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A69832 Culpeper's directory for midwives: or, A guide for women. The second part. Discovering, 1. The diseases in the privities of women. 2. The diseases of the privie part. 3. The diseases of the womb ... 14. The diseases and symptoms in children. Culpeper, Nicholas, 1616-1654. 1651 (1651) Wing C7488; Wing C7497; ESTC R171645 150,923 300

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or thrice rather then the arm once Therefore Galen commends Hippocrates that he opened a vein in the ankle in the Servant of Schimarg though she had a Pl●thory● But in other diseas●s of the womb as inflam●ation dropping or too many Terms it is good to open a vein in the arm The Saphena is opened by putting the foot in warm water before and after Question 3. At what time must a Vein be opened against the s●●ppage of the Terms Galen saith It must ●e when Nature may be helped be the blood moved that is three or four daies before the usual time of their coming as if she had them alwai●s in the ful of t●e Moon and they have been stopt some months● bleed three or four d●ies before the full to pu● n●ture in mind of her duty and to make the blood run again Chap. 4. Of fewness of the Terms IT is when they flow less then they use or ought to ●low It is either from the blood or in the expulsive faculty in the passages As if blood ●e little the Terms are few and slow if the retentive faculty is weak and the expulsive strong they come at due time but in small quantity If the Terms are slow the fault is in the quality of the blood being too thick Also straitness of the passages may be a cause for if they be not wide enough the blood cannot flow f●eely The patient will tell the disease but the cau●e of it is to be found in the Chapter a●oregoing Few Terms from little blood is not dangerous if they be stopt from thick blood there follow diseases as Erysipelas Scirrhus or Cancer See the Chapter aforegoing for the Cure and and if it be from thickness of blood it is often cured by a general Purge for the whole body Chap. 5. Of Dropping of the Terms THis is a flux and lasts long and there is pain The blood flows not conveniently at the due time and manner and the privities are alwaies wet as when the urin drops Are from the blood and the passages of it and the retentive faculty as when the blood is too thi●k and sharp which stir up Nature to let it out and because it stretcheth the membranes the●e is pain Also the weakness of the retentive faculty is a cause The women declare it but if it be from thick blood and sharp and strait passages there is a s●●etching pain about the womb If it be from c●udity of blood and weakness of the retentive ●aculty the blood flows without pain and is not much ●elt It is troublesom to women and if it last long ●auseth ulcers and inflammations It is all in mending of the thick and sharp ●lood and in opening the passages which are ●he two chief causes of it of which we spake at ●rge If blood be superfluous loose it not nor open the ankle-ankle-vein lest you draw it more to the womb but take away the Cacochymy If it be from weakness of the retentive faculty strengthen the womb with dryers and ash ingents Chap. 6. Of the overflowin of the Terms IT is when it is too much or too long and hur●s any woman and brings diseases but a certain proportion of bleeding is not to be de●ined but too much is lost when the actions are hurt The immediate Cause is the opening of the vessels and the mediate cause is the blood in quantity or quality offending or by its force or disorderly motion Vessels are opened by Anastomosis Diapedesis Diaeresis or ruption or by Diaurosis or co●rosion Anastomosis is from a moist distemper of the vessels● which loosneth the orifices or from external causes as Baths hot and moist or us● of Aloes The flux is seldom too great from a Diapedesis for it is but a sweating through Ruption is from plethory when the Terms have long been stopped and then break out and when the bloo● is hot by air baths c. The outward causes are falls strokes hard travel great burdens lifted Erosion is from sharp blood or humor or from Medicines that corrode as Pessaries long kept For this great flux is chiefly from the veins in the bottom of the womb The flux of blood is too great when the strength abateth and Cachexy ●ollows with paleness swoll●n feet and the blood that comes from the bottom of the womb is blacker and ●lotted● That from the neck is redder and thinner The signs of the causes If it be from mu●lr blood there are signs of plethory and it easily ●lotteth together If the blood be sharp and chol●rick it is putre●ied in the womb you shal know waterish blood by its colour and the signs of that humor abounding and if you dip a clout in it and dry it in the shade you may see it If the womb be too moist such causes went before If it be from breaking of veins they will tell you of violence If it be from corrosion it is little and slow somtimes pure somtimes ●erous It wea●n●th the whole body the liver and bowels there is swounding the Whites and paleness and Dropsie somtimes That which hath been long● is hard to be cured and causeth death and in an old woman it is deadly If there be fulness abate the blood and keep it from flowing to the womb revel it r●p●l cool and astringe it that it may not flow so fa●● and then amend the blood If it is from plenty of blood open the Liver-vein in the right arm bleed little and often because it makes better revulsion and weakens not open the Salvatella if there be weakness and cup ●he Back and Breast a●ainst the Liver beneath ●he papps where are veins from the womb cup ●ot beneath but in the shoulders or back and ●rms with scarification but sca●i●ie not under ●he brea●ts Bind and rub the a●●s and shoulde●s and tem●er and thicken the sharp thin humors with De●●cti●ns and Waters of Plantane Purslane Sorrel● Knotgrass Shepherds-purse Pomegranate-Syrup and of dried Roses Sorrel Pu●slane Coral Conserve of Roses Bole sealed Earth If it be urgent use Na●coticks Syrup of Poppies Treacle Philonium Laudanum If it still continue it is fed with choler there● fore purge it with Syrup of Roses Manna Rhubarb Senna If it be fed with serous blood help the ●eins that do not their duty and the Liver and sweat with China You must not provoke urin but use astringents As Take the juyce of Ass-dung Syrup of Mir●l●s each half an ounce Plantane water an ounce Give it her and let her not know what it is Decoctions Take Comfrey roots Tormen●il ●ach two drams Purslune Plantane each a handful boyl them● add to six ounces Syrup of Curran● Quinces Mirtles each six drams give● it at twice Or Take Syrup of Purslane juyce of Ne●●les each two ounces Purslane water four ounces Troches of Amber of sealed Earth each a dram● Bloodstone half a dram give two spoonfuls every day
better remedy Then temper and evacuate the humors if the● be adust and there be madness● use strong●● Then have a Bath of Lettice Willow Water-lillies Vine-leaves Purslane Venus navel red Roses Violets Waterlillies Let her sit twice ● day in it and not sweat To take away the sharpness of the seed use Lettice Violets Waterlillies and things that quen●h seed by a secret quality as Agnus castus ●eed Leaves and Flowers of Champhyre here●●●er As● Take leaves of Waterlillies Agnus castus Willow each three handfuls Lettice Purslane Ve●●● navel each a handful Lettice Poppy s●ed the 〈◊〉 great cold Seeds each half an ounce Dill seed 〈◊〉 drams Waterlillies a handful Violets half a ●●ndful beat them with juyce of Lemons distil them ●●er twenty four hour add to every pint a dram of ●mphire give an ounce Or Take Agnus ca●●●ieaves Rue Willow each two handfuls Mints 〈◊〉 of Dill each a handful and half Waterlillies ●●lf a handful Agnus castus seeds Hemp Cori●●der Lettice seed each half an ounce beat them ●nd distil them with water add a pint of juyce of Le●●ns rectifi● it to half An Emulsion Take Lettice and white Poppy 〈◊〉 and the four great cold Seeds each half an ounce 〈◊〉 of Lettice Waterlillies Willow each four oun●s Syrup of Violets two ounces Magistery of Co●●● dram An Electuary Take Conserve of Waterlillies ●●●lets of Agnus ca●tus top●● e●●h an ounce of Ro●● h●lf an ounce red C●ral Smaragds e●ch a dram 〈◊〉 and Lettice candied each an ounce with 〈◊〉 of Violets and Waterlillies make an Electuary Or make Baths of the same As Take tops A●nus castus Lettice Rue Waterlillies D●l 〈◊〉 〈◊〉 them anoint with Oyl of Lillies ●ngu●nt of Rose● with Camphire af●●r that Or lay a Plaister of Mercury and Marsh-lentils to the breast and loyns L●y a Plate of Lead to the Back and give a Pessary of juyce of Plantane P●●slane Gourds These that work by an occult quality are fittest for numnesses that must not marry but they that will marry must forbear them because they cause bar●●nness Let diet be thin and of little nourishment no Eggs Beef is good and fresh fish Also Lettice Purslane Succo●y Sleep little● think not of Venery labour and avoid idleness Question Whether is Camphire cold or h●t or doth it quench Venery It is hot because it burns flames is thin pie●ceth is sharp and bitter But it hath cold effects as curing of burnes and inflammations and h●● headaches but this is from the likeness of th● substance because it draws hot vapors to it an● discusseth as Linseed oyl that cures burnes No● hath it a double substance cold and hot that ma● be separated Scaliger denies it by experience to quench V●nery but if it be taken often it doth he t●ie● it but once Chap. 6. Of the Melancholy o● Virgins and Widdows IT is a D●liri●● with sadness trouble and we●●ing s●●times laug●ing without a Feav●● It differs from others by the efficacy only of the efficient cause for it hath divers pains besides ●●dness especially on the left side near the heart in the pap● this is by occasion at a distance The Cause is a melancholick vapor from a melancholick blood in the vessels near the heart that infects the animal Spi●its hurts the Fancy and so the reason For melancholick blood abounding in the vessels of the womb comes back to the great arteries about the heart by the arte●ies of the womb and infects both vital and animal Spirits and causeth trouble of heart and de●●●ium while this blood is quiet in the arteries the●e is no vapor that riseth but when it is hea●ed or s●irred up by any cause the arteries about the back and spleen beat more then ordinary and the vapors arise and trouble the heart They a●e sad and ●ull of thoughts and trouble at the heart and cannot express their grief all things are tedious to them they weep and l●ugh without a cause they sleep little and with trouble and ●ear they have a pain on the left side and somtimes the left breast their jaws are d●y al which are the effects of a melaucholick vapor and when that is discussed all cease If it be old it turns to madness and then they are 〈◊〉 silent then p●●tlers and think they see G●o●●s At first it is easier cured but if it last long and ●●e ●esist not imagination and will not rejoyce ●ith her Gossips it is dangerous They often despair and desire death or hang themselves or d●own thems●lves If the manners are chan●ed 〈◊〉 tu●●s to madness Observe what progress the disease h●th made At first if blood be hot o●en a v●in o●ten i●●●e arm if the terms be not stopt if they be bleed in the ankle some daies before they use to flow Let her be merry and prepare and purge melancholy thus Take Borage and Balm water each three ounces Syrup of the juyce of Borage and Bugloss each an ounce and half Mix them for two Doses repeat them somtimes Then purge Mel●ncholy As Take Senna six drams Agarick a dram and half Borage flowers and Violets each a p●gil ●itron peels two drams infuse them in Rhenish wine for six hours strain them ad Syrup of Violets an ounce Or Take Scorzonera roots two ounces Borage ●n ounce Balm a handful Senna four ounces Agarick half an ounce Citron peels six drams Zedoary two drams Cordial stowers a handful add half a pint of the juyce of sweet-scented Apples and of Rorage and Bugloss steep them two daie● then strain them ad Sugar and half an ounce of Cinamon make a Syrup give two or three ounces Also give Cordials Confection of Hyacinths Species Exhilerants and Confection Alkermes to such as can bear it Cure it as Melancholy only the matter comes from the womb therefore still regard that it dry not the body too much but use a moistning Diet. Chap. 7. Of an Epilepsie from the Womb. THis Falling-sickness is worst then from other causes because there are greater symptoms for that malignant vapor doth not onely fall into the nerves but the veins and arteries The same malignant vapor that causeth suffocation causeth this for when it ascends by the veins or arteries it begets other diseases but when it gets to the nerves or to the fountain of them it causeth the Epilepsie In some the whole body hath a Convulsion in others some part only as the eyes head tongue● hand or leg and the outward senses are diversly taken Some see not some hear not some see and cannot speak some dote and think they see strange things some cry out and know not why All loose the sense o● feeling If the vapor be n●t very malignant they re●u●n to their work after the fit as if they had not ●een ill It is known by what hath been said for here 〈◊〉 not only a Convulsion as in other Epilepsies ●●t dive●s Symptomes as in Suffocation of the ●omb They seldom ●oam at the mouth
of many diseases First endeavor to evaeuate the blood from the womb by Frictions Ligatures and Cupping i● they will not do open a vein in the foot Then open the pass●ges with external and internal means● anoint the Belly with loosning Oyls or soment thus Take Lilly roots Birthworts Briony Angel●ca each half an ounce Mercury Mugwort Pennyroyal Savin Calamints each a handful Tansey Chamomil and Elder fl●wers each half a handful Faenugreek and Linseed each two drams bruise them grosly and put them in a bag and boyl them in Water and Wine lay it to the privities and bottom of the belly Give emollient Clysters and if some daies are pa●● purge with Agarick Rhubarb Senna Or Take Lilly roots Al●haea each half an ounce Birthworts two drams Pellitory Mercury● Althiea each a handful Calamints Chamomil Elder flo●ers each two pugils Faenugreek and Lineseed each two drams boyl them to ten ounces strained ●dd O●l of Dill Lillies each an ounce Hiera simple half an ounce Oyntment of Sowbread three drams make a Clyster Or give Pessaries that provoke the Terms Give things to melt and attenuate the blood As Take opening Roots three drams Bettony Maidenhair Endive Schaenanth each two pugils Anise Fennel seed each a scruple red Pease a spoonful boyl them to a pint and half add Cinna●on water two drams Syrup of the five Roots three ●●nces give four ounces Chap. 4. Of too great a flux of blood after Childbearing THat is too much which makes weak It is blood abounding which ha●● been g●thered nine months in the womb It is thick or spends the Spirits and weakens There is loathing of meat pain the Hypochondria belly-ach weak and often pulse dark sight noise in the ears fainting and Convulsion It is dangerous when long and with fainting and Convulsion Therefore observe the pulse least she die suddenly See what strength she hath and stopt it not ●●ddenly I● it be not very g●●at order a diet of ●oas●ed Hens basted with red Wine or Pomegra●●e of Sta●ch Almonds Rice Quinces Con●●●ve of Roses steeled Water and make Revul●●ns use gentle things and strengthen the loose ●●●●ges Anoint the belly with oyl of Roses Mirtles cup under ●he breasts and sides without scari●ication Apply a Cataplasm of red Roses Bole and Ros●-water to the Liver Then use stronger and give a higher diet o●ten in small quantity and give Syrups to stop blood As Take old Conserve of Roses two ounces of Tormentil an ounce of Quinces without speci●● half an ounce Bole red Coral each half a dram with syrup of Currans and Coral make an Electua●y Anoint the belly with the Oyntment of the Countess and other Astringents or use astringent Fomentations or let her take into the womb a Fume of Mastich Frankincense red Roses c. Then open a vein in the arm and let blood by degrees See Sect. 2. Chap. 6. of overflowing of the Terms Chap. 5. Of the Pains after Travel and torments in the Belly THese are not in the body and bottome of the womb but in the vessels and membranes by which the womb hangs and that goes to the sides and belly They are from a constant labor in travel when the bottom of the womb is pricked to send forth from cold air let into it or clotted blood detained or sharp blood sticking to the womb and pricking it They are in the womb it self you m●y know i● they came from cold by what hath