CHAP. XXIIII. Of venereall Buboes, or swellings in the Groines.
THe virulency of the Lues venerea is sometimes communicated to the Liver, which if it have a powerfull expulsive faculty, it expells it into the groines, as the proper emunctories thereof, whence pro∣ceed * 1.1 venereall Bubo's. The matter of these for the most part is a∣bundance of cold, tough, and viscous humours, as you may gather by the hardnesse and whitenesse of the tumour, the pravity of the paine, and contumacy of curing; which also is another reason, be∣sides these that wee formerly mentioned, why the virulency of this disease may bee thought commonly to fasten it selfe in a phlegmaticke humour. Yet sometimes ve∣nereall Bubo's proceed from a hot, acride and cholericke humour, associated with great pain and heat, and which therupon often degenerate into virulent & corroding ulcers. Some venereous Bubo's are such conjoyned accidents of the Lues venerea, * 1.2 that they foretell it; such are these which for a small while shew a manifest tumour, and suddenly without any manifest occasion hide themselves againe, and returne backe to the noble parts. Others are distinct from the Lues venerea though they have a similitude of essence and matter therewith, and which therefore may be hea∣led, the Lues venerea yet remaining uncured. Such are these which are usually seen, and which therefore compared with the former may be termed simple and not im∣plicit. For the cure, you must not use discussing medicins, lest resolving the more sub∣tle part, the grosser dregs become impact and concrete there; but much lesse must we use repercussives, for that the matter is virulent. Wherefore onely attractive and suppurating medicines are here to bee used, agreeable to the humour predominant and causing the tumour, as more hot things in aedematous and scirrhous tumours, than in those which resemble the nature of a phlegmon or erysipelas: the indication taken from the rarity and density of bodies insinuates the same variety. The apply∣ing of cupping glasses is very effectuall to draw it forth. But when as it is drawne * 1.3 forth, you shall forthwith apply an emplasticke medicine, and then you shall come to suppuratives. When the tumour is ripe it shall be opened with a potentiall caute∣ry, * 1.4 if it proceed from a cold cause; for by the inducing of heat the residue of the crude matter is more easily concocted, besides when as an ulcer of this kinde is opened, the matter will bee more easily evacuated, neither shall it bee fit to use any tent, but onely to apply pledgets. The residue of the cure shall bee performed by detergent medicines, and then if need require, the patient shall be let blood, and the humours evacuated by a purging medicine, but not before the perfect maturity thereof.