; I will not [Page 380]cut (saith he) them that are troubled with the stone, but will leave it to the skilfull operatists of that art. For he had not a remedy to break the stone. Men should not therefore give credit to them that prescribe remedies for it. Duretus upon Hollerius, reports, that hee saw the bladder exulcerated with such remedies, and death ensue, the stone not being worne at all. A certaine man (as Duretus reports) fearing the extreame paine of cutting, by the advice of some, drank juyce of Limmons for 3 months together, and died with exulcerations in his stomack, caused by that juyce. For sharp medicines must of necessity molest, and exulcerate the parts through which they passe, with their sharpnesse. Sanctorius, in his Commentaries upon Galens Ars parva, tells a story of an Italian Physician, who while hee used Electuarium de vitro to break the stone of the bladder, in stead of lessening the stone, brought in a mortall dysenterie flux. He tells also of another, who by the advice of a certaine quacksalver, used very forcible diureticks, which when by their abstersive quality they had evacuated very much fleagm, insomuch as the sick seemed to be more at [Page 381]ease, yet the stone being made sharper, began to prick the bladder more vehemently, and made a Gangraenous Ulcer, as was seen when the body was dissected, and so the sick died miserably. Capivaccius also confesses, that hee knowes not any remedies, which can break the stone of the bladder. Cap. 94. text. 3. And Galen in Arte parvâ reckons onely cutting among the remedies for the stone in the bladder; where Argenterius observes well, that even from hence is their opinion refuted, which think the stone may be cured with remedies taken by the mouth.
CHAP. XLII. That the wormes of the belly are not presently to be killed in Fevers.
IT falls out sometimes, that both children and young men are grievously troubled with wormes, and that divers diseases in the body do arise from thence among which a Feaver is not the least, which is of a double nature; for either it is caused by the wormes themselves, and then it is a very gentle Fever, or it comes from other causes, Dangerous Fevers from wormes. and concurres with the wormes, and this is usually a malignant and violent Fever, which is thought to have been sometimes called [Page 382]by Hippocrates [...] fierce and wilde as a beast. In the curing of these wormes the people many times doe erre much.
First, 1 in that they thinke, when there are wormes together with a Fever, that the fever is alwaies caused by the worms, when rather the wormes doe oftentimes proceed from the matter of the Fever: For as Aetius teaches, Cap. 39. lib 1. tetrab. 3. if they breed about the beginning of the disease, they take their substance from the corrupt matter, if about the height, from the malignitie of the disease, if about the declination, from the change to a better, which also are quickly voided. Therefore in the beginning of acute diseases, they betoken a malignitie of the disease; for when wormes are the cause of a Fever, that Fever is never violent and acute; but most commonly they appear in a malignant fever, which is to be noted, for in the former case, the cure of the wormes is the cure of the Fever, but in this latter, when the Fever is cured, the wormes are wont to be cast forth by nature it selfe, the disease tending to a crisis, as Hippocrates teaches in divers places, as in his Prognosticks, and in his booke de crisibus.
Secondly, 2 they erre in that in this case [Page 383]they consider onely the worms, and presently direct their cure to them, neglecting the disease on which they depend, or making it worse with their remedies undiscreetly administred, for oftentimes those things which kill the wormes doe increase the feaver.
Seeing therefore worms, Note. because they are in every respect besides nature, are to bee killed and expelled, yet that ought not to be done with any kindes of remedies indifferently, but the nature of the disease that doth accompany them is to be regarded, to which especially remedies must be applied; for when it is once cured, nature it selfe casts them out in the declination of the disease. Wherefore because they are so ordinary in malignant Fevers, those remedies which do cure malignant Fevers do serve for them likewise, such are many Cordials, as Harts-horne, Unicornes-horne, Corall, Triacle, Mithridate, the seed of Citron, &c. And there are scarce any Cordialls which are not good against wormes, although not alwaies; hence it is that we see many of those remedies which are said to bee good against wormes to doe no good at all, namely because they are used after the manner of Empyricks, [Page 384]without any difference of causes, and regard of the other circumstances which ought to be respected. Let us hear what Rondeletius saith excellently concerning this subject in his Chapter of Wormes. When Wormes (saith he) are voyded in acute diseases, as burning Feavers, and other diseases of old men and children, wee ought not to convert our whole intention against them, as women doe, and Physicians that study to humour them, whereby it comes to passe that the sick do perish, in that the disease is neglected, or because they bend themselves more to the curing of the wormes then of the disease; as if one bee holden with a continuall Fever, or some other Cholerick disease, or a flux of the belly, or if in the beginning of acute diseases one chance to voyd wormes, they commonly give Wormeseed, which doth inflame the Feaver more, or else they are wont to administer Corall, and other things which are astringent to kill the wormes, all which are very ill for the principall diseases, as very bitter things for the Fever and flux of the belly, and astringent and drying things for Fevers. Wherefore the Physician ought diligently to distinguish whether the Fever depend upon the wormes, or whether the wormes which are alwayes within the belly be cast out by some [Page 385]other cause. And if one perceive that the Fever doth proceed from another cause, because it is a Quartane or a Tertian, or a true Quotidiane, and that there is no other ill symptome, they must be let alone, or only those medicaments prescribed, which are good against the principall disease, and the worms. Which words of his we have set downe at large, because, they doe so plainly explicate this whole businesse. Forestus also in his observations, and Mercatus in his Chapter of the worms, and others do observe the same.
CHAP. XLIII. That Cinnamon is not well prescribed to stay womens fluxes.
IT often falls out, that women are troubled with an immoderate flux of their flowers, or of their courses, or other humours, for the curing of which, I have oftentimes known Cinnamon to be prescribed by other women, as a very astringent remedy. Indeed in a Diarrhaea, and the fluxes of the belly, I deny not but it may sometimes be good, for it corroborates and strengthens the stomach and bowels, whose weaknesse is many times the cause of a flux of the belly, but it is to no purpose at all to use it for the staying [Page 386]of the flowers, for it rather provokes them more violently. For it is an hot and dry spice, and withall opening, and therefore very fit to provoke the flowers, as saith Dioscorides in his chapter de Cassiâ, which according to the judgement of Matthiolus, and Dodonaeus is no other then our Cinnamon, called by the French Canelle; it hath, saith he, a heating quality, as also a vertue of provoking urine, drying, and of a gentle binding, it drawes down the flowers, and a little after hee addes, that it produceth the very same effects that Cinnamon doth, concerning which hee writes thus in the following Chapter. All Cinnamon heateth, concocteth, mollifieth, provoketh urine, being drunke or applyed with Myrrhe, it expells both the flowers and the birth. If these things bee thus, then it necessarily followes, that they are in a great Errour, who prescribe Cinnamon to stay womens fluxes. But this is a matter of no great moment.
The same might be said of some knowlittles that practice Physick, and are ignorant of the vertues of remedies, railing on them that that are better than themselves, and yet taking no care to get more learning. Some are so skilfull, that they think that Syrupus de Artemisi [...], is onely fit for [Page 387]women, that Syrupus de Stoechade, is only a cephalick medicine, yet Philonium ought to be prescribed only to provoke sleep, and divers such things doe sometimes occurre which they are ignorant of; neverthelesse if any man do but seriously consider the simples, of which the aforesayd remedies are compounded, The vertue of Mugwort, and the syrupe made of it. they ought to be esteemed no lesse profitable for many other things; as for example, in Syrupe de Artemisiâ there are many simples very good for divers affects. Mugwort doth not onely provoke the flowers, and help forward the birth, but also heats, dryes, opens obstructions, and is good against the stone of the Kidneyes. It extenuates (saith Bondeletius) and heats fleame, and dries the nervous parts and the wombe, and is good against old and inveterate Catarrhes, and performes the same that Syrupus de Prassio doth. The same may be said of Syrupus de Stoechade, which is good against all the diseases of the bowels; as also Philo's Antidote, which Philo and Mesue affirme to bee good for all cold diseases. And so of many others.
CHAP. XLIIII. That Opium rightly prepared ought not to be feared.
SEeing sleep is the strength of the inward parts, and that nothing is thought to bee sweeter, and more effectuall than sleep, for repairing of the strength and furthering the concoction of the humours, it is both profitable and necessary by all meanes to provoke it, in many sick persons which spend a great many nights without sleep, yet many times it is not so easie to do; for sometimes the causes of diseases are so vehement, that they will not suffer the body to be brought to sleep, scarce with indifferent strong somniferous Physick. Now to provoke sleep sundry sorts of remedies both internall and externall are used.
Divers internall medicines are prescribed, although commonly to little purpose, as Almond-Milk, Poppy-seed, which the people in many places do use to eat, the oyle of which they ordinarily use instead of Olive-oyle. But Opium is now brought into use, the rest being layd aside. Yet the people doe abhorre from the use thereof, and avoyd [Page 389]it as present poyson, Opium in the hand of a discreet Physician is a harmlesse thing. when notwithstanding being rightly prepared, and administred in a convenient dose, it is a very harmlesse and wholsome medicament. The Ancient indeed thought it to bee poyson, but that is onely when it is taken in too great a quantity. But thus nothing is so wholsome, which by corrupt use may not become hurtfull, and nothing so hurtfull which may not bee made wholsome. Now there are divers sorts of poysons, Divers sorts of poysons. some are poysons in their whole substance, which can doe the body no good, after what manner soever they be taken; although they be given in so small a dose, that they cannot kill, as Arsenick. But the nature of others is contrary and different from these, in that they doe not hurt the body but in a certaine quantitie, otherwise they may doe much good to the body, such is all Physick, especially purging medicines. For whatsoever is administred in such a quantitie, that it overcomes nature, it doth assume the nature of poyson, thus milke curdled in the stomach, and the juice of Lettice, are thought to be poysonous, which neverthelesse may do good to mans body, being rightly and moderately used. Moreover [Page 390]we find in history of certain maids that have fed upon Monkes-hood, and Hemlock. But it is to be noted, that among those things which cause sleep, Opium is the most innocent for divers causes.
