[...] OR, A TREATISE OF Phlebotomy Demonstrating the Necessity of it in diseases; the time for Elections. And likewise of the use and application of Cupping-glasses, and Leeches.
Whereupon is added a brief and most Methodicall tract of the Crisis.
Written Originally in French, by Dade Plumis Campi Chirurgion.
And now faithfully rendred into English, by E. W. Well-wisher to Physick and Chirurgery.
LONDON, Printed by John Streater, for John Place, Furnifalls-Inne Gate; and William Place, at Grayes-Inne Gate, next Holburn. 1658.
To the most High and Puissant Princess, Mary De Medici Queen, Mother to the King of France.
THe cause which hath induced me to consecrate upon the Altar of your exquisite merits this little Offering [Page] (composed for the ruine of so manie Phlebotomists of our Age, who most commonly are the cause of the losse of so manie persons of all ages, qualities, & sexes, by reason of their undue Administration of this Chirurgicall Operation, viz. Phlebotomie) [Page] is, the observing of so manie excellent and truly royal Vertues, shine and dart forth their splendor in you, which are more to be admired, than known; more to be known, then imitated; and more to be imitated, then equalized, And which have received [Page] birth; and being from the exquisite perfections of your Divine wit, the Fame whereof, serves as a subject matter, for the most fine Wits to commend; and for an example of well doing, to the most magnanimous souls. Your fair actions, are as so many glittering [Page] Stars, which imbellish and illustrate the Heaven of our Fraunce. Fraunce, who may from hence-forth, glorie, for having bin delivered from the devouring Gorge of a storm of miseries, by the sage providence of a Queen; yea, the most wise of Queens [Page] that ever governed it. A Queen, with how great honours loaded? with what respects honoured? with how manie Triumphs cloathed? and with how manie Laurels adorned? As manie humane mouthes, so manie Trophies to your Grandure; as manie hearts, so [Page] manie Temples erected to your Vertue; as manie souls, so manie Vowes and sacrifices to be imolated upon your Altars. In brief, Your Vertues are such, that I shall not adventure to handle, rashlie, the praises of them, because I cannot arive thereto, but in admiration, [Page] nor recount them worthilie but in silence. This ayr is too clear for the flight of my dull Plume; wherefore by the example of the Swallows, which presage Rain, I will content my self to couch to the surface of the Earth, to beseech You (Madam) on the [Page] behalf of our Chirurgerie, that you will be pleased to dart forth the Rays of your sweet favour upon this little scantling of its Operations. For whatsoever apprehension I have had of the greatness of Your Merits, and the weakness of my judgement; it hath [Page] not bin able to withhold me from offering it up unto You for a Testimonie, rather of my good will to the Publique, then for anie thing that is in it, vvorthie to see the Light under your Royal Authoritie, and Divine Greatness. If it have the favour to be vvell [Page] accepted, I doubt not, but being protected by the Buckler of Your Minerva, it vvill easilie beat back all the assaults of envie, & be looked upon by all, vvith a favourable Eye. And for my part, I shall therein take so great contentment, that my desires [Page] shal be more stronglie redoubled to appear; and be acknovvledged all the rest of my life,
To the Benevolent Reader.
BAd Masters do occasion the losse of credit to good Mysteries, and disparagement to good Masters. The esteem, or the stighting of Arts and Sciences doth depend, upon the ability or insufficiency of those who handle them; and according as they are well or ill practised The Ʋulgar, without entring further into the knowledge of their cause, (as severall persons who will not permit themselves to be [Page] reprehended (although they mistake exceedingly) in an art which they practice, with abundance of more presumption then knowledge) do adjudge unto them (upon the first veiw) either good or bad reputation; so that such actions as are commendable, and those that are reproachfull are, (by the Vulgar popularity) measured by the same rule, and weighted in the same ballance, without any manner of distinction, insomuch that most commonly Vertue gives place to vice, Wisdome to ignorance, and Experience to incapacity.
[Page]And they will take the name of Philosopher, formerly so reverend and so much respected among the Greeks, that from the time of Pythagoras, It was caused to be called, [...], that is to say, Wisdom. Notwithstanding, it is certain, that this word [...], or Philosopher, signifies nothing more, nor lesse, but A lover of wisdome. And yet there is not a man in these dayes so shallow brained, so inconsiderable a person, nor so great a Lord, but would be very angry, yea would be inraged and take exceptions in good earnest, if one should take him for any other but [A person desirous of knowledge] which to expresse in one word is (A Philosopher.) A title wherewith Emperour Antoninus himself was well pleased, to be honoured. Let us consider what course that title hath passed for some years past, how it was ordinarily taken; And after what fashion it is made use of, now.
[Page]It is the common Complement, and the little joviall Epithite which one doth usually give, promiscuously at the first meeting a person, though he have the Countenance of one that hath slept rather then watched over his books. If one meet with a man that doth not well know the Court Carveate, nor how to dispute in a quarrell according to the modern fashion, who discourses with Ergees framed upon all occasions, upon the foot of a Fly, (thereby shewing himself as indiscreet in familiar common entertainment, as averse to civill Actions,) presently they give him the Style of Philosopher by head and shoulders. Notwithstanding that the true Philosophy, if we may herein beleeve Ulpian, the Civilian, consists in management of affaires, in the conversation and conservation of humane society, accomplishment in matters of Law, in Court affaires, and in all the points [Page] of honour; so that a Philosopher, and a person of honour or States-man, to speak properly with Ulpian, (who was such an one) is one and the same thing. What then is it that hath imbased it, and brought it so low from so high a degree? Who hath stript and disrobed it of all its auntient honours and prorogatives, making it so to serve as a Laughing-stock? but the impudent ignorance of a crew of Mishappen discomposed Pedants, whose gesture and discourse stincks strongly of the Mustinesse of the School, who because they have passed over a bridge amongst a croud of Asses, without leaving their pack-saddle behind them, do presently conjecture themselves able to hold Port with the great Horses. Which fate, or worse (the more the pitty) is also fallen upon the title Physitian. For I pray, what is now become of the auntient splendor of the Science of Physick? What is [Page] become of its Glory and Ornament, and the inclination and well wishing of Auntient Princes and Potentates thereunto. Who did not think it below them to learn and exercise this divine Science, (by good right called Divine, in regard it receives that Elogie from the very mouth of God): But did treat it with great Liberality to confirme its dignity, and maintain its authority.
(The Science of Physick, I say) which the auntient Hebrews did honour as being come from Heaven for conservation of health, and prolonging of life. And it is testified by the holy writ, that the Chirurgicall Physicians are made, instituted, and recommended by God, as in 38. Ecclesiasticus, Honour the Physician with the honour that belongs unto him, and for the occasion that thou hast for him, for the Lord hath Created him: Do not withhold from him the reward of his [Page] pains, to the end, that he may succor & assist thee in thy necessity: he shall receive rewards from Kings and the knowledge of the Chirurgical Physician, shall cause him to exalt his head, and render him admirable among Princes; As for examples concerning the Liberality of Salaries and Presents, wherewith the Auntient Kings, Princes, and Emperours have been pleased to honour Physicians; Pliny relates that the Caesars did allow unto the most famous Physitians, who practised Physick at Rome, two hundred and fifty Sesterces yearly, which (according to the Common Accompt) comes to about six thousand two hundred and fifty Crowns, although the other professours had but a hundred. Thadeus the Florentine received of every Prince that he served, fifty Crownes per diem. And he having cured Pope Honorius of a strange disease, he had [Page] allowed him 100 Crownes per diem. And (as Volateran reports) a reward also of a thousand Crownes. The Emperour Augustus gave to Anthony Musa (who had helpt him in a great sicknesse) a Gold ring inriched with a stone of a great price, and not content with this, he honoured him with the dignity of Knight of his own order. And not onely he, but also all those who exercised that profession, were (out of respect to him) honoured with the same Title. Darius, the Monarch of the Persians, had Demades (a Physitian) in so great esteem, by whose assistance he had been freed from a tedious disease, that, (as Herodotus reports) he gave him two great Chaines of Gold of great value. And the Queen his wife gave him for a present two Bottles made of Massy Gold. Let us leave the Auntients and their Antiquities, to speak of James Cantier, [Page] a most Learned and excellent French Physitian, who had as a Sallery from King Lewis the eleventh, ten thousand Crowns per mensem: from hence we may collect in what esteem the Chirurgicall Physitians have been in all times, maintained in all Liberty and freedome, exempt from all Charges, Subsidies, Tributes, Talleys, and Imposts. Behold in what dignity the Physician and Physick, was formerly; and yet notwithstanding we see in this unhappy age wherein we live, (where vice marches in the same Rank as Virtue) it is so changed, corrupted, & altered that it seems to be now no more then an Idol or Phantasm, its Countenance vailed its Credit destroyed, its Honour degraded, its strength abated and weakned, and its reputation withered; in short, it is fallen from that most high station of glory, whereunto our predecessors had raised and advanced it: [Page] it is (I say) profaned and trampled under foot by a Crew of ignorant Impoysoners, Impostors, Mountebanks Quack-salvers, Men of evil conversation, and Cawterized consciences, who (like new Esculapians descended from the Heavens) bragg impudently, and promise audaciously the curing of all Maladies: of whom the ignorant popularity do ordinarily make more Accompt, and do give more credit to the exterior apperance of a gallant port & flaunting behavior, accompanied with the vain glory of sumptuous Apparell; than to Learning and Experience. Yea certainly, for if there be any Mountebanke, Quacksalver, or cousening drug-seller, some crackt brain fellow of an extravagant wit, who giving the Carreer to his fancies shall mount up to a theater, and make some strange kind of Compositions; or else, if he carry [Page] a Gold ring upon his finger, and his Moustaches well mounted, a well composed demure Countenance, and using these words often in his mouth, (to wit) Blood, Humors, Spirits, Tumours, Wounds, Ulcers, Fractures, Dislocation, Hippocrates, Galen, &c.
Behold this is the man, who is reputed of every one, the most famous Chirurgicall Physitian of the whole earth. Soft, soft, my Masters, not so quick; for you may he deceiv'd: for it is not the habit that makes the Monke. Words and deeds have a great difference. Ask these Mountebanks, first if they have the knowledge of Geographie, of the Mathematiques, of Astrologie, of Musick, Geometry, Logick, Arithmetick, Rhetorike, of History, Poesy, and Philosophy: In short, in one word, he must [Page] be an Encyclopaedian for he that, in one word, would call a man a perfect Physitian must call him so: for to imagin a Physitian to be separated from the knowledg of his above mentioned Companions, were to suppose him ignorant, mute, and dead. Again, demand if they have the knowledge of all things that fly in the Ayr, of all things which swim in the water, of all Vegetables, of all things which have sense or life upon the Earth; finally of all which the Universal Mother doth inclose in her bowels, either of Water, Mettals, Minerals, Salts, Juices, Sulphurs. Besides, if he hath entred into himself, there to observe his own structure, to dive into his own bones, to number his Muscels, to follow his veines, particularize his Arteries, search out the Cartalages, or admire his Nerves, Tendons, Ligaments, Films, &c. If they have done all this, [Page] and if a solid Judgement, be the soul of their experience; in truth then you may caresse them with immunities or privilidges, acknowledge them with applause; or else you are to blame.
But it may be some Hypocondriack person, will contradict me and say, that it is not fit for a Chirurgion to prescribe rules to Physitians. In good time! neither do I do it to the Learned Chirurgicall Physitians, (for those we honour and respect as our Masters); but I speak to a Crew of (I know not what sort of) Medicasters, viz. without shame or wit, without foreheads. Oh what a number is there of them! So that now one may take up that pretty sentence of an Auntient mans; [That the ignorance of some and the incredulity of others are the reasons, why so many Chirurgicall Physitians are altogether [Page] ignorant of the Maladies, which they hold for incurable], which notwithstanding are curable, as the Leprosy, the Dropsy, Apoplexie, Palsy, Contraction of the Members, falling-sicknesse, Quartain-feaver, Hectique feaver, Hand-gout, Foot-goot, Hipp-gout, and Sciatica, and severall other Maladies which are hard of digestion for them. But it may be some one, (who doth not well understand me) will be amazed to observe me to put the Chirurgion in the Rank of Physitians; yet I assure you I do it by good reason, for I do not value a man who doth onely vapour, but him that saith and doth too. Oh miserable age! wherein men beleeve that a Chirurgion knows nothing but how to apply Cuping-glasses to let blood, and to spread a Plaister, and it may be 'tis true too, Alas too true, to my great [Page] grief; but it is not such that I mean. For the art of Physick and Chirurgery, is not acquired by money, as some shamelesse persons have caused themselves to be called Master Chirurgions by that means.
Oh times, O tempora! O mores, Oh manners! To this purpose hath one well said.
It costs them sometimes two hundren Crownes at a time, a silke Coate, Embroydered beds, feasts, and Banquets to friends and kindred, and other good considerations, to palliate their admittance.
Oh good God! what a fashion this is to make Market of mens lives? It was better consulting with the successours of Cain, to indure a Plague: for then some, one Hippocrates or Paracelsus, would be found to resist and stop it. But in this case it so falls out, that those who bring in the abuses and support them, will take no heed to resist or overcome them. By good reason [Page] then say I that the skill of Chirurgery is not attained to by money or succession, nor by reading onely, but by a long and painfull Laborious industry & search. Wherefore I do admire that there are such abundance of Chirurgions who do beleeve that, which [french Authours] Thibauld and Anceline have determined, as an Indissolvable Law, alleadging that such an Authour hath done so and so; and that because it is a custome, that therefore they may do so too. Take notice here, my friend, that Custome will not serve to demonstrate the Art. And one cannot call that an art which cannot truly be demonstrated by operation. But they will neither beleeve this, nor take the paines to re-illustrate this famous Chirurgery, which hath been formerly in as great honour, as it is now in neglect. Yea, one may well be astoniished [Page] that so noble a science should be so degraded from its pristine reputation, that having been Antiently the favourite of Kings, and the imployment and occupation of great Personages; It is now abject and prostitute to the der [...]sion of the most inferiour of City and Country.
What is there, I pray, more famous admirable or divine, then this holy Profession and yet you see how it is slieghted of every one? And (which is most destestable) by those very persons who are grown rich and fatned thereby, for if one propose unto them some most necessary rule, you shall have them immediately give the Title of Emperique by the head and shoulders, even to such as (being friends to nature) would conscientiously raise them from their weaknesse: for truly there is no profession wherein one ought to be more cautious of erring, then in ours of Chirurgery; in regard [Page] of its subject, which is a Humane Body, a beame of divinity; and yet notwithstanding some take the lesse heed to it, and blame the good designe of others, and like Aesops Cock sleight the precious Stone, and scatch and scape into the Dunghill. Is it not a shamefull thing to sleight things that are good and necessary & to run to I know not what ill-grounded practise, which is more Empericall then rationall? I shall leave the judgment hereof to those who, stript of all Passions, do know the errours which are thereby committed; particularly to those who practise Chirurgery, for if they erre in the least operation, by much stronger reason must they needs erre in the greater and most difficult; so I say, if upon all occasions they are at a stand in observations concerning Phlebotomy, they must needs be so by much stronger reason, in [Page] matters of greater Speculation.
Object. But, will some one say, Do you think it an easie thing to know the motions of the Starrs, and to number the Numerous motions of the Starry Spheares, to comprehend the Directions, Declinations, and Retrogradations of the Planets, for so small an operation as that of Phlebotomy? Besides, considering (say they) that these Chymericall observations, are so unprofitable, that most commonly they pay their Scrutators, with events no lesse distant from their expectation then the subject of their Science is from the Earth.
