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.
Publication
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 14, 2024.

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The Kinds.

AFeaver called Puretos is a Disease in which the whol body is inflamed with a preternatural heat which continueth, it begins with cold and shivering, and brings forth divers molestations and symptomes. There are two chief kinds of Feavers that differ, in that they are either constant, or cease and return again. Those are called Continual, these Inter∣mitting. * 1.1 Continual Feavers are those whose hear from the first to the last never wholly ceaseth, of these there are divers kinds, the first sort we distinguish in respect of heat in∣to sharp, and gentle or lingring, we call them sharp or acute, in which the Patient manifestly perceiveth heat and thereby molestation. These are two-fold, Pure, whose pure heat only heats the hand that toucheth it, and Impure when the heat doth not only heat but prick the hand. We call them gentle, when the Patient feels little or no heat, and not constantly though the Feaver be constant, of these there are two sorts, Hectick so cal∣led because the body hath gotten a habit of them, and simply gentle or lingring when there is no habit. If any of these have a Venom they are called Malignant, these are threefold from divers causes, Putrid malignant, or Pestilential, or Venemous, but to divide them accor∣ding to their apparent accidents (for better under∣standing) some are called Solitary which have only the accidents of Feavers, others accompanied or which have the accidents of other Diseases with them.

Continual solitary Feavers are such as are not ac∣companied with other accidents of other Diseases, but with such as belong to Feavers, and these accidents come from sharp lingering, or malignant heat, either single or together from hence some Feavers are called simple, others compound.

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Simple continual and solitary Fea∣vers, * 1.2 are when one sort of Feaver only possesseth the body: These are shorter or longer, or more constant and lasting, if they have their Courses,

The shorter reach not to the seventh day, or to the weeks end: such are some acute and Malignant.

This is that sort of pure Feavers, of which we did speak, * 1.3 and is cal∣led continual, not Puttid Feavers, and Diaria, because it continueth but few daies. This comes of ex∣ternal causes and continueth som∣times but one day, * 1.4 and lasteth scarce twenty four houres, and then is cal∣led Ephemera: somtimes it lasteth two, three, or four daies: And then it is called a Diary Feaver of many daies, or Synochus pure, or simple. These end not suddenly with a Crisis, but by degrees by hidden transpiration, or moisture, or by manifest sweat: or they turn into impure Synochus after three or four daies, and that lasteth longer: or into an Hectick which is longest, and we shall shew by signs, into which they will turn.

The accidents or Symptoms of Diary Feavers are these, somtimes they begin with a little shivering, espe∣cially if they be any thing impure, somtimes without shivering, from an external heat.

A feaverish heat following a shivering, or without, is never encreased with fits, from the beginning to the end, but either is in an equal degree, as in Ephemera, Synochus, Acmastick or Uniforme, or Seems, to be increased in that, which is called Epacmastick that encreaseth, or Paracmastick that decreaseth. The heat varieth in them for it is milder, as the Feaver is shorter, as in an Ephe∣mera, this is called gentle, because the Skin feeleth moist; or stronger, as it is longer, as in Synochus called sanguin, somtimes with sharpness, when it is cholerick and begins to grow putride.

The other accidents which are worse, or better, as the heat and constitution of the body is, are paine and beating of the Head, thirst more or less, and bitter rast; in cholerick persons unquietness, weariness, watching, or deep sleep, short breathing, quick pulse, strong and great, yet not uneven, a red face, swolen, great Veins, a soft Skin, and dry, in chollerick persons; Urin not much altered, when the Feavers are short, if long; red sweat not ill sented, or troublesom.

A Malignant short conrinual Feaver, is somtimes Pestilential, * 1.5 and is not un∣like the formentioned acute Synochus, so that it is scarce to be distinguished from it, but by the generality of it in time of infection, and by the sudden taking away of strength. And if it have a botch, as is usual, it is not distinguished, hence it is that many infe∣cted with the Plague, suppose they have only a Synochus for a Pestilent Feaver, comes also from external causes, but they are occult: and suddenly and secretly smite the body, as in a moment, and endeth in a few daies, as a Synochus doth, except death or a Crisis ap∣pear.

As for the accidents of this Feaver. It begins com∣monly with a little horror or chilness, and after follow∣eth heat; which is somtime so gentle that the patient complains little thereof, And the Urin is little, or no∣thing different from a sound. Yet the Pulse argues weakness. But somtimes there is vehement heat and sharp, as in a Synochus, and then the accidents are alike, as pain of the Head, doting, watching, and thirst, and sudden loss of strength. And also sweats, which in Pestilential Feavers come at the first, and return in again, and yet do not put a period to the Dis∣ease.