First, that Opium which wee use, is for the most part, Meconium of Dioscorides, which is made of the strained juice of the leaves and heads of Poppy, but the right Opium is a Or gum. Lachryma. Now Meconium is far weaker according to Dioscorides than Opium, and Matthiolus in his Epistles is of the same opinion likewise. Wherefore if it hurt, it must bee administred in a greater dose than Opium. And Dioscorides saith that Opium taken in the bignesse of a Vetch doth asswage pain, concoct, and provoke sleep, but if it be taken in a greater quantity, it doth harm. And he writes of one Mnesidemus who approved of the use thereof onely in smell, because it would so procure sleep, but disallowed it otherwise as hurtfull; but Dioscorides addes, Experience shewes that these are but idle fictions, for the effects of the vertues of this medicament do beget credit.
Secondly, it is to be noted according to Galen, that there are divers sorts of Narcoticks; [Page 391]for some do moisten, others dry, Moyst narcoticks are dangerous. those which doe moisten, as Hemlock, Mandrake, & the like are hurtfull, as also those that are poysonous in their whole substance, as sleepy nightshade, which things are never wont to bee used by Physicians to provoke sleep. But those things that are taken inwardly without harm to the body, ought to have a drying qualitie, as * Galen teacheth, 5. Simpl. 18 where he saith, those things which cause sleep do refrigerate the body, and drying medicines are the fittest for that intention. And in his first booke of the causes of diseases, he saith, that those things which do refrigerate and moysten do not cause a sweet sleep, but a long and dead sleep, and stupefaction; but those that are of a drying qualitie, as Opium, are not so hurtfull. Therefore according to the judgement of Dioscorides and Galen, Opium moderately taken, is not so much to be feared. Besides many compositions that are to bee sold in shops have Opium in them, as Triacle, Mithridate, Dioscordium, Philonium, and the ancient Physicians were wont to put it into almost all their Antidotes, and they used it familiarly in divers diseases, yea sometimes they made use of worse than it. [Page 392] Hippocrates 2. de morbis, uses Henbane, and Mandrake for a Quartane Ague. Aetius for the same purpose prescribes Opium with an equall quantity of Myrrh, Pepper, and Castoreum. But wee now adayes doe with more securitie use Opium, better prepared, and corrected by chymicall Extractions, as Landanum, two or three Grains of which, or at the most foure, are a sufficient dose, where notwithstanding there is not so much as one graine of Opium, although it be rightly prepared. Opium the same with Meconium of Dioscorides. Seeing then our Opium is for, the most part no other then Meconium: of Dioscorides, which is farre more slow in operation then Opium, and therefore may be preseribed in a greater quantitie, the quantity of one or two grains can do no harm. Dioscorides prescribes Opium to the bignesse of a Vetch, whereas we give a pill of Laudanum to the bignesse of a Vetch, a third part whereof is not Meconium. I see no reason why Opium should be so much feared, If due consideration be not had, there may muchharm en [...]ue from sleeping medicines. so that it be rightly prepared, and all the other things diligently observed, which Galen would have to be observed in administring Nareoticks, otherwise without doubt it may doe harme. Here by the way take notice, that there are [Page 393]divers descriptions of that Laudanum, and many of them very foolish ones; in one Laudanum the Opium is dryed by a gentle fire; in another there are other narcoticks besides Opium, as Henbane, and such like, farre more dangerous than Opium it selfe: in another there are many correctives added, as the falt of pearles, corall, the tincture of gold, and many such unprofitable things, which adde to the price, not to the vertue of it: As may be seen in that large description of Laudanum, which Quercetanus hath indiscreetly committed to writing. But in that which I have spoken of it, I understand that Laudanum which is prepared according to the description of the dispensatory set forth by the Colledge of Physicians at London, which is not so large as the other, and withall the best.
CHAP. XLV. Of Remedies that provoke sleep, being applyed to the head.
THey that are so fearfull of Opium, do think it enough, if to provoke sleep they use externall remedies aplyed to the head and nostrils, frontlets [Page 394]and ointments. Mnesidemus (saith Diofcorides) as we intimated before, doth only allow of Opium to be smelled at, not to be taken inwardly. Outward applications many times not forcible enough. But here they must know, that these externall remedies doe not alwayes produce the wished for effect, because they can scarce convey their vertue and strength to the braine, being only applyed to the forehead.
First, 1 because they are not so often renewed as they ought, insomuch as they grow hot upon the forehead, and so doe afterwards heat the head more, and rather hinder sleep, than provoke it; The often doe hinder sleep. and therefore Galen gives good counsell, in divers places of his books of Method, that these refrigerating and cooling topicks, bee often renewed, lest when they are once heated by the body, they again make it more hot than it was before.
Secondly, 2 because the bone of the forehead is solid, thick, and further remote from the braine, than the rest of the bones of the head, and therefore with greater difficulty doe the vertues of topicks pierce through that bone unto the braine; Lib 2. de medie. secundum [...]o [...]os. wherefore * Galen more highly commands to apply topicks, not to the [Page 395]bone of the forehead, but to the coronall suture which is covered with hair, whether it bee for to coole, or to heat the braine, Topicall remedies best applied to the coronall future. because the bones of the forepart of the head are thinner, and their juncture and coarticulation more loose than the rest.
CHAP. XLVI. That fomentations made with bladders, are but of small efficacie.
AMong topicall remedies, the use of fomentations is of great esteeme among Physicians, which are made of some kinde of liquor, that is applyed to the parts of the body for divers intentions, as to heat them, open obstructions, dissolve hard tumours, asswage paine, and to digest and discusse humours. Now they are made of some convenient liquor, especially of the decoctions of many simples, or of oyle, milk, and the like; which liquor many put into a bladder, lest the linnen of their bed be wet therewith, which afterward would be very tedious and irksome to the sick. But thus the aforesaid preparation, to wit, the mixture and decoction of the divers simples is made unprofitable: For their vertue [Page 396]doth not penetrate through the bladder into the body, but only the heat works, so that if some part stand in need of heating only, the fomentation may be made with a bladder, what liquor soever be put therein. Also if there bee need to asswage paine, and digest humours, heat by its owne quality will effect it. But if obstructions be to be opened, or something in the body is to bee mollified, the bladder is of no force; but wee must either use linnen cloaths, or felts or woollen cloathes, or spunges wet in some convenient liquor, and so the strength of the remedy being applyed to the part, doth sink deeper into the body, through the pores of the skin, and there it puts forth its vertue, and sometimes drawes the humours from the center to the circumference; as they that bathe themselves in a hot bath, doe feele the effect of it in the internall parts. Therefore although I doe not dislike the applying of bladders to foment the body, yet I have thought it not so profitable for the aforesaid reasons.
CHAP. XLVII. Of the applying of young whelps and pigeons to the soles of the feet.
NOt only the common people, but also very many Physicians, have used to lay to the soles of the feet young pigeons, or whelps cloven through the middle of the back, which custome I doe not in this place speak against, for I know it hath beene oftentimes done, to the exceeding great commodity of the sick. But because they are very seldome wont to be applyed to the head, we will treat a little in this Chapter of this subject. For the Ancients, The Antients were wont to apply them to the head. and also moderne Writers, do often prescribe them to be applyed to the head, seldome or never to the feet. This remedy is ordinarily used in the diseases of the braine, as the frensie, and madnesse. Now the frensie is an inflammation of the brain, or its membranes, the manner of curing whereof, The cure of the frensie. by the common consent of Physicians, is this: that in the beginning the Physician use all kinds of revulsions, and diverting remedies, and appy to the head those things that have power to repell, and drive back the hot humours from the head. [Page 398]But if by these meanes the disease cannot be cured, then in the increase and height of the disease, he must proceed to resolving remedies, which during the increase may be first mixed with repelling; but in the height of the disease they must bee meerly resolving medicines. 13 method. cap. 2. To which purpose Galen uses cowparsenep, thyme, wild thyme, and other such hot things boyled in oyle; and he teacheth, that the frensie in the height, and the lethargie, have the very same manner of curing, because in both of them the same resolving remedies are to be used, where also he commends mustard, and castoreum, both which are very hot. And these hot things in the height, and also in the declination of the disease, doe not heat, but resolve. For this is the right manner of curing any inflammation, that in the height, and in the declination, wee use digesting and discussing remedies, 1. sim [...]l. cap. 4. for as Galen teaches, Digesting remedies do by accident refrigerate and coole an inflammation. Wherefore in 1. ad Glaue. cap. 15. & 2 do Medic. 2. locor. two severall places, for the paine of the head in feavers, he uses the se digestives, to wit, after universall evacuations. But the moderne Physicians use young pigeons, [Page 399]and whelps cloven downe the back, and the lungs of a Ramme yet warme, which remedies, although the Ancients were ignorant of, yet they performed the same with other things answerable to these in operation. Now when dogs, or pigeons are applyed to the soles of the feet, that is either done for revulsion, or else for resolving the matter of the disease. Not for revulsiou [...], because the people seldome or never use them but in the height, and in the declination of the disease; now the revulsion should bee made in the beginning, both because their heat is but very gentle, and because it doth draw but very weakly; for these things which draw unto the most remote parts of the body, must bee exceeding hot: Therefore Galen in his Book de revulsione, saith, that they must bee sharp medicines, which draw back humours from the head and bowels: 8 collect. cap. 19. And * Oribasius is of the same minde. For they draw by their heate and paine. But young pigeons do resolve without much heat; wherefore though I thinke they doe draw something, yet it is but weakly, and not from the far distant parts, in respect of their so gentle heat. Nor [Page 400]are they available for resolution of humours; for who will believe that remedies are to be applyed to the feet, that they may resolve the humours infolded in the braine. And this is the opinion even of all Physicians, who have written of the diseases of the head. Neverthelesse I doe not absolutely speake against the applying them to the soles of the feet, because it may doe a little good, and cannot doe hurt. It is an usuall thing with them of Monspeliers, In France they are applied to the heart. to apply young pigeons cloven through the middle, together with some cordiall powders, to the region of the heart, after the manner of an Epitheme, to comfort the heart, and refresh the spirits, because they have a milde heat, familiar and agreeing with our naturall heat.
