And is also knowen by sharpe seauers, and by letting of the voyce, and also by the patients owne dome, for he may no∣thing swallow: and this manner Squi∣nanci is incurable, for often it slayeth a man the first daye. The seconde man∣ner Squinanci is when the matter is gathered in lesse quantitie within, and in more quantitie without: and this Squi∣nanci hath all the signes that the first hath, but it is not so strong, and some swellyng is seene without, and this mā∣ner Squinanci is vnneth cured. The third manner is, when all the matter is gathered without, and is called Sinancia. The tokens thereof be strong swellyng without, softe feuers, and lyttle ache, without difficultie of breathing, and this manner of Sinancie slayeth not, but if the swellyng draweth inwarde. This euill commeth principally of bloud, and secondarily of fleame and Melancholia, and neuer of Cholera: these causes are knowen by their owne tokens & signes. The first ruring of this euill, is letting of bloud vnder the tongue in much quā∣titie, and garsing and copying or horn∣ing in the necke, and in the shoulders: then shall be layde to medicines, that case, ripe and cleanse. Looke before in li. 5. of the throte.
Augina, termed Sinachi or Chinan∣chi, among the Grecians, the barbarous word is Squinancia, the Squinci: where∣of are supposed foure kindes. The first appereth not outward, & that is death, except a very speedy preuenting the cause. The second doth somewhat ap∣peare more inward then outward, and that is not so daungerous as the first. The third doth appeare inward and outward, and that is not so perillous as the second: howbeit it continueth lon∣ger than the other. The fourth doeth onely appeare outward, and that is not perillous. The cause is of reume, that descendeth from the head to the throte: it may come of vaporous humours, as∣cending frō the stomack to the throte. The remedie: first, letting of bloud in a veyne named Cephalica. The second, purge the head with pilles of Cothie. The third, vse gargaries & clysters, let the patient abstaine from meate that is costiue or binding, and if a bibit serue, haue the present company of no coue∣tous Phisition: least while he looke for reward, the sicke gape for winde.