Platerus golden practice of physick: fully and plainly discovering, I. All the kinds. II. The several causes of every disease. III. Their most proper cures, in respect to the kinds, and several causes, from whence they come. After a new, easie, and plain method; of knowing, foretelling, preventing, and curing, all diseases incident to the body of man. Full of proper observations and remedies: both of ancient and modern physitians. In three books, and five tomes, or parts. Being the fruits of one and thirty years travel: and fifty years practice of physick. By Felix Plater, chief physitian and professor in ordinary at Basil. Abdiah Cole, doctor of physick, and the liberal arts. Nich. Culpeper, gent. student in physick, and astrology.

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Title
Platerus golden practice of physick: fully and plainly discovering, I. All the kinds. II. The several causes of every disease. III. Their most proper cures, in respect to the kinds, and several causes, from whence they come. After a new, easie, and plain method; of knowing, foretelling, preventing, and curing, all diseases incident to the body of man. Full of proper observations and remedies: both of ancient and modern physitians. In three books, and five tomes, or parts. Being the fruits of one and thirty years travel: and fifty years practice of physick. By Felix Plater, chief physitian and professor in ordinary at Basil. Abdiah Cole, doctor of physick, and the liberal arts. Nich. Culpeper, gent. student in physick, and astrology.
Author
Platter, Felix, 1536-1614.
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London :: printed by Peter Cole, printer and book-seller, at the sign of the Printing-press in Cornhill, near the Royal Exchange,
1664.
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Medicine
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http://name.umdl.umich.edu/A90749.0001.001
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"Platerus golden practice of physick: fully and plainly discovering, I. All the kinds. II. The several causes of every disease. III. Their most proper cures, in respect to the kinds, and several causes, from whence they come. After a new, easie, and plain method; of knowing, foretelling, preventing, and curing, all diseases incident to the body of man. Full of proper observations and remedies: both of ancient and modern physitians. In three books, and five tomes, or parts. Being the fruits of one and thirty years travel: and fifty years practice of physick. By Felix Plater, chief physitian and professor in ordinary at Basil. Abdiah Cole, doctor of physick, and the liberal arts. Nich. Culpeper, gent. student in physick, and astrology." In the digital collection Early English Books Online 2. https://name.umdl.umich.edu/A90749.0001.001. University of Michigan Library Digital Collections. Accessed June 1, 2024.

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The Causes.

The Causes of all pains in the superficies of the Body. (as tickling, itching pains of cold or heat, compressions, roughness, contusion, all without an appearent Character also of redness or Erysipelum, Tumors, Inflammations, Impostumes, Cancers, Pustles, Scabs, Clefts, Corrosions, Wounds and Ulcers, in which there are signs, which are the disease it self) are cold, or hot, or dry distemper of blood, or other Humor gathered in those parts, or Solu∣tion of continuity.

When the parts are not used to be touched, as the soals of the Feet, sides, * 1.1 Arm-holes and Privities, they are sub∣ject to ticklishness, or when any thing toucheth the Face gently, or creepeth, there is tickling, or titillation.

A cold distemper, * 1.2 causeth the cold pain in the superficies of the Body, from Air, Wind, or Water, or Snow, or Ice, and not solution of continuity, by freesing that presseth forth, the thin moisture. This pain is greater, when the part is Nervous, or not used to cold, or Air. There∣fore the Face, because it is not covered, though it be very sensible, yet it is not so sensible of cold as other parts, that are usualy covered. Also cold is very grievous to Ulcers or wounds that have the skin off. And this pain is greatest, when there is a sudden change from very hot to very cold. If this happen to the Hands as it is usual, there is that great pain in the the Fingers ends, called in high Dutch Kuneglen.

A hot distemper causeth a hot pain, from the Air, * 1.3 made hot by the Sun or o∣therwise, or from water, or the like, when there is burning in the body and not In∣flammation. Also this hot pain may come from too ma∣ny cloths, which disturb and cause sweat. Also the body is inflamed with excercise. And there may be preterna∣tural heat in the Hands and Feet, from internal causes, which some attribute to the heat of the Liver. Also in hot diseases, especially Feavers, there is a perplexing heat internal and external.