CHAP. XLVIII. Of the Weapon-salve.
BEcause the weapon-salve, otherwise called the sympatheticall, magneticall, and starry oyntment, is held in so great account by some, that they think it cures wounds, being applyed not to the affected part, but to the weapon that makes the wound; we will [Page 401]not passe it over in silence. For now adayes it begins to bee much in use. This was the invention of some Germanes, especially of [...]heophr [...]stus Para [...]sus, whom Goclenius followed, and also Crollrus, (who hath a description of this oyntment different from that of Paracelsus) and others; some of whom followed Paracelsu [...], and others Crollius his description. Now some will have this to bee a wonderfull gift of God, that wounds should be cured with so much facility, and it is only an abridgment of the art of Surgery, so that for the future Surgery need not to be regarded, seeing ve [...]unds and ulcers may be cured with one only remedy. But yet nature seems worthy to be blamed, in that shee so long kept close such an excellent remedy, and revealed it not to Adam, the Patriarchs, holy men, Jewes, the primitive Christians, and the most learned men; but hath revealed it to drunkards, Paracelsus charged. whoremongers, dicers, such as the report goes Paracelsus was, his only Countrymen writing, and confessing the same. The rest of them in my judgment do so obscurely explain themselves, that it is very likely they knew not what they [Page 402]would say; nor ought it to move any man, that Goclenius sayes, that he could name Emperours, Kings, and Princes, who give testimony of the vertue of this oyntment, for perhaps some Impostors with their counterfeit glosse have beguiled them, which is a thing not impossible; but I verily believe Goclenius himselfe was never knowne to Kings and Emperours.
But to passe by these things, it is to be noted in the first place, that this ointment is compounded of mosse that growes upon a mans skull, A principall ingredient is the mosse that grows upon a mans skull that was hanged. (which they call usnea) because this is as it were the pure quintessence of the skull, and a spiritous substance, as one of them better learned than the rest was conceited. Crollius makes choice of a man that hath dyed a violent death, and Hartman his Commentatour preferres one that hath been hanged. Because when they are strangled, the naturall and vitall spirits are carried upwards; and seeing that by reason of the hardnesse of the skull, they cannot get out, they are coarcted together with the animall spirits, and in processe of time grow into one, and breake forth unto the circumference of the skull, then by the accesse of Mercury, or the spirit of the World, conveyed into these inferiour things [Page 403]by raine, dew, snow, and frosts, is made usnea, which containes in it all the naturall, vitall, and animall vertues, which afterwards it communicates to this oyntment. Who can but admire at such grosse ignorance of naturall Philosophy in Hartman? For he is in a palpable errour, in saying that in them that are strangled, the naturall and vitall spirits are carried upwards, when the vessels, to wit, the veines and arteries through which these spirits are carried, as all men know, are intercepted and stopped. Moreover, although they should be carried up then more than at other times, why shall they rather be coarcted and united in one that is hanged, than in a living man, in whom the spirits are so easily wasted, and how is it that before this mosse and hearinesse grew upon the skull, they are not quite dissipated and dissolved? But how knowes hee that those spirits are carried up to the braine, in them that are hanged, doe settle rather in the skull, than in the substance of the brain? For in a living creature they are for the most part in the braine it selfe. Now these spirits doe either flow into it, or they are naturally seated and placed there. If they doe only flow thither, it is most cartaine that they doe all vanish [Page 404]after death, because they are not parts of the body, nor are they kept in by the strength of the living body, for it is also consumed and wasted. Hence even in the living there is continually need of a fresh supply of spirits, because such abundance of them is consumed: Much more when the corpse is rotten, perhaps some yeares, before the skull is made quite bare, and is fit to contract mossinesse. That they are not insite and naturally placed there, it is evident, because then they should be immoveable; but these spirits in the very act of suffocation are presently lifted up to the brain. Nor is it a thing credible, that after death, or in death they are seated there, (which Hartman seemes to have meant, when hee saith, that in processe of time they grow into one) for those spirits that are infite by nature, are made, or at least repaired, and maintained by those that flow into the braine, by an act of nourishment, which is not in them that are hanged, and though it were in them, yet it should be rather in the braine, than in the skull. Besides the substance of spirits is very thin, and apt to evaporate; how is it therefore, when they breake [Page 405]out unto the circumference of the skull, and are no longer enclosed within its hardnesse, that they doe not vanish away, but turn into a grosse and filthy mosse? Their spirituall substance will nor endure that. And therefore it is manifest that he erred, in saying that this mosse containes in it all the vertues of the body, it is a wonder that it hath not also nourishment, sobset, and reason. I waved that which he babbles concerning the spirit of the World, which he calls Mercuriu [...] Leandi. But if there be any such spirit of the World, it must of necessity be diffused through the whole World, and not fall downe to us by the interchangeable courses of raine, show, and tempests. On these absurdities is the very ground-worke of that medicament seated. The foundation of the oyntment shaken. But I had almost forgotten, that of this mosse, the foundation of such an excellent remedy, Crollius mixes in his oyntment but the weight of two hazell nuts, which is (as Hartman interprets) one dramme; but Paracelsus deemed two vounces little enough, although Paracolsus his whole description is but of nine ounces; but Crollius his description is of thirteene ounces, so large a structure [Page 406]stands on such a slender foundation.
Secondly, 2 it is to be noted, that in the oyntment, according to Paracelsus his description, there was the bloud and fat of a man; but Crollius omits them, and not amisse, if the moss by it selfe have all the vertues in it, which thing Paracelsus seemes not to have believed, in that he added these unto it, but in defect of them hee puts therein the fat of a pig, a bore, and a beare. And Hartman gives the reason why Paracelsus did adde bloud thereto, because although the spirits do vanish away, yet those spirits which adhere to the salt of the bloud, are retained. But first hee thought it requisite that those spirits should be carried up to the skull, whereas Crollius thought them to be altogether unprofitable. Furthermore Paracelsus and Crollius doe adde thereunto Mummy, by which my Author Hartman thinks is meant Egyptian Mummie. Which neverthelesse is the most unprofitable remedy, being made in Egypt by cousening fellowes, of the flesh of elephantick and leprous persons, and of such as dyed of the French Pox, or some such filthy diseases, and of the flesh of slaves which they buy, which [Page 407]they enbalme with Pitch and Bitumen. But Paracelsus doth in sundry places highly extoll Mummie of the Gallowes, as he calls it, that is to say, the flesh of a man that was hanged, the which it is probable Crollius meant, because he left out the fat and blood of a man, which Paracelsus did put in. Then other simples are added, such as may be inserted in other ointments and plaisters; for Paracelsus added thereunto Lineseed oyle, oyle of Roses, and Bole-armoniack; And Crollius earth-wormes washes, the braine of a Bore, redde Sanders, and the blood-stone. The descriptions very different. Here the reader must consider, that these are two severall kindes of ointments really differing, and have nothing common but the Mosse, which Crollius added but in a very small quantitie, and yet these two ointments are both of them said to bee of the same efficacie, although Crollius left out those things to which the Paracelsians do attribute the whole magneticall vertue: Yea some have left out the very Mosse also.
Thirdly, 3 some in the making up of the ointment, do observe the divers aspects and courses of the stars. Crollius scrapes off the Mosse, the Moon increasing, [Page 408]being in the house of Venus, or some other good house, not in the house of Mars, and Saturne, and he will have the ointment prepared the Sunne being in Libra. But some more rightly doe wave these things: For if the ointment have in it a magneticall vertue, that is to say, if it do cure wounds by the same qualitie by which the Loadstone draws Iron to it, there is no need of the concourse of the stars, seeing that vertue is in it by nature, as the Loadstone at any time, and under any star draws iron, and tende to the Pole.
Fourthly, 4 some doe annoint the weapon, and binde it up carefully, and keep it warm, and free from dust and winde, otherwise they say the partie wounded will be in grievous torture, if the weapon should lye cold and unbound. Neverthelesse, some say, that by the onely dipping of the weapon into the box of ointment, without any ligature, they have performed a cure, which Paracelsus requires only.
Fifthly, 5 if the weapon that made the wound cannot be had, they take a piece of wood, especially Willow, according to Crollius, or a tender sprigge of some tree, or some such thing, and besmeare [Page 409]it over with bloud that flowes from the wounds, and so apply the remedy unto it.
Sixthly, 6 they bid that the wound be washed every day with urine.
Seventhly, 7 Crollius would have it observed, whether it be a deep prick or no, for then the weapon must bee anointed upwards, and not by descending downwards, although Paracelsus seemes not to have regarded that, who commended the onely dipping of the weapon into the ointment.
Eighthly, it is to bee noted, 8 that in a manner all the examples of cures which they instance, are only of simple wounds in the flesh, in which there is no losse of substance at all, but onely one indication, to wit, a conjoyning of the parts disunited.
