Part 30

I find your _Author_ to be as great an enemy to Issues, Cauteries, Clysters, and the like, as he is to Blood-letting and Purging; especially to Issues, which he counts to be blasphemous against the Creator, and blames much the Schools for prescribing them. But concerning Blood-letting and Purging, I have declared my opinion in my former Letters; and if you desire my judgment of Clysters and Issues, I must needs tell you, that it is well known these many ages, that in such diseases which lie in the guts, and cause pain in the head, and stop the ureteres, Clysters have been very beneficial, but wise Physicians do not prescribe them, unless upon necessity: As for example; if the disease in the Guts proceed from cold or wind, they prescribe a Sack-Clyster, with oyl of Walnuts; and if the disease in the guts proceed from a sharp or bitter humor, then they prescribe Milk, or Posset, sweetned with Sugar: the same if the guts be too full of excrements or slime. But in case of diseases in the head or stomack, they prescribe attractive Clysters, to wit, such as draw down from the upper into the lower parts, wherein the Physical drugs are; and if the guts be too dry, or dryer then their nature requires, they prescribe moistening Clysters, such as have not onely wetting, but slimy qualities. And surely Clysters properly and timely applyed, are a safe, speedy, easie and profitable medicine, and far more safe then Chymical Salts, Tartars, Spirits, or the like. Next concerning Issues and Cauteries, your _Author_, I say, is so much against them, as he counts them a blasphemy; for says he,[1] _I have beheld always an implicite blasphemy in a Cautery, whereby they openly accuse the Creator of insufficiency in framing the emunctories; for I have bidden above a thousand Issues to be filled up with flesh._ Also, _That which God hath made whole and entire, that it might be very good, seems to the Schools, that it should be better if it be kept wounded._ Truly, _Madam_, in my opinion, it is no blasphemy at all, neither directly nor indirectly, to make Issues, but a meer superstition to believe the contrary, _viz._ that they are blasphemy, and a great folly not to make them when need requires it to the preservation of ones health. _God has made our body whole and intire_, says your _Author_: by which he will prove that no holes must be made in the body to let out excrementious matter, and therefore he thinks that body to be whole and intire which is without an Issue, when as yet our bodies have numerous issues, which are the pores of the skin, to let out sweat; and therefore if he counts that body not to be whole and intire that has Issues, then no humane body is intire. Certainly, no Artificial Issue will make the body maimed, but it will nevertheless continue whole and intire although it has Issues. He says it is Blasphemy; But how will he prove it? Surely not by the Scripture; and if not by the Scripture, then it is a blasphemy according to his own brain and fancy. 'Tis true, God gave no express Command to make Issues; but according to your _Author_, God did never create Diseases, and so there was no need either to make such Issues in bodies as to let out distempered Matter, or to give any command for them; but we might as well say, we must not use any Physick, because it is not so natural to man as food, and serves not for the nourishment of the body, but onely to keep off, or drive out diseases: Also no stone must be cut, but man must rather indure torment and death. But setting aside this superstitious doctrine of your _Author_, it is evident enough, and needs no proof, that Cancers, Fistulas, Wenns, Eating-evils, Madness, Fevers, Consumptions, Rheumes, Pleurisies, and numerous other diseases, are not better cured then by Issues, or making of wounds, either by Lancets, Pen-knifes, Scissers, Rasors, Corrosives, Causticks, Leeches, or the like. And although your _Author_ says, That _that Matter which proceeds from, or out of an Issue, is made in the lips of the wound, and not in the body; for it cannot possibly drain or draw out any moisture, either from within or between the skin and the flesh, having no passages_: Yet if this were so, how come Fistulas, Cancers, and the like diseases, to have passages from within the body to the exterior parts, so, as to make a wound, out of which much sharp and salt humor issues? which humor certainly is not made in the lips of the wound, but in the body: Also whence comes the humor that makes the Gout? For though the swelling and inflammation will sometimes appear exteriously, yet after some time those tumors and humors retire back into the body from whence they did flow; but he might as well say that Pit-falls or Sluces do not drain Land from a superfluity of Water, as that Issues do not drain the body of superfluous humors. Wherefore I am absolutely of opinion, that the Practice of the Schools is the best and wisest Practice, as well in making Issues, letting blood, Purging by Siege or Vomits, as any other means used by them; for by Issues I have seen many cured, when no other medicines would do any good with them; and letting blood, I am confident, hath rescued more lives, then the Universal Medicine, could Chymists find it out, perchance would do. So also Clysters and Vomits, skilfully applied, have done great benefits to the life of men; for every part and member hath its peculiar way to be purged and cleansed; for example, Clysters principally cleanse the Guts, Purges the Stomack, Vomits the Chest, Sneezing the Head, Bleeding the Veins, and Issues drain the whole body of naughty humors: All which remedies, properly and timely used, keep the body from being choak'd with superfluities. There are several other ways of cures besides for several diseases, but I leave those to learned and skilful Physicians, who know best how and when to use them to the benefit and health of their Patients, although your _Author_ finds much fault with them, and blames them for suffering men to die miserably; but God has given power to Nature to make certain dissolutions, although uncertain diseases, and uncertain remedies. Neither hath she in her power to give Immortal Life to particular Creatures, for this belongs to God alone, and therefore no Universal Medicine will keep out death, or prolong life further then its thread is spun, which I doubt is but a Chymæra, and an impossible thing, by reason there are not onely so many different varieties in several diseases, but in one and the same disease, as no Universal remedy would do any good. But your _Author_ is much pleased with Paradoxes, and Paradoxes are not certain Truths: Wherefore it is better, in my judgment, to follow the old approved and practised way of the Schools, grounded upon Experience and Reason, then his Paradoxical Opinions. To which Schools, as your _Author_ is a great Enemy, so I am a great Friend, as well as,