Dryness of the skin causeth that roughness, which offendeth the touch, * 1.4 in tender people especially. This roughness may also come from external

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Air that is dry, or from the touching of dry and astrin∣gent things. When the skin is made hard by labor, it rather diminisheth the sense of touching, * 1.5 then depraveth it. Somtimes the skin is extraordinarily cleft; as in the Hands, Feet, Lips, Fundament, &c. This dryness may come from the causes mentioned, or from cold or heat, as in Feavers we find the skin cleft and the Lips, from the heat of breath. And there may be clefts in the Hands and Feet, from cold Air and water. And in extraordinary cold that is long, when it beats upon a part where the skin is thick, there may be great clefts, which turn to Ulcers, they are called Perni∣ones. As in the soals of the Feet and Palms of the Hands and in the Ears and Nostrils, because they want flesh to defend them. This the cold doth by astringing, drying and wrinkling the Skin. And if it extinguish the heat, it is most dangerous.

Blood flowing to any superficial parts, as to the Skin, Flesh and Glandules, causeth divers diseases; When it doth not only moisten the parts, which is natural for nou∣rishment, but fil and inflame them. And if blood flow to the skin, except the scarf skin which admits no blood, it causeth Erysipelas, in which there is redness from the blood, shining through the scarse ski: * 1.6 and before it is sixed or swol∣len, the part being pressed the red∣ness flies away and returnes again, as we see in other parts, it comes to pass from the blood coming and go∣ing in the Cheeks. But if the blood be hot, the burning is the worst pain, and it is as the blood is. For if it be thin and hot, there is a simple Erysipelas which comes and goes sooner. If it be thick, there is a great Erysipelas Phleg∣mon, if waterish, there is Erysipelas oedematous: this is gentler but longer. If the blood be Cholerick, the Ery∣sipelas turns yellow, and burns more, and eats off the scarf skin. If the choller be green or black it is seen by the color and ends in perverse Ulcers, or malignant if it be infectious.

If the blood be gathered in the flesh and skin, * 1.7 it causeth swelling and Inflammation with redness and pain from distention and heat, and when the blood is discussed the Tu∣mor is gone. If it suppurate or grow ripe, * 1.8 it is an Impostume, which breaking makes an Ulcer, and the matter is more, when the blood is much and the substance of the part corrupted. And if the Inflammation increase and the humor be per∣verse, and corruption follow, espe∣cially a wound in the Nerves, * 1.9 that pernicious Ulcer, called in high Dutch Slidwasser, which gleets with Water is begotten, and the Nerves being corrupted, there is less of motion. But if the Inflammation increase and there comes no suppuration, but corruption of the natural heat be extinct, a Spha∣tel.

If blood flow upon the flesh rather then the skin, as up∣on the Muscles outward in the belly, breast, neck or back there are Inflammations, but not red or manifestly swol∣len, as in other, as in the Pleurisie and Quinsies. If the blood flow to divers places there will be pustles, as I shewed. And if it be in the pores, there will be many little scabs.

These Inflammations are divers in respect of the blood, if it be pure, the Inflammation is simple. If thin and not only gathered, but dispersed partly upon the skin, it caus∣eth a Phlegmon with Erysipelas, if thick the Inflammation will be blewer called a Scirrhus, which rather follows, then accompanyeth an Inflammation. If the blood be waterish, the Phlegmon wil be Aedematous, in which the Serum sent further into the skin, makes an Aedematous tu∣mor about: as we see blood doth, when sprinkled upon linnen. If other humors, as choller, yellow, green or black, or sharp and malignant, be in the blood, the In∣flammation is worse, and the heat of the blood, when the Inflammation lyeth deep, will make the rotten flesh part from the sound, in a Coate which will be in the tumor, when opened, as in furunculus,

If Blood flow upon other parts di∣stinct from the flesh and skin, * 1.10 and ga∣thereth together, it causeth a hot tu∣mor and inflammation: as when it fals upon the kernels or glandules in the Emunctuaries. This is usual be∣cause nature sooner dischargeth her self in ignoble parts, especially being spungy and placed by the divisions of the great veins. Hence comes the pain and hot tumor in Bubo and Parotis behind the Ear, and Inflammation and sup∣puration in Phygethlon or Panus: as we shewed. These differ as the blood is pure or impure, thin or thick, crude, simple, or mixed, with other crude humor or waterish, from whence come Phyma, or with pernitious and in∣fectious humors, from whence comes the Pestilent and Pocky Bubo.