The long continual solitary Feavers, are a week or two, or more a coming, such are some acute and Ma∣lignant.

An Acute long continual solitary Feaver, * 1.6 is one of those called im∣pure, and is called also a continual putride Feaver, or a weeks Feaver, distinguished from the Diary, or daies Feaver. Which beginning of it self, or from a pure Synochus turning impure (which is thus known, when the pure endeth not in the fourth day at farthest, and the heat increaseth especially if there be a new chilness, as is usual;) when after the beginning it stayeth a little in the increase, and so comes to the state, or heighth; the Patient is freed from it suddenly, by a Crisis and it declineth, except death prevent. And if the Crisis be imperfect, which comes again, it either kils, or cures: Somtimes, but seldom, this Feaver, especially that sort which is called burning if it fix, seems to degenerate into a new sort, which suddenly consumes the body: And this is called a burning and melting Feaver, which some say is a sort of Hectick; And somtimes it turns into a true Hectick, as a Diary Feaver doth,

There are more and more fierce accidents in these Feavers, then in Diaries, in so much that by reason of the violence of some accidents, the Feaver somtimes gets a new name, as if it were of another sort. And these molest the Patient, with horror, or amasment, heat, thirst, dryness of Tongue, Head-ach, which hurt the functions, disturbe the mind and weaken the strength, there are other accidents observable by the consumption of the Body, and the Excrements.

Thus; At the first coming there is horror and shive∣ring, especially when they come of themselves and not by being changed from others; and then there is little or no shivering; this presently ceasing, ever after there is no trembling, except somtimes when a Crisis is at hand; neither will it return although there be fits, or Paroxysmes: And if it should return it comes not from this continual Feaver, but from an intermitting joyned with it, as I shall shew in Compound Feavers. But from this chilness, or horror, the outward and inward parts also are cold, and somtimes only the inward, and somtimes only the outward, when the heat is great within.

The heat which follows this horror, or chilness, ac∣cording to the four times of these Feavers, hath di∣vers changes: for at first it is vehe∣ment and sharp, * 1.7 and from that to the state or highth it increaseth. In which time somtimes are Paroxysmes or fits, and then they are called Synochae con∣tinuated distinguished from putride Synochus. In which if the fits, or Pa∣roxysms come often in a day, so that the feaver is twice or thrice cooled, then it is called in∣ordinate and continual, especially if the day after it come but once or not at all. But if the Paroxysme come the next day and keep the same order after, which is rare, then it is called a continual Quotidian. The third day is usually the fit day in these feavers and then it is called a continual Tertian. The Quartan conti∣nual, is seldom seen, because the fits are seldom put off so long. * 1.8 Somtimes these fea∣vers have no distinct Paroxysms and then it is called Synochus pu∣trid,

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which is called also Epacmastick, Paracmastick or Homotonos, or Equal, as it increaseth or is diminish∣ed. But if there be a great burning in a continual pu∣trid Feaver which continueth, as one fit it is called Causos or a bur∣ning Feaver; * 1.9 in which the in∣wards burn and the outward parts are cold, it is called Lei∣yria. But when these come to their height if there come a good Crises to abate the heat, they decline, and this is by Sweat, Pissing, or the like Evacuation: But if the Cri∣ses be for the worst, Death follows. And if the Crises be not absolute, and the heat abate not, then by a new Crises we judge of Life or Death.

Thirst is very troublesom in these Feavers, where∣fore they desire moist, cold, and sharp drinks. There is total loss of Appetite, and Loathing of Sweet, Fat, and nourishing things. And somtimes of sour meats which in drink is pleasing.

Somtimes in burning Feavers there is driness, black∣ness and Inflammation of the Tongue, by which means the disease is called by the Germans Breune or Braunchrot, that is an Inflammation with blackness, especially if there be malignity and the Feaver is com∣mon with this symptom. Also there is sooner or later in the declining Inflammation chopping or exulcerati∣on of the Lips.

At the beginning there is great Head-ach, except they be sensless and perceive it not, for which cause in Germany it is called the Head-ach or Hauptwe with beating of the Temples and redness of Face. There is also Heart-ach. And a beating pain of the Bones, Loyns, Back, and Joynts.

Doting, after somtimes, comes upon them, more or less, and Madness; for which the Germans call them Daubhaptwe or mad Head-ach, especially when it is malignant and vulgar. Sometimes a Convulsion fol∣lows these Feavers, but watching is the most con∣stant.