Madam,

_Your Ladiships_

_humble Servant._

[1] Of Cauteries.

XXXVI.

_MADAM,_

I approve well of your _Authors_ opinion,[1] That _Drink ought not to be forbidden in Fevers_; but yet I would not allow so much as to drown and oppress the Patients life, but onely so much as to refresh and moisten him; and therefore the best way is to drink little and often. But as for Wine, which your _Author_ commends in Fevers, I am utterly against it, unless the Fever proceed from a cold or crude cause, otherwise cooling Ptisans are most beneficial to those that are sick of a continual Fever, which for the most part is a general Fever throughout the whole body, one part infecting the other, until they be all infected, like as in the Plague. And to let you know the proof of it; when I was once sick beyond the Seas, I sent for a Doctor of Physick who was an Irish-man: and hearing of some that knew him, and his practice, that he was not successful in his Cures, but that his Patients most commonly died, I asked him what he used to prescribe in such or such diseases? where amongst the rest, as I remember, he told me, That he allowed his Patients to drink Wine in a Fever. I thought he was in a great error, and told him my opinion, that though Wine might be profitable, perhaps, to some few, yet for the most part it was very hurtful and destructive, alledging another famous Physician in _France_, Dr. _Davison_, who used in continual Fevers, to prescribe onely cooling Ptisan, made of a little Barley, and a great quantity of Water, so thin as the Barley was hardly perceived, and a spoonfull of syrup of Limmon put into a quart of the said Ptisan; but in case of a Flux, he ordered some few seeds of Pomegranats to be put into it, and this cold Ptisan was to be the Patients onely drink: Besides, once in Twenty four hours he prescribed a couple of potched Eggs, with a little Verjuice, and to let the Patient blood, if he was dry and hot; I mean dry exteriously, as from sweat; and that either often or seldom, according as occasion was found: Also he prescribed two grains of Laudanum every night, but neither to give the Patient meat nor drink two hours before and after: Which advice and Practice of the mentioned Physician concerning Fevers, with several others, I declared to this Irish Doctor, and he observing this rule, cured many, and so recovered his lost esteem and repute. But your _Author_ being all for Wine, and against cooling drinks, or Julips, in hot Fevers, says, _That cooling means are more like to death, to cessation from motion, and to defect; but heat from moderate Wine is a mean like unto life._ To which I answer, first, That cold, or cooling things, are as active as hot or heating things; neither is death more cold then hot, nor life more hot then cold; for we see that Frost is as active and strong as burning heat; and Water, Air, and Earth, are as full of life, as Fire; and Vegetables, Minerals, and Elements, have life as well as Animals: But we, feeling a Man's flesh cold when he is dissolving from an Animal, think death is cold; and seeing he was hot before the same alteration, say, Life is hot: Also finding an animal, when it is dissolving, to be without external local Motion, we say it is dead; and when it hath as yet this local motion before its alteration, we call it alive; which certainly is not proper. Next I say, that a wise Man when his house is fired, will fling or squirt water upon it, to quench it, and take out all moveables lest they should increase the flame; likewise he will make vent for the flame to issue forth. But perchance your _Author_ may say, that Fevers are not hot. Truly, in my opinion, he might say as well that Fire is cold. Again, he may say, That although the effect be hot, yet the cause is cold. I answer: That in some diseases, the effects become so firmly rooted, and so powerfull, that they must be more look'd upon then the cause: for such variety there is in Nature, that oftentimes, that which was now an effect, turns to be a cause, and again a cause an effect: For example; A cold cause often produces a hot effect, and this hot effect becomes again a cause of a cold effect: Which variation is not onely a trouble, but a great obstruction to wise Physicians; for Nature hath more varieties in diseases, then Physicians have remedies, And as for drink, if Fevers be neither hot, nor dry, nor require drink for want of moisture; then I see no reason why drink should be urged, and those Physicians blamed that forbid it; for if thirst proceed from an evil digestion, drink will rather weaken the stomack; for heat and driness draw soon away the drink in the stomack, and putting much into a weak stomack doth rather hurt then good. But if necessity require it, then I approve rather of raw and crude Water, then of hot inflaming Wine. And so taking my leave, I rest,