Ninthly, 9 some render this reason of the effect, to wit, that there are spirits in the blood, and in regard of the familiaritie and sympathy of mans spirits among themselves, the ointment is made of mans blood, fat, and flesh, and the mosse of the skull, in which spirits are contained. Hence it comes to passe, that when the blood of the party wounded is joyned unto the ointment, the spirits that [Page 410]are in the blood, are by reason of sympathy joyned with the spirits of the ointment, being both of the same kind, and so doth take the vertues of the ointment, and carry it unto the party wounded. And not only the vertues of the ointment, but also the affects which follow the administration of ointments, which are such as happen either by a too strait, or too loose ligature, as also those which may ensue, if a wound be left uncovered in a place that is either too cold or too hot. And there is so much force in these spirits, that they are able to conveigh the vertue of the ointment from the East into the West, from the North to the South. And Crollius calls them all fooles, who think that this cure is Magicall, and hee will have it to be done by a magneticall, and attractive vertue, caused by the starres, which is carried unto the wound by the Aire being the Medium, and that by reason of the sympathy of Nature and Balsame of bloud, which is in every man, and by reason of the influence of caelesticall bodies. And thus Hartman explaines it, when the weapon is anointed, the salt of the blood which is on the weapon doth by a magneticall vertue draw the [Page 411]animal spirits out of the ointment, which two spirits by the concurrence of the spirit of the world, are friendly united into one. But if the spirit which is in the bloud of the weapon cannot attract the spirit of the ointment without the annointing, that is to say without reall contract, how can it bee sayd to draw it with a magneticall vertue? Now this spirit of the world hee will have to bee diffused throughout all things in the world, to be that which carries the formes of seeds, and all proportions, which knits all things together, and which applies actives to passives. Hence it comes to passe, that what commoditie or discommoditie that bloud congealed without the veines doth receive, it is presently by sympathy communicated to its connaturall blood that resides within the veines. Thence it is that the partie is in paine if the weapon bee held to the fire, or exposed to the cold aire, and contrariwise if the patient chance to eat Onions, Mustard, or Garlick, it may presently be perceived in the weapon, namely, because those spirits doe communicate their passions one to another.
From what hath been premised, it will be very easie to demonstrate the vanity [Page 412]of that manner of curing, The vanity of curing by the ointment. of which I confesse, I never did, nor yet desire to make any tryall. Yet I doubt not, but I shall plainly shew the frivolousnesse of it, even from their own principles. For instead of the ground-worke, they lay downe many things that are very dubious and uncertaine, as that which Hartman talkes of the spirit of the world, which, what, or where it is no man as yet hath been able to demonstrate, which (saith hee) is diffused throughout all things, when but a little before hee had said, that it is conveighed into these inferiour things by raine, dewes, and frosts, and so in a clear and caime aire this spirit may be to seek, when perhaps there would be most need of it. And lest we should conceive it to be a spirituall and incorporcall substance, he calls it Mercurius Mundi, and questionlesse it must be corporcall, which stands in need of corporeal means to carry it: also he supposes the spirits to be perpetual, and unalterable in the bloud although it be corrupted when notwithstanding the blood even in the body and veins may be so corrupted, that it may lose its form, much more without the veines, and doubtlesse the bloud that is in the ointment, hath quite Jost its form, & the efficacie of its spirits; [Page 413]and so the analogie and sympathie of the spirits of the partie wounded, and of the ointment, is much weakened. Now that some do call this a magicall forme of curing it is not improbable, Probable arguments to prove it magicall. seeing that vertue of curing, which is sayd to be in the ointment, doth stand in need of the spirit of the world to carry it, that is to say, the Divell, who is called the Prince of the world. But I rather thinke this manner of curing is false than magicall, because many follow it, which are very farre from that impious and detestable crime. Nor matters it that experience confirmes the truth of this form of healing; for onely such wounds have been healed, which might have been healed by natures endeavour alone, without any help of Art, and therefore it may yet be questionable, whether the cure were performed by vertue of the ointment or no, as we shall manifest afterwards.
First, then it is false, 1 that this ointment is a more speciall gift of God than other ointments & remedies are, Its not a special gift of God as is pretended. seeing by their own confession the whole cure is done by naturall means. We must needs confesse, that every thing is the gift of God; whatsoever, we eat, drinke, or use for the health of mans body. But in this [Page 414]sence they call it not the gift of God, but [...] because God hath miraculously taught it men, as if every Science, Art, and all knowledge of remedies were not from God, who hath created Medicine out of the earth. But let us see whether this cure be possible or no. That there are great and divers sympathies, and antipathies of things, experience it selfe shewes, the reasons whereof it is impossble to render. Yet all things are contained and terminated within a certaine spheare of activitie. Wee dayly see that the Loadstone drawes not iron, but within a certaine distance. I knew one that could not endure Cat to be in the roome, although he saw her not, but being put out of the chamber, with a wall or doore between, hee returned to himself again; and so of all others. There is no stronger antipathy then that which is betwixt the heavens and these inferiour things, because it comprehends all things within its circumference, and being of great force to act, is able to dilate its qualities and vertues every way, so that this inferiour orbe, and every parcell thereof, is within the spheare of the activitie of those caelestiall bodies; yet we see that sympathy to languish by [Page 415]the distance of places. The Loadstone tends to the Pole Artick, but the further it is from the Pole, the more it declines from it, and so by little and little it tends not to the Poles of the world, but to the Zodiack, and perhaps rather to some other part of the heavens then to the North. If this bee true of the Caelestiall bodies, it must needs be more true of these inferiour things. Therefore how can the vertue of that ointment be carried so farre, as sometimes it must be, and not bee hindred by the interposition of buildings, seas, mountaines, walls, windes, and of the chest in which with the weapon it is layd up, especially when those things which carry the spirits are corporeall, which may be letted by the interposition of other bodyes; or at least by how much the further distant the object is, by so much the more is the vertue thereof diminished, and there is good cause to fear, lest in a great distance of places, the force of the medicament doe perish quite. Hartman writes, that this communication is made by a magneticall vertue, even so as the sent of the carkasse is communicated to the Vultures many miles distant. But smels are not [Page 416]diffused in any unlimited space whatsoever; and besides they may be diversly hindred, as by raine, windes, and such like. To no purpose also was it, that Goclenius alledged exampies of many sympathies; for it followes not because there are sympathies in other things, that therefore there is a sympathy in the ointment. Besides the sympathy which is sayd to bee in this ointment, is farre different from the sympathy of other things, which do insensibly diffuse their vertue into the aire, and need not the spirit of the world to carry them, and do never worke unlesse the object bee present, and are terminated and limited within a certain space. But that there are some cessations and fallings off from this sympathy the Loadstone shewes, which being rubbed over with Garlick, doth not draw iron, which manifests, that there is not an efflux and wasting of the qualitie only, but of some thinne substance also.
Secondly, 2 there is not a reall contact of the agent and patient, for it touches not the wound it self, but the weapon which is farre distant from the wound, which is neither the subject of the disease, nor yet of the cure, and which [Page 417]needs not to be cured. Therefore one said well, hee that bindes the weapon that the wound may be cured, doth as if one should cover a stone, which hath made the hand cold, that the hand may be made hot thereby. Nor let any man say that there is a vertuall contract, the spirit of the world carrying the vertue of the ointment to the wound; for this spirit of the world, if there be any such thing, is common to all things that are in the world; otherwise it were not the spirit of the world. And yet it operates not in other sympathies; for unlesse the object bee present, there are none at all. Moreover this sympatheticall vertue of the ointment, which is joyned with the spirit of the world in such a friendly society, is not seated in any artificiall thing, as artificiall, but in something that is naturall, and they might do well to tell what is that naturall thing in the ointment, which peculiarly hath so much familiarity with the spirit of the world. As wee Galenists say, that in every organe there is some particular part, which is the seat of the facultie, and on which especially depends the action: without doubt there ought to be the same thing in this [Page 481]ointment, for all the simples which are put into the composition of it, cannot so equally agree with the spirit of the world, that it should carry their vertues from place to place, at the will of him that annointed therewith. Therefore the cure shall result either from the similitude of the weapon to the wound, but that cannot be; for in relations there is no power of acting, but there should rather be antipathy betwixt the weapon and the person wounded: Or else some vertue flowes from the ointment to the wound; (for according to Crollius the ointment is of a conglutinating and drawing nature) but they do not touch one another. Nor is that sympathy of nature sufficient, which Crollius with naturall Balsame makes the cause of the cure; for if there be any such sympathy, the annointing is superfluous; for the vertues which are carried after a magneticall manner, through so great distances of places, doe not need a corporeall application. But in this ointment the contrary is apparent; for nothing is done without the anointing of the weapon: Therefore its working is materiall, and after the manner of other unguents, it cannot operate without a corporeall [Page 419]contact, as appeares by the anointing; for if it may worke magnetically without a corporeall contact, the anointing is in vaine. And in vain also doth Grollius observe a forme of anointing, on the upper or neather part of the weapon, for the vulnerary vertue thereof might out of the box wherein it is, bee diffused even to all that are wounded, for it hath a sympathy with all. Seeing then it doth not operate without reall application, and a certaine and determinate manner of anointing, it is plainly manifest, that it can act only after the manner of other remedies, upon that thing to which it is applyed, and no further.
Thirdly, why is bloud, fat, 3 and the mosse of mans bones put into this ointment, is it because the spirits which are thought to bee in them, although putrified? But there are more such spirits in the body, than in the ointment, or in the bloud that comes from the wounded. Therefore it is either the vertue of the oyntment that cures, or else the vertue of the spirit that carries it. If the vertue of the oyntment be the cause of the cure, it must be principally seated either in the fat, bloud, and [Page 420]mosse, or else in the other naturall remedies which are ingredients also in the oyntment, to wit, oyles and powders. If the vertue of the oyntment depend upon the former, the ointment is unprofitable, because in the body of the party wounded, there is already both a greater plenty of them, and they are of a more forcible operation. But if it flow from the other simples, which are put into the composition of the oyntment, the former things, to wit, the bloud, fat, and mosse, are added but in vaine, because they give no vertue to the oyntment. So any vulnerary remedy, if the bloud of the person wounded be applyed thereunto, shall bee able to cure the wound by a magneticall quality, to wit, the spirit conveying the vertue of the oyntment to the part affected. And indeed there is no reason, if this sympatheticall ouring bee naturally possible, why it may not bee good in all oyntments, that mosse and bloud be put into them, not for their vertue of healing, but for their sympathy only; as, if a wound be to be deterged, take the bloud of the Patient, to which adde a deterging ointment, and the spirits which are in the [Page 421]bloud, by reason of sympathy, by means of the spirit of the World, will carry the vertue of that oyntment to the person wounded, and so performe the cure. In like manner any remedy may be made sympatheticall; thus purges may be instituted, or other intentions of Physicians perfected, by adding to some convenient remedy a little of the Patients bloud, whose vertue may be afterwards carried to the sick, by means of the spirit of the World. But if the spirits themselves have in them the vertue of curing, seeing there are more spirits left behinde in the body, in vaine is the vertue of the oyntment implored.