Answ. To which I answer. That truly I finde it most easie, in regard my Art obliges me, and my reason constraines me to it; but by how much, Sciences do seem to be difficult and arduous, they are by so much the more subjected to Calumnies and Censures; because the ignorant, and blinde witted (seeing no further then the nose-end of their simplicity) do sleight all things that are difficult to their understanding. And as for that which concerns the small benefit of this Science: Stay here a little, you fanatique wits, you enemies of the Muses, insensible do-nothings, you mercenary Pipers; open the eyes of your understandings, be not like unto the Numean Lyon, [Page] (kill'd by Hercules) which fed in the Forrest of ignorance, making a Generall destruction of all that which was good, and conserving that which was bad. Confesse ingenuously the excellence and worth of this Science, which discovers the wonderfull effects of the ordinary motions of the heavenly bodies. For since that those who lop wood & dig in the earth (considering first the Position of Heaven) are not ignorant that many mishaps do depend thereupon, as worm-eating and corruptions, and the like; by much more strong reason ought we to observe the Starrs, for operation upon so noble a subject as a Humane Body. Which also was well understood by those who do prohibite the provoking of the Menstrue in Women or Maids in all the four Quadratures of the Moon; not being ignorant of the power, which the Starrs have over our [Page] bodies. I pray let us ask the Genethliaque Astrologers, if when Saturn and Mars do enter into Conjunction, they do not cause the Plague; alleadging as a reason, that the said Planets do endeavour by all meanes to destroy man, whose radicall humour consists onely in heate and moisture, and their nature and faculty depends onely upon drynesse and coldnesse. But while I spend paper in this discourse, Me thinks I here a noise or buzzing of Hornets, who love nothing but dirty infectious places, I mean their own wills, who conducted by their ignorance, allwayes turn about the pot, (as one may call it) of their old doctrine; (I say) me thinks I perceive these to scoff at my pen, perceiving I treat of an operation which hath been so learnedly deduced before our time, by some of the most sublime personages which antiquity hath produced.
[Page]To this I answer, that (although one would thinke one could say nothing more upon this subject, there having been severall Volumes of it) yet notwithstanding they are not performed with that method wherewith I treat of Phlebotomy in this place; not following the old opinions, because that would be nothing but singing the same song again; but discovering the fault which people daily fall into, in this so important operation, I describe a means so to behave ones self, that one shall very seldome fall into irrepairable faults. Wherein I do assure my self, loving Reader, that, if putting off all Passions, thou dost come with a favourable eye to look on these Lines, (which proceeding from an honest Leasure, do run the hazard of Censure) thou wilt confesse that it is not without great consideration, that I have put hand to pen, [Page] to a Treatise of this matter. Not that I have been provoked thereunto by any vain-glory, but possessed with a good desire to serve the Publique. And truly I should have beleeved I had faild of my duty, if having received something peculiar from the Liberall hand of the Almighty, I should not have distrubuted it to the lovers of true Learning. To the end that all their and my workes, might be to the honour and glory of God, for the edification and health of our Neighbour, and to the salvation of our souls. To which God, Father, Son, and Spirit, be rendred all honour, and glory, for ever, Amen.
[Page]A Treatise of Phlebotomy.
A TREATISE OF Phlebotomy.
CHAP. I. What Phlebotomy is. Its property, and of that which is to be observed particularly for the good performance thereof.
MAny Philosophers both Graecians, Latines, and Barbarians after they had diligently [Page 2] contemplated all sorts of Animals, & curiously sought out their manner of living and compar'd their Condition and Nature with ours have writ that amongst all Creatures breathing and moving upon the Earth;
Man is more miserable then al Animals and the reasons therefore.
There is not any more Miserable than Man by reason of his unsatiable desire and disorderly Appetite: for continually he is hunting after new food, and having found any according to his taste, he devoureth them after such a fashion that I exceedingly admire that the bellyes of many are not already rotten and infected by that excesse of drunkennesse and debauchery which they do commit. I am amazed in thinking of it. And what doth there proceed from it? except [Page 3] abundance of Rheums; Catharrs, and infinite other kindes of diseases, which do nothing but adulterate change and corrupt, this second part of our generation, The treasure of life, the seat of the Naturall heate, the matter or substance of the seed, and of the Milke of the Duggs or Papps, that is to say, the Blood: which is so well dispersed and mingled through all the parts of our bodies, that there is not any one of those parts which doth not receive its nourishment from it; and there is not any good thing in us which is not maintained and supported by It. It is the Mother of the spirits which does impregnate the seat of the faculties, for the maintaining the strength of the whole Body, which does foment and entertain its primitive moisture; It is so replenished with spirits, that the conservation thereof is [Page 4] the cause of our life; insomuch that some have esteemed that it was the proper seat and habitation of the Life, and that therefore our unruly wills accompanied with our (more then unreasonable) Debaucheries are causes that this continuance of our lives is almost wholly extinguished.
One shall see nothing else in the Countryes but Doctors and Docteresses for the renewing of this scource of our lives; so many bloodings made improperly, that I wonder that instead of helping their Patients, they do not destroy them.
The diligence of the Learned Chirurgion praised.
Not that I would here blame the diligence of the Learned & skilful Physitian and Chirurgian, who as friends to nature do endeavour with all their might to preserve [Page 5] her in her health or integrity. And that by purging and cleansing, or evacuation; which last is not to be done but by incision of a Veine. This is called Phlebotomy [...] word Compounded of the Greek words [...], which signifies a Veine and [...], that is to say, division of whole parts.
The derivation of the word Phlebotomy.
Behold therefore why in particular this word is taken for making incision of a Vein by which evacuation is made of blood and other humors contained with it: Galen. 13. Method. Ch. 6. You must take notice that there are severall sorts of bloodings; As of a Veine, of an Artery, Scarrifications and others: we will speak especially as to Phlebotomy.
For what causes one should open a Vein.
We make bloodings for six principall causes, The first. To Evacuate. Secondly, To divert turn back or make Revulsion. Thirdly, To Attract. Fourthly, To Change. Fifthly, To preserve. And sixthly to alleviate; which is according as all those who have treated of this matter have defined it. But let us content our selves with these two Causes, (to wit) Plethorall and Chachochymicall: the one consists in nothing but too great quantity of humors, & the other in the evil quality.
How far Phlebotomy doth extend its self.
But the benefit of Phlebotomy doth not extend it self only to the evacuation of the fulness, (which ought to be made according to [Page 7] the kinde or difference of it) but also to divert, and to drain which are the three sorts of evacuation. It serves also for great and extream paines principally when they proceed from Tention, insomuch that all the learned Physitians and Chirurgions do hold that blooding, is a most excellent & assured remedy, if the rules requisite thereunto, be therein well observed: yea more ready and secure then Laxative Physick, which being taken works immediately and forceth its operation, it not being in our power to hinder it.
Phlebotomy more safe then purging Physick.
But Phlebotomy (the Reines of the Conduct whereof we hold) doth nothing but what seems good unto us, forasmuch as we do stopp it and draw it forth, when we please. And [Page 8] in truth, among all Chirurgicall operations, blooding holds the first Ranke, because it is the Common remedy of diseases which proceed from Plethore, and Cacochymie, as we have said before; both which are the Antecedent causes of diseases.
What Plethore and Cacochymy is.
Let us then define what Plethore, and Cacochymie is, and then we will appropriate unto them Revulsion and Derivation.
Plethore is nothing else then a repletion of all the humors equally increased, or else of the blood onely.
Cacochymie is a repletion of Choller Melancholy, or Phlegme. Plenitude hath two kindes the one Ad vires, and the other Ad vasa; there is another added unto them called, Supra vires.
The first, (to wit) Ad vires, [Page 9] Although that the blood be not excessive neither in quantity nor in quality, yet it may oppresse the weak powers notwithstanding; the other (to wit) Ad vasa surpasseth the Naturall Symmetry or proportion; But although the vessells seem to burst by reason of the abundance of blood, if it doth not suffocate the powers, but it happens that the strength is debilitated thereby; This then shall be (plenitudo supra vires), But it must be taken notice, that Cacochymie is threefold, Cholerick, Melancholick and Phlegmatique. Enough of this: for he that would see more therein let him reade, Lafframboisiere in his [Loix de Medicine.]
Let us now return to Revulsion and Derivation where we find there is great difference between the one and th'other, forasmuch [Page 10] as the Revulsion is to be performed on the Contrary part according to Galen.
Galen in the 5. of his Meth. Ch. 5.
If the right Nostril bleed, you must apply a Cupping-glass upon the Region of the Liver; but if both do bleed, you must apply two; th'one upon the right Hypocondre or flanck and the other upon the left: and if the distemper be strong, one must breathe the vein under the elbow. If the mouth and the throat be distempered, open the Cephalique, and it is Revulsion, and if one draw blood from the veines under the tongue, it is Derivation; In like manner, if the hinder part of the head ake, you must make Revulsion by the vein of the arme, then Derivation by the vein of the forehead; also Revulsion and Derivation must be [Page 11] made on the same side, (if it may be); as, if there be a Phlegmon in the Liver, you must breathe the Basilique or Mediane of the right Arme; If in the spleen, on the left; If in the kidneyes, the Bladder, or privities, you must open the vein of the ham or Ankles. If in the right Leg, on the Right Arme; Gal. in his 13. meth. Ch. 11. and Aph. 36. d. 6. If in one Arme, on the other, and so of the rest, (if it maybe) as I said before; forasmuch as if there happeneth a Phlegmon in the Liver, and that the Right Arme should be hurt, one cannot nor ought not to take any blood from it, but you ought to take it from the other Arme, or from the Ankleveines.
[Page 12] Oribas l. 1. Ch. 22. Note that they Lance the Arteries, especially those of the Temples, to evacuate the hot windy humors which flow into the eyes and cause tedious paines of the head, vertigoes or swimmings of the head, which are principally caused by hot things and windy, and the Arteryes behind the eares are for the same effect; Gal. 13. Metho. Ch. 22. One never lanceth the Great Arteries, as those of the Armes and other places; As well, because of the too great dissipation of the vitall spirits, as because there can be no agglutination or knitting made there, by reason of their continuall moving, we will speak more largly hereof, hereafter.
Observations concerning blooding.
It is time now to know who are they who ought to be blooded, and those who ought not so to be; Those who can easily bear such lancing & to whom it can do no hurt, are those who have a strong constitution, the veins bigg, full, & large, who are neither lean nor wasted, who have their colour good and ruddy, their flesh firme hard and solid: those who are of a contrary disposition cannot bear it healthfully; neither must one blood Children, before the age of fourteen; nor old men after threescore and ten; unlesse in case of great and extream necessity; and considering this, That with the blood slides forth part of the life, which you must alwayes do prudently, (measureing the greatnesse of the disease with the power of the Patient's strength) to the end that one [Page 14] may easily judge of the matter or substance, and likewise of the evacuation; but you ought not only to consider of the forces or vertue at present, but to know for the future if they will be sufficient to support the length and continuation of the disease: also you must observe, if those whom you blood have been accustomed to be lanced; For those who have not been accustomed to it, do not undergo it easily, Insomuch that Custome must be considered in all manner of evacuation especially as to that of blood. Moreover all those who have weak stomacks, or who are wrought on and opprest by the Dyarrhe or loosenesse and flux of the belly, or who undergo some indigestion, ought not to be blooded also the women with Childe ought to abstain from it, principally in their first and last months: also [Page 15] those who have used too great sobriety, those who are of a cold and Phlegmatick Nature, and those who Live in a Region or Air too cold or too hot, do not easily bear blooding. All things which weaken the powers, as horror and trembling, the immoderate use of venery, too great frequenting the bath, the flux of the belly whether it be by nature or Physick, great perplexity and care, watchings, and labour and tedious diseases, do prohibit our use of blooding. For conclusion, whether to blood, or not to blood, All these things above mentioned, and severall others, must be observed (which I shall here omit) for fear of being accused of writing any thing here, which hath been already long ago treated of by the more Learned: & somuch more for that reading their writings I lose my hopes [Page 16] of being able to say any thing upon this subject, worthy to see the light.
All which would have been enough to have rendred my pen silent in this affaire, if the greatnesse of the case, (which ought to be examined by divers writings,) together with a good will which doth move my affection to be able in something to serve in publique, had not imboldened me unto it. And also to leave unto posterity some mark of my duty; And, that, as well, to solace and refresh the Memory of my Companions in Chirurgery (giving them also some entrance into Astrologicall observation) which few among them know.
The Charity of the Authour.
As also, for the health and benefit of those who are to be blooded, having alwayes preferred, the health of the [Page 17] poor sick persons who need blooding, or those who use it to preserve themselves from diseases, before the ariving to my owne gain, and profit.
The great errour and Covetousnesse of some Phlebotomists.
Many of the Chirurgions of our time do let blood at all houres, at all times, at all seasons and all ages, without considering the power and strength of the party whom they Lance, (induced thereunto by this cursed desire of gain) never taking heed to the accidents which may come upon those who have bin blooded, making evacuation of more blood then they ought, or else making operation upon the Member at the time wherein the Starre is ruling or predominant there; insomuch that some are dead by reason of the undue administration [Page 18] of this Remedy, which hath cut of the use off their life; or if they be not killed thereby, they have fallen into a prolonged weaknesse, and their bodies are thereby cold, wan, and discoloured; and all this by the ignorance of the operant who will put himself to the performance of this so noble help of Nature, without being provided of all those things which are Necessary for him, as well gifts of the body and minde, as other externall Instruments.
Condition of the Phlebotomist.
As to be young, well sighted, to have a steady hand, and exercised unto Phlebotomy, a good Anatomist to know the scituation of the veines, and of other parts of the body; for without that, he will be like unto a blinde man which cleaves wood. But it will not [Page 19] be from the matter to note here, that if the veines, should not be apparent, in the morning, you must not breath them, until about one a Clock in the day, and then those who are able to walk, let them use a little Exercise, and then the most occult, and Invisible veines (as one would say) will appear. But I have not mentioned this here, except onely concerning those who have small veynes, and covered, either with flesh or fat; Also shall I not instruct the Chirurgion to fill the veines by rubbings or bathing of the Member in warme water, Ligatures, and assuring the sick party not to put them to any pain, for it would be too Triviall.
What Instruments are to be used in Phlebotomy.
But I shall say (to return to [Page 20] our purpose) that the externall Instruments by which this opeation is to be accomplished, shall be good Lancets of several fashions, Ligatures, Swathes, Boulsters, Red pouder, burnt lint, to stop the blood if there be need of it, or with Cotton Pulverised according as we have shewn in our [Chirurgie Chymique.]
Default in Phlebotomists.
This default especially is found in the greatest part of the Phlebotomists of our age, viz. That, of the knowledge of that so excellent & wonderfull Astrologie, without which it is as it were impossible to be able well to exercise Physick, or Chirurgery upon our bodyes, which are by good right called a little world, for their having a great Sympathy with the great one, as I shall shew hereafter by the help of God; as also the observation that ought [Page 21] to be made in the Concurrence of the Starres, and the influence of them upon our bodyes, to the end that we may avoid those unhappy accidents which we see daily to happen to the share of those who have been blooded so inconsideratly. That which hath withdrawn me from picking and culling out, all the conditions requisite in this operation, as well for the Chirurgion as for the sick person, and other things requisite thereupon, is, I not having intended to treat on this subject, except of the two principall points of this operation, under which two may be Comprehended all the rest, whosoever will explain them. Notwithstanding I shall content my self to have traced this little path for some one who (indued with a more high Style, and accompanyed with a greater knowledge, [Page 22] provoked by one lesse then himself,) shall have had a desire to have the knowledg of this science appear (above the small knowledge which it hath pleased the divine goodnesse to give me) and to make the desires and lovers of true and perfect Chirurgery partakers thereof; Provoked (I say) by this desire, doth stretch out his sayles of Eloquence to steere in a higher or greater Sea then I do. But winding up the thread of my discourse, I shall content my self, (I say) with these two principal Points, that is to say, the time of Necessity and the time of Election.
