The anatomie of vrines Containing the conuiction and condemnation of them. Or, the second part of our discourse of vrines. Detecting and vnfolding the manifold falshoods and abuses committed by the vulgar sort of practitioners, in the iudgement of diseases by the vrines onely: together with a narrow suruey of their substance, chiefe colours, and manifold contents, ioyning withall the right vse of vrines. ... Collected, as well out of the ancient Greeke, Latine, and Arabian authors, as out of our late famous physitians of seuerall nations: their authorities quoted and translated out of the originall tongues, together with some of the authors owne obseruations. By Iames Hart of Northampton. Neuer heretofore published. Hart, James, of Northampton. 1625 Approx. 367 KB of XML-encoded text transcribed from 72 1-bit group-IV TIFF page images. Text Creation Partnership, Ann Arbor, MI ; Oxford (UK) : 2009-03 (EEBO-TCP Phase 1). 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Detecting and vnfolding the manifold falshoods and abuses committed by the vulgar sort of practitioners, in the iudgement of diseases by the vrines onely: together with a narrow suruey of their substance, chiefe colours, and manifold contents, ioyning withall the right vse of vrines. ... Collected, as well out of the ancient Greeke, Latine, and Arabian authors, as out of our late famous physitians of seuerall nations: their authorities quoted and translated out of the originall tongues, together with some of the authors owne obseruations. By Iames Hart of Northampton. Neuer heretofore published. Hart, James, of Northampton. Foreest, Pieter van, 1522-1597. Arraignment of urines. [18], 127, [1] p. Printed by Richard Field for Robert Mylbourne, and are to be sold at his shop at the great south doore of Pauls, London : 1625. Intended as a second part to: Foreest, Pieter van. The arraignment of urines. 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Copies of the texts have been issued variously as SGML (TCP schema; ASCII text with mnemonic sdata character entities); displayable XML (TCP schema; characters represented either as UTF-8 Unicode or text strings within braces); or lossless XML (TEI P5, characters represented either as UTF-8 Unicode or TEI g elements). Keying and markup guidelines are available at the Text Creation Partnership web site . eng Urine -- Examination -- Early works to 1800. Medicine -- Early works to 1800. 2006-12 TCP Assigned for keying and markup 2006-12 Aptara Keyed and coded from ProQuest page images 2008-02 John Pas Sampled and proofread 2008-02 John Pas Text and markup reviewed and edited 2008-09 pfs Batch review (QC) and XML conversion THE ANATOMIE OF VRINES . CONTAINING THE CONVICtion and condemnation of them . Or , the second Part of our discourse of vrines . Detecting and vnfolding the manifold falshoods and abuses committed by the vulgar sort of Practitioners , in the iudgement of diseases by the vrines onely : together with a narrow suruey of their substance , chiefe colours , and manifold contents , ioyning withall the right vse of vrines . Wherein is contained plentie of profitable and delectable Histories concerning this subiect . Collected , as well out of the ancient Greeke , Latine , and Arabian Authors , as out of our late famous Physitians of seuerall Nations : their authorities quoted and translated out of the originall tongues , together with some of the Authors owne obseruations . By IAMES HART of NORTHAMPTON . Neuer heretofore published . LONDON , Printed by Richard Field for Robert Mylbourne , and are to be sold at his shop at the South doore of Pauls . 1625. of vrines , to wit , such as do decline from any one extreame , what concerneth the same , may easily , by that which hath bene said of the same extreame , be vnderstood . Now if any shall enquire what is the cause I spend so much time about this subiect : I answer , it is by reason of the old inueterate opinion , or rather errour , which most people haue conceiued concerning this strumpet ; whom for this cause I haue here vnmasked , and layed open to the view of euery one that will not shut his eyes in the cleare Sunne-shine ; and that to the end that none may be circumuented by the fraud and cozenage of such as abuse her for their owne benefit . But lest any should imagine these things to be but fancies fetcht from mine owne braine , therefore not contented to set down mine owne positiue opinion , I haue both backt , fortified and flanked it with the bulwarks of the best writers of ancient and later times , whose owne words I haue truly translated , directing thee likewise , learned Reader , to the marginall quotations , where for thy recreation and better satisfaction , not the names of the authors onely , and the particular places , but the very words of the originall are often set downe , that so it may more euidently appeare , that this latter iurie finds her guiltie , as the former great enquest after the inditement found Billa vera . The condemnation must then of necessitie follow , since the parties offending hauing had these three last assizes allowed them to pleade for themselues , haue said nothing . This sentence I referre to this * sage assembly , who , as I hope , will take this publicke businesse , as a matter of no small moment , into their serious considerations . But me thinkes I heare some say , what is then the vse of vrines in discerning of diseases ? or serueth it for no vse at all ? I answer , that so farre am I from abrogating this so ancient and necessarie a signe , receiued by all our ancient and late writers , which I do highly esteeme , and account of the same being rightly vsed , howbeit as it is commonly vsed , it is most shamefully abused . The right vse of vrine then is , together with all the rest of the signes and seuerall circumstances of the disease ( in such diseases I meane where it is of any force or validitie , in some diseases being of no vse at all ) to giue vs notice of the nature , together with the changes and alterations , as likewise what is like to be the issue of the same . The Physitian is therefore first to enquire diligently into the nature of the disease , together with all the other signes and circumstances thereof : and then , comparing all together , to giue forth his best and most assured iudgeme●t . Most foolish therefore and absurd is the sottish custome of the countrey people now a dayes , bringing the vrine to the Physitian , it may be in some old oylie or inkie bottle , and then to demand of him as of some Delphian oracle , the whole nature of the disease , the patients age , and diuerse other things wherewith they ought to acquaint vs , as also with all the other signes and circumstances of the disease : euen as the client is to lay open his cause to the Lawyer , how learned soeuer , and skilfull in his profession . It is yet not vnworthie the obseruation , that one and the same vrine hath often diuers and seuerall significations , and therefore vnlesse by diuerse other signes and circumstances limited , can neuer affoord vs any certaintie , as hereafter both in the colours and contents the ensuing discourse shall make manifest . And thus may the right vse to the wise and vnderstanding easily appeare ; especially to such as haue bene or yet shall hereafter be admitted vnto such mysteries . And therefore ignorant Empiricks , women , and many other such , haue no share or interest in these affaires , as not being able to diue into the depth of the premisses . And as for cleargie men , they cannot be ignorant , that they ought to be employed about businesses of an higher nature . And if they will haue a care of the soules entrusted to them , they need not trouble themselues with their bodies . Now that one signe , in some diseases onely to be obserued to be of any vse , should with a Papall prerogatiue assume all authoritie vnto it selfe , is both against common sense , daily experience , and the authorities of the learned . The pulse will pleade for a preheminence aboue the vrine : and to iudge of this , as of a number of other signes , it will of necessitie require the Physitians presence . Now that the vrines in many diseases , and those of vndoubted danger , do often shew thee no more then the ground thou goest on ; and that many other signes besides are of necessitie to be obserued , hath bene at great length related in the former tractate , and shall yet more plainly and particularly in this which followeth appeare . And for thy more particular information , I haue set downe the seuerall significations of vrines , and that according to the opinions of such Authors as haue written of them ; together with some particulars which haue neuer yet bene published by any English writer that I haue as yet seene , as by the contents of the bookes and chapters may appeare . Some things also which haue bene by others written and auouched for vncontrolled truths , I haue confuted as false and erronious : and that , as I thinkt , by vnanswerable arguments , illustrating the same with varietie of ancient and recent authorities , together with plentie of pertinent examples , being true historicall relations , obserued both by my selfe and other Authors : the which howsoeuer they do not simply proue ; yet do they not a little illustrate the matter in hand , and make it more perspicuous to the meaner sort . Now whereas I sometimes insert something of the ignorance and vnsufficiencie of some offenders , some may , perhaps , reply , that it may sometimes befall a good Physitian to faile as well as any of them . I confesse Indeed , Bernardus non videt omnia : He is a good horse that neuer stumbled . Neuer to faile is a priuiledge denyed to any of the ofspring of sinfull Adam : howbeit the learned Physitian building vpon reason and experience , keepeth alwayes an orderly and methodicall course in all his proceedings : and if he may sometimes erre ( as being a man and not a God ) how much more then an ignorant Empiricke , a shee-Physitian ( such a one as now liueth in Northamptonshire , and in whom I wonder that any that hath any braines in his head can see any sufficiencie ) that I say nothing of a medling Minister that neuer was trained vp in that profession ; shall they I say be obnoxious to error in so intricate an Art , wherein they haue no interest , as being meere vsurpers vpon other mens right ? Besides , the vulgar not being able to iudge of the sufficiencie of the learned Physitian , preferreth often the paines of some ignorant Empiricke , ( soothed vp it may be by the successe of some casuall cure ) before the labors of the most learned & honest artist . But my meaning is here of an ordinary erronious course of practising , euē against the rules of art , & the very grounds & principles of this physicall profession . Of such errors I could haue set downe a multitude , besides those few which I had by relation , either from the patients themselues , or else from some of their most familiar friends and acquaintances , who haue protested , that they will be readie to iustifie the same vppon their oathes . Neither yet let this suffice , that some of their proctors pleade for them a number of happy and successefull euents ; since that thus we may often magnifie the most vile wizard , and most ignorant old wife in the countrey : this argument taken from issue and euent being a meere Paralogisme , a fallacie and deceit , taking that often for a true cause which is no cause indeed , as in the conclusion of this discourse shall more plainly appeare . And in this I appeale to the learned and honest Artist , not to such a persons parasite , who taketh for good and current coyne what soeuer commeth out of his mint , nor yet their otherwise honest , yet in this point , too partiall patients , in this particular blinded with the mist of ignorance , or a preiudicate opinion of such mens supposed sufficiencie , they themselues not being able herein to discerne betwixt right and wrong . Now that this hath bene no a vnusuall custome to brow-beat and ouerthow errors , euen in this profession , and for the maintaining of truth to pleade against imposture , might easily , as well by ancient as later authorities , be euinced , which would be too tedious here to relate . But amongst many , one late writer I cannot passe by ( the learned Libauius I meane ) who hath wrestled with many such monsters ; as namely Michelius , Hartmannus , Scheunemannus , the impudent Priest Gramau●s , and that famous , I meane infamous impostor Ambaldus , author of that counterfeit b Panacea , like our Aurum potabile , supposed good against most , if not all infirmities ; who notwithstanding , for his ignorance not being able to vndergo the triall and examination of the Physitians of the Citie of Ausburg , was most iustly by the Magistate banished the same , and so his fame after a while turned to fume or smoke . And haue we not of late dayes had here at home c some maintainers of truth and opposers of imposture , some liuing euen at this day ? And against this same abuse in particular , besides Forest , Euritius Cordus published in Latine a learned booke : so did likewise Guilielmus Adolphus Scribonius , the learned Langius in some of his Epistles , and many others also , as hereafter shall appeare . But I am not ignorant , that whosoeuer will publ●sh any thing in this last and learned age , cannot chuse but vndergo the censure of many iudges , as witnesseth the worthie d ●erome . Some will perhaps say the stile is too meane and plaine : and others , if there were any elegancie in it , would cry out , he playes the Orator ( perhaps odious in handling vrines ) not the Physitian . And some preoccupied with a partiall and preiudicate opinion , like the diseased of some cholericke feauer , to whō the sweetest things seeme bitter : so whatsoeuer fruite groweth in some mens gardens , be it neuer so good , will giue no content to some mens ouer curious & nice relishes : so hard a thing is it to practise this one point , Omnibus placeto . Howsoeuer , kinde Reader , if thou come with a desire to submit thy selfe to the rules of reason , to haue thy iudgement rectified if erronious , and with an earnest desire to be fully informed of the truth , let not my labour be lost , but peruse , I pray thee , this tractate , wherein thou mayest perhaps finde something for thy satisfaction . And howsoeuer , perhaps , the cookerie may not giue thee full content , yet remember the matter is but meane , in the which I haue had a greater regard to the matter it selfe , then to the curious manner of deliuering the same ; and a greater care to satisfie the simplest vnderstandings ( for whose cause I haue principally published these may paines ) then with the ornaments of an Orator to please the eares of the most learned . Optimum condimentum fames : A good appetite needeth no sauce . The Germanes in diuerse places of Saxony , in stead of currants bake their cakes with blacke Poppy seeds : and in stead of stewed broth boyle wilde or horse radishes with their beefe . The French findeth a good rellish in his soure sauces : and a Spaniard maketh often as great account of a Lemmon , as an English man of a pecce of powdered beefe . Whatsoeuer it is , and howsoeuer liked , yet my principall purpose was and is to profit the publicke . If I should pleade a priuiledge from backbiters , and immunitie from malignant tongues , I should su● for that which hath bene denyed the greatest and worthiest personages of ancient and later times . And some varlets haue bene found , who would rather fire the famous temple of Diana , then not minister matter to talke of them . And as for my selfe , I deny not but I shall find some of the offenders here mentioned , who will snarle and grumble at my so plaine and vnpartiall reprouing of their faults . Some , who should haue shewed better example , conscious to themselues of their owne guiltinesse , haue broken the ice already , & as I am informed , haue much repined at the Preface of my former tractate . * If I haue spoken euill be are witnesse of the euill : but if well , why smitest thou me ? If they can iustifie their actions , let them publish their apologie , and let the Reader iudge . But if they can do nothing else but maligne other mens labours , and themselues loyter , I wish them to be filent . Carpere vel noli nostra vel ede tua . Bring forth thy birth , or barke not thus at mine . But all they can say , moueth me no more then the barking of a dog , or the yelping of a foxe , as knowing that , Obsequium amicos , veritas odium parit . Flatterie gets friends , but truth oft enuie finds . It is for thy sake therefore , kind and vnpartiall reader , who hast learned to value vertue at her highest worth , that I haue vndertaken this taske : which I acknowledge to be so far frō perfection , that I confesse I haue but with a rude pencill pourtrayed out the lineaments of this picture , giuing hereby fit opportunity to some cunning Apelles to perfect the same hereafter . Homo sum , humani à me nihil alienū puto : A man I am , and as all the sonnes of Adam , subiect to error . But let the righteous reproue me , it shall be as a precious ointment , and shall not hurt my head . So intreating thy patience to take these my paines in good part , not to be too sharpe and censorious , nor yet too open eared to hearken to enuious inuectiue speeches of any whose sores are here lanced , and to keepe one eare open for thy friends iust apologie , I rest , Thy euer vnfained , well-wishing friend , a fauourer of the publicke good , and a profest enemie to all fraud and imposture , ●AMES HART . THE CONTENTS OF THE Chapters contained in this whole Tractate . IN THE FIRST BOOKE . CHAP. 1. THe Introduction , where some thing of the antiquitie , excellencie , and eminencie of Physicke , and of the lawlesse intrusion of some ignorant persons vpon the profession of Physicke , with the absurditie of the same . CHAP. 2. Of the vncertaine iudgement affoorded vs by vrines in generall , together with their limitation to certaine diseases , & that out of a manie learned and approoued Authors . CHAP. 3. That euen in diseases of the Liuer and within the veines , the vrine doth often deceiue the most skilfull Physitian . CHAP. 4. That by the vrine onely it cannot absolutely be knowne whether a woman be with child or no , contrary to the vulgar opinion . CHAP. 5. That the sexe cannot be discerned by the vrine . IN THE SECOND BOOKE . CHAP. 1. THat the regions of the vrine are not answerable to the regions of the body of man , as also concerning the substance of vrines thicke and thin ; their manifold significations , and vncertaintie of iudgement by the same . CHAP. 2. Of the accidents of vrine , the quantitie , smell , &c. and that no certaine and assured truth can by them be presaged or knowne . CHAP. 3. Of the colours of vrines , how deceitfull they prooue , and first of the colour commonly called palew , & light saffron . CHAP. 4. Of red vrines ; how easily one may thereby be deceiued : of pissing of bloud . CHAP. 5. Of blacke vrines , and that they are not alwayes so dangerous as they are deemed . Of blew , ash-coloured , leaden and greene coloured vrines , together with their seuerall significations and vncertainties . CHAP. 6. The manifold significations of white vrines , as also the great vncertaintie of iudgement by the same . CHAP. 7. Of the circle or garland , spume , and froth , bubbles , smoke , or vapour , and fat in the ouermost region of the vrine , and what certaintie from thence can be collected . CHAP. 8. Of the cloud , swimme , or sublimation , together with diuerse sorts of residences , and the vncertaintie of their significations . CHAP. 9. Of the manner of pissing : the retention or stoppage of vrine , totall or in part : of inuoluntarie pissing , both in sicknesse and in health . CHAP. 10. Of the fond and foolish opinion concerning distillation of vrines . Of the water of separation , together with the vncertaintie of iudgement by such meanes . CHAP. 11. The conclusion of the whole discourse , where something concerning issue and euent , and of causuall cures . THE NAMES OF SVCH FAMOVS Physitians as are alledged in this present Tractate . ACtuarius . Aetius . Ancient Greeke Physitians . Alexander Benedictus . A learned Italian Physitian . Alexander Trallianus . An ancient Greeke Physitian . Amatus . A learned Portugall Physitian . Ambrosius Paraeus . Surgeon to three French Kings . Andreas Laurentius . Physitian to King Henry the fourth . Andreas Libauius . A very learned Germane Physitian . Antonius Valetius . A learned French Physitian . Archigenes . An ancient Physitian of Syria . Aretaeus Cappadox : or of Cappadocia . Beniamin Lobshuts . A learned Germane Physitian . Chrystophorus à Vega . A Physitian to the high and mightie Prince Charles , Prince of Spaine , and D. of the chaire in the Vniuersitie of Complutum . Claudius Galenus . Diomedes Cornarius . Physitian to Maximilian Archduke of Austria , and brother to Rodolphus and Matthias late Emperours . Duncanus Liddelius of Aberdene in Scotland , Physitian to Henricus Iulius , the late and last Duke of Brawnswicke , and D. of the chaire for Physicke and the Mathematickes in the Vniuersitie of Helmstadt . Felix Platerus . Physitian to the illustrious Duke of Wirtemberg , and one of the D. of the chaire in the famous Vniuersitie of Basil in Switzerland . Franciscus Emericus , D. in Physicke , and practicall professor in the Vniuersitie of Vienna . Franciscus Valleriola . A learned French Physitian . Gasper Bauhinus . Physitian to the late mentioned Duke of Wirtemberg , and D. of the chaire in the aforesaid Vniuersitie of Basil . Guilielmus Adolphus Scribonius . A famous Germane Physitian . Guilielmus Rondeletius . D. of the chaire in the famous Vniuersitie of Montpeliers in France . Hieronymus Cardanus . A learned Italian Physitian . Hieronymus Mercurialis . A learned Italian Physitian , and D. of the chaire in the Vniuersitie of Padua . Hieronymus Montuus . Physitian to Frances the 1. French King. Hieronymus Reusnerus . A learned Germane Physitian . Hippocrates . Iacobus Douinetus . A Germane Physitian . Iacobus Holliricus . A famous Physitian of Paris in France . Iacobus Syluius . A French Physitian of good account . Iean Marinello , of Forli in Italie , an Italian Physitian . I. Flesher . A learned English Physitian . Iodocus Willichius . D. of the chaire in the Vniuersitie of Franckford on the Oder in Germanie . Iohannes Anglicus , or Gatesden , the Author of Rosa Anglica , a famous English Physitian , who liued in anno 1320. Iohannes Belfortis . Iohannes le Bon. A French Physitian of good note . Iohannes Caius . A learned English Physitian . Iohannes Crato a Kra●●theim . Physitian to three Emperours of the house of Aust●ia . Iohannes Damascenus . Iohannes Fernelius . Physitian to Henry the 2. French King. Iohannes Heurnius . A learned Low countrey Physitian , and D. of the chaire in the Vniuersitie of Leyden in Holland . Iohannes Langius . Physitian to fiue Electors , Princes Palatines of Rhene . Iohannes Michael Sauonarola . Physitian to Borsius sometimes Duke of Ferrara in Italie . Iohannes Montanus . A learned French Physitian . Iohannes Renodaeus . A famous Physitian of the same nation . Iohannes Schenckius . A learned Germane Physitian . Laurentius Ioubertus . Physitian to Henry the 3. French King , Chancellour in the Vniuersitie of Mont-peliers , and D. of the chaire there . Leo Roganus . A famous Romane Physitian . Leonardus Turnheisserus . A Germane Physitian . Leuinus Lemnius . A learned Physitian of Zeland . Ludouicus Mercatus . Physitian to Philip the 2. and 3. kings of Spaine , and D. of the chaire in the Vniuersitie of Vallad'olid in Spaine . Marcellus Donatus of Mantua in Italie , a Physitian of good account , Knight and D. in Physicke . Martinus Akakia . A learned French Physitian . Matthaeus de Gradi . Nicolus Florentinus . Paulus Aegineta . Petrus Forestus . A famous Physitian of Holland . Petrus Sphaererius . Physitian to the Archbishop of Mentz . Rembertus Dodonaeus . Physitian to the Emperour Rodolphus 2. Rhases . An Arabian Physitian . Rufus Ephesius . Timotheus Bricht of Cambridge . A learned English Physitian . Thomas Rodericus à Vega . A learned Spanish Physitian . Besides these , many moe might haue bene to the same purpose , not impertinently produced , which I thought might well be spared , these being to an indifferent and vnpartiall Reader sufficient . SOME OTHER AVTHORS . Aelianus . Aristoteles . Bible . Carion . Catullus . Cicero . Henricus Ranzouius . Herodotus . Homerus . Ierome . Iosephus . Iuuenalis . Lactantius . Martialis . Nicetas . Plinius . Polibius . Sabellicus . Statius . Terentius . Zonaras . THE FIRST BOOKE OF THE ANATOMIE OF VRINES . THE ARGVMENT . IN these two bookes is a continuation of the discourse concerning the vncertaintie of iudgement in diseases by the sole and bare inspection of the vrine onely , without the concourse of the rest of the other signes ; whereunto the sight of the patient is altogether necessary . In the first booke and first Chapter , by way of introduction , something is said of the antiquitie , excellencie , and eminencie of physicke ; as also concerning the lawlesse intrusion of some ignorant persons vpon this profession , with the absurdities of the same . Then in the next place follow certaine authorities of some famous Physitians against this abuse in generall : and afterwards also in some such diseases where it is thought to be of greatest force and validitie . And after shall fully be confuted that foolish , absurd , and inueterate opinion , of discerning whether a woman be with child or no , by the bare inspection of the vrine onely : and that by vnanswerable arguments , together with some instances , both of mine owne and other ancient and late Physitians of no small note . And lastly shall be plainly demonstrated , that the sexe cannot by the vrine onely be discerned , contrary to the vulgar opinion . CHAP. I. The introduction , wheresome thing concerning the antiquitie , excellencie , and eminencie of physicke , and of the lawlesse intrusion of some ignorant persons vpon this profession , with the absurditie of the same . OVr most great and omnipotent God , of his great goodnesse , hauing first created and framed these glorious globes and orbes of the vniuerse , together with the earth and all the ornaments and furniture of the same , at last made man , that microcosme , or little world , as it were an epitome or abridgment of this great vniuersall world : and that according to his owne likenesse , and placed him in earthly paradise . But not long after being by the serpent that old inuetera●e enemie of mankind , seduced to sinne , he became a map of miserie , obnoxious to death and eternall damnation ; and euen in this life subiect to innumerable sicknesses . So farre notwithstanding , did his makers bountie abound , that not onely sent he him a Sauiour to redeeme him from damnation , but furnished him with innumerable remedies against his manifold infirmities . These Adam taught his sonne Seth ; and he againe ( lest water or fire should destroy them ) wrote the principles of physicke in hieroglyphicke letters , vpon two pillars ; one of stone , against the rage of the water , the other on bricke against the furie of the fire . Thus came the art to be propagated to posteritie : and Abrahams seed soiourning in Aegypt that vnthankfull nation , yet for their hospitalitie to Gods people reaped this benefit , that they were by them instructed in the principles of this profession , and many moe be●ides . The Greeks gained this knowledge of the Aegyptians , who were not idle , but improuing the same , would willingly haue assumed all the honour to themselues . In great honour and reputation was it amongst this nation for many yeares , and the professors of the same in great credit and account with the mightiest Monarches : witnesse the honour exhibited to Hippocrates and his posteritie , by the Athenians in particular . And the account the Persians made of it , may from hence euidently appeare , that the great Artaxerxes sendeth to Histanes gouernour of the Hellespont this message . The fame and renowne of the noble Hippocrates , of the race & linage of Aesculapius , borne in the I le of Cos , together with his great skill and sufficiencie , are come to mine eares : bestow thou therefore vpon him as much gold as he shall demand of thee , and whatsoeuer he shall haue need of , bestow it vpon him in most plentifull manner , and haue a care to send him to me : for he shall be equall in honour and dignitie with the greatest Princes of Persia . And moreouer , if there be any other wise learned man in Europe , let him be enrolled amongst the Kings domesticke & familiar friends , not sparing for any cost whatsoeuer : for such men are not euery where easily to be found . After many yeares , the Turkish tyrannie like a violent inundation ouerflowing the most part of Asia , together with no small part of Europe , this profession being now banished out of Greece it s owne naturall soile , together with the rest of the Muses , it sought for shelter and succour amongst the rude Arabians , where it was welcomed with such entertainment , as such a countrey could affoord it : where howbeit it was enlarged by many such simples as India and Arabia would yeeld , yet haue their bookes bene so branded by barbarous translators , that they are not euen vntill this day freed from the same . Amongst the Romans likewise it was not a little respected , where that worthy Emperour Augustus hauing among many others , some intelligence of the great abuses committed by ignorant intruders vpon this profession , together with the great dammage redounding to the subiect , by meanes of this lawlesse libertie , made a law as followeth ▪ That no person , of what estate or degree soeuer , within the Romane Empire , should either teach or practise physicke , vndertaking the cure of any sicke persons , vnlesse he were first licensed and authorised by the Emperor himselfe , or by such as should by him be deputed or appointed for this purpose . This law was long inuiolably kept by the succeeding Caesars , vntill such time as the barbarous * Saracens & Turks , vnder the conduct of that monster of mankind Mahomet , did with fire & sword waste and destroy a great part of Asia , especially Syria , together with Greece and the countrey about Constantinople : the Goths , Huns , & Vandals omitting no kind of crueltie in the other parts of Europe , Italie in particular . These , besides many other miseries , did also subuert and destroy most of the Vniuersities and schooles of good learning , burning the bookes they could come by , and bringing in by this meanes meere barbarousnesse and ignorance . This great inundation and deluge gaue no small encouragement to all manner of cozeners to practise their imposture , sparing neither the persons nor the purses of the oppressed people . This wofull calamitie continued vntill Lotharius Duke of Saxonie was crowned Emperour at Rome . This worthy Emperour both erected a number of new nurseries of good learning , and repaired such as were founded before his time , adding and increasing meanes for the maintenance of these new erected schooles and Vniuersities . Moreouer , he caused to be sent for out of euery countrey and kingdome , the most famous and learned men that were to be found , and such as did most excell in euery art and science . And for the better furtherance of this his purpose , he granted many priuiledges and immunities to the aforesaid Vniuersities & schooles , the whole Professors and Students in the same . And thus physicke with the rest reuiued againe ; and being healed of her former wounds , was drawne out of the darke dungeon and prison wherin she had so long lien in thraldome and captiuitie , and by meanes of this noble Emperour restored to her former dignitie and libertie againe . Now to adde more grace and dignitie to this noble profession , he renewed againe that worthy law of Augustus , inhibiting and discharging any person whatsoeuer , either to practise or professe this or any other art or science , vnlesse he were first licensed from the Emperours court . But well foreseeing the inconueniences which might from hence arise , if all such businesses should depend vpon his court ; for this cause he granted this priuiledge and authoritie to the aforesaid Vniuersities throughout the whole Empire . This so wholesome constitution of Lotharius all the succeeding Emperours to this day haue continued . And thus came first in these titles of Doctor , Master , &c. not by the appointment of any priuate man , but by the lawes of Emperours and Kings of Christendome . Now besides the premisses , I would easily euince both the eminencie and excellencie of this profession from the vtilitie and necessitie , as being of necessarie vse for euery age , estate and degree ; as also the worthy subiect thereof , to wit , the body of man , so farre foorth as diseases are expelled , and health preserued ; it being also the shrine of the soule , & the costly coffer wherein it is contained , do conciliate no small authoritie vnto the same . Neither yet is the skill in this profession so easily attained vnto , as many ignorant people do perswade thēselues . But that there are many things required in him who is to be called natures darling , and great Secretarie of state , at all times to helpe and assist her , when oftentimes she cannot helpe her selfe ( vnto which this confused multitude neuer hath attained , and therefore vnworthy to be admitted vnto such mysteries ) hath euer bene receiued for an vncontrolled truth . The causes of the disease must be exactly knowne before the cure , and many other things besides . And thus it is recorded of Aristotle , that at a certaine time falling sicke , his Physitian there by him prating apace , answered very wittily after this manner . * Neither cure me like a cowheard , nor yet like a plowman ; but first of all let me know the cause , then shalt thou find me obsequious to thy prescriptions . The euer praise worthy Hippocrates , howbeit in few , yet in effectuall words , setteth downe such things as are requisite in a true Physitian . Whosoeuer will exactly and diligently purchase to himselfe a firme knowledge in this profession , must of necessitie be furnished with these which follow . Nature ( that is , a potentiall aptnesse , wit and vnderstanding , with a certaine pronenesse and inclination to this profession ) precepts of art , a fit and conuenient place for studie ; instruction in the same from younger yeares ; diligent and painefull studie , together with a competent and conuenient time . This likewise did the ancients paint foorth vnto vs in the armes or enseignes of Aesculapius , to whom were attributed all the badges and enseignes which do of right belong to a true Physitian , and do all argue assiduitie and painfull industrie . The first was an Owle , to giue him warning of the watchfull paines and care the learned Physitian ought to take in finding out the seuerall signes and circumstances of the disease , to the end he may be the more able to foretell the seuerall issues and euents of the same . A crooked staffe in his hand ; which intimateth vnto vs , that he ought with great care and diligence bestirre himselfe , to attaine to the right and perfect knowledge , not onely of the structure of mans bodie , and euerie part of the same , as well inward as outward : but also the seuerall qualities and vertues of all manner of remedies appropriated for the vse of mankinde ; whether they be aboue the earth , enclosed in the intrals thereof ; or yet contained in the vast dominions of the endlesse ocean : as also with carefull circumspection , to obserue and marke the strength of his patients , and their seuerall natures and constitutions ; applying to each and euery one of them in due and conuenient time , such proper and peculiar remedies , as may best befit them , and that alwayes hauing a watchfull eye vpon the seuerall indications in such cases required . In his right hand he held a Dragons head , coming from the Greeke word 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 , signifying a sharpe and cleare sight : and next vnto the same was a watchfull dog ; both of them declaring vnto vs , that the Physitian ought with a certaine promptnesse of dexteritie of vnderstanding foresee the issue and euent of diseases , and then with as great ease and facilitie as is possible , and without sparing any paines , ease the patients griefe ; preseruing likewise and maintaining , as much as in him lyeth , his present healthfull state of bodie , and preuenting to the vttermost of his power , the imminent danger of dolefull diseases . In his left hand a pine apple , thereby letting vs to vnderstand , that the outward shell of this profession is very hard , the inward fruite and marrow , notwithstanding , being most pleasant , delectable and profitable . At his right side was the winged picture of health , with a pullet in her hand ; & that to the end the Physitian might know , that he ought to aime at the health and happie estate of his patient principally , and not to become the slaue of base and filthie lucre and gaine : in like manner manifesting vnto vs , that by the paines and industrious skill of the learned Physitian , health is oftentimes maintained ; as by his carelesse negligence , ignorance , & insufficiencie it is easily ouerthrowne . A pullet , to shew foorth the Physitians care , in prescribing fit and conuenient diet , according to his patients nature and constitution , as also the qualitie and motion of the disease . For in acute diseases , and such as are of a sudden and speedie motion , as the remedies must be speedie , so must the diet be sparing , answering both to the strength of the patient , and nature of the disease ; not being in the meane time vnmindfull of his former custome , countrey or place wherein he liues , with many more circumstances in such cases required . In diseases againe of a long and lingring nature , we must not be so close fisted , but allow them more liberall allowance ; yet keeping alwayes in mind the former caueats and cautions . In the end he must be armed against all occasions and sudden occurrents , not forgetting to gratifie the sicke , so farre foorth as may stand with conueniencie . And lastly this Aesculapian pourtraict was pictured with a beard : signifying hereby , that such as medled with such abstruse mysteries , hauing first bene trained vp in the grounds and principles of this profession , ought to be of a reasonable mature iudgement and vnderstanding , to the end they may proue so much the fitter to mannage such weightie matters . But to what end and purpose ( will some perhaps say ) tendeth this long discourse ? Euen to the end it may more euidently appeare , into what disgrace and contempt this noble profession is now growne , and that by meanes of the lawlesse and vncontrolled intrusion of ignorant and vnsufficient persons . Let the Reader iudge ingenuously , whether the offenders be furnished with any such sufficiencie , and let this touch-stone trie them all . Professions farre inferiour to this , haue a number of yeares allowed them to serue and learne , before any be suffered to exercise the same . But here , howsoeuer the Vniuersities be not depriued of their priuiledges , in granting the degrees to the well deseruing : yet is there no restraint of the most ignorant and vnsufficient persons , of whatsoeuer sexe or calling . An ignorant Empiricke that knoweth scarce the propertie of pepper , whether it be hote or cold , yet may practise publickly . Now that I say nothing of ignorant Apothecaries , Surgeons , &c. the other sexe will needs haue a share in these businesses also : and yet in holy writ they are tyed to their houswiuerie . And the heathen Poet bringeth in women medling with their spinning and carding . Their fraile sexe is both vnfit and vnfurnished with sufficiencie for managing of so great matters . It is no wayes sutable to the modestie which ought to be seene in that sexe , to meddle with so publicke a profession . And besides , there being no small commerce betwixt the Physitian and his patient , as witnesseth the worthy Hippocrates , who seeth not the absurditie of this their practise ? And as for their sufficiencie , it may easily , by that which hath bene said alreadie , appeare . My purpose is not to dwell vpon this subiect , nor yet to vrge many arguments against it , the thing being so absurd in it selfe . I will relate but one tragicall storie out of a late writer , of a mother who made away her owne child , with an intent , as she thought to cure him . A countrey woman ( saith mine author ) hauing a young sonne of cacheoticall disposition , and now entring into a dropsie , by the aduice of her women-gossips , thrust him , sore against his will , his head foremost , into an ouen , immediatly after the drawing of the bread , stopping vp againe immediatly the mouth of her ouen . Her gabling gossips were officiously attending a better euent then they found , as also helping her to bring to passe this braue exploit . He being once in , was presently suffocated with the smoke for want of fresh aire . The mother within a little space calleth to her sonne oftener then once in an audible voyce , enquiring what benefit he found ; who answered her no more then Baal did his Priests . These pratling gossips perswaded this simple woman , that his silence was an assured signe of the benefit he thereby receiued : the which this credulous woman , still hoping where no hope was , easily beleeued : but at