been done clotted blood will manifest it self They we●ken much and are very troubl●som therefore they must be abated First take away the cause or abate the pain and make that which hurts the womb fit to be evacuated by these Pills Take Cinnamon a dram Saffron a scruple Dia●ymini Diagalangal Zedoary each half a dram make a Pouder give a dram in Pennyroyal or Cinnamon water Or Take of Cummin seed steept in Spirit of wine and dried again a dram Ameos s●eds and Ginger each half a dram Cinnamon a scruple Castor half a scruple make a Pouder If she faint ad Cordial Waters As Take Diacyminum a dram Diamargariton frigid Citron pe●ls Zedoary each half ● dram make a Pouder If she be cholerick or the humor thin and sharp cure it as a Colick from Choler As Take Syrup of Violets Borage each an ounce Mucilage of Quince seeds made with Violet water half an ounce water of Borage Scorzonera each two ounces give it at twice Extenuate the humors and loosen the passages outwardly Take Bean flour Faenugreek and Linseed each an ounce Chamomil flowers and Cummin seeds each half an ounce boyl them in Oyl of Lillies for a Cataplasm You may sume the womb with Decoctions of Herbs Chap. 6. Of the tearing of the Vulva to the Arse and coming forth of the Womb Inflammation Ulcer Suffocation and falling out of the Fundament THe tearing i● in hard travel when the mothe● is tende● and the child great of which ●●for●● The womb comes forth from the violent extraction of the child or afterbirth when the ligaments are stre●ched The Cure is mentioned but you must not hinder the after flux by astringents let her therefore rest and lie one her back with her ●eet drawn up with Sweets to her nose and stinks to the womb so the womb will be retained and the flux continued after this is past you may use Astringents If there be inflammation from hard travel hinder not the af●er-flux of blood by Coolers If it turn to an ulcer let the after-flux flow and then cure it Suffocation after childbearing is from the ●●inking after-blood which sends up stinking vapors which kill many It is cured by Friction of the leggs Ligatures and Cupping with Scarification applying stinks to the nose as Castor Partridg●eathers burnt Rue And applying Sweets to the privities You must cure the ●alling out of the Fundament from straining in Delivery as formerly shewed Chap. 7. Of Watching Doting and Epilepsie of Women in Child-bed THese are from the motion of the blood a●d hu●ors● when the after-blood flows n●t kindly● and there is a ●eaver of which in ●●e 〈◊〉 Book And from vapors sent from the 〈◊〉 there is an Epilepsie which is cured by R●v●●sion o● vapors and humors downwa●d● and ●●●fect Evacuation of the a●ter-blood which done all these Symptoms cease Chap. 8. Of the Swelling of the Womb Belly and Feet after Childbearing IT is commonly from cold gott●n into the womb and the belly sometimes swells as if there were another child It is cured by hysterical or mother Fomentations or with the skin of a new ●lain sheep and hard wine if in travel they keep a bad diet or drink too much the humors go into wind and if they fall into the legs they swel then take heed of much drink and after the flux is past make Evacuation with things that expel wind As Take C●leworts and Chamomil each as you please boyl them in Wine and ●ome●t the parts Or Take
suck may use this Take Barley meal of Lentils Althaea roots Chamomil flowers and Mints each half an ounce Agnus castus seeds two s●ruples boyl them in Wine ad a little Vinegar Oyl of Dill two ounces make a Cataplasme Chap. 3. Of Inflamation and Erysipelas of the Breasts SOmtimes the tumor in the Breast is inflamed from blood for though plenty of milk cau●e an inflammation blood is the immediate cause for milk as it corrupts and grows hot increaseth pain and so the blood staying in the fmal capillar veins being out of the vessels is hot putrid and inflamed There are other causes as strokes● falls straitness of cloaths and other hurts of th● Breasts A hard and red swelling shews inflammation with beating pain and a Feaver These inflammations are commonly withou● danger but because the Breasts are so loose and have many kernels and little heat they turn to Cancers and Scirrhus If you fear a great flux of blood that will increase the inflammation let blood in a plethorick b●dy But if it come from stopping o● th●●●rms or after flux first open the vein in th● ankle and s●arifie the leggs then if need be ●pen the arm If bad humors coming to the Breasts nourish the inflammation give a gentle Purge of Manna Senna and the like If the blood be too hot or mixt with hot humors that help the motion o● the blood Use Alterers as Lettice Endive ●urslane Plantane Waterlillies and the like Use Repellers after these but such as are weak and not too cold as a clout dipt in Water and Honey with Oyl of Roses applied to the breasts Or● Take Lettice Purslane each a handful red R●s●s half a handful boyl them in Water add Vi●●gar two ounces make an Epithem Or● Take Nightsh●de Lettice each a handful b●yl them stamp them and ad B●rley meal two oun●s pouder of Chamomil flowers half an ounce Oxym●l Oyl of Roses each a dram make a Cataplasm When the beginning of the inflammation is past ad Discussers with your Repellers As Take white Bread crums Barley flour each an ounce and h●l● Bean and Foenugreek flower each half an ounce pouder of red Rose● and Chamomil flowers ●●ch two drams boyl them add Rose-vinegar an ●unce Oyl of Roses and of Chamomil each an ounce make a Cataplasm At length use only Dis●ussers A●● Take Bean 〈◊〉 and of Lupines and of Faenugreek and 〈◊〉 and pouder of Chamomil flowers each an ounce ma●e a Cataplasm If the matter grow hard use Emollients and 〈◊〉 As Take Mallow● a handful boyl 〈◊〉 till they are soft add pouder of Lineseed 〈◊〉 a●● Chamo●il flowers each an ounce● boyl them 〈◊〉 add O●l of J●sam●●e ●n ●unce ma●e a 〈…〉 I● it tend to Suppuration lay a Plaister of 〈…〉 Or Take Mallows and Althaea each half a handf●l boyl them till they are s●●t stamp them and ad pouder of Althaea roots two ounces pouder of Line and Faenugreek seeds each a● ounce Leaven half an ounce ad Oyntment of A●thaea two ounces make a Cataplasm When t●ere is matter and the imposthumes breaks of its own accord it is well otherwise open it with a Lancet or some sharp Medi●ine and let out the matter and then clense it thus T●ke Turpentine Honey of Roses each an ounce Mirrh a scruple The ulcer will be hard to be cured except you dry up the milk in the other Breast by reason of much blood that will flow thither to breed milk Question Whether the Inflammation of the Breasts be from blood alone or from milk also● The inflammation and swelling in women in Child-bed upon their Breasts is from the a●●lux of too much milk and it is with redness and pain and beating or pulsation and it is not only from blood for tumors as in other parts a●e seldom pure or unmixed but there are other humors with it Therefore it is certain that when blood is drawn by heat or pain or comes of i● self to the Breasts and begins to corrupt the milk also may be corrupted Of the Erysipelas of the Breasts This Erysipelas is from fright or ang●r and i● turns presently to a Phlegmon and is cured as the inflammation of the Breast Lay no cold astringent Repellers or f●t things● but things that sweat as Harts-horn seal●d Earth Carduus must be given with El●er water● to discuss the thin blood that causeth the inflammation Apply outwardly hot a Pledg●t dipt in Elder-water Chap. 4. Of the Ocdema of the Breasts THis flegmatick tumor is in cachectick women that hav● the white Feaver it is cold and white and pits because the part is loose and spungie Are a loose tumor almost insensible of pain and the ●inger laid on leaves a pit It is larger when the terms are at hand and abateth when they are past If it come from a Cachexy and a disease of the womb it is dangerous but it commonly ends by resolution or dissolved The Cure is by dry and hot means and if it is from a Cachexy or want of Terms they must first be removed then use Topicks that discuss and ●●solv● and strengthen let them be but temperately hot least you discuss the thin and leave the thick which will cause a Scirrhus Make therefore Fomentations of a Lixivium of Vine and Colewort ashes and Sulphur or a Decoction of Hysop Sage Organ Chamomil-flowers Then anoint with Oyl of Chamomil Lillies Bayes Or Take Barley flour four oun●●● of Lineseeds Faenugreek Dill Chamomil flo●●●s each half an ounce A●thaea root● an ounce with Oyl of Chamomil and Dill make a Cataplasm Chap. 5. Of the Scirrhus of the Breasts IT is a hard tumor without pain from mel●ncholy gathered in the veins that flows to the Breast or it is thick flegm dried Sometimes both humors are mixed together or more which makes a bastard Scirrhus And if burnt humors abound most it turns to a Cancer and if melancholy be most it is not a Scirrhus but a Cancer There are two signs of a true Scirrhus hardness and want of pain if it be fixed I● is somtimes white somtimes black or blew as the humor is If it be a bastard Scirrhus there is heat and pain and if they increase it turns to a Cancer and the veins grow blew about and begin to swell The bigger and the harder it is the more hard it is to be cured If hairs grow upon a Scirrhus it is incurable and it easily turns to a Cancer After Universals and the Cause is removed from the womb or the whole body let the containing cause be softned made thin and discussed But beware of two things First that the thin parts be not discussed by too hot medicines and the thick left for so it will be incurable and as hard as a stone Secondly that you ●erment not the matter by moistning Emollients so that it turn to a Cancer The Ancients either used none or a dry●ng or a moistning Medi●ine only You
their shape the malignant are known by their hardness and heat and blewness fil●h and pain They are often hard to be cured because the pox is with them and they are in a place to which Medicines are hard to be applied and to continue The Myrmeciae are not cut off but they leave a great ulcer the Thymi and Clavi grow again Acrochordones once cut leave no root After Universals and order of diet either use Medicines or cut or burn them to discuss then use Sage dried with Figs Organ Rue burnt dry Savin Frankincense with Wine and Vinegar or Snakes skins with Figs these also dry These corrode eat and burn as juyce of wild Cowcumbers with Salt Milk of Figgs Sheeps dung Goats gall with Niter Aqua fortis Spirit of Vitriol Sulphur Butter of Antimony Take heed that you hurt not the parts adjacent but defend them with Bole sealed Earth Rosewater and Vinegar if you put the Corrosives into Nut-shells change them twice or thrice in a day and wash the part with a clensing Decoction and then cut or burn Chap. 7. Of the Haemorrhoids of the Womb. THe veins that end in the neck of the womb often swel like the Haemorrhoids it is from gross blood that comes to these veins out of the time of the terms Inordinate flux of terms may occasion it when t●●y slow out of the usual time they grow thick and cannot get out of the veins but swel them They are to be touched and with a Speculum matricis to be seen There is pain and bleeding without order she is pale and lazy Correct the blood purge and bleed in the arm to derive and revel of which in the diseases of the womb If pain be abate it by sitting in a Decoction of Mallows Althaea Chamomil M●lilot flowers Moulin Lineseed Foenugreek of which also make Fomentations and Oyntments with Butter Populeon and Opium if there be pain Take Populeon Oyl of Roses and sweet Almonds fresh Butter each half an ounce Saffron a s●●●ple with the yolk of an Egg make an Oyntment Or Take Mu●ilage of Quinces Althaea ea●h half an ounce Oyl of Roses and Hens gre●se each a dram the yolk of an Eg and Saffron half a dram mix them in a leaden Mortar If pain be gone or abated and they bleed not use Dryers of Bole Earth of Lemnos Acacia Ceruss froath of Silver Lead burnt and washed long Birthwort Allum Verdigreece If they swell with blood evaporate it or ●oment with the Decoction of Mallows Althaea Pellitory Chamomil flowers Moulin Melilot seeds of Line and Foenugre●k If they do not good open them by Fig leaves rub'd upon them or by Horsleeches of which Chap. 2. If there be proud flesh take it o●t as is shewed If they bleed gently l●t Nature alone to the work for it is good and ●rees from other diseases If the flux be g●eat and abate the strength open a vein in the arm divers times and do as in over slowing of the terms Question How do the Haemorrhoids differ from the Terms flowing or stopt Mercurialis saith That though a flux of terms be immod●rate yet it hath its periods and is without pain and makes not the body lean but it is contrary in the Haemorrhoids But this is not true for the body is not made lean alwaies by the Haemorrhoids nor do the courses keep their periods alwai●s Besides the pain which is almost alwaies in the Haemorrhoids they differ in that the terms flow from the veins of the womb and its neck but the Haemorrhoids are when the blood flows too much to the veins that nourish the privities and there either sticks or is evacuated Chap. 8. Of Ulcers in the Neck of the Womb. THey are seldome cured in the body of the womb and they are simple and clean or ●ordid and malignant Are a flux of sharp humors that lasts long in the Pox and Gonorrhaea Corrupt afterbirths and courses after child●earing detained inflammations turned to imposthui●es● these are the internal The external are sharp Medicines hard travail a reat child taken out by ●orce violent le●hery wounds falls strokes Are pain and constant biting that increaseth ●●●●cially in co●ulation or when Wine or Hydr●mel is injected You may also see it with a Speculum also there is matter gentle or ●ilthy if the ulcer go towards the bladder they piss hot and often there is pain in the roots of the eyes to the hands and fingers fainting and a little ●ever somtimes The external Causes are to be related by the patient If it be from the pox or Gonorrhaea the signs of them will appear of which Hippocrates They are hard to be cured because they are in a part fit to receive humors soft and moist and that hath consent with many parts Hence are divers Symptoms the great old and foul are worst when they corrode and are hollow they are seldome cured they that may easily have Medicines applied to them are easie●t cured First stop the flux of humors to the part if it be either from the whole body or any part And amend the distemper of the womb that it may neither breed nor receive bad humors If the French pox be with it resist that first If there be pain first abate that with Milk steeled or with three whites of Eggs and Mucilage of Fleabane or an Emulsion of Poppy seeds Or Take Althaea roots an ounce Dill seed two drams Barley a pugil Faenugreek and Lineseed each an ounce Fleabane and Poppy seed each half an ounce boyl them in Milk Of which in pain of the womb In a foul ulcer first use Clensers as Whey Barley water Honey Wormwood Smallage Orobus Orris Birthwort Mirrh Turpentine Allum As Take new Milk boyled a pint Honey half a pint Orris pouder half an ounce Use it hot often every day When that which was injected is voided wash with the decoction of Mallows and put up this Pessary Take Eruum and Lentils in pouder and Orris each two drams with Honey Or Take Diapompholigos with Frankincense Mastich Mirrh Aloes as the ulcer requires Or use Fumes As Take Frankincense Mastich Mirrh Storax Calamite Gum of Juniper Labdanum each an ounce make a Pouder or Troches with Turpentine If there be suspicion of the French pox add a little Cinnabar In a very foul ulcer and Aegyptiacum or Apostolorum or a little Spirit of Wine In a creeping corroding ulcer with clen●ers mix cold drying and astringent Medicines Allum water Plantane and Rose-water with Pomegranate flowers boyled and Pomegranate peels and Cypress-nuts is also good and with Aloes After clensing fill it with flesh and heal it up As Take Tutty washed half an ounce Litharge Ceruss Sarcocol each two drams with Oyl of Roses and Wax make an Oyntment Or smoak the privities with Mirrh Frankincense Gum or Juniper Labdanum two drams in pouder with Turpentine make Troches Or use Sulphur or Allum Baths and Plaisters