The time of necessity from whence taken.
That of Necessity is in all times and seasons, and at all houres, without considering any thing which may hinder, provided that the Necessity be certainly [Page 23] known to be the most strong or pressing, as I shall mention in its place.
The time of Election from whence taken.
That of Election, is taken either from the nature of the body of the party who ought to be blooded, or of superiour, and external things; which ought to be a fair clear and clean day, and not Rainy, not by no meanes at new Moon, nor very near to the full. And rather in the spring then any other season. I shall declare also upon what parts of our bodyes the Planets and heavenly Signes do particularly rule; also in what day or hour, in what time or season; To the end that having the knowledge of these things one may not commit so many errours in this operation, as are committed by the ignorant.
Protestation of the Authour.
Protesting that I have not writ this Tract possessed with any other desire but to assist and help so many diseased persons, who dye for want of being well comforted by this excellent remedy, and not to receive any glory thereby. But if I shall receive some one spark, I do Consecrate and dedicate it from hence forward to the Authour of all things. To whom, Father Son and holy Spirit, be glory, honour and praise, for ever, and ever, Amen.
CHAP. II. How the Chirurgion ought not to be Ignorant of Astrologie, and the profit that proceeds therefrom, as well for Phlebotomy, as for all the diseases which happen to humane bodies, The Sympathy of the Starres therewith, and other discoveries most profitable to Chirurgions.
FOr good cause did the Comique Poet pronounce this Sentence, which is worthy of great consideration, (to wit) That there is nothing more unreasonable then the ignorant man, who esteems nothing good, but the things which he doth himself, and of which onely, he hath knowledge. The which I make mention of here, by reason [Page 26] of a Crue of Sophisters, who dare contradict the force which the superiour bodyes have upon inferiours, alleadging that the Ancients never took heed to these foolish fancies as they call them, (which they urge) being ignorant that the great Hippocrates, did Prognosticate the plague which was to happen to the Iyllnians. And that, onely by the knowledge which he had of this Admirable and divine science of Astrology: By that meanes preserving a great number of the Inhabitants of Greece, who in acknowledgement of one so great benefit, did give and attribute unto him great honours, which he dedicated to Hercules. Besides having not read that the same Hippocrates restoring and increasing Physick, did so far praise and respect Astrologie, that he hath demonstrated by knowledge, and [Page 27] concluded by reason, that Physick is maimed without the knowledge of Astrology, insomuch that the Athenians after his death caused his image to be engraven, after they had built the Notable Colledges, for Physick and Astrology Lectures. Plin. Lib. 7. Ch. 37. And particularly for one Berosus a great Astrologian, after the death of whom was erected (in the Colledg of Athens) a Statue having a tongue of Gold, by reason of his Eloquence and great knowledge in Astrology. St. Jerome in his Epistle to Paulinus affirmes the profit of Physick, Astronomy, and Astrology, for the preservation of mankinde. St. Dennis the Areopagite, by meanes of this Science, had knowledge of the death and passion of our Lord Jesus Christ. Besides, it is sufficiently proved in the holy Scripture. Luke 22. where it is held forth [Page 28] that future events may be predicted by the order of the Elements, even the faire and rainy dayes, as also in St. Matthew, (St. Matthew, Ch. 16.) The whole text whereof I had inserted had I not feared to weary the Reader, and should produce many other Authorities, and examples drawn from the Doctors of the Church, (which the most studious could finde out) to cheque the presumtuous, ignorance of the envious: for none can doubt of the verity and necessity of this Science, which caused Lycurgus the Lacedemonian to cause, that in the Administration of the Commonwealth, the course of the Starrs should be observed, and to ordain by expresse Law that the Laconians should not go to warre before the full of the Moon. That Grand Legislator, Moses, had attained [Page 29] the perfection of this Science, as doth testifie the Protomartyr, Saint Steven, in the Acts of the Apostles. And a fore Moses, the great Patriarch, Abraham, did esteem it in the Land of the Chaldeans: as also the Lybians, Indians, and Sages of Persia, reported by St. Augustine.
The Auntients great Astrologers.
Which is more; Do we not read that Pericles King of the Athenians and Emperour, delivered, his Army which was in Amazement from the Eclipse of the Sun, and this onely by the onely Science of Astrology, the practise whereof, if Ilicias had had, he had not lost his fair Triumphant Army in Sicily, being discomfited by a like motion. Which wound was not small to the Athenians, but the beginning of infinite misfortune. [Page 30] In short, to the end that such evils should not fall on the Romans, Sulpitius Gallus did prognosticate the Eclipse of the Moon, long time before, to the end that his horsemen should not be affrighted, and lose their courage by seeing these things: which are sufficient testomies to shew, that this Science was known by the Ancients, as well Physitians, as Kings, Princes, and other great Personages, which I omit for brevity sake, to the end that I may produce that excellent book of Guidon of Caulias, whereof our Chirurgions do make so great a Trophy. But it is onely to keep it in their closet, or to make it keep the shop; for if they did read attentively the most profitable discoveries made therein, they would learn that then when he speakes of the Superiour Root, and the inferiour [Page 31] Root in his Treatise of Phlebotomy, that he understands or meanes by the Superiour Root, no other thing but that the Chirurgion be advised in times of Election, to know and choose what Planet or what Heavenly signe concurs, in that time or in such an hour wherein he would make his operation. Also that he know, whether the Star that Governs the part, be there in the the same time, to the end to obviate or discover the strange Accidents, which might be followed by death or great diseases, as Ptolemie saith in the twenty sixth Proposition. But they will say; This would be very good if there were a meanes to learn all these things in a short time. In regard that our life is very short, & the Art very long, as the Prince of Pyhsiticians Hippocrates hath well observed. Hip. Lib. 1. Aph. 1.
Ex quovis ligno non fit Mercurius.
It is true, I agree with you: behold here the reason, wherefore all wood is not fit to make an Image of Mercury of. Since thou dost acknowledge thy self not to be fit to comprehend all that which is necessary to be known to a good Chirurgion, why doest thou not forbear to exercise this so excellent, and so admirable (yea more divine then humane) Science of Chirurgery, knowing well that we shall render an Accompt before God of all our Actions. And it will not then serve for excuse to say, You had not a meanes to exercise any other calling, having had some entrance in this. And what progresse is it, to make a beard for a Peasant though with a thousand [Page 33] scratches? to pull out a tooth, with a thousand pain? to know how to spread a Plaister like a Plaisterer or Mason? and so many other miseries, which are committed by the malicious igrance of many, all which I leave, that I may not be seen to go out of the line of my discourse, And say that beyond the great profit that Chirurgions do gather from the knowledge of Astrologie in this operation called Phlebotomy; It serveth yet very much to the healing of diseases, which come upon our bodies, also for gathering of Plants, and to dig out the Mettalls and Mineralls out of the bowels of the earth; of which one may prepare by the Art of Alchimy, most healthfull remedies; and administer them to the diseases which come into our bodies, by the mixtion or meeting of the three principall [Page 34] simples, whereof all bodies are Composed, (to wit) Sulphur Mercury, and Salt; from which three substances, all the diseases that proceed there from are called by their proper names, as Sulphereous, Mercuriall, and Saltine: the which not making to this matter are contained in another Volume. In his Little Chymicall Chirurgery.
But some one will aske me why are such names given to all diseases; Making this question, because they are ignorant (as they confesse it publikely) of the three first substances, whereof all bodies are composed, which are (as we have said) Sulphur, Salt and Mercury. Which substances Hippocrates. Hip. Lib. de vet. med. Doth call in man; Bitter, Sweet, Salt and Moist: One whereof, (to wit) the Moist as being more apparant, he hath divided [Page 35] into four parts, which he calls Blood, Choller, Flegme, and Melancholy which is but the third part of that which constitutes the matter. And which also gives us to know the diseases growing by its depravation. Lib. de Genit. But the two others, his being silent, or letting them alone neglected hath buried the knowledge of diseases which are of their essence, which is the reason they are held incurable, if they do not determine by nature. These three substances are demonstrative, and by consequence may be Anatomized; but the four humours, not. Which things, or the like caused that pretty sentence to be pronounced by Fabius, that the Arts and Sciences would be happy, if there were none but wise and good unfolders, who should give the judgment.
The Common opinion of heading, rejected.
But to answer and clear up what is above mentioned, I say, that it is materiall, not onely to know them in their true Anatomie, with their originall and cause; but also, to give understanding what ought to be the Remedies, and the nature of Medicaments necessary for their cure: so that the Common opinion doth not please me in any wise, which saith, Diseases are cured by their contraries. That is to say, the hot distempers by cold Medicaments, and the cold ones by the hot, be it either in such or such a degree; which doth not seem unto me any way considerable. But rather regard ought to be had above all things, to the specifique virtue of Medicines, against every disease, because to heale well, one need not take [Page 37] great paines upon accidents, (As one who would extinguish the fire, doth not take paines about the smoake,) because the disease being taken away, the accidents discontinue. Notwithstanding, if the Accidents surpasse the disease, in this case one leaves the disease to take heed to the Accidents, as in the great Haemoragie (or flux of blood at the Fundament:) Oh thou second Hippocrates (divine Paracelsus) what great obligation have we unto thee; but rather, what obligation have we not unto thee! for having conducted us even to the perfection of Physick. If the Learned Galen were living, I am certain he would say, (seeing the Bookes of Parracelsus) as he did formerly when he saw the books of Hippocrates, [Let us begin at them.] And I believe that instead of disparaging them, (as [Page 38] many Jack-Apes do,) he would give an entire explanation of them; which Apes, neither will nor can, take the paines to finde out new remedies, for the poor afflicted sick persons. Therein doing as a bad Shoomaker shooing e [...]ery man by the same Last: for in truth I am confident, there is a Thousand and a Thousand of those who say, that a hot remedy must be used to a cold disease, who know not to render a reason wherefo e it should be so done. But I will insist upon this, and do ask, Wherefore names are given to simple vegetalls, which do also belong to severall parts of our bodies, As the little Leaves and flowers of B [...]thonie to the head. Mirabolans, Citerinae; Alleluga, or Sorrell; and Mellifol, or Baulme, to the heart. The Pulmonaria or Lungwort, to the Lungs. The Hepatica Lichen or [Page 39] Liver-wort, and the Jecoraria to the Liver. The Aspelnum to the Spleene. The Ʋmbilicus Veneris for the Navell. The Calamus Aromaticus, and Cassia fistula, for the Intestins. The Vesicaria for the Bladder. To the hands, the Palma Christi. The Plantain or five-Nerve, to the Nerves. Savina to the Veines. For the Tibia, and the bones, Legeranium Ossisana. Mace, for the Matrix. For the Teeth, Dentaria: For the Throat, the Cervicaria and Ʋlmaria. To the eares, the Leaves of Asari, and so of others. Will you answer me, That because they have some kinde of agreement with those parts, that therefore by consequence, they have some kinde of property contrary to the Maladies that seize upon such parts. Courage! I will wager, (oh rejoyce, the Ape who sought to devour this holy Science is taken [Page 40] his own self) that he cannot escape. But tell me, consider a little the qualities of these simples, with the cause of the Maladies that happen in these parts, and you shall find, That men have not amused themselves to give names to these Plants, for any cause but the Sympathy which they have with them, giving relief and succour to those parts, when wrought upon by diseases or Maladies. And this is done by the property which they have to drive out such or such a Maladie, and strengthen the part affected; and not by reason of their heat or cold. And therefore it is that we see in Pestilent feavours, they give some Theriaque or Methridate which are of a hot quality, having in no wise respect to the Feavor which is caused by heat.
Medicaments prepared by Chymical art, are more wholsome then Common ones.
But to the end that such Medicines be powerfull, well tempered, and altogether friendly to Nature, recourse must be had to Quint-essences very dexteriously extracted from every compost, whether Vegetall, Animall, or Minerall, according to the specific; virtue which nature hath given to every one of them respectively. The same thing might I say as to Metalls: for, what meanes this pleasant harmonie, with the heavenly bodyes? if they had not some agreement one with the other; as also of the principall parts of our bodies, with the Caelestiall, and the Mettalls?
The Harmony which the heavenly bodies, have with our humane bodies.
As the Sun in the middle of the 7. Planets; so is the heart (which is subject to it) placed in the midle or man, for the first and last mover, having within it self the Artery beating without rest; which is the Ecliptique of the Zodiack: (wherein the Sun continues without rendring it self Erratick), which hath as a center to its spheare, the Navell, and the Continent thereof, and from the Groynes to the Furculary bones, the neck Comprehended, and lends to the Masse this part of the Lyliaste, called vitall power. And as the Sun is the most excellent above all Planets, in like manner also he hath agreement with the [Page 43] most excellent of all Metall, viz. Gold.
Let us proceed and speak of Saturn the Center of whose Spear is in the Arteryes, and who hath for its Region the Cavity of the Conduits, the Ligaments, Nerves, Marrow, Joynts, the bone of the head, the forehead, the hollow of the eyes, and the upper part of the Nose; and for its entire body, the Spleen: and there placeth the receptive faculty, and hath Sympathy with Lead, as his true Legitimate Child.
Let us come to Jupiter who hath for his Sphericall Center the Lungs, and for its Region the windpipe, Trache, or Artery, the Muscles serving for respiration, and the Skin of the head, and from him his naturall virtue hath Communication with Tynn.
Let us speak of Mars, who hath for his Center the bagg of [Page 44] the Gall, and for Region to his Sphere, hath the face from the eyes downwards; the palms of the hands, the soal of the foot and the neck of the Matrix, where he sowes the Irascible and expulsive power, and adjoynes to Iron.
Then Venus extends her rule and her Sphear upon the vessells destined to generation, and gives the Concupiscible faculty and pleasant tickling doth Communicate her power to Copper.
Afterwards comes the Sphear of Mercury, which spreads it self in the interiour of the stomack, comprised in the Superiour Orifice, wherein fear hath its place, and sorrow in the Inferiour, and laughter in the small Guts, and for Center to its Spheare hath the Liver; where he plants the Fantastique virtue, and hath power over Quick-silver.
[Page 45]Lastly, The Moon possesseth the bone of the back, the shoulders, the Loynes or vertue in venery; and retaines for entire body, Brain, giving the growing virtue or power, and having Silver for her Inferiour.
You must draw Metalique Medicines, for the Maladies of the same kinde.
And it happening that one of those parts become depraved, it appears, and is made known in the place of its Emuncter, and then I pray will it not be necessary to extract Remedies from Metalls, to heale Metalique distempers without inquiring sophistically, whether they be hot or cold diseases. Wherefore it is, that we see Mercury to be the true Alexipharmacon, of the poyson of the Pox; being as it were like in quality [Page 46] to the essence of this disease. But how much effectuall would it be, if the pure of it were separated from the impure.
From these things we do first learn to know the Metalique Maladies, with their originall, when any of the inferiour parts of the body of man is diseased; & secondly, from whence their most specifique and Neigbouring Medicines should be drawn, and those of the greatest virtue; which without all doubt is from the seaven above named Mettalls, and from each of them being appropriated to its Malady, As to the disease of the heart, the Medicine of Gold must be taken: to the Maladies of the brain, the Medicine of Silver: to those of the Liver, the Medicine of Quick-silver: to those of the Lungs, the Medicine of Tin: to those of the kidneys, the Medicine of Copper: and to those of [Page 47] the Call, the Medicine of Iron.