Fourthly, it appeares from the circumstances, that this is an unprofitable manner of curing. For they say, that from the too loose, or too strait binding of the weapon, the same symptomes doe happen in the sick, which are wont to come by such tying, when it is used to the body. Now these symptomes doe proceed either from the oyntment, or from the binding. Not from the ointment, because it hath power to heale, but not to hurt. Nor from the binding, because an artificiall thing hath [Page 422]no power to work at distance, and upon another subject then to which it is applyed. And therefore because Crollius prescribes sundry formes of applying it, the oyntment is to be subspected; for in naturall things, that curious manner of anointing cannot change the property, and of beneficiall, make it to become hurtfull, as likewise appeares in the Loadstone. Nor doth it depend on them both, because the magneticall vertue of the oyntment, seeing it is defined to be meerly naturall, and is seated in the oyntment, doth proceed from meanes that work naturally, as are the simples of which it is compounded, and not from artificiall meanes, which depend meerely on the will of him that anoints with it. Furthermore they say, that whatsoever commodity, or discommodity, that spirit which is in the bloud of the weapon doth receive, it communicates the same by sympathy to that which is in the veines, thence it is that the Patient is in pain, if the weapon bee exposed the heat of the fire, or to the cold aire. But thus not only the vulnerary vertue of the oyntment, but also the externall cold shall have a magnetick quality, which [Page 423]is an absurd thing to suppose. So that noxious cold might be carried from the weapon to the Patient through a hot medium, as in the greatest heat of Summer. As if the weapon should bee anointed in a Northern Country, and the Patient be in Africk in a hot Country, suppose the weapon to bee cold, the Patient likewise shall be cold in Africk, yea perhaps being near the sire. Now seeing that cannot bee done but by the aire, as Crollius confesses, the aire of the Northerne Countrey shall have power to refrigerate the aire in Africa, which who sees not to be a grosse absurdity? But I would demand further, seeing there is such a mutuall sympathy of spirits, and the maintainers of this magneticall cure write, that on the contrary, if the sick shall observe an ill dyet, and eat garlick, onyons, and mustard, it is presently discerned in the weapon: If the Patient doe lye neare the fire in Africk very hot, and the weapon be exposed to the cold aire in the Northern Countryes, why shall rather the person wounded bee made cold, than the weapon be made hot, because they will have the spirits to communicate their passions one to another. [Page 424]These externall accidents, cooling, or heating, do happen to the spirits either from the oyntment, or not. If not, then they will not affect the party, because the oyntment is necessary for the magneticall vertue that is in it, and not in the ambient aire, or other externall things, and through the oyntment alone is the communication of the vertues from the weapon to the wounded. Nor from the oyntment, for it hath neither power to coole nor heat; they are therefore nothing else but externall things, not permanent, but are changed according to the alteration of the ambient aire, for in a hot aire, the weapon being well covered and bound, both the spirits and the oyntment will be hot, and the contrary. Then I demand how it comes to passe, that they are not againe refrigerated in the way by the aire, for they may bee carried through such such a medium which is cold, as the winds which are by nature cold, passing through hot climates, doe become bot, as the South winds. In like manner if one loose a few ounces of bloud by a wound, or bloud-letting, or bleeding, or by some other me [...]es, it is a woulder, that bloud being [Page 425]changed and cooled, that the person doth not feele such effects, if there be such a great sympathy of the spirits among themselves, that what commodities or inconveniences they receive from externall causes, they communicate them to that within the veines; and so those spirits being refrigerated, have power to refrigerate and coole that body out of which they issued. If one or two drops of the bloud on the weapon, by the anointing of the ointment, be of power to heat the wounded body, if it be kept in a hot place, by reason that the spirits themselves are hot, it is a wonder that the rest of the bloud that was spilled, which hath more spirits than this, being left behind, and exposed to the open aire, doth not likewise at the same time refrigerate the body, seeing that in a greater quantity there is alwayes greater vertue; if that bloud be cast into the fire, why shall not the Patient feele the heat of the fire; or if that bloud be putrified, how is it that the body also doth not putrifie, if there be such a great affinity betwixt the spirits, and the body out of which they issued? In like manner, if the weapon cannot be had, they [Page 426]say it sufficeth to besmear another weapon, or a willow stick, with a drop or two of the bloud that comes out of the wound: I demand therefore, if when this viceweapon is anointed with the oyntment, that weapon which made the wound, be first cast into the fire, or water, why shall not the sick be in great paine, be cold, or hot? For there is no reason why it should suffer rather from one part of the spirits than another. It is absurd therefore to imagine, that this heating or cooling is communicated by any magneticall power. Hence the Reader may observe, that whatsoever they say of the sympathy of the spirits among themselves, is true with them only of that part of the spirits which they faine to be united with the spirits of the oyntment by the aanointing, and all these symptomes, whether good or evill, which they say doe happen to the wounded, doe arise from thence; But the spirits which are in the remainder of the bloud that was spilled, doe neither hurt nor good, and so their sympathy is vanished, when neverthelesse they are of the samekind with the other spirits. And who can but thinke these things are magicall, [Page 427]especially if the actions of Magicians be compared therewith. A comparison betwixt Magicall operations, and this salve. Who knows not that it was an ordinary thing with Magicians to make waxen statues, by the help of which they did much harm; and especially which concerns this heating at distance, Virgil writes in his Pharmaccutriâ.
In English thus.
Thus Hector Boetius, and others doe report of some, that have beene roasted with a gentlte heat by an im [...]ge of wax laid to the fire, as Duffits King of Scots. So they cause heat or cold, and other affects when they list, upon them that are absent, the which all men grant cannot bee done by naturall causes. Who have not heard that Witches which have anointed themselves with a magicall oyntment, have been carried through the aire? But that which [Page 428] Paracclsus writes in his Chapter of Invisible diseases makes much for our purpose, if any man be hurt, a foot, or hand, or some other member, is to be drawn after the forme and shape of that which is hurt, or (if you will) a pourtraicture of the whole body, and it must be anointed and bound up, and the man shall be free from paine; yea, and hee sayes, that some who have been sick of other diseases, have been cured after the like manner. Who can beleeve that this is done by naturall causes, and yet it is as easie in this to have recourse to magnetical vertues, and sympathies, and the spirit of the World, as in the weapon-salve. Here are examples of Magicall cures at distance, which are in all respects like to the anointing of the weapon; for as the image is anointed and bound up for the curing of the wound, so is the weapon; and as the Image laid to the fire, or exposed to the frost, doth burn, or congeale him that is absent; so doth the unguent laid upon the weapon, and as the King of Scots in Boëtius was almost consumed in the waxen Image, so the same may easily, from the anointing of the weapon, happen to him that is wounded, [Page 429]if he that annoints, it, doe malitiously lay it to the fire, or in some place that may communicate its harme to the person wounded, and who sees not that this may be also a sort of Witchcraft? If he that doth this by the help of the image douse the Devill (who is the spirit of this world) as an instrument to set on the charm, it is likely, that this magneticall cure (as they call it) hath the very same Author, which they call by this name, that they may cloak their knavery, with a seeming shew of naturall actions. And deservedly may the remedie be suspected, even because of the Authors of it, who were suspected for Magick. For Paracelsus and Crollius do in divers places commend Magick, and will have it to be a thing very needfull for a Physician. But suppose wee that there is nothing magicall in it at all, yet wee will further prove it to bee false, and altogether a frivolous forme of curing.
Fifthly, 5 if then the spirit of the blood doth effect all these things, and the ointment hath analogie and familiarity with the spirit which is in the blood, why cannot other diseases likewise bee cured by the strengthning of the spirits, [Page 430]and the balsame of blood? For Crollius confesses that the cure is made by the balsame of blood; and indeed the spirits and the vertues of the balsame in the body doe perfect all the cure.
Sixthly, 6 if according to Hartman, the fixed salt of the bloud would not draw the spirit out of the ointment without the annointing, it followes, that there is no magneticall vertue in it at all, because a corporeall contact is necessary, and from hence it will follow likewise, that without the corporeall contact it cannot worke at distance, nor diffuse its strength so farre as to the person wounded. The bloud hath the vertue either in it selfe, or from the ointment: If in it selfe, then is the ointment in vaine. Not from the ointment, because what sympathy with the spirits of the partie is attributed unto it, it hath it from the blood, flesh, fat, and mosse, which are ingredients in the composition, by reason of the spirits which are thought to bee in them, it followes then that the ointment hath no vertues in it, which did not lie before in the spirits, and so we conclude that the ointment is in vain also.
Seventhly, 7 the spirits which are in [Page 431]the blood, fat, and mosse, are either of a diverse nature, or of the same. If they be of a diverse nature among themselves, without doubt they are also of different operation, and have not the same manner of sympathy with all the parts, but the spirits of bloud, have a greater affinitie with the blood, the spirits of flesh with the flesh, and the spirits of the Mosse with the Skull. And therefore that the cure may succeed the better, and sympathy be preserved, besides the blood of the person wounded, both his fat and his bones ought to bee mixed with the ointment on the wepon, that a compleat cure may be performed, and the magneticall vertue be without faile carried to the affected parts; for verily there is not the same sympathy in the aforesaid spirits. But if those spirits be all of the same nature, that curiositie in adding thereto blood, fat, flesh, and mosse, is in vaine, and superfluous, when onely the blood, which containes in it all those spirits may suffice.
Eighthly, I have read a story of a horse, 8 whose feet had been hurt with a naile, A horse shod in the quick cuted by this salve. for the cure whereof the naile was aunointed with the aforesaid ointment, and so the horse became sound againe: [Page 432]And Crollius also relates the same. From whence it follows, that there is a certaine sympathy and familiaritie betwixt that ointment and the spirits of a horse; and a certaine learned man confesses, that there is the same vertue of healing in a man and in an horse. Which if it be true, in vaine is mans bloud preferred before an horses bloud, for those things which are the same to one third, are the same among themselves, yea Crollius faith, that not onely a horse, but also all creatures that have flesh and bones may be cured with this ointment. And in very deed if this manner of curing were certaine and infallible, even any vulnerary ointment would bee as fit as this; for the vertues thereof might bee conveighed to the sick by meanes of the spirit, as well as the vertue of this ointment.