receiving pleasure in the time of copula●ion when they spend their ●eed The ter●s are fle●matick thi●k and ●●im● and flow not righ●ly● there is wind in the womb the seed is crude waterish● with a Gonor●haea It is the cause of obstructions and barrenness and is hard to be cured Use things proper to heal the womb as this W●te● T●ke Galanga● Ci●namon● Nutmeg Mace Cloves each tw● 〈◊〉 Ging●r Cubeb● Zedoary ●ardamo●s e●ch ●n ounce grains of Paradise long P●pper each half an ounce beat them and put them i● six qu●rt● of ●ine for ei●ht daies then add Sa●e Min●s Balm Motherw●rt eac● three handf●ls l●t them stand ●ight daies more then pour ●ff the ●ine and be●t the herbs and the Spi●es and th●n pour on the Wine● and distil them Another Take Cinnamon Nutmegs Cl●v●s Mace Ginger● Cubeb● Cardamoms● grains of P●radise ●ach an oun●e and hal● Gal●n●al six drams long ●epper ha●f an oun●e Zedoary five drams bruise them and add six quarts of Wine put them in a Cellar nine dai●s daily stirring them then add Mints two h●nd●uls then let them stand fourteen daies pour off the Wine and bruis● them and then pour on the Wine again● and distil them Querce●an hath an H●sterick Ex●ract a ●reater and a less use outwardly Fomentations Baths● Baggs of hot Roots as Birthwort Lovage Vale●ian Angelica Burnet M●sterwort Calamus M●dder Elicampane Or●is and Herbs as Mugwort Balm Motherwort Savin Pennyroyal Calamints Organ Dittany Ma●joram Rue Bettony Rosemary L●vender Sage Stoechas●lowers Seeds of Smallage Parsley Rue● Carrots Anise Fennel Cummin Lovage Parsley Anoint with Oyl o● Lillie●● Rue● A●gelica Bays Cinnamon Cloves M●ce Nutmeg Or Take Labda●●m tw● ounces Frankince●se Mastich ●iquid Storax ●ach half an oun●● Oyl of Cloves Nu●megs each hal● a scruple O●l of Lillies Rue ●ach an ounce with Wax make a Plaister A F●me Take Fr●nkincense Mirrh Mastich ●ach a dram Bayberries a dram and half Labda●um two drams● S●●rax Cloves● eac● a dram Gum Ar●bick and Wine make Troches or Pessaries of ●he same Let the diet be warming and the air the meat ●f easie conco●tion seasoned with Anise Fen●el Thyme Avoid Milk-meats and raw fruits Chap. 4. Of the moist Distemper of the Womb. THis is ●ommo●ly jo●ned with a co●d distemper a●d causeth b●rrenness a●d 〈…〉 the same causes as a cold distemper for commonly cold things do moisten It is commonly in women ●hat are idle They that have moist wombs abound in courses but they are waterish and thin the privities are wet they have the Whites and desire not copulation much and delight not in it they ret●in not the seed and if they conceive when the child is big they aborte or miscarry If it last long it is hard to be cured if it be much they conceive not It is by Dryers and things that cure the cold distemper are good again●● the moist because all Healers have a drying power Use sulphur Baths and in Injections beware of ast●ingents least the evil humors be stop● and the disease i●creased Chap. 5. Of the dry Distemper of the Womb. IN this the womb is hardened of it self it is fleshy and soft and moistned by blood fo● conception It is somtimes from the birth or old age when they are past childbearing if it be from dr●ing causes they are barren before they are old Diseases and Medicines dry the womb as inflammations feavers and when blood flows no● to it nor goes to the bottom of it by reason 〈◊〉 the straitness of the veins or obstructions as i● Viragoe's and such as never conceived and i● they void any blood it is f●om the neck of th● womb and not from the bottom They void little ●eed and are ●low in Venery● the terms are few the mouth of the womb is dry and they are slender of a dry constitution their lower lip is alwaies chapt and blackish red This dis●emper is hard to be cured in any part especially if it be old Use moistners as Borage Bugloss Mercury Mallows Althaea Violets sweet Almonds Pist●chaes Pine nuts Jujubes Dates Figs Raisons Of which are made Syrups Conserves Emulsions Candies c. Outward Remedies are made of the same adding Time Faenugreek seeds Lillies Branckurlin Pellitory c. Fomentations are made with Milk and after bathing anoynt the region of the womb and the belly to the privities with oyl of sweet Almonds Lilli●s Lineseed Jesamin fresh Butter Hens and Goose grease Let the Diet be moistning the Air moist the Me●t fatning of much nourishment and small exc●ement let sleep be a little longer then usual great labour anger sadness fasting do hurt Chap. 6. Of compound distempers and first of cold and moist THere is seldom a simple distemper in the p●rt and commonly there is matter which ●eeds it● it is usually cold and moist which ga●he●s exc●ements of that sort either in the whol●●●dy or in the womb after the terms Are all things that breed cold and flegmatick humors in the whole body or the womb They conceive not and are of an ill habit of body the terms seldom flow right and they have somtimes the whites It is harder to cu●e then a simple distemper The cold humor is in fault therefore prepare it with syrup of Mugwort Mints Bettony Hysop with a decoction proper As Take Fennel roots an ounce Valerian Elicampane Masterwort each half an ounce Penny-royal Mugwort Motherwort Nep Marjoram each a handful Rosemary and Sage flowers each two pugils Siler Montane Fennel Aniseed Parsnep seed each a dram boyl them to ten ounces strained add Sugar syrup of Mugwort two or three ounces Cinnamon water half an ounce make a potion for three doses Then purge it with Agarick Mechoacan Turbith and if other humots be mixed with flegm add Senna and the like or use Pills de tribus Aloephanginae Mastich of Hiera with Agarick Sine quibus Or Take Agarick a dram and half Senna two drams infuse them in Mugwort water to three ounces strained add Diaphaenicon or Diacarthaemum tw● drams strain and add syrup of Mugwort half an ounce Cinnamon water half a dram After universal evacuations use Pessaries As Take Mercury bruise it and put it in a bag of white Silk anoynt it with Butter or Honey of Roses Or Take Benedicta laxativa three drams Agarick two drams Gi●h seed a dram Pease meal six drams with juyce of Mercury make Pessaries in a Sarsnet Bag. Or Take Hiera a dram Agarick ●alf a dram ●dellium a dram with Honey make a Pessary or make it with pouder of Agarick● and Troches of Coloquintida or give sweats of Cuaja●um China and Sarsa As Take Guajacum a pound and eighteen ounces in●a●e them in twelve pints of water twenty four hours ●hen boyl them to the consumption of the third part ●ive six or eight ounces ●ot in the morning and le●●er sweat Pour water to the reliques and boyl them to ●he consumption of the third
part for an ordina●y drink You may use China and Sarsa the same way ●nd because in a decoction some strength is lost ●nd so great a quantity is tedious for wom●n ●ou may distill them and give a less quantity ●ith things proper for the womb As Take Guajacum a pound or Sarsa eight ●unces Angelica Elicampane each an ounce ●ugwort two handfuls Di●tany half a handful ad ●x pints of water or wine steep them two daies then ●istill them and give two ounces of the water Let her meat be roasted birds hens capons ●artridges mutton sweet Almonds Raisons ●t her abstain from ●alt and sharp things If these sweats are unpleasant give them in ●e third and fourth Chapter internal and exter●al As Take conserve of Marjoram Rosemary ●ettony each two ounces of Balm an ounce Dia●oschu dulcis Diam●rgarion calid each a dram ●ndied Eryngus and Citrons each half an ounce ●ith s●rup of Mugwort make an El●ctuary and use ●aths to 〈◊〉 in mentioned Drying Spaw-waters are good to drink or to 〈◊〉 in Let the diet be as in Chap. 3. and 4. give the flesh of wild Mountain ●owl Pigeons Hens Capons Mutton roasted and spiced and old wine and let her exercise Of the hot and dry distemper of the womb with Choler Do as in Chap. 5. purge the Choler whethe● it be from the whole body or from the Liver with syrup of Roses Manna Tamarinds Rhubarb Senna c. Chap. 7. Of the ill shape of the womb and first of the straitness of it and its vessels THis is a disease of evil conformation from nature when it can be stretched out no further this makes an abortion in the fourth or fifth month But it is wonderful in its natural shape when it wil stretch according to the proportion of the child and after childbearing be as small as a● first Of straitness of the vessels of the Womb. This is usual and hinders the flux of the terms and conception it is in the vessels of the womb and of the neck thereof Are thick tough humors that stop the mouth● of the veins and arteries these are bred of gro●● or much nourishment when the heat of th● womb is so weak that it cannot attenuate the humors these either ●low from the whole body o● are gathered in the womb Somtimes vessels are closed by inflammatio● or S●irrhus o● other tumor 3. They are stopt by astringen● Medicines 4. By compression 5. From a Scar or flesh or a membrane that g●ows after a wound Stoppage of the terms shews straitness which hi●ders conception and this stoppage is known by crudities abounding in the body which are known by their signs Sometimes thick flegm comes from the womb if there was a wound before or the Secundine was pulled out by force Stoppage of terms from an old obstruction by humors is hard to be cured if it be from disorderly use of astringents it is more curable if it be from a Scirrhus or other tumor that compresseth or closeth the vessels that cannot be cured the disease is incurable Obstructions are taken away by the means mentioned in the cold and moist Distemper of the Womb ●le●m must be purged and she must be let blood as in stoppage of the terms After Universals come to the obstruction with Medicines that move the terms these take away the cause as in the Chapter of the cold distemper of the Womb. Or Take Asparagus roots Parsley roots each an ounce Madder roots half an ounce red Pease half a handful Pennyroyal Calamints each a handful Wall-flowers Dill flowers each two pugils boyl strain and add syrup of Mugwort an ounce and half Or Take Birthwort and white Dittany roots ●ach ●n ounce Cos●us Cinnamon Galangal each half ●n ounce Rosemary P●nnyroyal Calamints B●t●ony ●●●wers each a handful Anise and Fennel●e●● each a dram Saffron half a dram with ●i●e O● use Topi●ks as Take Mugwort Mar●oram Calamints Mercury Pennyroyal each tw● hand●uls S●ge R●semary Bays ●hamomil flowers ea●h a hand●●l boyl them in water fomen● the groyns and the bottom of th● belly or let her ●it in a Bath up to the navel and then anoint about the groyns with Oyl of Rue Lillies Dill c. Or use Pessaries and Fumes mentioned If straitness be from other diseases cure them first Chap. 8. Of the opening of the Vessels of the Womb besides Nature THis is when there is great bleeding The vessels are opened preternaturally three waies by Anastomosis Diaeresis and by Diapedesis as in the lungs Anastomosis is from much blood which the liver doth produce and send out by the womb as in some by the nose For the blood being thin hot cholerick and sharp opens the mouths of the vessels and causeth a flux Diaeresis is from much blood when there is great motion as when there is long copulation with a strong man that hath a great tool or a hard travel or abortion a ●all or stroke also when sharp humors corrode or sharp pessaries Diaped●sis is from the thinness of the vessels and loosness and the thinness of the blood or from much moisture or use of Baths M●ch blood is a ●ign the vessels are open you shall know the causes that open them thus In Anastomosis the blood drops and is th●n and there are signs of much blood or sharp and thin If there be a Di●er●sis the blood flows more and there are clodde●s and there were causes that broke the vessels as sharp Suppositories Diapedesis is known when the woman is of a thin and loose habit of body the blood thin or she hath used ●uch bathing If the vessels open from much blood in a sound body there is less danger and it is easier cured then in a Caco●hymy In an A●asiomosis give things that thicken without slime as Roses Mirtles Medlars Services Pomegranate peels and fl●wers Sanders ●oral Harts horn Cypress-nu●s In Diaeresis give things that thicken with slime ' as Comfrey Plantane Gum Traganth whites of Eggs Troches of Amber Bole Starch Rice Quinces Sanguis Draconis Sarcocol and Izing glass But because there are divers causes and these dise●es are not cured but by taking them away ● we shall speak of them in the Chapter of immoderate Terms Chap. 9. Of a double Womb the wanting of a Womb and evil shape of the Womb and strange things found in it Julius Obsequens sai●s that one woman had two w●mbs and 〈◊〉 saith that a Maid had her womb in two parts as in Bitches C●l●mbus saith that one wanted a womb but ●e● privities were as in other women and part ●f the neck of it hung out Worms in the Womb. Hippocrates writes that worms are found in the womb And Gynaecea writes it is a sign tha● Nature is wanton c. And John de Tornamira writes that he saw a Woman that had an intollerable itching in her womb from the Ascarides he gave a Womb clyster of the Decoction of Wormwood and Hiera and
By its publick action it serves for generation If the private faculty be hurt and the nourishm●nt not well made there is a super●luous moisture and then weakness without other fault of the organ or unity divided The first Cause is distemper when the manifest qualities are changed or when the natural heat is suffocated or dispersed or when the occult qualities are changed Heat in the womb makes a hot distemper if it be too much by which the womb sucks more then it can concoct this is not prope●ly weakness but that distemper i● weakness when the action is either not done or weakly done But cold rather makes weakness in the womb by which it cannot make the sufficient quantity of nourishment hence excremen●s are heaped up and it c●nnot perform its actions Also a moist distemper makes weakness by which it can neither keep seed nor child it is also weak from loosness Little desire of Venery and no pleasure therin argue weakness of the womb flux of seed often abortion pain in the loyns and pubes when the terms are coming ●arts from the womb head-ach and the like The signs of a cold and moist distemper with or without matter are already declared It is a great disease by reason of the diver● Symptoms in women that have conception hurt It is worst when it comes from dispersing and extinguishing of the natural heat We have shewed how distempers of the womb are cured but the dispersing of the Spirits and natural heat is cured by things that hinder th● loss of Spirits and strengthen the womb as Spices Cinnamon Cloves Nutmeg Mace Diacalaminth Aromaticum ros●tum Diaxilaloes ros●ta Novella Treacle Mithridate Outwardly by Oyl of Lillies Nard Lavender and Astringents when the womb is loose Things that help the womb in the whole subs●●n●e are in the Chapter of the cold and moist Di●●emper as Aqua vitae for Women Or this Take Castor three ounces Saffron two ounces extract th●m si●gular add to both Extract of Mugwort two o●nces of Angelica a dr●m Magistery of the mother of Pearl ● dram Oyl of Cloves a s●ruple of Angeli●● and of Amber and of Nutmegs each half a scruple Let her ea● meat of much nourishm●nt and drink good Wine Chap. 2. Of the Itch of the Womb. THis is more in old then young wome●● and must be distinguished from the Frenzie of the womb for here is only a desire to scrath the privities so that they cannot sleep Nor is it with desire of copulation as in the fury of the womb It is a salt humor that is serous and adust that causeth it that is sent to the neck of the womb and the privities How it comes there I shew●d in Ulcers of the privities It is known by her relation and often putting her hand to the privities It is more troublesom then dangerous becau●● it hinders sleep First purge the whole body and if there a●● signs of plethory and strength permits bleed i● the arm Then qualifie the sharp ●alt h●mors with cold and moist means and r●mov● them from the privities Foment with a D●coction of Lettice Plantane Willow Dock roo●s and then anoint with Galen● Cooler Or dip ● Pessary in this Oyntment and put it in O● T●ke Allum Nit●r Sulphur each six drams S●●phisager an oun●e with Rose-vinegar and fresh Butter make a Linimens If these wil not cure use stronger as the oyntment of Elicampane with Quick●ilver Or Take black Soap Staphisacre ●ach a dram qui●k Brimstone half an ounce Quick silver two drams wi●● Rose-vinegar and Hogs grease make an Oyntment Let the me●t be of good juy●e coolin● and moist●●ng Take heed of Spices sharp and salt meats Chap. 3. Of pain in the Womb. THere is pain in the body of the womb wit● other diseases sometimes as the Co●●ckpains woven in the bottom of the belly and in the loyns and hips and is called the Pain of th● Womb. It is often in women with child as the inflammation of the womb it is burning and beating it binds the belly and stops the urin Solution of unity is the Cause of all pains and this is from the stretching of the womb and its vessels or corrosion Stretching is from wind or clotted blood in the cavity o● it and when Nature cannot expel it by reason of the straitness of the pa●t there is pain Also pain is from stretching of the vessels be●ore the terms flow when they are close and the blood thick and this pain is increased by external cold especially after heat Somtimes there is a gathering o● humors about the womb when the terms ●●ow and are ●oul and they get into the membranes and stretch them The same may be from corrupt seed that stretcheth the vessels Or from sharpness and corrosion in the neck ●f the womb when sharp humors flow through it and tw●tch it The pain is manifest but let us look at the ●igns o●●he causes If it be from clotted blood there was a flux of the same and the pain is fixed about the ori●ice of the womb If there were external causes the patient will relate If it be from seed there is suffocation of the womb The greater the cause is and the more vehement it works the more is the danger If there be pain and fear of fainting look to that before the cause with Anodynes and Narco●icks if need be If it be from wind● see inflation of the womb If i● be from clotted blood di●●olve and eva●uate it with hot and attenuating Medicines made into Fomentations Baths and Oyntmen●s It is good to apply Treacle to the region of the womb or put it in with Rue and Honey Or give a Clyster to the womb of Ru● Foenugre●k s●ed and Oyl of Rue and Orris Or give 〈◊〉 and Cinnamon water If the vessels of the womb are not open enough for the terms See in the stoppage of the terms If there be wind make a Clyster thus Tak● Mer●ury Mugwort Cal●mints Pennyroyal ea●h 〈◊〉 hand●ul Chamomil and Melilot flowers each ha●● a hand●ul 〈◊〉 an● Line●eed each an oun●e boyl them in a pint strained dissolve Hiera Be●tdicta laxativa each half an ounce ●a●e a Cl●●●●r Give Mugwort Zedoary water Essence of Ca●●●r Treacle or ●omens Aqu● vit●e of whi●h before Make a Clyster for the Womb thus Tak● Mugwort Calamints Bettony each h●l● a hand●●● Gith Cummin Carrot Aniseed● ea●h a dram Spi●e Schoenanth Nutmeg Cinnamon e●●h 〈◊〉 dram boyl them in Wine Then fill an Ox bladder half full with Oyl of Lillies and Dill and apply it to the belly Or T●ke Oyl of Lillies Orris each an oun●e distilled Oyl of Angelic● a dram Goose and He●s g●e●se each half an ounce Muci●●g● of Lin● a●d Faenugreek seed made with Mu●w●rt w●●er ea●h three drams seeds of Cummin C●rr●ts Carawa● each a dram with W●x m●ke a soft Oyntment O● Take Pe●●itor● two hand●uls Mercury a handful beat them add Chamomil flowers Cummin Anise