Madam,

_Your faithful Friend_

_and humble Servant._

[1] Of Fevers, _Ch._ 12.

XXXVII.

_MADAM,_

In your _Authors_ Treatise of Fevers, I find one Chapter[1] whose Inscription is, _A Perfect Curing of all Fevers_, wherein he declares the secrets of the Cures of Fevers, consisting all in Chymical Medicines. But considering, that if all Fevers could be cured by such Medicines, then all Physicians would strive to obtain them; I can hardly believe (by your _Authors_ favour) that any such perfect curing of all Fevers can be effected, but that your _Authors_ prescriptions, if they should come to the tryal, might fail as well as any other. Likewise he mentions a Medicine of _Paracelsus_, Named _Diaceltesson_, or the _Coraline Secret_; which, he says, cures radically the Gout no less then Fevers: Which if so, I wonder why so many Great, Noble and Rich Persons, groan so much under the pains of the Gout; certainly it is not for want of cost to have them prepared, nor for want of an ingenious and experienced Chymist; for this age doth not want skilful workmen in that Art, nor worthy and wise Physicians, which if they knew such soveraign medicines, would soon apply them to their Patients; but I suppose that they finding their effects to be less then the cost and labour bestowed upon them, forbear to use them. Moreover, he mentions[2] another remedy for most diseases, by him call'd _Driff_, prepared also by the Art of Chymistry; but I believe all those remedies will not so often cure, as fail of cure, like as the Sympathetical Powder; for if there were such soveraign medicines that did never fail of a successful effect, certainly men being curious, inquisitive, and searching, would never leave till they had found them out. Also amongst Vegetables, the herb _Chameleon_ and _Arsmart_ are in great request with your _Author_; For, says he, _they by their touching alone, do presently take away cruel diseases, or at leastwise ease them._ Which if so, I wonder that there is not more use made of them, and they held in greater esteem then they are; Also that your _Author_ doth not declare the vertue of them, and the manner and way how, and in what diseases to use them, for the benefit of his neighbour, to which end, he says, all his labours and actions are directed? But again, your _Author_ confirms, as an Eye-witness, _That the bone of the arm of a Toad presently has taken away the Tooth-ach at the first co-touching._ Which remedy, if it was constant, few, in my opinion, would suffer such cruel pains, and cause their teeth to be drawn out, especially if sound. Likewise of the mineral _Electrum or Amber_ of _Paracelsus_, he affirms[3] to have seen, that _hung about the neck, it has freed those that were persecuted by unclean spirits_, and that many simples have done the like effects; but surely, _Madam_, I cannot be perswaded that the Devil should be put away so easily; for he being a Spirit, will not be chased by corporeal means, but by spiritual, which is Faith, and Prayer; and the cure of dispossessing the Devil belongs to Divines, and not to Natural Philosophers or Physicians. But though exterior remedies, as Amulets, Pomanders, and the like, may perform sometimes such effects as to cure or preserve from some diseases, yet they are not ordinary and constant, but meerly by chance. But there are more false remedies then true ones, and if one remedy chance to work successfully with one distempered person, it may fail of its success applyed to others in the same kind of distemper; nay, it may cure perhaps one and the same person of a distemper once, and in the return of the same disease effect little or nothing; witness those remedies that are applyed in Agues, Tooth-aches, and the like, especially Amulets; for one and the same disease in several persons, or in one and the same person at several times, may vary and change so often, and proceed from so different causes, and be of so different tempers, and have such different motions, as one and the same medicine can do no good: And what would the skill of Physicians be, if one remedy should cure all diseases? Why should they take so much pains in studying the various causes, motions, and tempers of diseases, if one medicine had a general power over all? Nay, for what use should God have created such a number of different simples, Vegetables, and Minerals, if one could do all the business? Lastly, your _Author_ rehearses[4] some strange examples of Child-bearing Women, who having seen terrible and cruel sights, as Executions of Malefactors, and dismembring of their bodies, have brought forth monstrous births, without heads, hands, arms, leggs, &c. according to the objects they had seen. I must confess, _Madam_, that all Creatures are not always formed perfect; for Nature works irregularly sometimes, wherefore a Child may be born defective in some member or other, or have double members instead of one, and so may other animal Creatures; but this is nevertheless natural, although irregular to us: but to have a Child born perfect in the womb, and the lost member to be taken off there, and so brought forth defective, as your _Author_ mentions, cannot enter my belief; neither can your _Author_ himself give any reason, but he makes onely a bare relation of it; for certainly, if it was true, that the member was chopt, rent or pluckt off from the whole body of the Child, it could not have been done without a violent shock or motion of the Mother, which I am confident would never have been able to endure it; for such a great alteration in her body, would of necessity, besides the death of the Child, have caused a total dissolution of her own animal parts, by altering the natural animal motions: But, as I said above, those births are caused by irregular motions, and are not frequent and ordinary; for if upon every strange sight, or cruel object, a Child-bearing-woman should produce such effects, Monsters would be more frequent then they are. In short, Nature loves variety, and this is the cause of all strange and unusual natural effects; and so leaving Nature to her will and pleasure, my onely delight and pleasure is to be,