length found that which she least looked for ; drawing out of the ouen her dead sonne , cured not onely of this , but of all other diseases also ; and then ( but all too late ) blameth as well her owne too too credulous simplicitie , as the malapert boldnesse of the she-physitians , inducing her to vse a remedie farre worse then the disease it selfe . As for you , Ladyes and Gentlewomen ( with your good leaues let me be so bold as to tell you my mind in a word or two ) howsoeuer I cannot but much commend your great charitie and loue , in affoording both your paines and your purses for the relieuing of sicke distressed people : yet let me intreate you , not to be too officiously busie , the life of a man being no matter of small importance , and which being once lost , can neuer till the resurrection be recouered . And remember , that there may be an ouersight as well in neglecting a fit and conuenient remedie in due time , as in exhibiting a dangerous and desperate remedie . And whereas often it cometh to passe , that either your necessitie or importunitie doth extort from the learned Physitian good and wholesome remedies either for your owne or others infirmities : yet I intreate you , not to be so indiscreete , as to make one salue serue for euery sore . The remedie indeed may be good , but ( as often cometh to passe ) ill vsed , or rather abused . And that which you haue sometimes tried to be a soueraigne medicine for your selues ; yet another time , by reason of a number of new occurrents , the same remedie may produce an effect farre differing from the former : how much more then in another ? The constitution of the partie should be considered , the sexe , age , time of yeare , yea and of the disease it selfe ; as whether it be in the beginning , in the increase , in the height , or declining , with many moe circumstances are here to be considered . But put yet the case the remedie be good against such a disease ; yet may many other circumstances crosse this iudication in any indiuiduall person , which were here too tedious to relate . It may then easily appeare , that this is a businesse of an higher straine then many do well consider : but of this matter no more . Now howbeit this fretting canker ( I meane of vnsufficient , vnlearned , and vnskilfull Phisitians ) hath crept ouer the whole Christian world , yet the inconuenience is not in all alike . For howbeit in Germanie Empiricks do so abound that they haue begun of late yeares ( supposing it may be that we are here vnfurnished ) to come and visit vs here in this Iland , yet can I not but much commend and praise their care and industrie in prouiding for the maintenance of the honest and learned Physitian . There each seuerall Citie , towne , or corporation , hath certaine Physitians entertained by stipends out of the chamber stockes ( which there by reason of their admirable industrie , as being much addicted to the publicke good are very rich ) a dwelling house being likewise allowed them for their liues : and each Citie or towne according to the proportionable bignesse , hath moe or fewer of those stipendiarie Physitians : and none among them admitted , but such as for their sufficiencie , and long time spent in the studie of that profession , haue taken their degrees in some famous Vniuersitie . All the Apothecaries and Surgeons within the place where they liue are subiect to their censures , and by them to be controlled ; and the midwiues likewise by them must be admitted . And of all the Apothecaries drugs , as well simples as compounds , they take a narrow suruey twice a yeare ; to wit , euery Spring and fall : besides the viewing of their drugs immediatly after the buying of them ( which commeth most commonly to passe twice a yeare , at Lerpzig or Franckfort faire ) not being lawfull for them to make vse of any of them vntill such time as they be first visited and allowed by the aforesaid Physitians . At the viewing and visiting of their wares , is appointed one frō the chiefe Magistrate of the Citie , commonly called the Burger maister , to sit in commission with the Physitians . If the Apothecarie shall be found faultie , or his drugs any wayes vnsufficient , the aforesaid persons fine him at their pleasures ; as also set a reasonable rate or taxe vpon all his drugs and compositions , and that according to the rising or falling of the prizes of the drugs . Neither yet may the Apothecarie of himselfe make , mixe , or compound any great composition of many seuerall ingredients , vnlesse the Physitians , one or more being present , first see all the seuerall ingredients , and then allow of the same . He can likewise take no apprentice into his seruice , but such as first shall be sworne faithfully to make and compound according to the Physitians prescriptions , not altering any thing in his bill without his knowledge and allowance : the which oath the Physitians haue power to exact of the aforesaid apprentices . Of this so laudable and praise-worthy a constitution this benefit they reape , that first of all , the inhabitants are neuer vnfurnished of fit and sufficient Physitians , to whom in time of need they may haue recourse for good , and wholesome counsell : as also that the inhabitants in their extremitie are preferred before strangers . The moderation of fees likewise , in regard of their standing stipends , is some ease to the purses of priuate men , but especially to the poorer sort , to whom by this meanes they are the better enabled to affoord their counsell for little or nothing . The countrey round about findeth likewise euery where learned Physitians to aduise with , as also good and sufficient stuffe , neither fustie not sophisticate , and that at a reasonable rate . Now how farre we come short of this so laudable and worthie pollicie , those that know any thing are not ignorant . We are apt enough to imitate that which is naught in our neighbour nations , and why make we not vse of such things as deserue praise and commendation ? From the aforenamed nation we haue so well learned quaffing and carrousing , together with their vnhappy healths , indeed hinderers of all health , that it seemeth now to be naturalized amongst vs : and why are we not as forward for this and such other laudable constitutions as tend to the benefit of the common-wealth ? But now to our purpose . One thing which doth principally encourage all manner of cozeners , and euery ignorant and vnsufficient person , to aduenture vpon this profession , is the vaine and idle inspection of Vrines , as it is at this day euery where practised ; by meanes whereof most people are perswaded that the Physitian is able to find out , not onely the disease in generall , but euen euery signe and circumstance of the same . I my selfe haue often bene importuned to tell that by this signe , which the wits of all the wisest Physitians in the world could neuer assuredly and certainly find out . To instance but in one thing , to wit , the discerning of the conception , whether a woman be with child or no : there is not an Empiricke or quack-saluer in the countrey , that will not make thee beleeue he can tell thee that assuredly . Our she-physitians ( for such monsters now this countrey yeeldeth ) will say no lesse . But heare the iudgement of a learned French Physitian concerning this point : To abuse the inspection of vrine , to know whether a woman be with child , or no , belongeth to a cozening impostor , and not to an honest Physitian ; howsoeuer some haue not bene ashamed to vent such vanities . But of this at more length hereafter : now let vs proceed to the maine matter , to wit , to handle this subiect in order . CHAP. II. Of the vncertaine iudgement affoorded vs by Vrines in generall , together with their limitation to certaine diseases , and that out of many learned writers . IT is growne now adayes a common custome , by the sole and bare inspection of the vrine to vndertake to declare and lay open the whole disease , together with the state and constitution of euery part of the body , without any regard had to such things as the most wise and circumspect Physitians haue left vs in this case to be considered : the which notwithstanding , is as impossible to bring to passe , as by the heat or cold of an house to iudge of the perfection of the same , together with the soundnesse of the walles and timber thereof : or yet by the rubbish of any house carried to some other place , to find out the statelinesse of the former building . To this end and purpose besides the authorities produced in the former Discourse , I will yet bring in a cloud of witnesses to confirme this mine opinion . And in the first place , I will set downe some famous authors condemning this vromantical coniecture , and limiting and confining it within its lawfull lists and limits . Afterwards also shall appeare how our iudgement may erre and mistake , euen in some such diseases as may sometimes by the same be discerned : proceeding afterwards to instance in some particular diseases : where shall not be omitted the confutation of the erronious opinion of the vrines of women with child , as also of finding out of the sexe thereby . Then will we proceed to a particular confutation of all the parts of vrine ; whereby shall be set downe the true vse of the same . Now the first author that shall march in the auantgard of this batallion shall be the learned Langius ; and that both in regard of his great worth and learning , as also because our former author ( Forest I meane ) had singled out these two following Epistles , as making for the same purpose to set downe at the end of his discourse of vrines , which I haue thought good with some other authorities to insert into this place . Concerning Physitian● who by the inspection of the Vrine onely , do rashly and vnaduisedly pronounce their opinion concerning the nature and substance of any disease . It seemeth not a little strange to thee ( kind gossip ) how it should come to passe that the same and reputation of Germane Physitians should be so little set by either at home or abroad , since notwithstanding , praised be God , Germanie is a very fruitfull soile , stored with most excellent wits , where the liberall Arts and sciences do not a little flourish ( insomuch as that most noble and illustrius Picus Earle of Mirandole , truly praise-worthie and euer to be admired , as well for his high pedegree and noble descent , as for his excellent and admirable gifts in good learning , did witnesse that the riuer of Tiber had now of late runne into the Rhene : ) and yet for all this , the noble facultie of Physicke lyeth contemned and despised . The causes of the same I haue elsewhere declared to be diuers , whereof this is the chiefe , to wit , that the chiefe and principall part of Physicke diagnosticke or semioticke , which teacheth vs to know the nature , causes , and substance of the disease by the signes and grounds of the same , is either not knowne at all , or at least altogether , in regard of their idlenesse , neglected ; while as the ordinarie sort of Physitians do onely labour to know and discerne the nature and substance of the disease by the sole and fraudulent indication of the stuckring vrine . But it is acknowledged of all true Physitians , that the ground and beginning of finding out aright the true method of curing diseases , is the knowledge of the disease , together with the place seised with the same , which is not knowne by the bare inspection of the vrine onely , being but a doubtfull signe ; but ( as Galen saith well ) the knowledge of the disease is collected by meanes of the place affected , together with the disposition of the same besides nature : which being the internall cause of the disease ( or the disease it selfe ) annoying the action , it is no maruell if the signes of each be common to both : and thus is the disease and place affected discerned and knowne , both by the parts of the substance therof , the contents , adherents , the action interessed , together with the accidents of the disease , from the parts of the substance of the part affected : as if we shall perceiue any gristle of the windpipe to be spit vp with coughing , it doth argue and indicate to vs an exulceration of the lungs , together with a consumption of the same . From the contents ; as if thou shalt perceiue the chyle ( that is , the meate receiued into the stomacke and a little altered ) or the ordure issue out of a wound , thou mayest from thence safely collect that either the stomack , or guts are wounded . Such things also as do adhere or grow to the part , do both declare the disease and the part annoyed therewith . For if vpon a fracture of the scull there grow out little round lumps like vnto little mushromes , it doth argue the dammage and hurt of the membrane or skin couering the braines . No lesse doth the hurt of the action bewray as well the hurt of the organe and instrument of it , as the disease it selfe : as the retention of the vrine doth argue an obstruction in the pipes conueighing the vrine from the kidneyes to the bladder : or the excessiue fluxe of the same being crude and not concocted , doth argue the indisposition of the kidneyes . Ioyne yet with the former , as most pregnant proofes and testimonies of the disease , these inseparable accidents of the same , commonly called pathognomonica , the which the disease it selfe doth procure and beget : as a stinging and pricking paine in the side , ioyned with a burning feauer , doth argue not onely a Pleurisie , but also that the skin or membrane which enuironeth the ribs is inflamed . And vnto all the aforesaid signes thou mayest , if thou wilt , adde the intricate knowledge of the pulse of the arteries , rather then the vncertaine iudgement by vrine : the which as we do not altogether reiect , so do we not attribute so much thereunto as these impostors do . Now what extraordinarie paines some of the ancient Physitians tooke in searching out any thing which might affoord them any knowledge or insight in the nature of the disease , thou mayest from hence collect , that to the end they might more easily find out the nature and qualitie of the humour faulty and abounding in the bodie , they did tast of the very sweare that was rubbed off the bodie in the hotehouses , as also of that superfluous matter found in the eares : like as the horse-leaches were wont to taste of the horses dung , whom for that cause that pleasant Poet Aristophanes calleth 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 , what if by the authoritie of Hippocrates I should prooue , that the colour of the tongue , and the rest of the bodie , giueth vs more assured and certaine knowledge of the state of the humours contained in the body and inward bowels , then the vrine ? And yet this the ordinarie sort of vrine-monging Physitians will neuer be able to discerne , as not being present with the patient . For as in the yellow Iaundise , a yellow and saffron like colour of the skinne doth better declare any obstruction of the gall-bagge , and an ouerflowing of choler ouer the whole bodie , then the vrine : so doth in like sort the leaden colour of the face , and the rest of the bodie , demonstrate better vnto vs some indisposition of the Liuer and spleene then the vrine . No lesse also doth the colour of the tongue and tast , it findeth & performeth the like . For such as is the humor aboūding in the stomacke or veines , especially when it groweth fierce and vnruly , with such a colour and tast is the tongue most commonly imbrued . Wherefore well and learnedly said the worthy Hippocrates 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 , that is , the tongue giueth vs notice , as well of the state and nature of the vrine , as of all the rest of the humours of the body . But if thou wilt yet further contend and contest with me , behold I will appeale to Galen , who ought to be as our common Maister , so Iudge also in such cases of controuersie . The sweate ( saith he ) giueth vs notice of the humours super abounding in the whole bodie , but the vrine onely of such as are contained within the veines . And howbeit these be the chiefe elements and grounds of the most principall part of physicke , called diagnosticke , without which the other part called therapeuticke , or handling the cure of diseases , cannot subsist , and that they be conuinced by most pregnant proofes and testimonies ; yet will they neither giue place to the same , nor yet obserue and marke them : but trusting to the vrine onely , loytering idle at home like the Physitians of Alexandria , and sitting in their chaires like Apolloes Priests , or some old wise fortune-teller by her crystal looking-glasse , it is a wonder to heare how doubtfully and perplexedly , without any sight of the sicke , but looking on the vrine onely , they will with brazen faces prate of the patients sicknesse : yea further yet , will pronounce of life and death thereby ; and that for so small a gaine , as scarce would the most common hedge-whore be hired for the same . What great ambiguitie and doubtfull speeches ( good Reader ) need they here to vse , lest they be taken tripping ? Now if it shall happen that any old wife that bringeth the vrine shall find them out , thou wouldest wonder to see the * changes of their countenances . But as if this were yet a small matter , to prate by the sight of the vrine onely , they are not ashamed to prescribe physicke to the parties ( whom they haue neuer seene ) and that by reading of bookes , of the which experiments they haue neuer made any triall at all : to whom thou mayest most iustly obiect the ancient Prouerbe . * A mariner by his booke or sea card . But Hippocrates and the ancient Physitians of the race of Asclepiades , not superficially , but solidly learned , did neuer settle their iudgements concerning the substance of the disease vpon the vrine alone : no nor yet if some contents had proceeded from the substance of the kidneyes , bladder , or parts contained in them , and so issued out with the vrine : but did rather by the colour , contents , swim or sublimation , obserue the strength of the naturall parts about the liuer and stomach , as likewise the concoction of the humours in the veines ; to the end that in feuers they might find out the times of the same ; and so might more easily foretell the time of the future crise , whether the same were like to be hopefull and healthfull , or dangerous and deadly ; and withall to find out the fittest time for purging . The which Galen , Hippocrates his true interpreter , doth intimate vnto young Physitians in these words . The vrine giueth notice of these parts , to wit , the liuer , kidneyes , bladder , and the strength of the vessels which containe the bloud , and the weakenesse of the same , as also that facultie which engendreth the humors : but as concerning the infirmities of the braine , the chest , and lungs , there be other signes and symptomes of the same , whereby their diseases are discerned . All these things therefore the wise Physitian is to enquire , search , and find out , from the sicke himselfe , and not from the vrine . For this cause well said Damascenus in his Aphorismes : Concerning diseases pronounce not rashly thine opinion , neither yet looke thou vpon the vrine , vntill such time as thou hast first seene the sicke , and of him demanded and found forth euery circumstance belonging to the disease . With him doth Rhazes an Arabian Physitian agree in his Aphorismes , in these words : It becometh the Physitian to aske diuerse questions of his patient , to the end he may attaine to the internall cause of the disease , that by such meanes he may afterwards be able to pronounce sound iudgement according to reason : neither yet let him be ashamed to aske of the patient , whether the disease be within or without the veine . But our Physitians , being like vnto the lazie sedentarie Physitians of Alexandria , lest they should be by the vulgar people ( who do commonly beleeue , that the Physitian knoweth all by the vrine ) taxed of ignorance , are ashamed to aske of the patient the causes and symptomes of his disease . And to the end they may the better accommodate themselues to the foolish humor of the simple and more ignorant sort , they are not a whit afrayed to prate of diseases by the inspection of the vrine onely . But would to God the truth were with them in greater esteeme then any popular applause , and that they would be warned by the Poet Persius : If troubled Rome do too much dispraise any thing , then not to rest and relie vpon her iudgement : and that they would both ingenuously confesse , and tell the people how fraudulent and deceitfull , pernicious and lying , is this manner of inspection of the vrine , brought in by some Physitians and impostors of later dayes , to the great mischiefe of mankind . Then for certaine would they be more carefull and diligent in searching out the natures of diseases by their causes , the hurt and hinderance of the action , as also by the Pa●hognomonicke signes : and then without all doubt should they cure a great many moe , as also by this meanes should their names become a great deale more famous , both among their owne friends and acquaintance , and among strangers . And by this meanes also should these wandring and cozening rogues , impostors , apostaticall monks , perfidious Iewes , enemies to all Christians , the ignorant Parish-Priests , alchymists , and all the rabble of such rake-hels , ( but I had almost forgotten those old trots , fortunetellers ) be thrust out from professing physicke : all the which offenders not hauing learned so much as the first grounds and principles of naturall Philosophie or Physicke , do without controll or punishment trie their desperate remedies , by the death of many a man. Wherefore there could nothing be deuised more profitable and beneficiall for the good of the commonwealth , then that at length all Christian people were freed from the tyrannie and mischiefe of these cruell impostors , who by meanes of the secret obseruation of the vrine , vnknowne to the vulgar sort , do conceale their owne ignorance , and haue , as drones do into the Bec-hiue , crept into this profession . By the premisses , I hope thou hast heard what is the cause that Physicke and the Professors of the same are not of so high an esteeme in these our countries at this time . Of the differences of signes , by the which Physitians do discerne and know diseases , and do presage the future issue of the same . As I heare , these barbarous and wicked persons , falsly assuming vnto themselues the name of Physitians , do mutter and grumble against me , because of condemning their mad , rash , and foole-hardie finding out of diseases , by meanes of the vrine onely , for whose slanderous backbiting I care not a rush . For such as cannot helpe , I see not how they can hurt me . No more can I conceiue what the Physitian can performe , as concerning the cure of the disease , being ignorant of the nature and estate of the same . For this cause the ancient Physitians did with great labour , trauell , and industrie , search out the cause , the nature and substance of the disease , from the which the indications of remedies are deriued , and not from the vrine onely , but from the signes called Pathognomonicke , and from the whole concourse of the symptomes or accidents : who did likewise deuide Physicke principally into two parts , to wit , that which we commonly call Therapeuticke , whose most large and common scope , is to cure diseases by contrary remedies : and into that part which we call Diagnosticke ; whose most common scope is to discerne the whole and sound from the like , and the sicke and infirme from the whole , being vnlike the one to the other . And this part of Physicke doth farre excell the other , to wit , the Therapeuticke , the which without the Diagnosticke is of small vse or profit . And because it did lay open the perfect and absolute knowledge of the disease , by meanes of the signes Pathognomonicke , proper and peculiar to euery disease , together with the concurrence of accidents , which the Empiricks called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 ( which were nothing else but the collection by obseruation of certaine accidents and circumstances of diseases ) the later Physitians therefore gaue it the name 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 , or that part of Physicke which handleth the signes of diseases . Wherefore we cannot but much wonder at Galen , a man of so great learning , who besides two hundreth and fiftie bookes written of diuerse sciences , and of all the other parts of Physicke aboue foure hundreth ; all being likewise written in so good order and method , that notwithstanding he hath not brought to full perfection this so noble a part of Physicke , called Diagnosticke , but onely dispersedly here and there , especially in that booke called the Constitution or ordering of the Art of Physicke , hath as it were sowne some seeds of the same . But yet Auicenna , Rhazes , and other Arabian Physitians , and such among the Greeks as haue written of late after Galen , as Paulus , Aegineta , Aetius , Actuarius , and Alexander Trallianus , following the footsteps of the ancient Empiricks , did collect and gather together in euery seuerall Chapter which did discourse of the disease , a great number of the signes and seuerall accidents of the same : but so confusedly and indistinctly , that hardly couldest thou discerne one manner of signe from another insomuch as thou mayest , not without cause , call their Diagnosticke Physicke , the confused chaos of Democritus . And further they do not instruct vs sufficiently what signe of the disease doth argue or shew foorth the greater or smaller strength . But there is in Germanie at this day , a sort of idle prating fellowes , more foolish then any others , who , as if all the signes of euery disease were to be seene in the vrine , are not ashamed , by the sole and bare inspection thereof , to prate and pronounce sentence concerning the substance of the disease , and the life and death of the diseased , as hath bene said alreadie . To the end therefore that their impudencie may be made manifest , and layd open to euery one , I purpose to insert something in this Epistle concerning the differences of signes , to the end that I may minister occasion to some others more learned then my selfe , to handle the same by an absolute & exquisite method : the which taske I will also willingly vndertake for the good of the sicke , if I may obtaine so much time and leisure , that at length this so hainous a fault , and worthy of no small punishment , may be banished from among the companie of all honest and ingenuous Physitians , and a right and perfect method , as well for discerning as for curing , may be set downe . Now it is granted , as well among Phylosophers as Physitians , that the effects and accidents do indicate and declare their causes . It is likewise well knowne , that the accidents are nothing else but the effects of the disposition of the disease . No man therefore can deny , that the accidents ( of which number are also the actions interessed , and some things which essentially do adhere thereunto ) do indicate and declare , as well the disease as the place affected , as being the harbour and receptacle of the same , and vnto which the remedies ought to be applyed . Now as concerning the accidents , some of them are called by the Greekes Epiphaenomena , that is , such as do appeare indeed , but vanish away againe before the disease be at an end : others againe called Pathognomonica , which being of the essence of the disease , do both begin and end with the same . And these be inseparable and certaine signes of the disease , the concourse of which doth more certainly and truly declare vnto vs , the nature , manner , and kind of the disease , then any vrine can do . As a continuall feauer , together with a pricking and stinging paine in the side , a great cough and shortnesse of breath , when as they concurre together , and come as it were all at one instant , are euident and certaine signes of a Pleuresie . But other accidents which do after succeed , are called Epiphaenomena or Synedreouonta , as if thou shouldest say , assessors or assistants to the disease , vnto the which also they are not inseparably annexed , nor yet haue their originall together with the same ; but for the most part , either seldome , or after a doubtfull manner , do accompanie the disease , not making vp the substance , but certaine differences of diseases . As in a Pleuresie a red , bloudie , or yet yellowish spittle , a paine extending it selfe to the breast bone or neather part of the midriffe , watching , deliberation , and terrible dreames : these accidents are called assistant or accompanying , and do declare either the difference of the disease ; or else the mildnesse or malignitie of the same . Now it behooueth the Physitian to ponder and expend with himselfe in such a concourse of accidents equally , the strength of euery accident apart , and to compare together such as be dangerous , with the other which do promise greater securitie . For if those which are dangerous do vanquish and ouercome the strength and vigour of nature , either by their force or number , then mayest thou boldly pronounce , that danger is not farre from the doore . And againe on the contrary , if such as do promise securitie be of greater power then the former , then shall the sicke escape out of the deepe danger of Scylla and Charybdis , and by the vertue and power of a happy Crisis , saile forth into the hauen of health : and that yet more assuredly , if in the meane time perfect signes of concoction shall appeare . Amongst such signes some are called Decretorie , or Iudicatorie ; other signes of cruditie and concoction ; others againe do foretell the securitie or danger of the disease . Now the signes of concoction , after the beginning of the disease is past ouer , and the humours by meanes of the naturall heate , well concocted , sequestred , and separated from that which is putride and corrupt , do appeare about the time of the increasing or vigour of the disease , in the vrine , spittle , suppuration of Impostumes , ( which is not vnlike vnto concoction performed in the veines ) as also in other excretions : for the excretions of euery part of the body , as also of the humours , which are nothing else but the superfluities and relickes of concoction , do shew foorth the indisposition of the same . Wherefore in the infirmities of the chest , and instruments of respiration , a spittle white , euen of an equall consistence , is alwayes a good and laudable signe of concoction . But if the sicke be not at all able to spit out any thing , then doth it shew foorth absolute cruditie ; and if he should chance to spit a spittle without any mixture , being thin , waterish , & of a leaden colour , or of the colour of verdigrease , it doth not onely argue cruditie , but doth also portend the vtter ouerthrow of the patient . But the vrine being an excretion of the second concoction , doth certainly shew foorth the crudity and concoction of the humours contained in the veines , guts , liuer , and places adioyning , the said parts being annoyed , either with feauer , inflammation , Scirrhus , or yet any other distemper whatsoeuer . For if the same both in colour and substance be like vnto such vrines as are vsually seene in perfect health , hauing a residence white , euen , and like vnto well concocted matter , it doth truly witnesse vnto vs , not onely the concoction of the disease , especially in feauers , but also that the naturall force and power is a great deale stronger then the disease , and therefore that it is like to obtaine the victorie in the conflict with the crisis . But by this meanes the vrine is no Pathognomonicke signe , and yet a necessarie signe of concoction and cruditie , and worth the obseruing in feauers , diseases of the neather belly or intrails , and places adioyning to them . Wherefore Galen in the exposition of the predictions of Hippocrates , doth grant , that the vrine doth shew foorth and demonstrate the state and disposition of the parts of the liuer , kidneyes , and bladder ; as likewise of the strength or weaknesse of the vessels containing the bloud , and of the naturall power and vertue which is the ingenderer of the humours : howbeit the same Galen againe affirmeth , that there are other Pathognomonicke signes belonging to the braines , lungs , mother , sinewes , &c. And yet notwithstanding , might one , not without cause , auouch , that the vrine giueth notice of some infirmities of the place through which it passeth , not primarily and principally , but by accident , to wit , by reason of the contents thereof , which are nothing else but excretions proceeding from those parts which do conueigh and carrie the vrine . Wherefore Hippocrates witnesseth , that if any do void by vrine , either grauell , or little thinne scurfe , or matter like vnto scales , or coursest dressings of bran , little gobbets of flesh , congealed bloud , matter or small haires or threeds , like vnto the small veines knit together vnder the creuices taile ; these things declare that the bladder is annoyed with a scab , and the kidneyes with the stone , suppuration , the rupture of some veine , or some other infirmitie . But lest any should rashly apply the signes of vrine to any other then the aforenamed diseases , this famous father of Physitians doth adde immediatly : Take heed therefore lest thou be deceiued , the party making such an vrine when the bladder is amisse ; for then such vrines belong not to the whole body , but ought to be referred to the bladder onely . There is yet another fearefull and dangerous disease belonging to the kidneyes , called Diabete or Poldropsy ; being an extraordinarie fluxe of the vrine , called of the Greekes by reason of this vnsatiable desire of drinking Dipsacus . This disease is answerable to the disease called Lienteria : and for this cause they are continually forced to drinke , all which being nothing at all changed , in colour , substance , or in smell , they do voide forth againe as they receiued it , and that by reason of the imbecillity of the returning and altering powers and faculties of the kidneyes . Now that such an vrine is the proper and pathognomonicke signe of this disease , no man of vnderstanding , I thinke , will denie . Followeth now the third sort of signes of concoction of superfluities , to wit , the excretions of the bellie , belonging to the first concoction ; the which being soft , fashioned according to the concauitie of the guts , and somewhat fastened or stiffe ▪ being also voyded at the accustomed time , and answering in proportion to the food receiued : then , as saith Hippocrates , they do shew forth and declare the strength of the naturall faculties of the stomacke , together with the good digestion thereof . These three sorts of superfluities then giue particular notice of the proper state and disposition of such parts of the bodie as they passe thorow , together with the strength of the naturall powers : and first the superfluities of the meate do argue and declare the force and strength of the stomacke . For this cause the Emperour Antoninus his groomes of his stable did daily both taste and smell to the ordure of his stately horse , knowne by his greene furniture , to know whether he had well digested his food or not . Now the vrines are signes of the state of the bloud in the veines , and disposition of the Liuer , which is appointed to be the hote harth or kitchin for concoction of the humours . The spittle in diseases of the chest , is vnto vs a signe and token of concoction or cruditie : and those of the first sort , to wit , of cruditie , are for the most part euill , and often proue very dangerous : the others againe are often messengers of an healthfull and long looked for crisis : whence is this saying of Hippocrates : Concoction doth portend and signifie both the speedinesse of the crise and assured health : but on the contrarie , cruditie doth menace and threaten either the breaking forth of some tumour , or great swelling , or else some great paine or griefe , or yet a relapse into the same disease againe . There are yet many moe decretorie signes which concerne the future crise , as also diuerse prognosticke signes foreshewing life or death , the full explication of which would rather require a great volume then an Epistle ( the which haue bene exactly described by Hippocrates , ) but especially the intricate signes of prediction by the pulse , as also the signes both of the disease it selfe , and of the place affected or interessed ; the which also I willingly passe ouer , by reason that their power , force , efficacie , and signification , doth depend vppon the signes of concoction ; neither are there any amongst all the signes of concoction more necessarie for the Physitians vse , then these pathognomonicke signes . And tell me , I pray thee , how shall the Physitian euer be able to cure vncouth and vnknowne diseases , vnlesse the pathognomonicke signes first lay them open to his view and consideration ; in the finding out of which , the ancients tooke so great paines , as hath bene said alreadie . But since it is not the worke of the Physitian , but of nature , to concoct and cure diseases , it shall be very needfull for the Physitian to know assuredly the vigor and strength of the naturall power and force , whether it be like to ouercome the disease , or to faint vnder the burden of it ▪ by which meanes we shall attaine vnto more certaine and assured signes of life and death , then euer did those soothsayers and wizards , whom the Romanes did maintaine for the benefit of their sicke people ; whose prophecies and predictions no man of sound iudgement will euer beleeue to containe any matter of truth . But such prognosticke signes as are collected from concoction , are so firme and sure , that Galen doth boast and brag , that he was neuer by them deceiued . Now our pisse-prophet Physitians are either vtterly ignorant of them , or else notwithstanding set light by them ▪ who , notwithstanding , sitting idle at home , are nothing at all ashamed , by the vrine alone to deliuer their Delphian oracles concerniug all diseases : who neuerthelesse , haue neuer so much as tasted of this so noble part of Physicke called diagnosticke , without the which the other , to wit , therapeuticke , can neuer subsist : yet are they neither ashamed to assume vnto themselues the cure of vnknowne diseases , nor yet to arrogate and vsurpe the name of Physitians . Farewell , and write backe vnto me againe , after what method and order this diagnosticke part of Physicke ought to be both written and taught . Thus farre Langius . We will now proceed to some moe authorities , prouing the imposture committed by some , assuming to themselues the skill of discerning any disease by the inspection of the vrine onely ; and then will we produce some authorities to tell vs what diseases may by the vrine be seene , and how in the verie same we may sometimes be deceiued . From the premisses it may plainly appeare , how easily such Physitians are deceiued , who trust too much to the iudgement of the vrine onely : for such may well be compared to the vulgar sort of people , who are of opinion that not onely the disease it selfe , but euen the primitiue or externall cause may also be seene in the same : as did appeare by that clowne who reproched a very learned Physitian , because he could not discerne his cart and oxen in his vrine . Now that this our assertion is true , it may easily appeare , in that the vrine may alter and change vpon diuerse occasions : as by the quantitie and qualitie of diet : by reason of excessiue motion : by plentifull euacuation , &c. Of the erronius and preposterous iudgement of diseases by vrine . Georgius Rithamer a Gentleman of Vienna , being incited by the great concourse of people which did daily in so great abundance stocke about this base roguing and c●zening Empiricke ( who came hither of late ) to heare his opinion concerning their vrines , woulds needs likewise in some matter heare his opinion . Hauing discoursed a little with this Scoggia concerning the errand he came for , casting his eyes vpon the table , he espied a Greeke booke lying vpon the same , whereupon he began presently to smell out his knauerie . For this cozening varlet was altogether ignorant of all manner of learning and good literature , insomuch that he could scarce speake two Latine words : and as for the Greeke , so farre was he from vnderstanding the same , that he knew not so much as one letter of that language , as being brought vp vnder an Empiricke as ignorant as himselfe . He afterwards confessed vnto v● , that the sto●e where he lodged had two doores , at one of the which people ordinarily entred to talke with him : the other ioyned close to the kitchin , at the which a blind woman went out & in , who asked people before they came to speake with the Impostor , what their errand was : and then hauing learned what she would , returned againe by the same way , acquainting the villaine with the whole matter and seuerall circumstances : by which meanes he did exceedingly abuse the simpler sort of people . It came to passe another time , that a certaine graue matrone did most earnestly require that she might haue accesse to him ( for he would not easily admit euery one to his presence , to the end his credit might seeme the greater ) affirming likewise to this blind woman , that her husband was now readie