Of the pulses. Chap. 23.
FOr that the pulse is a kindly work∣ing and effect of the spirit Vitalis, it belongeth that we declare somewhat of the pulses, and of their properties The pulse is a moouing? uinde by opening & closing of the heart and of the vaines. Then si•h the heart, being in continu∣all-mouing, from the middle to the vttermost parte, in the mouing of the bloud and heate, and in the pulse of the spirit vitall is continuallye moued, by such a mouing he openeth towarde the vtter parts. And when he moueth back∣ward from the vtter parts towarde the middle, then he is constrained and clo∣sed. Wherefore the opening of the heart is to drawe in colde aire, and the clo∣sing thereof is to put out airie fumositie or smoake, and these two be cause of the pulse. Moreouer the pulse is needfull, that the disposition spirituall be vnder∣stood, and the working thereof knowne. The pulse beginneth at the heart, and spreadeth by the vains to the vtter parts of the bodie. And it sheweth the state of the heart, and the working therof. Phisi∣tions vse to finde ye pulse not in all parts of the bodie, but commonly in ye armes. And that by mouing of the vaines. For in some partes, they may not well bee discerned, because they be farre from the middle of the heart, and in some hiding of the heart that ruleth and gouerneth: & in some for straightnesse of the bones: And therefore olde wise men chose the vaines of the arme to assaye the pulse, And that because it was more easie, more profitable, and more honest. More easie, for that fleshly partes hide not the vaine: More profitable, because the vains of the arme be neérer the heart then the other: More honest for that thereof commeth no shame to the Phisition, nei∣ther to the sick man. It were vnséemely and vncomely to vnheale the priuy lims. The pulse is felt and knowen by setting Page [unnumbered] to of the fingers vppon the place of the pulse. And that is vsed with a discreete handling, and that otherwise in a strong man thē in a feeble man. For in a strong man and fleshly, with strong and harde feeling: and in a leane man and féeble, with ease and soft handeling. Touching this, it is to wit, as Constantions saith, that there bée many manner of diuer∣sities of pulses, the which be referred or redused to ten. The first is knowne by length & bredth of quantitie: and this is in thrée manner wayes. One is a greate pulse, when he spreadeth in length and breadth, and déepnesse of the vaine. And this pulse great and strong commeth of the strength of the spirit: by the which the pulse is spread abroad, and néedeth to bée kéeled of the softnesse of the limmes, that is, seruing to the spreading abroad. Also some pulse is litle, slow & straight, when it returneth to the middle, that is inward toward the heart: And that is for default of vertue, and for scarcitie of heate. And some is temperate, when it draweth not to the middle, neither to the vtter sides: This temperature com∣meth of more bloud & lesse water. Also the pulse is knowne by the time of mo∣uing, and so he is called swift, slow, and meane: hée is called swift because he mo∣ueth oft in short time, and that commeth of strong heate & vertue. And slowe, for that he moueth and smiteth field in long time, & that cōmeth of defalt of vertue & slacknes of heat: the meane betwéen this is praised. In the third manner, the pulse is knowne by the strength of ye vertue. And touching that he is strong, féeble, and meane. It is strong when it seemeth that by strength it putteth away from it, the finger that toucheth it. And that commeth of the strength of vertue and of the softnesse of the limme that easily moueth. He is féeble when he smiteth féebly the finger: and commeth of fée∣blenesse of strength, and of hardnesse of the limme that is repugnant. The meane is temperate betwéene those two. In the fourth manner he is known by the dis∣position of the lim. And then he is called hard and soft, & meane. It is hard when it séemeth that he withstandeth with a manner sharpnesse & hardnesse. And that commeth of the drinesse of the vesselles thereof. It is soft when the fingers feele it with a great slownesse of mouing: so that it seemeth yt they pearce it. And that commeth of wet and moisture. The meane betwéene these two is temperate. In the fift manner he is knowne by ful∣nesse & meane voidnesse. It is full when it séemeth to abound in moysture. And that commeth of greate repletion of bloud and of spirit. He is voide when he séemeth to be swollen, but yet when it is touched, the fingers sinke in, as it were in a voide thing. The meane betweene these two is temperate. In the sixt man∣ner, the pulse is knowne by the qualitie of the vaines, and so he is departed into hot, colde, and meane. He is hot, when the fingers feele the substance of vaines hot. And that commeth of the hot mat∣ter that is therein, that is of the winde and hot bloud. The cold pulse is vnder∣stood in a contrary manner. The meane betwéene these two is temporate. In the seuenth manner, he is known by work∣ing and resting: and so he is departed in thicke, thin, and meane. He is thick, that in his opening smiteth oft the fingers ends, and sodeinly goeth awaie. And this commeth of strength of heate and de∣fault of vertue. The strength of heat sée∣keth remedie of colde and of kéeling: the default of vertue, when it may not once nor twice, nor thrice, then he trauayleth in appetite of succour. The thinne pulse commeth of the contrarie cause, that is to wit, of slownes of heate, & of strength of vertue. The meane betwéen these two is temperate. These seauen manner pul∣ses be notable and easier to know then the other. Of the other thrée pulses, the first is departed, and that one parte is called Pondus Laudabile, and the other Non Laudabile. The second is depar∣ted, that one part properly Concors, or according, and that other is equall. And the third is departed by lesse disconten∣ding. And so that one parte is said to bée ordinate, and that other not ordinate. And for the most skilfull Phisitions may scarcely knowe these thrée pulses, therefore we leaue them and passe forth. Page 23 But yet if there be any that wold know them in lib. Pantegni Constant. Chap. 3. He shall finde them declared cléerelye and expresly at the full: out of ye booke we drawe what we expresse of this mat∣ter. There it is disputed largely of the pulse, Caprizante, Marcellino, Cerino, Neruiculoso, Formidante, Estuante, & Tremente: Of the which we will not treate at this time. For that the matter is hard, and also for many singular pul∣ses. And also for yt it seemeth not greatly néedfull to this treatise.