Madam,

_[Your] faithful Friend, and humble Servant._

[1] _Ch._ 14.

[2] In the _Ch._ named _Butler_.

[3] Ch. Of the manner of entrance of things darted into the body.

[4] _Ch._ Of things injected into the body.

XXXVIII.

_MADAM,_

Your _Author_ reproving the Schools, that they forbid Salt to some diseased persons, as pernicious to their health: _Good God_, says he,[1] _how unsavoury are the Schools, and how unsavoury do they bid us to be!_ But I suppose the Schools do not absolutely forbid all diseased persons to abstein from salt, but onely not to use it excessively, or too frequently; for experience proves, that salt meats have not onely increased, but caused diseases, as the Stone, the Gout, Sciatica, Fistula's, Cancers, sore Eyes, sore Throats, and the like: I do not say, that those diseases are always bred with the excess of salt diets; for diseases of one and the same kind, may be bred variously; but this hath been observed, that whosoever is affected with such diseases, shall after a salt meal find himself in more pain then before; wherefore a constant or common salt diet cannot but be hurtful. Neither are those persons that feed much on salt meats, or use strong drinks, take number for number, so healthful or long-lived, as those that are temperate and abstaining. Next, your _Author_[2] bewails _The shameful simplicity of those, that give their Patients Leaf-Gold, Pearls, and bruised or powder'd pretious Stones, as Cordials, in fainting fits, and other distempers: For_, says he, _they may be dissolved, but not altered; wherefore they cannot produce any powerful effect to the health of the Patient._ Truly, _Madam_, I am not of his mind; for were it that those remedies or cordials could not be transchanged, yet their vertues may nevertheless be very beneficial to the sick: For example; a man that is assaulted by enemies, or by chance is fallen into a deep Pit, or is ready to be strangled, and in all not able to help himself, yet by the help of another man, may be rescued and freed from his danger, and from death, using such means as are able to release him, which either by drawing his Sword against his enemies, or by throwing a rope down into the Pit, and haling him out, or by cutting the rope by which he hung, may save him, and yet neither the man, nor any of his Instruments, as Sword, Rope, Knife, and the like, need to be transchanged. The like may be said of the aforementioned medicines or remedies; which if they be not transchangeable, yet they may nevertheless do such operations, as by their natural active qualities and proprieties to over-power the irregular motions in the natural parts of the body of the Patient; for many diseases proceed more from irregular motions then irregular parts: and although there is no motion without matter, yet one and the same matter may have divers and various changes of motions, and moving parts will either oppose or assist each other without transchanging. And truly, _Madam_, I wonder that your _Author_ doth condemn such Cordials made of Leaf-gold, Pearls, powdered precious Stones, or the like, and yet verily believe, that Amber, Saphires, Emeraulds, Beads, Bracelets, &c. outwardly applied or worn, can cure more then when inwardly taken; surely, if this be so, they cure more by Faith, then by Reason. But it seems your _Author_ regulates the actions of Nature to the artificial actions of his Furnace, which although sometimes they produce wonderful effects, yet not such as Nature doth; for if they cure one, they commonly kill ten; nay, the best of their Medicine is so dangerous, as it ought not to be applied but in desperate cases: Wherefore Wise Physicians must needs be Provident and Cautious when they use them. And so leaving them, I rest,

Madam,

_Your faithful Friend_

_and humble Servant._

[1] Of the disease of the Stone, _c._ 3.

[2] _Ch._ Of the reason or consideration of diet.

XXXIX.

_MADAM,_