All which things are not of small worth or consequence, then when they are brought to the sublime degree of their perfection, the preparation whereof lies onely in the art of Chymistry. An Art truly divine, and whereof so many new persons date give their opinions so leightly, without knowing the very habit of it; Notwithstanding their ignorance makes them calumniate this so admirable Art, for it is hard for a blinde man to judge of Colours. From hence it appears, that the bodies here below are ruled by the Superiours, as true and Lawfull fathers of them. But in regard I have not intended to treat more largely of these things in this place, as not making to the subject taken in hand; and also in regard, as I have said [Page 48] before, I do desire (God assisting me) to discourse more amply of it in my Treatise, de Chyrurgie Chymique Medicinale. Reg. 2. Ch. 5. I shall pray all young Chirurgions withall my heart that they will lend an eare to these things, and embrasing my counsell to reject the old opinions, from whence we see so many miseries are come, they being directly contrary to true Physick: And let us not fear to be punished like Asa and Ochasias for having rejected it, who suffered thereby.
Lib. de lege. Hippocrates saith of this time, that Physick was so be clouded by those that exercised it, that it was slighted and rejected, as well by reason of their abuse of it, as by the people who esteemed them Physicians, and reputed them like unto Players, who by their gestures and habits represent the persons who they are not.
[Page 49] In Epist. ad Democrit. The same Hippocrates confesseth of himself, that though he had attained unto old age, he had not attained the end of Physick: since he doth acknowledge that he had not had the perfect knowledge of it, of necessity there rests something further to be known of it, To wit, whether he that shall find out the rest, ought to be rejected.
Galen (6. de la Metho.) is not backard to give himself the glory, of having invented severall Medicines unknown, and not in the practice of men before him. Let us not then reject Novelties, then, when they are for our benefit and profit, if we may call Noveltie such an Art as is as ancient, as Espugerie. In which, in truth, one can make no great progresse being ignorant of Astrologie, which is very requisite and [Page 50] necessary to this Chirurgicall operation, called Phelebotomy, considering which I have undertaken this small Treatise. For if our good Master Guidon, (of whom the whole Aca demique Schoole of Physick and Chirurgery make so great esteem) hath not despised it, but, as he saith in his Treatise of Phlebotomie, hath made a whole book of it: which book is not to be found through the injury of the times, wherein he discourseth at large of the observation of the Stars for this subject; by much stronger reason we who pretend our selves his Schollers ought not to sleight it, but to imbrace and cherish it with all our heart, to the end that we may commit no errour in performing this operation.
This little Treatise will serve you therein, for a guide by meanes whereof you shall never fail or at [Page 51] least not often, if you take heed thereunto, Culling and gathering out that which is worthy of observation: which doing, you will therefrom receive a great consolation, according to God. To whom Father, Sonne, and Spirit, be honour, and glory, for ever, and ever, Amen.
CHAP. III. Of the time of necessity, wherein are shewn the Maladies, in which Phlebotomy doth necessarily fall.
Chirurgery is the most certain part of Physick.
CHirurgery, being one of the most noble and comely parts of Physick, as well for its certainty [Page 52] (for its operations are assured); as for that it hath been in all times exercised among the Greeks, by their Princes and great Lords, hath great extent, and containes many more things then the Vulgar people do imagine. It is ordinarily divided in five parts. The first concerns Tumours, which the Common people call Apostumes, which are Maladies encreased in quantity and greatnesse. The second is of Wounds, which are defined to be, Dissolving of continuity made in the soft parts, fresh and bleeding. The third is of Ʋlcers: and the fourth of fractures which belong to the bones. And the fifth and last of Luxations, which is when the bones are out of their naturall place.
All which Maladies in the cure of them do require the ofttenest, amongst the remedies, [Page 53] that of blooding, without which the cure of them cannot be perfectly accomplished, as also in severall other sorts of Maladies, which we shall name hereafter, wherein the necessity of Phlebotomy is requisite and necessary, Blooding may well serve in th' one and th'other, but it is not necessary unto them, but when necessity compells; We will here discourse briefly of them all; to the end, that the young Chirurgion may know what Maladies require blooding, and which not.
In what Maladies blooding is usefull.
So that for a great pain in the head, which is in the hinder part of it, we Lance the veines of the forehead; in Squinancies, they breathe the veine under the [Page 54] tongue. Phlebotomy is necessary to all affections or Maladies which take away the breath, and strangle one; and to those which cause one suddainly to loose their speech: Also to all great Contusions either of the internall or externall parts, as to full from on high or to receive a blow. Although the power or force were but small, and though the blood be peccant neither in quality not quantity, you must use the blooding. What Delire is. Galen. 2. Aph. 2. In the Apoplexie, Plenresie, Burning feaver, presently and in the beginning of the Delire, which is nothing but a depraved and errant motion of the imagination, hurt; you must let blood, provided that the powers be strong enough, and the age suffer it, and the season, and region. Lib. 13. de Metho. Ch. 2. And although that be not yet [Page 55] provided that the power be a little strong. Also such a one who after a fall vomits blood, you must blood presently; otherwise the blood may jelly or clott if one suffer it to rest, and grow cold. You must not blood the sick person in the Rigor of the seavor, for he that doth it, is the Cutter of his throat. But if the feavour doth not increase, and also doth not decrease, and we do not hope for any declination of it, in such a case you must not lose this onely occasion of blooding, although it be worse then in the declination of the fit. In the hand-gout and the foot-gout, one may open the veins of the foot or the hand; & for the Migren the Arteries and veines of the Temples: and by this evacuation of the blood, which floweth with the Arthritique powers, and the boyling spirits, which evacuate, the pain presently ceaseth. [Page 56] But in the intermitting feavour, blooding ought to be not after the third accesse, or fit, as Galen would have it; but in the beginning: but this evacuation of the blood ought to be understood to be if there be Plethory in the body, and fulnesse of the vessells: and for the breathing and refreshing of the Masse of humors, for otherwise there should be no evacuation of the blood, because it is the bridle of the Choler.
In the quartain feavour, or (again) if the blood do abound, you must take some from the Mediane or Basilique of the left Arme, or from the splenique veine, with this Caution, that if the blood do shew it self black and dull or thick, you may let it run, but on the contrary you must stop it pre [...]ently, if it shew it self fresh and well coloured.
[Page 57]In the cure of the Fehris Synochus, a continuall feavor, the benefit of Phlebotomy causes the opening of the belly, and the sweatings to issue forth very abundantly, a thing much to be wished in this kinde of feaver, which moved Galen to say, that one ought to bleed in this case, even untill Lipothemie: but notwithstanding fearing that one should let slip the soul with the blood, one ought rather to reiterate it severall times, as much as the strength of the sick party can bear it; even in the burning feaver, espece de Tierce continue, one ought to blood in a good quantity, if the powers, the age, and other Circumstances do permit.
In like manner, you ought to blood, in the quartain feaver, (Glistering first): for the doing whereof Artificially, you must [Page 58] open the veine of the left Arme, which hath more Communication with the Spleen, to which the most part of this feaver is often heaped. We say also, that in Pestilent feavers, we must not indifferently (as is done presently when they see the person strook with the plague) prescribe him blooding, which hath been often times the cause of the death of an infinite Number of persons: but if the matter be urgent in quantity, quality, and Motion, I must draw a conclusion, That in the Plague occasioned by the viciousnesse of the Ayre, with fulnesse of blood and humors; Blooding I say together with purgation are there necessary, which is held sorth by the saying of Celsus, Cels. Lib. 3. Ch. 7. That forasmuch as the Plague is an Active and Tempestative disease, you must quickly use remedyes even with rashness,
[Page 59]Wherefore you must consider, if the person infected hath a burning feaver, and great repletion in the Conduits, and that the virtue be strong, which may be known by the veins, being full and stretched, the eyes and the face greatly inflamed, also sometimes in spitting blood with great beating of the Arteries of the Temples, pain in the throat, pain or difficulty in breathing, pricking or shooting throughout the body, with exceeding heavinesse and dulnesse, the waters or urine being red, thick, and troubled, in such case you must blood presently, to help nature, to discharge her-self, least the naturall heat be suffocated by the aboundance of blood. Then you must rather breathe the Basilique veine of the left side, then the right, because the heart and the spleen are much [Page 60] affected in this disease, and take abundance of blood thence, according as you shall see necessary, alwaies having respect to the power and virtue of the sick person, and taking heed not to blood, whilst the shivering of the feaver is upon him.
Observations in blooding, for the difference of the disease.
But you must here take notice, that in such a repletion of blood, blooding must be otherwise performed in a simple Pestilent seaver, than in that which is accomplished with a Bubon or Carbuncle: for if the one, or both together be conjunct with the great and furious seaver, then it is requisite to open the veine nearer to the Apostume, or plague soare, and according to the rectitude of feavers, to the end, that [Page 61] thereby the blood may be draw a forth, and evacuated directly, in regard that all retraction and Re [...]ulsion, of infected blood towards the Noble parts, is prohibited by all good Physitians and Chirurgions. But enough of the feaver, untill we speak of Symptomatiques. And beginning at Tumors in generall, I say, that if there be repletion in the whole body, you must purge and blood, and besides makes frictions and Bathings. As in the Cure of the true Phlegmon, you must divert the flux, which will be turned away, if we take away the cause thereof, to wit, the Chachochimie or Plethory, which is to be done by purging first, but chiefly by Phlebotomy.
Come we now to the Erisipela, for if it be in the face, and doth possesse it very much, Phlebotomy is very necessary to it, which must [Page 62] be performed upon the Cephalique veine; in like manner Phlebotomy is necessary, if there be some portion of blood mingled with the Choller: but if it be in any other part, and be not in great quantity, and be made of pure Choller, Phlebotomy is not necessary, because the blood is the Bridle of the Choller, as we have made mention before: besides, the Cancre is cured most commonly by purging and Phlebotomy.
For the Tumors in particular being a Parotide, we say that Phleb. is therein very necessary, specially when there is rednesse in the part, which demonstrates great inflammation & abundance of blood, also for the kernells great, and swelled, you must purge, but specially purge and apply Cupping-glasses, behind the shoulders with scarifications, [Page 63] to the end to obviate the accidents which may come thereupon, as suffocation and consequently Choaking.
The same remedy is necessary to the Tumor or inflammation, and relaxation of the Ʋvula, called by the Latines Collumella.
Also for Esquinancy, the Chirurgian ought to be ready and prompt, in reguard this disease doth not give great Leasure, wherefore he must blood the sick parts on the Basilique on that side where the fluxion is, and the same day on the veines under the tongue to evacuate the Conjunct matter.
Let us speak of Fellons, or whitlows, the curing whereof consists onely in blooding and purgations; but yet notwithstanding further according to the prudence of the good Chirurgion.
[Page 64]Come we now to Wounds, wherein for the Little ones there is no great necessity of blooding; but in the great where there is danger of fluxion, or where the body is repleate, as in wounds of the Joynts, Tendon, Nerves, and where one fears paine, raveing, and inquietude; yea also when they are accompanied with a feaver. And as for the Spasme coming in Wounds through repletion, it must be cured by inanition, and that by the good government of purging food, and blooding, and for a resolutive remedy, friction, and sulphured bathes.
As to particular Wounds, if there happen in those of the head, with fracture or contusion, a Continued feaver, and Raveing with great flegmatique inflammation, accompanyed sometimes with the hurting of the Pericrani [...]; tis [Page 65] then that you must take abundance of blood, but yet therein the Chirurgion must consider the strength of the Patient, concerning the motion of the Brain, (the Chirurgion seeing that the bone is not fractured, but doubts that there is some vessell broaken within) let him presently take some blood from the Cephalique veine, on that side is hurt, in a good quantity; having regard to the distemper, present and future, and principally of the strength as I have said before, and other things which ought to be considered in blooding.
You must take notice, that in wounds by Gun-shot, there doth not come forth much blood, wherefore the day after he must use revulsive Phlebotomy, and take so much blood as is proportionable to the fulnesse of blood; and the strength of the party; and [Page 66] he must not fear to make aversion of the blood towards the noble parts, so long as in such wounds there is no venemous quality.
As to that which concerns the blood of great Contusions within the body, it must be evacuated either sensibly or insensibly, which insensible evacuation is done by bloodings, Cupping-glasses, or Scarrifications, or by Horse-Leeches, and that upon the same day, or the next morning.
And unto this Hippocrates seems to agree in his book of Fractures; in saying, if any one is fallen down from on high, the same day one ought to give him Physick or blood him: and Galen saith upon this subject, that if any one is fallen from an high place, although he have but little blood, (or nor enough), It is so that some of that blood must [Page 67] be drawn from him to prevent it from coagulating and corrupting in the inner parts of the body, being out of his proper vessells; and in the cure of the Gangreen, one part of its curing lies in Purgation and blooding. If the habit of the body be Plethorique or Cacochymicall.
Besides, for curing the scald or Leprosy, if those who are infected with such a disease, be of a sufficient age, they shall be blooded, and over and above purged and blooded.
In the cure of the Ophthalmie, or inflammation of the uppermost skin of the Eye, the Chirurgion must propose three points. The first is the regulating food. The second is evacuation of the Antecedent matter. And the third is the application of Topicall medicaments: two of which I shall let alone, as not conducing to this [Page 68] subject; and shall onely say, that he who ought to evacuate the Antecedent matter, shall performe it by purgation and Phlebotomie, and by Cupping-glasses, applyed to the shoulders, in like manner for the Ʋngula.
In the beginning of the curing, whereof you must use purgation and blooding; especially if there be great inflammation.
And which is more in the cure of the Mydriasis, which is no other thing but a dilatation of the pupill of the eye, either occasioned naturally or by accident; its cure consists in nothing but applying upon the eye, repercussive things, and to appease the dolour or pain [...], and prohibit the defluxion by regular diet, but specially by Phlebotomy, Cuping-glasses, frictions, and other things, which one shall see benificiall.
[Page 69]For the pain in the Teeth occasioned by fluxion; one may let blood for evacuating the antecedent matter, and all by the advice of a good Chirurgion.
In the preservative cure of the Stone, especially if there be repletion, you must evacuate as well by Medicaments, as by Phlebotomy, and vomiting, which is a singular remedy to prevent the Stone. And if one should come to take it out, you ought to purge the patient well, and blood him two dayes after he hath taken the Physick.
In the small Pox or Measles, diseases which are very frequent in Children, you must in no wise blood them, unlesse there be great plenitude, or some Complication of some disease, (as a Plurisie, Ophthalmie, Esquinancy, and such like) or if it be not at the declination of the disease, or [Page 70] at least the first or second day of sicknesse, at the furthest.
But you must take notice, that in several Maladies, you must not attend untill the Malady appear, to the end, to use Phlebotomy afterwards, (as Galen saith,) but you ought to foresee it, blooding them in the Spring, as we shall discover in the Part concerning Election.
Necessity hath no set time for blooding in.
Finally, for the Necessity to use Phlebotomy, or not to use it; I say, that then when the disease requires it, and that necessity presseth, one may blood at all times, in all seasons, and at all houres, be it night or day, alwayes considering the power and strength of the patient, the quantity and quality of blood taken [Page 71] out, carrying ones self in all the Phlebotomique operations above instanced, with a sound Judgement, accompanied with knowledge and experience; In the contrary practice the Chyrurgion will very hardly arive to his proposed end, in regard that then when he shall understand it to be necessary to use Phlebotomy, when the saving of ones life is in dispute; and that he finds himself all alone, not able to consult with any body, concerning the disease, he ought not to present before himself any obstacles; whether of the quality or greatnesse of the Person, or for fear of making the operation without advice, for that will hinder him in making a good operation, because fear coming upon him, and causing his hand to tremble, is sufficient to hinder such an effect of the operation as we expect. [Page 72] The Plebotomist, ought to be bold.
Times of Election divided into two.
Let us come now to the time of Election, which is divided by Guidon into two parts, (to wit) the inferiour Root, and the superiour Root: meaning by the inferiour root; The disposition of the body, of the time, the Region, the Cu [...]tome, the force, and strength, and so of others. And by the superiour Root; the observation in the Concu [...] of the Starrs: which time of Election we shall deduce briefly, not having undertaken to discourse of any other things here, save that. Yet, as I have said before, I will do it as succinctly as possibly I can, by the assistance of the grace of God. To whom father, son, and spirit, &c.
