De hydrope theses

and thick spirit, whence arises tympanites, which is a distension of the entire abdomen, filled with flatulent air and a moment of moisture, so that when struck, the belly sounds like a drum.

X.

If the blood is poorly concocted and poorly purged by the kidneys due to coldness, it remains serous. From this comes ascites, in which a quantity of this humor is gathered as if in a wineskin between the omentum, the peritoneum, and the intestines.

XI.

If the blood abounds with much phlegm due to the coldness of the liver, then anasarca occurs, which is properly called by the Latins aqua intercus water under the skin, because the watery humor is diffused sparsely through the flesh and under the flesh of the entire body, coming partly from the liver and partly resolved into water from the flesh of the entire habit.

XII.

But just as these species differ, joined by place and matter, so they agree in this: that they arise sometimes through idiopathia a primary disease of a part, and sometimes through sympathia a condition affecting a part due to a problem elsewhere, of the lungs, spleen, intestines, kidneys, stomach, uterus, diaphragm, and whatever other parts are affected by coldness excessively para physin contrary to nature through alteration, which continuously transmits that to the liver. Where it has arrived, dropsy first exists and rises.

XIII.

Indeed, since it is not yet agreed among physicians what the true cause of dropsy is, it must be asked not without merit whether all dropsy comes from a cold intemperance of the liver, or also from a hot one.

XXIIII.

But since one and the same cause cannot by itself be the cause of contrary effects, and a cold effect cannot exist except from a cold cause, taught by Aristotle and other true philosophers,