to dye by reason of his excessiue bleeding at the nose , vnlesse he had some present remedie prouided . She being at length let in , he told her presently without asking her any question , thy husband bleedeth at the nose , and so wrote her downe some thing in a paper , with the which she departed , & euery where did magnifie and extoll the great skill of this notorius cozening raskall . O most execrable fraud and imposture ! And yet now adayes , not a few , not without great ●urt and preiudice to the poore distressed patients , do thus increase their meanes , and by the like imposture posture purchase to themselues no small gaine . Such a one is that notable impostor , the Iew I meane , practising his imposture at Vienna , these many yeares by past . But heare againe the cunning imposture of another of these knaues , recorded by the same author . It is not vnknowne to many , how that a few yeares ago there liued here a certaine cozening knaue , who by the bare inspection of the vrine onely did most boldly and confidently affirme , that euery one whose vrine was brought to him was either surprised with that feauer cōmonly called Synochus ; or else would tell them some strange and more then ridiculous and monstrous tales : as that some drop of bloud was fallen downe from the heart into the neather belly , & so had produced the disease ; or else that the heart was enuironed about , as it were with some bonds , which did bind it hard , with many other such ridiculous conceits . After the deliuerie of this his so ridiculous vrinarie oracles , he prescribed most commonly for euery one to sweat ; administring to this end and purpose this medicine following , well knowne to euery Apothecaries apprentice : to wit , a litle Venice treacle , mingled with a litle Campher : and after their sweating , he caused them bleed abundantly . In this age wherein we liue , there is euery where in these our countries so great and so frequent a number of them , which without any controll or punishment , euen in the best Cities and townes , both wheres and Iewes , as also any desperate villaine , and bold ignorant Empirickes , do kill and destroy the simple and ignorant people . And all of them by meanes of this so necessarie a signe doth nothing else but practise their imposture . Surely such rogues ought most seuerely and exemplarily to be publickely punished , and to be banished out of all well gouerned Cities and commonwealths ; like as we see robbers and theeues by the high wayes to be driuen out of the thickets and forrests to be punished . But alas , so farre are we from banishing this abuse , that many of good worth amongst our selues , haue required , and do yet require , not of my selfe alone , but of many others also both iudicious and learned Physitians , that by the sole inspection of the vrine , without any further inquisition or artificiall coniecture going before , we should Prophet-like tell them , whether the vrine be a mans or a womans ; of what age the partie is , what is the nature of the disease ; as also what the antecedent and primitiue cause of the disease may be : and whether they haue contracted the same by drinking of bad wi●es , by eating too many puddings , or any such like thing . Now if thou shalt herein professe thy selfe ignorant , and canst not Lyncius-like see all this and more in the vrine , thou shalt heare them reply , thou art a dunce , knowing nothing , and that they haue bene with them who haue told them wonders by the water . Thou seest then how absurd an opinion is crept in , not among the vulgar sort onely , but euen among many others also , who would seeme to be of a more refined vnderstanding ; as also what great danger doth from hence arise . But yet when as in some cases , with certaine cautions , we do attribute some certainty to the vrine , in giuing vs some notice either of the securitie of the disease , or yet the danger of the same : we are so farre from maintaining and vpholding such base b●ld varlets , that we desire nothing more , then the driuing of such dunces out of all well gouerned countries and commonwealthes . But now let vs proceed to declare the vncertainty of this signe , together with the limitation of the same to some certaine diseases , wherein it giueth vs best satisfaction : and we will begin with the famous Fernel . Now the vrine if it be neither mingled with too much drinke , or with some other mixture , giueth vs cleare and euident notice of the qualitie of the humours contained in the Liuer and great veines : but more obscurely of such as are contained in the small veines and euery part of the bodie . And a little after . It doth in like manner euidently declare and set forth the infirmities of such parts as it passeth through : as of the kidneyes , the vrine-pipes , the bladder and the yard . For although it make no long abode nor stay in those passages , yet doth it cleanse away any filth or vncleannesse if any there be . For this cause doth it shew forth the infirmities of such parts as it doth immediatly touch . And againe afterwards . But now because the custome hath so preuailed , that besides the premisses , many there are who like Prophets will seeme to diuine and coniecture by the sole inspection of the vrine , many things which concerne the disease : whosoeuer therefore for gaining of a little vaine-glorie and popular applause , will accommodate himselfe to imitate them , let him first of all reckon vp at once whatsoeuer he knoweth by the vrine . For by the exchange of many words foolish wits are easily entrapped , &c. And then concludeth thus : Whosoeuer then shall vrge the Physitian , as if he were some Prophet , by rash aduenturing , to deliuer his iudgement concerning the sicke by the sole inspection of the vrine , shall carrie backe but vncertaintie ; and for the most part nothing but doubting for their paines . But he or she who after a wise and discreete manner doth craue the counsell of an vnderstanding Physitian , shall reape for his paines the fruite of good and wholesome aduice . Now let vs heare againe what the Italian Sauonarola sayes to this businesse . From the premisses then we may conclude , that the knowledge we haue of the vrine doth principally concerne the Liuer ; and the gibbous or backe part of the same chiefly . Next , and in the second place , concerning the infirmities of the veines : thirdly , and last of all , the infirmities of the other parts of the bodie . And a little after . From whence we may inferre , that the iudgement taken from the vrine onely , but especially of most other parts of the bodie , excepting the Liuer , is not of any power or efficacie . Mercatus a learned Spanish Physitian attributeth as much to the sweat as to the vrine . But heare himselfe speake . Now comming to the infirmities of the Liuer , we must declare and lay open such predictions as are taken from the vrine and the sweat : for these two do giue vs certaine notice and knowledge , not onely of this part and the veines , but sometimes also they prooue to be certaine signes of the state of the nourishing or vegetable power ouer the whole bodie . The same author in another place giueth the pulse a great preheminence aboue the vrine in many diseases , but especially in such as concerne the vitall facultie ; which place , as many others to the same purpose out of many learned and approued authors , for breuitie I will here passe by . But Liddel , howbeit a late , yet a learned Physitian , and borne in our owne Iland , because he speaketh so to the purpose in this point of vrine now in hand , I could not nor would not passe by . Wherefore since the vrines do chiefly proceed from the superfluitie of the parts of the bodie , they can giue vs but a generall knowledge of the disease , giuing vnto vs most euident notice of the good or bad disposition of the Liuer , the veines , the bloud , and humours contained in them , as likewise of the concoction or cruditie of the humors within the veines . Next , they shewforth the disposition of such parts as they passe by , to wit , of the kidneyes , vreters , or vrine-pipes , and the bladder : together with such parts whose superfluities they carrie with them : but do nothing so well set foorth the state and disposition of such parts as they do not touch , and from the which they receiue no excretions or superfluities . Againe in the end of the Chapter : But we must not rashly pronounce our opinion concerning the disease , or yet of the euent thereof , trusting solely to these signes of the vrine , except we be first acquainted with the state and constitution of the partie , and other accidents and occurrences which do concerne him . For sometimes in diseases void of danger , the vrines are farre vnlike to them which do appeare in perfect health , and do shew themselues in a most hideous and fearefull forme , especially vpon the approaching of the crisis ; or when as vpon the sudden , by the vigour and strength of nature , the obstructions being opened , a great part of the faultie matter is expelled forth by the vrine . On the other side againe , in dangerous and deadly diseases , as in Pestilentiall and Hecticke feauers , the vrines cannot be discerned from those that are made in perfect health : by reason that the malignitie of the disease hath seized vpon the solid substance of the heart , and therefore the whole matter of the disease hauing the course thither , there is no portion nor part of the same to be seene in the vrine . It were no hard matter for me to make an enumeration of many moe authors , tending all to the same purpose , and so to fill vp many moe pages , the which , I thinke , would be but to small purpose , since these ●ew may suffice in stead of many moe , all being of the same mind . Now howbeit the vncertaintie of this signe hath sufficiently bene proued by the preceeding discourse , and it were easie for me to make vp a large volume concerning this particular onely , the which howbeit it be not my purpose , yet before I proceed to the vncertaintie of the same in diseases of the Liuer , and within the veines , I will instance in two or three particular diseases . The first shall be of an impostume in the head . In the yeare 1617. in the beginning of Ianuarie , a young Gentlewoman vnmaried , and daughter to a Gentleman of worth dwelling not farre from NORTHAMPTON , the season being very cold , and she before of a crasie constitution , was suddenly surprised with swounding fits , which ended with an extreame paine , especially about the crowne of her head , being accompanied with a suppression of her monethly disease . The paine was for certaine dayes without intermission , howsoeuer sometimes some remission might be obserued : as likewise both in her pulse and vrine signes of a feauer did plainly appeare . After I had vsed diuers meanes of diuersion , as well by Phlebotomie and attractiue glisters , as by other meanes , not neglecting hypnoticke , cordiall , and deoppilatiue medicines , according to the seuerall occurrences , the disease gaue her some reasonable time of intermission , with some alleuiation of the accidents . The vrine also after a few dayes , began to flatter vs with a faire and laudable colour , shortly seconded with contents answerable . The pulse played his part also , and dissembled as well as his neighbour . The Gentlewoman to any outward appearance , the very day before her death , was like to haue liued many , not onely dayes but yeares also : mouing and stirring with great alacritie and chearefulnesse vp and downe her chamber , busied about her ordinarie employments . When behold , he who spareth not the mightiest Monarchs , on an euening knocking suddenly , demands his debt long before his day , and would scarce allow her full two houres respit for the payment of the same . After death issued out of her mouth and nose great abundance of corrupt bloud and matter , as was afterwards told me ; giuing vs intelligence of an Impostume in the head , which had occasioned , not the former accidents onely , but euen death it selfe also . About the same time in this towne and countrey about vs , diuerse were surprised with Impostumes , both in the head and other parts , whereof diuerse died , among the rest my counsell was craued for a maid about twentie yeares of age , suddenly suffocated by an Impostume in her stomach , which after her death did appeare , by the great abundance of bloud and matter cast out of her mouth . At my coming to her , I found her depriued as well of speech , as of sense and reason , and scarce liued aboue 2. houres after my departure . But I will now relate a true historie of the deceitfulnesse of the vrine in a consumption of the Lungs . In Aprill 1622. my counsell and personall presence for a Gentlewoman in Bedfordshire being desired , I repaired thither , where I found her infirmity to be a Quotidian feauer , accompanied with some accidents which did somewhat amaze her . During my abode in that place , there was brought to me the vrine of a young Gentleman dwelling hard by , to haue my opinion of the same . Hauing well viewed it , I found it both in colour and contents , answerable to the most healthfull mans vrine . But after certaine interrogatories , I found that he had bene for a long time troubled with a cough . Being desired to see the partie , I found that he had bene for a long time vexed with this cough , accompanying an vlcer in the lungs : and seeing in him strength now decayed , with an * Hippocraticall face , deaths trustie messenger , I left him to the Prognosticke , which within lesse then the space of three weeks was verified . Now would I willingly demand of the most cunning Pisse-prophet , what could he haue found out by either of these vrines ? or could he euer haue attained to the height and depth of these diseases , by the bare inspection of the vrine onely ? And if he had bene beholden to the vse of the best perspectiue glasse that euer was made , could he euer haue seene any such matter in the vrine ? But concerning this point we will here surceasse , and proceed to the diseases within the veines . CHAP. III. That euen in diseases of the Liuer , and within the veines , the vrine doth often deceiue the most skilfull Physitian . NOw it may seeme a small matter to instance in diuerse diseases without the veines , the vncertaintie of iudgement in diseases by the vrine onely ; but it will , perhaps , seeme more pertinent to declare , that the like vncertaintie sometimes is found in some such diseases as seeme to affoord vs greater certaintie , as in feauers , &c. Now that the vrine is not alwayes a certaine signe in euery feauer , may from hence appeare , that often in that feauer commonly called Synochus cum vel sine putredine , that is , that kind of continuall feauer which proceedeth from the abundance of bloud , with or without putrefaction , the vrine differeth little or nothing from the vrines of such as liue in perfect health , as witnesseth Paulus Aegineta . The reason why such vrines proceeding of so hote a cause , yet do not appeare of so high a colour , is because of the same immoderate and excessiue heate , which being increased by meanes of the feauer , conuerteth the bloud it selfe into the nature of choler : and thus are such vrines not of so high intense a colour , as those which proceed of choler . Hence also may the error of such Physitians easily appeare , who neuer admit of Phlebotomie , but when the vrine is of high and intense red colour ; thinking that this doth alwayes argue abundance of bloud , which neuerthelesse is most false , as hath bene said . And besides , in that the vrines affoord vs but some generall notice of the cruditie and concoction of the disease , they can neuer informe our iudgement , whether the feauer be primarie or a principall guest , or symptomaticall accompanying the disease as the shadow doth the bodie , as is to be seene in Pleuresiet and diuers other internall inflammations : which is , notwithstanding of no small moment for the methodicall curing of the disease . And y●t moreouer , how canst thou euer tell whether it be an intermittent or continuall feauer by this vncertaine signe ? Neither Hippocrates nor Galen did euer presume to know so much ; howsoeuer A●●uarius in this , as in many other things concerning this point , hath troubled himselfe more then he needed . But againe , what if the feauer be composed of diuers humours , melancholy being one , which will not alwayes colour the vrine ? Galen himselfe instructing vs what vrines accompanie a Qua●tane in the beginning of the same , saith , they are thin , white , and waterish : and a little after , he ascribes the like vrines to the beginning of a Quotidian . And I know for certaine , that sometimes in the beginning of a Qua●tane , the vrine cannot be discerned from a sound and healthfull mans . And handling hereafter the colours of vrines , I shall make it appeare , that these thin , white , waterish vrines , do often accompanie other diseases . It is also worth the obseruation , that Galen himselfe , where as of set purpose he handleth both the differences and signes of seauers , maketh so small account of the vrine , that he neither nameth it among the signes of the Quotidian , Tertian , Quartane , nor yet of such as are continuall or without intermission . And a learned Physitian borne in this kingdome , setting downe all the signes of a Tertian , not omitting the pulse , yet maketh no mention of the vrine . But what if any malignitie be ioyned with a feauer , may it not marre thy iudgement ? It hath euer bene so agreed vpon by the learned , and daily experience teacheth vs this truth , that when greatest danger is nearest , it is then there least of all to be discerned . But concerning this point , heare yet the authoritie of a learned man borne within this land , speaking of that fearefull and terrible feauer , called commonly the sweating sicknesse . The vrine in this disease was somewhat coloured , thicke in substance , variable and inconstant in the swimme and sublimation ( for nature kept no certaine rule or order by reason of the violence of the venome ) and in all other parts kept within compasse . Now to any vulgar eye , so great danger in the like vrine could neuer haue appeared . I my selfe haue viewed many more dangerous to the outward appearance , and yet neither death nor danger was to be feared . The vrines in maligne and pestilent feauers are very variable and hard to lay hold on . In some the vrine differeth nothing from a healthfull mans : sometimes againe but a little , as in this last instance . Againe , in others it followeth the nature of the humour , shewing onely the abundance and putrefaction of the humours ; as I my selfe obserued 1610. at London in a lustie young fellow , seruant to a Gentleman a friend of mine , and dwelling in the Strand neare to Charing-crosse . This fellowes vrine was very high coloured , with a copious residence of red and some yellow contents : and the feauer kept the peri●d of an intermittent Tertian ague , as was related vnto me ; and was accompanied with a painefull swelling in the throate : his bodie plethoricke and cacochymicke , and of a strong constitution , and in the Aprill of his age . For this cause I prescribed both phlebotomie and other euacuations . But the noise of the neighbours about , affirming it to be the Plague ( as it proued indeed , many of them dying shortly of the same disease ) was the cause that meanes were by his friends neglected , and he after a few dayes dyed of this disease . But before we go out of our owne Iland , let vs yet heare the authoritie of another learned Physitian , who liued in this land about 300. yeares ago . Heare therefore his owne words concerning Quartanes and other diseases . Now because the Quartane ague is engendred of diuers humors , therefore the vrine is many wayes changed . And thus saith Richardus concerning the predictions by vrines : I take God and all the Saints in heauen to witnesse , that neither by skill and art , nor yet by vse and long experience in practise , I could euer attaine to any certaine knowledge of the vrine , either in the conception , a Quartane ague , the Falling sickenesse , &c. Now although I might be a great deale larger in this point , yet will I content my selfe with that which hath bene alreadie said . Let it then not any more be doubted , that the vrine is not alwayes a certaine and infallible signe of the estate of diseases contained in the vrine , as feauers &c. But what then ( may one reply ) doth it declare ? The cruditie or concoction of these diseases , together with the length or shortnesse of the same , according to the appearance , and the early or late appearing of the signes of the one or of the other ( I meane cruditie or concoction ) in the vrine . Now omitting also many things which might be said concerning diseases proceeding from the same , I will instance onely in one , to wit , that loathsome disease of Leprosie . Now as our senses do teach vs , that in all the sorts of the same , the a skin is euer infected : so whether thou vnderstandest that which the Greekes or yet the Arabians so called , b it is agreed among all our Physitians , that as well the Liuer , which is the fountaine and roote , as the masse of bloud , which is as the branches or streames proceeding from the same , are much interessed and endammaged in this disease : and therefore by right the vrine here should carrie a great stroke , it being also the opinion of diuers Physitians , that as well the bloud as the vrine of such as are infected with this loathsome disease do much differ from other mens . And yet heare I pray thee what a learned late writer of no small experience witnesseth concerning this matter . But as for my selfe , who haue these thirtie yeares and vpwards , most diligently viewed , and carefully obserued and marked the bloud of a great number of such as were infected with this loathsome plague of Leprosie , I do most constantly and assuredly auouch , that neither I my selfe , nor yet such Surgeons as assisted me , could euer in the bloud find out any assured marke or infallible token of Leprosie : but in euery respect like vnto the blond of such as enioyed their perfect health : or if at any time it hapned to swerue from the foresaid perfection , that it then appeared no more corrupted or infected then ordinarily we do behold it in the ●aundise , feauer , or any such like disease . The like also I may truly pronounce of the vrine , on the which the vulgar sort doth so much dote . In the same ranke may I also with good right place the pulse , whose change and alteration to enquire after , were to search for a knot in a rush , &c. But now let vs proceed to a point surpassing vulgar capacitie , and which will seeme to many a strange Paradox , or a tale of Robin Hood : my meaning is concerning women with child , whether by the vrine onely conception may be discerned : the which point , howbeit it hath bene touched in our former discourse ; yet because this is so inueterate an error that hardly can it be expelled out of the minds of many , I will insist a little the longer vpon the same , intreating a little thy patience ( gentle Reader ) and I hope thou shalt not afterwards repent thee of this paines . CHAP. IIII. That by the vrine onely , it cannot absolutely be told , whether a woman be with child or no , contrary to the vulgar opinion . AS in many other things , so in this point also concerning the conception , ignorance and error haue so farre preuailed , that he who cannot vpon the bare inspection of the vrine onely , tell whether a woman be with child or no , and whether of a male or female , is thought by many not to merit the name of a learned and skilfull Physitian . The which hath made many , lest they should be discredited among the vulgar , cunningly sometimes to learne what they could concerning other signes of conception , and vpon the sight of the vrine , make them beleeue they had found out the whole truth by meanes thereof : and others againe , when as they could learne nothing , haue vpon some presumptions and probabilities put all to the venture , and told them that which they most longed after : and if the prediction happened right , then was this person admired as more then a mortall man : but if otherwise , then might he looke for a mocke or flout for his paines , besides the imputation of ignorance and insufficiencie . Howbeit some are yet more cunning then others , to impute the fault to some other accident , by this meanes still maintaining the ignorant in their former error . This hath bene a great meanes that hitherto the people hath bene gulled , hauing conceiued a sinister and wrong opiniō of the honest & learned Physitian , who would not sooth them vp in the same errour . For the better confutation of this point , my purpose is , first to propound some reasons against the same : and in the next place shall march some authorities of the learned : and in the last place something shall be added out of mine owne experience . Now in the first place , according to the common rule set downe , and confirmed by a number of learned writers , That the vrine ordinarily giueth vs notice of such diseases as are contained within the veines , as also of such places through which it passeth , it is apparent , that the conception participateth of neither . For in the first place , it is apparent and manifest , that the matrix or wombe is none of those parts contained within the veines : neither yet in the next place , doth the vrine passe through the same . How then is it possible to perceiue any infirmitie of this part by the vrine ? Now besides , the bladder and the wombe are two distinct and seuerall parts , appropriated to seuerall ends and vses . And put yet the case that sometimes something might be , by reason of the nearenesse of the two orifices , conueyed through the common passage , yet this would but seldome come to passe . And moreouer in women with child this conueyance could not be granted , in regard of the exact shutting vp of the aforesaid passage during the whole time of this burden , insomuch that the least superfluitie can then haue no passage , as witnesseth Galen in diuers places . Now if any will deny the truth of this point , in the first place I answer , that as I grant that sometimes there my be , notwithstanding that which hath bene said , some euacuation during that time , and that some part of the same matter might be conueyed into the bladder , yet this cometh to passe but very seldome , and in a few . And againe , this would make more against them : for all that is by the learned at the most granted in this case is , that the vrine may sometimes declare a retention and stopping of the menstruous fluxe , whereof if any part during their being with child is voyded foorth ( as sometimes some women haue some to spare ) the vrine can no more declare any stoppage of this fluxe , and by consequent nothing concerning the conception , vnlesse thou wouldest imagine that there be certaine ideas or shapes and pictures of young children conueyed at that time into the vrines of women with child . And yet if this were true , who told these vrine-mongers that the wombe daunced attendance on the bladder , to voyde their seuerall excretions at one and the same time ? But put yet the case that some part of this menstruous fluxe , now and then issuing out at the common conduit with the vrine , might shew vs something , yet could it not follow , but that a number of other signes were also necessarie , as hereafter shall appeare . Their chiefe ring-leader Actuarius himselfe , confesseth that the vrine alone is not able to leade vs vnto this truth . Moreouer Aristotle acknowledgeth , that the vrines of women with child do differ according to the time that is past since the conception ; so that there is not one certaine vrine whereon to repose our iudgement . And according to the opinion of diuerse others , the vrines of women with child alter almost euery day . One of these vrines therefore shall neuer giue notice of the conception , although it might be sometimes discerned by the vrine . And is not this absurditie , to presume to know that by one signe , which many ioyned together can hardly declare vnto vs ? Diuerse contents are set downe by some authors following Auicenna , which are said to be found in such vrines , which neuerthelesse , haue bene often obserued as well in the vrines of citizens as countrey people of the malekinde , who I am sure , were neuer so much as suspected to be with child . A certain practicall Professor of the vniuersity of Pisa in Italie ( saith Scribonius ) a graue ancient Physitian , was wont to say , that such as trusted most to this prediction , were most of all deceiued ; and yet he neuer yet in his life time had obserued any such vrines in women with child , as Auicenna describeth : and that moreouer he had often obserued such contents in mens vrines . Adde yet this argument to the former , that the conception , as also the further growth of the child in the wombe , is properly a naturall action , and no disease at all : for this cause their vrines ought to differ little or nothing from other healthfull womans waters , especially in the first moneths , as I haue my selfe often obserued . Againe what if a woman with child be surprised with some acute disease , as commeth often to passe , will this then thinke you , make no alteration in the vrine ? And if there were any certainty in this signe alone , what needed our Physitians trouble themselues with so many ? and oftentimes all will not serue the turne . Let it therefore remaine firme and ●●able , that no certainty can be collected by the sole obseruation of this signe , and that to maintaine the same , is nothing else but meere imposture and coz●●age . But that this is not mine owne priuate opinion onely , I will now make it appeare : heare therefore some of our learned Physitians deliuer their owne minds , that out of the mouth of many witnesses this truth may be confirmed . Let Rondeletius first speake . It would seeme ( saith he ) iustifiable , as well by reason as by experience , that the vrine may giue vt certaine and assured notice of a womans being with child . And D. Gabride said , he knew it as assuredly as if he had seene a child in the vrine . But of another opinion are all the ancient Physitians , who haue left vs no signes of the same in the vrine : as also reason it selfe teacheth vs no lesse . For since the birth or conception is without the veines , and the vrine chiefly giueth vs notice of such diseases as are contained within the veines , it can giue vs no certaine assurance of this matter , vnlesse we ioyne therewith all other signes , as the retention of her monethly disease , swelling of her bellie , she , notwithstanding enioying her perfect health . &c. Heare now the opinion of some of our Italian Physitians , and first of all let the learned Mercuriall vtter his mind . Be it knowne , notwithstanding , that I am not altogether of the Arabian Physitians mind , who haue deuised certaine contents which are not to be found in vrines , to wit , certaine grounds like vnto carded wooll , little motes , &c. No more am I of that opinion , that a Physitian may assuredly know by the vrine whether a woman be with child or no ; by reason that of all the signes which Hippocrates hath in diuers places set downe , there is not one that we can certainly trust to . The same opinion is by his countrey man Sauonarola yet seconded . But here we must be very circumspect , in regard that all these signes of conception may sometimes be without the same , as in the stoppage of her monethly course , ioyned with a false conception ; in which case many famous Physitians haue bene deceiued , and their too forwardnesse hath turned to their great disgrace and infamie : as it befell two learned and skilfull Physitians in the Vniuersitie of Pauie , Marsilius de sancta Sophia , and Petrus de Tussignano , both in my time . Let yong Physitians therefore be carefull , that with the vrine they ioyne all the other signes belonging to conception ; amongst which one is chiefe , which belongeth to the midwife to find out , &c. And Leo Roganus , a learned Romane Physitian , is of no other opinion . The vrines of women with child ( saith he ) differ nothing but by accident from other womens , to wit , that then in such women , as well the action of the stomacke , as the appetite and concoction vse ordinarily to be troubled . And yet such is the block●shnesse and stupiditie of some Physitians , that they are perswaded women with child make vrines differing from other womens . It is true , that in women with child , that bloud which was wont to be voyded monethly , is now stayed and kept in , wherefore because the same in the first moneths especially , not being wholly spent on the nourishment of the child , as being then but small , it commeth to passe that the action of the stomacke , as likewise the appetite , together with the concoction are not a litle troubled . And therefore being often , by reason of their longing desires , carried away with a desire of such things as engender little good nourishment , they engender great store of crudities , which may plainly be seene by their vrines , the which are also common to all such as abound in crudities . To the former we will adde yet a late writer of the same nation , because he speaketh so plainly and to the purpose . The booke was first written in the Italian tongue , and since translated into French , out of the which I haue translated this parcell . Truth it is , that we must not altogether relie vpon the vrine , to know whether a woman be with child or no. For the vrine can giue thee no further assurance of the same , then by the retention of her accustomed monethly course , and by the which we do commonly collect some presumption of conception . Now it may easily come to passe , that a woman may be surprised with many infirmities , which may hide and darken the principall signe of conception ( if any there were ) in the vrine : such as be headach , any cold , especially being accompanied with a cough , cruditie , or indigestion of the stomacke , great paine in the kidneyes , &c. And which is yet more , the eating of raw fruite , sallets , milke , porke , pease , sperage , cabbage , artichocks , mushromes , and many other such kind of food , not being ordinarie or vsuall to the partie , are sufficient to alter and change , not the colour onely , but the contents of the vrine also . Moreouer the vrine doth most properly and assuredly declare vnto vs , the infirmities of the parts from whence it commeth , and through the which at length it passeth . For the which cause it is more then manifest , that there is no assured knowledge to be had by the vrine concerning the conception , no more then by the retention of her monethly course , sin●e that without conception the foresaid retention and stopping is found , as well in maides as in married women . The last and most certaine signe of conception is , when as the child beginneth to stirre and moue . Mercatus a learned Spaniard , after he hath set downe a number of other signes , at length addeth these words . As concerning the vrine , howbeit in this case it doth affoord vs but a very vncertaine iudgement , yet may we sometimes draw some certainty out of the same . But how I pray thee ? By obseruing her seuerall vrines at diuerse times , beginning with the first moneth of supposed conception , and so obseruing the seuerall alterations vntill the time of her deliuery approach . Then withall setteth he downe all the seuerall trials which the famous Hippocrates hath left vnto vs , all which were needlesse and superfluous , if the vrine of it selfe were sufficient for this purpose . Now let vs adde yet one storie of the deceitfulnesse of this signe in conception , recorded by a learned Germane Physitian . Franciscus Emericus Doctor in Physicke , and of the chaire in the Vniuersitie of Vienna , in his discourse entituled , whether the obseruation of the pulse or of the vrine doth affoord vnto the Physitian more certaine and assured foreknowledge of the life or death of the patient , and printed anno 1557. relatet● , that in the yeare 1555. in the Citie of Vienna , a certaine friend of mine ( saith he ) called Georgius Rithamerus , a man of singular learning , being very desirous of issue , came to one of the Physitians of the Colledge of best note , bringing with him his wiues vrine , to know whether she were with child , as he deemed , or no. The Physitian vpon the bare sight of the vrine onely , did peremptorily affirme , that she was for certaine with child , and that of a boy . After the which time Rithamerus began quite to distaste me ; and that onely by reason that vpon the sight of her vrine , together with diuers other signes and circumstances thereto belonging , I had deliuered my opinion , that she was not at all with child . And besides , he prouided with all expedition both midwife , nurse , and all other things belonging to that businesse . It was afterwards constantly and confidently euery where noysed abroad , that she was with child . The women her attendants by reason of some accidents wherewith she was now and then troubled , appointed her diuerse baths , by meanes whereof being surprised with the falling sicknesse , she was in a very short time freed from all the miseries of this mortall life . Of whose death being aduertised , I did very earnestly intreate the aforesaid Rithamerus , that both in regard of that ancient bond of loue and amitie betwixt him and me , as likewise to finde out the whole truth of this matter , he would be pleased to giue way to the opening of the dead corps . The which at length , being ouercome , as well by my earnest suing vnto him , as for the great and earnest desire he had to be resolued of the truth of the matter , he did willingly yeeld vnto . In making the incision , we began first with the muscles of the neather bellie , discouering such parts as before were hid , & afterwards ripping vp the peritonaeum , we proceeded to the place where the wombe was situate ; and although we did perceiue it to be but very small , and to containe nothing within it ; yet to the end we might the more clearly see the truth with our eyes , we ript it vp also , and found it cleane , and empty of any thing within it . Now in her life time she was of a whitish bleake colour , and of a cachecticall disposition , and had neuer in all her life time borne any child : from whence I did by very probable coniccture collect , that she was troubled with some other infirmitie . For the which cause we proceed still in our incision towards the stomacke ; whereas betwixt the peritonaeum , and the guts we found good store of water , which did according to the motion of the body , fall sometimes to the right and sometimes to the left side ; and from hence arose this erronius opinion of the supposed motion of a liue child . This being after this manner finished , I spake after this manner , My good friend George , you see now after what manner your wife proueth with child . And he , seeing the case so plaine , did ingenuously acknowledge , that he had wrongfully and vndeseruedly bene offended with me , and withall did freely acknowledge his errour . Witnesses with me at this incision , were Doctor lacobus Walch , companion with me in my Italian studies ; as also Andreas Perlachius , a great Mathematician , being also the onely man who had so stedfastly maintained that she was with child . Now with two instances of mine owne experience I will finish this point . A Gentlewoman dwelling neere Northampton some yeares ago , sent me her vrine , which in euery respect , as well in colour as contents , resembled the vrine of an healthfull yong man. Hauing found out by some circumstances that it was a womans , I began to suspect that which afterwards proued true , that she was with child . The messenger demanding whether she was not entred into a Dropsie : I replied , I rather enclined to the opinion that she was with child , the which proued to be true . The seruant confessed , another Physitian had before put her in needlesse feare of a Dropsie . The Gentlewoman afterwards conceiued a better opinion of my skill in this point , then I confesse it deserued . The same Haruest , within seuen miles of this towne of Northampton , a Lady great with child , being now within two moneths at most of her deliuerie , sent me first her vrine , and then desired mine owne personall presence for some infirmitie whereof she then complained . The vrine sent resembled , as the former , the vrine of a lustie young man in the Aprill of his age : I obserued it very narrowly , and yet could I discerne none of those Arabian contents , neither cardedwooll , flaxe , nor huswiues cloth . Being afterwards with her , I found no alteration in her vrine , saue that it was paler coloured which was made in the night , and higher coloured which was made in the day time , contrarie to that which we commonly obserue ; and yet neither of them exceeding the colour of a cholericke mans vrine . The Gentlewoman had bene for a long time , euen before her being with child , much troubled with a hote and feauer-like distemper . This point then being cleared , we proceed now to the sexe , where we shall find no lesse vncertaintie then in the former . CHAP. V. That the sexe cannot be discerned by the Vrine . NO lesse absurd an opinion then the former , is it to hold that the sexe may absolutely by the vrine be discerned . As for the sexe in the wombe , the same reasons which were brought against the discerning of the conception