CHAP. IV. Of the time of Election for the inferiour root, and of the superiour root, which reaches to the knowledge of the Starrs, as well in the concurrence which they have to the parts of our bodies, as upon the humours and Maladies which happen therein.
THe Astrologicall Science is so admirable, that it hath caused all the Philosophicall Physicians, as well Auntient as modern to say, that it is most necessary to Chirurgions, to have the knowledge of it; as well for the advantage and profit, which one may extract therefrom in severall respects, as for the necessity of knowing the concurrence of the [Page 74] Starrs upon the bodies, the influence whereof the Chirurgions ought to observe punctually upon our bodies, in all his operations, especially in that of Phlebotomy. And all those who have Treated thereof, have observed two times, as we have said here before, (to wit) the time of Necessity, and the time of Election, in which time of necessity the Chirurgion will know how to regulate himself, according to the discourse before inserted; Now it remains to speak of the time of Election, which according to the doctrine of the good Guidon, we will divide into two parts, to wit, the Inferiour root, and the Superiour root.
Observation concerning the time of Election.
Now the Inferiour root may [Page 75] be thus understood. First concerning the concoction of the food, it must be throughly performed, before you let blood, (if you have eaten lately before): Also if ones blood be grosse, it is necessary before bleeding, to use a little exercise for the subtilising the blood; or at least that one take some kind of things which have the faculty of subtilising it, which are, the syrup of the herb Calamint, and such like; In the second place, one must consider the force, and the strength, the temperature and the necessity of him who ought to be blooded, to the end, that the re-iteration thereof be not perform'd sooner, or latter, then is necessary, choosing a serene day, and not subject to inconstancy, clear and not dull not rainy, in the spring, and in Autumne, making choice also of a wind which is uncertain, [Page 76] as if it be in Winter, you should take a day wherein the southwind blowes.
A Digression.
But some one may demand here, If the winds have any power over our bodies, that we need to make observation of them. To which I answer, that experience lets us see the effects, which they produce upon our bodies, as the Plague, the Coqueluch, (a new disease which troubled the French in the year 1510 and 1557.) Plurisie, Aposthumes, Catharrs, Fluxions, small Pox, and Scabbinesse or the Itch: also so many venemous Creatures, as Froggs, Toades, Locusts, Caterpillers, Spiders, Flyes, Hannetons, Snayles, Serpents, Vipers, Snakes, Efts, Scorpions and Asps. Yea in all hot and moist times, [Page 77] if the Southwind blow, Meats will Corrupt or taint in lesse then two houres, let them be but fresh; wherefore one need not enter into doubt, that humane bodies enter in affections contrary to nature, when the seasons pervert their qualities, by the evil disposition of the Ayre, and the winde that is mingled within them. Unto this I will adjoyn, that which the great Hippocrates hath truly pronounced.
Hip. in his preface of Prognostick, and Galen in his Comment. [That the Ayre hath (I know not what) of divine in it self] in regard that it doth (in blowing through the Universall World) incompasse all things contained within it, and doth nourish them miraculously; sustaines and supports them firmly, and entertaines them in an Amicable union; the whole Symbolizing [Page 78] with the Starrs, into which the Divine providence is infused; which changeth the Ayre according to his pleasure, & gives unto it power as well over the mutations of times as the naturall bodies. And therefore the Philosophers and Physicians have expresly commanded us to have respect to the scituation of places, and to the Constitution of the Ayre, and concurrence of the Starrs, when you are in agitation for the preserving of health; Or to cure the sick, in which cases the motion and change of the Ayre is very powerfull.
Hip. his third book of Aphorismes Ch. 5. and 17. The same Hippocrates affirmes our bodies, do receive great alteration by the vicissitude of the times and seasons of the year, as by the Southterne winde, which doth render us subjected to all sorts of Maladies, [Page 79] which acknowledge moisture for their first cause, and it doth infeeble our naturall heat, which (in the opposite case of a cold and dry winde) doth fortifie it self, and is rendred more vigorous, and doth in like manner render our spirits more Subtill and Active.
A prety observation, upon the winds and our bodies.
Besides, there is ascribed to the four principall windes, four Elements, four humours, four seasons, and four ages. The South winde or Auster doth in quality participate with Tender years, then to fire and Choler, and also to Summer.
Austraphricus, or a midle wind betwixt Auster and Africus, participates of the stronger years, of the Ayre, of the blood, and the spring.
[Page 80] Subsolanus, or East wind, particip [...]tes of the more Grave years, of water, Flegme and Winter.
Favonius, or West wind, to the more decrepit and decayed yeares, to the Earth, the melancholique humour, and to Autumn.
I should have insisted longer upon the property of the windes, but that I have treated sufficiently of it in another place, In his Book call'd Grande Chirurg. and have only spoken of it here, to shew how they have power over our Bodies; and therefore, not out of rule or order, if we observe them in Phlebotomie Elective. But returning to our purpose, we say, that if the Veins be small, you must stay till ten of the Clock in the morning, for at that time, they appear better then at six a Clock: such are the veins of [Page 81] the Tongue, of the hands, and the feet; observing also to let blood in the winter, on the left side or part; and in Summer on the right, as saith Guidon. The reason thereof is, saith he, because the humors which at those times, we endeavour to evacuate, are properly in those parts; it being true also, that the cold humors do rule most in the left part, and the hot humours in the right: behold therefore, why in Winter (which is cold) we draw blood from the left part, and in the Summer from the right.
The Region must be observed in blooding.
In like manner, the natural habite of the Body ought to be considered in the emptying it of blood; for we do largely empty those who have large veins, and [Page 82] who are not too lean, nor too whitely or pale; nor have their flesh too tender; but on the contrary, we do less empty those who have but little blood, and the flesh tender: in like manner, you must have respect to the Region; for if it be very warm, as it is in France, the Countrey of Languedoc, and Provence, in this place, you must make no great evacuation, the like must be observed in the cold Region, because that the natural heat being emptied out with the blood, the Region doth chil the body too much, and the hot Region by its heat, doth debilitate the strength, for this very reason, the Summer season, nor the Winter, are not in any wise, fit to breathe a vein in, but the most proper time, is the beginning of the Spring, (because it is temperate) breathing the vein in [Page 83] the morning, (not immediately) upon your wakening.
Besides, you must consider the former life of the Patient to wit, whether he you are to blood, have used great quantity of meats or drinks, principally, of such, as give great nourishment; for if so one may blood them boldly, but (if on the contrary) not so much; notwithstanding, to those, who are too full of exces, and are drunkards voluptuous, or Gourmandizers, never put your hand; for truly, one doth not help them much, by taking blood from them, because by their intemperance, they immediately heap up abundance of humors.
Also one ought not neg igently to let slip the Custom of bleeding, for those who have [...] themselves to it, do undergo it better then those who have not: so that by very good r [...] son, [Page 84] one may blood those, who have lost the benefit of evacuation of excrements, by having forborn accustomed exercise.
But enough hath been spoken concerning the inferior Root, let us speak now concerning the superior; for as Galen saith, (in Libro de Criticis diebus) and also as Philosophy saith, The infer [...]or World is governed by the superior, so that it is necessary for Chirurgions, to consider the Influences of the seven Planets, also of the Signes, and other heavenly bodies, to the end, that having the knowledge thereof, he may take heed of blooding in the part which is possessed by one of these Signes; which Planets and Signes, we will put in order, according to the parts of the Body which they possess.
Upon what maladies the Planets rule.
In the first place, Saturn cold and dry, hath respect unto the melancholique humour, and upon the maladies composed of melancholy, and by consequence, rules over the Spleep.
Jupiter hot and moyst, hath respect to the blood, and upon the maladies caused by blood, and from that reason, governs the Liver.
Mars, hot and dry, hath respect to the Choller, and upon Chollerique Diseases, and by this meanes, governs the Cystis felix.
Sol, hot and dry, governs the Heart.
Venus, cold and moyst, extends her power upon the Vessels appropriate to generation.
[Page 86] Mercury, of a temperate Complexion, is indifferent to all the humours.
Luna, cold and moyst, hath power principally upon the Phlegme, and Phlegmatique maladies, she rules in the brain; but her power is extended much further, in that which concerns her property for elective blooding; for she being delivered from her hindrance, and in Conjunction with Jupiter Venus and Mercury, in the sixth, third, and fourth opposition, in her own sign, it is excellent for blooding.
The Aspects of the Stars ought to be observed in blooding.
On the contrary, it is not good to let blood, the Moon being in Leo, or in 12 degrees before, or after the Dragon; and principally, you must take heed, that Saturn be [Page 87] neither in opposition to, nor conjunction with her, or Gemini with Mars; for such Aspects are very dangerous, but the Moon being in conjunction with the three Planets above mentioned, which is Jupiter, Venus, and Mercury, it is very good: Pisces and Sagitarius for the Phlegmatiques: the first part of Libra, for the Melancholique: for the Chollerique Cancer and Pisces, and their contraries, which are Leo, the second part of Libra, and the first of Scorpio: the others are indifferent and mean for Phlebotomie; notwithstanding, we will speak more particularly thereof hereafter.
Division of the times of the Moon.
But here it is worthy of observation, that the Moon, (the Mother [Page 88] of humours) is divided into four parts: The first is from the Conjunction, or new Moon, unto the first quarter, signified by Gemini, which continues seven dayes, wherein it is good to blood young Children.
The second, is, from Gemini, until the Opposition, which is the full Moon, 7. dayes more, wherein it is good to blood the young and active, about the age of 20. or 30. years.
The third, is from the opposition to the last part of Gemini when you may blood the strong and ancient, from 30. to 60. years.
The fourth part of the Moon, is the last 7. dayes of her last Gemini, wherein you must blood the decaying, who are above 50. years old, only in cases of necessity; but in whatsoever Aspect the Moon be, you must not make incision on any member, nor touch it with [Page 89] any Instrument or Cauterizer, either actual or potential, if the Moon be in the Signe, ruling that member: You must take notice, that the third quarter is best for Phlebot. Besides, the first quarter is hot and moyst, the second, hot and dry; the third, cold and moyst, and the fourth cold and dry; 'Tis true, that at all times, the Moon is effectively cold and moyst; but in her several quarters, she doth acquire several Complexions, according to the several Aspects of the Sun, so that we say, Every one ought to be blooded, in that quarter wherewith he hath most agreement, or likeness; and the first quarter, begins after the Conjunction of the Moon with the Sun. But you must here take notice, that by Conjunction we mean, when the Sun and Moon are in the same Signe: And by opposition, or full [Page 90] Moon, we mean, when the Moon is in one Signe, and the Sun is in an opposite Sign in the half of the Zodiac.
But the Aspects of the Moon are Conjunction, Opposition, Quadrate, Trine and Sextile, marked by the Astrologers, after this manner.
- Conjunction in this manner. ☌
- Opposition thus. ♂
- Quadrate. □
- Trine. △
- Sextile. ⚹
The propriety of the twelve Signes, upon the humane bodies.
Besides, we consider in the eighth Sphere, which is the Starry Heaven, (and which is called the Zodiac) twelve Signs; whereof three are of the nature of [Page 91] fire, which are Aries, Leo, and Sagittarius, proper for Phlegmatique persons, (except in the burning parts above mentioned) Signes which passe by eight Degrees, unto the thirteenth degree of Sagittarius, and doth strengthen the attractive faculty.
The other three are of the nature of water, to wit, Cancer, Scorpio, and Pisces, very proper for cholerick persons, good to comfort the expulsive faculty, and to administer Laxative Physick.
The other three, of the nature of Earth, which are Taurus, Virgo, and Capricorn, very good to sanguine persons, and good to comfort the retentive faculty.
The other three, participate of the Ayr, to wit, Gemini, Libra, and Aquarius: these are very propet for melancholy persons, and good to cherish the digestive faculty. [Page 92] But for the knowing upon what parts of our Bodies the said Signes do rule, we will set it down in order; to the end, that the Chirurgion commit no error therein; for the day and hour wherein they concur, you must have recourse to some good Almanack, Ephemeris, or rather to the Ephemerides of Origan, which will continue yet, untill the year 1660.
You must take notice here, that I send you to the Ephemeris, to know in what day, hour, degree and minute, the Sign will rule; for it is out of my design, to teach it you here, or to know their Ascendant Conjunction, or Oppositions, good or bad, although in my Book called (Grande Chirurgerie) I speak of it largely enough, wherefore I say, you shall have recourse to the Ephemerides: In the mean time, I [Page 93] will persue the declaring upon what parts of the body the Stars do rule, with their proprieties. And in the first place, Aries is hot and dry, of the nature of fire, he governs the head and face of a man; and it is good to blood, when the Moon is there, unlesse it be in the part which the Moon governs.
The parts wherein the Signes rule together, with their property concerning blooding.
Taurus is cold and dry, of the nature of the Earth, and governs the neck and Wind-pipe; and it is bad to make use of bleeding, the Moon being in that Sign.
Gemini is hot and moyst, of the nature of Ayr, and governs the shoulders and Arms, and hands; is ill for blooding.
[Page 94] Cancer is cold and moyst, of the nature of water, and governs the Breast, the stomach & Lungs, and is indifferent: neither too good, nor too bad for blooding.
Leo is hot and dry, of the nature of fire, and governs the back and sides, and is ill for blooding.
Virgo is cold and dry, of the nature of the Earth, governs the Belly and the Intrals, is neither very good, nor bad for blooding.
Libra is hot and moyst, of the nature of the Ayr, and governs the Navel, the Reins, and the lower part of the Belly; good to blood in.
Scorpio is cold and moyst, of the nature of water, and governs the parts for generation, is neither good nor bad.
[Page 95] Sagittarius is hot and dry, of the nature of fire, and governs the Thighes; is good to let blood,
Aquarius is hot and moyst, of the nature of Ayr, and governs the Legs; is neither good nor bad for letting blood.
Pisces is cold and moyst, of the nature of water, governs the Feet; and is neither good nor bad to let blood.
Aries, Libra, and Sagittarius, are very good; Virgo, Scorpio, and Aquarius and Pisces, are indifferent; Taurus, Gemini, and Leo, and Capricorn, are evil.
Yet we say, that the Moon being in Trixe, and Sextile with Venus, it is a good time to purge Choller by Electuary; with the Sun, 'tis good to purge Flegme by drinks with Jupiter, 'tis good to purge melancholy by Pills.
Division of the Signes.
Furthermore, you must take notice, that every one of the Signes, is divided into 30. Degrees, from whence it followes, that in the whole Zodiac, there are 360. degrees; and again, every degree is divided into 60. minutes, and every minute into 60. seconds, and every minute into 60. thirds, and so of the rest following, until ten.
The rising and setting of the Signes.
Besides, you must take notice, that when we have the longest day of Summer, which is to say, then when the Sun is in the beginning of Cancer, there arises six Signes in a day, which do rise directly, and in the night six [Page 97] Signes obliquely; And on the contrary, when we have the shortest day of the year, to wit, the Sun being in the beginning of Capricorn, then six Signes rise in a day obliquely, and the six of the night directly; but when the Sun is either in th' one or th' other Equinoctial point, then they rise, three Signes directly, and three obliquely in a day, and in the night in like manner: For there is a Rule, that let the day or the night be long or short, as you will, six Signes rise in the day, and six by night; so that either for the length, or the shortness of the day or night, neither the more, or lesse Signes do rise. For the knowledge of which Signes, you must take notice of the Characters following, as the Astrologers mark them.