Somtimes by reason of the Fea∣vers constancy the strength faileth, * 1.10 and in the Fit day there is swooning and then it is called a Swooning Feaver, and then the pulse is great or small according to the strength.

At length the body pines by a long Feaver and a melting heat, * 1.11 especially in the declining there∣of, by much Sweat and Pissing: Somtimes a sudden consuming of the body follows these Feavers, especially a Causon or burning Feaver, as we shewed in a melting Feaver.

As for the Excrements, some vomit very much, o∣thers have the Hickets, and sometimes a flux thereup∣on. There is often much Urin made after a Crisis in the declining of the Disease. Sweat breaks forth somtimes and follows the Crises: Otherwhiles bleed∣ing at the Nose, or by termes, is critical or judicial, sometimes it is not. The Stools and Urin are very much changed, and divers in substance and colour: The Sweat is somtimes ill scented, sometimes of none. All which changes and what they presage we shal speak of before the Cure.

A longer malignant and Con∣tinual Feaver, * 1.12 is often among Pu∣trid malignant Feavers not much differring from the former, which is acute and putrid, only it is more vulgar like the Plague, among people of age, and especially men. It comes secretly upon some, and suddenly destroies them. This is prolonged some weeks as the putrid, and is ended by a Crises, and some evacuations as the others, but not so certainly.

There are also the same accidents which are in a pu∣trid Feaver; but greater and more dangerous. Yet the heat is more disorderly and unequal.

The pain of the Head and doting is the most mani∣fest, first and chiefest symptom.

Also Inflammation of the Jaws and Tongue.

Also there is a sort of malignant feaver which came first out of England into all Europe, * 1.13 which de∣clared it self by a continual Sweat, and destroied many. This was called The English Sweat.

Also a dayly constant Feaver alone, * 1.14 which continueth not on∣ly some weeks but months is a sort of Hectick. This comes from a change, when another feaver ends in a Hectick, as a Diary, if it turn not into a Putrid, ends in a He∣ctick after three or four daies, or a putrid Feaver of long continuance, or very burning, as also intermit∣ting Feavers if long and vehement. These end in He∣cties, and kill a man at a distance.

As for the accidents, the Patient feels no great heat, and thinks he is not feaverish, except an hour or two after meat; and that the Arteries are hotter, and more stretched out and hard, and swifter in motion, as in o∣ther Feavers.

Extenuation follows this Feaver, or it is increased af∣ter it was begun in the putrid that went before it, so that at length the whol body is pined away; for which cause (as the Consumption is in the beginning, in∣crease, or State) there are three sorts of Hecticks, not accounted so from the heat but Consumption, they are called, Beginning, Increased, or confirmed He∣cticks. In the last there is nothing left but skin and bone, and it is called Marasmodes. Also when Fat is voided by Urin, * 1.15 or like Bran, or Orobus, the Feaver is named from thence, but we shewed that they could not be but from distemper of the Reins and Bladder.

By reason of long continuance, there must needs be great weakness; so that the Pulse though quick, is smal and weak.

Compound Feavers are when di∣vers sorts meet in the body, * 1.16 at the same time, which happen divers waies either by mixture of continual with continual or inter∣mitting Feavers.

Divers sorts of constant Fea∣vers aforesaid mixed together do afflict the body, * 1.17 as when a putrid is joyned with an Hectick of its own producing.

In this the vehement heat doth so hide the gentle, that the putrid is thought the chief, only the Hectick is discovered by the Consumption especially when the putrid declineth. And this Hectick sooner dis∣patcheth the Patient. And it is distinguished from a melting Feaver that comes after a burning, because in that the Feaver is most ardent and sooner killeth.

Also all other continual Feavers may be joyned with an Hectick which went before, and wil sooner destroy the Patient, as other diseases coming after an Hectick. This mixture is known by the new heat of what sort it is, and by its signs.

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Continual Feavers are often mixt with intermitting, * 1.18 and make also continual Feavers called persevering, and these are discerned easily, by a new chilness coming at the time of the fit of the intermitting Feaver. All continual Fea∣vers may be joyned with an intermitting, and seem to be one when joyned with continual acute, called Pu∣trid. And because an intermitting tertian is usually joyned with a quotidian, it is called a semi-tertian, and it is greater when joyn'd with a continual quartan, al∣so a continual and intermitting Quartane may be joyn∣ed together.