If Blood flow into other parts, * 1.11 as in∣to the breasts or stones, into which it easily floweth, by reason of the plenty of Veins, or into the spungy parts, as the Privities, Fundament and Mouth, or into parts that have gristles, as the Nose and Ears, or into the joynts: it causeth hot tumors and Inflammations in them, which differ as the blood is pure or impure, and as the parts are more tender, nervous and sensible.

The efficient cause of blood thus flowing into the su∣perficial parts, is the expulsive faculty, when it is troub∣led with it, either offending in quantity or quality. The helping cause, is the disposition of the blood being apt to flow, and the readiness of the parts to receive it. These causes whether one or more come from these follo∣wing.

As Plethory or abundance of blood, which is burthen∣some to nature, and therefore sent by her, both to inward and to outward parts. Sometimes it flows of it self and somtimes from some light cause. Therefore young peo∣ple that grow, have swollen or waxing kernels, from a∣bundance of blood; and by handling, they break into Bu∣boes. Or when the blood is too hot or thin, it is apt to flow, and being much it stirs up the expulsive faculty to send it forth, and then it causeth Erysipelas or divers In∣flammations, according to its nature. So in a Synoch Fe∣vers, Erysipelas, as comes from hot blood sent from the Veins into the skin.

Also another humor or quality offensive to nature, may provoke her to send out blood, while she expels the hu∣mor: and thence tumors may be. So when the cause of the disease is sent from the Veins with the blood in the Crisis of a Fever: there is a tumor in the declination of the disease. And when the Pestilent quality is sent to the Emunctuaries with the blood in a Pestilent Fever, there is a Bubo Pestilent: and when the poyson of the Pox is sent to the Groyn, there is a Venereal Bubo: as we shewed.

Pain causeth Tumors and Inflam∣mation, (not by attraction, * 1.12 as it is usually thought) but by stirring up nature to expel the cause, by which means the blood floweth: this is in the outward parts, when they are pressed, strook or buised, by which is pain. Or if pain come from any disease, and if the Inflammation be increased a new by the pain, if there be Impostume, Pustle, Wound, burn Ulcer or Inflammation therewith, or with any other dis∣ease

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causing this pain. Also Pustles inflamed from scrat∣ching come from pain which follows, though at the first it seems pleasant. Also it often comes to pass, that not on∣ly the part pained swelleth, but the adjacent parts if they be apt to receive Defluxions, as the Kernels in the Groins, Arm-pits, and behind the Ears, when there is any pain from the Causes or Diseases montioned. And a trouble∣som Scab in these parts, hath commonly a Bubo accompa∣nying it. And the pestilential Bubo comes as I shewed, not so much from the Plague, as from the burning and pain of the Carbuncle near it.

Also these Pains are longer and worse, when the blood easily and constantly flows thither, and the part is conti∣nually pained. As when there are swell'd Leggs in a Dropsie, if the skin be open, there is a constant Flux of water which by its corruption through long abiding in the Body, is pernicious and corroding; And also of blood being thin, which causeth the perverse and ulcerated Ery∣sipelas which so easily gangraenes.

When outward heat doth long or much afflict the skin, * 1.13 it doth not only make it thin, but inflames it, and the blood near to it, and makes it flow, causing Erysipe∣las or Inflammations, especially in tender and sanguine Constitutions, and such as are subject thereto. As when they sit too long by the sire and burn their Shins, or inflame them∣selves by long suning. As I did by riding in a hot day when I was young, my Boots were so hot that they made my Leggs burn, and look red two dayes after. This I have had often, and it came at first with red Spots, which tur∣ned first blew, after yellow, and then vanished. They may also come from hot water, and after bathing, as the pustles called in high Dutch Eyssen, when in the time of the Bodies being hot, they use cold water, which causeth a sudden re∣percussion, so that the Blood flies back suddenly and returns with pain. Also other moderate heat may cause Itch, and that scratching, and so pustles. Also Inflammation of particular parts may cause them, as of the Roots of the Nails. Then they are called Paronychiae, as when Maids by washing their Hands in foul hot water often, do cause their Nails to be crooked, and the Roots inflamed.