by the vrine , will here take hold also . As for the discerning of the sexe in those of riper yeares , the reason would seeme to be more fauourable . The chiefe and principall reason alledged for this is , because men are commonly of an hoter constitution then women , which is the cause that their vrines are dyed of an higher colour ; and moreouer , that the contents in womens vrines , in regard of their idle and sedentarie life , do often exceed mens in quantitie . But this must not simply be considered , but as we commonly say , caeteris paribus : that is , a man of a good and laudable constitution of body , vsing diet answerable both in quantitie and qualitie , and auoiding idlenesse : a woman likewise of a colder complexion , as often they are , vsing moderate diet , a sedentary and lazie life , auoyding hote diet . If , I say , one should bring thee two such vrines , demanding to know which were the mans and which the womans , then without great difficultie mightest thou giue out a right verdict . But if one shold bring vnto thee two vrines , the one of a man , the other of a woman , the one not differing from the other , and the womans perhaps higher in colour and thinner in substance , ( which may by diuerse meanes come to passe ) thou shouldest giue wrong sentence , then being thus gulled , thou mightest be made a gazing stocke to thy neighbours , by reason of thy peremptorie opinion . Now that some women are of an hoter constitution of bodie then some men , I thinke who so denieth , deserueth rather to haue his pate purged , then to be dealt with with by any reason . I my selfe haue also knowne many a man make paler vrines , with greater quantitie of contents , then women : which may easily come to passe , by reason of great quassing , daintie fare , and abundance of ease and idlenesse , the engendrers of all manner of crudities . Haue we not now adayes more then a good many whose God is their guts , Fruges consumere nati , on whose vrines thou mightest long looke , before thou couldst discerne any thing materiall or to the purpose ? As for out women , what if their Liuer and Kidneyes be hote , as I haue not seldome obserued , may not this bring forth an high water ? and will not obstructions easily depriue it of contents . But especially if these women be well acquainted with a pipe of Tobacco , a cup of good sherry Sacke , Malago , or Canary , or yet a cup of good ●appy Ale well brewed with sugar , nutmegge and ginger , may it not now and then not onely colour the vrines , but make their faces flourish with some orientall carbuncles and rubies ? Besides the former reasons , will not fasting , watching , perturbations of the mind , diet in quantitie and qualitie , with diuerse other things moe , alter the vrine as well in man as in woman ? It were , perhaps , an easier matter to obserue this difference in some hoter climat then our owne , to wit , in France , Spaine , or Italy , where women drinke more water then with vs ; especially in Italie , where the women are caged vp like linnets to sing , and are not so busie with the fruite of the grape , nor with the strong barley water as our British women . If I should instance also in our virgins , more manlike then many men , how were any able to contradict it ? But if I should send to the cunningest pisse-prophet in this kingdome the vrine of some Hermaphrodite or man-woman , what would or could they say ? and to which of the sexes would they ascribe the vrine ? Now that some such are to be found , cannot be denied . It hath bene holden for a truth in all ages : and of late yeares a learned Physitian hath written a booke concerning that subiect , where he bringeth in a number of histories of ancient and later times . I haue bene also credibly informed of some such who haue liued here in these parts of the countrey . But if the woman shall be surprised with any hote and acute disease ( as the vrine is seldome sent to the Physitian but in sicknesse ) will not these confound thy iudgement ? Now if the sexe cannot be discerned by the vrine in persons of yeares , what absurditie is it to demand the knowledge hereof in a woman with child , where the conception it selfe cannot be thereby discerned ? as also where there are so many rubs in the way . It is also worth the obseruation , that whereas that learned Mercatus discourseth of all the signes whereby one may know whether a woman be with child of a male or female , where he omitteth not so much as the blowing of the wind , yet speaketh he not so much as one word concerning the vrine : no more do many other authors of best note . Iean Marinello among many moe , setteth downe many signes to discerne the sexe in the wombe , yet speaketh he not so much as one word of the vrine . Other authors for breuitie I will passe by . I cannot but wonder what should moue our vrine-mongers to be so peremptory in this their opinion of discerning the sexe by the vrines , as though there were some specificall difference alwayes to be obserued in these vrines : are not the humours alike , and the parts as well femilare as organicall alike in both these sexes ? But I will acquaint thee with one historie concerning the prediction of a Parson-physitian , who would certifie a Gentlewoman with child of what sexe it was . A Gentlewoman dwelling within a few miles of Northampton , left with child of her late deceassed husband , was very desirous to be certified of the sexe if it were possible . The reason was , because that if a sonne , then was he to be heire to great lands and possessions , which otherwise were entailed to the next heires male . This Parson being by many reputed famous in vromancie , this Gentlewoman had recourse to his oracle . The Parson is peremptorie that she is with child of a sonne . The Gentlewoman and her friends reioyce not a little . But the worst is yet behind : the Parsons prediction proues false , and he a lying Prophet : she is brought to bed of a daughter , and her mirth turned into mourning . If he had euer learned his Phylosophie , he might haue learned that , De futuris contingentibus non est determinata veritas : Of future things not yet come to passe , being contingent , no man can assuredly foretell the issue and euent . But thou mayest here see ex vnguibus Leonem : what manner of men these be . The yeare 1622. a patient of mine of good account dwelling in Northampton , purposing ( according to his vsuall custome ) to take some preuenting Physicke in the Spring of the yeare , wished his vrine to be sent to me . The vrine which was sent was of an high and deepe dyed red colour , of a meane substance , a copius red residence . Meeting with him the same day , I asked him whether he complained not of some heate : who replyed , he fel● no manner of distemper at all . I wished him yet once againe to send me his vrine , which if it should so continue , I doubted Phlebolomie would be requisite . The next vrine was of a pale straw coloured yellow , with some whitish residents , such as sometimes accompanie crudities . Enquiring afterwards into the cause of this diuersitie of vrines in so short a space , his wife told me , that her vrine had the first day bene sent in stead of her husbands . I required of her , whether she did not complaine of any inward distemper of heate ; who replyed , that she complained of no distemper at all . But within a few dayes she found that distemper in such a measure , as she was glad to admit both of Phlebotomie and other fit and necessarie remedies . The constitution of her bodie is hote , and her vrine answerably high coloured , vnlesse it be accidentally hindered . And this I dare boldly affirme , that during her husbands sicknesse , being a long and tedious , first Tertian , then double Tertian feauer , yet neuer saw I his vrine of so high and intense a colour as that of hers lately mentioned . And now I hope it doth plainly appeare , that neither the conception , nor sexe can be by the vrine onely discerned . Let vs now proceed to the examination and Anatomie of the vrine it selfe , together with the seuerall parts of the same . THE SECOND BOOKE OF THE ANATOMIE OF VRINES . THE ARGVMENT . IN this second booke is set downe a more particular suruey or Anatomie of vrines , & their seuerall parts in particular : beginning first with the common diuision of the vrines into three or foure regions , with the idlenesse of that supposed correspondencie thought to be betwixt them and the regions of a mans bodie . Then followeth the vncertaintie of iudgement by the substance , and afterwards by the accidents of the vrine , and first of the quantitie : the smell followeth , and if any be in loue with the last , he may trie it in the next place . Then follow the chiefe colours , their seuerall significations , and doubtfull predictions thereby . The confutation of the crowne or garland is handled in the next place , and after it in order , the bubbles , spume , fat and froth , fume and vapour in the vrines . The great varietie of other contents challenge to themselues the next place , where we will begin with the cloud , swim or sublimation , then proceed to the grounds or residences of vrines : where besides varietie of contents commonly called difforme , are also contained diuers prodigious histories of seuerall sorts of wormes reiected by vrine . The obstruction and stopping of the vrine , either totall or in part , the seuerall causes of the same , and diuers predictions , as also the inuoluntarie excretion of vrine , shall not be omitted : and then a word with the Alchymists concerning distillation of vrines . And finally shall follow the conclusion , where shall be answered the obiection concerning euent and casuall cures , with some instances of this error . And for the confirmation of my opinion , I proceed on still in my former method of reasons and authorities both of ancient and late writers , adding here and there some of mine owne obseruations . CHAP. I. That the regions of the vrine are not answerable to the regions of the body of man ; as also concerning the substance of vri●es , thicke and thinne , their manifold significations , and vncertaintie of iudgement by the same . IT hath bene an inueterate opinion , and which hath taken deepe roote in the minds of many , and first brought in by Actuarius , that the seuerall regions of the vrine , are answerable to the principall regions or parts of a mans body . Of these regions in the vrine some make three , the highest part answering in proportion to the highest part of the body , to wit , the head and such other parts as adioyne to it : the middle region representing the middle parts of man , as the breast , the bowels , and the parts about them : the neather region of the vrine , the lowest parts from the bowels downewards . Others againe make foure , appropriating the circle in the vppermost part of the vrine , called otherwise a crowne or garland , to the animall parts contained in the head : the ouermost part or superficies to the pectorall parts , heart , lungs , &c. the middle region to the parts seruing for nutrition or nourishment , to wi● , the stomach or maw , the liuer , spleene , guts , &c. the lowest or neathermost part in the bottome of the vrinall , to the parts appropriate to generation . But this opinion ( saith one ) is more curious and superstitious then true . Meaning of the foure regions of the vrine , &c. And yet the same Author maintaineth the three regions of the vrine to be answerable to the three principall regions of the bodie , which I will here confute as most false and erronious . Now to this purpose I thinke it will not be amisse , to set downe the words of his interpreter , which may serue sufficiently to ouerthrow this error : Hence may it euidently appeare , in how great an error those Physitians are inuolued , who hold a proportion betwixt the height of the vrine and of a mans bodie . Hence also cometh it to passe , that they affirme that the contents of the vppermost region do declare and lay open the griefes of the head , &c. Did those men euer see fat fall to the bottome or middle region of the vrinall ? Doth not oyle and any fat thing commonly and of its owne accord swim vpon the top of the vrine ? Neither yet doth it therefore necessarily follow , that the head is principally affected ; but doth declare and shew foorth , either the wasting of the whole bodie , or some diseases of the kidneyes . Let them shew vs the residence called hypostasis , in the garland or vppermost part of the vrine . The like may be said concerning the bubbles which do alwayes stay vpon the top of the vrine , and according to the doctrine of Hippocrates , do Prognosticate some long and lingring disease of the kidneyes . To what end and purpose then keepe they such aprating , that the bubbles which do in order compasse the whole crowne or garland about , do declare some great paine in the whole head : and if they compasse and enuiron but the halfe of the circle or garland , then do they argue a paine but in one side of the head ? How often are such people pained with the wind Colicke or Hypochondriacke melancholy ? In which case howsoeuer some wind may ascend vp into the head ; yet is not this axiome alwayes of vndoubted truth . The like iudgement may we pronounce concerning other things of the like nature , which most commonly follow the condition of their owne naturall inclination and matter , and not the altitude or situation of this or that part of a mans bodie . Thus farre our Author . And the troubled vrine so continuing , of the which shall be spoken in the next Chapter , may serue to ouerthrow the supposed proportion betwixt the regions of the vrine and the body of man ; this headach being discerned by the whole body of the vrine , and neither by the circle or garland , nor yet by any bubbles , spume , or froth in the top of the same . But concerning the vncertainty of these particulars , as also concerning the crowne and garland , hereafter when we shall speake of the contents of vrines , I purpose to discourse at greater length . It is now time we come to the substance of vrines , and then to all the parts of the same . I will with the learned Mercuriall , diuide the whole vrine into three parts , the substance , the accidents , and the contents . In the substance againe we are to consider , whether the vrine be thicke or thinne , and whether cleare , or troubled and muddie . And this we vnderstand of the whole bodie of the vrine . Thin vrines according to Vasseus haue manifold significations . First a failing of naturall heate . Secondly , a stoppage of the Liuer , kidneyes , and the vrinarie vessels . Thirdly , weaknesse of nature . Fourthly , that the attractiue power of the passage or pipes of the vrine is endamaged . Fiftly , extreame coldnesse ioyned with drought . In acute diseases it argueth : First the weaknesse of the concocting facultie . Secondly , the cruditie of the disease , and of the humours contained in the veines . Thirdly , if it thus continue for a long time , death , if nature be not able to hold out : & if strength continue , some abscesse or Impostume in the neather parts . And in a Crisis threateneth a relapse , as in Hermocrates 3. Epid. Now how shall any by the bare inspection of these vrines , be able to know whether it hath long thus continued or no , which neuerthelesse maketh much for a true prediction ? The partie seldome taketh notice of it , vntill such time it be sent to the Physitian . The messenger employed , oftentimes hath not seene the partie since the beginning of his sicknesse , much lesse his vrine . Thinne vrines which afterwards turne thicke in an acute disease , saith Sauonarola , without any ease or alleutation ensuing , signifieth a wasting away of the whole bodie , &c. But concerning thinne vrines , which afterwards turne thicke , something shall be further said , when we shall speake of thicke vrines . And concerning thinne vrines in generall , because I shall haue some further occasion to speake hereafter when I shall handle the colours , I will not dwell so long vpon this point . But now come we to the thicke vrines . The same Vasseus giues vs fiue seuerall significations of thicke vrines in generall . First the combat or fight betwixt nature and the humour . Secondly , abundance of humors . Thirdly , the thickening slime and the other parts next vnto it , by reason of cold , if thinne vrine went before . Fourthly , the beginning of concoction , such in the fit of an Ague so continuing . Fiftly , the weaknesse of the strength , and no small store of humours . The same Author againe diuideth these thicke vrines into two sorts : into thicke transparent , pellucide , and troubled , called by him turbida . This first sort signifieth ( saith he ) a dissoluing or melting of glassie phlegme , as we see in the vrines of Epilepticke persons proceeding of phlegme . If it be of a citrine or yellowish colour , it signifieth choller , like the yolkes of egges . But because the other sort of thicke vrines called turbida , or troubled and muddie , is more obuious to the eye , and easilier discerned , I will insist a little the longer vpon the same . The same Author assigneth three significations to such vrines . First , a great agitation and stirring of crude and vnconcoct humours , together with no small store of windinesse . Secondly , abundance of humours , which neuerthelesse are by nature expelled . Thirdly , the great trouble and encombrance nature hath in the expelling and sequestring such humours . But these troubled thicke vrines are yet diuided into three seuerall sorts . First , some being thinne at the first making , do afterwards thicken : others are made thicke , and after a while settle : and finally , some are made thick , and do so continue , being like vnto horse-pisse . Such vrines ( saith Ranzouius ) as are made thinne , sometimes suddenly thicken and grow troubled : this in health cometh often to passe after exercise , and to others after sicknesse . And after I haue drunke hard ( saith the same Author ) I make a cleare vrine , which in a very short time groweth thicke , and so setleth to a great residence . Others hold that it signifieth , that nature now beginneth to set vpon the humor , and to concoct it . I haue often obserued such an vrine , both in perfect health and before and after sicknesse . Cold winter weather also often altereth thinne vrines into thicke . Such as are made thicke at first , and after settle to a thicke residence , and become cleare , signifie and declare vnto vs , that the disease wasteth away ; as declaring nature now to make a separation , after which it expelleth at a place conuenient . Vrines made thicke at the first , and so persisting , are generally accounted , and that not without cause , the worst of the three : which according to Hippocrates , argue great headach , either present or imminent , being especially ioyned with a feauer . But this is not perpetuall , ( saith Galen ) for a troubled vrine generally is an accident of the abundance of raw humours , either concocted or turned into wind , and not of a phrensie ; and yet such an vrine may both accompanie a phrensie , and be without it , as all other such accidents as neither are contrarie to phrensie , nor yet proper thereunto . Of these vrines which do not settle ( saith a learned Author ) but yet much more of such as being at first made thinne do afterwards thicken , we can giue no certaine prediction : for such vrines do sometimes onely signifie cruditie , and sometimes againe they are very bad . But the diligent and carefull Physitian may by other signes distinguish the same . Another Author maketh vrines so persisting to be alwayes very dangerous . Such an vrine ( saith he ) doth declare vnto vs , that naturall heate is so weake , that it cannoe separate the good from the bad . But yet must not this be absolutely vnderstood , but with a caution and limitation , common to many such other speeches : to wit , that with strength persisting , they signifie that the disease is like to be of long continuance , and without the same to signifie death . In such thicke vrines therefore ( saith Roganus ) we must not alwayes be afrayed , as some ordinarie Physitians are , but must likewise obserue some other signes . In young children ( saith Reusner ) if these vrines be exceeding thicke , ( which oftentimes cometh to passe , howsoeuer seldome obserued ) besides the head-ach proceeding of windinesse , they do also signifie the paine of the heart , ( as they call it commonly ) that is , of the mouth of the stomach . Such an vrine may proceed also from the windinesse of the passages . Thinne vrines afterwards becoming thicke and troubled , if strength decay , it is an infallible token of death : and that by reason of the agitation and motion of the matter within the bodie , and the abundance of windie vapours from thence , which nature is not able to ouercome . But before I proceed any further , I cannot passe by a common error , which many as well in towne as countrey do hold , to wit , that when they see such a thicke vrine staine the vrinall , they are incontinent conceited all the danger of the disease is past . But this to be most false , I haue often my selfe obserued , and no doubt so haue a many moe besides my selfe . Reusner maketh this one of his signes to know whether the vrine were thinne at the first making or no : for if it were so , then when it thickeneth , it commonly staineth the vrinall . Now when the strength holdeth out , the patient may recouer , and not otherwise . I will instance in one onely , in whom I obserued the vanitie of this opinion , and shall serue in stead of a many to iustifie my assertion . Some nine or ten yeares ago , I was sollicited to affoord my presence and best counsell to a Parson , dwelling within some foure miles of the towne of Northampton , surprised with a burning feauer . Hauing diligently enquired what remedies he had hitherto vsed ( for if I remember right , it was the tenth day of his disease ) and by whose prescription , I learned that no lesse then three at least , if not foure Parson-Physitians had administred to him , and then the most famous for Vromancie of all the countrey about : howbeit since that time some others are also crept into that societie . I enquired moreouer whether Phlebotomie had bene as yet vsed . They replyed that Phlebotomie had not bene so much as once mentioned by any of them , but that they had purged him , as I thinke with Diaprunum , and I remember not what else , and appointed him some cooling drinkes . His wife added moreouer , that one of them thinking to purchase himselfe some praise beyond his fellowes , would haue bribed Death with foue pounds worth of Aurum Pot●bile , which she willingly payed for , in hope of her husbands recouerie . But this importunate suter would haue no nay ; but vrged still the payment of the debt he came to demand . I told them that Phlebotomie , in due and conuenient time administred , had proued a more soueraigne medicine for this disease , then all the gold of Ophir and both the Indies . I being by them much importuned to let him bloud , absolutely refused , his strength being now well nigh spent , and some ill signes ( the vndoubted harbingers of death ) offering themselues to my eyes , administring onely some cordials . The next morning I find all waxe worse and worse ; howbeit his wife , shewing me his vrine , which before had bene thinne , and now setled to a thicke residence , a part whereof did sticke to the sides of the vrinall and staine the same , which she , beleeuing her neighbours , began to conceiue some better hope of his recouerie , and that onely vpon this false ground . I assured her of the contrary , which shortly afterwards proued too true , and the same day , being Saturday I departed . The Monday after comes one of his former Physitians ( not the Parson who ministred Aurum Potabile ; for after the same he had no moe arrowes left in his quiuer ) who , if faire buttered speeches and peremptorie promises could cure diseases , he might cure more then euer did the Apostles : who then all too late letteth his patient bloud , who suruiued not long after the losse of this liquor of life , but dyed either that night , or the next morning very early , being about the fourteenth day from the beginning of his disease . One thing I must yet adde concerning the signification of thicke vrines , which deserueth reprehension : to wit , That a Physitian maintained , that he could know by the vrine that any were bewitched : to wit , that such a ones vrine was thicke and muddie , and could not by any heate be turned , as they terme it . To whom it was no lesse learnedly then truly replyed , Did you neuer reade in Hippocrates of vrina confusa ? I cannot but much maruell , that any man that had euer suckt in the principles and grounds of Physicke , should be so farre ouerseene , this being a peculiar propertie of such vrines , that they will not be turned by any heate whatsoeuer . It is then apparent , how little certaintie is to be collected concerning the iudgement of diseases , by the sole inspection either of thick or thinne vrines : to wit , that after many cautions and diuers interrogations , if thou meete with an vnderstanding messenger , and the vrine sent at a conuenient time , and all other circumstances obserued ( which neuerthelesse , seldome or neuer concurre altogether ) and thou thy selfe being wise and vnderstanding , mayest perhaps , learne something concerning the state of the disease , as cruditie and concoction ; and it may be , some moe circumstances , and yet the strength of the patient ( which is most materiall , and the vulgar neuer able to iudge of the same ) together with many other circumstances , not to be neglected shall be concealed from thee : many of our countrey people , being so ignorant that they thinke their neighbour not a whit amended , vnlesse he be able , as at other times , to fill his bellie with bag-pudding & bacon . And moreouer the ordinary sort of people are seldome able to lay open either their owne or their neighbours infirmitie , they taking chiefly notice either of some accident common to many others , or else of some griefe most affecting them . But besides the premisses , may not the thicknesse of the vrinall , the dimnesse of thy sight , the excesse or defect of light , or yet if it be brought to thee at candle light ( so sottish and absurd is the vulgar sometimes ) make thee to faile in thy iudgement ? That I say no thing of the time of the yeare , according to the which as well the substance as the accidents do often alter in one and the same indiuiduall partie . Others adde also the sexe , the age and many moe , which I here omitting , will hasten to the accidents of vrine . CHAP. II. Of the accidents of vrine , the quantitie , smell , &c. and that no certaine and assured truth can by them be presaged or knowne . THe accidents of vrine are all reduced to two generall heads , the quantitie and the qualitie . The quantitie is either great , small , or meane , which is the best . Abundance of vrine in health signifieth , 1. that the partie hath drunke store of Rhenish or other searching wine . 2. abundance of moist meats . 3. little euacuation by stoole . 4. too liberall vse of diuretickes , or such things as prouoke vrine . 5. the concoction of crude and vndigested food . 6. the retention of sweat , menstruous fluxe , or other moisture detained within the chest or stomacke , vnburthening themselues this way . Concerning the retention of the like humidities , it may not seeme so stra●ge that they may be turned towards the passages of the vrine , but it may seeme stranger that the faecall excrements should produce this effect ; and yet Hippocrates witnesseth the truth hereof : and besides , Aristotle relateth , that in Pirinthus there was a cow , which neuer had the passage for her excrements open , but that the same were conuerted into a statuous or windie substance , and then into vrine , and so expelled . In sicknesse this abundance is likewise diuers wayes produced . 1. By meanes of the excessiue heate of the kidneyes , which draw abundantly such humidities , as in the Diabeticall disease , called by some a Pot-dropsie . 2. Great euacuation of superfluous moisture . 3. The wasting away of the whole bodie , which commeth to passe in burning feauers , and which was obserued by that famous Physitian Marcus Gatinaria in that maide of Millan about some eighteene yeares of age , who voyded euery day for fortie dayes together , fifteene pounds of vrine , whereas the quantitie of euery dayes meate and drinke ioyntly did neuer exceed the weight of foure pounds . 4. The ending of the disease . And in acute diseases , the abundance of vrine is procured sometimes , 1. by meanes of the feauers relenting . 2. By the change thereof into an Hecticke . 3. By a Conuulsion . And besides the premisses , it may be yet procured by diuerse other meanes : as I remember a yong woman then vnmarried , who in the disease called the mither , voyded abundance of vrine , especially during the time of her fits , being in the afternoones , and that for the space of foure dayes together , as hereafter shall appeare when we shall speake of the colours of vrines . And often in the crises of acute diseases the vrine is multiplied . A man of Sena ( saith Scribonius ) euery day did pisse foure or fiue iugs of vrine , who scarce dranke halfe an English pint all the said space : what could a Physitian haue iudged by this quantitie ? Thus then when thou seest so many causes or one and the same effect , to which of them canst thou ascribe it , vnlesse thou be well acquainted with the particular circumstances from the patients owne mouth ? Small quantitie of vrine is likewise procured , 1. By dry diet . 2. By the vse of tough and ●●mie meates . 3. By reason of obstructions . 4. By reason of plentifull euacuation . 5. By meanes of a violent feauer . 6. By some hurt of the vrinarie vessels , as commeth sometimes to passe by reason of the cold distemper of the bladder , procuring a palsie to that part . 7. By the decay of naturall heate , as commeth sometimes to passe in such as are readie to dye . 8. Because the moisture is detained in some other part , as commeth to passe in a Dropsie . 9. By reason of some impostume in the fundament , the necke of the bladder , or in the wombe , which may straiten the said passage , that the vrine cannot come away in any great quantitie . 10. The abundance of crude and raw humours may be a meanes of this so small a quantitie . But I will yet adde some more out of the aforenamed Scribonius , because his words are so sutable for our purpose , The like verdict may we also giue forth ( saith he ) concerning the small quantitie of vrine , taking often its originall cause from the defect or scarcitie of meate and drinke ; as also by meanes of some other euacuations : such as are sweat , excretions by stoole , and such like , which carrying the matter of the vrine another way , hinder the passage thereof into the bladder , and by consequent the expulsion from thence . For this same cause such as be troubled with any laskes or fluxes do voide but a small quantitie of vrine , as Galen himselfe declareth . Againe a little after , he addeth these words : In the obstruction of the Liuer and mesaraicke veines , experience it selfe doth often teach vs , that a very small quantitie of vrine is voyded . Now if any ones seruant should bring vnto thee such an vrine , not acquainting thee with any other circumstance , why wouldest thou giue sentence for an obstruction rather then a laske ? or for a laske rather then an obstruction ? Besides the premisses , in the Stone , the Dropsie , and such other diseases which hinder the generation of vrine , no certaine iudgement can be collected from the small quantitie of the same . And that thou mayest yet be more rauished with admiration , Rufus Ephesus in his booke of the infirmitie of the reines , maketh mention of one , who ( as saith Praxagozas ) aboue the space of twelue yeares voyded all his vrine by the bellie , and not by the ordinarie passage . What then could a man haue iudged concerning this mans bladder , and the other parts depending thereupon ? And this shall suffice for the quantitie of vrines , with the vncertaintie of the same : now come we to the qualities obserueable in them . The next accident of vrine is the qualitie : and the qualities , as witnesseth Mercuriale , according to the doctrine of the Arabian Physitians , are fiue : the smell , the tast , the sound , the touch , and the colour . As for the smell , vrines haue little or no smell , or else a sweet and pleasing smell , or finally a stinking smell . No smell , saith Mercuriall , proceedeth from no other cause then from the extinguishing of naturall heate : howbeit it may sometimes proceed from drinke of a cold qualitie , like as we see in cold countries , and the like complexions , the smell of the vrine is not so much to be discerned . Vrines smell well , either in regard of diet or drugs : but especially by meanes of a temperate heate concocting well . Stinking vrines come by foure seuerall meanes . 1. By meanes of cruditie and indigestion of the food . 2. By reason of putrefaction . Galen witnesseth , that whatsoeuer thing is putrified hath an euill fauoured smell . Wherefore in Pestilentiall feauers the vrines are most commonly of a stinking smell . As also if the vrines passe through any place oppressed with putrid vlcers ; or yet if any purulent matter be mingled with them , they become stinking . 3. The too long retention of vrine in the bladder may make it to stinke . 4. The qualitie either of diet or drugs , ( as hath bene said of the good smell of vrines ) may likewise procure vnto it an euill smell . Looke at large what Sauonarola saith of this point , if thou be disposed to see further . But what certaintie doth the smell of the vrine affoord vs ? whosoeuer shall thinke to helpe his vncertaine coniectures by the same , should leape out of the frying pan ( as the prouerbe saith ) into the fire . In the first place it is to be obserued , that as well in sicknesse as in health , vrines may offer no pleasing smell to the nose , and yet the party may be free from any danger at al. But because healthfull folkes seldome send their vrines to the Physitian , we will let them passe , and come to the sicke . I will let Scribonius speake for me . Concerning the sicks vrine ( saith he ) most do teach vs that stinking vrines signifie putrefaction of humours , in so much that by the difference of the smels , they take vpon them to iudge of the seuerall humours so putrified . O wise woodcockes ! I willingly yeeld to them , that stinke or strong smell doth argue putrefaction in such vrines : but of which parts shall this putrefaction be ? whether of the bladder onely , or of the Liuer also , of the chest , or other members ? Nay so farre off is the stinking smell from giuing vs any particular notice of the disease , that it cannot so much as affoord vs any certaine generall knowledge of the same . For many sweet smelling simples ( saith Montanus ) may cause a most stinking vrine . Cholericke and hote complexioned men void often very strong smelling vrines , howsoeuer free frō any disease , as I haue often obserued in my selfe . And by what meanes , I pray thee , shouldst thou from the stinking smell of the vrine know putrefaction ? or how can this putrefaction procure this stinking smell ? If this were so , then would it necessarily follow , that whosoeuer were seised with a feauer proceeding from putrefaction of humours , should voyd stinking vrines , the which is most false . The truth of this assumption may from hence appeare , that for the most part among an hundred sicke of such feauers , scarce shalt thou find one of their vrines so to smell , nor yet their bloud at the opening of a veine . And for this cause well said Sauonarola in his treatise of Vrines , that there are other signes also to be obserued in the annoying of putrified members , if we purpose well and orderly to examine , trie and finde out any skill concerning vrines . And indeed a thousand causes there are which may alter and change their smell . By the smell then onely there can neuer be any certaintie collected to informe our iudgements concerning any disease . But I am afraid the Reader will take it ill , that I so long detaine him among so vnpleasing smels ; and my selfe begin to waxe wearie of so vnworthie a thing , and as I neuer tooke any pleasure in the same , so here I leaue it to them that like it better . But if I should yet enter vpon the tast , I feare I should be worse taxed . I can tell no man their tast by mine owne experience . Salt they haue alwayes bene counted ; as the teares likewise : If any be incredulous I will not hinder him . If our vrinemongers had no better beere allowed them , they would not so much adore the pissepot as some of them do . But yet if any purpose to practise this point , I wish him to go to the Arabians , who haue written so curiously concerning this point ; and it may be , in regard of their aromaticall drugs , their vrines may be of better taste then those of our Europaeans , who feed on grosser food . As for the other two qualities , the sound and touch , we will send them all in one ship to Arabia with their fellowes : and now we come to the colours . CAAP. III. Of the colours of Vrines , how deceitfull they proue , and first of the colour commonly called palew or light saffron . IF euer vrine proued a strumpet , it is of all other parts of the vrine most apparently to be seene in the colour . For as sometimes some of the most infamous stewes strumpets , infected it may be , with the poxe , do most curiously decke and adorne , by curious painting , sumptuous apparell , and such other enticing trickes , their lothsome and filthie carkasses , to the end they may more easily deceiue such as will be caught in their snares : doth it not often fare euen so with the colour of the vrine ? For oftentimes when they make the fairest shew , doth not euen death knocke at the doore ? My purpose is not here to make any phylosophicall discourse concerning the causes of colours in generall , and then to apply the same to vrines in particular , and so to insist vpon each seuerall colour : for this might proue too tedious , and perhaps , not so pertinent to the purpose we haue in hand . And yet , notwithstanding , I will say something of each of the chiefe and principall colours ; by the which it may more easily be conceiued , that the like deceit may be seene in the others like vnto them . Now my purpose is to begin with that colour which is the best of all others , being as it were the rule and square whereby we do discerne and iudge of the failings and defects of all the rest . This colour is called in Latin Subrufus , subaureus , or subcroceus : and in English , palew , or light saffron . This colour our Physitians do generally account the best of all others , and that it best betokeneth exact concoction . Neither yet must this first and best colour arguing good concoction , be simply and in it selfe so considered , but restrained to flourishing age . For in old men , women and children , ( whose vrines , especially childrens , do commonly decline towards white and pale ) it doth betoken that their bodies are too hote , either by reason of diet , exercise or some other meanes . But if one should bring vnto thee such an vrine , how couldst thou tell whether it were an old or a yong mans , a womans or a childs , the messenger not acquainting thee with the particular circumstances ? It may be thou wilt say , the contents will make the case cleare . I answer , that many causes may depriue them of contents in part or altogether , as hereafter shall appeare in the contents : and how the substance may alter , hath bene said alreadie . The common opinion is , the higher the colour is , the greater heat is argued ; which opinion to be most false & erronious , shall hereafter in other colours appeare . Besides , may not a little extraordinarie watching , fasting , rheubarb , saffron , madder roots , or such like , colour the vrine without any excesse of heat ? And will the seuerall seasons of the yeare produce no alteration in the vrine ? that I say nothing of an infinite number of other causes , which may in like manner alter them . But one signification of such a coloured vrine I cannot here passe by , which I remember I once read in an English vrine booke : to wit , that a maide which maketh an vrine of this colour , desireth the companie of a man. Doth not our maister vrine-monger now diue into the depth of the matter ? But good man , I know what , I can assure thee that Tom and Dicke in the countrey can tell as well , that Maud the dairy maide would be married , by the reflected rayes and benigne aspects of her superiour orbs vpon their hemisphaers , and the suffering some syllibub ; and some other commodities committed to her custodie , now and then to come into their possession ; by this meanes hindering her mistresse to further her selfe in her suite : as the most cunning pisse-prophet in all the countrie shall do by the vrine , if he had as many eyes as euer had that watchfull Argus , or his nose weighed downe with spectacles . The sanguine and best complexioned ( which by consequence should produce the best vrines ) are not alwayes the most amorous . Many as ill coloured drabs as euer any hath seene , haue not sometimes bene behind the best complexioned Gentlewoman in the land in such a case . And it is held by many that such are for the most part solaces . But now let vs proceed to some