If the continual Feaver be first, it begins with asto∣nishment and horror or trembling, if the intermitting be first, with chilness; and there are two fits in a day, one is from chilness of the intermitting, the other is an increase of the continual without horror: And the se∣cond day they make but one fit, and keep that order til they both go together or follow each other. Only an intermitting Quartan joyned with a continual, hath two fits the fourth day.

Every Feaver hath symptomes according to its kind, especially because cold falls in with the heat of a con∣tinual Feaver which hath inflamed the body, and then in the fit of the Tertian the Patient feels both heat and cold, * 1.19 this is called Epiala. Now the the heat in these compounded is grea∣ter than in simple Feavers, because the heat of the Tertian is every other day joyned with the heat of the continual: Hence the symptomes of heat are ve∣hement and alter the body and the ex∣crements, * 1.20 and weaken, and cause swooning at their meeting. And Ron∣doletius made a swooning Feaver one with a semi∣tertian.

Also an intermitting Feaver may be joyned with a Hectick which it caused, * 1.21 this is known by great lean∣ness, and in the day of rest the ling∣ring Feaver wil be present which is known by the pulse and other signs. And so also you may know when a Hectick comes af∣ter an intermitting Feaver.

They are called continual accom∣panid Feavers, * 1.22 when there is another disease from them, or causing them, adjoyned. These have distinct symptoms that come from that Disease and change the the nature of the Feaver. Of this sort some are pure others impure, malignant, pestilential, venemous, and hectical; if these Feavers go before the disease they are called Primary, if they follow, secundary and sympto∣matical. And they differ in that the Diseases accom∣panying are apparent outwardly, as Inflammations or Tumors, as Carbuncles or Spots: Or are inward, as Pain, Cough, ill habit, and shew themselves by things voided.

* 1.23 Somtimes a day's Feaver called Ephemera or a Synochus follows an external Inslamma∣tion and hath its accidents.

But if Inflammations come from a poysonous sting or bite, and have a Feaver, it is called a venemous Feaver, this staies not above a day and hath grievous accidents, as Trembling, Convulsion, and the like.

A pure Synochus sends forth an Erysipelas, * 1.24 and this denomi∣nateth the Disease the Germans call it Carfunkel or Carbuncle, like a jewel or Hyacinth of a red yellowish color. This goes on as a simple Synochus, and is ended or changed in some few daies: And hath the like accidents, send∣ing also forth a Tumor, the same day or the second or third day, or inflammation in the Legs or Face, seldom in other parts; and the kernels thereabouts do swell. These remain somtimes after a Feaver, as we shall shew in Tumors.

An Ephemera or pure Synochus produceth a Carbuncle, * 1.25 as the o∣ther, an Erysipel as thus differing; it comes under the Ears, in the Arm-pits or the Groyns, with pain and redness. This Feaver is called by the Germans Carbuncle as also the Ephemera and Synochus.

Also a Pestilent Feaver sends forth one or more Carbuncles or Bubo's at the first, or not long after, in the Groyns, Arm-pits, and behind the Ears, with pain, these continuing and being inflamed turn Apostems and are grievous, and bring a new Synochus. Some∣times they lie hid, especially in fat men, and discover themselves only by pain and redness of the part.

We shal shew in the Causes how that great pains may be in both Groyns in a venemous Feaver.

Anthrax comes often forth in some Feavers, * 1.26 especially Pestilen∣tial; at first it is but like a Wheal, itching and burning, and after it is an hard Ulcer. From this we have often observed (which is a deadly sign) a long red line to the Bubo commonly accompanying it, or to the heart.

Somtimes a continual, putrid, or single, or malig∣nant Feaver goes before an Anthrax, not pestilential, and follows not except there be great burning.

Ecthymata or small Pox are thrust out by some continual Fea∣vers, * 1.27 and they are commonly pu∣trid malignant, few children e∣scape them, and many are infect∣ed in a place, aged people have them seldom. These Feavers are shorter somtimes in which the pulses sooner come forth, somtimes longer, and then they come forth slower. And the Feaver lasteth a week, and longer in people of years. They end without a Crises certain, but by degrees and with a stinking flux of the belly somtimes.

The accidents are the same with those of Synochus putrid, but milder in Children, greater in men; and worst when most malignant. They come forth the third or fourth day without a Crises or loss of the Fea∣ver, over most part of the body, til they turn to matter, and then depart, as shal be shewed.

There hath been a pestilent Feaver like small Pox which hath killed many Children and some men.