the body and it could not form the child 〈◊〉 would Nature make milk of it Therefore menstrual blood onely offends quantity and not in any mani●e●t or hidden q●lity But it hath strange qualities when it is 〈◊〉 with bad humors or is kept too long in body to be corrupted and cause great Sy●toms but this is when it is mix●● with bad mors or is out of its vessels and so corrupts Question 3. Of the ●ext of Aristotle 7. de hist Animalium c●p●● and how it is to be underst●od Aristotle writes thus Constantly every month ●ome have their Terms but most in the third as ●f he should say Few women have their courses ●very month but many have them every third ●onth This is against Galen and against expe●ience for it is certain that among six hundred women scarce one hath them every third month Therefore there is either an errour in the Greek Text or in the Translation or great Men do often 〈◊〉 which is probable and so did Arist tle in this of Physick Therefore it is in vain to defend their ●rrour Chap. 2. Of the Terms flowing too soon ORdinarily they begin at fourteen but many have had them sooner A child of ele●en daies old had a bloody humor flowing from 〈◊〉 privities Another of five years old had eve●y month a moderate flux Fernel reports that Girl of eight years old had the Terms but these 〈◊〉 rare and for the most part very lecherous 〈◊〉 short lived Chap. 3. Of want and stopping of the Terms SOme Women have them not till eighteen or twenty Some before and then they stop for a time without either giving suck or being with child Some have been without them three five or seven months and then they came agai● This is an evil constitution or suppression of th●● which it ought to flow from the fault of the blood and stoppage of the passages When Terms are wanting either blood is wanting o● stopt It is wanting either be●ause it i● not made or dispersed or turned to other use● for nature being more sollicito●s to preserve the individual person then to propagate the speci●s spends 〈◊〉 in preserving of the person Blood is not made from divers causes as a●e cold constitution of ●iver Heart or a disease which distempers the ●●wels Or often bleeding from great vessels or ●●om having many issues which take from the blood It is spent other waies as before ripe age an● when women are with child or give suck or i● hot Natures and fat women in whom it is tu●ned to fat It is in vain to provoke Terms i● these There are other external evident causes of s●●●ping of the Terms as too great labour trouble●●adness fear but these last do not only wast 〈◊〉 blood but cool and corrupt it and cause obs●●ctions as Hippocrates speaks of Phatusa the 〈◊〉 of Pytheus The proper causes are the straitness of 〈◊〉 passages or evil conformation of the 〈◊〉 through which it should slow Or the closin● the womb of which we spake but I speak 〈◊〉 of the ve●sels The usual cause of obs●●uction is thick 〈◊〉 humors f●om the blood too thi●k or mixed 〈◊〉 melancholy which comes with it to the vei●● the womb and stops them This thick blood comes from a cold distemper of the stomach liver and spleen from thick and gross food and drinking cold water when the Terms flow So thought Galen in his time of the Roman women that drank Snow-water● and had few or no courses● Straitness is when the body of the womb is made thicker either by Nature or other causes as a cold and dry or hot and dry diste●per Thirdly straitness is from compression of the vessels by a Scirrhus or hardness of the parts adjacent as the straight gut or by the stone in the bladder and the womb displaced Fourthly the flesh may grow together by a membrane that grows to the vessels or a ●●ar after a wound Or after a mischance when the veins annexed to the Secundine grow so together that they cannot be opened of which in the first Question They are not the same in women and Virgins for blood stopt in Virgins goes to and ●ro changeth the colour and brings Feavers especially the white Feaver or Green-sickness But in women it goes more to the womb and brings Symptomes as loathing vomiting and Pica Galen hath other signs as heaviness a lazy pain in the loyns neck and behind in the head that reacheth to the roots of the eyes from the sp●eading of the blood stopt through the whole body This laziness is chie●ly in the thighs and leggs by reason of the veins there consenting with the womb And are of a green complexion and hairy with a beard and shrill voice You may know women with child from such a● want their Terms only by p●●per signs First the women with child keep their colour but the other are pale and ill-c●loured they are merry the other sad 2. Their Symptoms daily grow milder but in the other they daily grow worse 3. You may feel the child move 4. It is perceived in a month You shall know from what causes the Terms are stopt thus If the Liver be cold there is no blood made that is superfluous and there are signs of a ●old Liver and you may know that blood is not sent to the womb when there is no heaviness pain or tumor about the womb the liver or spleen are stopt If it be ●rom flegm or melancholy which is o●ten there are signs of their abounding as laz●ness paleness seldom pulse crude urin Hippocrates saith That if the Terms stop ther● are diseases in the womb tumors imposthumes ulcers and barrenness and diseases in the whole body Green-sickness Leucophlegmacy Dropsie Vomiting of blood Heart-ach Cough And the longer they have been stopt the ha●der they are to be opened If the blood stop● go out at the nose it is good If it have great Symptomes there is fear of death You must not give Medicines to move the Terms to extenuate lean persons nor to such as want blood and have a weak Liver but they must be sed high First see i● blo●d abound and then a●ter a Leni●ive open a vein● and l●t that blood which is in the veins be drawn to the womb Gal●● took th●ee ●ints of blood at three times f●om 〈◊〉 le●n wom●n and cured her of an old stopping 〈◊〉 the Terms You must open the ankle vein● the fir●t day the right the next the left four or five daies before the time Or you may cup and ●●ari●ie the Leggs And bind the parts below and rub them after general evacuation opening of the Haemorrhoids doth hurt and so do Issues because they draw from the womb Hiera picra hal● an ounce or Pills de T●ibus o● Hiera simple are good first Then prepare as Take water of Mugwort 〈◊〉 Maidenhair ●a●h three ●u●ces Syrup o●●he five Roots and of Mugwort each two ounces ma●e
it for two doses Or Take op●ning Roots half an ounce Madder Burn●● ea●h three ounces Mugwort Bettony Germand●r Calamints ●ach a handful red Pease half a handful● flowers of Bugloss Dill each a pugil boyl and sweeten it with Sugar For flegmatick Bodies take the Decoction of Guajacum Sa●●aphras Dittahy for fifteen d●●es without sweating Then evacuate with Agarick Mechoacan Turbith Scammony Coloquintida bla●k Hellebore As Take Agarick two drams infuse it in Mugwort●●ter two ounces O●ymel an ounce strain and the E●tract of Michoacan a s●ruple Or Take op●nin● Roots half an ounce Mugwort Bettony ●●ch 〈◊〉 pugils Senna ●●l● an ●unce Agari●k two dra●● 〈◊〉 and Ani●●●d each a ●●ru●●e 〈◊〉 ha●● a dram R●s●mary flowers 〈◊〉 ●ugil in●●●e 〈…〉 th●●e oun●●● an●●a●f ●d S●rup of Senna ●n 〈◊〉 a●● hal●● 〈◊〉 〈◊〉 h●l● a dram Or if they d●ink Wi●e T●ke Tar●●th 〈◊〉 〈◊〉 ea●h tw● d●ams Senna an 〈◊〉 a●● ha●● Mai●●●hair ●alm R●s●mary ea●● two pugils Cinnamon Galangal each a dram● hang them in Wine give six ounces with half an ounce of Manna Or Take Diaturbith with R●ubarb half an ounce Mechoacan two drams Agarick a dram Diarrhodon● Cinnamon each half a dram Steel prepared a dram with Raisons make an Electuary● give as much as a Wall nut Or give Pills of Agarick foetidae and so continue purging and ●reparing if the matter be stubborn Or Take Agarick two drams Mader a dram with Syrup of Mugwort make Pills Or Take Aloes three drams de Tribus o●e dram with juyce of Savin make Pills● If the stomach is soul give a Vomit le●t it g●● into the veins Then give provokers of the Terms which are hot and thin about the time they used to flow they are three degrees in strength and many so●t● of Medicines are made of them A Pouder Take Cinnamon a dram Amb●r● s●ruple Saffron half a scruple Or Take Trochu of Mirrh of Wall●flowers each a scruple Saffron five grains Or Take Castor Pennyroyal each a scruple with Wine or proper Waters Physical Wine Take Madder roots an ounc● Orr●s half an ounce Balm Pennyroyal Mugwort● Rosemary e●ch a handful Wall-flowers half a p●gil Cinnamon an ounce Galangal half an oun●● with Wine give four ounces Or Take the D●c●ction of red Pease Or Take Smallage Fennel roots each half an ounce Mugwort Bett●ny Pennyroyal Balm each a handful red Pe●●e half an handful Juniper-berries half a● ounce 〈◊〉 all flowers a pugil boyl and sweeten it O● Take ●en ounces of it with thr●● ounces of Mugw●●● for three doses Quer●●tan commends this Take Gromwels●eds Anise M●slet● of the Oak each three drams Dittany a dram Saffron a s●ruple ●rui●● and keep them twenty four hours in Wine then boyl●them give f●●r ounces for three dai●s together Or make the Womans ●qua vi●●e Or Take Balm ●tt●ny Pennyroyal M●●wort N●p Mothe●wort Dittany ●ach four handfuls Wine thirty pints distil them add three handfuls of each h●rbs and distil them again and ad Fennel seed Calamus Cinnamon Cassia lign●a Cardamoms each half an ounce distil them again Or give Syrup of Calamints● Mugwort Or Take water of Pennyroyal Savin Calamints each four ounces Syrup of Mugw●rt ●●ur ounces Cinnamon water an ounce give it at f●ur times Rouls Take Extract of Savin a scruple of Angelica half a s●ruple of Elicampane six grains Oyl of Cinnamon five drops of Cloves two drops with S●gar dissolved in Balm wa●er Or make an Electuary of Steel six ounces Cassia lignea Cinnamon each two drams Cloves a dram Raisons two ounces with Sugar dissolved in M●gwort water Or Take Troches of Mirrh a dram Extract of Gentian and Savin each a scruple ●astor half a ●●ruple make Pills give two scruples or give every third day pills of Hier● Use outward Medi●ines but p●ovoke not sweat ●y them Take Althaea and Lill● ro●ts each two ●unces 〈◊〉 an ●un●e M●ll●w● M●r●ury M●gwort 〈…〉 M●therwort Calamint● P●nn●royal M●r●●ram Bay●●●●ach t●● ha●d●ul● flowers of 〈◊〉 ●●●●nder Cheir● each a ●●ndful Faenugre●●● s●●d an ounc● Juniper an● Bayberri●s each ●alf a han●●●l b●●l ●h●m in Water 〈◊〉 wi●h ●p●●ges And then anoint with this Take Oyl of Lillies an ounce o● Lavender seeds stilled hal● a dram Calamints and Gith pouder each a dram Storax calamint a scruple To Virgins that must take no Pessaries give Fumes with the head defended they wil ●pen the mouths of the vessels and cut thick humors As Take Mirrh Bdellium Storax each a dram Benzoin two scruples Gallia mos●hata ivet each half a scruple with liquid Storax make Troches Then use Clysters and Injections into the Womb with Purgers As Take Calamin●s Pennyroyal each a handful Gith seed Turbi●h each a dram Coloquintida half a dram boyl it in wine inject it into the womb If it be hot a●ter it inject the Decoction of Mallows with Milk or Barley water And because the neck of the womb lies upon the strait gut give Clysters Take Lilly roots an ounce Orris Valerian ●ach half an ounce Mercury two handfuls Mugwort Savin each a handful Chamomil Lavender flowers each a pugil Caraway Gith seed each a dram boyl add Hiera and Be●nedicta laxativa each half an ounce Oyl of Cheir two drams Electuary of Bayberries half an ounce If she be no Virgin put Mercury bruised in a Bag for a Pessary with Centaury flowers Or Garlick beaten with Oyl of Spike Begin still with the mildest as Mugwort Mercury Pennyroyal Marjoram Rue and then add Mucilages and Juyces to loosen the womb● let ●ot Pessaries lie long least they cause a Feaver If it be from a tumor provoke not the Terms but lo●k to the tumor Let diet be hot and attenuating of good juyce with Parsley Savory Rosemary Cloves Cinamon Little sleep and much exercise Question 1. Whether are the other Causes of stoppage of the Terms Some say the blood going to other parts is a cause but it is rather contrary and the suppression of Terms is cause of that ●or the veins of the womb are large enough to evacuate blood Others say the strength of the womb is a cause which thi●kens the vessels that they receive no blood But the womb is made to receive it when it abounds Others accuse the strength which is to be denied but when it is so strong that it is too hot or too dry and will not receive the blood and that is a sign of weakness But there must be strength in the whole body to cast out superfluous blood or there will be other mischiefs Question 2. What Veins must be opened when the Terms are s●opt Authors disagree in this as Aetius and Galen who alwaies speaks of the ankle veins and most are of his mind being it is rational For a vein opened in the arm doth rather revel from the womb then draw the blood to it but in the ankle brings it to its place and opens obstructions and doth both lessen and bring blood to the womb and move that which is in the womb ●ixed Open the ankle therefore twice