instances of these outward glorious appearances of vrines of the best note , which neuerthelesse falsified the trust reposed in them . And first I will instance in one taken out of a learned Germane author , and then I will adde one of mine own experience . The iudgement of diseases by the sole inspection of the vrine , is hard to attaine vnto , and of great difficultie : for sometimes it commeth to passe that the vrine , as well in colour as in all other points , doth shew it selfe of a very laudable conditiō to the view of any indicious eye , when , notwithstanding , death standeth at the doore : the reason of this being , that all diseases are not easily discerned , nor yet the dangers of them perceiued by the vrine alone ; but such especially as haue their being in the bladder , veines , kidneyes and Liuer . As it came to passe anno 1581. in a yong man about 24. yeares of age newly married . This yong mans vrine being , as well in colour as contents , most like vnto an healthfull vrine , he being neither depriued of his accustomed appetite , either to meate or drinke , neither troubled with excessiue headeach , thirst , watching , anxiety and tossing of his body too and fro ; nor yet distempered with any noysome heate which might by feeling be discerned . The pulse notwithstanding , being weake , frequent and swift with great inequalitie and feeblenesse , gaue vs some coniectures of I know not what kinde of feauer , the which now and then was not without some exacerbations . Hence was I of opinion , that the vitall facultie did then by little and little decay ; the vse and necessitie whereof in euery action of this life is , not without great cause , thought to be of such weight and moment , that not onely doth it suffice as matter for the rest , but doth also stirre vp and perfect the same , in cherishing them after a most kinde and effectuall manner , in so much as no part of the body can enioy the benefit of nourishment without the influence of this vitall facultie . This yong man therefore , being now wholly depriued of the said spirits , it was no maruell if nature now decaying , and win● , by the counsell of a certaine Physitian , being denied him now for certaine dayes , he did vpon the eight day make an exchange of this cottage of clay for a farre better and happier inheritance . But to omit many other stories by my selfe and others obserued , which would yet most pregnantly prooue and confirme the same , yet especially in the yeare 1617. did this most manifestly and plainly appeare . In the foresaid yeare , being generally moist for the most part ; the Winter not Winter like , furnished with such frosts and tempestuous stormes , as are not vnseasonable for that time of the yeare : it came to passe that besides the small poxe , measels , and diuers other diseases , there reigned not onely in Northamptonshire , but in many other places of the kingdome , a certaine kind of maligne , if not pestilentiall feauer , the which , by reason it sweept away the lustiest people of either sexe , we may , and that not without good reason , call it Stoup gallant . In this disease , as cometh often also to passe in others of the like nature , the vrines of some , such as liued not long after , did appeare to the eye , both for colour and contents , of as laudable a condition as the vrine of the soundest and healthfullest man in this kingdome . But among many I will mention but one , whereof I my selfe was an eye-witnesse . These foresaid feauers in the towne of Northampton , and places adioyning , in the Spring of the yeare were very frequent , fierce and furious : towards Sommer they began somewhat to relent , reassuming their former fiercenesse towards the Haruest quarter . In the aboue named yeare and quarter , about the latter end of September , a married woman of good account and reputation , liuing within this towne of Northampton , was surprised with the foresaid feauer : of the which , because at the first it assaulted her after the manner of an intermittent Tertian ague , she made but small reck●ning but after the space of three or foure dayes , fearing that which afterwards came to passe , being also hereunto perswaded by some of her friends , she vsed the aduise of another Physitian and my selfe . In a few dayes were by vs administred all such meames , as either in reason or our daily experience we thought fittest to expell the cause of her disease , and restore her to her former health againe . But contra vim mortis , non est medicamen in hortis . Wherefore at length discharging that debt which all the sonnes of Adam owe , she was freed from the miseries of this mortall life , and entred into the possession of a better . Two or three dayes before her death , her vrine might both for colour and contents , haue giuen such satisfaction and content to the most eagle-eyed Physitian , that none by the sight of the same could euer haue suspected any imminent danger . In like manner if any one had felt her pulse , without due consideration of the former dangerous accidents , which could not be concealed from a iudicious eye , obseruing withall sensibly approach the dissolution of this crasie cottage , he would no doubt with old . Agag haue concluded : Surely the bitternesse of death is past . CHAP. IIII. Of red vrines , and how easily one may thereby be deceiued , and of pissing bloud . PAssing by many other colours of vrine which Authors do here mention , attributing to each of them a seuerall signification ; of all which , it were too much this short Treatise should take vpon it to discourse ; considering also that the vncertaintie of the same may be partly collected from that which hath bene said alreadie , and partly by some things yet to be handled hereafter : now I will cleare this point concerning red vrines . This colour of vrine , howbeit it hath many degrees , some being of an higher , and some againe of a lower coloured red : yet ( saith Galen ) all are coloured with a greater or smaller portion of bloud therewith mingled . Neuerthelesse , that this same colour of vrine is procured by the mixture , more or lesse , not of bloud alone , but also of an high coloured choller , ioyntly or seuerally according to the greater or smaller quantitie thereof , is not by a small number of learned Physitians maintained : as also that this same colour of vrine is often and vsually seene in hote and acute diseases , is not vnknowne to the very vulgar and vnlearned sort of people . Now a many causes may bring foorth this effect : this colour of vrine higher or lower appearing in a many hote and acute diseases ; which would puzzle a good Physitian , by the bare sight of such an vrine , to know what disease it were . But yet is not this rule so infallibly true , that it admitteth of no exception , as is the opinion of many . And therefore most erroneous and dangerous is the practise of such , as vpon the bare sight of an high coloured vrine , presently without any further deliberation or enquiry of circumstances , both prescribe Phlebotomie , and administer all maner of cooling medicines , to the great & ineuitable danger and preiudice of the patient : from the which errour also the learned Arabian Auicenna is not free , as our learned late writers haue well obserued . And as I deny not but that this may often prooue true ; so on the other side , it is most certaine , that the vrine may be of such a colour , and yet either proceed from a cold cause , or else from some imbecillitie and weakenesse , as cometh somtimes to passe in Dropsies , &c. But lest this should seeme stuffe of mine owne braine , and hatched at home , heare from the mouth of a worthie Author , something concerning the same purpose . It is not seldome obserued , that the vrine , by reason of a commixtion of bloud with it , doth appeare of a red colour : but by reason that it is either thicke or clotted , it is no great difficultie to discerne the same . But that so thinne a bloud should bemingled with it , that not the substance of the vrine , but the colour onely should be altered , is but seldome seene . Such a case befell a young man of 28. yeares of age or neare by . This young man voided an vrine of an high red colour , and thinne substance for many dayes together , being very like to the vrines made in hote acute feauers . The aforesaid patient had vsed the aduice of diuers ancient learned Physitians , who had appointed him such meanes as are vsed for the cooling of hote Liuers . At length he repaired to my selfe , at that time but a young Physitian . Looking on his vrine , and withall seeing it of so high a red colour , as also perceiuing him , who was there present , free from any feauer , I asked him whether heretofore he had complained of any : which he denyed , adding moreouer , that for some moneths by-past he had felt a chilnesse and coldnesse , together with a great extenuation or leannesse , and shortnesse of breath , ioyned with a generall decay of strength ; as also that hitherto he had found no benefit by such meanes as he had vsed . All which hauing attentiuely heard , I thought good to keepe by me the said vrine vntill the next day , and then to view the residence thereof , the which was of a colour like vnto bloud , as being indeed nothing else but bloud , the vrine aboue it , being but very little , dyed with a pale yellow colour ; shewing no signe or token at all of any feauer . For the which cause I did then collect , that there was no exorbitant heate in his Liuer , but a great weakenesse in the kidneyes , by reason whereof the ends of the small veines being opened and loosened , let some part of the bloud passe away . And therefore I tooke a new course for curing of the same , by vsing such meanes as were fit for the corroborating and strengthening of the kidneyes and veines , not omitting fit and conuenient diet , and among other things , goats milke . And so at length the vrine came to its owne naturall colour againe , his bodie also enioying the benefit of nourishment as it was wont in former times : and thus in a short time recouered his vigour , strength , and former perfect health againe . Such an excretion of bloud , which cometh thus to passe by reason of the loosenesse and widenesse of the mouthes of the small veines , or yet of the thinnesse of bloud , is commonly called Diapedesis : that is , as much as a streining through . It cometh also to passe , that some bloud is voyded by vrine many other wayes : sometimes some great stone fretting the passages betwixt the kidneyes and the bladder , called Vreteres , bloud doth also accompanie the vrine , but withall it is blacke and clotted . The stone continuing for some certaine space in the bladder , prooueth likewise sometimes the cause of this inconuenience , and that especially after riding , or some other violent motion of the bodie . In women also some part of their menstruous fluxe is sometimes intermingled with it . Sometimes againe the bloud issuing out of the gummes , being suddenly stopt , doth search for it selfe a passage through the bladder . The kidneyes being wounded , first doth bloud issue out by the vrines , and afterwards matter mingled with it : as it befell that woman which was stabbed in the loynes with a dagger , first voyding blouddie vrines ; then afterwards mingled with matter , vntill such time as both the wound and the kidneyes were cured . And that this was a wound in the kidneyes , did plainly appeare , by some portion of the same taken out of the wound . The exulceration of the kidneyes is also accompanied with bloudie vrine , after the which ( vnlesse remedie be in due and conuenient time procured ) matter doth follow . It is likewise sometimes seene , that decrepit old men do voyd vrines mingled with bloud , which are of a blackish colour , accompanied with some red , the which doth declare , that the vigour and power of the kidneyes is almost quite abolished . But I wish thee yet to lend thine eare a little to the same Author , yet againe in a storie or two more , which will adde not a little light to this matter . The vrine doth appeare of a reddish colour , not onely when the Liuer is surprised with a Gangrene , or the bodie with any hote or acute disease , such as are Tertian agues , burning feauers , inflammation of the internall parts : but often also in the debilitie , weakenesse , and coldnesse of the Liuer or stomach , proceeding from long and lingring diseases . The like tincture it receiueth now and then in the extreame pinching Collicke passion , when as some tough and clammie humours possessing the guts , do hinder the passage of the faecall excrements . A Gentleman of account ( saith he ) voyded vrine of a very high red colour , howbeit free from any feauer : being at the same time much tormented with the Collicke , accompanied with a retention of the faecall excrements . After the iniection of an anodine , or mitigating glister , the paine was much eased , and withall the vrine became of a remisse and light colour , such as it was wont to be in his former health . After a short space his vrine reassumed againe its former high colour , vntill such time as by frequent reiteration of glisters , the vrine at length persisted in that laudable state and condition once before begun , the bodie also without any artificiall meanes performed its ordinarie functions . A Citizen of good account , about fiftie yeares of age , being freed from a Quartane ague , which had held him for the space of foure or fiue moneths , fell into that kind of laske which we commonly call Lienteria . His excretions by stoole were very liquid and crude , and no remainder of the heate of the Ague to be discerned . His vrines also were of as high a red colour , as is at any time to be seene in the most violent burning feauers , or inflammations of the inward parts . But yet did I not build vpon any so rotten a foundation , but hauing a more watchfull eye on other matters , I thought it necessarie in the first place to haue a care of the stomach , and in the next place of the Liuer , both being by meanes of the former Quarterne ague , not a little weakened . For this end and purpose I prescribed his diet in qualitie hote and drie , allowing him for his drinke the best and strongest wines , such as are Sacke and Canarie . Physicall meanes were Diagalanga , Diatrion-pipereon , and such like . By continuance of which meanes , this much at length was obtained , that the saecall excrements did now shew forth good concoctiō , the vrines also as in his former perfect health . After all the premisses the aforementioned patient assuring himselfe of perfect health , did secretly fall againe to the too liberall drinking of beere . Immediatly after this disorder , the colour of his vrine was againe altred into an high deepe red , vndoubtedly declaring vnto vs , that sometimes the vrines receiue an high and deepe colour , by reason of the cruditie and coldnesse of the stomach . After that time therefore he refrained againe from beere , vpon the which his vrine returned to its former laudable condition , neither did he after that vse any beere , vntill such time as he had perfectly recouered his former health againe . These things haue I related , because of the ignorance and error of many , who are perswaded , that the vrine cannot be died with so high a colour , any other way then by heate , who whensoeuer they see such an vrine brought to them , the patient being tormented with the Collicke , they very vnaduisedly and rashly haue recourse to the cure of a feauer , neglecting the cure of the Collicke , which by these meanes they are so farre from curing , that they do rather much increase the paine of the same . But if these men had read Galen to Glauco , they could not be ignorant y ● vrines sometimes do appeare of a reddish colour in cold diseases , or at least such as are not very much distempered with heate . For writing of the Quotidian ague , which hath for materiall cause , crude and raw humours , thus he writeth : In Quotidian agues the vrines are either white , or thicke and muddie , or else of a red colour . Martinus Akakia in his Commentarie addeth , that the vrines then become of a reddish colour , when as by weaknesse of the Liuer or the veines , the red waterish substance issueth out with the vrine . Fernelius also , lib. 6. pathol . cap. 13. writeth that they are not a little deceiued , who do ascribe bloudie vrine , or that which is of a red windie colour , resembling the washings of raw bloudie flesh , vnto the imbecillitie and weaknesse of the Liuer : for he cannot conceiue how that bloud can come from any other part of the bodie without some indisposition of the kidneys . But yet ( by the leaue of so learned a man ) many things there be which make against this assertion . For oftentimes by experience we see many plethoricke young men , feeding on abundance of daintie dishes , & liuing in ease and idlenesse , to pisse bloud by meanes of a relaxation of some veine , who by the onely meanes of Phlebotomie , together with the application of some Emplasticke remedie to the region of the Liuer , ( about the which place they say , they find some weight ioyned with some distention , reaching vp to the right shoulder ) are perfectly cured . And who can here I pray thee , accuse the kidneyes , there being no paine nor trouble at all felt in the making of his vrine ? And thus may the deceit and vncertaine iudgement had by the varietie of these red vrines in hote or cold diseases easily be conceiued , for the which cause I will here surceasse from insisting any more vpon them : but now , because mention hath bene made of some small quantity of bloud issuing foorth with the vrines , we will say something of the abundant pissing of bloud , illustrating it by some authorities , as heretofore we haue done . Now as these vrines of an high and intense red colour , do strike a terrour often in the beholders , much more doth this liquor of life ( the bloud it selfe I meane ) issuing out of the vrinarie pipes and passages , cause no small amazement to the eyes of the ignorant , and sometimes of the more iudicious beholder of it . And yet doth not this alwayes portend so infallible and vndoubted danger , as by many is deemed . Sometimes indeed the danger is so great , that not onely a meane and ordinarie vnderstanding , but a more refined iudgement , may iustly feare the future danger : as in the rupture of some great veine neare the Liuer , or the kidneyes , after which doth an vlcer often ensue , and after a long torturing and tormenting paine , Death most commonly maketh an end of their so miserable and painfull life . Sometimes againe this fluxe prooueth very safe and secure , as in criticall and periodicall excretions . But heare , I pray thee , an ancient Author deliuer his opinion concerning this point . Some men there are , who by certaine turnes , and at certaine times do pisse bloud abundantly , being a disease not vnlike to the haemorrhoides or piles . The state and constitution of their bodie also is not vnlike : for they are very pale , dull , sluggish , and lumpish : they loath their food , and after this excretion of bloud , there followeth a certaine resolution and faintnesse of their ioynts , their head notwithstanding becometh much lighter and better . But if at this accustomed and wonted period of time , there shall happen a suppression or stoppage of the aforesaid fluxe , they are presently surprised with a great head-ach , their eye-sight waxing dim , seconded with a giddinesse and swimming in the head . Vpon which occasion it commeth to passe , that many of them fall into the falling sicknesse : some of them againe being puffed vp and swollen , with their eye-sight somewhat darkened , do resemble Hydropicke persons : others are oppressed with melancholicke diseases , and some againe with Paralyticke passions . All these inconueniences do follow vpon the suppression of any former fluxe of bloud . Sometimes pissing of bloud ( saith Hollerius ) is criticall , and commeth by certaine turnes and set times : and with such a one was troubled a certaine Nun mentioned by Musa , who euery moneth vpon the suppression of her monethly disease , did pisse bloud in abundance . Archembault the Counseller , by turnes did sometimes cast vp by the mouth , and sometimes did voyd it downewards by stoole , and againe at other times by the yard . Some at the passing away of the Spring do pisse bloud ; and this I find written by Archigenes , that some do by certaine turnes voyd great store of bloud by the yard , being first collected in and about the kidneyes , and that they find themselues much eased thereby . I am very familiarly acquainted with one Donatus Arrigonius , a merchant of our towne , who in his iourney to the faire of Bohan , which is held three or foure times a yeare , in his iourney obserued , that he was surprised with the Iaundise . Afterwards as he was vpon his iourney homewards to Mantua , and fast asleepe in his Inne , being accompanied with another friend , who lay in the same bed with him , vpon the sudden there issued out at his yard , of its owne accord , great store of blackish bloud ; in so much that his companion being all wet with the bloud wakened him , being almost halfe dead ; and with much ado , at length brought him home to Mantua againe ; but withall quite freed from his Iaundise . A certaine yong man , after the eating of great store of garlicke , pissed afterwards great abundance of bloud ; and after a little while signes of an impostume in the kidneyes might be obserued : to wit , some matter issuing forth from the same : from whence I did collect , that the sharpnesse of the humour had caused an excoriation in these parts , by meanes of the opening of some veine . I did see at Mothon a man who with a fall off a ladder filled halfe a chamber pot with the bloud he pissed ; who immediatly after the taking of a little Lemnian earth did recouer : the bloud came without any vrine ; and that , perhaps , because the contusion was not farre distant from his yard . About some nine or ten yeares ago , an Inne-keeper of Northampton , a fat and corpulent man , hauing now and then voyded some small quantitie of bloud with his vrine , did , notwithstanding but little regard the same ; vntill such time as he fell into a totall suppression of vrine ; the paine whereof made him cast forth such pitifull cries and complaints , that his sorrowfull neighbours did much commiserate his distressed estate . His wife no lesse perplexed then amazed , at this so sudden and vnexpected accident , at his desire sent to intreat my ayde and counsell in this his so great extremitie . Some halfe an houre or lesse after the administration of a diureticke drinke inwardly , and a Cataplasme outwardly applyed to his share , he filled almost a chamber pot with bloud , some small quantitie of vrine being mingled with the same : whereupon followed immediatly case and alleuiation of all his former annoyance . The same night , about an houre after , he sent me a little wooden dish almost halfe full of gobbets of congealed and clotted bloud , resembling the substance of the Liuerie selfe . The next morning againe he sent me an vrinall almost full of bloud voyded at the same place , no vrine to the iudgement of the eye at the first to be discerned mingled with the same I caused him bleed oftner then once , besides other fit and conuenient remedies , as well in diet as otherwise ; and yet this fluxe continued lesse or more for some few dayes after . In the space of one weeke he lost in all aboue a gallon of bloud . For preuention I wished him , besides gooddiet ( hard to be obserued by people of that profession ) with corroboratiue and other medicines fit for that purpose , with speciall regard to the Liuer , not to neglect Phlehotomie , at least euery Spring and Fa●l , which he duely put in practise for the first yeare : and , for anything I could euer heare , was litle or nothing troubled after that time with this infirmitie . After this he liued at least three yeares , and then dyed suddenly ; of the cause whereof here to discourse , were besides my present purpose . Diuerse others haue now and then by me bene obserued , troubled with the like euacuation , without any great hurt or hinderance to their health ; whom , to auoide prolixitie and tediousnesse , I here willingly passe by : onely one I will touch but in two words . A little child aboue fiue yeares of age , vsed at diuerse times to pisse pure bloud , not keeping any certaine times or turnes . This the Gentlewoman her selfe the childs grandmother , dwelling not farre from the towne of Northampton told me ; who did likewise affirme , that she had not discerned any hurt he had sustained by the same : yet notwithstanding for feare of some future inconuenience , and after ensuing danger , was desirous to vse some meanes for preuention : which being by some occasions then deferred , the child afterwards departed out of these quarters into another countrey , where what since befell him I cannot tell . But now let vs proceed to some other colours of vrines ; for here I thinke hath bene found as small certaintie as in the former . CHAP. V. Of blacke vrines , and that they are not alwayes so dangerous as they are deemed : as also of blew , ash-coloured , or leaden and greene coloured vrines , together with their seuerall significations and vncertainties . THe highest and intensest of all other colours , is the blacke ; the which when it presenteth it selfe to the view of the eye in any vrine , it striketh no small feare and terror in the minds of most men ; yea and sometimes of those of no ordinarie vnderstanding . That this feare was not altogether without some ground , may be seene by some passages of our old father Hippocrates , who doth peremptorily affirme , that as well in men as in women , blacke vrines are alwayes dangerous . And of the like opinion and iudgement was once his trustie interpreter Galen , confidently auouching that he neuer knew any one recouer whose vrine was altogether blacke ; howbeit the danger was the lesser if the residence onely were blacke : lesse againe if the middle part or swimme , and least of all if the cloud onely were of this colour . Howbeit the same Galen in another place affirmeth , That if there be a retention of a womans monethly fluxe of melancholicke bloud , there is no cause of feare , if in such a case the vrine appeare blacke to the eye . And againe , in the storie of that woman who being surprised with sicknesse the second day after she was brought to bed , the third day she voyded thinne blackish vrines . Galen speaketh of no further inconuenience to ensue vppon the same , but maketh onely mention of a certaine commotion and agitation of the humours of the body , ioyned with a a certaine conflict : and yet of all sorts of blacke vrines this thin blacke is counted the best . Blacke vrines may be voyded both in health and also in sicknesse , especially by way of criticall excretion . And first in health let this ensuing historie speake . I cannot well approue of the opinion of Christophorus a Vega , who maintaineth that it is altogether impossible that any liuing in perfect health should voyd a blacke vrine : his reason is , because so great a quantitie of that humour as may thus colour the vrine , can hardly be collected within the veines of an healthfull man. But howsoeuer in a laudable and healthfull constitution of body , it doth not so much abound in the veines as do the other humours , yet is it on the other side most certaine , that this humour doth abound in that temperature of body which is cold and drie , since that from thence the cold and dry constitution taketh its name . And this did I my selfe obserue in a certaine Monke of the order of the Carmes , and Spaniard by nation , of the coldest and driest constitution of body that euer I did yet know , who for the space of sixe whole yeares , during his abode here with vs , and that in perfect good health , made alwayes a blacke vrine : and being yet further demanded of vs concerning the continuance of it , did confidently affirme vnto vs , that so had he done the whole course of his life . And why not ? May not a blacke and melancholicke bloud , supplying the place of the haemorrhoides or piles , being expelled by vrine , dye the same with the aforesaid colour ? As also the like excretion of vrine so colored hath bene obserued in one Tardanellus and Italian , who did all his life time ( liuing notwithstanding in perfect health ) continually voyd such an vrine . Neither yet is it without reason , that the noysome humour is so scoured away , to the end that the state and constitution of the body , composed of , and cherished by such an humor , may be preserued sound and in perfect health . I did once see a Knights vrine of a very blacke colour , who notwithstanding , was not sicke at all , and much lesse in danger of death . Againe a little after . There was also a yong scholler , who being free from any disease , voyded sometimes vrine of so blacke a celour , that whosoeuer did see it , did suppose it to be inke . The storie of Actuarius his seruant , doth also confirme , that in perfect health the vrine may be died with a blacke inkie colour without any further danger , as it came to passe in this partie , whose vrine after the drinking of a medicine against melancholie , at first was of a blackish colour like vnto inke , comming afterwards to a blewish , and at last to its owne naturall colour againe . I was my selfe very familiarly acquainted with a reuerend and graue Diuine , who liued sometime in this towne of Northampton , who did at diuers times , yet liuing in perfect health , voyde great abundance of blacke vrine . And yet a long time before his death , nor yet during the time of his sicknesse , I neuer knew him voyd any of that colour . That this blacke vrine may prooue a criticall excretion , not in acute diseases , but euen in such as are not partakers of that violence ; as in diseases of the spleene and kidneyes , cannot be denied , &c. But I produce my authorities . We must not vnaduisedly and without any limitation , iump with the iudgement of Galen in condemning of blacke vrines . For howsoeuer he did neuer perhaps see any saued after the voyding of such an vrine , yet haue diuerse other of no small note and fame since his time seene and obserued the same : for the which cause it ought not so much to be condemned ; nay not if thou wouldest euen tye thine assertion to acute diseases : yea though thou shouldest yet further suppose many other bad and dangerous signes to concurre with the same . For besides Rhases , Auicenna , and Actuarius , Hippocrates himselfe , in his epidemicall histories , did obserue , that some with such vrines did recouer . The vrine therefore may be often of that colour without any imminent danger to the patient , and that vpon the taking of any meate , drinke , or medicine , of a blacke colour , & perhaps indued with a diureticall qualitie ; concerning which there is a prettie storie in Actuarius . It proueth also often a criticall excretion in Quartane agues , in diseases of the spleene , as also in the suppression of womens menstruous fluxes , and of the Hemorthoides or piles in both sexes . And yet moreouer according to the minde of Auicenna , it cureth sometimes feauers of long continuance , whether they take their denomination from the day or from the night . And yet further , in some infirmities of the kidneyes , or yet a stone congealed in the bladder , the vrine sometimes presenteth it selfe in the foresaid habit and colour . And finally , it doth sometimes presage the happie issue and euent of feauers by bleeding at the nose or sweating . Since therefore sometimes it is a foretunner of extreme danger , to wit , when it doth proceed from extreme hear or cold , and sometimes againe secure and without any danger at all , Rhases and Auicenna do thus accord them . If the foresaid vrine be voyded in a great quantitie and thinne , succeeding a cleare and waterish vrine , as also if ease and alleuiation do follow vpon the voyding thereof , it doth presage nothing but good : and on the contrarie , without the foresaid circumstances , a blacke vrine is very dangerous ; and in the stoppage of womens monethly disease , it is an vsuall and accustomed , howbeit not a perpetuall and certaine signe . But now I will instance in some histories the proofe of these criticall euacuations . I am very familiarly acquainted with a Church man , who ordinarily three or foure times a yeare complaineth of the swelling of his spleene to an excessiue bignesse , especially towards the Spring and Fall : and vpon the approaching of the foresaid disease , then doth he complaine of great griefe and paine in his sides , his bodie becomming all ouer of a leaden colour , and in this case daily waxing worse and worse , vntill at length by voyding abundance of vrine blacke like vnto inke , and that during the space of sixe or seuen dayes , the foresaid swelling , as also his great paine vanishing quite away , he recouered againe his wonted and accustomed health . It is now twelue , if not fifteene yeares since he was first acquainted with this criticall excretion by vrine , hauing before that time bene troubled with the piles or hemorrhoides , which notwithstanding did yeeld but little matter . I haue of mine owne experience obserued ( saith the learned Laurentius ) such as haue bene troubled with the Spleene , by meanes of a plentifull euacuation by blacke vrine to haue bene cured . Now it is also to be obserued , that such vrines were blacke , not by generation , by reason that such vrines in Hippocrates his Prognost . Praedict . and Aphorism , are alwayes deadly . For such vrines do shew forth and declare , either an extraordinarie great parching heate , or else a totall extinction or ouerthrowing of naturall heate . But these vrines were blacke by permixtion of a melancholicke humor , the which the Spleene did send forth through the kidneyes into the bladder . Howbeit blacke vrines be by Hippocrates condemned as deadly ( saith Valeriola ) or at least very dangerous , especially in acute diseases ; yet doth experience teach vs , that this manner of vrine may proue criticall in some diseases ; as namely , in inflammations , or inueterate obstructions of the Spleene : as I did my selfe obserue in a yong youth called Iohn Ruffus , sonne to our Apothecary Anthonie Ruffus , who being once ( as was supposed ) readie to yeeld vp the ghost , by reason of an inflammation of the Spleene , did vpon the twentieth day , by way of a crisis , voide aboue twelue wine pints of vrine as blacke as inke , the which I haue often also obserued in Quartane agues . But now I will instance in some agues , and some other infirmities . Vpon a time I went to a Canon who lay sicke of a triple Quartane ague , being troubled also with a scirrhus or hardnesse both of his Liuer and Spleene , who neuerthelesse did recouer of the foresaid infirmities , and that by meanes of thicke blacke vrine , together with such fit and proper remedies as are appropriated to the Spleene , exhibited and applyed both outwardly and inwardly . Syluius hath seene diuers who haue had euery yeare such fluxes of vrine , and that without any griefe or molestation whatsoeuer . But I will instance in a Tertian ague , such vrines being more seldome obserued in this disease then in Quartanes and the like : in the which my selfe being the patient , I cannot much be mistaken . After I had continued about the space of two yeares in France , and liuing at that instant in the towne of Fontenay le compte , in the Prouince of Poictou , about the latter end of Iuly , I was surprised with a bastard Tertian ague , which thus continuing for the space of three weekes , yet without any violent accidents , I did at the first contemne . After the foresaid pace , the enemie assaulting me more fiercely then at first , and that by redoubling of the former fits , being now of a single Tertian become a double , I armed my selfe with such weapons as were fit to encounter with so furious an aduersarie . After the vse of diuers fit and proper remedies for the extirpation of the foresaid infirmitie , I voyded for the space of three or foure dayes together great store of thicke blackish vrine like vnto inke , at the first sight whereof ( hauing read something before in Hippocrates , concerning the danger of such vrines ) I was something afraid ; but after more mature deliberation I rested better satisfied . I remember I had for certaine dayes together drunke of an infusion wherein was some quantitie of Sene leaues , which as it seemeth by the attraction of the humour of that colour did dye the vrine therewith . Vnto this criticall excretion was shortly after added another : to wit , a violent laske , not without the mixture of some bloud , which lasted at least for the space of a full forthnight , and which did at length wast away the mateer of the disease before the approaching of Winter ; howbeit the imbecillitie of my bodie was such that I recouered not my full former strength againe vntill the Spring following . I gaue vpon a time to a patient of mine ( saith Crato ) much troubled with the blacke laundise , some Bezoar stone , and after a little while he voided great store of vrine as blacke as inke ; by which meanes the patient found great ease . Rhases reporteth an historie of a woman that came to him , who voyded blacke vrines , and withall complained much of a paine in her loynes , and alwayes vpon the voyding of such an vrine she found immediatly ease . But after a while she fell into a night feauer accompanied with some shiuering . This woman was of a melancholicke complexion , whom I perfectly cured by such meanes as prouoke vrine . The sonne of Angelus borne at Ancona ( as relateth Amatus ) being but fiue yeares of age , somewhat fat of body , being , as his parents supposed , carefully looked vnto both for diet and other things called not naturall ; became notwithstanding full of hard scabs , accompanied with an vlcer-like matter all ouer his head and necke , and for diuerse dayes did runne great store of this putrid matter from the foresaid sores . But after a moneths space , this child voyded abundance of thicke blacke vrine for the space of three dayes together , not without some acrimonie and sharpnesse , accompanied with a paine in his yard , yet without any feauer . This child did in a very short time after recouer ; neither would I suffer any thing to be applyed to his head for curing of his scabs , which did very shortly heale of it selfe . Now this vrine proued to be in this child criticall for the remouall of this infirmitie . It may then plainly appeare , how little trust we are to repose in these vrines more then any other , either in sicknesse or in health ; and how easily the Physitian may be deceiued , who shall giue too much credit thereunto . And who can tell by the sight of such a blacke vrine onely , whether it be criticall as we say , or symptomaticall , denouncing danger in an acute disease ? This the other circumstances , especially the sight of the patient , ( whereby thou mayest more easily consider of his strength then by the sight of a thousand vrines ) must bring to thy consideration . And besides all the premisses . Mercuriall mentioneth out of Rhases and Auicenna , that if any annoint his bodie with the iuyce of the berries of the hearbe Halcana , he shall vndoubtly voyd blacke vrines . The same Author affirmeth , that blacke vrine after great trauell end exercise , doth prognosticate a conuulsion , and that a glister made of the decoction onely of high coloured red wine , hath produced a blacke vrine . And againe , out of Rufus Ephesius , who liued about the time of the Emperour Traian , that blacke vrine , voyded for a long time together in the time of health , prognosticateth the ingendring of a stone in the kidneyes . But I proceed now to some other colours of vrines , which by our Authors are all referred to the former colour , and not much also disagreeing in signification . Blew vrines , called commonly veneta & caerulea , being as it were a more remisse blacke , and not dyed with so great a quantitie of that humour , hath also diuerse significations . For being thicke withall , it signifieth that blacke choller , proceeding first from yellow choller very adust , doth colour the vrine : or else so great cold of the inward parts , that they are almost quite mortified . It signifieth moreouer , extraodinarie exercise of the bodie by running . In such as do recouer out of any disease , it is a signe of a laudable crise , especially if it come in any great quantitie : for by this meanes the a dust parts are voyded foorth . In old men , if such an vrine persist long , it argueth that the naturall constitution of the bladder is altered and changed by bad and corrupt humours . In such as are subiect to the stone , it is a signe of the approaching of the Strangurie . The same vrine is also sometimes obserued to be thinne , then signifying the melting of melancholy , which doth but a little colour the vrine . And sometimes also it signifieth blowes and stripes , howbeit not in any violent or excessiue manner , and in such a case it is a laudable and good signe . As concerning greene vrines , of them our Physitians commonly make two sorts : one properly so called , and the other called greene oylie vrines . As for the first , it signifieth according to our writers , abundance of choler adust , and of a maligne qualitie , and almost readie to be turned into blacke , being daily more and more parched and burnt vp . And commonly in the best signification it