Nine books of physick and chirurgery written by that great and learned physitian, Dr Sennertus. The first five being his Institutions of the whole body of physick: the other four of fevers and agues: with their differences, signs, and cures.

Of the Fever Epiala.

THe Fever called the Epiala is referred to continued putred Fevers, * 1.1 which it self is indeed continued and quotidian,

yet differs from the other Quotidians in this, that the sick at the same time endure heat and cold, and the heat and cold to∣gether are dispersed through the smallest particles of the whole bo∣dy, as Galen teacheth de inaeq. intemperie. cap. 8. and 2. de diff. Febr. c. 6.

Galen in the place newly quoted, draws this Fever from acid and vitrious phlegm puttrefying; * 1.2 yet in his book of an unequal distemper, cap. 8. he addeth bitter choller, whence he infers that since heat and cold are perceived together in one place, it argues mixture of phlegm and choller; in another place he deter∣mines it to arise from vitreous phlegm, part whereof putrifying, exciteth heat, the other not putrifying causeth trembling and cold. Yet Platerus refers them to intermitting Fevers, and says that Epialaes are generated when intermitting Fevers hap∣pen together in one and the same day, and the cold of the one beginneth before the heat of the other be ended, or moreover when intermitting Fevers concur with continued, and the heat of the continued always remains, but the intermittent Fever coming, a trembling and cold fit is occasioned.

The cure of this Fever differs not much from the cure of other Fevers arising from phlegm, * 1.3 only that it requires stronger atte∣nuating and cutting medicines, because there is greater frigidi∣ty and crudity in this then in the rest; also though the humour it self seem to require stronger Purgers, yet the weak cannot bear them, and therefore evacuation by degrees is to be appoin∣ted.

Notes

• * 1.1

  The Fever Epiala.
• * 1.2

  Cause.
• * 1.3

  The Cure.