- [Page 98]Aries with such a Sign. ♈
- Taurus such a one. ♉
- Gemini such. ♊
- Cancer. ♋
- Leo. ♌
- Virgo. ♍
- Libra. ♎
- Scorpio. ♏
- Sagitarius. ♐
- Capricornus. ♑
- Aquarius. ♒
- Pisces. ♓
Let this suffice for the discovery concerning the 12. Signes, let us come now to the 7. Planets: whereof we should here make a Table or Figure; but because we have sent the Reader to Ephemerides, in relation to the Signs, we will do the like concerning the Planets, contenting my self only in this place, to set down their Characters, for the discovery [Page 99] of the more easie understanding them, and their differences. Behold then how the Astrologers mark them;
- Saturne thus. ♄
- Iupiter thus. ♃
- Mars thus. ♂
- Sun thus. ☉
- Venus thus. ♀
- Mercury thus. ☿
- Luna thus. ☽
Here followes the difference of the Planets, as well for purging and blooding, as for the making other operations upon humane bodies.
- Most good. ♃ ♂
- Indifferent. ☉ ☽ ☿
- Bad. ♄ ♂
The Chirurgion must Encounter the Starrs.
And you must take notice, that then when Mercury is with a good Planet, he augments its goodnesse, and with a bad one its Malignity: wherefore it is that when one is wounded, you must take notice whether Mercury be not with some bad Planet, which rules the part wounded; and if so, then the Chirurgion must Encounter the Starrs, and so you must minde these things, but most especially in blooding; to the end that (we having done nothing improperly through our negligence) may have an occasion of praise and thanks-giving, to the Authour of all things: to whom Father, Son, and Spirit, be honour, and glory, for ever, Amen.
CHAP. V. That it is necessary that the Chirurgion have the Astronomicall figure in his study, or in his shop; and of the profit that proceeds therefrom, as well for the sick persons as for those who exercise it; which is proved by a History, and other examples. As also, that it is better to keep & cleanse the blood then to evacuate it. With the description of two admirable remedies, for this end.
The good desire of the Authour.
I Should desire by good reason, as well for the profit of those who search relief or Remedy from Phlebotomy, as for the spiritual contentment of those that practise [Page 102] it, (to the end that the whole, might be to the honour and glory of God) that every Chirurgion had within his shop, the Astronomicall figure, as formerly the Ancients had; and who had recourse unto it, then when they would know the Domination of a Starr, on the part whereon they were to operate, observing with all their power the rising and setting of the above mentioned Signes, and their constellations; insomuch that the Antients have not found it to be unprofitable. Of the truth whereof (among severall of them) Arnoldus de villa nova, shall be a most faithful witnesse. Therefore I shall again heartily intreat the Chirurgions, that they would take heed unto it, and not to pretend that their Art is subject to Calumnie; seeing it is they themselves, which are the cause [Page 103] of their arts being so Calumniated, whilst they neglect that which is most necessary to be known in their profession, to wit, Astronomie.
The ignorance of Astronomy is, cause of great evils.
Insomuch that not having the knowledge of it, there doth arive many evil Accidents, and the vulgar being ignorant of the causes of them, do Calumniate and sleight all the Judgments of Chirurgions and their (so admirable) Art together. See how it is weighed and esteemed at nought and contemned by the ignorant, and all this by reason of the small care which Chirurgions have to minde it well. But, to shew that the knowledge of the Starrs is most necessary for a Chirurgion, I will insert a History which may [Page 104] serve as an example to those, who shall know well how to put it in practice.
A Remarkable History.
It happened that at Chatellerault, a Chirurgion having blooded a Maid in the right arme, in the time when the Moon passed under the signe of Gemini: on the next day about noon there came upon her a great defluxion causing inflammation, with a feaver: at the same time this Maide goes complaining to another Chirurgion, saying, that one had spoiled her, & had prickt her Nerve, & that it rendred her a Cripple, using revilings concerning him that had blooded her: they appeased her as well as they could, promising her, it would be nothing, and that she should be suddainly cured, applying unto her at the [Page 105] same instant a Cataplasm, continuing Cataplasm upon Cataplasm, and making Revulsion by blooding; but notwithstanding all they could do, the Arme became extreamly swell'd, yea to the danger of her person: insomuch that in a short time, the same was known through the whose town, and behold here the Poor Chirurgion is so disgraced, as not to be ever received into any house upon any occasion whatsoever, (the present age is so scruplous, being ignorant of things how they may happen). Which he seeing, resolved to frame a rational excuse to defend his reputation, and to maintain his innocence, which he did when there was a pretty Company together, in the house of the said sick person: his reasons were these. That she was upon the point of her Termes, and that her body was [Page 106] Cachochymicall and full of humours, and that at the time when she was blooded, she helpd at the washing a Buck, and also to do other business of the house, and other things which might excite defluxion and attraction in the part, having been blooded before; for if so it had been, said he, that I had prickt the Nerve or Tendon, the Accidents would have appeared in the same instant, as convulsion, Spasm, great pain in the part, difficulty in the Action; none of which happening, (saith he), one may thereby judge, that it was none of my fault.
In Lunar purgations, the vein of the Arme must not be opened.
But that is contrary, for his reasons served to fight against himself; for since she was upon [Page 107] the point of her purgations, he ought not to have been so rash, as to have opened a vein on her Arme, but rather the Saphena for provoking them, and several other reasons which rendered him mute, confessing as it were by his silence, that he was in fault; but if he had known how to have discoursed or argued, concerning the science of Astronomie, he had been heard attentively, in regard that was not vulgar to them. Notwithstanding, continuing to dresse the Maide, she was cured in three weeks, but not without having indured a great deal of pain.
I have been willing to relate this story, (which happened in the year 1613. in the said Chastelerand in the shop of a Chirurgion named Bureau, to the end, I might induce and provoke the Chirurgion to learn the Constellation [Page 108] of the Starrs, with all his power, for otherwise it is impossible that he should come to his intended end of Phlebotomy, Elective; without some dangerous accident, which I have seen happen severall times: but for brevity sake, I shall passe on.
Yet notwithstanding Guidon dela Nanche speaking of blooding in his Tract, [Dela Santé Corporelle] saith, that he hath seen severall expert, and famous Chirurgions of his time, as well at Paris and Mont-pelliere, as at other good Cities of France, and at the Court, and Armies-Royall, let blood, which hath caused swellings in the Armes, and other parts which have been blooded, and many other evil accidents, which (as he saith, flattering himself) did arive by the fault of the Patient, pulling back or throwing up his Arme, through fear, [Page 109] or sudaine apprehension, or by having lain upon his Arme after blooding, or by sleeping, or by having wrought, or exercised the Arme. In the second Tome, lib. 2. Chap. 16. He here deceives himself exceedingly, for if he had searched further, he would have found that it is rather the fault of the Phlebotomiser, then the Phlebotomised; for in regard they are ignorant of the concurrence of the Starrs, and of the houre and time wherein they govern the part, they commit these blockish and irreparable faults.
Objection.
This is also for answer to that which may be objected. That several sick persons are blooded at the same time, and yet they are not ill: It may be so, but I say, that if there happen no Malady in the part touched with the [Page 110] Lancet, yet there happens other Symptomes, as vomitting, weaknesse, vertigo, Giddy-headed, souning, nocturnall paines, and sometimes death.
Accidents ariving in blooding, through ignorance of the Starrs.
Objection.
But (may some say) that is by reason of the great evacuation of blood. To that I answer, that experience lets us see every day, that when there hath not been drawn out, perhaps an half ounce of blood from the patient, that he falls into some one of these accidents.
Objection.
Yes (but will some reply) that [Page 111] is because he hath conceited such a thing but who hath ever heard say that, that which one hath premeditated, (it may be a day or two before) is capable to do us hurt, when we come to effect it? It cannot be in anywise wherefore let us leave all these Trifles, and let us follow verity.
Objection.
But (will some one reply) the knowledge of the Starrs with the observation of them, is prohibited?
To that I answer, That in truth if one should beleeve that the Starrs had Soveraigne power over men, he would be worthy of Censure: but we do not find in any place, that any person hath ever been blamed, for knowing and observing the elevation of the Starrs.
Advertisment of the Authour.
For Conclusion, I shall content my self, to admonish the Chirurgion Phlebotomist, to behave himself wisely, with reason, in the extraction of blood, for it is the treasure of life; insomuch that you had better conserve and cleanse the blood, then to evacuate it inconsiderably; in regard that doth shorten our daies, and is the cause of severall other Accidents, as we have said elsewhere.
But, will some say, By what reason would you make use of the extraction of blood, [in the time of necessity,] as when a man falls from on high, in great Contusions of the interiour and exteriour parts; or when one hath received some dry blow, or in the Plurisie, and other Maladies, whereof you discourse, in your [time of necessity.] To that I [Page 113] answer, that it is true, I discourse of it, for three causes, which induce me to discourse of it, in that manner. The first is the honour and respect which I bear to the Hippocratique Doctrine, and that of Galen, for having been nourished therein, ever since my young years.
The second is, because by that meanes, I would give to understand, (as I shall shew in a book which I will make apart from this) the agreeing reason and affimity, that there is between the books of Hippocrates, and Galen, and those of Paracelsus, as I have made one Chapter thereof in my [Petite Chirurgie Chymique.] The third reason is, That so the Learned Chirurgion may make use of it, as he shall know to be necessary; for since in all his operations, he ought to follow Nature, he ought also [Page 411] to take speciall heed to maintain and preserve Her, and not to alter her, as he doth in the emission of blood, which is the Treasure of Life, as before I have said.
Definition of the Pleurisy.
For, I pray, how can it be possible, that the blood, which is out of its vessells spilt, in capacity of certain parts of the body, yea even Clotted and Coagulated therein, can re-enter into the vessell to be evacuated by blooding, for example, in the Pleurisy which is a tumour made of subtile blood which comes out of the veine Azuges, stopt between the Membrana pleura, and the Muscels Mesopluri; in the curing whereof they prescribe Blooding, Glisters, Syrops, Tablets, and other like remedies. But I aske [Page 115] what is it that blooding serves for there? seeing that the blood (which as we have said is out of the veines) cannot enter thereinto again, to be thereby evacuated; I know well, that they will answer me, that the matter, continued in the same place, doth not enter into the veines to be evacuated; but that they use it for the hindering of any more, from flowing into that place; and also that the Medicaments given inwardly, do work more easily. Oh this is a pritty doctrine, for the healing of a patient! to weaken nature, (which one ought rather to corroborate) for the rendring her more strong; to strive against the disease, for curing the Pleurisy, they evacuate the good and pure blood, which ought to be preserved for maintaining the strength of the Patient, and leave the impure blood [Page 116] in the body, which ought to be taken away.
I will not therefore say, that blooding being performed in the beginning of the true Pleurisie, is not profitable, but is very necessary being performed opportunely: but (oh unfortunate time!) I have seen those who in all the seasons of that Malady, do not forbear with too bold a rashnesse, to evacuate this Treasure of the life.
But, to the end that none may continue any longer in this errour, and that I may not amuse my self by disputing in these things, therein following Galen, who is not willing that one should dispute neither of Apollo, nor of Aesculapius, but that one should endeavour to inlarge the Doctrine, for I know that one may alleadg Sophisticall Arguments to prove falsities, but it [Page 117] must be to those who know not how to guard themselves from them; I shall onely say that Hippocrates understood well what he said, when he affirmed, that by probable and subtile fictions in Physick, there did often happen great and heavy falls. From whence one may perceive that Physick is fallen so miserably, having been called (by its own props or upholders) opinionate, or subject to opinion, and Conjecturall. (616. Praecept. Com. 2 Aph. 2. de Comp. me Secund. loc.) That the verity thereof cannot appeare but by subtile Arguments, and that is is incertain. This is it which hath induced Galen to reprehend Hippocrates for having called Physick Conjectural, which he had need to do, seeing it is neither Conjecturall, nor imaginary, but on the contrary, Scientifique.
[Page 118]So that as a kingdom divided against it self, cannot stand, can Physick subsist when the supports therof are divided among themselves? That is it which hath given occasion to the Ʋulgar, to slight it, as it is slighted. But wherefore do we assemble seven or eight, as well Physicians as Chirurgions, for consultation upon one disease, which if it be known, what need is there of opinion upon it?
In short, either the Science of Physick is True, or it is not True. If it be true, its rules are certain. But it is true, that it is true, because it is of Gods Creation, and God and nature make nothing vain: It follows then, that its precepts are true. Which Hippocrates perceived, although he was an Ethnique, in regard he saith, the Philosophicall Physician is like unto God; but he cannot [Page 119] be so, who follows not Truth. That is it which I desire to follow, avoiding, to the best of my power, Sophistryes, which are the onely causes of nourishing falsities, wherewith (to my great trouble) our Chirurgery is replenished. But to the end, as I have said before, I may not keep the Reader in such an errour, I give him two Remedies, for all sorts of Contusions, Dry-blowes, Bruises, Phlegmatick-Swelling, blood clotted, or congeled within the body, by reason of a fall from some high place, In which, from these two Remedies borrowed from Paracelsus, one shall see a very great effect, without running to Phlebotomy, as many who follow the ordinary errour do. One may by these serve himself to his own great honour, the benefit of the Patient, and to the Glory of God.
[Page 120]Of these two Medicines, the one you may take inwardly, when you suspect there is some quantity of blood spilt and coagulated in the inner parts of the body; and the other is to be applyed outwardly, when the Phlegmatick Tumor appears to the sense of the eye; and both of them together may serve, as in Pleurisie, Eshimose, (collection of Corrupt matter, within the body, between Breast and Lungs) Empyeme, and such like, as I intend to mention in the book which I have heretofore promised, by the assistance of God.
Let us come now to the description of these two Remedies, which are as followeth.
A Remedy for the externall Parts.
℞. Flowers of white Mullein M.j. [Page 121] flowers of St. Iohns-Wort M. iij. roote of Asclepias or Swallow-wort M. ss. Mumie ℥ j. fresh oyle Olive Lib. ij. There bentine al. Turpentine Lib. j. White-wine Lib. iij. which you must boyle together on a soft fire, for the space of five houres, then you must afterwards put it into a Glasse well stopt, and set it in the Sun, leave it there for the space of a Month or six weeks; then you must strain the whole through a peece of Cloath, and Squeze well the dregs; & you shall have an oyle, incomparable for the effect above mentioned, which you must keep carefully, and therewith anoynt the part, evening and morning.
A proper Remedy for the Internall parts.
Rec. of good Rubarbe, ℥ ij. Mumie, ℥ ss. Red Gum, Lack, Sperma Caeti, ℥ j. Bolarmeniack, and Terra Sigillata, an ℥ ss. root of Asclepias ℥ iij. you must beat them all to powder, of which you must give the weight of a drag. with the water Florum Tiliae, Tilia is a tree bearing fruit as great as a bean, round & in which are seeds like to Aniceseeds, some call it the Linden tree, or the like, for it is most good to take away the Phlegmatick tumour, as well within the body as without. There is no necessity of [Page 123] discovering any other of these Medicines, now, because it is not my intent in this place, for I have not brought in these two in this place, but onely to shew that one may cure these kinds of Maladies, and severall others, without having recourse to Phlebotomy, of which Medicines the Learned Chirurgion will know how to make use according as he shall see occasion; and will invent others, according as necessity shall require. But above all, I intreat those who shall read this little treatise, that they will not sleight it: for I have not taken pen in hand, to Teach; but to give wholesome advice and Councell for the sick, and most necessary for the augmentation of the honour, (which the true Chirurgions aspire unto) and which is more, to provoke to [Page 124] do better, as I have said elsewhere; to the end, that doing and persuing from good to better, we may go into heaven with God: to whom Father, Son, and holy Spirit, be honour and glory, Amen.
CHAP. VI. Of Veins to be blooded for several Infirmities which come upon mens bodies; also of the use and benefit of Cupping-glasses, with scarrification, and without scarrification; what must be observed in that Operation; & lastly, of Horsleeches.