signifieth adustion of the humours , long continuance and perseuerance of the same . And sometimes cold in extreamest degree , as was said before of blacke , and then is mortall : especially if leaden colour and blacke follow successiuely at diuers times , pulse feeble , with thirst or short breath . Sometimes againe a Quotidian ague and yellow laundise , especially with an ague . And howbeit these vrines often proue dangerous , yet is not the case alwayes alike : for sometimes this colour may be also seene in found & healthfull bodies . Galen doth willingly confesse the same . Cholericke people ( saith he ) which fast long , do oftentimes make greene and fierie coloured vrines . And that feeding vpon certaine kinds of foode , may produce such an vrine , this ensuing historie may easily declare . There was a certaine Physitian , who hauing fed on some nourishment of that colour , did afterwards voyd an vrine of the same colour , which he sent to another Physitian , to fish out his opinion concerning the same . This other Physitian gaue out his verdict concerning the great danger this vrine did threaten the owner . But the other sending him backe word againe , that vpon the feeding on such and such food it was no vncouth thing for him to voyd such an vrine : and withall aduised him not to pronounce his opinion so peremptorily vpon the colour of the vrine onely . The other sort of greene vrines is a light popiniay greene , called also an oylie vrine : that is , such whose substance is clammie and thicke , as oyle or fat molten . It commonly signifieth colliquation , and wasting of the fat within man or woman , as proceeding from excessiue heate . And yet such vrines , if blacke vrines went before , signifieth health at hand . If it come suddenly and in a short time , it argueth the colliquation or wasting of the kidneyes only . The higher this colour is , the worse they commonly hold it . But I will dwell no longer vpon this colour , since the vncertaintie thereof may be collected by that which hath bene said alreadie . As for ash-coloured or leaden coloured vrines , they haue not alwayes one and the same signification more then the former . If an vrine of this colour be thicke , and greene coloured vrine went before , it signifieth extreame heate an ●●urning : if pale coloured vrine went before , it doth portend extre a me cold and mortification . This kind of vrine may also proceed from the affluxe of melancholicke humours , or else by reason of great blowes or stripes : and then it may prooue a good signe , the expulsiue power expelling such residence towards the bottome . In feauers an vrine of this colour without any setling or residence , is a signe of death . But in a burning feauer it doth portend a Strangurie . The same causes which did produce blew vrines , do also bring foorth this colour , but that in this all things are more violent . Sometimes such an vrine is a signe of the blacke Iaundise proceeding from melancholy . But then it portends health , especially if it be voyded in any great quantitie and thicke in substance , by reason of the euacuation of such thicke humours . It is then apparent that these colours signifie not alwayes one certaine thing , but sometimes quite contrary . For the which cause it is no maruell if a Physitian who should settle his iudgement solely thereupon , might easily be deceiued . CHAP. VI. The manifold significations of white vrines , as also the great vncertaintie of iudgement by the same . WHite vrines , as also all other colours , are either very thinne and cleare , or else thicke in substance , and accompanied often with a copious residence . Thinne white cleare vrines like vnto faire spring water , haue diuers significations , as witnesseth the learned Rondeletius , with whom are ioyned in iudgement the rest of our learned Physitians . And first of all this vrine is sometimes seene in indifferent good health , and doth now and then signifie some cruditie of the stomach . Sometimes againe it signifieth obstructions of the Liuer , Spleene , and Kidneys , which must be discerned by other signes also : to wit , such as be proper and peculiar to each part . In old age , as also in long lingring diseases , it argueth weakenesse of the naturall faculties . Some likewise who do voyde such vrines , are from their very cradles of a weake and crasie constitution . A thinne and cleare vrine , made often , and in great abundance , doth accompanie the disease called Diabete . In an obscure lurking or lingring feauer , it signifieth either the Iaundise , or a resolution or dissolution of the strength . A thinne white vrine accompanied with other good signes , doth declare the decaying and decreasing of a Quotidian ague , and if it do long persist , being depriued of any smell , especially if strength be much decayed , it portendeth either death , or else the long continuance of the disease . And finally with a burning feauer and phrensie , it is a most deadly signe , as may be seene elsewhere . As concerning the ages , as they are accounted dangerous in many ; so especially in little children , as may be seene in seuerall places of the workes of the famous Hippocrates . Wherefore we had need to consider many things before we proceed to deliuer our iudgement concerning such vrines . If therefore such an vrine were brought to the Physitian , whether would he thereby pronounce a weaenesse of the stomach , or obstruction of the Liuer , Spleene or Kindneys ? And why not a phrensie in a feauer ? And howsoeuer Hippocrates pronounceth this to be a most dangerous vrine ; yet haue I my selfe often obserued the same without any danger to the party , as I doubt not but so haue many moe besides my selfe . About some eight or nine yeares ago , there came to me a yeoman of Northamptonshire , bringing with him his vrine which well nigh filled the vrinall , being as cleare as any crystall , without any contents at all , except some few motes , such as they say are found in the vrines of women with child . And because I did see so great ods betwixt his complexion and his vrine ( he bring indifferent well coloured in regard of the vrine , howbeit neare siftie yeares of age ) not suspecting this vrine to be his owne , began to enquire some circumstances concerning the same , as namely the time of continuance . At length he freely and of his owne accord confessed , that the vrine was his owne , and that aboue the space of sixe yeares by-past his vrine had not altered nor changed from that I did new see it . He added moreouer , that he felt neither griefe nor trouble in his bodie , as being able to go about his ordinarie employments and workes of his calling ; that he was now and then troubled with some wind in his stomach , and that he himselfe wondered not a little at the long continuance of his vrine after this manner . I gaue him directions against obstructions ▪ and crudities , with somethings for the strengthening of his stomach , and neuer since heard any more newes of him . The like vrine haue I often obserued in many other cases , and will instance but in one : to wit , an hystoricall passion , commonly called the mother . Some ten yeares ago I had in cure a young maid , much molested with that disease which is commonly called the Mother . For foure dayes together , from twelue of the clocke at noone till night , her fits were so violent and tedious , and the intermissions so short , that both her father and other friends tooke ( as they thought● ) their iust leaue of her . In her time of intermission , or rather remission , when she was most sensible of her selfe , she voyded almost a chamber pot full at a time of thinne cleare vrine , like vnto spring-water , without any manner of contents discernable to the sharpest eye-sight , and this commonly foure or fiue times in an afternoone , and that during the dayes of the fouresaid fits . But being afterwards freed from this infirmitie , she was likewise freed from the aforementioned accident . Neither did I euer since that time know her trouble with this disease , saue once since she was married , and yet was nothing in regard of the former extremitie . If any Argus had bene there with his hundreth eyes , or yet the sharpe sighted Lynceus himselfe , where such vrines had bene brought in two seuerall vrinals ( I meane the mans last mentioned , and this womans ) they had neuer bene able to discerne any difference betwixt these two vrines : much lesse then the ignorant Empiricke , the peticoate or woman-physitian , or the cunningest pisse-prophet among them all : and if thou wilt , put in master Parson-practiser to make better weight . And if any had brought such an vrine , so often , in so great quantity , to any Physitian , was there any reason why he should not rather haue coniectured a Diabete , or pissing euill , then any other infirmitie ? And this I thinke may suffice to prooue the vncertaintie of iudgement by thinne white vrines : now something of thicke white vrines . Hippocrates , in the late alledged place , doth include very thicke vrines , of whatsoeuer colour they be , within the same degree of danger . And Galen himselfe seemeth to second this opinion , auerring that the thicker an vrine is , the more danger hath he most commonly obserued in the same . Rondeletius affirmeth , that white vrines which are not transparent , but thicke almost like vnto milke , do signifie abundance of phlegme , and secondarily wormes , the falling-sicknesse , head-ach , palsie , conuulsions , great coldnesse of the naturall parts : and finally , all manner of diseases proceeding from phlegme . If such an vrine then were offered to thy view and consideration , good master vrine-monger , for which of these diseases wouldest thou giue out sentence ? There being many moe phlegmaticke diseases besides the last rehearsed ; and many of them proceeding from other causes , must by consequent be accompanied with other vrines : yea and in the same cause the vrine may by diuers meanes not be the same . And these thicke vrines sometimes accompanied with a copious residence , and sometimes againe without the same . I will now proceed to some instances of both , where it shall appeare that sometimes some such vrines are not so dangerous as they are deemed . I did see in the Castle of I●rum in the Countie of Sundoz , a young man about thirtie yeares of age , who did euery day make an vrine in great abundance , wherein did settle a white residence , like vnto curdled milke , filling the vrinall halfe full , howbeit aboue the same did swim a small quantitie of whitish vrine like vnto whey . They young man notwithstanding felt no inconuenience by the same , but still enioyed his perfect health . But a woman voyding the like vrine , yet was not blessed with so great a benefit , which notwithstanding for the strangenesse I thought good here to mention . In the yeare ( as I remember ) 1613. a woman of middle age , dwelling in the South suburbe of Northampton , commonly called Cottonend , sent me an vrine , if so it might be called , which was nothing else , as one would haue iudged by the eye , but thicke curdled milke , which did very neare fill the vrinall , onely on the top of it did swim a little liquor like vnto white posset drinke , being not halfe an inch thicke aboue the foresaid contents . And howbeit I did twice or thrice see her vrine afterwards , yet could I neuer againe see these curdled contents , it being onely like the aforesaid white posset drinke , howbeit she had sometimes before voyded such an vrine , as I was informed . She died about two moneths after : and as it seemeth , of a consumption and wasting of the kidneyes and other vrinary passages , as by some signes did appeare . And what if the spermaticall parts did participate with the former ? The woman had lyen long languishing , neither was I euer called to see her , and for any thing I know , had few or no meanes administred vnto her , being but of poore and meane estate . A thicke and milkie vrine hath also by others bene obserued in the exulceration of the kidneys , namely in a certaine Polonian in the Hospitall of the holy Ghost , the which ( saith the Author ) I often beheld . There are yet other white vrines , the which howsoeuer they are to the eye somewhat transparent , some more and some lesse , some of them being of a more bright & shining colour , drawing neare to the color of molten glasse , and some againe more darke , and not so transparent a colour , yet may they all most iustly be reckoned among the number of thicke white vrines , and that in regard of their tough and slimie substance , which may easily be both felt and seene to be such . This sort of vrine doth often argue great store of crudities , and tough phlegmaticke matter , with such diseases as are engendred of the same : but most commonly diseases of the bladder , as namely the Strangurie or the Stone , howsoeuer it cometh sometimes otherwise to passe . I was these yeares by past ( saith Schenckius ) familiarly acquainted with a certaine Noble man , now dead , whose name was Vdalrichus , and brother to George master of the other of the Knights of Germanie , called Ioannitae , being descended of the noble familie of Hohenheimes , surnamed Bombest , who without any hinderance to his health , did oftentimes , yea during the greatest part of his life time , voyd a thicke muddie vrine , and so tough and ropie , that any might haue drawne it an ell long , as if it had bene some glue or birdlime . He neuer in his life was troubled with the stone , and himselfe shewed me this vrine , offering the same to my triall . Another voyded by vrine a certaine matter like vnto molten pearles being of a sine bright colour , of whom Hollerins maketh mention , the same partie againe voyding a matter of thicker substance much like vnto the white of an egge boyled . The same Author maketh mention in another place of another , who voyded by vrine , not without great paine and torment , little peeces of phlegme , round like little bullets , cleare like vnto crystall , cleare glasse or sine gellie . An ancient Gentleman and acquaintance of mine dwelling in London , being at least threescore and ten yeares of age , at that time 1611. had for a long time voyded great store of such tough phlegmaticke matter , most like vnto birdlime or gellie , and on the top of the same some vrine was to be seene of a darke colour , not vnlike to transparent horne . His paine was exceeding great , prouoking him almost euery minute of an houre to this vntimely excretion of his vrine . The counsels of the best Physitians were not wanting , some being of opinion it was a stone in the bladder , others iudging otherwise . My opinion being demanded , I told him I was not of their opinion , who held that there was a stone in the bladder , moued hereunto by some probable coniectures . But seeing him much macerated and weakened by much Physicke , exhibited both by the learned Physitian and by the ignorant Empiricke also , my aduice was , that he should abstaine from all manner of laxatiue medicines , except it were now and then some gentle glister or lenitiue to procure the benefit of nature . I appointed him also fit and conuenient diet : and all his Physicke was nothing saue some certaine Emulsions , as also some Iuleps composed of some syrupes and distilled waters , most proper and conuenient for his disease , and that not for a weeke or a moneth , but for three or foure moneths together . After two moneths were past he found sensible ease and alleuiation , but yet much more the next Spring , this being towards the beginning of Winter : and hath since that time scarce euer complained at all of this so tedious and tormenting infirmitie . And this last Spring his strength spent , and the oyle in the lampe failing , being full of dayes , payed that debt which admitteth no baile nor suretiship . This then may appeare that the vrine here could giue vs no assured knowledge of the certaintie of the disease , whether the Stone or strangurie . And thus the vncertaintie of this colour , as well as of the rest , cannot be concealed from the iudicious and vnderstanding Reader : whose patience I must yet intreat to giue eare to some things yet to be said concerning the contents of vrine : concerning the which , howbeit here and there , and namely in this last colour , something hath bene said , yet was not this my principall purpose and intent ; but is as it were thrust in by head and shoulders . Now shall something be said of set purpose , whereas I will forbeare to repeate any thing which hath bene said alreadie . CHAP. VII . Of the circle or garland , spume and froth , bubbles , smoke or vapor , and fat in the ouer most region of the vrine , and what certaintie from thence can be collected . THese contents are most cōmonly distinguished according to the three regions of the vrine . The ouermost vrine , as it claimeth the first place in the vrinall , so shall it haue here the preheminence aboue the other two . Now as concerning the circle , ring or garland , it hath bene well obserued by some of our late writers , that neither Hippocrates not yet Galen euer made any mention of them , as being in their iudgements a thing not worth the consideration . Rondeletius maketh Auicenna and Isaac Arabian Physitians , the first founders thereof : howbeit ( saith he ) some do attribute the first inuention of it to the Vniuersitie of Salerna , either perhaps , because since Actuarius his time they had tried some conclusions by the same , or else did repose , much trust and confidence in this circle or crowne . Two sorts of these circles or garlands find we mentioned by Actuarius , which notwithstanding few authors that I haue read do remember . The first is that commonly so called , being nothing else but a certaine circle or round line in the ouermost part of the vrine , enuironing it round about like a ring ; and is so called by reason of the roundnesse of the vrinall , the like whereof may be likewise seene in any other liquor . The other circles or garlands are no such round rings or circles as haue bene mentioned , but onely some ouermost parts of the vrine which swimme in the liquor of the same , and for the same reason , of the roundnesse of the vrinall , called crownes or garlands . Of the former of the two do our Physitians most commonly make mention , and many things do many men prognosticate by the same , which neuerthelesse some of their chiefe ringleaders and vpholders do in a manner confesse to be but a nouelty , not practised by the learned ancient Physitians : and yet lest they should seeme to controll the inueterate and common receiued custome , they must needs say something as well as their neighbours . Hence haue we the proportion betwixt the regions of the bodie of man , and the regions of the vrine violently thrust vpon vs ; and as they will haue the other parts of the vrine answerable to the rest of the parts of the body ; so must the crowne or garland answer proportionably to the head , or some part of it at least . And not with this content , they ascribe seueral colours of these circles , not to seuerall humours onely , but to seuerall parts of the head also ; sometimes to the right , sometimes to the left : and againe sometimes to the hinder part , and sometimes to the fore pa●t ; diuing sometimes into the verie ventricles or inward concauities thereof . And yet to discerne these circles or garlands aright , a sharpe and very quicke sight is very requisite . Moreouer , may not thine owne sight , together with the qualitie or quantitie of the light , the diuers manners of situation of the vrinall , one or all of these , easily alter the colour of this thy circle , making it appeare sometimes of one , sometimes of another colour ? Besides , these circles or garlands are supposed to be seene in such vrines onely as are not of one colour , and the ouermost part thinner then the other . On the seuerall significations of the supposed seuerall colours thereof , with their proportions to the humours of the head , if I should particularly insist , and confute them , as some might perhaps expect , I thinke it would prooue but a needlesse and superfluous labour , the thing being so idle in it selfe , and of so small account . The learned Rondeletius , I am sure , made but small account of them , and where he mentions them , whatsoeuer he saith is but the relation of the opinions of others , most of which he doth afterwards confute . His manner of speech intimateth no lesse vnto vs in these words following . Wherefore we shall pronounce that a red circle ( if it signifie any thing at all ) doth signifie abundance of bloud in the whole head , &c. Another learned author lately mentioned , would also willingly haue them banished out of all the Hippocraticall common-wealth , in these words following : But perhaps in vaine do I labour to roote out this so inueterate and inbred opinion ( meaning concerning froth , spume and bubbles ) out of the minds of our ordinarie Physitians . The like may I say concerning the crownes or garlands in vrines , the opinion whereof hath now almost so deeply possessed euery mans mind . It is most certaine that Actuarius himselfe neuer did prognosticate any such thing by this circle or line compassing round about the ouermost part of the vrine , hauing onely brought it in , to the end he might prognosticate by the bubbles when as they do appeare in it . And who is so blind , that doth not see how ridiculous a thing it is to prognosticate by a certaine circle or roundring , which may be as well obserued in any other round vessell filled with any liquor , as in an vrinall ? As concerning that crowne or garland which is the superficies or ouermost part of the vrine , which Actuarius seemeth to haue borrowed from Hippocrates , we haue by the authorities of Galen , alreadie reiected . Wherefore in my opinion these crownes and garlands shall be banished farre from vrines . So farre our author . It is not also vnlikely , that if they had bene of such vse and necessitie , but Hirpocrates or Galen would haue mentioned them ; together with their seuerall vses in Physicke , they both being so curious in searching out the seuerall significations of this signe . If any will yet obiect , that our moderne Physitians haue added many things to former inuentions ; I could reply , it is true indeed , and might well come to passe in such things as neuer did present themselues to their senses , or else in such things whereof they had no experimentall knowledge : but I suppose they were as eagle eyed in Asia and other parts , and could see as farre into a milstone as any of our late Europaean Physitians . And this shall now suffice concerning circles or garlands , we now proceed to the rest . Bubbles , spume , or froth , are all accounted to proceed from one and the same cause , differing in some circumstances onely . Now if we shall narrowly obserue and marke what can be said of them , we shall find no lesse vncertaintie in the predictions by them , then in the former . Actuarius ( saith our aboue named author ) maketh mention of many things concerning this matter which neither Galen nor Hippocrates haue obserued , and that in my opinion ( saith he ) because they were not worth the obseruing . And againe a little after : Such things as Actuarius hath set downe concerning the spumes and bubbles , are nothing to be regarded . For who seeth not , that as well the spume as the bubbles stay longer in the crowne or garland of the vrine , and in the middle part of the superficies or ouermost part they are sooner dissolued . For the case is not here alike as in the garland , where the solid body of the vrinall is an occasion that they sticke longer and more firmely to the same . And this not in vrine onely , but in any other liquor in like manner may easily be obserued , to wit , that such froth and bubbles do longer persist in the circle ioyning to the vessell then in the rest of the ouermost part of the same , &c. This foundation then being rotten , the rest of the building must needs fall to the ground . They tell vs in the first place that bubbles which stand round about ouer the garland onely , and continue without parting , if they be of the same colour the vrine is of , they declare that there is great paine in all the parts of the head . But if they occupie onely the one halfe of the garland , then is that paine in one halfe of the head . But I assure thee , such bubbles may be seene , and thou not able to discerne whether the wind be in the head or taile . And besides thou mayest sometimes finde a good fellow who could quickly fill a baggepipe with his bum , and yet in his vrine see neither bubble nor any other such babble . But concerning the vncertaintie of these things , something hath bene said alreadie in another place , whereas mention was made of the regions of the vrine answering to the parts of mans body , which was proued most false . It is granted , that sometimes these bubbles do not appeare at the first in the beginning of the disease , howbeit after a while they begin to shew themselues : and then is it an argument that nature waxeth strong to concoct and ouercome the bad humours . In feauers therefore such do signifie the declining or decaying of the same . But if they haue bene from the beginning still so continuing , then is the danger greater , howbeit better with a thicke then with a thinne vrine . Now put the case that in an vrine brought to thee from afarre thou mightest discerne some such bubble or froth , yet how shalt thou be able to discerne whether any were in the vrine at the beginning of the disease , or no ? The messenger for the most part can tell thee no more then the ground he goeth on : and it may be , that neither the patient nor any about him are able to obserue such nice curiosities , as often not obseruing matters of greater moment . But put yet the case thou couldst discerne some headach by the aforesaid contents , how shalt thou euer be able to discerne whether 〈◊〉 come , as we say , per sympathiam , by consent from the neather parts ( which is most common ) or per idiopathiam : that is , be primarily seated in the head ? And if thou knowest not this , thy knowledge is to small purpose , the cure differing according to the seuerall causes . Of this the patient will giue thee better satisfaction then a thousand vrines . If bubbles do appeare in the vrine ( saith Reusner ) together with the signes of defluxion or distillation of humours , especially if a feauer be therewith conioyned , they do portenda Pleuresie , as also the Gout : and great store of spume or froth appearing in the vrine without the shaking of it , besides wind in generall , it doth presage that the wind collicke threatneth such a partie . The same Reusner affirmeth , that Rhases writeth , that round bubbles do prognosticate bleeding at the nose ; and that such as be of a colour yellow like saffron with a little whitenesse , do portend some infirmitie of the Lungs . But I beleeue he were a cunning Physitian , that could tell or name the disease by the vrine onely . Againe these frothie vrines according to Galen , do signifie a certaine melting or wasting away of the bodie , or an vnequall perturbation of the same by reason of some windinesse : the first of these being dangerous , but not so the other , but rather prognosticating the long continuance of the disease . Such frothie vrines with some bubbles are to be seene in feuers proceeding from the abundance of crude or raw humours . And not so onely , but in the infirmities of the kidneyes also ; Hippocrates in his Aphorismes affirming , that such vrines do both signifie infirmities of the kidneyes , and the long continuance of the disease . But from the froth we come to the smoke or vapor in the vrine , of the which an Italian Physitian maketh mention ; as is forced to be beholden to the Arabians for the same . Smoke or vapor ( saith he ) is sometimes to be seene in the vrine , and cannot be by euery one conceiued . It is engendred , sometimes of a thicke adust matter ; and then with the continuance of strength signifieth the long continuance of the disease : sometimes of an hote adust matter , and with the decaying of strength prognosticateth death : sometimes also of raw phlegme somewhat adust , and signifieth the prolonging of the disease . And if it continue all the time of the disease , it portendeth death , or raw phlegme ; which may be discerned from matter by the stinking smell . But because our sight is not so sharpe in this Iland , we will leaue these smokie vrines to the sharpe sighted Italians and Arabians . But if any such smokie stuffe be found in any English vrines , it must needs be best obserued in our cōmon Tobacconists , whose vrines it is a maruell that they are not wholly conuerted into smoke . But of this frothie and smokie stuffe sufficient , this being likewise so idle an opinion , that of its owne accord it vanisheth away into smoke : howbeit I thought good to acquaint the Reader with all the hid mysterie of the imposture , and abuses concerning vrines . But now something concerning the fat swimming on the top of vrines . Such vrines haue this fat swimming on the top , sometimes in a greater , and sometimes in a smaller quantitie : and sometimes againe like oyle , and sometimes also couering all the ouermost part of the vrine , like a spiders web . These fat vrines also signifie sometimes a wasting of the whole bodie , if there be a feauer ioyned with the same ; or of the kidneyes onely , if without it . This feauer is sometimes very speedy and swift in operation , wasting suddenly not the fat onely , but the solid substance of the body also ; called therefore by our Physitians , Febris colliquans ; and such are often Pestilentiall feauers . It is againe sometimes an Hecticke , which endeth in a Marasme , vnlesse it be first preuented . But how shall one be able by the bare sight of the vrine onely , to discerne all these seuerall circumstances and differences ? But this is yet worth the obseruing ( saith Roganus ) that when as these wasting or consuming feauers haue welnigh wasted away the whole bodie , then are no more such wasting excretions , which he calleth syntectica excrementa , either fat vrines or faecall excrements to be seene . For the fleshie parts being hardned and dried vp , that which melteth and wasteth away falleth now no more into the guts or the passages of the vrine , but passeth away like a vapour . This Galen setteth downe by a very prettie and pertinent comparison , taken from flesh broyled on a gridiron . Now if any one should conceiue some better hope by reason that this fat matter did no more appeare , should he not misse the marke , the case being now farre more dangerous then before ? The words of Scribonius make not a little to cleare this point in hand . By these fat vrines ( saith he ) some do teach vs that we may easily discerne and know all the kinds of a feauer Hecticke , by reason it signifieth a wasting and melting of the parts of the bodie . But whatsoeuer reason we render of the same , Galen notwithstanding in expresse words affirmeth ; that the vrine of such as are surprised with a feauer Hecticke hath no certaine signification . Experience also doth teach vs , that some being of a cholericke constitution of body , as also such as haue eaten fat meates , or haue fat kidneyes , vse often to make fat vrines . What reason is there then to pronounce either a feauer Hecticke , or yet any wasting or consumption thereby ? This is not erronious onely , but full oftemeritie also . The truth of this assertion may also in this more plainly appeare , that many haue dyed of such consumption and wasting , who neuer , notwithstanding had any fat swimme on their vrines . Sometimes it hath bene also obserued , that the vessell wherein the vrine hath bene carryed to the Physitian , hath before contained either oyle or some other fat matter , which hath by this meanes bene communicated to the vrine . It is therefore the Physitians part diligently to enquire concerning all the circumstances of the disease , and not by the inspection of the vrine onely peremptorily to pronounce any thing . Thus farre our author . Many of my friends and patients haue voyded vrines with this fat like a spiders web floting on the top for diuerse yeares together , and yet were neuer subiect to any consumption or wasting , either in the whole bodie or their kidneyes . And how easily one may be deceiued in these fat vrines , may by this which followeth appeare . It is not yet full three yeares since I had vnder my cure in Northampton towne a countrey woman diseased of that infirmitie which we call Lienteria , or the fluxe of the stomacke , whom one day visiting , and viewing her vrine , I perceiued some fat like vnto some drops of oyle swimme on the top of it , which was againe the next day after to be seene after the same manner : she then seeing me narrowly view the same , told me that the vrine was vnaduisedly made both the dayes in a vessell wherein some oyle had before bene contained . What then if such an vrine had bene brought out of the countrey , either to my selfe , or yet to any other Physitian , without any further information ? But we proceed now to the rest . CHAP. VIII . Of the cloud , swimme or sublimation , together with diuerse sorts of grounds or residences , and the vncertaintie of their significations . IN the first place we are to obserue , that all vrines are not accompanied with contents , but many depriued of them ; which may proceed from diuerse causes . As namely , in case of cruditie , and the concoction being good , yet may some obstruction hinder any contents to passe . The like may be by fasting procured , and want of food , which may also make the vrine of an higher colour . The inflammation of any part of the bodie , by drawing of the humours thither , may produce the like effect . In lasks also or fluxes of the bellie , as the vrine shall be the lesser , so shall the contents be few or none at all . Some certaine constitutions also gather no setlings in their vrines : and such as are in present health , and eate much , haue a more copious residence , and in Winter it doth more abound then in Sommer . Laborious and very painfull people may also haue little or no contents at all in their vrines . The time of the sicknesse in which this cometh to passe , is also narrowly to be obserued : for in the beginning and increase of acute diseases , then this want of contents argueth great defect of naturall strength and vigour . In the declining of the disease it is not a messenger of so bad newes , yea although it were in the vigour and strength of it . And moreouer that many diseases are brought to a happie and expected issue without any contents at all , is no vncouth thing . What certaintie then can be collected , either by the presence or yet by the absence of the contents ? Now howbeit heretofore some contents on the top of the vrine haue bene mentioned , yet are these last mentioned , most commonly and constantly to be seene ordinarily in vrines ; and therefore are more properly called contents , and so to be vnderstood by that name . Now all these three , cloud , swimme , and grounds , haue one and the same materiall cause , and their generation is also alike , differing onely in place and situation , according to the weight of the matter and the concoction of the disease . When the disease is yet crude and not concocted , yet in some forwardnesse thereunto , then appeareth that which is commonly called a cloud , for the proportion and analogie it seemeth to haue with the clouds of the aire . When the disease is yet in a better forwardnesse , then is to be seene in the vrine , that which is commonly called the swim or sublimation , hanging as it were betwixt the ouermost and neathermost region of the vrine . But when nature hath now gotten the vpper hand of the disease , then doth this which we call ground , settle to the bottome of the vrinall . My purpose is not here to enter into a large discourse concerning the engendring of this substance , and farre lesse yet the controuersies about the same , which I leaue to be discussed in the schooles , my intent here being onely to discouer the vncertaintie of iudgement which these contents do affoord vs. Now when thou seest the cloud , swim , or residence , what canst thou pronounce but some generall and indefinite verdict concerning the cruditie or concoction of the disease ? but what this thy disease is , thy vrine will neuer reueale vnto thee , nor any of the rest of the signes and circumstances to be obserued in diseases . And howsoeuer the materiall cause of all these three be one and the same , differing onely in circumstances , yet may sometimes the one be without the other . Whersoeuer there is a swim ( saith Scribonius ) there is also a ground or residence , which may also be vnderstood of a cloud : howbeit the ground may be without the former : to wit , if it do not containe such a flatuous matter as raiseth the same vp , according to the testimonie of Galen . Moreouer , the best and most healthfull vrine is accounted such as hath no such cloud nor swim in it , as witnesseth the same Galen . And moreouer , if they be present , the iudgement by them is yet vncertaine . For who can tell whether this cometh to passe by way of crisis or otherwise , vnlesse he weigh in the ballance diuers other circumstances , according to the which criticall dayes are accustomed to be tried . And besides the premisses , all vrines do not suddenly settle , and they assigne vs seuerall times for the vrine to settle in : some assigne vs halfe an houre , some the sixt part of an houre , &c. But better it were when they are setled , then to giue out our iudgement of them . For I haue often let vrines stand by me , and could see no setling till the next day . Now what couldest thou haue iudged of such an vrine the first day , especially if the messenger , according to the common custome , had hyed him home ? What couldest thou haue said concerning the same ? And yet is this a case which cometh not seldome to passe . Moreouer , these contents do sometimes suddenly vanish away , and that after an houre or two after the voyding of the vrine . I● may then plainly , by the premisses , appeare ( saith the same Author ) what counterfetting iuggling and deceit they vse , and how wicked their practise is , who without any other coiudicant signes , do by the vrines onely , giue out sentence concerning the infirmities of the bodie of man , their causes and beginning , their subiects adiuncts , &c. Now something concerning the seuerall sorts of grounds or contents in the vrine , must likewise be said , that the errours and impostures in this point , as well as in other parts of the vrine , may be layd open to the capacitie of the most ignorant . As in the colours , therefore so in the contents , we will begin with the best of all others . That then is ●●●unted the best sediment , setling , or ground , which is white , duly knit and stable , and that continually all the time of the sicknesse : and that which declineth from the foresaid laudable conditions , is accounted worse , and that so much the more as it doth decline from them . It is generally agreed vpon among Physitians , that great store of yellow grounds argueth great store of yellow choler in the bodie ; and the lighter coloured it be , it argueth the lesse , the higher coloured the greater excesse . Now besides that thou canst not tell what particular disease proceeding from choler ( there being diuers ) it may signifie , as whether an Ague , or some other disease : and againe , if an Ague , of what sort or kind , continuall or intermittent : so much lesse art thou able to tell the time of it , which notwithstanding maketh not a little to informe thy iudgement concerning the vrine . For if at the first there be either small quantitie of choler , or yet none at all , and then it after increase abundantly , which is knowne by changing from a white thin to a saffron coloured ground ) it is a signe and token that nature doth vnburden it selfe of this heauie ballast of choler , and so consequently that health is like shortly to ensue . But if after a saffron colour it change to a white , it is a bad signe , especially without signes of concoction : for the which cause it will be requisite that thou obserue the seuerall alterations of the vrine , and then be well acquainted with the state and nature of the disease of the patient . The like may be said of red residence , the which in the beginning of diseases doth not portend any good , and that by reason it argueth great store of cruditie , which hindereth the concoction of the bloud ; and such are commonly seene in bastard Tertian & Quotidian Agues . But yet such Feuers as are incident to Plethoricall and Carechymicall constitutions , oppressed with abundance of bloud and bad humors , if they attaine to their expected issue , must needs be accompanied with such or the like residence . The bare inspection of the vrine onely will neuer acquaint thee with the particular . Sometimes both the afore-mentioned contents are to be seene in one and the same vrine , which is sometimes deadly , and sometimes againe proueth a fore-runner of safetie and ●●●uritie : I will instance in two examples of mine owne experience , to make the truth of this appeare . About some three yeares ago , or a little aboue , a young Gentleman in the countrey , to mine owne knowledge , voyded such an vrine for a quarter of a yeare together , and by appearance had so continued long before my sight of the same : and yet notwithstanding all the euacuations were vsed , it