IV. The external Procatartic Cause of a Consumption of the Lungs is cold Particles of Air, constipating the Pores of the Body, whereby the Serum which ought to expedite the Motion, and temperate the Heat of the Blood is separated from it, and thrown upon the Glands of the Larynx, and the spungy Substance of the Lungs themselves: For as the Lympha helps the Motion of the Chyle, so the Serum accelerates the Circulation of the Blood, being carried about with it thro’ the smallest Capillary Vessels and remotest parts of the Body, lest it should be inflamed with a burning Heat, or stagnate by excessive Thickness; during which circular Motion they are both called by the same common Name, but when some Portion of Serum is separated from the Mass of Blood, and retreats to some one or more of the Emunctories; according to their various Dispositions, it derives a Name from those particular Parts on which it seizeth, as when it distils upon the Eyes, we call it Opthalmia, when upon the Nose Coryza, and when upon the Thorax it goes by the proper Name of a Catarrh.
Now forasmuch as there is nothing makes a Separation of the Blood more commonly than the want of usual Transpiration, so nothing more conduceth to the Preservation of Health, than that the Pores of the Body should continually let out the hot Streams and Vapours that arise from the Ebullition of the Blood; but when after taking Cold the Skin and Habit of the Body are on a sudden stopped up, that the sulphureous and waterish Excrements of the Blood cannot pass through the Pores, they are again resorbed into the Mass of Blood, from whence proceeds a feverish Disposition; unless they are carried off by Stool, or precipitated by the Kidneys, are sometimes translated to the Glandulous Parts of the Lungs, where by Degrees contracting more and more Heat and Sharpness they inflame and exulcerate these tender Parts.
Nevertheless tho’ a Consumption of the Lungs is sometimes thus caused by taking Cold, yet this comes to pass but seldom, unless in such Bodies whose Mass of Blood being rendered Cachectic, thro’ frequent Influxes of dispirited Chyle, is pre-disposed to receive, and unable to free it self from this New Influx of Catarrhous Rheum: For suppose Two Persons in like manner deprived of the Benefit of usual Transpiration, by some great Cold, which tho’ troublesome in the beginning, because of a violent and continual Distillation of Extravasated Serum upon the Glandulous Coat of the Wind-pipe, and other adjacent Glands, yet in the One of these it survives not the accidental feverish Disposition of the Blood, occasioned by the Stoppage of the Pores: For as soon as the Ferment ceaseth, the separated Humours, partly for want of a new Influx of Serum, and partly by the natural Heat of these Parts, are concocted into a thick sort of Phlegm, and coughed up; after the Expectoration of which separated Serum the glandulous Parts presently recover their natural Tone, without any Remains of a Tumour, Cough, Shortness of Breath, or other Inconvenience; but in the other this feverish Ferment, occasioned by taking Cold, is not transitory, but so habitually fixed by means of some previous Indisposition, as to encrease the Effervescence and Colliquation of the Blood and Spirits; from whence all the Glands which are seated in the upper part of the Larynx, as also the glandulous Coat of the Wind-pipe it self are overflown with a Deluge of hot distempered Humours, the Substance of the Lungs distended with hard Tumours, the Branches of the Wind-pipe comprest, and the Wind-pipe it self from these Swellings irritated to Cough, by a continual tickling, which promotes a frequent spewing out of hot sharp Humours all along the Aspera Arteria, till at length these Tubercles growing very large, begin to inflame and suppurate; immediately upon the breaking or opening of those Apostemes, sometimes such a Flood of corrupted Matter is poured out of their Baggs or Cavities, into the Branches of the Trachea, as compleatly suffocates and choaks the Patient; but at other times this Purulent Matter, mixt with streaks of Blood, and some thin Phlegm that is continually discharged from the glandulous Coat of the Wind-pipe, is coughed up by degrees, and then this deplorable Case requires Specific Medicines, to cleanse and heal these Ulcers.