ALthough it is true, I have with good reason here before [Page 126] said, that it is not needful to blood for all maladies, and at random without any consideration, as is done ordinarily: yet I shall not omit to describe the number of the veins, proper to be blooded, with the benefit of opening them: together, with the use of Cuping-glasses and Horsleeches; for I shall thereby please the Galienists and Paracelsians; and it is also the end which I have respected.
Let us begin then at the Vein, in the middle of the fore-head, which is between the two eye-browes, usually called Recta, sive preparata, the breathing of that vein is good against old Infirmities, for foul Ulcers, Leprosie, scabbiness, Morphew, Inpetigine, in Maladies of the eyes, in old continuing pains of the head, in [Page 127] the affections of the brain, in madness or raging.
The two veins of the Temples, are proper to be breathed in the Megrim, in the great pain of the head, in continuing maladies, old Inflammation of the upper skin of the eye (call'd Ophthalmy) in cloudy dulness of minde, watring of the Eyes, Pimples, or Scabs on the Eye-lid.
The veins of the little corners of the Eyes, which makes a little extuberance upon the Os Jugale, are to be blooded against the same Maladies, as those of the Temples.
The veins behinde, or round about the eares, which appear in the hollow place, behinde them in the place, where (if you put [Page 128] your finger, you will feel pulsation) is to be breathed, for the Megrim, old Cathars, the scald, for reviving or repairing the memory; for Ulcers of the Eares or Neck, for clearing or mundifying the countenance, for the pain and defluxion in the teeth, for the pains, and ripe imposthumes and Ulcers of the Head.
The Vein which is between the two Cartilages of the Nose, for the Phrensie, in acute Feavers, old pains of the Head, the old redness of the Face, for the trouble of bleared Eyes running with water; for dulness or heaviness in the Head, for Hemorrhoides, the itching, or tickling of the Nose, and Aposthumes thereof.
The veins under the Tongue, which are called Ranulles, for Aposthumes of the Throat, and the mouth, for the Squinacy, (you [Page 129] must first blood the Cephalique) for the heaviness of the tongue, for the Apoplexie, and for all pains of the teeth, for the pain and malady of the gums, for Cathars, and other defluxions of the Head, for the Cough, for the spots of the face, and in the passions of the Jawes.
The vein, which is between the Chin and the under lip, for the stinking of ones mouth, for the corroding, breaking out, and for chapt lips, or soreness of the gums, for Ulcers of the Nose, for an ill complexioned face, for the pains of the Dugs, or Paps, and for the pain of the Head.
The two veins of the neck, called Jugulary Veins, th' one on the right side, and th' other on the left, for the Impetigo, or Ringworm, for Serpigo being Pushes, and angry read wheals, the Noli me tangere; for the Cancer Corrosive, [Page 130] in the swelling of the Gums for the Squinacy, for the Asthma, for a hoarse voyce, for the Aposthumes of the Lungs, for the Passion of the Spleen, for the pain of the sides.
The Cephalique Vein which they call humerall, Cubitall between the thumb and the forefinger, one may make incision of it, without any danger in the superior part of it, in the bending of the Arm, against the infirmities of the Stomach, and the shaking in the hand.
The Median, in the bending of the Arm, between the Cephalique, and the Basilique, which is commonly called black, and the vein of the heart; and this is for the evacation of all the humours, in maladies of the whole body, principally those of the heart, and strengthens the stomach, or appetite, for all the Passions of the [Page 131] stomach, of the Liver, of the Spleen, of the Lungs, of the Breast, and of all the Body.
The Basilique, called the great Basilique of the Liver, for the Spleen, the Breast, the Lungs, the Stomach, the Liver, abundance of Choler, and for the heat of the Liver, for the pain of the Teeth, of the Back, of the sides, partes laterales, and of all the members, for the Hemorrhogie of the Nose, for the itching and pricking in the skin, and in Feavers.
The Salvatella, called the Splenatique vein, between the Auricular, or little finger, and the Medicus (otherwise called the Ring-finger) declining towards it; the breathing of that vein, to wit, that on the right hand, is prevalent in the affections, and obstructions of the Liver, and that of the left hand, in the stoppings of the Spleen; in short, the [Page 132] one or the other, is prevalent for the pain or the Heart, Yellow Jaundice to all Feavers, to the obstruction in the breast, for the yellowness comming in the eyes.
The Apoplectique, or vena poplitis, which is at the bending of the knee, for the provocation of the Menstrue, for pains in Arms, for affections in the Loynes, for the provocation of Hemorrhoides for pains in the Blather, for passions in the testicles, for the infirmity of the feet, for all maladies of the Articulations.
The Ischiadique, or Sciatique Vein, under the Vein which runs acrosse the outward Ancle of the Foot, calld Maleolla, or round about it; for the pains of the Ischium, or hip-Gout, the Foot-Gout, Leprosie, Varices or Veins sweld with corrupted blood, for pains in the Bladder, for the difficulty [Page 133] of Urine, for Ulcers and swellings of the Testicles, in Ulcers and Tumors of the Kidneys, and other evils.
The Saphaena, under the interior Maleolla, or Ancle, vein of the Foot; yea, which runs a crosse it sometimes; for all the passions of the Matrix, for all the affections of the Testicles, old scabbiness, salt Phlegme, for the griefs of the Cox. & tibia, It strongly provokes the Menstrue and the Hemorrhoides; for the purging of the Ʋterus, after birth of a Childe; it takes away barrenness; for the affections of the yard, for the derivation of blood from the Matrix, Yard, and Testicles.
The vena Tarsi, appearing and ending about the great Toes, for the vices of the Bladder, to the faults or spots of the Face, inflammation of the upper skin of the Eye, call'd Ophthalmia; for [Page 134] redness of the Eyes, blear-eyedness, running with water, being red and soare; for the Cancer, for the Varices of the Tibia, with corrupt matter, and for the maladies near the Saphena.
The Vein in the middle of the Foot, is to be blooded for pains, or maladies in the Kidneys; for the weariness, and dull heaviness of the Members of the Body; Apoplexie, Palsie, and Epilepsie.
Of Cupping-glasses, and of the benefit of the use of them in generall.
Intentions for which one should apply Cupping-glasses.
Every one knoweth well, what Cupping-glasses are.
They are to be applyed, where blooding cannot well be performed; some are with scarrifications, and others without it; those with scartification, are for the evacuation of a matter Conjunct in one part; and the other is, to make attraction; they are [Page 136] also applyed to make revulsion and derivation in several parts; as for deflexion into the Eyes, the Cupping-glasses are to be applyed upon the shoulders; for the flux of the blood at the Nose they are to be applyed to the Hypocondryes.
Besides, they being applyed without scarrification, are good for diverting of Aposthumes from the Noble parts, to the ignoble parts; and to draw the heat to a member debilitated by cold.
They are to be used in the Cholique, being applyed above the Navel, or under it, for easing of the pain, for drawing from the Center to the Circumference.
To evacuate the windiness, to stop the Hemorrhoides, to reduce the members into their place.
For the pain of the Matrix they being put upon the Navel, the part being first well warmed.
[Page 137]For the immoderate Flux of the Menstrue, if they be applyed about the Region of the Paps, at the same time.
Also for the Flux or bleeding at Nose, (as we have said already) being applyed upon the Liver, if it be the right Nostril that bleeds; and if it be the left Nostril that bleedes, you must apply them to the Region of the Spleen.
For drawing pestiferous Aposthumes from the Interior parts, and in venerious Bubons.
For diverting the blood which flowes immoderately to one place.
To stop the Fluxes of the stomach.
For the drawing out of Poyson, and for the coldness of the Ventricle.
But in the use of them, you must consider four things.
First, the matter of them.
[Page 138]Secondly, The manner of applying them.
Thirdly, The time.
And Fourthly, The Intentions and parts to be applyed to.
In the matter, you must consider three things.
First, The substance, which is either of Horn, or of Glasse, or Metal, or Earth.
Secondly, The quantity of them, which is great, mean, or little.
And Thirdly, The Figure or Form, which is Circular, or round, and somewhat long, like a Horn.
The manner of applying them, is with fire, or else without fire, and that with scarrifications, or without scarrifications, (as we have said) deep or superficial.
The time of the Application, is either necessary, (which being) there is nothing to be respected, [Page 139] or Elective, and then you must take heed, that it be with the necessary regularity proposed by Guidon.
Concerning the intentions we have spoken enough thereof already before.
Notwithstanding, you must take notice, that the Attraction of Cupping-glasses, doth not depend upon any natural faculties of them, nor of any similitude, but upon an accidental vertue of hindering of the Vacuum.
This Attraction is made, when the fire for want of ventilation, or breathing, (being choaked) doth degenerate into Ayr, and possesseth lesse room then when it was fire; for, as the Philosophers say, one little part of Ayr, produceth ten parts of fire; and on the contrary, ten parts of fire turn themselves into one part of ayr; so that nature to supply the place [Page 140] of the fire, contracts the flesh, the Spirits, and the humours into its place.
Finally, the parts whereupon the Cupping-glasses are to be applyed, are the shoulders, the neck, the hinder part of the Head, the Hypocondyres, the Reins of the back, the stomack, the Matrix, the Thighes, the Buttocks; for the better understanding whereof, we will mention them more particularly, and distinctly, together, with the maladies wherein they are profitable.
Of the use of Cupping-glasses, as to the parts or places, as well with scarrification, as without it.
In the first place, Cupping-glasses being applyed upon the Head, are very commodious in madness or distraction, scotomie canicie, manginess, scabbiness, knots or pimples in the eyes, and in the maladies [Page 141] of the nape of the neck; but they do prejudice the Intellect, and the memory, because they do stupifie.
They being applyed to the forehead, do help very much in the pain of the hinder part of the head, in the heaviness and swelling thereof, in all affections of the brain, for madness and distraction; for old infirmities of the face, Ring-worm or Tetter, Ulcers, Leprosie, scabbiness and Morphew, for all the maladies of the Eyes, and for the Vertigo, or swimming in the Head; but they do prejudice the reason and Intellect.
They being applyed to the Chyne, are very profitable against Pustules, and swellings in the mouth, for maladies of the Teeth and Gums, for the Spots and viciousness of the face, for Wens, for swellings in the throat, [Page 142] for all maladies of the Jawes.
They being applyed between the neck and shoulders, are very commodious for maladies of the face, of the neck, Teeth, nostrils, eyes, for the stinking smell of the mouth, for Ring-worms or Tetters, for the Squinacy, having first opened the Cephalique, or median vein, but they do prejudice the memory, and cause the head to shake.
They being applyed between the shoulders, in the part against the heart and stomack, are very commodious in the affections of the Breast, in the maladies of the neck, for the Asthma or Spasme, for the trembling or quivering of the heart, and for the blood in the throat; but they do prejudice the stomack and the heart: the which in its trembling, doth not send forth the blood.
[Page 143]They, are to be applyed upon the breast in the pain thereof, and for the Asthma, on the Region of the Liver, for the Inflammation thereof, upon the back, for the pains that happen therein, over against the part grieved.
They being applyed upon the stomack they avail much in swellings thereof; and when it is grown cold, and for the humours and viciousness thereof.
They being applyed upon the hands, are prevalent against all the distempers of the Head, Eyes and Eares.
They being applyed upon the Reyns, are prevalent against the Apotemes of the Coccix, Sabbine, so Hemorrhoides, Gout, Leprosie, for the itching of the back, and scabbiness there; for the windiness and coldness thereof, and other distempers for the windes in the Bladder.
[Page 144]They being applyed upon the Navel, are prevalent against the Maladies of the Matrix, and for the Cholick.
Upon the Hypocondries, to draw back the Impetuous issuing of blood at the Nostrils, and for immoderate Flux of blood from the Uterus.
They being applyed to the Loynes, stop the Hemorrhoides, and cause the pain of the back to cease; as also of the Matrix, and of the Loynes, to repress the too strong desire of Venery, to heal the scabbiness and Aposthumes within side of the Thighes.
They being applyed upon the Buttocks, do cleanse the blood, and are beneficial for the cure of the white Menstrue, for the pains of the privities, and of the Loynes and the Breast.
In the Interior part of the Coccyx, for the Aposthumes of [Page 145] the Testicles, in the Issues, or sores of the sides, and of the Coccyx.
They are to be applied on the hinder part of the Coccyx, in Aposthemes, and running sores of the Buttocks.
They are to be applied under the Ham, or bending of the knee, for the pulsation of the sinew, near the knee, which turns the Legg inwards, which is occasioned by a cold humour, and for Ulcers and running sores of the Feet.
They being applied to the fleshy parts of the Thighes, they do good to all the parts of the Body; for the Tumors, or swellings of the Buttocks, and for Aposthemes thereof; for pains of the Reins of the back, and the Bladder; for Fluxions in the Eyes, for affections in the Head, for cold Aposthemes, and tremblings [Page 146] of the knees, for maladies of the stomack, or breast, pains of the back, for Aposthemes of the Testicles, for wounds and ulcers in the Coccyx, and in the privy parts; yea, in the old pains of the Matrix, for purging the Matrix of its superfluities, for the Aposthemes and sores of the hands, to provoke the Hemorrhoides, and the Menstrue; for the Sciatica, Gout, and Vertigo, or swimming in the Head.
I should have spoken much more of the utility of Cupping-glasses; but I forbear for brevity sake. And come now to speak of observation concerning the manner of the use of them.
Those things which ought to be observed, before applying of Cupping-glasses.
THose who are best versed in the Rules and Observations, Astrological and Medicinal, are of opinion, that you ought to applie Cupping-glasses, or little Horns, for that purpose, upon Phlegmatique persons, when the Moon is in Aries, or Sagittarius. To the Cholerique, when she is in Cancer, Scorpio, or Pisces. To the melancholique, when the Moon is found in Gemini, Libra, [Page 148] or Aquarius: notwithstanding, you must take notice, not to scarrifie the part, when the Moon is in the Sign which governs it, and in generall, not to use it, neither with Glasses, nor with little Horns, when the Moon is in Leo: it is true, there are Horns applied at all times, but it is without Fire or Candle.
You must also take notice, not to scarrifie before four years of age, nor after 60. And you must also avoid that operation, in the new and full Moon.
The scarrifications may be made about the second or third houre of the day, an houre before eating or drinking.
The place where one ought to applie the Cupping-glasses, or Horns, should be well fomented with warm water, or use frictions for half an houre, or an hour, with a warm Linnen Cloth; especially, [Page 149] to such who you suppose have thick blood; or, if it be in the winter time.
Besides, you must not apply them, before the Body be empried, or purged; neither are they proper in a Plethorique body, nor in any part affected with a Phlegmon; as for the rest, the wise Chirurgion will dispense with these rules, according to the violence of the Maladie. Necessity derogating from all Lawes.
Here followeth the use of Horseleeches.
There is no so dull block-head, but knowes what Horsleeches are; they are ordinarily applied there [Page 150] where Cupping-glasses can take no place, as on the nose, upon the lips, gums, fingers, privities, Hemorrhoides, at the entrance of the Os Matricis and other places. One should choose them, such as are bred in good clear and running waters, which have yellow streaks upon their backs, and not those among rushes, in bad waters, and which are of a horrible colour, and have a great head, because those are venomous. Gui. Treatise 7. Section 1. Chap. 1. And you must not applie them, being fresh taken, but keep them a whole day in clean water; to the end, they may vomit forth that which they have in their Bellies. Oribas. Lib. 1. Chap. 15. It is good to leave them without water, three or four houres space, before you apply them; for they will, after that, be more greedy. You must wash the place, where [Page 151] you applie them, with warm water, and then dry, and rub the place with a Linnen Cloth, until it be red, (except in places where there is great pain); then having made a slight scarrification upon every place, where you would applie the Horsleech, put thereupon a little drop of a Chickens blood, and then applie the Horsleech, holding it in a clean Linnen Cloth; for most commonly, they will not take hold, if you hold them in your naked hands; and when they have suckt enough, they will fall off themselves; otherwise, every one knowes the way to make them, and to order them in these things. Above all, let one take heed, not to applie them, when the Moon is in the Signe, governing the part; for you must observe the same, in applying these, as in the operation [Page 152] of blooding, and using Cupping-glasses.
