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the diaphragm； diseases connected with collections of humors；… all
these diseases do not admit of resolution； if treated at first by
medicine； but venesection holds the first place in conducting the
treatment； then we may have recourse to a clyster； unless the
disease be great and strong； but if so； purging also may be necessary；
but bleeding and purging together require caution and moderation。
Those who attempt to resolve inflammatory diseases at the commencement
by the administration of purgative medicines； remove none of the
morbific humors which produce the inflammation and tension； for the
diseases while unconcocted could not yield； but they melt down those
parts which are healthy and resist the disease； so when the body is
debilitated the malady obtains the mastery； and when the disease has
the upper hand of the body； it does not admit of a cure。
4。 When a person suddenly loses his speech； in connection with
obstruction of the veins；… if this happen without warning or any other
strong cause； one ought to open the internal vein of the right arm；
and abstract blood more or less according to the habit and age of
the patient。 Such cases are mostly attended with the following
symptoms： redness of the face； eyes fixed； hands distended； grinding
of the teeth； palpitations； jaws fixed； coldness of the extremities；
retention of airs in the veins。
5。 When pains precede； and there are influxes of black bile and of
acrid humors； and when by their pungency the internal parts are
pained； and the veins being pinched and dried become distended； and
getting inflamed attract the humors running into the parts； whence the
blood being vitiated； and the airs collected there not being able to
find their natural passages； coldness comes on in consequence of
this stasis； with vertigo； loss of speech； heaviness of the head；
and convulsion； if the disease fix on the liver； the heart； or the
great vein （vena cava？）； whence they are seized with epilepsy or
apoplexy； if the defluxions fall upon the containing parts； and if
they are dried up by airs which cannot make their escape； such persons
having been first tormented are to be immediately bled at the
commencement； while all the peccant vapors and humors are buoyant； for
then the cases more easily admit of a cure； and then supporting the
strength and attending to the crisis； we may give emetics； unless
the disease be alleviated； or if the bowels be not moved； we may
administer a clyster and give the boiled milk of asses； to the
amount of not less than twelve heminae； or if the strength permit；
to more than sixteen。
6。 Quinsy takes place when a copious and viscid defluxion from the
head； in the season of winter or spring； flows into the jugular veins；
and when from their large size they attract a greater defluxion； and
when owing to the defluxion being of a cold and viscid nature it
becomes enfarcted； obstructing the passages of the respiration and
of the blood； coagulates the surrounding blood； and renders it
motionless and stationary； it being naturally cold and disposed to
obstructions。 Hence they are seized with convulsive suffocation； the
tongue turning livid； assuming a rounded shape； and being vent owing
to the veins which are seated below the tongue （for when an enlarged
uvula； which is called uva； is cut； a large vein may be observed on
each side）。 These veins； then； becoming filled； and their roots
extending into the tongue； which is of a loose and spongy texture； it；
owing to its dryness receiving forcibly the juice from the veins；
changes from broad and becomes round； its natural color turns to
livid； from a soft consistence it grows hard； instead of being
flexible it becomes inflexible； so that the patient would soon be
suffocated unless speedily relieved。 Bleeding； then； in the arm； and
opening the sublingual veins； and purging with the electuaries； and
giving warm gargles； and shaving the head； we must apply to it and the
neck a cerate； and wrap them round with wool； and foment with soft
sponges squeezed out of hot water； give to drink water and hydromel；
not cold； and administer the juice of ptisan when； having passed the
crisis； the patient is out of danger。 When； in the season of summer or
autumn； there is a hot and nitrous defluxion from the head （it is
rendered hot and acrid by the season）； being of such a nature it
corrodes and ulcerates； and fills with air； and orthopnoea attended
with great dryness supervenes； the fauces； when examined； do not
seem swollen； the tendons on the back part of the neck are contracted；
and have the appearance as if it were tetanus； the voice is lost；
the breathing is small； and inspiration becomes frequent and
laborious。 In such persons the trachea becomes ulcerated； and the
lungs engorged； from the patient's not being able to draw in the
external air。 In such cases； unless there be a spontaneous
determination to the external parts of the neck； the symptoms become
still more dreadful； and the danger more imminent； partly owing to the
season； and the hot and acrid humors which cause the disease。
7。 When fever seizes a person who has lately taken food； and whose
bowels are loaded with faces which have been long retained； whether it
be attended with pain of the side or not； he ought to lie quiet
until the food descend to the lower region of the bowels； and use
oxymel for drink； but when the load descends to the loins； a clyster
should be administered； or he should be purged by medicine； and when
purged； he should take ptisan for food and hydromel for drink； then he
may take the cerealia； and boiled fishes； and a watery wine in small
quantity； at night； but during the day； a watery hydromel。 When the
flatus is offensive； either a suppository or clyster is to be
administered； but otherwise the oxymel is to be discontinued； until
the matters descend to the lower part of the bowels； and then they are
to be evacuated by a clyster。 But if the ardent fever （causus）
supervene when the bowels are empty； should you still judge it
proper to administer purgative medicine； it ought not be done during
the first three days； nor earlier than the fourth。 When you give the
medicine； use the ptisan； observing the paroxysms of the fevers； so as
not to give it when the fever is setting in； but when it is ceasing；
or on the decline； and as far as possible from the commencement。
When the feet are cold； give neither drink nor ptisan； nor anything
else of the kind； but reckon it an important rule to refrain until
they become warm； and then you may administer them with advantage。 For
the most part； coldness of the feet is a symptom of a paroxysm of
the fever coming on； and if at such a season you apply those things；
you will commit the greatest possible mistake； for you will augment
the disease in no small degree。 But when the fever ceases； the feet；
on the contrary； become hotter than the rest of the body； for when the
heat leaves the feet； it is kindled up in the breast； and sends its
flame up to the head。 And when all the heat rushes upwards； and is
exhaled at the head； it is not to be wondered at that the feet
become cold； being devoid of flesh； and tendinous； and