The Meazles come from the same Feavers, * 1.28 and as the other are pusles, so these are spots, red and broad over the body, and especi∣ally the Face and Breast: Some Children have them both but at divers times, the Feaver is alike in both.

In putrid malignant Feavers, red spots such as after flea-bites, or black, or blew, break forth in the height or state of the Feaver, these are signs of malignity and Death. Sometimes there is a broad spot under the breast, as I saw in a maid before her Death, in a malig∣nant Feaver. And in the yeer 1649. I saw a blew spot

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which turned black upon the Heart of an old woman, before her death, and her neighbour died of a Carbun∣cle in that place, where it appeared ten years before, when he had the Plague.

The like in a Pestilent feaver, shew the infection and death, and are called the tokens.

In venemous feavers, divers spots declare the Poy∣son.

Also a smal Ephemera, or pure Synochus may be with the Gout, Colick, Stone, bloody Flux, and breeding of teeth, and in hard travil, but this hath no great Symptoms.

A pure Synochus, which degenerateth at the end, may have other pain and accidents from internal Inflama∣tions, but if it follow them it is not long or vehement nor dangerous, but by reason of the Inflamation. If the feaver be first, and the Inflamation follow (which is somtimes very sudden and doubtful, which was first) if there be a cough of bloody and filthy matter in the Lungs, and a pain, as the Pleurisie; or heat and stret∣ching pain in the Liver or Spleen, with this feaver, it lasteth longer, then a single Synochus, and according to the Disease accompanying, it is longer, or shorter, or changed into a putrid feaver: As in the causes shall be shewed. The accidents of these feavers are less then ••••ose of a single Synochus, they seldom have the Head∣ach, although the Symptoms of the Disease accompa∣nying be great and dangerous. And they are not cal∣led by the name of a feaver. But if a doting in a true Phrensie, or Suffocation in a quinsie, which follow these feavers, as the Inflamation of the Tongue follow the Disease called in High-dutch Brenne come here up∣on, the companion of the feaver is as the former. Al∣beit other dangerous accidents (for which these are cal∣led very sharp Diseases) come from the Disease.

There is with a Cough and matte∣ry spitting and Consumption, * 1.29 at first a gentle feaver which turneth into a Hectick, this is not unlike a simple feaver, but kills at a distance. This heat being smal, breeds no great Symptoms, except at the night. The Puls is often swift and inequal, but not strong, when the feaver increaseth, by reason of the Patients weakness. The Urin is little changed.

There is somtimes a gentle Symp∣tomatical feaver joyned with Ca∣chexy or evil habit, * 1.30 which is either when the body is swolen and disco∣loured, as in Leuco-Phlegmatia, or grown less, as in Atrophy, the heat of this feaver is not sharp, but so gentle that the Patient feels it not: Like a Hectick, for which it is usually taken; It is com∣monly in new born Children, and when they are wea∣ned, and in Virgins before they have their Terms. It is known by sharp breathing, beating of the Heart, and Consumption of the body, which is seen by the stic∣king forth of the Sword-bone in the breast, and of the Ribs and Shoulders; it turns somtimes into a true Hectick, and is cured by taking away the Disease that caused it.

When the After-birth, a dead Child, * 1.31 or Worms, or congealed Blood is retained, there is a preter∣natural heat, and a Feaver known by the Puls and other signs that last not long, because the cause is not of long continuance, as shall be shewed. This is at first gentle and Symptomatical.

Intermitting Feavers, that go and come at certain times, * 1.32 are of one sort, and are called impure Acute, because there is an apparent molesting heat, which is pric∣king and impure: Yet in respect of the daies in which they come, they are divers.

These are solitary or alone, not accompanied with others, as continual feavers are; for though they pro∣duce another Disease, yet it is distinct from the feavers; Besides they follow not Diseases, for as we shall shew in the Causes, when a Disease causeth a feaver it must be continual; nor are they Symptomatical but Pri∣mary, and begin of themselves.

But intermitting feavers are single, as the continual are, in which not one alone, but two or three sorts come in divers fits: and therefore it is called a single, a double, or a triple intermitting feaver. Any of these joyned with a continual, is Compound, as the Semi∣tertian, or the like, wherein the Patient is alwaies in a feaver.

The Course, of this Acute impure intermitting fea∣vers, of what kind so ever, is the whol time of the o∣ther, somtimes for a week or longer, or for many months. In which time a feaver coming extraordi∣nary in the time of the sit: by which we know the time. This is properly called the worst time of the feaver, and the time of rest is called remission: both which are named from their circuite, which from the accession either returnes the same day, or the following, third, fourth, or fifth.