Ninthly, 9 seeing that the cure not onely of simple wounds, but also of great and inward wounds, is oftentimes perfected by Nature alone, without the help of Art (for to unite and to generate flesh, are the works of Nature, and not of Art, and Crollius confesses, that naturall Balsame doth work in this magneticall cure) it is a wonder why that [Page 433]liniment is not rather applyed to the sick himselfe, why it cures not ulcers, seeing every wound doth at length become an ulcer, and seeing bloud may flow also from ulcers, and the principall indications of a wound, are found likewise in an ulcer: Why is it not also used for the curing of wounds made by Pistoll-shot, and for such wherein there is a losse of substance? Why hath Crollius excepted the wounds of the Nerves, Arteries, and principall Members? It is because it is good onely for fimple wounds, and such as are onely in the flesh, which nature by binding alone doth conglutinate, with the help of naturall Balsame, that is to say, of the innate heate of the body; hence it is easie for the wound being wrapped every day in clean clothes, and washed with warm urine, to grow together again of it self, without the use of any ointment at all. Therefore that ointment is altogether unprofitable, nor availes that any thing which they talk of experience; for without doubt those wounds might have been eured without the ointment. For that ointment doth neither dissolve, nor purge away the excrements of the wounds, nor preserve the temperature [Page 434]of the parts; for the parts of the body which may bee wounded are of divers sorts, as Sanguine, Spermatick, Nervous, Membranous, fleshy, and men themselves may be Cholerick, or Sanguine, Melancholick, Phlegmatick, Plethorick, Cacochymick, and bee troubled with some other diseases also, for all which one and the same remedy cannot bee so convenient. But enough of this.
CHAP. XLIX. Of the curing of the Kings-Evill by the touch of the Seventh-Sonne.
BEcause of late I have heard of some, who reporting that they are Seventh-Sonnes, do promise great matters about the healing of the Kings-Evill, which they professe to doe by touch alone, and so beguile the too credulous people, something must bee sayd concerning them: This chapter I have added at the request of some Physicians of principall note. That some diseases are sometimes cured only with the touch of some remedies, it is plainly manifest by the authority of the most excellent Physicians. Such are those which are called amuleta, and periapia, being remedies that [Page 435]are hung about the neck, or laid to the body. Thus Galen commends the root of Peionie hung about the neck for the Epilepsie, others the stone called aëtites bound to a womans Thigh; to facilitate the birth, and divers such examples are found in Authors, which many say they have observed, although I, have sometimes made triall of peionie, A stone which is found in an Eagles nest, without which (as it is thought) she cannot lay her egges. and the stone aëtites for the aforesaid affects, without any successe. Neverthelesse I deny not but there are occult sympathies, and antipathies; nor doe I goe about to thwart experience, and the authority of able Physicians. But it is farre more which these men professe they can doe, namely, cure the Kings evill by their touch alone, and that because they are Seventh Sons.
That this is naturall, I thinke scarce any will believe. For whatsoever is naturall, doth depend on inward principles, and may be done by every individuall of that kinde, so it be entire, sound, and according to nature in every respect, as all Rubarb parges choler, and every man is risible. Nor doth it depend on number, for number according to Philosophers is of no force to act, for actions are of the things themselves, [Page 436]and doe depend on the formes of things. But this seventh Son is said to have some peculiar power, which is denied to the six former brethren, to wit, because he is the Seventh. It must needs follow therefore, that that power must arise some other way, since it proceeds neither from the forme, nor the number. It depends not on the Touch, for Touching as Touching hath onely the power of Touching. Indeed if there be either any noxious or salutiferous quality in the body, it is communicated by the Touch. But the Touch it self hath no such force. Furthermore, seeing that all diseases are cured onely by the taking away of their cause; those Wondermongers cannot take away the Kings evill, unlesse they first take away the cause. Now seeing that the cause of the Kings evill is fleagm, as Physicians say, setled in the kernels, which in other parts breeds other diseases, he might be able by the same touch, and by the same vertue, to cure other diseases that come from the same cause, which thing seeing hee cannot doe, it must necessarily follow that the cure is miraculous, or else that it depends on the imagination of the sick. But seeing [Page 437]the imagination of the sick is so different, being in some stronger, in others weaker, an uncertain event must be looked for from an uncertain cause. Therefore it must of necessity be either miraculous, or false, or diabolicall. I scarce believe that it is miraculous. The Apostles and Primitive Christians did heale by touch alone; to the greater glory of God, and the propagating of Christian Religion. But God will not have miracles to be wrought at every mans private pleasure; thus whatsoever the Apostles did, they professed that they did it not by any power of their owne, but in the name of our Lord Iesus Christ. And therefore those seven Brethren, the Sonnes of Sceva a Jew, who went about in the same name to conjure the uncleane spirits, were beaten by the Devill, and suffered the punishment of their rash boldnesse. Thus it is not lawfull adventurously to attempt the working of miracles. In like manner, the power of curing the Kings Evill, is by the blessing of God granted to the Kings of great Brittaine, and France, which is denied to other Christian Kings: And so Edward the Confessor, for his singular piety, cured not only [Page 438]the Kings Evill (which prerogative redounded to his Successors after him) but also other ulcers by touch alone, which his Successors could not doe. Seeing then this priviledge is onely vouchsafed to the aforesaid Kings, and is wholly performed in the name of our Lord Iesus Christ, if other Kings should attempt the same, it were too much rashnesse, and a grosse tempting of God, who hath not given any such power to them. Therefore in Spaine, where this disease of the Kings Evill is epidemicall and popular, Francis the first King of France being taken Prisoner by the Spaniards, cured it by his touch alone, as he was wont to doe France, concerning which Lascaris hath this Epigramme.
In English thus.
Moreover it is to be noted, that the aforesaid Kings on whom God hath bestowed that favour, have it upon a certain condition, nor is it derived unto their successors, unlesse they be lawfull heires, and abide in the Christian Faith. For if an Usurper (as there have been such in times past, and God knowes what shall be the destinies of Kingdoms) should depose a lawfull Prince from his Imperiall Throne, hee should not with the Kingdome obtain this prerogative to himself. Nor if any King, though a lawfull Successour to the Crown, should renounce the Christian Religion (as mens dispositions are variable) and revolt to another, should he retaine that priviledge. For Beatus Remigius, with whose annointing this power redounded to the Kings of France, doubtlesser an excellent Expositor of this thing, hath declared, that this power was granted to these Kings, so long as they should abide in the Catholick Faith, insinuating thus much, that it should cease, if at any times they revolt from this Faith. Seeing then it is thus, who will believe that such power is given to men of no account, to be perpetuall to them, simply and absolutely from their birth, [Page 440]which Kings alone do obtaine onely by unction, and on condition that they constantly remaine in the Christian Faith, seeing that God workes no miracles but to his owne greater glory, and for the confirmation of the Faith. Nor is it probable that God would give this gift unto Kings as a pledge of his favour, in token and testimony of their pietie, which hee had before vouchsafed to such fellowes; and therefore so common (for a Seventh Sonne is ordinarily found) and which others also enjoy, who have sometimes no religion at all in them. For that which God hath bestowed on Kings, ought to be such a thing, that for the rarietie and singular priviledge thereof, it must manifest more the glory of God, which it would not doe, if he had already bestowed the like on others by their birth-right. Nor is there any promise to be found made from God to the Seventh Sonne; either before the foundation of Christian Religion, or afterwards, and it is a wonder that there were no Seventh Sonnes in the Apostles daies, that contended with them for the power of working miracles, when questionlesse many families did abound with plentie of children. [Page 441]Therefore it is manifest that this kinde of curing, if there be any such is diabolicall. For wee know that the Devill Gods Ape, that hee may detract from Gods glory, doth imitate the same things which God, thus by his deceitfull craft he turned the Magicians Rods into Serpents, and by the confession of some moderne Magicians, hee goes about mimically to represent and counterfeit the venerable rites and ceremonies of the Church, in their Magicall meetings: And so likewise, that this admirable prerogative, which God hath granted unto Kings, may be had in contempt, he presumes to attempt the same by his cursed Emissaries. But God will not give his glory to another, neither will he suffer true miracles to be wrought by the Devil but false and counterfeit only. Therefore questionlesse these fellowes doe either not at all cure this disease of the Kings-Evill which daily experience testifies, or else the Devill (as hee uses to doe in other diseases) doth incontinently cure it with naturall meanes, whose vertues hee is not ignorant of, which thing Physicians might be able to do, if they did certainely know the whole power of Nature. Yet it is to bee noted, [Page 442]that this disease is more ordinary in children, and doth arise from fleam, which as they grow in age, is dissolved by the increase of heat, and the disease goes away of it selfe, which is usuall in many diseases that appertain to children, which if it happen, it ought not to be attributed to the uncertain vertue of him that touches it, but to Nature, which Hippocrates calls the Curer of diseases.
CHAP. L. The Antimoniall Cup, shewing the abuse of it.