continued so more or lesse vntill his dying day . His disease was a Dropsie , and with the same was ioyned the yellow Iaundise , which did outwardly shew it selfe to the view of the eye . His Liuer hote , and the whole constitution of his bodie participating of the same distemper . But in the yeare 1613. a woman of Northampton of good account , being with child , voyded an vrine with the like residence , and that for as long a time at least , and yet did their diseases farre differ . For besides her being with a liue child ( for vntill that time was not my counsell craued ) she was for a many weekes together neuer free from a Tertian , Quotidian , or both agues conioyned : the which were accompanied with a continuall cough , proceeding from a thinne salt rheume , with spitting of bloud , reaching and casting , as also a great laske , all which accidents , or the most of them , did not forsake her till neare the time of her deliuerie . Phlebotomie for diuerse considerations I durst not then attempt . Other euacuations , both vpwards and downewards , came in greater abundance then was wished . It was now deepely imprinted , not in her owne onely , but in the conceits of her neighbours and others also of good vnderstanding , that ( in regard of her spitting of bloud ) she was now farre spent in an irrecouerable consumption . Vpon the relation of others I inclined to the same opinion . But at my first sight of her , together with the sight of the bloud she spat vp I changed my opinion . And so , God adding his blessing to the meanes she vsed by my directions , she brought foorth at the time appointed , a liue manchild , which neuerthelesse liued not aboue the space of a moneth . The mother two or three dayes after her deliuerie was surprised with the Measels , and afterwards recouered her health againe , the which at this present day she yet enioyeth . Here was no Dropsie at all , nor yet could I euer perceiue any signe of a hote Liuer , and the matter of the Iaundise was voyded both by stoole and vrine . It may then plainly appeare , how farre the diseases may sometimes differ , the residence being still alike in two seuerall bodies , sexes ▪ &c. As concerning bloudy residence , as was before said of bloudy vrine , it may come either of abundance of bloud in a plethoricall body , or else by weaknesse of the retentiue power , and of the Liuer ; the which rightly to discerne , wee must be acquainted with diuers other circumstances , which the vrine can neuer make knowen . It hath beene likewise already related , that sometimes great quantitie of bloud it selfe hath beene voyded without any danger : and sometimes againe after the voyding of a very small quantitie thereof , death hath not long deferred his approaches . In the yeere 1614. about the beginning of Ianuary , my counsell was demanded for a Gentleman dwelling neare Northampton , about fiftie yeares of age or vpwards . In his vrine at my first comming at him , was to be seene great store of yellowish contents , cleauing to the bottome of the vrinall , wherewith were intermingled some red streakes of bloud . And howbeit I often earnestly intreated him to admit of Phlebotomie , as the onely remedy to preuent a greater inconuenience , yet could I not preuaile , vntill such time as bloud now issuing out in great abundance , both vpwards and downewards , his strength now decaying , and hairy irrecouerable occasion ouer past , with a too late repentance , he would willingly haue paied a good fine for the renewing of the lease of his life , but all too late . As concerning white , blacke , leaden , or ash-coloured ; as also greene and blew contents , the vncertaintie of these may be in some sort collected from that we haue already said of such vrines , and many other matters I willingly passe by , and hasten to the rest : to wit , diuers other sorts of residences or strange contents , called by some , difforme contents . Purulent or mattery residence , doth much resemble a white residence or ground , which is so much commended for the best of all others ; and therefore requireth some iudgement to discerne the one from the other : and yet is there a crude and vnconcocted residence not vnlike this purulent matter to bee seene , as well in whole as in sicke bodies . This purulent or mattery residence , againe proceedeth either from the kidneyes or the bladder , as is most commonly receiued . But heare what the learned Hollerius saith concerning the same . Neither yet doth this mattery stuffe alwaies proceed from the kidneys or bladder . For it proceedeth almost from euery part of the vpper region of the body , by the great and admirable industry of nature , and by meanes of the body euery where made passable for such a purpose , doth disburden it selfe sometimes into the guts , and sometimes againe into the bladder . A certaine woman voyded , not without great paine and torment , such purulent and mattery vrines , who foure moneths after dyed , and the dead corps being opened , two stones were found in her heart , with many little impostumes , the kidneyes , together with the other vrinary passages , being free from any other hurt . Galen ( saith Ro●deletius ) did see an impostume of the Lungs purged by vrine , by meanes of the emulgent or sucking arteries . The gibbons or backe part of the Liuer , the kidneyes , bladder and yard , make vse of the same passage . Now which of these places are affected , the griefe and tumor of the part giueth vs notice , and not the vrine onely . Now red Vetches or Fitches in the residence , called therefore Hypostasis orobea , or eruarea , are recorded by our Authors , to signifie either great inflammation of the Liuer , or colliquation of the whole body , or of the kidneyes onely . And so branny contents , signifie sometimes consumption of the whole body , or of the bladder onely with concoction , no Ague ; and great heat wasting the substance of the Liuer , and burning the bloud if it be red . So do fine branny contents signifie a collequation or wasting of the solid parts : sharpe sicknesse , and for the most part mortall , and some adde yet that it is sometimes seene in the vrines of women with child . And if this residence be red , they attribute it to extreame adustion of the bloud . Scales , called Lamine , Squame , differ not much in signification . To Haires or small filaments in the vrine , are attributed also diuers significations : as namely , a consumption of the whole body , a Feuer then being ioyned therewith , or else of the kidneyes onely , and then is no Feuer to be seene . They are according to Galen , engendered of a tough Phlegme , proceeding from the vse of grosse diet . Sometimes also they are said to signifie exulceration of the reines or bladder : and sometimes also fluxe of seed from seuerall causes . And finally , womens white fluxe , from the matrixe or wombe . Galen is of opinion , that such contents come neuer without a thicke vrine . But experience hath taught vs the contrary , saith Hollerius . A certaine man voyded such hairy excrements , with a golden coloured vrine , aboue the space of twenty yeares , it not being thicke , but keeping a meane : and howbeit his constitution and state of body inclined to choler , yet was he of a reasonable square and corpulent body . The like commeth also to passe in many others , howbeit to others a thicke vrine is more frequent . If the Reader please , he may yet reade a strange Story in Schenckius of a great quantitie of true and naturall haire , voyded by a woman with her vrine for a long time , the which the Author tried , by burning a parcell of it in the fire . Sand or grauell in the vrine affoordeth vs yet no greater certaintie . It is recorded by that famous Hippocrates , that in whatsoeuer vrine a grauelly matter setleth to the bottome , it betokeneth a stone either in the kidneys , or in the bladder . It is likely he had most commonly obserued it so in the place where he liued : but we find often the contrary in our climate . I haue my selfe often obserued , both in old age and younger yeeres , such grauelly vrines without any stone . The widenesse of the vrinary passages , as also diureticall expelling medicines , may be a meanes of expelling such contents . And this disease may sometimes be accompanied with a thinne vrine without any grauell at all , as in the obstruction of the aforesaid passages . The Physitian being present , is often encombred , notwithstanding the concurrence of all the signes together , to discerne a stone from some other disease , as hath heretofore appeared : what certaintie then can be expected from the sole deceitfull signe of the vrine ? The Admirall Annebault ( saith Hollerius ) being much tormented in making his vrine for the space of eight moneths together , both P●ysitians and Surgeons being in doubt whether there were a stone in the bladder or no , at length it was concluded to make incision for the stone . No stone notwithstanding was found , but a lumpe of flesh growne to the necke of the bladder , hindering the free passage of the vrine , which was cured by conuenient remedies , and the patient restored to his former health againe . Some also are of opinion , it signifieth adustion of humours , as in diseases coming of choler , such as be burning Agues , Tertian Agues , single and compound , and sometimes in diseases of melancholie , as Quartaine agues long continuing . Likewise the Gout , paine of the ioynts and reines , Leprosie , French poxe confirmed , Emeraudes , costiuenesse , and heate of the Liuer : if there be no paine nor heauinesse about the reines . But besides all the former contents , wormes haue sometimes bene voyded by the vrine , the which because it may seeme some thing strange , therefore I will walke with my guides . Rondeletius maketh it plaine . Gilbert Griphon first of all shewed me worms in the vrine when I was but yet young , who was also the chiefe inciter of me to this profession . T●e wormes might be seene to mooue without any motion of the vrine . Againe . I haue seene wormes in the vrine as large as Gourd seedes , flat and aliue . Argenterius hath seene the forme of a winged Dragon come foorth with the vrine . The historie also annexed to the foresaid Rondeletius his Tractate of vrines , of foure wormes voyded by vrine at two seuerall times , do plainly witnesse the same . His countreyman Hollerius maketh also mention of one Beaucler a Counseller , who after great paine in the kidneys , voyded a great worme . And of another , who after the voyding of some stones and grauelly matter , voyded two euill fauoured wormes . The same Author againe . One demanded counsell of a Spaniard by letters , and helpe for one that was troubled with grauell , who hauing voyded some stones and much sand , did also put foorth at his yard two little wormes , hauing pointed beckes , two hornes vpon the head like a snaile , the backe and bellie was as it were couered with scales , blacke like a Tortoise , but vnder the bellie which was red . I haue wondered to see ( saith another Author ) in mine owne vrine a great number of wormes , short and little , like vnto small lice . Monsieur Duret a Phyisitian hath assured me ( saith Ambrose Pare ) that he did voyd at his yard , after a long and grieuous sicknesse , a little beast aliue , very strange and wonderfull to behold , which was of a reddish colour . Charles Earle of Mansfield being very sicke of a continuall Feauer , cast foorth at his yard a worme of the very forme of a blacke Pye. Leuinus Lemnius reporteth that he hath seene in the vrines of diuerse that haue bene sicke of the French poxe , wormes like vnto Antes . One being troubled with difficultie of making water ( saith Schencleius ) voyded by his yard a little liue Scorpion . And as another author affirmeth , in the bladder of some persons wormes do breed , and little beasts like to Cockles of the sea . But now would I willingly demand of the cunningest pisse-prophet in the countrey , what would or could he presage by such a wormie vrine ? Putrefaction thou wilt say , it may be . But of what part , I pray thee ? whether in the bloud or the bladder , the stomacke or maw , or in the guts ? I haue often administred meanes both to yong and old against this disease , euen against all the sorts of wormes commonly recorded by our Physitians , yet could I neuer perceiue any in such persons vrines . And in how many young childrens vrines haue they found any such creatures ? But what if such creatures were conueyed from the stomacke through the mesaraicke veines into the great porter veine , and from thence into the great hollow veine , and so from thence distributed into the rest of the bloud , or else by the kidneyes into the bladder ? If thou wilt denie this long and tedious iourney , I will againe demand of thee , how come wormes into the bloud , as may appeare by this which followeth . In a certaine citizen at Paris , the basilica or Liuer veine being opened , in mine owne sight and presence came forth a worme about a spanne long . Thus then thou seest what certaintie may be collected by the sight of wormes in the vrine . There are yet sometimes motes to be seene in the vrine , which according to our writers signifie diuerse things : as namely , putrefaction , as in the Plague and French poxe , being accompanied with stinch . Againe great agitation and commotion of the humours , as in the small poxe and measels . They are said likewise to signifie rhewme , the gout , diseases of the mother , and finally conception . Let the vnpartiall Reader iudge what assurance one can learne from such an vrine , concerning the particular circumstances of the disease . But we must not yet omit the very dust , which they will haue to signifie diuerse and sundrie matters ; and that according to the seuerall colours of the same , vpon the which I will not long dwell , but yet say something of the blacke , which may seeme to threaten greatest danger . Such dust falling to the bottome , either blacke or of a leaden colour , proceeding of melancholie , is thought to signifie fluxe of the Emeraudes , present , or shortly to follow : and sometimes vomiting of bloud . As also sometimes paine in the reines , loynes , &c. and stopping of the Flowers , and at other times paine and diseases of the Spleene , &c. In the beginning of the yeare 1623. my counsell and personall presence was craued for a Ladie in Northampton-shire of good account . In the bottome of the vrinall wherein her vrine was put , for certaine dayes together , some such blacke dust might be seene ; which a graue Diuine there present thought to be so dangerous , that he told me he had seldome seene them liue many dayes after the sight of such cōtents in their vrines . And howbeit some strange and troublesome accidents did terrifie the spectators who beheld her with vulgar eyes , yet did her pulse put me in better hope , which was shortly seconded by a happie and prosperous issue , the Ladie recouering her former health againe . Neither heard I any complaint of such things as these contents are said to signifie . But hauing now finished both colours and contents , with other things belonging to this subiect , it is perhaps now exspected I should say something of the manner of pissing , as concerning not a little the matter in hand . CHAP. IX . Of the manner of pissing : the retention or stoppage of vrine , totall or in part , as also of inuoluntarie pissing , both in sicknesse and in health . THe manner of pissing , is either hard and vneasie , or else inuoluntarie . As for the first , the action is interessed three manner of wayes , as witnesseth Hollerius and others . First , there is a great desire to pisse , but cannot be effected without force and hard straining , & sometimes not without paine . Secondly , there is the like desire , but the vrine passeth away but by drops . Thirdly , there is a stoppage or obstruction of the vrine , that it is not voyded at all , or else so little that it is to small purpose . Painefull and vneasie pissing , may come to passe , either by the acrimonie and sharpnesse of the humour , or by the imbecillitie or weakenesse of the retentiue facultie , proceeding for the most part from cold : the which painfulnesse may in like manner be procured by reason of some inflammation , clotted or congealed bloud , an vlcer , a stone , &c. Suppression of vrine proceedeth from diuerse causes : sometimes by meanes of the obstruction or stoppage of the guts , and sometimes againe by meanes of the emulgent or sucking veines : and that againe two manner of wayes : to wit , either by reason of the weakenesse of the drawing or sucking qualitie , or else by obstruction . This suppression is likewise procured by the obstruction or stoppage of the Kidneys and Vrine-pipes , and by meanes of the weakenesse thereof . By reason of the obstruction of the aforesaid passages , it cometh also diuerse wayes to passe : as either by meanes of an inflammation , knob or bunch of either of these parts , or others adioyning : or else by reason of a stone , clotted or congealed bloud , or some tough phlegme impacted and cleauing fast to the place : as also sometimes , howbeit seldome , by reason of some holes in the kidneyes , and that after the voyding of some stones , as Mercatus hath obserued . Suppression of vrine is likewise sometimes caused by meanes of the bladder or parts thereto adioyning , it being also thereby interessed . And in the first place , by reason of the want of the sense of feeling , the sinew descending from the loynes and the hucklebone being loosened . Secondly , by reason of the failing of the expelling power of the bladder , &c. Thirdly , the exceeding great quantitie of vrine distending and stretching out of the bladder , detained longer then is conuenient , may bring this sometimes to passe . Fourthly , the resolution or loosenesse of the muscles of the neather bellie , which haue likewise some interest in the furtherance of this excretion . Fiftly , by the totall ouerthrow of the expelling facultie : as we see sometimes come to passe in burning Feauers , as witnesseth Hippocrates . Sixtly , by the defect and fault of the vrine-pipes , and that diuerse manner of wayes : for sometimes the muscle which shutteth vp the bladder is clinged together by a conuu●sion : the passage is likewise stopt , either by the meanes of some tough clammie humours , some clotted bloud , matter , knob or bunch , or any tumour , the outgrowing of some peece of flesh , some wart or scarre , and finally , by reason of a stone stopping vp the passage by the neck of the bladder . Seuenthly , by the consent of the places adioyning , the bladder and the vrine-pipes are sometimes so shut vp , that they cannot freely deliuer the vrine , which cometh often to passe in women , by reason of the nearenesse of the wombe . Eightly , by meanes of a Palsie or resolution of the bladder . The vncertaintie therefore of the vrine in diseases of this nature and kind , may as euidently appeare as in any of the premisses . And there being so many causes producing paine and difficultie in making of vrine , to which of them wilt thou ascribe it ? Againe , if there be a retention of the vrine , what wilt thou send to the Physitian ? And if such an accident come to the cure of some Empiricke or vnskilfull Physitian , his conceit will straightway leade him to some stone , and so , according to their ignorance in this art , exhibite strong diuretickes , or medicines prouoking vrine , as I haue sometimes obserued : * which are so farre from procuring the intended good , that they produce rather a contrary effect . Of a suppression of vrine by meanes of clotted bloud I haue instanced alreadie . This last Spring a young Gentleman of Leicestershire , of good worth , trauailing towards London thorow this Towne of Northampton , was suddenly surprised with a suppression of vrine . Being afraid of a stone in his bladder ( howbeit he had neuer heretofore complained of this infirmity ) yet tried he what the art of Surgerie could doe , by meanes of a Catheter thrust vp thorow his yard towards the necke of his bladder , together with some other meanes , which notwithstanding tooke no effect . The next morning , about eight of the clocke , I was sent for to the patient , whose belly began to swell , and some fumes to ascend into his head . By meanes of a gentle opening inlep , together with a Cataplasme applied to his share , it pleased God to accomplish his desires : howbeit a messenger had bene already sent away to bring with him an expert Surgeon to make incision . He voyded that day abundance of vrine of a laudable colour , and answerable contents ; so that none could find any fault in the same , and the next day he went forward in his intended iourney towards London . The passage of the vrine in this patient was somewhat narrow , as seemeth , and that by reason of some former infirmity ; and perhaps some wind gathered in the great gut might make some compression of the necke of the bladder . Now that suppression of vrine in acute diseases is dangerous , Hippocrates doth not deny ; other Physitians also haue obserued it , and my selfe not long since , in one who died not long agoe . And because this History for diuers reasons is worth the relating , I will intreate the courteous Reader that he would be pleased a while to lend his eyes and eares . This last yeere 1623. August the 28. an Alderman of Northampton , a man of good account in this Corporation , neare fiftie yeares of age , subiect of late yeares to a great paine in his head , and sometimes my patient : riding abroad in his corne-field , about some three miles off this Towne , was suddenly surprised with a chilnesse in his legges , and shortly after complained of the like in his backe , bones , and vpper parts of his body : vpon which occasion he hyed him home , and imagining it to be some cold , continued ill that night , and the next day and night following . The Satterday after , and the third day of his disease , by perswasion of some of his friends , his vrine with a letter was carried to a Parson practiser , dwelling about a dozen of miles hence , one of our chiefe Calculators of Natiuities in all the countrey . The Parson sent backeword , it was a blind Ague , and withall sends him a vomit , and prescribes Phlebotomie . The Surgeon being sent for , perceiues a Iaundise , and the patient complaines of some faintnesse ; vpon which occasion he refuses to let him bloud , wishing his friends to acquaint the Parson with these occurrents . The Parson repeales his former sentence , and commends the Surgeon for being so sparing . And indeed he dealt honestlier then the Parson : for he trusted none but his owne eyes , and so told his mind freely to his friend : but the Parson both saw with other mens eyes , and heard with other mens eares ; and building vpon this s●ndy foundation , sent his Oracle to the absent , which he as easily recalled againe vpon the first information , and sends him another Oracle written now in a peece of paper , and withall sends him an Electuary and Iulep for his laundise , and some directions for a drinke . But let vs heare the laudable effects of this vomit . It wrought vpwards effectually , and something downewards : and while the patient was able to take any sustenance , it returned backe by the same way it went in . And besides , after the operation of this vomit , the Iaundise appeared , a suppression of vrine and ordure , together with a troublesome and tedious Hicket , which neither day nor night forsooke our patient . To the former accidents was shortly added a difficulty in swallowing , with an extreame sorenesse in his mouth , which like a Canker spread it selfe ouer all the parts of the same , with an vlcer ( as appeared ) in the Almonds or parts adioyning , which yeelded such abundance of white corrupted matter at first , and afterwards coloured , as I neuer did obserue the like in euery respect . The Parson being earnestly intreated to affoord his patient his presence in this his so great extremity , no prayers would preuaile ; but sent him backe word , that the Iaundise now appearing , he hoped the worst was past . The patient seeing himselfe forsaken now in his greatest need , hauing learned by a too late repentance , that his Parson proued not so trusty a friend as he supposed ; Cum nemini obtrudi potest iturad me . On the Thursday after , about two a clocke in the morning , and the beginning of the eight day since the beginning of his disease , he sent for me , most earnestly intreating me that I would be pleased to affoord him my presence with what speed I could ▪ I preferring Christian charitie and loue of my old friend before any late ingratitude , repaire presently to his house , where I find him in that case I haue alreadie related . Hauing acquainted his wife and friends with the extreame danger I then found him in , yet being both by himselfe , his wife and all his friends earnestly intreated to do my vttermost endeauour to helpe him in this extremitie , and at least to ease him of these troublesome accidents ; so much by glisters and other mild meanes in two dayes space I preuailed , that most of the aboue-named accidents vanished quite away : his vrine also came in great abundance , of a laudable colour , without any bad contents , and the other egestion obserued now a good and orderly course : the hicket came but seldome , and with small annoyance . But the pulse played not his part so well as I wished , and the sorenesse of his mouth increased so fast , that it began to get ground vpon his lips . The which I then perceiuing , as likewise that he was not as yet free from his Feauer , willing to trie if Phlebocomie would any thing auaile , I gaue way to the vsing of this remedie . About sixe ounces of very corrupt bloud were taken from him on Saturday morning , ( his nose hauing made some offer twice or thrice before , and once after his Phlebotomie ) not without alleuiation , whereupon ensued reasonable good rest the night following . On Sonday morning was little alteration to be discerned , but that he complained much of faintnesse , and yet was bitter able to swallow then before : the sorenesse of his mouth began likewise to amend , being duly dressed diuerse times of the day : his hicket also was no more to be heard . Not full two houres after our departure , Death sends him new summons by some change and alteration to the worse , which could not be concealed from the most vulgar eye . In the afternoone visiting him , I found no further hope or encouragement to proceed , and yet farre lesse on Monday morning , saue that I wished them still to continue the giuing of him a Cordiall Inlep there in a readinesse , and so left visiting him any more , and he ere nine of the clocke at night , obeying Deaths last summons , discharged that debt which we haue yet to pay . But now Master Parson , our patient resting in peace , I would willingly expostulate a little concerning your carelesse ( and as I thinke ) irregular and ignorant proceeding in this businesse , which concerned no lesse then a mans life : the life , I say , not of an ordinary man , but of a magistrate , whom this corporation could not so well at this time haue spared ; besides the interest his wife and children and other friends had in him . In the first place your Oracle being asked , it answered , His disease was a blind Ague . Of maligne Feauers I haue both read , and knowne them possesse now and then some of my patients ; but as for blind Agues , we leaue them to Parsons that cannot see . And what be the Pathognomonicke signes of a blind Ague , and what Authors write of it ? The vrine told you no such matter , and I dare say , the messenger was much amazed at so blind an Oracle . But this is no new practise of your selfe and others of your cloth , lest you should seem to be ignorant of any thing , to coyne new names for diseases , whereof you are altogether ignorant . And thus another of your double profession , some few yeares ago , his iudgement by a Gentleman concerning his disease being demanded , answered , It was a disease in his spirits . The Gentleman died within a few dayes after of a Feauer , which tooke possession of the whole bodie ; and a Physitian that came afterwards to him , thought it to be a Squinancie , and that the Parson had wronged him in deferring Phlebotomie too long , by the which he gaue the patient some ease for the present . If this Parson had euer learned the grounds of Physicke , he could haue told that that Feauer which we call Ephemera , not exceeding foure and twentie houres , is properly said to be in the spirits , being commonly free from danger : but if it exceed this terme , then turneth it to some other Feauer , and so loseth the former name . But what remedies were by you appointed for this patients blind Ague , as it pleaseth you to call it ? If a blind Ague , it had as blind a remedie , a vomit was exhibited , Phlebotomie prescribed . As for your vomit , although I neuer did see it , yet I am not ignorant of the matter and nature of it . But be what it would , that it was then vnseasonable , I thinke any of common sense cannot deny . For in the first place he had not long bene sicke , neither yet came his sicknesse by any surfet , to induce you at first dash to prescribe him such a vomit before any other remedie . Againe , you ought not to be ignorant , that in most diseases ( acute especially ) the appetite faileth at first , and yet vse we not alwayes to begin with strong stibiate vomits . But what were the effects of your vomit we haue heard , and the patient fared the worse for it . He was subiect to an old paine in his head , and with this vnseasonable vomit the torrent of those sharpe and maligne cholericke humours wherewith his bodie abounded , were drawne vp towards the throate , and other parts adioyning : hence had he that exulceration in his throate and mouth , the hicket , &c. I know your grauitie would disdaine the name of an Empiricke , but pardon me good master Parson , this course was too Empiricall . I wish both your selfe and some of your brethren to be more circumspect in exhibiting your vomits . It is too well knowne in the countrey , that strong stibiate vomits are vsed by many of you , almost in euery disease , as some famous Panacaea or Aurum Potabile , falsly supposed good against all diseases . The other Parson lately mentioned , within these few yeares gaue two vomits in one day , the one to a woman dwelling seauen miles off this towne , who died presently : the other to a woman of this towne of good account , and since my patient , at that time being big with child , and the vomit wrought with great violence from seauen a clocke in the morning till foure a clocke in the afternoone , and hardly escaped she the like danger , or abortion at least . Some few yeares ago my presence was required for a Gentlewoman at a Knights house within seauen miles of Northampton . Her disease was a Squinancie , and had bene before my comming , by the aduice of a neighbour Parson ( for such are in most corners of the countrey to be found ) at least twice Phlebotomised , howbeit without any successe , and then had this cunning Aesculapius left her a stibiat vomit , as his last anchor of hope . At my coming I found her not able to swallow any thing at all , the drinke which she assayed to swallow coming out at her nostrils againe . The Ladie asking me whether she might take the Parsons vomit or no , I replyed , it was absurd both in * reason and common sense , and that both in regard it could not descend into the stomach , as also for feare of attraction of the humour towards the place affected . In three dayes space , by meanes of attractiue glisters , which the Parson had omitted , and some other meanes I vsed , the patient , by Gods helpe recouered againe her former health . But to our purpose againe . The next remedie by you prescribed was Phlebotomie . I denie not the necessitie thereof , howsoeuer your prescription was but by ayme , as being ignorant of his strength , wherein the messenger might easily be mistaken , as it often cometh to passe . Within these two yeares past , I tooke aboue fiftie ounces of bloud from a man of middle age in this same towne , being seised with a burning Feauer , accompanied with a strong deliration , whom his friends supposed to be so weake , that after I had seene him , & acquainted them with the truth , scarce could I perswade them to yeeld to this remedie . And this was performed in a weekes space , the patient taking nothing in the meane while but a little drinke , or milke and water , being both then and a long time after depriued of his naturall rest , by his owne vnrulinesse , and his friends carelesnesse , and yet recouered he his health . But why was not this remedie administred to our patient ? Because the Parson was informed of the appearing of the Iaundise . But did the Iaundise crosse the former indication of bleeding The a Iaundise proceedeth of diuerse causes , and therefore the cure is accordingly to be accommodated . It cometh sometimes solely and of it selfe , without any other disease , and sometimes prooueth nothing else saue a symptome or accident of some other disease , as of a Scirrhus , or inflammation of the Liuer , &c. It is also sometimes occasioned by poyson , and sometimes by meanes of some b stone or stones growne within this ga●-bagge . And againe , the learned are not ignorant that it is sometimes a criticall excretion : safest after the seuenth day in acute diseases , more dangerous , or at least doubtfull before the same . Our patients Iaundise appeared in an acute disease , before the seauenth day . That Phlebotomie in this c case is required , our Authors do witnesse , and in many other sorts of the same : yea euen when the Iaundise is but a beginning , saith a learned Spaniard , and that according to the opinion of Paulus Aegin●ta and ●ctuis , two famous ancient Greeke Physitians : especially in the abundance of bloud , with a concourse of choler , which was manifest to the eye-sight in this our patient . And this same Author approoues of it in this disease , euen after it hath continued a long time , and that by meanes of inueterate obstructions , as also in the suppression of any wonted euacuation . This then was no contrarie indication to dehort or hinder you from so methodicall a course . And as for some faintnesse , it is not vnusuall in this disease , where there is neither Feauer nor danger of death . The vomit was a great deale worse then the opening of a veine . Fiue dayes after , when by reason of hote and sharpe humors towards his throate , procured by your vnseasonable vomit , this remedie brought alleuiation , with some rest after ensuing . What then might it in probabilitie haue procured , if at the first , and in due time administred ? And why was there no mention of a purge or glister for this Iaundise ? It had bene but according to the d rules of reason and precepts of art . And those who attended him can testifie that one glister by me prescribed , gaue him more ease then all your Physicke . But let vs come to your Prognosticke : you hoped the worst was past . Vpon what ground ? Because now the Iaundise came foorth . Cuius contrarium verum est . The case is quite contrarie : you ought therefore to haue deemed some danger . Fie master Parson , such a Rabbi as you thinke your selfe , whom the vulgar adore like the e Image of Diana , which the foolish Ephesians thought came downe from Iupiter . Old f Hippocrates could haue told you , that such a Iaundise seldome portended securitie . And howsoeuer he and some others make mention of some who in such a case haue recouered : yet do all our Authors hold the case to be very dangerous . g At my first coming to our patient I found apparent danger , not onely by reason of this accident , but of diuerse other dangerous and deadly signes , wherewith I at that instant acquinted his friends . And if you please to reply , that your absence could not see so much as my presence might discouer , I do not denie it : yet was not this Iaundise concealed from you , nor that it succeeded or came after a blind Ague , as you call it , and that before the seauenth day , as hath bene prooued . And the messenger was an vnderstanding young man , able to relate some other dangerous accidents , and besides he had no small interest in our patient . But what was wanting by information , might haue bene supplyed by your owne presence : the which howbeit earnestly desired , yet could not be obtained , saying , that your directions were sufficient . And yet it was told me , that coming to his house to speake with some at the Assises , you promised him great kindnesse . Now is the time of triall : your friend in danger of his life , requesteth and earnestly intreateth your ayde and best assistance , with your personall presence : he entrusts you with his life , and yet will you not affoord him your presence ? Your golden promises produce scarce leaden effects . h Is this the kindnesse to your friend ? Why vndertooke ye the cure of him , whom you had no purpose to see if intreated ? Besides , the patient was of sufficient abilitie to giue you satisfaction . If there be hope of a good bootie , your presence will not be wanting : witnesse your voyage into Leicestershire in Sommer 1623. to a patient of yours , who howbeit he died before your coming , yet were your fees more then doubled : and yet master Parson must not be called couetous . Now besides the Iaundise , the * Hicket in acute diseases , euen in the iudgement of the vulgar and most ignorant , but especially after so vnseasonable a vomit , must needs presage some great euill to ensue . And suppression of vrine concurring with i other dangerous signes , maketh the danger yet apparent . And yet the Parson hopeth the worst is past . But how came it to passe , that all your twelue houses in the heauens forgot you at this time , and made you become a lying Prophet ? Where were all your maligne aspects ? k Luno Lucinafer opem . Will neither Mercurie nor the Moone , who are nearest , come to your aide ? And where was old frostie father gray-beard ( Saturne I meane ) and angrie Mars ? I adhere to none of your iuggling Genethliacks , and yet besides the former signes , I could reade death in our patients eyes , yea and in some motions of his hands , &c. better then the vrine and all the caelestiall Orbes could tell you . l But many other such pranks are played by your selfe , and others that are partakers with you in the same offence , wherewith I would be loth to enlarge this Treatise . But master Parson , make more account of mens liues , and discharge more conscionably that calling from which you take the denomination , and yet busie your selfe too little about it . I haue neuer heard much commendation of your diligent preaching ; not so much as in season , farre lesse yet out of season : And as for your care in this other profession , this our Patients friends , and this whole Corporation haue no great cause to magnifie it . But it is not much to bee maruelled at , that he who setteth so light by the soule , makes as small account of the body , but for his owne benefit . And how many of yours and others such beneficed mens m errors are buried in the bosome of the earth ; howsoeuer your adherents may cry out , Great is Diana of the Ephesians . Let the iudicious Reader iudge then , whether all Physicks sufficiency be couered vnder a Clergy mans Cassocke . But we hope the Reuerend Fathers of the Church will confine you within your owne Orbes ; or at the least enforce you to resigne the one wholly , and betake your selues to the other . A Prelate of prime note of late yeares ( as I am informed ) and yet liuing ( and long may he liue ) gaue one of these Pragmaticall Ministers his choice , to which of the two he would betake himselfe : and he hauing found in his owne experience this to be true , Dat Galenus opes , being forced , forsooke his Pastorall charge , which affoorded him not aboue fiftie pounds ; yearely comming in . But now to the maine matter in hand againe . The second branch of the manner of pissing , is inuoluntary pissing , which commeth to passe either in sicknes or in health . And in sicknesse it commeth to passe , by reason of the hurt , weaknesse , or decay of the retenti●e facultie of the passages of the vrine ; as kidneyes , bladder , &c. as commeth to passe in the Palsie , Apoplexy , and Falling sicknesse . And in the pissing euill , called Diabete , this commeth likewise to passe . And againe , when the Muscle Sphincter shutting the necke of the bladder or sinewes helping thereto , are hurt , either by a fall , a wound , or some such other occasion : and sometimes againe in reasonable good health , they are weakned by meanes of some cold distemper , or too much moisture ; as commeth to passe in children , and moist constitutions . Drinesse sometimes is likewise said to produce the like effect in old age . And some perturbations of the mind , as great and sudden feare and astonishment make men often void , not the vrine onely , but other excrements also against their will. And yet were our Pisse-Prophets neuer able by any such vrine onely to finde out the true cause of any such infirmitie . That this proueth also often a dangerous , if not deadly signe in acute diseases , I could by many instances both of my owne and other mens obseruations make it appeare , but that now I feare I haue too much abused thy patience courteous Reader ; and therefore I hasten to the conclusion , if thou wilt giue me leaue to talke a word or two by the way with Master Alchymist . CHAP. X. Of the fond and foolish opinion , concerning the