An acid and salt phlegm, again, is the source of all
those diseases which take the form of catarrh, but they have many
names because the places into which they flow are manifold.
Inflammations of the body come from burnings and inflamings, and
all of them originate in bile. When bile finds a means of
discharge, it boils up and sends forth all sorts of tumours; but
when imprisoned within, it generates many inflammatory diseases,
above all when mingled with pure blood; since it then displaces
the fibres which are scattered about in the blood and are
designed to maintain the balance of rare and dense, in order that
the blood may not be so liquefied by heat as to exude from the
pores of the body, nor again become too dense and thus find a
difficulty in circulating through the veins. The fibres are so
constituted as to maintain this balance; and if any one brings
them all together when the blood is dead and in process of
cooling, then the blood which remains becomes fluid, but if they
are left alone, they soon congeal by reason of the surrounding
cold. The fibres having this power over the blood, bile, which is
only stale blood, and which from being flesh is dissolved again
into blood, at the first influx coming in little by little, hot
and liquid, is congealed by the power of the fibres; and so
congealing and made to cool, it produces internal cold and
shuddering. When it enters with more of a flood and overcomes the
fibres by its heat, and boiling up throws them into disorder, if
it have power enough to maintain its supremacy, it penetrates the
marrow and burns up what may be termed the cables of the soul,
and sets her free; but when there is not so much of it, and the
body though wasted still holds out, the bile is itself mastered,
and is either utterly banished, or is thrust through the veins
into the lower or upper belly, and is driven out of the body like
an exile from a state in which there has been civil war; whence
arise diarrhoeas and dysenteries, and all such disorders. When
the constitution is disordered by excess of fire, continuous heat
and fever are the result; when excess of air is the cause, then
the fever is quotidian; when of water, which is a more sluggish
element than either fire or air, then the fever is a tertian;
when of earth, which is the most sluggish of the four, and is
only purged away in a four-fold period, the result is a quartan
fever, which can with difficulty be shaken off.