THere is come not long since into use a Cup made of the Regulus of Antimonie, so called by Alchymists, which is sold at a very high rate, and is reported to be good for many things, and diseases, both by him that makes it, and by the people who are alwaies eager in their pursuit after Novelties, and it is thought by the people to be a thing of great value, and heretofore not knowne to Physitians; when neverthelesse, it is very well knowne of all them that have any skill in the Chymicks; for the way of making the Regulus out of Antimonie is very easie, ordinary, and ancient. But that we may explicate to the people this errour so pernitious, wee will first speake of the Cup it selfe, and then of its force. Now the Cup hath not its vertue from the Artificiall forme thereof; for so any Cup made of Silver and Gold should doe the same. But it hath all its vertue from the Antimonie: Now they that pry into the nature of Minerals and Mettals, are of opinion that Antinomie doth consist of crude and very impure Sulphur, Mercury and Arsenicke: And therefore it is so contrary to our nature, that after what manner soever it bee prepared and corrected, it doth even in the least quantity [Page 444]that may be given, offer great violence to the intralls, and doth retaine its malignant quality, which can scarse bee taken away by any infusions. If by chance some man of a strong constitution be able to indure the force thereof, he expels it upwards and downwards, with abundance of humours; but them that doth wonderfully gripe & torment; For howare weake, and such as doe vomit hardly it soever it be prepared, it never layes aside its malignant and deadly quality.
Hence many grave Physitians, as Fernelius, Riolanus, Gesnerus, and the whole Colledge of Physitians at Paris, doe utterly dislike the internall use thereof, in respect of its deadly quality. Neverthelesse to satisfie the people, wee will grant, that it may safely be used, so it bee rightly prepared, and discreetly applyed. I know it hath beene diversly assayed to be prepared by the art of the Alchimists, that though not altogether, yet at least in some measure the malignitie thereof might bee abated, but that art is not yet fully found out, which can quite take away the force of that Medicament.
Now the common and more ordinary preparations, which are to be sold even in all shops, are the regulus of Antimonie, of which the aforesaid Cup is made; the glasse of Antimonie, which the people call Stibium is indeede the true name of Antinomie it selfe, and [Page 445]of this Glasse, not of the Regulus ought this Cup to be made, saith Sennertus in his Institutions, and Hartmannus in his notes upon Crollius. Moreover there are made of it Crocus metallorum, or the Saffron of mettals; Pulvis emeticus, Mercurius vita, a Tincture & an Oyle.
And all these preparations are indeede with one and the same quality, to wit, vomiting and purging, which manifests that in none of the aforesaid preparations was the deadlinesse of the Antimony taken away. Now seeing that in all things; yea even in the worst of all there are some degrees of pravitie, the people must know that in all Minerals, that preparation is accounted the best, and least dangerous, in which the forme of the Metall is lost; for then there is made a greater separation of the pure from the impure: And therefore all Alchymists doe endeavour so to dissolue Gold, a harmelesse medicament in it selfe, that the forme of the Mettall being layd aside it may be made potable, and they doe not approve of any dislolution therof, in which it can return to its owne nature; which is indeed much more true Minerals that are of a mischievous nature. It is therefore to be noted that that Antimonie which we call crude, to wit, unprepared at all, is of no force to move the body, and therefore the Antients who were ignorant of Chymicall art, knew no inward use thereof. Now the first [Page 446]and easiest preparation of all, is that, which we call the Regulus, in which the forme of the Mettall is not taken away, but doth melt into to a certaine forme of Lead. Hence Dioscorides saith, that Antimonie melted turnes to Lead, having some light knowledge of that Regulus. for it is made of it being melted onely, and so a little refined, and it doth retaine all malignity of the Antimonie, which laid as it were asleepe before, under the earthly excrement. This doe Mettall-men use, and mixe in Guns, Bels, and other the like engines: but seeing it doth yet possesse all the naughty and mischievous qualities of Antimonie, it must necessarily follow, that the Cup made of it is most dangerous. Therefore the best Alchymists have quite abandoned it from any use in Physicke, save that by a further preparation may be extracted out of this Regulus the glasse of Antimonie, and many other such things farre better then the Regulus it selfe. Wherefore some in the stead thereof have used the glasse of Antimonie, as did frequently that most excellent Physitian Matthiolus; the people call it Stibium, and are sore afraid of it, whereas indeede it ought to be preferred before the regulus. Neverthelesse Quercitanus, Hartman, and some others of principall note among the Alchymists, who doe highly extoll the vertue of Antimonie, doe thinke this preparation of [Page 447]the mixture of impure Sulphur, which is not yet taken away. And therefore waving those two as not safe, they doe familiarly use the Crocus, or Hepar Antimonij, Saffron or liver of Antimony; Puluis emiticus, the vomiting powder; and Mercurius vitae, Mercury of the life: Which preparations the Colledge of Physitians at London hath inserted in their dispensatory, and there is almost no shop, in which both the substance and infusion of them is not to be sold. From whence they that doe so much extoll this Cup, may gather, that they use a pernitious and dangerous remedy, whereas the same much better prepared is every where obvious, and to be sold, yet at a very easie rate
Of the force of the Cup.
AS touching the force of the Cup, it doth not gently but mightily provoke vomit and stooles; now every vomit although it be caused by the most gentle Medicines of all, is neverthelesse alwaies more harsh to Nature then any Purgation by the inferior parts, because the stomacke was not made for expulsion, but for reception; for it is one of the noble parts, and of exquisite sence, and hath a very great sympathy with the Braine and the heart, in so much as when it is affected, the people thinke and complaine that their heart akes. It is therefore not good to straine such [Page 448]a noble part with such a violent medicine. But besides, a vomit doth offer much violence to the strength of the whole Body, straine head, braine, muscles of the belly, the breast, and all the intrailes which are contained in the lower belly, and sometimes in grosse bodies breakes the veines, and lets out the bloud. Wherefore if wee must not use other purging medicines, but with a great deale of care and premeditation, much lesse vomitaries; for of all evacuations a vomit is the most grievous and dangerous. And therfore many things are to bee regarded in the provoking of vomit. First, the nature of the Patient, and his aptnesse or difficulty for vomiting, for in them that vomit hardly, there is a great deale of danger, although they bee sick of disease which might bee cured by vomit. Such are they that are fat, those that are strait brested, many slender persons, who have weak stomacks, such as are subject to a Cough, or difficulty of breathing, which have Tumours or Ulcers in their brests, they that have weak heads and eyes, and such as are troubled with the inflammation, or pain in the Midriffe. Secondly, the time of the yeare is to be considered, for it is not convenient at every time of the yeare. Thirdly, the nature of the diseases; for in some diseases it doth more hurt than good, and in those [Page 449]wherein it may doe good, it must not yet be alwayes used; and therfore the founder of the Cup is mistaken, when he saith that, that the Cup is good for all the diseases which stand in need of purging, as we shall manifest afterwards. Fourthly, the constitution of diseases; for it cannot bee administred at all times of diseases without danger to the Patient: The Physician must consider in all Evacuations the beginning, increasing, state of the disease, much more in a vomit. Fifthly, great care is to bee had of preparing the body and the humours, and many things are to be regarded both before the vomit, and in the very act of vomiting, which are not to be handled in this place. So as there is no evacuation which requires so much consideration, as that which is done by vomit. Now seeing these things can be knowne only by a Physician, and that not every one, but by a very learned and skilfull man, I cannot but wonder at the adventurous rashnesse of some men, yea and women, who being unread in the rules of Physick, grossely ignorant both of Diseases and their causes, their times, and not knowing the method of Curing, dare neverthelesse vex and torment such a noble subject as Mans body with variety of medicines. Secondly, perswade unto vomit, the most dangerous and difficult evacuation of all [Page 450]other. Thirdly, provoke it with a Minerall, which is most contrary to nature. Fourthly, To doe it with Antimonie, then which no Minerall is more churlish. And Lastly, to use that preparation of it, which is the very worst of all. Not that I doe altogether dislike the use of Antimonie, for I have often used it with good successe, but better prepared. But especially the founder of the Cup is to be blamed, for selling such a cheap medicine at so deare a rate, the right use whereof hee doth neither teach the people, nor I think he himselfe knowes: And therefore I have known many, who by taking the infusion of it, have been grievously tormented, and some that have dyed, who despising the counsell of Phisicans have preposterously used it. For Physick although it bee in its owne nature very good, and is the hand of God, yet it is but like a sword in the hand of a mad man, as we have said in another place out of Herophilus.
Of the Founder of the Cup, and the Authors cited by him.