causes of ●rrou● 〈◊〉 Formation and imagination ●●lps by 〈◊〉 up the appetite These are the common errors of formation Others are dete●minate errors not simply from the imagination by the pallions which have no determination to such a thing but no other cause can be besides the imagination but how she directs the forming faculty for the producing of such effects it is hard to be understood but there must be some imagination and the forming faculty that it may impart the species sent from the external senses to the forming faculty And this is the cause of the consent of the upper and lower faculties for the ●oul is the same in the whole body and every where ●itted with the same faculties but it doth not exercise all in all parts but by the proper determinate organs ●● instruments And though the child hath its ●oul yet while it is in the womb it depends upon the ●oul of the mother as the fruits partake of the life of the tree while they are upon it therefore it is probable that whatsoever moves the faculties of the ●oul in the mother may move the same in the child Hence it is that while the forming operateth in the seed and womb of the mother if any species be sent to the imagination of the mother which she strongly receives it may make an impression upon the child yet every imagination cannot make this impression but that which makes a great admiration or terrour in the mother when the forming faculty is at work as when she beholds one with six fingers she brings forth the like or when sh● produ●eth hair wh●●e it should no● be or the l●●eness of a beast in an● limb or when she ●eeth any thing cut or divided with a Cleaver she brin●s ●orth a divided part o● a Hare-lip Chap. 8. Of a Child turned into Stone JOhn Albosius Doctor at Senon and Sim●on Prov●nch●r of Lingo Physitian of Senon writ of of this in French and Latin I shall give my opinion with others Two things are to be observed in this wonderful history first why the Child in the time of tra●ail being dead in the womb did not stink as is usual or kill the mother suddenly or was not ●ast out by degrees being rotten secondly by what force the child was turn'd into Stone For the first The mother lived twenty eight years after she had this Child therefore it is not credible that the womb was so cold that it might hinder putre●action as some think It seems more probable to me that these questions explanation depend upon one principle for the cause that made the stones hardness kept the child from putre●action but what that is it is obs●ure Many fly to the efficien●y of the fi●st qualities others to driness others to coldness others to both I acknowledg heat cold and driness to be helping causes for b●eeding of Stones in mans body but the chief cause is a Stone breeding juyce or spirit of which I have spoken at large The principles of generation were weak in this child and impure and this stone-breeding ●●●ce was mixed with the blood in the humors hence it is that it was not born alive as in a wole bred in the womb which women have ●i●l they a●e old and die with it and yet it s●i●●s 〈◊〉 no more then stones bred in most parts But there is but this History of such a Birth Chap. 9. Of a Mole IT is ●lesh and a mass without bones or bowels gotten of an imperfect conception instead of a child The Latins cal it a Mole from the weight because it is troublesom to women as a Milstone in Latin called Lapis molaris Somtimes it is unshapen flesh without bones only ful of veins with a skin over it and nothing within but like the Parenchyma of the bowels Somtimes it is membranous and ●ib●ous without shape Somtimes it is long round or like a quary of glass or like a brute beast Some have brought forth three Moles like mens ya●ds Some are like congealed blood or the Placenta of the womb into which the navel-vessels are inserted some grow and are nourished and some have an obscure sense Somtimes they are sent out alone somtimes with● or before the child of which there are many Histories Some bring ●orth Monsters for Moles It is from the error of the forming ●aculty but the Cause of that is obscure I suppose it is from both seeds when the forming faculty is weak and the seed little and not good and overcome by much blood and can make onely veins and membranes and not a whole child Somtimes 〈◊〉 is in Widdows onely from their own seed and blood A Mole is sooner bred when the blood is impu●e and unfit to nourish and is made when they copu●●te in the flowing of the terms that are unclean It is ●either from heat nor cold principally but from the error of the forming faculty They are hard to be known before the fourth month then they are known by such as can distinguish between the motion of wind and a child ● If a woman turn from side to side it ●alls like a stone to that side she lies on and is heavy If it have any motion it is trembling and beating with constriction and dilatation like a Spunge If after the time that the child should move there be no motion and the belly swells and there is no sign of a Dropsie it is a sign of a Mole Thirdly in women with child there is milk about the fourth month but in a Mole the breasts swel but there is no true milk 4. They are more pained and faint and have more pain in their back and groyns If it be with a quick child it is hard to be known but it is known by its weight in the womb which she perceives when she gets up to walk or moves from side to side some are then strong and well coloured It hurts the womb and whole body if it be divided it is less dangerous when it is soft it is cast out the third or fourth month Somtimes it ulcerates or tears the womb and causeth great bleeding Some have been cast out or drawn out without danger some grow old with them in ●nd find no inconvenience but the weight To prevent take heed of Venery in the terms o● before the terms or when the body is foul or ●●st●ucted or the womb When it is take it away presently with thin●s ●●●t ●●nd fo●th a dead child Hippo●rates shew●th the ●●●e in few wo●d●● First ●oment the whole Therefore if she be plethori●k let blood largely in the foot at divers times Then purge often with strong Physick Tak● Althaea Lilly roots each half an ounce Althaea Mercury Pellitory Brank●rsine each a handful Chamomil Melilot flowers each half a handful F●●nugreek and Lineseed e●ch six drams boyl them in Broath to a pint add sweet Butter Oyl of sweet Almonds Lillies each an
Then use Tarr and Wax for a Cerot Or● Take Sal●-p●ter an ounce Oxymel an ounce and half Or Take quick Brimstone an ounce whi●● H●llebore Staphisacre each two drams with Hogs grease It is not safe to use Arsenick or O●piment or Mercury or other poys●ns that corro●e because it is so neer the brain Chap. 5. Of Ptiriasis or breeding of Lice LIce are creatures which breed in clothes that are constantly worn but they are chiefly in children from the excrements of the head All say that filth and nastiness alone is the cause of lice but I think not so for filth alone cannot do it without heat for besides the first qualities there is a hidden force in the matter by which it is disposed to produce a particular species for fleas and worms wil not breed of that matter which breeds lice so it is in Plants Heat is the helping cause which raiseth the seminal force and brings it into act and though the matter be putrid it doth not wo●k upon it but as it is somwhat natural Excrements are not presently putrid but there is in them a heat that can raise forming force and though there is some putrefaction yet is it not so great as to hinder the action hence it is that children and women that are hot and moist have many excrements that are fit to breed lice Some meats breed lice as Figs by their fat juyce which doth naturally tend to the skin and varieties of meats and not clensing nor combeing The pl●ce where lice breed in children is the skin of the head where they stick fast with the hair especially if there be scabs The Signs are needless they are manifest It is a filthy troublesom disease many have them ●reed all over the body and some have died by them Somtimes the lice leave them when they are about to die To prevent breeding lice let children eat no food of evil juyce especially Figs let the head be often combed and washed and the matter purged that breeds them with hot dry thin medicines that draw the matter out and consume superfluous moisture Take heed of Mercury and Arsnick in children but make this Lotion Take round Birthwort Lupines Pine and Cypress leaves each equal parts boyl them Or Take Elicampane roots two ounces Briony half an ounce Beets Mercury Soap-wort each a handful Lupines a dram Niter half an ounce boyl them for a Lotion then use this oyntment Take pouder of Staphisacre three drams of Lupins half an ounce Agarick two drams quick S●lphur a dram and half Ox gall half an ounce with ●yl of Wormwood there are stronger as white Hellebore and Mecrury which are not safe Chap. 6. Of Hydrocephalus or swelling of the Head WE spake of this in the water wi●hout the Skull but Hydrocephalus is from wat●r gathered within the skull or in the ventricle● of the brain as when the childs head in the womb hangs down or when the brain is ver● moist A tumor from water contained in the brain is less and harder then when it is out of the skull It is harder to be cured then when it is gathered without the skull and is often deadly There are many medicines mentioned that are good here to be used outwardly and to the nose and ears As Take Snails in their shells thirty Marjoram Mugw●rt each a handful stamp add Camphire a scruple Saffron half a dram with Oyl of Chamomil make a Pultis Snuff this Water often Take Nutmeg Cloves C●bebs each ● s●ruple Calamus Frankincense bark each half ● dram Marjoram water three ounces drop hot Oyls into the ear● If in twenty daies the water be not gone open the skull and let out the water by degrees and take heed of cold The tumor of wind in the skin of the head or membranes of the brain is seldom without water which breeds wind Use Discussers that make thin as Chamomil Rue Organ c. Chap. 7. Of Siriasis IT is from Aetius a di●ease with a ●eaver or an inflammation of the membrane● and the brain so that there is a hollowness of the eyes and forhead It is from flegmatick blood that grows hot by putrefaction and so becomes like choler The remote causes are hot weather and milk full of wind from the evil diet of the Nurse Such milk will make the child drunk and cause this inflamation Heat of the forehead and hollowness there redness of face a ●eaver driness no appetite watching The hollowness in the ●ore-part of the head is where the Sagital and Coronal ●utures meet for there the bones are membranous and grow at last hard It is dangerous and counted deadly among women and as often as this bone o● membrane ●als there is a pit and the brain fals down they commonly die in three daies First give a Clyster of syrup of Roses or Violets then Coolers of the juyce and water of Lettice Gourds Melons or apply a Pumpion split in two But cool not the brain too much anoint with Oyl of Roses Or Take Oyl of Roses half an ounce Populeon an ounce the white of an Eg and of the Emulsion of cold Seeds drawn with Rose water two drams After the flux is stopt and the inflammation abated use Discussers As Take Oyl of Chamomil an ounce and half of Dill half an ounce with the yolk of an Eg. Let the Nurses diet be cooling or the milk be changed let it not be vexed Chap. 8. Of Frights in the Sleep HIppocrates saith this is often the cause is unclean vapors mixed with the animal spirits that disturbe them and present horrible objects to the fancy They arise from the depraved concoction of the stomach in full feeding children that eat more then they can digest These vapors ascend not onely by the wea●and but by the veins to the head It comes often from wor●s also or corrupt humors that knaw the mouth o● the stomach They groan in their sleep● and twitch and b●ing frighted out of sleep they cry their breath is hot and often s●inking ●ure it presen●ly for i● is the ●ore-run●er of an Epilep●●● Give good Milk and le●s th●t the stomach be not over charged Let it not sleep presently after food but carry it about till it is in the bottom of the stomach Use Oyl of sweet Almonds or Honey of Roses two spoonfuls to clense the stomach Then strengthen it with Magistery of Coral or Con●ection of Hyacinths with Milk Or Take Magistery of Coral a dram Diapleres a scruple with Sugar dissolved in Rose water an ounce m●ke Rou●s Anoint the stomach with Oyl of Nard Wormwood Mints Mastich N●tmegs If it be from a feaver look to that If from wo●ms I shal after speak of it Some hang Coral and Wolves teeth about the childs neck Chap. 9. Of great Wat●hing A Child new born sleeps more then he wakes because his brain is very moist and he used to sleep in
she voided many small worms and was cured An Addition * Wheresoever foul humors stop in any part it is no wonder if it breed worms if other things agree which are required for the breeding of th●m Fat and hair found in a Womb. William Fabricius mentions that in a dead woman the womb was taken out and it weighed eighty seven pounds and was full of divers humors in the middle there were hairs like yellow wool An Addition * This was by Magick or a humor lay there fit to breed this strange matter by preternatural heat Stones bred in the Womb. Mercurialis doubts of stones being bred in it● but thinks it is clotted blood like stones But it cannot be denied which many worthy Authors write First Hipp●cra●es w●it●s that a Woman of sixty after noon alwa●es was pain●d as one in travel after she had eaten many leeks she had one ●it worse then the rest and she arose and found somthing rough in the orifice of her womb and she fainted and another woman t●●●st in her hand and took out a great stone and the woman recovered E●ius also saith Hard stones are bred in the womb s●mtimes c. Ni●olas Flore●tine and Mar●●l●us Donatus say the same Chap. 10. Of the magnitude of the Womb increased and first of the inflation of the Womb. IN●lation is a stretching of the womb with wind it called by some a windy Mole See Mathew de gradibus And Thadeus Dun lib. mis●el c. 8. This wind is from a cold matter either thick or thin contained in the veins of the womb which overcom●s the weak heat of the womb it is gather●d there by cold meats and drinks or flows from other parts Cold air may be the cause also if women that lie in expose themselves to it This wind is contained either in the cavity of the vessels of the womb or between the tunicl●● There is a swelling in the region of the womb somtimes reaching to the navel loyns and Diaphragma as wind increaseth or decreaseth it a●iseth or abateth it is different from a Dropsie because it is never ●●ollen so high And least a Phy●itian be deceived and take it for a conception observe the signs of women with child for if one sign be wanting you may suspect an in●lation also in in●lation the tumor in●reaseth and decreaseth but in conception it still increaseth Moreover if you strike upon 〈◊〉 belly there is a noise but not in conception It differs from a dropsie in the womb for the● is not such heaviness they move more easily ar● the belly is not so swelled there were causes th●● bred wind and things against wind do good It differs from a mole for there is in that 〈◊〉 weight and hardness in the belly and when the● move from one side to a●other they feel a wei●● that moveth which is not in this of which Hippocrates The feet and the face swells in the ho●low parts the ●olor is bad the terms stopt the●● is short wind c. If ●he wind is without the cavity of the womb● there is more pain and larger nor is there a noi●● because the wind is in a straighter place It is neither a lasting nor a deadly disease i● well lo●k● after if it be in the cavity of the womb it is ea●ier discussed Give Hiera Diaphoenicon with a little Castor● sharp Clysters that also expel wind if it b● in travel purge not till she be delivered Bleed not because it is from a cold matter i● it come after childbearing and the terms were not sufficient after and there is fulness of blood open the Saphena After these give things mentioned in Tympany that respect the womb As Take Conser●● of Bettony Ros●mary each an ounce and half candied Eryngus C●tron p●●ls candied ●●ch half 〈◊〉 ou●c● Di●●yminum ●Diagalangal ●a●h a d●●m Oyl o● Anis●eds six d●●ps with Syrup of Citrons ma●e an El●c●●ary Or Take Conserve of Ros●mary ●alm each three oun●●s candied Cit●ons and Oranges each an ounce Diacyminum a dram● with Syrup o● Citr●●● make an El●c●u●ry Or give the Womans Aqua vitae or this Take Angelica roots two ounces Masterwort Elicampane Orange peels each six drams Calamints Pennyroyal R●e Sage Ros●mary each a handful Cummin Fennel Aniseed each half an ounce Juniper berries a handful Zed●ary ●alangal Cubebs each half an ounce with good wine distit them give a spoonful or two Apply outwardly a Cataplasm o● R●e● Mugwort 〈◊〉 Dill Calamints Nip Penn●r●yal 〈◊〉 with Oyl of Rue● Cheir Chamo●il a●d make Ba●hs of the same and baggs of Milium S●lt● Chamomil ●●●wers Melilot Bayberri●s Cum●●n Fennel seed or lay on a Plaister of Bayberries Let ●l●sters to expel wind be put into the wom● As● Take Calamints Agnus castus Rue each h●l● a handful Aniseeds Costus Cinnamon each two drams boyl them in wine for h●lf a pin● Apply a Cupping-glass with much flame to the breast and over against the womb Use Sulphur-baths and Spaw-waters inward and outward for they expel wind If it come from cold after childbearing and she is not well purged by her terms heat the womb and purge and give strong wine Let the diet be hot cutting and attenuating with things that expel wind and little at a time Question● Whether the wind is in the cavity● when there is in●●ation of the Womb It is so by experience though some deny it nor is there any cause why wind should not b● bred in the womb as well as in any other part both by reason of the excrements that come thither and the natural heat that turns them into wind these also stretch the womb though it be thick as in dropsies and conception also the retentive and altering faculty of the womb is never idl● so that when it receives diseased and un●ruitful ●eed it suffers it not to corrupt but turns it into wind As Hippocrates writes When the w●●b is stre●●hed by wind from the belly women thi●k they hav● conceived Chap. 11. Of the Dropsie of the Womb. THey are also deceived and think they are with child when there is water that swel● the womb this is a D●opsie of the womb This water is either in the cavity o● between the co●ts of th● womb o● in its vessels ●●salius Marcellus Donatus shew that water is in the cavity for it doth not pre●ently by its plenty or quality force its passage out because the ori●ice is not alwaies open and Nature gathers it by degrees and is used to it A●tius ●aies There are somtimes bladders of water in the womb And Christopher Vega ●aith that Leonora thought that she had gone six months and then voided sixty bladders of water and seven pieces of ●lesh like that of the s●leen in membranes There is sometimes a Dropsie of the womb wi●h conception as Schenki●s and William Fabri●ius ●aith of his own Wi●e A●e gathering of water from moistness mixed with the t●rm●