Also other excrementitious and pre∣ternatural Humors thrown to the skin, * 1.14 and there fixed cause pustles, as blood dispersed into divers parts, and these may grow greater, and turn into Ulcers, small or great, or corroding, or venemous, as the quality is.

Humors that have an occult quality that is malignant, produce a little swelling or pustle, according to their Ve∣nom.

A venemous Humor so infecteth the parts, * 1.15 that somtimes at first there is a little Tumor which only causeth a little pricking, but is most dangerous, in that it will not away; because while it is nourished with the other parts of the Body, it makes the Nourishment like unto it self, and converts it into Venom, and so increaseth by degrees, and grows broader and deeper, and at length becomes a Cancer, consisting of a fleshy substance full of Veins, with no In∣flammation or Tumor, but Blood in the Veins, which itcheth and pricketh, which shews its malignity by its constant increase, till there is an Ulcer, and then it goes no further but with its Claws that come from the Body it creeps on, we know the whole to be malignant, because if it be not taken out by the Root, it cannot be cured, and the least portion remaining will grow again.

It is a hard thing to know whence this Matter and Poy∣son first comes, or to describe the Nature of it but by the effect. But that it came by Touch and Infection, because the Elephantiasis whose Cause is the same with that of the Cancer, and therefore is called the gene∣ral Cancer comes from Contagion, but the Cancer is worst, because the Humors are all in one place. And as there are few that have Cancers, so are there sew Lepers, for the Venom lyeth lurking in the Veins, and comes to the part infected with the Blood, and when the Cancer in∣creaseth, it weakneth the Body by degrees. And this may be an argument, that there is a Contagion in the breeding of a Cancer, because I knew two Women that attended u∣pon two other that had Cancers a long time in their Breasts, that consumed them which were themselves infect∣ed with Cancers, and perished therby after long torment, the one being near of kin to her Mistriss. But we cannot yeeld that it comes from Melancholy, for these reasons: For if it comes from Natural Melancholy, which they say is the Dreggs of the Blood, there would some signs thereof appear, and such blood would be there gathered out of the Vessels, if there should be a Tumor or Inflam∣mation, which are not. And if it come from preternatu∣ral Melancholy, there would be at the first coming a bur∣ning, corroding, and blackness, as in the Carbuncle which is not so, but a Cancer is like Flesh, and not very painful.

A pestilent Pustle comes from poy∣son of another Nature, * 1.16 which we call a Carbuncle, with venemous force, and with little burning, but with itching and pricking, only as I said of a Can∣cer; somtimes with Inflammation round about, and a Bubo hard by, which corrupteth the part, and mollifieth till it falls out back from the sound.

This poyson comes from that pestilent Poyson that got into the Body, and caused a pestilent Feaver by its destru∣ctive quality and heat, as I shewed when it gets outward. And we shewed in pestilential Feavers, that I and others have been infected with pestilent Pustles taken outward∣ly.

Some Humors cause Scabs, Itch, and Carbuncles, * 1.17 by a manifest qua∣lity that corrodes and burns, and Pu∣stles with Ulcers; these are either preternatural, yellow, and green, and black Choler, or salt, sharp, or ma∣lignant, and go the Superficies of the Body, with the blood and serum, and cause pustles and in∣flammations, if they come with blood or pain; or they come without this Flux from the Veins by sweat, accord∣ing to the diversity of these Humors, are different Scabs, Itch, and Carbuncles, as we shall shew.

If in the common moist Scab, there be Itch and corro∣ding without great burning, the Humor is not so hot but salt, and gentle Choler, or tempered with water, is fallen from the Veins upon the skin, when there is no redness or Inflammation: But if there be, they shew it come with blood moved by scratching or pain, as also may appear by the suppuration that follows. When those things are as in the worst Scab, with yellow or green Matter, it comes from thicker and worse Choler, as the colour shews, as in Terminthis and Epinyctis, the pustles are very burning, with Inflammation and Suppuration following. Especially in a Carbuncle are the pustles very burning, which shews that they come from very hot Choler, and the Feaver shews they come from Blood, and their sudden appearing shews that they come from Defluxion. And we cannot gather that black Choler was the Cause, by their black∣ness, because others are black when they are dry. But from the great Heat that burns and corrupts the skin, and makes it black, and will not let them suppurate, we may conclude that either black Choler or green was the cause.