AS for the Founder of the Cup, he professes himselfe a Minister, and Preacher of Gods Word, that is, a man that will scorn to deceive any body, and will not meddle beyond his knowledge, and therefore without question he hath brought us a very Soveraign [Page 451]Medicine, which he made conscience to conceale any further, though before he was born the thing was in use in another name; as appeares by those Authors whom hee doth cite for the patronizing of his gaines, though they are men of small note, and hardly worthy to be cited. First, hee hath a great commendation of the Antimony it selfe, extolling it above all medicines in the world; So do they that commend aurum potabile, and so all the Alchymists, till this Minister have preferred the Gold before it. It is (saith he) a Minerall according to Paracelsus) consisting of Mercury, Sulphur and salt; So is my glove according to the said Paracelsus. It was first discovered (saith he) by Geber King of Arabia; and yet Dioscorides, Galen, Hippocrates, and ancienter Authors before Geber doe speake of it: And he called it Magnesia, as if Geber spake Latine, but Quercetanus calls it so indeed. Secondly, amongst all the medicines that are prepared out of this minerall, he disclaimes from all except the Regulus, in which hee shewes his weaknesse, for the Rugulus is the weakest, easiest, and coursest preparation of all others; therefore he addes, and what may bee conveniently prepared out of the same; and that I like well, for out of the Regulus may be drawn the flowers, the glasse of Antimonie, the Crocus metallor, and many other preparations; and [Page 452]herein I adhere to the authority of Bornettus, and Mylius, cited by him; who doe not say, that it is to be used in Physick, but that it is the chiefest examination of Gold, and the true matter of all flowers, and medicinall tinctures contained within Antimonie, which is true; for the flowers and other Antimoniall extractions must be properly drawn out of the regulus and the worst of them is better then the regulus it self: Then he brings in Paracelsus with the Titles of Orientall Star, of Naturall, Spagiricall, and Magneticall light and knowledge. Now I am sure no learned and honest man will approve of such an illiterate man as Paracelsus was, approving and practising Magicall Arts, which he calls the Syrupes and Electuaries of the Devill. But let us heare what he sayes, in his Book de vitâ longâ, pag. 167. cited by this Writer, not a word of the Cup, but only of the praises of Antimonie, as Alehymists use to doe, that is, beyond the deserts thereof, and that it cures the Leprosse, which notwithstanding Paracelsus never performed therewithall, but howsoever hee never used the Regulus, or the Cup, but hath many better preparations of Antimonie then that Cup is, as appeares by the next authority cited by him out of his 6. Book, pag. 22. Where he attributes all these vertues to the quintessence of Antimonie, the Regulus being not the essence [Page 453]of it, but amongst all preparations the coursest and unsafest; and all the passages alledged out of Paracelsus doe intimate no more, but only that Antimonie is an excellent medicine, that cures (saith he) the Leprosie, besides many other diseases; but for these two I am sure it is false, for neither by the Cup, nor by any other Antimonial preparation can it be performed. And I beleeve Paracelsus spake he knew not what, when he saith, As that Antimony refined Gold, so by the same reason it purifies the body of man. He must be voyd of reason, who will thinke this comparison true and right, as if there were the same reason for Gold a Minerall, having some convenience of principles with another Minerall, and the body of man, with which it hath no convenience at all: For the same might be as well said of all purging medicines, that cleanse the body of man from all its impurities; but howsoever the Cup is not the right preparation of it to give to cleanse mans body. He brings a second authority of Martinus Rulandus, who calls his Aqua-benedicta the infusion of this Cup, which is absolutely false, and Quercetanus, Labavius, Sennertus, and Hartmanus upon Crollius, yea his own Son Rulandus sayes otherwise; namely, that his Aqua-benedicta which hee commends so much was made of Antimonie indeed, but not of the Cup, but of the Crocus [Page 454]metallor, otherwise called Hepar antimonij, the liver of Antimonie, or some other better preparation; as if he did say, that it was the infusion of this Cup, yet it is not to be used by every one, except they have the same knowledge and judgment that Rulandus hath; neverthelesse he used other medicines as bad as this, which hee doth commend as much, as his Extractum Esula, which is absolutely preferred by him before all other medicines, and Antimony it selfe, shewing that no medicine is good for every body. But Alchymists have that property, to extoll things to the skies, but when they come to the tryall, they are found false, or else lose their vertues in other folkes hands: As for example, that it cured the frensie, it is false, for in the diseases of the head, vomiting is very hurtfull, by the consent of all Physicians: That it cured the Falling sickness, it were to be desired, but it doth not prove so, except that come from the stomack, the head being onely affected by the sympathy of the said stomack. That it healeth Impostumes in the Lungs, and cures the Pleurisie, it is most untrue: For breaking the Impostumes in the Lungs, if it be given when they are at maturity, perhaps it will, because of the great straining of the upper parts of the body, but another vomit may do the like, if the man can bear it. The truth is, those that [Page 455]have Impostumes in the Lungs, are so short winded, that they cannot beare the straining of a vomit; but howsoever for an Impostume to bee broken, and to be healed, are two severall things, a vomit may doe the former, but not the latter. Concerning the Pleurisie; the Physician that gives such a purging medicine, that works upward as well as downward, in such a disease, is much to be blamed, for working against the rules of Physick. Quercetanus is so bold in his Pharmacopoeâ, as to speak of such a cure, but not in a right Pleurisie, but because that Book is full of lyes, I will say no more but this, namely, that neither he, nor Rulandus ever used the Antimoniall Cup, or the Regulus out of which it is made, nor was Quercetanus his Aqua-benedicta made of it; for he himselfe sayes plainely the contrary. Thirdly, he brings the book called Basilica Antimonij, commending Antimony, but not the Cup: And to shew how largely these Alchymists speak, he sayes it cures the French Pox, Leprosie, Gout, and Falling sicknesse, which never a one of them ever performed, and yet the Basilica speakes of that preparation of Antimony that provokes sweating, as well as of others. So I may say the like of Crollius, who commends the Antimony, but not the Cup, and so Mylius, and Bornettus, who commends the Antinomy, but not a word of the Cup. As [Page 456]for Mylius he is but a transcriber of other mens works, and hath compiled a mighty great volume without any judgment, word by word out of Paracelsus, Quercetanus, and others, and hath indifferently put in true or false, whatsoever he found written, so I will not give a straw for his opinion, when he commends the Antimony against diseases, which none of them did ever cure. For Bornettus, I know him well, he wrote his Booke, being very young, and I do not think he believes, that the French Pox, and the Leprosie may be cured by those meanes. Thus I have sifted all the authorities of this man in the behalfe of his Cup, which prove only that Antimony is an excellent Medicine, powerfull in operation, and too powerfull in deed, but that the Cup is the pure essence of it, none of them say, nor will any man that hath any skill in Chymistry ever affirme. Besides he brings some Physicians living (and some very well knowne to me, but the greatest part I know not) who (as hee saith) have approved his Cup: I will make a good interpretation of their judgment, for without question the infusion of his Cup will will worke, and such bodies might bee met withall, in which it hath so powerfully wrought, that being able to beare it, they have received much good by it, but that they have said that his Cup was better and safer then other [Page 447]preparations of Antimony, or then other purging medicines, and that a woman having bought it, hath also gained knowledge when, and in what diseases to apply it, I will not wrong their judgement so much as to believe it.
Of the vertues of the Cup.
NOw to come to the vertues of the Cup, he makes a great list of all the diseases for which it is good, naming almost all diseases that have need of purging from head to foot, without distinction of the severall causes of them, the Cup is good for them, because it purges, and by the same reason all purging medicines may doe the like, and are good for the same diseases, for nature hath provided variety of remedies, some strong, some weaker, of all sorts, that the Physician may chuse what he thinks most fit for his Patient, for one and the same remedy, in the same disease, is not fit for every one. When we read the Books of Alchymists, they commend other remedies as much as Antinomy for the same diseases. But let us a little consider some particular diseases named in his Pamphlet, which I doe except against; It cures perfectly the French Pox, the Kings evill, the Falling sickness, as he saith in the 9, 10, and 13 th Mark, which is false; nay I say more, it is a very grosse mistake, [Page 458]and rash boldness in him, or any man, to prescribe the infusion of this cup in the Plague, small Pox, spotted Fever, and Purples; for all violent medicines that draw the venemous humours of these diseases within the body, which nature doth expell to the circumference, doe work against the rules of art. It is also false that any vomit is good for the Pleurisie; and so I say the like of a Consumption: If the Founder of this Cup had well knowne the nature of these diseases, hee would never have said so. Indeed where nature hath need of purging or vomiting, this Cup may serve, observing all that is to be considered in the use of those evacuations; for we doe not deny that it will work, but this we say, that it being the worst and unsafest preparation of all others, it is better to use some other then it, and all those diseases that he brings experience for, (leaving out those that have been killed by it) might have been performed by other vomits, made out of the Antimony, or other simples working the same effect.
Of the manner of using the Cup.
NOw the manner of using the Cup shewes the weaknesse of the man, he bids to put the Cup into a pot, and cover it with liquor, to be above the Cup an inch or two, then to [Page 459]boyle it gently for two houres, and so to keep it warm for twelve houres, then to take a cup full of it or more, and the quantity of his liquor is a pinte of wine for two, yet it workes better, sayes he, if two or three cup-fuls be taken; and he is bold to say, that it works without any violence, gives counsell if it should work three or four dayes together, not to stop it, and in the end to beware of counterfeit Cups. Here are as many errours as words; First, it is needlesse to shape the Regulus into a Cup, seeing the Wine is not to be infused in the Cup, but the Cup in the Wine in an earthen pot. Is not a little lump of the same Regulus without any particular shape, as good as a Cup of it? And if one doe steepe it, will it not think you infuse its vertues into the liquor, as well as the Cup, and best of all if it were in powder? But thus the Regulus had been bought too cheap, but we must have it a Cup or a Ring (forsooth) to make the people beleeve it is not an ordinary thing. Secondly, being thus prepared by boyling, makes the drink look so distastfully, and makes it to lose its vertue, so as if a child hath need of halfe a pint, a strong man of two or three, as he sayes. Let the Reader goe to an Apothearies Shop in any part of the Kingdome, there he may finde Stibium, which is Antimony in glasse, of this let him take six graines weight, let them steep [Page 460]closely in two or three spoonefuls of white-wine, and it will be every whit as pure as it was without any taste, and it will worke as well, and more safely; but if you feare the Stibium, (not without cause) take as much of the Regulus out of which he makes his Cup, use it as I have said, and it will worke in as little quantity. Yea steep the cup in a quart of wine close without any fire, for a fortnight, give but two or three ounces of that Wine, and it will work with a better effect. Thirdly, that it workes without any violence, it is not so, for I know many that have taken it, who have been grievously tormented with it, and this is common to all vomits, yea even when they are provoked by the strength of nature. 4 ly, it is a pernicious counsell to suffer a superpurgation, and Physick to work so long, if it happen well in some strong bodies, it is not to be thought that it will do so in every one. The Last, to beware of counterfeit Cups, is to keep the people continually bound to him; for (saith he) if it bee broken, bring it to him in weight, and for ten shillings he will give you a new one. This is the best trick of all his Booke, a pound of Antimony unprepared is hardly worth above six pence in the Druggisters Shop, for 12 pence, or 18 pence more, of that pound one may have halfe a pound and more of this Regulus, what at the casting of [Page 461]it into a Cup is worth, let any body judge; in very deed three Cups of 4 or 5 ounces a piece, doe not stand the maker to above ten shillings. Besides when the Cup is broken, the vertues are not broken, the pieces being steeped doe retaine the same vertue, and will work the same effect, as when the Cup was whole. The mettall then being so good cheap, and the preparation of it so easie, there is no great feare of counterfeit ones, for a counterfeit one is like to cost more then a right one.
To conclude, I say, though this Cup should be so admirable, yet it is beyond the capacitie of any that is not a Physician, to adapte the right use of it to every person, for all diseases, times, and places, as we have said already; nor doe I thinke the Founder himself hath the knowledge of these things.