and from an evil sang●ifi●ation in the liver and ●●leen f●om ●h●ir weakness o● f●om errors in diet or from weakness of the womb from hard travel or often mischances cold air or water or whatsoever hurts the hea● of the womb Also stoppage of the terms doth cause gathering of water for the water useth to be evacuated with them Many take this for the only cause Somtimes the tunicles of the womb may be divided in some place and water may be gathered between them Hippocrates saith The terms are ●ewer and cease before the time the bottom of the belly swells and the papps are so●t without milk and she thinks she is with child by these you may know it is a Dropsie But because Doctors and Midwives are often deceived you must distinguish this from other swellings When a woman is sound and useth a sound man the womb by degrees swells and the child moves in its time but often there is a Dropsi● with conception before or after therefore in a Dropsie the tumor is equal according to the largeness of the womb and ●elly and no● pointed as in a woman with child Secondly i● the woman be in years and hath not conceived before and hath a good colour it is a sign of a Dropsie rather then conception If the tenth month be past and the child moves not nor the breasts swell but are soft say there is a D●opsie of the womb Thirdly in a true conception women are b●tter after some months and the Symptoms abate but in a Dropsie they increase still It is distinguished from a mole by the weight in the bottom of the belly From an inflation● because the belly is st●etched in that and sounds being striken but is so●t in a Dropsie It differs from the Dropsie of the belly because the face is pale or wane in that from the distemper of the liver there is thirst but in the won b●dropsie she is of a good colour except the liver be also bad It differs from inflammation of the womb for that is ●ith a constant feaver and the Symptoms o● it and ●rom other tumors which are harder but in a D●opsie of the womb if the belly be pre●●ed● it yi●ld● You shal know whether it be from the fault in the wo●b ●rincipally or ●●om some other part thus I● t●e woman be of a good colour and there were onely some diseases and causes that might hurt the womb● as abortion hard travel stoppage of terms or too many of them then the womb is chiefly affected but if there be signs of a distem●er in the whole body or in the liver or spleen a●d the colour is bad it is by consent from other parts You shall kn●w whether the water be in bladde●s or in the cavity of the womb thus If you find the ori●ice o● the womb closed and there is little pain it is in the cavity but if the ori●ice be open and there is great pain it is in bladders or without the cav●●y If the humor in the womb be not corrupt this disease is of long continuance but may be easily cured it is ea●ier cured in the cavity then when it is in bladders and between the ●unicles A woman after conception having a Dropsie of the womb her child di●th and she is in danger When it is fro● st●ppage of terms and new and the st●ength ●irm open a vein in the legs otherwise bleed not Purge according to the humor with respect to the womb as in Chap. 6. of a cold Distemper Then purge Water Take Angelica and Madder roots each half ●n ounce Calamints● Penny-royal Mugwort Lovage e●ch a handful Savin a pugil boyl them in wine sweeten it with Sugar Or make Broaths with the same Take Dianisum Diagalangal each half a dram Oyl of Aniseeds Cloves each five drops Sugar three ounces make Rouls Inject into the Womb as in Dropsies Take Asarum roots t●ree drams Pennyroyal Calamints ea●h hal● a handful Savin a pugil Mechoacan a d●am Aniseed Cummin each half a dram boyl ta●e six ounces strained Oyl of Elder and Orris each an ounce make a Clyster Or use Pe●●aries Take Agarick a dram Coloquintida half a dram Gni●ium ten grains with Honey and Wool make a Pe●●ary Make Fomentations and Baths of Danewort Me cury Elder Pennyroyal Organ Chamomil-flowers Ba●berries wild Cowcumbers Broom Carrot Rue seeds And anoint after with Oyl of Elder Danewort Orris with drops of Oyl of Ang●lica Anise Caraway S●lphur Baths are good and those of Niter o● the Plaister of Bayberries or Snails to the bott●m of the belly Vomiting and neesing break the bladders Give Clysters at the fundament as in Dropsies Take Mercury leaves Danewort Soldanella Mugwort● Motherwort each a handful Chamomil Elder Broom flow●rs each a dram boyl and to ten ounces strained add juyce of Beets Mercury Danewort ea h six drams Boys urine an ounce and half Hiera six drams Honey half an ounce make a Clyster Let the Diet be drying as in Chap. 5. Chap. 12. Of a Tumor in the Womb from blood in its Veins THis disease makes Women think they are with child also for blood long detained in the v●ins about the womb stretcheth them outwardly and twisteth them and the veins in the substance of the womb are ful and stretched and make it larger but when the terms flow it falleth again except there be a Cachexy or Dropsie This is onely from stoppage of terms and is cured by provoking them Chap. 13. Of Inflammation of the Womb. IF the blood that comes to the womb get out of the vessels into its substance and grow hot and putresie it causeth inflammation either all over or in pa●t before or behind above or below on the right or left side Blood is the immediate Cause which is pure or mixed therefore the inflammation is either an Erysipelas Oedema or Scirrhus as flegm melancholy or blood abound Blood is either sent to or drawn by the womb by heat or pain● it is sent to it when it aboundeth or is hot or thin and when the blood is moved by hot air exercise passions as anger or hot diet There is a tumor with heat and pain in the r●gion of the womb with stretching and heaviness in the privities and if you put in your ●inger you 'l feel the heat and the more pain there is a feaver somtimes called Lipyria when there is cold without and heat within The tongue is dry and bl●ck with watching doting to●●ing to and fro the breasts are pufft up and pained There is headach to the roots of the eyes and a pain in the groyns hips midrif pleura and shoulders short wind and like a Pleurisie with loathing vomitin● hickets The belly is bound the pulse is small and often and weak but at first darting and quick And Hippocrates ●aith If the womb be in●lamed the terms are stopt and the neck of it is li●● a Spider● web with many small vein● c. I●
this is said before only a Cancer may seize upon the substance of the womb but it is more usually in the neck of it Chap. 15. Of the displacing of the Womb and first of the Ascent of it WHen the womb falls out of the privities it is called Procidentia uteri this is ordinary but the ascēt or going up of the womb is more unknown Many grave Anatomists hold tha● the womb doth ascend if sweet things are applied to the nose if to the privities that it descend● if stinking s●ents come the womb flies from th●● and it is to be seen by breathing altered and by some meats that the womb greedily desires and catcheth up Galen overthrows this opinion and saith that the womb doth move after a sort and ascend but it is very little and not to be demonstrated nor can it arise to the stomach it is tied with such strong ligaments to its place and when it falls out the ligaments are extended by moisture and falling of it down And there is no reason why the ligaments though loose or wet it should go up so speedily and come down again for● falling down is by degrees and it is not soon brought up again And though it be enlarged in conception it is by degrees and equally not suddenly in one side Nor are the ligaments made very loose in conception and the bottom of the womb is not tied the ligaments being onely on the sides But this cannot be denied which women affirm that they feel a body or ball moving about the navel and a Physitian or Midwife may feel it Therefo●e let us enquire what it is if it be not a womb That body which you may feel stir is the stones and that blind vessel which Fallopius found out which he compared to the great end of a Trumpet called F●llopius his Trumpet For the stones hang and the body of the T●umpet is l●ke a pipe loose and moving and when they are full and swell with corrupt seed and vapo●s they move to and fro and ascend as high as the navel And the stones with the Trumpet make this round tumor of the womb which is felt in women as Riolanus observes Whatsoeve● makes corrupt seed in the stones of a womā and fils them ●th evil ●apors or wind is the cause of which in suffocation of the womb for the cause is alike in both only in suffocation the Symptoms are worse● because the evil vapors are then more freely carried by the veins arteries and nerves and asilict the principal parts The woman and others may feel a round body and she ●indeth a pain at her heart and short breath without sleeping or doting or other symptoms and there we●e causes that disturbed the womb It is not dangerous yet not to be slighted for it may turn to the strangling of the womb when these evil vapors move to the noble parts Let the aim be at the corrupt seed and vapors which must be dis ussed and evacuated as in suffocation of the Womb. Chap. 16. Of falling out of the Womb. SOmtimes it falls to the middle of the thighs o● to the kne●s almost or hangs a little out The womb changeth its place when the ●igaments by which it is bound to the other parts ●re not in order There are four two above ●road and membranous that come from the Pe●iton●●um and two ●elow that are nervous ●ound and hollow ●●●ide● it is bound to the ●reat ves●els by veins and a●t●ri●s and to the ●ack by nerves Now the place is changed when it is down another way or when the ligaments are loose and it falls down by its own weight it is draw● on side when the terms are stopt and the vein● and arteries ●re full those namely which go to the womb if it be a mole on the one side th● liver or spleen ca●se it by the liv●● veins on the rig●t side or the spleen on the left as they are 〈◊〉 more or less I also falls down by the loosning of the par●● to which it is fastned but how that can be it is not clear Hippocrates saith It comes from external caus● as fr●m ●old of the ●ee● or loyns from leaping or fear cutting of wood● or r●●ning d●wn a ●ill and the lik● these make the lig●●ents moist and loos● Also it may be from cold after childbearing getting into the wom● when the ●●rms flow ●tting upon a cold stone and the like Others say it comes from the solution of th● conn●xion of the sibrous neck and the parts adj●●ent and that is fro● the weight of the wom● descending thi● we deny not But then the ligaments must be loose or broken But women in a d●op●e could not be said not to have the wo●● f●ll down if it came only from loosness B●● the ●ause in them is the ●●ltness of the water● which dries more then it moistneth I● there be ● little tumor within or without the pr●vities like a skin stretched or a weight ●elt about the p●ivities it is onely a descent of the womb but i● there be a tumor like a Goose eg● and a hole at the bottom there is at first a g●ea● pain in the parts to which the womb is ●astned● as the loyns the bottom of the b●lly an● the pr●viti●s and t●e os s●crum ●●om the stre●●hing 〈◊〉 breaking of the ligaments but a little after the pain abateth and there is an impediment in walking Somtimes blood comes forth from the breach of the vessels and the dung and urin are stopt and a F●aver and Convulsion When it is new it is easily cured when old it is ha●d to be cured but not deadly onely it is troublesom and nasty It hinde●s conception and keeps terms f●om flowing orderly If it be with ●ain Feaver or Convulsion it is deadly especially in women with child That which comes from corrosion of the ligaments● is dangerous First put it up before the air al●er it or it be in●●amed or swollen Therefore fir●t give a Clyster to remove the excrements Then lay her ●pon her ba●k wit● her l●gs abroad and thighs lift●d up her he●d down and take the tumor in your hands and thrust it in without violence I● it be swollen by alteration and cold soment it with the D●coction of Mallows Althaea Lin● Foenugreek seed Chamomil flowers Bayberries and anoint i● with oyl of Lilli●s and H●●s grease If th●re be an inflammation put it not up yet It may be ●righted in by shewing of a red hot iron and actin● as if you would burn it First sprinkle upon it the po●der of Mastich ●●●●kincense and the like As Take Frankin●●ns● M●st●●h each two drams Sarc●col steept in Milk ● dram Mummy Pomegranate ●●●wers Sang●i● Draconi● each half a d●am Wh●n it is put up let her lie with her leggs stretched and one upon the other for eight or ten dai●s and m●ke a Pe●●●●● like a P●ar● of Cork
with proper things as we shewed in the distempers of the Womb. But take heed that you move not the Terms when you attenuate for that wil melt the ●erous humors and fix them more in the vessels use neither Vinegar no● sharp things After purging consume the reliques by sweat if choler be in fault that must not be sweated out discuss it with warm Baths and do so in melancholy Use Pessaries Fomentations and Fumes to the womb Give Treacle Mithridate or the Decoction of An●elica roots if cold humors are the cause Chap. 9. Of Terms coming before their time THese shew an ill constitution And it is a depraved excretion of the Terms that comes for the time often f●r somtimes they fl●w sooner or twice in a month The immediate Cause is hurt of the retentive and expul●ive faculty so that the blood flows not or sooner or late● or oftner the cause why they come sooner is in the blood that stirs●up the expulsive faculty in the whole body or in the womb somtimes all causes meet the blood is too much or too sharp and hot and if the retentive faculty in the womb be weak and the expulsive strong● and of quick sense it is sooner A fall stroke or passion are the evident Causes They will relate it and the signs of the causes are these If it be from much blood there are the signs of plethory heat thinness and sharp humors are known by the distemper of the whole The weakness of the retentive faculty and loosness of the vessels is known from a loose and moist habit of body It is not dangerous but troublesom and hinders conception I● they come too soon from hurt in the faculty provoked by too much plethory Let blood use a spare diet and much exercise If it be from sharp blood temper it by good diet and Medicines as in the choleri●k distemper of the womb Use Baths of Iron-water that corrects the distempers of the bowels then evacuate If it come from the retentive faculty and loosness of the vessels correct the cold and moist distem●er with gentle astringents I● it be from a stroke or fall cu●e it as the vessels opened are cured of which before Chap. 10. Of Terms that come after their usual time VVHen they stay longer then ordinary and return without order at no set time the causes are little and thick blood straitness of the passages weakness of the expulsive faculty and dulness Either of these causes may stop the Terms bu● if all meet the disease is worse For if blood be not bred in such a quantity that it may prick Nature forward to expel it the purging of it is di●●ered till there be enough