if a great bit be to be swallowed, somtimes the drink runs through the Nose; it proceeds from the same Causes, from which we said Tumors in general did arise. 'Tis often hard to cure, because it endangers Suffocation, but after the same manner as other tumors, viz. In the begin∣ning by replling means, in the Augment by ex∣ternal and internal resolvers, in the state by dis∣cusives; let vomits be avoided for fear of suffoca∣tion, unless when tis come to suppuration that the Tumor ought to be broke. 'Tis divided.
- I. Into a hot one, with which is Joynd a Fea∣ver, great thirst, pain, in the Cure of which bleeding takes place: and into a cold one, in which the pain is less, and in the Cure of which the repellers ought to be gentle, the resolvers and discussives stronger.
- II. Into that which possesses the upper part of the Gullet, and then meat cannot go down, and into that which infects the lower part, and then the Meat after it hath descended a little way stops there.
Article, II. Of the Straitness, wounds, and Ʋlcers of the Gullet.
I. The Straitness of the Gullet is when its Passage is Contracted: 'tis known by this, that liquids are easier swallowed than solid things. 'Tis divided according to its Causes, for one is from external Causes, as from astrin∣gent medicines, or some things swallowed; and then the business is known from the stan∣ders by, or the Patient himself: it must be cast up by vomiting or Coughing; or furthered by moistning and Emollient means applied out∣wardly and inwardly; or be thrust down with a Spunge Dipt in Oyl of sweet Almonds, or taken out with that excellent Instrument of Fabricius Hildanus. Another Cause is from a Tumor, Worms ascending out of the Stomach and Guts; from Scorbutical, and Hypochondriacal Vapors distending the Gul∣let, and compressing the rough Artery; from the Luxation of the Vertebrae of the Neck and back, which may be seen in their proper place. Another is from thick Flegm, kurdled milke, &c. Sticking in it, where Oxymel of squils and vomits takes place.
II. The Wounds of the Gullet in respect of their Causes are twofold, for either they are Caused by a weapon, and then the situation of the wound shows it, if vomiting happen, som∣what is cast forth through it, and tis hardly Cured: Or from some smal bones swallowed, and then tis easily manifest. Medicines that are grateful to the Stomach ought to be admi∣nistred.
III. An Ulcer of the Gullet is known by the pain, when some sharp, sour, or Salt thing is swallowed though in little quantity, by its biting, and by the casting up of matter. 'Tis hard to be Cured because the parts wil scarce grow together in a Membranous body. It hath its Differences from the Causes, for one is from external corroding things, as Aqua Fortis, mercury Sublimate; and then we must work with Lenient Vomits, and such as are clammy, as the Mucilage of quince Seeds, Fat broths; Another is from a wound, Tumors, im∣posthums, another from the casting up of sharp Humors, &c.