This ••••ews that the pustles in Herpes come not from a Flux of Humors, but from a Collection made there, be∣cause they come by degrees without Inflamation. And if the Herpes be called Miliaris, there is great Heat and Pu∣stles dry, and therefore the Choler was yellow, milder, and thinner, and went to the Superficies of the skin. If it be Herpes Esihiomenus the Choler is worse and green, and

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it is deeper in the Flesh. The malignity appears by its corroding and creeping on, and when it creepethno far∣ther, it causeth Impetigo.

In that kind of dry Scab which is called the Itch, be∣cause no moisture appears, we conclude that the Choler is pure, but thinner then in Herpes miliaris: Or that the Humor is salt and dryed, the skin shews which grows red by scratching. And the like Humor is in Impetigo, deeper and broader. This by continuance turns worse, and causeth Psora, which cometh from salt water that is infectious and corroding, as appears by the constant sweat, which vapo∣ring away, wet not but rather dry the skin. This Venom may come from a long continuing Scab, which infecteth the skin when it turneth the Nourishment into corrupt Humors; this is the worse sort of Scab called the Greek Leprosie or Arabian Leprosie, which cannot be cured by reason of the fault in assimulation or nourishment.

As for Phlyctaenae, it is plain that they come from wa∣ter carried under the scarse skin, which divides it from the true skin and maketh Blysters, because water comes forth when they break. If this water be pure, there is no pain while they are whole but when they break, and the true skin is hurt.

But if the water be salt as appears by itching, or mixed with Choler, as appears by the yellowness, when they o∣pen, the heat is greater; and if this Humor sweat forth long, they creep, and then it is called Herpes phlyctae∣nodes.

These salt, sharp, cholerick Humors which cause the Herpes and Carbuncles, come from Diet when it is apt to breed such or turn into Choler, as we shewed in Feavers. For if in the first or second Concoction they are not sepa∣rated from the Blood, but lye long in the Meseraicks, they grow worse, and either get into the hollow Vein, with the Blood and Serum, and o to the Superficies of the Body, or there they are heaped up. Therefore intemperate Li∣vers, and such as use bad Diet, and are Chacochymical, are subject to these. Also the same Excrements may be gathered from Distemper of the Bowels, or be derived from the Parents: And some think they come from the menstrual blood. And they go to the skin by Natures benefit, which expels them when they are bound, and by other Causes, as heat and motion. As we shewed speak∣ing of Tumors from Blood.

Solution of Continuity causeth divers kinds of pains in the Superficies of the Body, with Ulcers, as Excoriations, and Wounds, and Clefts, or without Ulcers; as the cause was internal or external.

The external Causes of Solution of Continuity, * 1.18 are Compression, Disten∣sion, or Contusion, with outward hurt, but inward separation of the smal Veins which causeth pain, which we call Distention or stretching, as from a stroak or weight or pulling the Hair: Hence comes the Rhagades or Clefts in the Fundament from hard Excrements.

When the skin is scratched off there is Intertrigo or Rawness, * 1.19 this comes after riding as galling, or long Diseases and lying, and from scratching with the Nails. And the moist Itch is when the skin is most scrat∣ching, and Humors that are salt or cholerick come forth, and it is worse when there are little Tumors from rubbing and they break. Intertrigo or Pustles of the Privities come so, from cholerick sweat which putrefieth in these parts easily, and causeth itching.

Cuts, Pricks, Stroaks, cause Wounds, all these when they suppurate are ulcers. * 1.20 These are with a sharp or blunt Tool. If the Instrument be infected with poyson, the Wounds will be venemous, or rusty, or if the weapon be toucht with Garlick, or a bullet dipt in grease, or if a sword or tool be otherwise poysoned, the wound will be venemous.

Taking off the skin by Medicines or the like, ulcerateth and inflameth, * 1.21 and also sharp Urin doth the same in Childrens Hips.