to stir up Nature to expel it If thi●k humors are in the blood the passages stopt and the faculty weak the Terms mu●t needs be disordered and the purging of them differed longer If it be from want of blood she hath either lived poor in diet or exercised too much and she ●inds no inconvenience by the want of her Terms If it be from gross slimy blood there are signs of Cacochymy The weakness of the faculty is known by the cold distemper of the womb It is not so dangerous as stoppage of the terms but it is bad enough in a plethorick or cacochymical body If little blood be use a ●uller diet and exercise not If blood be gross and foul make it thin and cut it and after Preparatives let the humors mixed therewith be evacuated It is good to purge presently after the Terms and to use Calamints and to purge often Also four or five daies before the Terms sca●i●●e the ankles and hold the feet in warm wa●●● ●ub the legs apply Cupp●ng-glasses without S●●●ification to the inside of the thighs and use Fumes and Pessaries Anoin● the bottom of the belly with things to provoke the Terms If there be a numness use things against the Palsie Chap. 11. Of the Terms voided another way SOmetimes they come out at the nose or are vomited up or flow out by the Haemorrhoid veins Hence Hippocrates saith that a woman that vomits blood is cured by having her t●rms or by a bloody flux Somtimes they are pissed ●orth Dodon●eus saies that they come out at the eyes like tears somtimes Ama●us Lusitanus saith they will come forth at the Teats of the breasts and at the navel at the little finger or ring-●inger every month as Mercat●s observed thrice Are stoppage of the Terms from straitness of the vessels in the womb or evil conformation of the womb It is more troublesom then dangerous and hinders conception It is best when they come out at the nose for it is a part that Nature useth to disburden her self by First bring the blood to the womb again and abate it Open the ankle-vein three daies before she begins to bleed Or cup the thighs or rub them Or use Baths Fomentations Oyntments Womb-clysters Pessaries and the like mentioned in Suppression of the Terms Chap. 12. Of the Whites IT is a ●oul excretion from the womb white and somtimes blew or green or reddish no at a set time nor every month but disorderly longer or shorter Before or after the Terms and when they are stopt Virgins seldom have this disease and women with child have it somtimes It differs from the running of the reins for it is in less quantity whiter and thicker and at a greater distance It differs from night pollution which is onely in sleep with imagination of Venery The immediate Cause is an excrementitious humor flegm choler or melancholy Somtimes it is like waterish blood It is gathered in the whole body or in the stomach liver or spleen For they who have crudities in the stomach are subject to this disease Somtimes the womb alone is distempered after often mischances or when the womb is very cold and moist This matter flows through the veins of the womb or of the neck of it which use to carry blood and Nature abuseth them to carry excrements especially if they are bred in the womb The remote causes are whatsoever doth breed ●ad humors some have it after strong purges or long bathing Somtimes they are pale somtimes blew red waterish and green somtimes slimy or cold or sharp or stinking In young people it is reddish The face is discoloured the urin thick there is loathing and heartach If the humor be sharp and corrupt there is a Feaver If it be flegmatick and much the ligaments of the womb are loose and it falls out thus Hippocrates and there are saith he swelled eyes evil colour and short breathing If it be not bred in the womb the humor is from a Cacochymy If it be from a fault in another part the signs of that wil appear If it come only from the womb there will be but little if from the whole body there will be more It is often long
the org●ns of sense and motion with the liver spleen stomach belly mesentery bladder strait ●ut back hips arms and legs and causeth sym●toms As Galen ●aith the mother or hysterical ●●●●ion is one name but hath under it innume●●ble Symptoms Chap. 4. Of Suffocation of the Womb. IN this they seem to be strangled And there are so many Symptoms at once that it is impossible to define it by one Sometimes there is only short breath sometimes the animal actions are hurt the whole body is cold from a malignant vapor sent up from the womb The immediate Cause is a vapor malignant and venemous sent up by the arteries veins and nerves that hurt the actions of the parts it goes to This vapor is like air or wind thin and little but very strong to get presently through the whole body it chie●ly ascends to the gullet and causeth choaking as eating of Mushrooms Hellebore and other poysons There is often short difficult breathing with heart-ach vomiting and loathing If the vapor go first to the heart the motion of it ceaseth and there is swounding and she falls down If it go to the brain the animal actions are hurt When ●eed and terms corrupt in the womb with other bad humors they breed this evil vapor because they are the best substance and the beginning of generation they are worst when corrupted especially seed to hurt the whole body Somtimes it is in women with child when they have not their after pu●ging but evil humors a●e le●t and corrupt in the womb The chief cause of this humor is in the trumpet of the womb and stones the body of which is hollow and loose the stones being in bladders and have hollowness full of water which in hyst●rical women is yellow and thicker then ordinary This trumpet and the stones are often taken for the womb it self● when they are swollen with corrupt seed and humors and wind and reach to the navel of which in the Chapter of ascent of the Womb. This disease is breeding sooner or longer as the matter is more or less somtimes corrupt humo●s lie still and if they be stirred they send a venom or vapor to the whole body now in women subject to this disease sweet s●ents to the nose or taken in or anger will move these huhumors and vapors They are according to the variety of the symptoms and efficient cause or venemous humors for corrupt blood especially seed puts on another Nature That Suffocation is at hand it appears by laziness weakness of the legs paleness sad countenance and the motion of somthing like a ball in the belly with noise like Froggs Snakes or Crows so that some think it devillish There is also belching yawning yexing short wind heart-beating loathing dulness laughture at the coming of the fit ●rom the vapor g●tting into the membr●ne of the breast that tickle them some cry some both laugh and cry These Symptoms increase when the fit comes and the jaws are closed that she seems to be choaked and sense and motion is gone or depraved Some have Convulsions some h●ar what is done about them but cannot speak the ●ul●e i● less the whole body is cold and the eyes 〈◊〉 as if they were dead When the ●it declines humors s●ow from the ●riv●●i●s the gu●s rumble the eyes open the cheeks grow red and the body warm the animal actions return and the patient sighs and comes to her self It is known to be from corrupt seed if the terms are in order and short breath and low voice Suffocation and Convulsions and all Symptomes are then more vehement and at the end of the fit there flows a humor like seed out of the privities It is from the terms if they be stopt or flow not orderly and if there be a dis●ase in the womb it is neither from the seed no● the terms 1. If there come swounding or a great Convulsion or quenching of natural heat it is deadly 2. Suffocation from corrupt seed is more dangerous then that which is from the terms mixt with melancholick humors 3. The longer it lasts and the worse the symptoms the more is the danger It ceaseth in yong women when they begin to bear children 4. The oftner the fit comes the more you may ●ear the quenching of the natural heat by weakning of the heart often and if she foam at the mouth she dies The Cure of the Fit In the fit you must discuss the malignant vapors that riseth from the womb and turn it f●om the principal parts and you must evacuate the matter that breeds it and prevent its return Cal upon her loud pluck the hairs of her privities and ears make strong Ligatures and Frictions cup the legs and thighs and g●oyns hold stinks to the nose as Partridg-feathers burnt hairs Leather Horn Castor Assa foetida Galbanum oyl of Amber Rue the warts on Horses legs dried and the pouder upon coals burnt makes a ●ume which if taken in the nose suddenly raised them Apply sweet Scen●s to the privi●ies as Cive● Musk Gallia and Al●pta mos●hata or pouder of Cloves Or Take Storax calamita Benzoin each a dram Gallia moschata half a s●ruple make Tro●hes with Gum Tr●ganth and let the Fume be taken into the womb by a Funnel A Liniment Take Storax Benzoin each a dram Gallia moschata half a scruple Civet four grains liquid Storax half a scruple with Cotton put it into the womb Clysters to discuss wind draw down the matter Take the Carminative D●coction a pint Electuary of Hiera six drams Benedicta laxativa an ●●●ce Oyl of Rue and Bayberri●s each a dram Use Womb-clysters and Pessaries to women that have known man Take Electuary of Hiera and Diaphaenicon each two drams Turpentine half an ounce Honey of Mercury an ●unce Castor hal● a dram ●●th Wool make a Pessary Oyl of Tin applied to the navel doth remove the sit Or Rue Castor and sneesing Pouders As Take white Hellebore hal● a scruple long Pepper ●nd Ginger each half a dram or put Oyl of Am●●● into the Nose and E●rs Apply to the Womb this Take Oyl of Rue ●a●s each two oun●●s Cummin seed C●st●r dissol●●● in Vin●gar e●ch two drams with Wax make a 〈◊〉 Or use a ●l●●s●●r of ●●lb●num Ca●or and A●●a foetida A compound distilled Water Take Zedoary ●●smp s●●ds Lovage ●●●ts each two oun●●s Mirrh Castor each half an o●nce Piony roots four oun●●● Misteto of the Oak gathered in the wain of the Mo●n three ounces ad water of Motherwort four pin●s an● half Spirit of Wine a pint and half steep them eig●● daies distil and give a spoonful with Tile-flower or Mugwort water or Oyl of Amber some drops Or Take Castor Mirrh Assa faetida each a s●rupl●● Pepper half a scruple with syrup of Mugwort m●l● Pills give three The Cure out of the Fit First prevent the ●eed from corrupting in the womb and if it be corrupt evacuate it presen●●y
with Womb-clysters and Pessaries then dispe●se the reliques and strengthen the wom● But ●ir●● give a general Purge that is gentle often and use things that prevent the breeding of seed Strengthen with Plaisters and Oyntments to the region of the womb As Take liquid Storax two drams Avens Agnus castus seeds Angelica each half a dram Alipta moschata a scruple Oyl of Nard Lillies and white Wax make a● Oyntment Or Take Seeds of Agnus castus ● dram all Sanders each half a dram whit● Ros● pouder a dram Tacamahaca a scruple Amber t●● scruples Alipta moschata half an o●nce with Turpentine Labdanum and Wax make a Plaister I● she be a Virgin let her be married If it be from terms stopt see in the Chapt●● of that This disease is neither from seed nor blood● nor humors if they be not corrupted after a peculiar manner If it be from the womb diste●pered give the In●usion of an ounce of Brion● root in white Wine on●e in a week for a year 〈◊〉 bed time or this Hyste●i●k Water Take Lovage roots Piony Angelica Zedoar● each an ounce Mis●eto of the Oak gathered in the wane of the Moon two ounces Mints Balm Calamints Bettony each a handful Carrot Parsnep s●●d Castor each half an ounce distil them in white Wine and water of Motherwort after eight daies infuson Or Take Briony Valerian Spignel Ang●lica roots each half an ounce Balm Ca●amints Pennyroyal●●ettony each half a handful boyl them in Wine add Syrup of Mugwort an ounce give it a● thrice Vitriol of Iron one grain with two grains of Sugar given in Wine some weeks is excellent Or Take Cummin seed wild Parsnep seed each ● dram give a dram in pouder Or● Take Fae●●la Brioniae two drams Cummin seed Parsnep s●ed ●●ch a dram Amber half a dram Cloves two s●ru●les Cinnamon a scruple make a Pouder Pills Take Castor a scruple Assa faetida half ● scruple Mirrh Galbanum Sagapenum each a ●cruple with Honey of Mercury make ●ills take 〈◊〉 a s●●●ple or a scruple often Or take Treac●e 〈◊〉 ●●●hridate Apply Plaisters or Lin●ments to the region of 〈◊〉 Womb thus Take old Treacle half an ounce Agnu● castus seeds a dram Oyl of Angelica and ●ummin seeds each two drams with Plaister of ●●yberri●s ●r make Oyntments of the same Quest●●● 1. What preterna●ural diseases is the 〈◊〉 of the Womb properly ●●me say it is a cold distemper in quality chan● they say right but coldness is not the chief ●●●●om Others say it is respiration hurt Syn●●● or Convulsion But it canno● be defined by one Symptom Fo● somtimes the animal actions are hurt and there is a Megrim Delirium Convulsion and sense and motion are gone Nor is it strange that so small a vapor should bring such Symptomes for it hath an occult venom in it● which is strong for it goes many waies and to many parts Question 2. What is the true Caus● of the 〈◊〉 of the Mother I say it is the malignant vapors that flie up from the womb for it doth not work by a manifest quality but by a venom which Galen sait● is like that of a Torpedo or Phalanx or Scorpion which are little in bulk but do great mi●chief being enemies to the vital spirits and hea● by which there is a coldness all over and s●o● breath from the actions of the heart hurt Fo● when the heart is hurt or the vital Spirits eithe● suffocated or corrupted there are no good animal Spirits bred and they not flowing to th● nerves and muscles hinder the motion of th● breast Also this malignant vapor is an enemy 〈◊〉 the animal Spirits and makes doting and Co●vulsions when it gets to the brain The Cause of these vapors are corrupt se● and terms for while they are in th●ir proper vesels they change not their nature And the se● is not alwaies pure but mixed with 〈◊〉 hum●● and the seed-vessels are sometimes 〈◊〉 a● distempered Moreover the corruption 〈◊〉 〈◊〉 the womb in a p●culiar manner for as F●rr●● saith The place from whence com●● life is 〈◊〉 the breeder of the most deadly poyson Question 3. Is it good to give Wine in a ●it of the Mother Hippocrat●● and Avicen quarrel about this The fi●st allo●s wine because they are weak and nothing sooner re●resheth● But Avicen is for water and forbids flesh for they increase seed and ●lood But in the time of the ●it wine is proper and Avicen doth not speak of the ●it but of the diet out of the ●it when it comes from plenty of seed and blood nor will a little wine in the time of ●●e ●it get presently to the womb Chap. 5. Of the Frenzie of the Womb. IT is a great and foul Symptome of the womb● both in Virgins and Widdows and such as ●ave known man These are mad for lust and in●i●e men and lie down to them and it differs ●rom Salacity because in that there is no Deli●ium It is an immoderate desire of Venery that ●akes women almost mad or a Delirium from ●n iminoderate desire of Venery it is without a ●e●ve● and with heat and tends to madness ●here are degrees in it for modest women have 〈◊〉 but will not for shame declare it and die of ●onsumptions Others will not conceal it but ●eak their thoughts bawdily and follow men ●nd ●olli●i●e them shamelesly as Hippocrates 〈◊〉 in his Book of Virgins Diseases The immediate Cause is plenty of hot and sharp seed against Nature but next unto that ●hich is natural it is a little biting swelling and ●orcing Nature to let it out by leche●y The brain is only hurt by consent● and the animal actions by an external error or too vehement object The part first affected is the womb in the Nympha which grows hot and swells but the Nymphae are not properly the seat of Venery but the Clitoris which was called by the same name anciently The heat and sharpness of seed is from the heat of the womb that breeds it from hot humo●● in the womb and hot blood The outward Causes are hot meats spiced● strong wine and the like that heat the privities● idleness pleasure and dancing● and reading o● bawdy Histories They find their lust to boy● at first and so● shame will not declare it they are sad and silent and their eyes turn to and fro with lust an● if any speak of Venety they blush and the puls● changeth when th● brain consenteth reason i● perverted and modesty is overcome then the● prate are lustful and angry somtimes they cr● or laugh without a cause they follow men an● sollicite them for copulation Some will lie wi●● any one they meet It is a ●ordid disease curable at first but if neglected it turns to madness Let Virgins that have it before reason is subverted be in company with chast Maid●ns o● h● married And be let blood to abate heat of blco● and sharpness of seed very often there is no