distillation of Vrines : of the water of separation , together with the vncertaintie of iudgement by such meanes . THE Aschymists well perceiuing this vecertaintie affoorded vs by this signe , haue set their wits a worke another way . One of their great Masters , a Thuenheuserus by name , to the end that Paracelsus and his Disciples might be thought to surpasse all other Physitians , deuised a new way to iudge of diseases by Vrines : to wit , by diuiding it into three seuerall principles , Mercury , Sulphur , and Salt : and so by distillation to finde out that which we demanded . b Libanius mentioneth a certaine water of separation , which besides diuers other effects hath this also , that one onely drop of it being mingled with the Patients vrine , it maketh a present separation of the aforesaid Elements , insomuch that the predominant Element shall apparently lay it selfe open to the sight of the eye , and shall withall declare and lay open the cause of the disease . Parturient montes nascetur ridiculus mus . Great cry and little wooll . Our Paraceleists would faine feed vs with many such smoaky promises . Then come they to weigh the vrine , which they will ordinarily in a healthfull and sound man , not to exceed eight ounces and a halfe : If it exceed this weight , they thinke it argueth great abundance of a tartareous or terrestrious substance : esspecially if this be to be seene after the separation ; from whence they do inferre a great number of such tartareous diseases , as they call them : and yet the wisest of them cannot tell which . But let vs heare c Reusner speake . After the separation of the aforesaid Elements ( saith he ) the vapors ascending sticke to some part of the Still , answering in situation to that part of the body of man in the which lyeth hid the very fountaine and spring of the disease , and doth withall so plainly and clearely represent vnto vs , both the kind and the nature of the disease , that it may easily appeare to what element and principall part it is to be referred . So farre Reusner . But let vs now see whether there be any hold to be taken of these more then hyperbolicall promises . If we shall narrowly pry into this point , I doubt we shall find the old Prouerbe true , Out of the frying pan into the fire . But heare the cōfutation out of the mouth of a learned Physitian , often quoted in this Discourse . This doctrine of Thurnheusers ( saith * he ) cannot by any sound argument be demonstrated . For admit that the vrine be separated into seuerall elements , according to the seuerall parts thereof , yet can nothing but the elementarie qualities ( as they call them ) heat , cold , &c. be discerned by the same . And by this meanes shall we onely be able to iudge of the diseases of the solid parts ; as of obstructions , exulcerations , and the like . And is not the vrine an excrement of the bloud contained in the veines , that is of one body ? What vtilitie or profit therefore can come by this separation into seuerall parts ? Thou shalt thus onely obserue the number of the parts which are in the substance of the bloud , and of what nature and kind it is . Thou mayest perhaps perceiue it either to bee caused of Mercurie , Sulphur , or Salt. But wilt thou straight-waies maintaine , that all Mercuriall diseases are seated in the head onely ? &c. If this bee true , then will it follow , contrary to that which thou and Paracelsus maintaine , that these three grounds or elements are not common to all diseases . For I am of opinion , that if we will needs vse the names of these three ; as well such diseases as haue their originall from this Sulphureous and salt matter , as any that proceed from a Mercuriall cause , haue their root and originall from the head , &c. Thus farre our Author . And may not this opinion seeme so absurd in it selfe , that it needeth no further confutation ? For if when thou hadst vsed all thy art and cunning , a countrey-man should aske thine opinion concerning his vrine , and thou shouldst tell him hee were troubled with some sulphureous , Mercuriall , or saltish and tartareous disease , would he not laugh thee to scorne , and thinke , it may be , thou hadst beene that day too well acquainted with some pots and pipes of Tobacco ? And if hee should desire to know what were his particular disease , and where or what particular part of the body it had taken vp for its abode ; would it seeme strange if he looked for some extraordinary skill after so great an outward oftentation ? And if he should go home and tell his wife of a Tartareous , Sulphureous , or Mercuriall disease , who knowes but she might call him Good-man Wood-cocke for telling her such a tale of Robin-hood ? But put the case thou mightest yet see some Sulphureous disease ( as they terme it ) by meanes of this separation and distillation ; yet amongst many such Sulphureous diseases , vpon which of them wouldst thou fasten thy coniecture ? As if a Feauer might be found out , how may the kind be knowne , whether a continuall or inmittent ; and whether symptomaticall or dependant vpon some other disease ; or else be it selfe a principall guest , with many moe circumstances ? The like may be said of the other two principles . So that it may euidently appeare , there is greater vncertaintie in this then the other way . But if they will be so skilfoole , I wish they would distill the other excrement also ; for I am sure they may learne of both alike . But yet wish I them to take this Prouiso with them , that the ioynings of their stils and Alembicks be well luted with lutum moschatum , or ambarinum , that none of this fragrant smell be carried away with the wind , and so some part of this precious liquor lost . But it may be , when the patient had cast vp his account , he would find this manner of casting of waters , as they terme it , more costly then the ordinary . But for my part , I wish our vrine-mongers would vse it : for by this meanes this great abuse might the better be suppressed . But this opinion being so absurd in it selfe , needeth no further confutation . But fearing some infection , or at least annoyance to my nose by such Mercuriall and Sulphureous smels , I thinke it is more then time to withdraw my selfe out of so stinking a place . The like libertie is allowed thee kind Reader , to whom I am afraid I haue now bene too tedious ; but yet I must once againe intreat thy patience to heare the conclusion , and then mayest thou quietly depart in peace . CHAP. XI . The Conclusion of this whole Discourse , where something concerning issue and euent , and casuall cures . BY the premisses then , I hope , doth plainly appeare the absurditie of this erroneous and inueterate opinion of magnifying the vrine , and the iudgement concerning diseases which may from hence be collected . And therefore I hope the iudicious and vnpartiall Reader will with me subscribe to the generall conclusion ; to wit , that there is no certaintie or assurance to be collected for the information of the iudgement , either concerning the disease it selfe , together with the particular symptomes and seuerall circumstances ; and yet farre lesse for the cure of the same , by the bare inspection of the vrine onely . And therefore I cannot see any iust cause why it should not bee pronounced guiltie of man-slaughter at the least , if not of murther ; and therefore is not a thing so slightly to be passed ouer , as many may idlely imagine . But me thinkes I heare some of the vulgar sort , who thinke it a prettie thing to heare one prate ouer an vrine , obiect , That our censure seemeth too sharpe , since that daily experience doth not deny , that some haue from the inspection of the vrine , often attained to the knowledge of that they desired . Now as I denie not , but that sometimes one may through hap ( as we say ) hit the naile on the head : so on the other part , that this manner of casuall coniecture hath euer bene allowed of by the learned and more iudicious , I do vtterly denie . If Christians would hold their peace , yet will the heathen pleade on my side . The Poet wished them a bad successe , whosoeuer iudged of an action according to the issue or euent . Besides , that it is often a fallacie , a non causa pro causa , making the ignorant beleeue , they see that in or by an vrine , which neuer had allowance of any learned authoritie . And may not any ignorant Empiricke , a cozening Quacksaluer , or any old woman , now and then guesse aright at an vrine , and by cunning interrogatories and some other shifts , learne of the vnwarie messenger , as well the substance as the circumstances of the disease , at least as farre as they are able to relate ? And this to be true , hath bene sufficiently prooued alreadie . Besides , that oftentimes the messenger himselfe cannot sufficiently informe the Physitian concerning the particular circumstances of the disease : and againe , his owne ocular inspection often bringeth that to the eyes of his vnderstanding , which neither the messenger nor yet the patient himselfe were euer able to relate , and farre lesse the vrine make knowne . What hast thou then gained , when one of these vnsufficient persons hath told thee some truth by the vrine ? To wit , that then thy conceit carrieth thee ( howbeit most erroniously and falsly ) to apprehend some extraordinarie sufficiencie in that person , as being best able to free thee from thine infirmitie . Thus then we see , Vno dato absurdo mul●a sequuntur : One errour draweth on another . The prosperous euent sometimes seconding their bold attempts , inuolueth the vulgar daily in this dangerous errour . But arguments taken from euent haue neuer had allowance , where the rules of reason might take place . And if this argument from euent may take place , then will this absurditie thereon ensue , that we shall be forced to allow of many vnlawfull things . Many Witches and Wizards haue sometimes performed such cures as haue often astonished some of great vnderstanding : that I say nothing of our Spelmongers , curing by characters , figure-casting , with a world of other forbidden trash . Are we therefore warranted by these actions to turne our backe vpon God , and make a couenant with his enemie ? The diuell himselfe no doubt , as well in the ancient Oracles as of later dayes , hath sometimes told truth . I should be too tedious to instance in examples . But did not that counterfeit Samuel , to wit , the diuell himselfe , tell Saul the whole truth , both concerning the euent of the battell and his owne wofull and wretched end ? But who will notwithstanding maintaine the lawfulnesse of asking counsell at the diuels Oracles , but he who meaneth to haue his habitation with him in hell ? Farre sounder was the opinion of a Noble man of this kingdome , in these words . Examples which fall out by chance were neuer currant where the cause is to be iustifyed by reason . And therefore till a man can as readily produce a certaine ground to make his guesses good , as score vp a register of blind euents , we may rather commend his lucke then his learning . Reasons and arguments ( saith a Heathen ) must be produced for the confirmation of mens courses , and not examples of euents both casuall and vncertaine . So farre were the ancient Aegyptians from maintaining this opinion , and so carefull of mens liues , reiecting this coniecturall , casuall , and Empiricall manner of curing diseases , and iudging of the sufficiency of the Physitian by the euent or issue of the disease ; That at their owne cost and charges they maintained many sufficient and skilfull Physitians : and moreouer , set downe an inuiolable law and or dinance , That if any Physitian following the precepts and rules of art , recorded in the bookes of the learned in that profession , yet could not attaine to the height of his hopes ; the Patient through the violence of the disease yeelding to fatall necessitie , he was then freed from all danger of law . On the other part , if he recouered his Patient , yet neglecting the aforesaid rules and meanes , his punishment was no lesse then the losse of his life . What if ( saith mine Author ) this wholesome law were brought in amongst vs ( as it were good reason it should ) where could we find so many executioners condignely to punish such Impostors , Empiricks , Women-Physitians , busie-bodies , &c. Thus farre our Author . Now as concerning such remedies thus casually and vnskilfully administred , howsoeuer at sometimes they may either doe , or at least seeme to doe some good , which I will not deny : yet I am sure they do often more hurt then good ; & more hurt then on the sudden is perceiued , many often praising them for the Authors of their health , who haue bene the instruments of their vtter ouerthrow & ruine : for howbeit the Patient reape some present ease , yet is his body by meanes of such medicines vnskilfully exhibited , left more infirme , and becommeth afterwards more crasie : their cure being imperfect , accidentall , vncertaine , and voyd of rule and reason . And howbeit I could make this small Tractate swell vp into a big and voluminous booke , if I should instance in a many of these casuall cures , performed by Empiricks , and such others , which for feare of tediousnesse and prolixitie I am loth to go about : yet before I make an end , I will offer to the Readers view , two or three Stories . During my abode at Paris , one Master Robin , ouer-seer of the Garden of Simples , related vnto me this which followeth . A few yeares agoe ( saith he ) the plague of Pestilence preuailing daily more and more in this famous Cittie of Paris , whereof no small numbers , especially of the meaner sort , died daily : the learned Physitians did their best endeuours when their counsell was craued , and the ignorant Empiricks also were not idle . Amongst the rest was a certaine countrey Clowne carried on the wings of Fame , for his extraordinarie supposed skill in curing this disease , who was said to haue cured more then some of the most expert Physitians . The Duchesse of Longueuille being acquainted with these occurrents , sendeth for her Physitian , desirous to know the cause of so happie successes by so meane a person performed : which howbeit alwayes aymed at , yet are not alwayes attained vnto by men of greater merit . The Physitian well knowing the insufficiencie of this fellow , yet not fully acquainted with the particulars , and withall knowing how much is commonly attributed to these casuall euents , answered onely in generall at that instant , that many things seeme often otherwise then they are indeed : and false fame maketh some men famous , whose names deserue rather to be buried in obliuion : and after some further discourse concerning that subiect ( all which notwithstanding , would not satisfie her more then nice curiositie ) he taketh his leaue for the present . A few dayes after , causing carefully to watch and obserue the actions of this Aesculapius , he was obserued to go to a certaine place within two little leagues of Paris , called Bois de Vincennes , that is , Vincence wood , and there to dig vp certaine rootes . The Physitian therewith acquainted , resorteth thither with speed , and finds that it was nothing else but a certaine kind of Spurge ( whereof there grew in that place and about no small store ) whereof this Clowne had at seuerall times digged vp great store , easily discerned by the holes there round about that place , some being but new digged . After a narrow search , he found that most of those whom this new Aesculapius was said to haue cured , either died after a certaine time of a bloudie Fluxe , this violent medicine hauing procured an excoriation in their guts ▪ being especially exhibited , without any preparation of the ill qualitie , or obseruation of the due dose or quantitie : or else that they liued a languishing life , worse then a speedie dispatch by a sudden death , from whose mercilesse clawes notwithstanding this former Purgatorie was not able to free some of them . The Physitian repairing againe to the Duchesse , acquainteth her Grace with these seuerall circumstances : as also that it seemed most of those people were able , strong , and cacochymicall bodies , who would preferre the counsell of this Clowne , before that of the learned and iudicious Physitian . The issue notwithstanding did make it appeare , that if any did recouer , it came not to passe through his skill or sufficiencie , which as seemeth , was none at all , but by the strength of nature , able to expell both the Plague and the poyson of the medicine . The learned and iudicious Physitians againe met for the most part with thin and tender bodies , brought vp in ease and idlenesse , and for this cause aptest to receiue the poysoned impressions of the pestilentiall aire , and therefore the disease prouing greater then the meanes were able to ouercome , the patients were often forced to faint vnder the burthen . Neither were such dangerous , or r●ther desperate meanes , as this Empiricke vsed , in their opinions to be administred to any , much lesse to persons of qualitie and weake constitution . The Noble woman hauing heard the Physitians apologie , was afterwards better pleased with her Physitian , and after that time conceiued a better opinion , both of the Art and the professors of the same . I was likewise informed during my abode at Leua in Germanie , of many rare cures seemed to be performed by that medicine which they call the Philosophers stone , Aurum potabile , and many other such hyperbolicall medicines , exhibited by the Paracelsists of those parts . And yet most of them to whom they were exhibited , before the full period of a twelue moneth , went to visite their friends in another world : and little better successe for the most part had their maister Paracelsus himselfe . Some few yeares before my coming to this towne of Northampton , a certaine Empiricke , and Irish by nation , was accounted one of the most famous vrine-mongers in all the countrey about , but especially in telling whether women were with child or no. And yet his skill in Physicke was confined to one forme of purge , composed of a certaine portion of the Electuarie Diaphoenicō , mingled with so much powder of Diagridium as he could take vp betweene his finger & his thomb , which were his ordinary weights and scales , as I 〈◊〉 since by our Apothecarie informed : by which his butcher like boldnesse he cast many into most dangerous laskes , accompanyed sometimes with diuerse other euill accidents , as I haue heard since from some of themselues : and this chiefly was then to be seene , when this medicine was exhibited to thinne and weake bodies . Now howbeit I could instance in a number of other examples , all tending to the same purpose , yet fearing too much to offend the Readers patience , referring them to some opportunitie , I thinke it is now high time to turne my sailes towards the shore , and to cast anchor for the present . And the assembling of so many sage Senators , according to the ancient and laudable custome of this kingdome , to apply fit salues to the festered sores of the same , putteth me in good hope of some redresse , as well of the abuses here complained of , as of diuers other disorders . I am not indeed ignorant , that affaires of high consequence , are to be handled in this honorable assemblie . And yet I hope the life of man is not a matter of smallest moment . Agitur de corto humano . Skinne for skinne , and all that a man hath will he giue for his life . Let this Gangrene therefore in time be looked to , lest it grow to a greater euill . Since therefore errors of this kind are so full of danger , as hath bene both in the precedent , & now in this present discourse plainly prooued , both by a great and smaller enquest , of such persons with whose worth the delinquents I am sure dare not compare , I wish it may not be forgotten . Sed verbum sat sapienti . A word , yea a nod , is enough to a wise man. And therefore I leaue it to your Honourable considerations . CONSIDER THE MATTER , CONSVLT , AND GIVE SENTENCE . FINIS . Faults escaped . Pag. 5. line 2. for would reade could . p. 13. l. 29. r. stincking vrine . p. 16. marg . note l. 8. r. victu . p. 21. l. 12. r. deliration . p. 23. l. 17. r. pot-dropsie . l. 29. r. retaining , and marg . note l. 2. r. Fo rs . p. 33. l. 13. r. of a high . p. 33. marg note . l. 20. r. à vitiosa . p. 39. r. an absurditie . p. 55. l. 29. r. foure pounds . p. 70. l. 36. r. winie colour . p. 77. l. 5. diseases alone . Notes, typically marginal, from the original text Notes for div A68143-e160 * The honorable Court of Parliament . The right vse of vrines . Foolish custom of the countrey people . The pulse in many diseases to be preferred before the vrine . Quand●que b●nus dormitat H●merus . Horat. Casuall cures sometimes succeeding , do not proue a sufficiencie in the par●ies thus practi●ing . a An vsual & ordina●ie custome to browbeat & ouerthrow errors and imposture , and to pleade for truth . b This Panacaea was a certaine medicine made of saffron , quick siluer , vermilion , antimonie , and certaine sea shels made vp in fashion of triangular lozenges , stamped and sealed with certaine strange characters , and sold at a very deare rate , the very name importing asmuch as a medicine against all diseases ; and was in as great , or greater esteeme among the Germanes , as euer Aurum potabile once here amongst our selues . Liban contra Ambald & defens . syntagm . a●can . chym . contra Henuingum Scheunem . c D. Gwin . & D. Ra●igh against aurum potabile , D. Cotta against this and diuers ignorant erronious practisers . d Hieron epist . ●32 . partis tertia referente Langio . * Iohn 18. 23. Martia● . Terent. Terent. Psal . 141. 5. Notes for div A68143-e2500 Ioseph . antiquit . Iudaic. l. 1. cap. 4. Zonaras annal . lib. 1. High account of physicke amongst the Graecians . Amongst the Persians . Hippocr . in epist . Vide Sabell ennead . 9. lib. 2. Zonar . annal . tomo . 3. aliosque neoter . Entertainment amongst the Arabians . Amongst the Romans . The law of Augustus Caesar against ignorant and vnskilfull practisers of physicke . * Vide supra , & inter neoter . Chronic. Carion . aedit . 1608. in 8. Mars enemie to Minerua . Lotharius first Emperour of the house of Saxony restored learning and learned men in the west . De his vide orationem doctoris Beniamin Lobschuts impressam cum obseruat . medic . Diomedis Cornarij medicina Doctoris . First originall of Doctors and other degrees in the Vniuersities . Vtilitie and necessitie of this profession . * 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 . Aelian . lib. 9. cap. 23. Polib . lib. hist . 2. & 3. indeque Lang. epist . medicin . lib. 2. epist . 48. Hippoc. lib. 2. de lege . The armes or enseignes of Aesculapius . A crooked staffe . A dragons head in his right hand and a dog hard by him . A pine apple in his left hand . The winged picture of health with a pullet in her hand . How carefull the Physitian ought to be in prescribing diet according to the nature of the disease and diseased . Aesculapius bearded . Liberty allowed ignorant Physitians , cause of great mischiefe . Prouerb . 31. Terent. in Andr. Hippocr . lib. de medico . Women altogether vnfit to practise physick . A tragicall storie . Alexand. Bened. de curand . morb . lib. 15. cap. 25. 1. King. 18. 26 27. 28. Soles occidere & redire possunt ▪ nobis cum semel occidit breuis lux , Nox est perpetua vna dormienda ▪ Catull. A good remedy ignorantly or out of season exhibited , may yet proue dangerous to the diseased . The laudable custome of the Germane natiō in prouiding fit and learned Physitians , and allowing them good maintenance . They often visit the Apothecaries shops , and take a s●●uey of his drugs . The great commoditie of this so laudable a custome . The idle inspection of vrine , as it is at this day practised , openeth a gap to euery cozener & impostor . Iohann . le bon . de therap . puerp . It is impossible to iudge of the disease , & what concerneth the same , by the inspection of the vrine onely . Langius tom● . 1. epist . 11. In symposio . de republica . The great care of the ancient Physitians in searching out the signes of diseases . Lib. 4. salub . The sweat a more generall signe then the vrine . De Alexandrinorum medicorum desidia . Gal. lib. 2. de natura humana . lib. 6. epid . & passim alibi . * Victu Quintiliane colorem . Thus do most of our practising Parsons and Vicars become suddenly Physitians . * 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 . Damascenu● in Aphorism . Rhaz. in aphor . Si quid turbida Roma eleuaret , &c. Pers . sat . 1. Epist . 83. And in England also . Diuision of the signes . Signes of concoction . Vrine no Pathognomonick signe of concoction , and yet to be obserued . Praenot . lib. ex edit . Pres . vel prognost . 2. ex edit . Heur . & lib. de natura hominis circa finem . Diabete . Iohann . Michael ▪ Sauonar . lib. de vrin . cap. 1. Historie . D●omedes Cornariu● , lib. consil . medicinal . de histor . admirand . ra●●● . Of such base stuffe we are not vnfurnished here at home . Another . Idem ibidem . ●●rnel . Pathol. 〈◊〉 . 3. cap. 8. Sauonarolo loco supracitato . Mercatus tom . 2. lib. 3. pag. 25. edit . Pali● . 1608. Tom. 2. pag. 492. Duncan . Liddel . art . med . lib. cap. 8. Historie . Deceitfulnesse of the vrine in an Impostume and paine of the head . Another . In an vlcer of the Lungs . * Of the Hippocraticall face see our arraignment of vrines . lib. 3. cap. 3. Leo Rogan . lib. 3. de prouid ▪ ex vrin . cap. vlt. Paulus Aegineta lib. 2. cap. 27. Dangerous errors . Galen lib. 2. de cris . cap. 3. & 6. Timoth. Brichius Cantabrig . lib. de m●d . the. 1. aph . pag. 94. I●hannes Caius Britannus de Ephemera Britannica , pag. 136. The vrines in maligne and pestilent feauers very deceitfull . Historie . Iohannes Anglicus , vulgo Gatesden , in opere practico communiter Rosa Anglica nuncupato . What the vrines do here declare vnto . vs. a 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 , id est , vitiligo , 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 siue pruritus aut prurigo , 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 , id est , impetigo , 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 , nomina sunt affectionū , in quibus omnibus male afficitur cutis , à vinoso aliquo succo , qui nescit assimulari , &c. Holler . schol . ad cap. 64. lib. 1. de morb . intern . b In quouis horum affectuum ( lepra scilicet & morbo Gallico ) membra nutrimentalia ( praecipue iecur , à quo omnes corporis partessuum recipiunt alimentum ) sere habitualiter laborant . Mercat . oper . praedict . tom . 2. pag. 126. Felix Plater . oper . pract . tract . 3. cap. 4. Arguments euincing that by the sole inspection of the vrine , it cannot be discerned whether a woman be with child or no. In aphor . 51. & 54. lib. 6 & 3. de natur . facult . cap. 3. 6. de locis affect . cap. 5. 15. de vsu part . Arist . 4. de gener . anim . cap. 6. Gu●l . Adolph . Scribon . lib. de vrin . inspect . Rondel . lib. de vrin ▪ cap. 40. de vrina praegnantium . Mercur. lib de vrin . cap. 7. Sauonarola libr. de vrin . cap. 2. rubr . 10. de vrin . praegnantium . Leo Roganu● lib. 2. de caus . vrin . cap. 15. de vrin . v●ero gerentium . Iean Marinello de Formie lib. 3. chap. 5. de maladie des femmes . 2. Mercat . tomo . 3. lib. 3. pag. 669. Historie . Diomedes Cornarius in lib. consil . medicin . inter historias admirandas , historia tertia , & prima de pe●uerso vrin . in ●icio . Historie of a woman with child in the first moneths . Another of one in the latter moneths . Absurditie of this opinion proued . Some women of an hoter constitution then men . Gaspar . Bauhinus de Hermaphroditis . Historie . Of a peremptory Parson determining of the sexe in the wombe . Historie . Of a womans vrine higher in colour and contents then a mans . Notes for div A68143-e6210 Actuarius the first inuenter of these regions , &c. Iodochus Willichius de probat . vrin . part . 4. c. 1. Hieron . Reus . schol . ad cap. praedict . prope finem . Aphor. 34. lib. 4. Diuision of the vrine . Of the substance of vrines . Diuerse significations of thin vrines . Iohannes Vasseus Meldens . lib. de vrin . iudicijs . pag. 30. &c. Hippocr . 3. Epid. Sauonar . lib. de vrin . cap. 3. Of thicke vrines Idem Vasseus ibidem . Significations of thicke vrines . Diuision of thicke vrines . Of thicke troubled vrines . Their seuerall significations . Diuisiō of thick troubled vrines . Henricus Ranzonius lib. de conserannda valetud . cap. 19. Aph. 10. lib. 4. In lib. 1. Prorrh . comment . 1. Leo Roganus de prouid . ex vrin . lib. 3. cap. 2. Hieron . Reusn . in cap. 6. part . 1. Iodochi Willich . de probat . vrin . Loco nuper citato . Loco iam citato . Consutation of an erroneous opinion of the vulgar sort concerning the staining of the vrinall . Historie . This Parson a chiefe proctor for au●um po●abile in Northampton shire . Absurd opinion of a Physitian , affirming one to be bewitched by the vrine onely . Many things alter the iudgement of the vrine . Accidents of vrine twofold . Diuerse significations of great abundance of vrine in health . Aphor. vltimo lib 4. Lib. 4. degeneratione an●m cap. 4. In sicknesse . Historie . Mercur. lib. de vrin● cap 6. ex Marco Gatinaria . Guil. Adolph . Scribon . devrin . inspect . pag. 41. 42. Another . Small quantitie of vrine by diuers meanes . Idem ibidem . Aphor. 83. lib. 4. Another . Mercur. lib. de vrin . cap. 6. Of the smell of vrines . Vrines without smell . Vrines smelling well . Stinking vrines with their seuerall significatiōs . Galen lib. 5. de simplie . med . facult . Lib. de vrin . cap. 3. rub . 1. Loco prius citato . Medici certe de hac iudicandi ratione scribentes digni essent , qui in dies lotium potare cogerentur . Vpuparū potius quam Medicorum haec tractatio erit . Idem ibidem . Vrina meretrix . Palew and light saffron colour . Called the key of vnknowne knowledge , or a shop of fiue windowes . Leuinus Lemnius de occuitis naturae mirac . lib. 2. cap. 37. Historie . Iacob . Douinetus apol . lib. 1. cap. 8. In the yeare 1617. many dangerous maligne feauers . Another . 1. Sam. 15. 32. Dangerous to let bloud vpon the bare sight of an high red coloured vrine . Rhamb . Dod. obseruat . medic . cap. 32. Historie . Idem D●d . in schol . Idem obseruat . medicin . cap. 31. Historie . Another . Idem Ibidem . Vrine sometimes red by reason of the cruditie of the stomach . Lib. 1. cap. designis quotidianae intermitt . In comment . in praedict . locum . Hieron . Reusner . in schol . ad cap. 22. Ioh. Willich . de prob . vrin . Per 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 . Of pissing of bloud . Aretaeus Cappadox . lib. 4. cap. 3. diuturn . morb . Holler . Schol. ad cap. 52. lib. 1. de morb . Vde ibidem plura , vt & apud Schenck . obseruat . medicin . lib. 3. tit . de sang . mictu . Historie . Marcell . Donat. lib. 4. cap. 29. hist . med . Another . Another . Another . Another . 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 . Hippoc. prognost . lib. 2. aph . 29. 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 . Idem in coac . sect . 27. aph . 16. 1. de cris . cap. 12 & alibi . Comm. 3. in lib. 3. epid . Comm. 3. in lib. 1 epid . Of blacke vrines . Historie . Iohann . Bel. for comm in lib de vrin . Gal. attrib . p● 72. Another . Guil. Adolph . ●cribon . lib. de ●rinar . inspect . Actuar . lib. 2. cap. 20. de iudie. ●rin . Another . Blacke vrines critical in diuers diseases . Thomas a Vega comm . ad lib. 6. Gal. de loc . affact . pag. 342. Nocturnae 〈◊〉 diurnae febre . Another . Anton. Valet exercit . 40 ad Holler . de morb . intern . Another . Andr. Laurent . anat . lib. 1. quaest . 38. Francise . Valer. comm . ad libr. Gal. le constit . art . med . pag. 355 Another . Another . Iacob Douin●● . apol . lib. 3. cap. vlt. Another . Of a bastard Tertian in my selfe . Another . Iohann . Crato consil . medicin . col . 446. aedit . Hanou. in fol. 1612. Another . Amatus Lusitanus centar . 5. turat . 54. Mercur. lib. de vrin . cap. 6. Of blew vrines . Of greene vrines . 3. de rat . vict . acut . Historie . Guil. Adolph . Scribon . de inspect . vrin . prope finem . Of popiniay greene , oylie vrine . Of ash-coloured , or leaden coloured vrines . Of thin white vrines . Rondelet . lib. de vrin . cap. 15. Their diuers significations . Forest . obseruat . medic . tomo . 1. lib. 2. schol . ad obseruat . 25. 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 . Hippcrat . prognost . lib. 2. aph . 30 Historie . Another . Of thicke white vrines . Historie . Nichol. Flerent . serm . 3. tract . 10. cap. 21. Another . A Petro Sphaerorio medico referente Schenck . lib. 3. obseruat . medicin . lib de vrin . Another . Iohann . Schenck . ibidem . Another . Holler . inter raras obseruat . num . 2. Another . Idem schol . ad cap 30 lib. 1. de morb . intern . Another . Of the circle , ring or garland . Not mentioned by the ancients . Lib ▪ de vrin . cap. 31. de circulo . The originall of it . It is twofold . Leo Reganus de differ . vrin . lib. 1. cap. vlt. Posteriores eiusdem ( coronae ) iuditia subiecerunt veteribus non vsitata , & in quibus iustae saepe causae desiderantur : verum vt scenae inseruiamus eadem iudicia subdere placet . Villich . de probat vrin . part . 4. cap. 39. Loco proxime citato . Idem Reganus de prouid . ex vrinis lib. 3. cap. 8. Idem lib. 2. de caus . vrin . cap. 9. Of bubbles , spume or froth . Idem lib. 2. de caus . vrin . cap. 9. See before in the beginning . Schol. in cap. 30. part . 4. Iodo●● Willich . de probat vrinar . Comment . 3 ▪ libr● prorrh . Aph. 34. sect . 7. Sauonarola de vrin . cap. 3. rubr . 17. Of smoke or vapour in the vrine . Of fat swimming on the top of vrines . Gal. Comm. 3. in lib. 3. epid . De prouid . ex vrinis lib. 3. cap. 6. Lib. 1. meth . med . cap. vlt. Guil. Adolph . Scrib . de inspect . vrinar . prope finem . 3. de praesagit . ex puls . Historie . 〈…〉 All vrines are not accompanied with contents . And may proceed from diuers causes . The cloud . The swimme . The ground . Lo●o proxime citato . 2. Prorrh . 1. & 2. in 6. epid . 37. Seuerall times to be assigned for the setling of vrine . Et ex his pr●inde vniuersis optime facillimeque intel●igi p●sse opin●r , ●uantu● fucus , ●●anta deceptio , ●uanta denique malignitas , sit omnium illorum qui absque alijs coiudicantibus vllis nude & simpliciter ex allata sibi vrina aliquas corporis male affecti causas & originem , subiecta , adiuncta & sic deinceps , vel exploratissime se cognoscere posse autumant . Idem . S●ribon . ibid. Of yellow contents or grounds Red residence . Historie . Another . Bloudie residence , and the seuerall causes of the same . Historie . See somewhat in the colours heretofore . Purulent or matterie residence . Schol. ad cap. 50. lib. 1. de morb . intern . Historie . Lib. de vrin . cap. 38. Red vetches or fitches . Brannie and sealie contents . Scales . Haires in the vrine . Comm. 1. ad aph . 76. sect . 4. Loco proxime supra citato . Historie . Schenck obseruat . medic . lib. 3. tit . de vrina . Sandie or grauelly residence . Aph. 79. sect . 4. Historie . Ibidem . Flesher . Worms reiected by vrine . Rondel . de vrinis , cap. 38. Montuus . Idem Rondel . lib. de morb . cognos . cap. 17. Historia Didymi Obrechti ad finem libri Rondel . de vrinis adiecta . Loco iam supra citato . Ibidem . Hieron . Cardan . comm . in aph . 76 lib. 4. Ambros . Par. Chirurg . lib. 19. cap. 3. De occult . nat . mirac . lib. 2. cap. 40. Obseruat . medicin . l. 3. sect . 312. Alexand. Bened. anat . lib. 2. c. 22. Iohann ▪ Renodaeus de mat . med . lib. 3 cap. 33 & antidot . lib. 1. sect . 1. cap. 20. circa finem . Motes in the vrine , together with their seuerall significations . Of dust in the vrine . Historie . Of painfull and vneasie pissing . Suppression of vrine . The seuerall causes of the same . De internor . morb . curat tomo . 3. lib. 4. cap. 12. Suppression of vrine by meanes of the bladder diuerie wayes procured . * Calculus renum rare aut nun quam diuretica huius aut illius sortis citra damnum admittit , &c. Mercat . Tome . 1. lib. 3. par . 3. class . 3. quaest . 217. Historie . Aphor. 62. lib. 4. Another . Raro aut nunquam eisdem accidentibus & conditionibus insignata apparet huiusmodi febris , sed pro varietate corporei apparatus & aliarum rerum , quae corpus humanam mutare habent , variari subinde ipsam contingit . Mercat . tom . 2. lib. 7. cap. 2. Gal. 1. de differ . febr . cap. 1. Strong stibiate vomits ordinarily vsed by our Parson-practisers in most diseases , and for the most part without the sight of their patient . Historie . * Si igitur valēter etiamnum fluxio irruat , ad contraria reuellere studebimus : vtique si in superioribus vlcus co●sistat , per inferna purgantes : sin autem in inferioribus sit , superiorera ventrem purgantes . Gal. Meth. med . lib. 4. a 〈…〉 vel paruitate eius , aut ab imbecillitate facultatis att●actri●● eiusdem , aut a m●atuum ●●sìructions siue ●orum sit per quos bilis allicitur , siue corum per quos pellitur ad inces●na , quo regurgi tat ad vena● bil●s , & praedictū gignit affectum . Hepa●cus efficitur ●cterus ab n●●atu obstruct●ne , sctrrno , iustant●●●tiore , aut calida distemperie : ad qu●d etiam membrum reducitur venarum caliditas exurens , & tetius etiam corperis siue etiam corrumptatur in venis & 〈◊〉 a corpore sangu●●b earum intemperamentum citrahepatis affictum , aut à veneno assumpto , aut eiaculato à fera , vel assumtis catharcticis non purga●t●bus , 〈◊〉 duplex existit : salutarn vnus , qui rursus sit dum 〈…〉 natura , aut in mecrborum iudicationibus , quae septimo die art post septem , ●icbus ●iticus incidit , a●t●gressis coctionis siguis , &c. Alter verò est 〈◊〉 à moto maligns morbi quem etiam symptomaticum dicere possumus , qui semper antè septimum incidit &c. 〈◊〉 ●e intern . morb . curat . tom● 3. lib. 4. cap. 5. b Aliam adhuc adlit causam Hollerius , calculum vnum , vel plures in vesica sell a saepce ceneretes De morb . intern . lib. 1. cap. 37. c Multis rationibus sanguis in hac affectione vltiliter mitti potest , primo quidem malo incipiente retractionis gratia : ob id l'aulus statu●t consilium esse venam in dextro cubito secare , vbi meatus vesicae bilis vtrique sunt obstipati , vel alter duntaxat . Item si simul sanguis abundet , aut sit praecipua obstructionis occasio : quopropter dixit Aetius duo maxima esse in hoc affectu remedia , nimirum , venae sectionem , & purgationem , &c. & paulo post . Si ex morbe acuto ante septimum prodeat sanguinem mittes , &c. Idem Mercatus ibidem . d Verum si suspitio aliqua est excrementi in ventre & primis venis Cassiae aut Catholics ℥ j. ex sero lactis imperabis . Et quia in hoc morbo aluus fere astricta est , vtilissimus est clyster , cuius materia sit ex ijs quae stercus durius emolliunt , &c. Sic enim placuisse veteribus Aphrodisaeus scriptum reliquit . Holler , loco nuper citato . e Acts 19. 35. f Aphor. 62. lib. 4. g Medicum arbitror operae praetium esse prouidentiam consectari praesentiens enim atque praedicens apud aegros res praesentes , pr●teritas atque futuras , & eitam quas ipsi agri praetermittunt explicans , existimabitur facile perceprsse notitiam singularem rerum ad aegros pertinentium : eoque fiet vt confidentius credant homines seipsos Medico . Medicinam autem optime faciet Medicus , si ante praesenserit quid euenturum sti cuique affectui . Hippocr . Prognost . lib. 1. aph . 1. h 2. Sam. 16. 17. * Singultus in sebre periculosus nisi sit criticus & signa coctionis manifestae appareant . Avmitu quoque malum : cum enim vomitus qui remed i● esse debet singultum gignit , ab inflammatione cerebri vel stomachi metuendum . Holler . lib. 1. de moreb . intern . cap. 33. i Signa saepius memoranda & obseruanda in aegrotantibus . Nam ex continua inspectione , exquisitam ●orū potestatis habemus notiatiam . Semper mente reuoluere opertet , ac considerare quaenam signa sunt optima quae pessima , & quae in medio confinio horum veluti gradus quosdam habentia , nonnulla quidem optimis , nonnulla vero deterrimis proximiora , & quae quidem minus , quae vero sunt magis proximiora vel remotiora , & quaenam exquisite media ponenda sint inter bona & mala signa . Deinde considerandum quaenam semper mala sunt , & quae continuo bona , &c. Gal. 1. de cris . cap 13. k Terent. in Andr. l Sexcenta licet ei●smodi proferre . m Q●ot Themison aegros a●tumno occiderat vno . Iu●eu . Of inuoluntarie pissing . It is produced by diuerse causes . Dangerous in acute diseases . a Lib. de distillat . vrinar . b Est aqua quaedam que dicitur ALKALI secretat cuius vsus ad sehres , ad foetum mortuum & alia . Inter haec est etiam separatio succorum . Nam si tantum vna gutta proij●iatur in vrinam aegroti , statim fieri dicitur elementerum separatio , adeo vt praedominans elementum aperte inconspectum prodeat , & causam mortificum manifestet . laban . in Alch. pharm●● cap. 8. ex Penoto . c Cap. de Spa , iricorum 〈◊〉 prorsus vrinae prolat . * Guil. Adolph . Scribon . de in . spect . vrin . sub finem . Absurditie of this opinion . Obiection . Answer . Careat successibus opto quisquis ab euentu facta notanda putat . Quid. in epist . Arguments taken from issue or euent , not to be trusted to . 1. Sam. 28. 18. L. H. Howard of blind Prophets . Argumentis & rationibus oportet quare quicquam ita sit docere non ruantis . Cicer. de diuin . lib. 2. Medici ex publico victum sumant , agro● secundum legem curant , ab antiquis medicis comprobatisque scriptoribus traditam . Si quis normam libri sequutus infirmum sanare nequiuerit omni caret crimine . Si praeter ea quae libris continentur , curauerit illum , morte punitur . Lang. epist . medicin . lib. 1. epist 80 ex Diodero Siculo . Historie . Dangerous medicines exhibited by Paracelsists . Another . Iob 2. 16.