I beseech the Authour of all things, that all those who read this Treatise, may make use of it, to their advantage: To whom, Father, Son, and holy Spirit, be honour, and glory, for ever, Amen.
A Brief Treatise, Or, discourse concerning Crisis's. Wherein is shewn how people do deceive themselves, in their judgements upon them, being ignorant of the Motion of the Starrs.
All things have a regular motion.
GOd the Creator, according to his inestimable goodness, Clemency, and wisdome put into the nature of things, well ordered and regulated motions; insomuch that he hath been pleased [Page 154] that not any thing should move by chance, or rashly, but that all should move by good order and a continuall succession; And so the Starrs, The Elements, the Ocean, the seasons of the year, and the Spheres of the heavens have their motions and vicissitudes, and performe their Courses absolutely regular.
The humors have a Limited course.
In like manner, the humors which are in humane bodies have their effects, their proper motions, and certain Periods; so that in every one of the four Seasons of the year, each humour performes its part, and doth exercise its power and faculties upon the body.
Division of the Sun in its Circular Motion.
So also as the Circular motion of the Sun is divided into four parts, which are called Quarters of the Heaven, representing the four Elements and Seasons of the Year, together with the four parts of the Day; from whence re [...]u [...]teth that there is a certain Sympathy as well between the four quarters of the Moon, and the Elements, and the four Seasons, and the four Humours, and the four parts of the Day; yea I shall also say with the very four Windes, and four Ages; Nay such a Sympathy, that it is impossible, that (the one being depraved) the other with which it doth Sympathize, should not have a resentment thereof.
Division of the Seasone with the Elements.
But for the more clear understanding hereof we say, That these four quarters of the heavens do represent the four Elements, and the four seasons of the year, That is to say from the Sun rising unto the Mid-day, The first; from Noon to the Sun setting, The second; from Sun-set to midnight, The third; and from thence to Sun rising, The fourth: so that the Sun being in the first quadrature with the fixed Starrs therein, Then is the spring which is represented by the Ayre; being in the second, then is the Summer, which is represented by the Heavens or Fire; and being in the third causeth Autumn, represented by the Earth; and lastly being in the fourth, it causeth [Page 157] Winter, which is represented by the water. Moreover we see the Symbolization of the spring, to the Ayre, to blood and to youth; of the Summer, to fire, Choller, and manhood; of Autumn, to the Earth, to Melancholly, and by consequence the first part of old age; and in fine, the fourth is of the Winter, to water, Phlegme, and decrepit age.
Division of the day for the Elements and humors of the body.
The same division is of the time wherein the Sun moves round the Earth, which is one day divided into four parts. The first part is from three of the Clock in the morning untill Nine; for the Ayre, the spring and the blood. And from Nine a Clock in the morning untill three afternoon; [Page 158] for the Fire, Summer, and Choler. And from that time untill Nine, for the Earth for Autumne, and for Melancho [...]ly: and from thence following, untill three of the morning, for the Water for Winter, and for Phlegme. And if it so happen, that one of those Elements be depraved or Malignant in a man, or that thereby a disease of its temper or degree, insallibly it will discover it self in the time so appropriate or ordained.
Maladies occasioned by the Signes, are healed by the opposing of contrary Signes.
Now it is impossible that these humours Symbolizing thus with the Heavens, and the Elements, can continue without alteration; seeing that the Starrs do make known their effects in them, as [Page 159] we have said in another place: wherefore it is, that the blood hath such force and power, that the Spring being come, and it being in vigour, doth ingender Maladies and feavers of its nature, to wit, continuall ones which give no space or respite, which Maladies are caused by the depravation of the three signes, which govern the above mentioned humour, such are Gemini Libra and Aquarius: and the healing of such Maladies, ought to be performed in contrary signes, which are Taurus, Virgo, and Capricornus. In like manner, the Choller in Summer, making its course and recourse by daies alternate, occasions the Tertian feaver, and that by the depravation of the three signes, which have influence upon that humour; that is to say, Aries, Leo, and Sagittarius: which Maladies are cured by [Page 160] opposition of the contrary sign as Cancer, Scorpio, and Pisces. Afterwards the Phlegme in Winter, when it is putrify'd, engenders the Quotidian intermittent feaver, also caus'd by the three signs wch govern that humour, such are Cancer, Scorpio, and Pisces: and those diseases are cured in like manner, as the last above mentioned, and that is, by the observation of Aries, Leo, and Sagittarius: finally the Melancholly at the beginning of Autumn stirrs up the quartain Feaver or Ague, caused also by the aspect of these signes which govern over that humour, such are Taurus, Virgo, and Capricornus, and the curing of them is found by the Concurrence of these three, Gemini, Libra, and Aquarius.
Wherein consisteth the one-day Feaver.
So the Ephemere, or one-day ague, doth end in one day or shortly after, in regard that it doth not consist in the Putrefaction of the humours, but only in an inflamed exhaled spirit. All which things are done by the same reason, the same proportion and the same order, as the rising and setting of the Sun, The Ebbing and flowing of the Ocean, and the pleasant vicissitude of Plants, and Hearbs, and Trees, which bear seed and fruit.
How the fits of the Feaver appear.
Insomuch that if one do take good heed hereunto, we shall easily observe, that almost at the same time that the humours are [Page 162] forced by the Starrs, they demonstrate the fit of the feaver, not as some would say, who alleadge that then (when the humors do every one by its turn perform its office) comes the fit of the feaver, but when the time is compleated of each the hours which serve to the humors, (provided that they be pure, and not intermingled th' one with th'other) then they cease and conclude.
A Considerable reason.
But I say, these reasons are not to be received; but, much more to the purpose, and with more verity, this; that the accesses of the feaver appear then, when the Star which governs the humour concurrs upon it: wherefore it is, that we see the fits to become retrograde, or to skipp forward, even as that Star renders it self Retrogade or direct.
[Page 163]So that we ought by good right to consider more narrowly of the Judgment upon Maladies, that destroyer of that Little World, Man, who is constrained to suffer Change every four daies, which the Vulgar do call Crisis, which is done by loosenesse in the belly, by bleeding, vomiting, or sweating, excited and occasioned by the Course of the Moon, through the points of the Zodiac.
But because I have resolved to speak succinctly of Crisis'es in this place, and how you ought to observe the Criticall daies, from the Concurrence of the Starrs; we will discover first what a Crisis is; for of necessity the Malady quits the patient in the same instant by the Crisis, or else by solution, by little and little.
Definition of the Crisis.
Now Crisis is a suddain change of the disease either to health, or to death; which is done then, when nature separates the ill humours from the good, to the end, she may force them out.
Two sorts of Crisis.
And of this Crisis, there is two sorts; the one perfect, and the other imperfect. The imperfect is that, by which the matter is not absolutely forced out of the body, but is evacuated from the Noble parts to the Ignoble, and from the interiour parts to the exteriour.
The other, is called perfect, whereby nature even as Mistris and Lady governing the body, doth absolutely and wholly reject [Page 165] the matter out of the body, and this is done either by vomiting, or by flux of blood at the Nostrills, or by menstrue, or by the Hemorrhoides or by sweatings, as we have said above.
A pritty similitude of Avicen, concerning Crisis.
Avicenna, had an excellent understanding of Crisis when he saith, that, ‘The Crisis is no other thing, but the strife and contention of two persons, pleading the one against the other in a civill case: for, saith he, even as in one civill proceeding there doth concurr four sorts of persons: that is to say, he which accuseth, he who is accused, the witnesses, and the Judge: In like manner, do these four concurr also, in the Crisis, first the accuser, who is [Page 166] the power which governs the body, secondly the Malady, which is accused; and thirdly, the witnesses are, the signes of that Malady, and the Physitian is the Judge.’
‘And even as the civil Judge giving sentence, the one of the parties continues sorrowfull, and the other is joyfull; so in like manner in the Crisis, if the signes are bad, the Physitian adjudgeth the patient to die; and then he and his kindred, continue sorrowfull, but if the signes be good, signifying victory of the powers over the Malady, the Physitian makes Judgment, and passes sentence that the Patient shall recover, and thereby he and his kindred continue joyfull,’
The Common Criticall judgment, of no value.
It is true, that the greatest number of Chirurgions do passe Judgement, but it is most commonly of no value; and that by reason of their not being able to discern that which causeth the said Crisis, or rather by reason of his not observing it; for if they did calculate well the Critricall daies, they would not be deceived in predicting the events, and would in no wife fail to hit the Mark.
You must take notice in this place, that they hold that the Salutary Crisis arives ordinarily the seventh, fourteenth, or twentyeth day: wherefore it is that those dayes are called Criticall dayes. They foresee the future Crisis by the signes of Coction which appear, [Page 168] the fourth, eleventh, and seventeenth daies which are called Indicative and Contemplative dayes; for according to Hippocrates the fourth day is the Indice of the seventh, the eighth is the beginning of the other week; the eleventh also is remarkable, because it is the fourth of the other week, & yet the seventeenth is remarkable, because it is the fourth after the fourteenth & the seventh from the eleventh: some do not go to search so many fashions, but they hold simply that the Crisis doth use to conclude either the fourth day or the seventh, or else the ninth and eleventh and fourteenth daies.
The Common opinion concerning the Crisis, is fallacious:
As much upon the one side as the other; the one party are as [Page 169] good shooters in a Crosbow as the other, for it is most certain that the Crisis is either sooner or latter, ascribing these daies of decision to the effects of the Moon; And so the Astrologers assigne the Indices of Maladies, when the Moon is distant in degrees about the fourth part, or about half of the Zodiac, from the true place where she was at the beginning of the Maladie. But (because her motion is more quick or slow at sometimes then at others, & sometimes she arives more late, and sometimes more early to such aspects) that if it happen that upon a Critical day, the Moon is in her house, or in her exaltation with Jupiter and Venus, which are benevolent and healthfull Planets, that doth denote, that the change will be good.
A most true signe concerning the Crisis.
And if the disease consist in a great affluence of humours, it is good that the Moon be in the increase in a quartile aspect, or in opposition. If the Moon be in the same time in Conjunction with the Sun or Saturn, it is an ill signe, and denotes that it will be a very dangerous disease, or else of a long continuance. If the Moon increasing do accompany Saturn, precisely in the beginning of the disease, it doth denote, that the Malady will be of a long Continuance, or Mortal. But if the disease happens then, when she is in her decrease, it is a signe that the Malady will not continue long, and will not be dangerous: for this cause you ought not to sleight the salubrious [Page 171] or nocent signes of the Starrs, but to observe them exactly, to the end, that you may attain the honour of Prognosticating Divinely; for the wise man doth oppose himself to the mutation of the heavens made on the earth. And that no otherwise then in removing away, or repairing the earthly matter wherein the Heavens do operate; or else not finding a subject to act upon, his Action is turned in an Eclipse.
The Charity of the Anthour is Commendable.
Notwithstanding, I desire in this place to make known that the fall of an Innumerable multitude of men, is occasioned by not knowing any thing but the name and word onely of Crisis, and not the cause of the effect. [Page 172] And that severall men who by by their extream ignorance, cause the Heaven and the Earth to be opened, and fix there their eares, and do there bound the eyes of their understanding, to the end, that they may take notice of the earth, covering or Entombing their errours, which ought rather to serve as Scarlet, to make them blush. And behold the manner how!
It is certain that our bodies are moved, and inflamed by the superiour bodies, otherwise they could not suffer; for in the method of the distribution of things, the body of the Moon in her Sphere doth by the points of the Zodiac produce that mutation which is made from time to time, in all bodies, none excepted. As for example.
Example concerning the above named opinion.
If it happen that some one is taken sick, the Moon being in the first point of Aries, infallibly, on the fourth day following, counting from the time of falling sick, the Moon is found in a point repugnant in property to that wherein she was at the time of the first falling sick; And then is the Crisis made either by vomiting flux of blood, flux of the belly, or sweatings, as we have said before. In this day is prohibited the offering force to Nature, whether it be by blooding or Physick, either solutive or restringent, for fear that nature intending to discharge her self by sweat, be not forced to do it by other Emunctory; and for this cause evacuation is to be practised [Page 174] upon the third or fifth day from the beginning of the sicknesse. And none can deny, (however he be opinionate of himself) but that this is true.
A too Common errour.
But alas, behold the evil which doth often (nay most commonly) happen, That while men are attending the Crisis on the fourth day, because of the above mentioned motion of the Moon, it happens that the Moon expedites her course, and comes on the third day to the point which causeth the Crisis. And without taking notice thereof the Physician who would count her hours, makes too much haste, and onely counts the fourth day for the Crisis, and without any other Ceremony, being bold, causeth the sick person to be [Page 175] blooded or purged, and by that meanes sends him to ask St. Peter for his Keys to open heaven with.
And when the Moon becomes declining or Retrograde, she is not come to that point untill the fifth day, wherein happens the same oversight. Behold the reason why Hippocrates. Lib. de flatibus. would have the Physitian to have but a few patients, and to languish with them for whom, as saith Paracelsus, he is created father, and not Doctor.
I should enlarge my self further upon this discourse concerning this matter, to make seen to the eye, and felt (by the finger) the great errour which is commonly committed in Judgement upon Criticall daies, and should shew the true meanes of giving a true Judgement according to second causes, of either [Page 176] life or death. But because that doth require a greater speculation, and that the age of a man will not suffice for it; I shall so bear, praying to God that he will be pleased so to blesse our Labours, that what we do, may be to his honour and glory, the edification and benefit of our Neighbour, and the safety and salvation of our own souls. To whom Father, Son, and holy Spirit, be honour and glory eternally, Amen.
To the Benevolent Reader. A Quadrine.
Beleeve not, That, In Ostentation, I have writ this Treatise of Plebotomy:
But as a friend to life, I undertook to shew its operation, In this Book.
A TABLE OF THE Chapters.
- CHAP. I.
- WHat Phlebotomy is, Its properties, and that which must be particularly observed for the good performance thereof.
- CHAP. II.
- How that the Chirurgion ought not to be ignorant of Astrology, and of the profit that comes thereby, as well for Phlebotomy, as for all [Page] the Maladies which do happen unto humane bodies. The Sympathy of the Starrs therewith, and other discoveryes most usefull for a Chirurgion.
- CHAP. III.
- Of the time of Necessity, wherein are shewn the Maladies, wherein Phlebotomy doth necessarily fall out.
- CHAP. IV.
- Of the time of Election, for the Inferiour Root, and of the Superiour Root, which extends its self to to the knowledge of the Starrs, as well in the Concurrence which they have to the parts of our bodies, as upon the Humours and Maladies which happen therein.
- CHAP. V.
- That it is necessary that a Chirurgion have the Astronomicall figure in his study, or at least in his shop, and of the benefit that proceeds therefrom, as well to the Patients [Page] as those that exercise or practice it, which is proved by a History, and other examples. Also that it is better to mundify the blood, than to evacuate it; with the discovery of two excellent remedies for that effect.
- CHAP. VI.
- Of the Veins proper to be blooded for several infirmities, which arive to humane bodies; together with the benefit and the manner of using of Cupping-glasses, with Scarrification and without it; and of that which is to be observed in this operation; and lastly of Horse-leeches.
- A short treatise or discourse of Crisis's, wherein is demonstrated how men do deceive themselves in the judgement of them, not knowing the motion of the Starrs.