V. Such kind of Consumptions whose Original is store of malignant acrimonious Humours, which are most apt to inflame and putrify, may be termed acute, when compared to others that proceed from Humours more mild and benign. There may be likewise some difference made by omitting Bleeding, and committing some egregious Errors in Diet, Exercise, Passions of the Mind, or any other of the Non-Naturals: However, all Consumptions of the Lungs ought to be reckoned in the Number of Chronical Distempers, because they are contracted and augmented by degrees, and no other way to be remedied; yet this doth not prove them incurable in their own Nature, for Reason and Experience both teach the contrary: And indeed I must confess, it was from the marvelous Success of these Remedies that I first imbibed this Notion, viz. Ulcers of the Lungs are in themselves curable. Sometimes a Fever or other acute Distemper may be jugulated, when either Nature or Art carries off the Morbific Matter by a sudden Crisis or plentiful Evacuation, but all hopes of dispatching a confirmed Consumption of the Lungs instantly are groundless, seeing many inveterate Obstructions must be removed, abundance of tough glutinous Humours attenuated and evacuated, the whole Mass of Blood and Spirits rectified, the Habit of the Body meliorated, and the Tone of several parts recovered, before we can eradicate this fixed Distemper.
What will be the Issue and Result of this Consumptive-Disease, may rationally be prognosticated from it’s several Stages or Degrees: For when the Mass of Blood by a continual Influx of sour dispirited Chyle is reduced to a sharp and hectical State, and the Serum which is separated from this corrupted Blood only stuffs the Bladders and Glandules which are dispersed thro’ the Body of the Lungs, this Distemper may be said to be in it’s Infancy or beginning, (and if sovereign Remedies were then presented, they might obtain an easy Conquest) but the Increase is attended with a greater Distention of the Glands and Bladders, as also an Inflammation of these Tubercles tending to suppuration: For when the Animal Spirits which are necessary to the natural Fermentation of the Blood are vitiated with unwholesome Particles of a foggy and thick Air, and the Humour which for a long time hath been contained in the Baggs or Cavities of the Lungs is over-heated by some extraordinary Ebullition or Fermentation of the Blood, with a total Suppression of Expectoration, the Cough becomes more violent, the Fever inflammatory, and all parts more tabid. In it’s further Progress or State all Symptoms advance apace towards their Extremity, Suppuration now succeeds the Inflammation of these Tubercles, for that the Purulent Matter is either breeding or already made, the Inflammatory Hectic is changed into a putrid Intermitting Fever, attended with an Universal Colliquation of the Nutritious Juices and plentiful Separation of them from the Mass of Blood by all ways of Evacuation that Nature affords; whence the Patients strength suddainly decays, and in a short time he is reduced to the highest State of a Marasmus, with an Hippocratic Face.
VI. Thus having demonstrated to the meanest Capacity the Power of this prevailing Evil, with it’s efficient and material Causes, Reason it self presently suggests nothing less than great and noble Medicines can tame a Distemper so formidable. It is no less obvious to the Understanding of every one that professeth any thing of Physic, that the sooner the Cure is begun the better, the more moderate the Patient is in the use of the Six Non-Naturals, the more likely to succeed; the Spring-time is the best Season, Universals are to be premised, extraordinary Symptoms and Circumstances peculiarly attended, and such like things must run through the whole Course of Practice.
No doubt but the Chalibeate Mineral Waters when impregnated with the Volatile Salts and Spirits of a serene Air, pleasant Society, delightful Recreations, Morning and Evening Walks, regular Diet, Freedom from Business, vexatious Thoughts, Exercise[4], and the rest may be serviceable: But if the Jesuit were sentenced to perpetual Exile, I think the Consumptive have no reason excessively to lament, for I can tell them who hath a Febrifuge Antihectical, without a Grain of the Jesuit, more excellent far than the Peruvian Bark, because it makes a safe, not a treacherous Peace, and can give a Reason of it’s working so stupendiously, tho’ they who know not how a thing can be done, think it impossible to be done.
For my part, I do not believe any Medicine can work a Cure in the way of a Charm, yet they who either know or use no other (at least for the most part) than ordinary Medicines, cannot conceive how such wonderful Effects can be wrought, unless by Inchantment[5].
