curialis
_consil. 11. et consil. 6. consil. 86._ assigns a hot liver and cold
stomach for ordinary causes. [2422]Monavius, in an epistle of his to Crato
in Scoltzius, is of opinion, that hypochondriacal melancholy may proceed
from a cold liver; the question is there discussed. Most agree that a hot
liver is in fault; [2423]"the liver is the shop of humours, and especially
causeth melancholy by his hot and dry distemperature." [2424]"The stomach
and mesaraic veins do often concur, by reason of their obstructions, and
thence their heat cannot be avoided, and many times the matter is so adust
and inflamed in those parts, that it degenerates into hypochondriacal
melancholy." Guianerius _c. 2. Tract. 15._ holds the mesaraic veins to be a
sufficient [2425]cause alone. The spleen concurs to this malady, by all
their consents, and suppression of haemorrhoids, _dum non expurget alter a
causa lien_, saith Montaltus, if it be [2426]"too cold and dry, and do not
purge the other parts as it ought," _consil. 23._ Montanus puts the [2427]
"spleen stopped" for a great cause. [2428]Christophorus a Vega reports of
his knowledge, that he hath known melancholy caused from putrefied blood in
those seed-veins and womb; [2429]"Arculanus, from that menstruous blood
turned into melancholy, and seed too long detained (as I have already
declared) by putrefaction or adustion."

The mesenterium, or midriff, diaphragma, is a cause which the [2430]Greeks
called [Greek: phrenas]: because by his inflammation, the mind is much
troubled with convulsions and dotage. All these, most part, offend by
inflammation, corrupting humours and spirits, in this non-natural
melancholy: for from these are engendered fuliginous and black spirits. And
for that reason [2431]Montaltus _cap. 10. de causis melan._ will have "the
efficient cause of melancholy to be hot and dry, not a cold and dry
distemperature, as some hold, from the heat of the brain, roasting the
blood, immoderate heat of the liver and bowels, and inflammation of the
pylorus. And so much the rather, because that," as Galen holds, "all spices
inflame the blood, solitariness, waking, agues, study, meditation, all
which heat: and therefore he concludes that this distemperature causing
adventitious melancholy is not cold and dry, but hot and dry." But of this
I have sufficiently treated in the matter of melancholy, and hold that this
may be true in non-natural melancholy, which produceth madness, but not in
th