Burning separates the scarse skin from the true skin, * 1.22 and causeth a bladder or blyster, which breaketh and leaves the skin bare; when it is deeper it causeth an Ulcer or Eschar. This may be from heat of the Sun, which blysters the naked Body, or from hot or sclading Oyl and Water which takes off the skin, inflames and brings perverse Ulcers; or from Fire which makes Blysters and Ulcers; or from burning Me∣dicines, Vesicatories and Cauteries, among which some mortifie, and cause an Eschar without pain. Also a Net∣tle sends in fire with its prickles, which causeth first Heat, then Blysters.

Biting of beasts causeth uneven and deep wounds, * 1.23 which suppurate and turn to ulcers; and these are worse when the spittle is venemous, as in some beasts. And it is known that the biting of a man hath caused dangerous wounds by his spittle, especially when he hath been fasting and angry, because the spittle is most cholerick, as appears by the same. I knew a Fisher-mans Wife that was bitten by her angry Husband in her right hand, and dyed of a venemous Ulcer caused thereby with a Feaver. And I knew two more that lay long sick, and were with great difficulty recovered of Feavers, by bites given by their fellow-drunkards in their fingers. There is from biting of a mad Dog or other Beast, not only a ve∣nemous wound, but other horrid symptoms: As we shewed in Hydrophos. Also if the bite be very small, if the Ve∣nom of the spittle get in, as of a Weezle or Mouse, there may be a perverse wound, or of a Viper or Serpent, or the like, the whole Body is poysoned.

When beasts by their stings or other∣wise make wounds, * 1.24 though solution of Continuity scarse appear, yet because there is a burning or evil quality sent in∣to the part, there is a great pain, inflam∣mation, and tumor; as we see in stinging of Bees or Waspes, when they leave their horny stinges in the wounds: If they come from worse Creatures, as from the crooked stinge of a Scorpion, then the poyson infects the whole Body. And as Nicander and Dioscorides shew the same may be from divers other venemous beasts, whereby the Body being only prickt in one part, may suffer in di∣vers. These we shall not speak of, because they are not troublesom in our Countrys: As also we shal not speak of the Harms, stinging of Flies, Gnats, and Fleas, which are only itching, with a red spot.

The internal Causes of these Solutions of Continuity, * 1.25 are Humors which while they cause tumors and pustles, do also cor∣rode and ulcerate: Or those Tumors ul∣cerate, and cause it as we shewed. Name∣ly how matter bred of Inflammations sup∣purated, produceth Imposthumes and then Ulcers, which with other Humors coming to them, grow worse, as by blood inflamed, or by other malignant Humors, malignant. And also how from this pernicious Matter breeding a Cancer, it may be ulcera∣ted, and how a hollow Ulcer may follow the burnt and corrupt Flesh, that falls out of the pestilential Carbuncle. And how from cholerick Serum and sharp Humors that produce Carbuncles, Herpes, and Scabs of all sorts, there may arise malignant Ulcers, as in Carbuncle, and corroding as in Herpes, and foul with Matter as in the moist Scab, and dry with Clefts, as in the dry Scab: And also how the skin comes off from the Serum that causeth Phlyctenae.

Also without Pustles or Tumors go∣ing before, * 1.26 the skin may be cleft by a sharp, salt, drying Humor, when the part is tender or spungie as the Lips,

Page 417

Fundament and Privites. Hence come the Rhagades or clefts, which by reason of the exquisite sense of those parts are very painful and burning.

When a thick Salt humor is gathered between the thick skin of the Head and the Skul, * 1.27 and there long kept till it pu∣trefie about the roots of the Hairs, and eates through the skin in divers places, there is a Tinea, Favus or scald Head. And the Humor is Malignant, because it is infectious in Children.

Corroding Phagadaenical Ulcers breed and are nourished with sharp and malig∣nant waterish Humors. * 1.28 Which are cheifly in the Legs, by falling down of the Hu∣mors. Also these Humors carried with the blood to some Vein near to an Ulcer and enlarging and washing the Ulcer; keep it from hea∣ling, as we shewed in a Varicous Ulcer. The Original of these Humors, is as of those that cause Herpes and Scabs.

When the Privities are infected by Malignant Humors, * 1.29 from unclean Co∣pulation, there are Ulcers, as in the Glans and Praepuce. And the Ulcers in the French Pox and Leprosie are a∣like. But the nature of these humors are known only by the effect, being infectious.

Notes

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