Those that return the third day are the most frequent, called Tertians, * 1.33 and somtimes they come at the same hour, often sooner: but later when they decline. The ac∣cession of these feavers, is somtimes at four hours, twelve, or fourteen hours distance, and there are so many sits, or more before it ceaseth. They are most in Summer, and young people: When they come in Autum, and in old men they last longer, and are dan∣gerous.

They which come the fourth day are called Quartanes and are usual, * 1.34 either sooner or later, the fits are as long, or longer then those of a Tertian, and the whol course, seldom lasting less then three or six months: Som∣times above a year, or two, These begin in Autum and scarse ever leave till the beginning of the next Spring, and are more frequent with people of a mid∣dle Age.

They which come the next day are called quotidians, * 1.35 and Amphimerinae. The acession is eight hours, and the in∣termission six, according to the ancients, but we know it not. These Quotidians are of the kind of Ter∣tians, or quartans, not a new sort, for if either seaze upon a body, and another feaver followeth, as is usual, either presently or a little after, of its own nature, or of another sort; Then there being divers, one cometh one day and another the other; so there are divers ac∣cessions or fits dayly, not equal nor at the same hour; till one is gone and the other returnes to its former or∣der, either the third, or fourth day: as in double Tertians, and triple quartans, * 1.36 but if it be a double quartan, the fit is two daies, and the intermission one: If a Tertian meet with a quartan, the fit is three daies together and the inter∣mission one day, if it return the same day, it is not a new sort; but when quotidians come sooner, one may come, when ano∣ther departeth. And if the later feaver, that it fal in with the former in the time of the fit, then the fit is lon∣ger: and may continue eight or ten hours, but it is two

Page 192

fits, of two Agues, the one begins with a new chilness at the end of the other.

Some return the fifth or sixth day, * 1.37 but they are but quartans, which staied longer away than usually.

There are divers accidents of intermitting feavers, which are troublesome, as cold, heat, thirst, Head-ach, and change of Excrements.

Intermitting feavers not only begin, but return with a cold fit first, as the continual do, with yawning, shi∣vering, and coldness of Hands, feet, Nose and Ears, first; then shaking: the Germans therefore call it Kalt∣wee or Frierer, from the cold. This is greater or less, * 1.38 according as the Ague is. Somtimes the body is very cold, and the chilness come sooner in a Tertian, slower in a quartan, the Body shaketh, the teeth gnash. Both begin somtimes with less cold, but then they last longer; somtimes the cold is felt inwardly and outwardly also; somtimes more within or without; And when every part feels cold with heat, it is called Epiala. But we suppose that this is, because intermitting feavers meet in the same day, and the cold of one begins, before the heat of the other is past. Or when intermitting feavers meet with continual, as we shewed Semitertians, for in the continual, there is alwaies heat, and when the intermitting comes, it begins with cold.

The heat which follows the cold and shaking, or mixeth with it, in most vehement Tertians, presently kindled, dispersed through the body, sharp, quickly at the highth, and quickly declining. In others it is gent∣ler, nor so general in the whol body, but like the bur∣ning of green wood, as in tertians that have lasted long. It is also vehement in quartans, but not equal over the body, but with mixture of cold, and as it were pain of the joynts and bones.

Thirst is the greatest Symptom in tertians and quartans; they call for drink, as for life. And som∣times in the cold fit, especially when the cold is out∣ward and the heat inward, they desire drink.

Somtimes there is Head-ach, at first, but it ceaseth before the end.

The change of Functions, is seen chiefly in these: They somtimes dote in the time of the fit, they are un∣ruly, and tost, when the heat is at the highth: And they cannot sleep somtimes: Somtimes they sleep too much, as in Children. They draw much breath: the Puls at the first is smal; afterwards quick and often, and great, and more or less uneven. There is weak∣ness, except the strength be renewed, in the time of in∣termission: There is in some a swoun∣ding from whence it is denominated. * 1.39 At the end of the cold fit there are of∣ten bitter Vomitings. Also after every fit there is plenty of vaporing and hot sweat, by which they decrease, and by which they are judged: Somtimes they void much Urin often, and have somtimes the Haemorrhoids, or Courses.

There is alteration of Excrements to be seen by the Urin, which is of a yellow or flame color and sub∣stance, and in Tertians ptesently, or in quartans at a little distance; they turn white and waterish at first. Al∣so a black Urin is not alwaies bad in a quartane, if the matter of the disease be thereby purged. The stools are cholerick and yellow somtimes black.

Notes

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