Ex gratiosi ordinis Med. Bas. decreto M. Jacobus Seidelius Olaviensis Silesius ... ad X. Calend. Octob. hora locoque solito de arthritide respondebit

in whom, after phlebotomy, some vicious humor remains. And if the humor is thick and sluggish, resisting evacuation, they must be repeated several times.

32. Then diuretics and sudorifics may be exhibited, which evacuate the remaining material through the urinary passages and the pores of the body.

33. Finally, one must come to the conjunct and proximate cause, inherent to the affected part itself; this is removed by hot and dry medicines, which are thinning and resolve into vapor. If the humor is copious or thick, or hiding around the interior membranes, one uses stronger ones; if it is scarce, thin, and sticking to the outer skin, lighter ones.

34. The same can also be derived by cupping glasses with scarification and leeches applied around the affected place, especially in those for whom this malady occurs from an abundance of blood.

35. Once the humor is evacuated, one must succor the weakness of the parts that are the cause of the generation [of the malady], which are commonly called the sending parts, and those that receive the same, whence they are called the receiving parts.

36. The sending parts are refreshed by both internal and external medicines, composed in different ways according to the subject, causes, temperament, and other circumstances.

37. The receiving parts suffer from a twofold defect: intemperature and inconformity. The intemperature consists in heat and cold; the inconformity consists in laxity. Therefore, the medicines will be either hot or cold with astringency; to which can be added things that strengthen the joints by some specific property.

38. But if tophi calcified deposits have been produced either by the inconvenient administration of medicines or by the duration of the disease, they must be resisted immediately from the beginning, before they are confirmed and rendered clearly incurable. In their cure, one must regard both the material and the efficient cause.

39. The material, insofar as it is hard, indicates its softening; insofar as it is thick, its discussion meaning the dispersion of the matter. Therefore, one must use medicines that are partly softening and partly discussing. The efficient cause is excessive heat or dryness. If, therefore, they come from hot medicines, softening ones should prevail; if from cold, discussing ones.

40. But