The common Method of Cure is by Bleeding to abate the Effervescence or Colliquation of the Blood, and prevent the Tumour and Inflammation of the Lungs, by Vomits to relieve the Stomach opprest with store of ill Humours, and remove divers Obstructions of several Bowels and small Vessels, by Stomach-Purges gently to carry down the peccant Humours; and lastly by Diuretics and Diaphoretics with some mixture of an Opiate, plentifully to carry off the Colliquated Serum by Urine, or the Pores of the Skin, without raising a fresh Catarrh by a new Commotion of the Blood. After a due Administration of these universal Evacuations, (which in their respective Seasons are highly necessary) the frequent Use of Pectoral Apozems and Pulmonary Linctuses is next enjoined, to retund the Acrimony of the Humours which ouze out of the Wind-pipe, by their mucilaginous and incrassating Quality, and so mitigate the troublesome Cough. How far serviceable to this end and purpose the neatest Forms of such Dispensations that I ever yet saw may be, I will not dispute, only this I must take leave to say, because to me (as also to the unprejudiced I humbly conceive) it seems evident that such fulsom Ingredients of which they are compounded, are more apt to spoil a weak than recover a lost Stomach, and consequently not the fittest Medicines Consumptive Persons may have recourse to: For how many by woful Experience have found the constant and frequent use of such Anti-Stomachics led them from one Degree of this Malady to another, ’till their decaying Appetite hath been quite overthrown, (and consequently their hectic Heat inflamed) their Bodies so emaciated, as to render them uncapable of necessary Evacuations, and they themselves at last given over to a Milk Diet, Asses Milk, some Chalibeate Mineral Waters, or such like Liquids, to which the poor distressed Stomach ecchoes aloud, Miserable Comforters all! If therefore I can, as I have Reason to believe, with Medicines less offensive in Quantity, and more useful in Quality, restore the lost Appetite, and do the same, if not greater Service towards the Concocting and Expectorating that load of separated Serum with which the Pipes of the Lungs are stuffed, (which will easily be perceived by the Patient in a few Weeks with due Care and Management) I think I have gained a great Point, forasmuch as the Recovery of the Stomach may reasonably be looked upon as an Earnest of the Cure.
The Medicines I do here recommend to my Countrymen as Specific in the Cure of Consumption of the Lungs, arising from the fore-mentioned Causes, have a peculiar Faculty of warming, comforting and strengthening weak Stomachs, attenuating and gently carrying off that load of Tartareous Matter which is lodged in their rugous Coat, depraving both Appetite and Digestion. In their Passage thro’ the whole Circumference of the Guts, they likewise dissolve that crusted Slime and Filth which hinders the Pressure of the Chyle into the Milky Vessels by the Peristaltic Motion of their Spiral Fibres: Thus having removed these Fundamental Obstructions, they hasten together with the Chylous Mixture, which by this time is somewhat Invigorated towards the Relief of the Sanguineous Mass, presently upon their Conjunction the Blood revives, and by degrees becomes brisk and vigorous, able to cope with, and give some check to the preternatural hectic Heat, stop the Influx of the Rheum into the Glandulous Substance of the Lungs, concoct that which is already collected, and release the Animal Spirits, intangled with a vitious disposition of the Nervous Juice. Having gained these Advantages, things begin to look with another manner of Aspect, the Habit of the Body grows firmer, the Mind chearfuller, the Countenance fresh and brisk, the emaciated Parts gather Flesh and Strength, the Lungs and Glands of the Larynx recover their natural Tone, and the whole Constitution improves towards a State of Health. Moreover, These Anti-Phthisics are really impregnated with such Volatile Spirits and Salts, that as Lightning they penetrate the remotest Corners of the Body, exterminating the very Seeds and Roots of this grievous Disease, powerfully and effectually, yet pleasantly and securely, if plentifully taken in the manner of a Diet: For thus in time they chear up the drooping Animal Spirits, fortify the System of the Nerves, and so influence the whole Sanguineous Mass, as that the Blood it self becomes the most precious of all natural Balsoms, marvellously cleansing the putrid Ulcers of the Lungs, and finally reducing them to a perfect Cicatrix.