hindered if there be but blood enough to form the child Hence it is that women that are brought in bed conceive again before they have their terms If all these be right there is conception otherwise she is barren which is an impotency of the womb that keeps it from sucking in of the seed or from retaining or from nourishing i● and bringing it into act The first is impotency in copulation from the closing of the womb of which before or oth●● evil conformation of the privities or and ul●e● or tumor in the ne●k of the womb The seco●d is the breeding of unfruitful seed from diste●p of the vessels and stones or too tender and delicate a constitution In men at eighteen in women at fourteen and men seldom get children ●fter sixty and women seldom bear them after ●●fty As for evil conformation to breed seed some have wanted seed-vessels or they were not in their places Some women are barren by the first Husband and have children by the second because there must be a certain proportion between both seeds and if they be wanting they are barren which proportion is hard to be explained and almost impossible for we must not stay in the first qualities for there are occult qualities in seed by which they agree or disagree The third cause is when the womb su●ks not in the seed nor receives it in a right manner as when the attractive faculty is hurt or hindered by divers distempers of the womb or when a woman hates her Husband Attraction is hindered by tumors or ulcers in the womb or by its being displaced as Hippocrate● They who being too fat and conceive not the mouth of their womb is stopt up with the Cawl and they conceive not till they are lean But the more probable reason of not conceiving is the matter of the seed turning into fat The fourth cause is the retention of the seed hurt by a moist distemper then the womb is weak and the fibres are loose so that it cannot contract it self to retain and the seed by reason of its sliminess cannot stick there Also if the wo●b be too thick not fleshy and ●o●t and be not sp●inkled with blood as it i● in some by birth whi●● makes them barren and in some after they ce●se to conceive If the orifice of the womb gape a●●●● 〈◊〉 〈◊〉 and abo●tion by which the fibres are loosned and weakned and the retention of the seed hur● And if a woman after copulation cough neese cry out dance or be angry or frighted the sam● may be The fifth cause of barrenness is the hurt of the altering faculty which brings in the form and act into seed for if there be not a due proportion between the womb and the seed there is barrenness as seeds are choaked in marsh●● ground or die or are burnt in dry and sand● ground so mans seed is suffocated in a moist womb and dried up in a hot Hippocrates speaks o● the 〈◊〉 proportion of the womb as is ●it to cherish this or th●t seed thus Women that h●●e thick and cold wombs conceive not and they wh●● womb is too moist ●●r they quench the seed nor●● they conceive that have dry and burning wombs for the seed is corrupted in them for want of nourishmer● they who are of a mean temper between these are f●●●full The last cause of barrenness is want of menstrual blood which is necessary for the first formation of the child Therefore Nurses that have much milk conceive because the blood is carried to the breasts Therefore all these causes are reduced either to impotency in copulation or distemper of the stones and seed-vessels or evil conformation or ● cold and moist distemper of the womb which cannot attract detain and alter the seed somtimes ● hot and dry distemper that cannot nourish the ●eed● or from the enlarging of the orifice after childbea●ing or from humors or being displaced or the straitness of the vessels or want 〈◊〉 term● or too many Hence we may gather that barrenness is oft●● from a fault in the women then the men for i● men there is nothing required but fruitful ●●ed spent into a fruitful womb But women besides the meeting of their own seed must receive ●●i● and nourish the ma●s and afford matt●r 〈◊〉 the forming of the child 〈◊〉 which divers accidents happen and any of these will cause bar●n●ess Mark also in these kinds of causes that some do not properly cause barrenness but only hin●●nder conception for a time as the closing of th● womb smalness of the privities these do not ●●●ply cause barrenness Some bring other external causes as eating 〈◊〉 heart of a Deer or if she wear Jet about her 〈◊〉 if Harts-tongue be hanged about her bed if 〈◊〉 walk over the terms of another or tread upo● them unawares or anoint with them or put 〈◊〉 jay●e of Mints into her womb Some are born so from a fault in the womb ●●●ers are not simply b●●●en but in respect of the ●●n and when they have another Husband ar● f●uitful Some are barren till the constitution of th● womb be changed some bring forth at first and then by som● fault g●o● barren H●● sh●ll we know that a woman is barren ●i●st see if the fault be in the man or woman Lib. 3. of Sterility in men For women see if ●●●y are apt to V●nery or not or receive the yard ●●●ly 2. Search if she hath good seed answer●●●● to the man or whether she hath used quen●he●s of seed You may know that she spendeth 〈◊〉 or no seed if she h●th lit●le or no pleasur● 〈◊〉 the ●ct Un●●uit●ul seed is ●nown by a 〈◊〉 in the womb a cold and moist ●ist 〈◊〉 the signs whereof are mentioned a soul body shews the same for good seed cannot be made of bad blood It is hard to find whether the two seeds have the right proportion or the womb agree with the mans seed Yet temperate with temperate are very fruitful because they are both of a good constitution But intemperate couples are barren but if one tempe● be good it may mend the other and she may conceive If it come from a Medicine that destroys the seed she will tell If inchantment be the cause though they love yet they cannot copulate or whereas they loved each other now they fal out without a cause Ask the woman how her womb doth attract retain and cherish the seed if it have a tumor or have matter or not Whether there be a natural hereditary imper●ection Enquire concerning her family if many were barren whether she hath had hard travel or abortion Whether the seed comes away presently after or at a distance after some daies if so then the womans ●eed is unfruitful or there is a distemper in the womb that keeps it from cherishing the seed If the terms be wanting● they are Viragoes and have hair on their chins or they are ●at and
li●tle of the Electuary of the ju●ce of Roses If there be a chronick di●ease she may also be purged safely especially if she be used to it and strengtheners be applied to the navel Question 4. Whether purging or bleeding is most dangerous for a Woman with Child We s●●wed in the last Question the necessity of purging and its danger by the great motion of humors which if i● reach to the womb causeth abortion because it causeth pain in the belly and provokes the te●ms But bleedin● di●●urbs the humors less nor doth hurt any way but by taking nourishment from the child● And this you need not fear if there be too much blood There●ore pu●ging is more dangerous then bleeding Question 5. Wh●ther is it lawful to cause an Abortion to preserve the Mother A Christian may not cause an abortion for any cause for it is wicked● and the Gentiles in Hipp●crates his time never allowed it they would not hinder Conception much less would they destroy it when made Nor must the mo●her be p●eserved by the loss of the child For we must not do evil that good may come thereby But if to preserve the mother the Physitian purge or bleed and the abortion follow the fault is not the Physitian that intended it not but in the weakness of Nature and of the child and is better to preserve the mother then by neglecting the lawful means let both die Also the dead child must presently be thrown out Question 6. Whether are Clysters Diureticks and Swea●s prop●r for a Woman with Child Though women deny Clysters to them yet if they have been used to them they may be given in a 〈◊〉 quantity such as only molli●ie and sup●le no● do th●y more hurt th●n Lenitives Di●●eticks or things that provoke urine are ●●t safe because they p●ovoke the t●●ms You 〈◊〉 not give g●ntle Sweats for Nature will re●●ive strength by the castin● off of her enemies ●ou may use Alterers th●t are proper as this Syrup Take the juyce of unripe Grapes about the beginning of September three galons add Pom●●itrons or Lemons bruised hal● a pound boyl them 〈◊〉 they are soft and strain them and with half a pou●● of Sugar make a Syrup Chap. 4. Of the Symptomes that befal Women with Child in in the first months THey are loathing of meat Pica or evil appetite pewking vomiting belly-ach flux of the belly tooth and headach giddiness These all come from the stoppage of the terms especially in a Cacochymy or evil juyce for it goes to the stomach and so to the head Fi●st ●●ey loath meat which Hippocrates ●aith is a sign of Conception And this is when the child takes the purest blood and leaves the impure which gets into the mouth of the stomach and insects it and hence comes the loathing of some sorts o● meats Sometimes this ceaseth of it self but if there be danger of a Consumption in the mother le●● the child should be in danger for want of food give a gentle Vomit or Stomach-pills with thing● that strengthen the Stomach As Take Co●ser●● of red Rose● half an ounce of Bettony an ounc● p●●served Quinces three dram● Aromaticum 〈◊〉 half a dram Pearl prepared half a scruple 〈◊〉 Syrup of green Ginger and Quin●es make an E●●ctuary Anoint the stomach with oyl of Mastich 〈◊〉 Quinces Wormwood Mirtles c. Give 〈◊〉 and powerful things with 〈…〉 roasted rather then boyled Pica is when they desire strange and absurd things as coals ashes c. as she that longed for her husbands flesh and though she loved him very well she killed him eat part and poudered up the rest Of this disease we spake in the third Book Juyce of yong Vine-●eaves with syrup of Quinces is good against this or the water that drops in May from the Vines This keeps the child from suffering by the mothers appetite Or this Spirit Take Citron peels Oranges P●●ny roots as much as you please add Malmsey di 〈…〉 them some daies then beat the roots and peels ad more Malmsey and distil them The third is loathing and vomiting from an evil vapor or humor in the stomach from blood retained If vomiting gives her ease stop it not but leave it to Nature it wil cease after a month or two If it be with trouble give a gentle Vomit or strengthen the stomach or give a little Rhubarb The fourth is pain of the belly f●om wind and humors about the womb that go to the guts discuss them as in Chap. 3. of the Colick Avoid moist Fomentations give Cinnamon water or spiced Wine The fifth is a loosness which must be suddenly stopt least it cause an abortion First give a ●entle Clenser and strengthener ●s Rhubarb with ●●●up of Roses solutive then Quinces at the first course at meals and Rice Starch Almonds Con●●●●e of Rose● Quinces Apply to the navel a Pul 〈…〉 of Quinc●s Mastich Nutmegs Mace Cloves The sixth is the toothach from a sh●rp humor ●●om retention of the terms that goes to the r●ot 〈◊〉 some tooth and hurts the membranes It ceaseth commonly of 〈◊〉 self yet if it be great use a Plaister of Mastich and Tacamahacca to the temples and hold in the mouth the Decoction of Fern root● Cinquefoyl Snakeweed Sage Mulberry ba●●● c. The seventh is headach when the vapors f●om the terms stopt ascend and twitch the memb●ane● of the brain it must be repelled and abated with Lenitives of which in Lib. 1. Part 3. Sect. 1. Cap 3. of Headach The eighth of the Megrim from the vapors disturbing the Spirits that go to the head by the veins and arteries or by the gullet If it cease not discuss vapors and strengthen the brain inwardly and outwardly as in Vertigo Chap. 5. Of the Symptoms in Women with Child in the middle months THey are cough heart-beating fainting watching pain in the loyns and hips and bleeding 1. The cough is from a sharp vapor that comes to the jaws and rough artery from the ter●s or from a thin part of that blood gotten into the ●eins of the breast or falling from the head to the breast This endangers abortion and strength ●ails from watching therefore purge the h●mors that f●ll from the head to the breast with Rhubarb Agari●l● and strengthen the head as in a C●tarrh and giv●●●eet Lenitives as in 〈◊〉 Cough 2. Palpitation of he●●t and fainting is f●●m vapors that go to it by the ●rteries or f●om bl●●● that aboundeth and cānot get out at the womb but ascends and oppre●leth the heart Use Cordials as in Syncope inwardly and outwardly If it be from too much blood as in Plethory open a vein 3. Watching is from dry sharp vapors that trouble the animal Spirits Then use Frictions and wash the feet at bed-time and give Syrup of Poppies dried Roses Emulsions of sweet Almonds and white Poppy seeds 4. There is pain in the loyns and hipps from the weight of the child or from the terms stopt or growth
of the child that stretcheth the ligaments of the womb and parts adjacent if there be Plethory bleed If it be from weight of the child hold it up with swathing Bands about the neck 5. There is flux of blood at the womb nose o● Haemorrhoids from plenty or from the weakness of the child that takes it not in or from evil humors in the blood that stir up Nature to send it forth Also the vessels of the womb may be broken or torn by motion fall cough or trouble of mind This is dangerous of which Hippocrates saith The child cannot be well if it be from blood only there is less danger so it ●lows by the veins of the neck of the womb for it takes a●ay Plethory or take not nourishment from the child If it be from the weakness of the child that draws it not abortion often follows or hard travel or she goes beyond her time If it slow by the inward veins of the womb there is mo●e dang●r by the openness of the womb If it come f●om evil blood the danger is alike from Cacochymy which is like to fall upon both If th●r● be Plethory open a vein warily and use astringents As Take Pearls prepared a scruple 〈◊〉 Coral two s●ruples Mace Nutmeg ea●h a dram Cin●●mon hal● a dram make a Po●der or with Sugar R●u●s or give this Pouder in Broath T●k● red Coral a dram Pearl half a dram precious ston●● ea●h half a scruple red Sanders half a dram Bo●● a dram sealed Earth Tormentil roots e●ch two s●ruples with Sugar of Roses and Manus Christi 〈◊〉 Pearl six drams make a Pouder You may strengthen the child at the navel● I● there be Cacochymy alter the humo●s and if you may evacuate You may use Amulets in the hands and about the neck In flux of Haemorrhoids beware of the pain Let her d●ink hot Wine with a roasted Nutmeg Chap. 6. Of the Symptomes that are in the last months FIrst the urin is stopt from suppression of th● ne●k of the bladder Let her then lie d●wn● and let bladder be fomented with a Bag of P●llito●y Par●ley roots● M●llows Lineseed and the like o● use the C●theter 2. The belly is bound from a hot dry live●● when the child d●●ws all the moisture to it 〈◊〉 the guts Let her then use Moist●ers 〈◊〉 Butter M●llows Borage in Broaths or take Clysters in a small quantity 3 The veins appear in the hips and leggs a● varic●ns on●ly then keep them from walking● and let th●i●●eet be laid upon a stool 4. The l●ggs swell from ●erous blood but thi● goes away with the a●terbirth and is the signs 〈◊〉 a female child but if she cannot walk foment ●ith a Lye made of Vine branches and Wine or with a Decoction of Organ Penn●royal Chamomil Calamints Or Take Bean and Lupine flour each tw●●unces Tartar an ounce Pigeons dung half an ●unce with ●eeled water and juyce of Coleworts make a Pultis R●b and wash the feet with salt water in which Ch●momi● Organ and Dill were bo●led 5. The skin of the belly is cle●t with stretch●ng after the fourth month therefore use loosning Limments to keep off deformity as marrow of Veal and Sheeps legs Oyl of sweet Almonds Hens grease 6. The water gathered in time of being with ●hild between the membranes that hold the ●hild comes forth too soon because the membranes are broken by leaping or a con●usion This makes difficult birth for that water was to moisten the parts Therefore let her keep a good diet and strengthen the ●hild inwardly and outwardly Chap. 7. Of Weakness of the Child THis is either from weak seed or little nourishment or bad and causeth many diseases in the child To hinder abortion and death of the child know rightl● the weakness as Hippocrates saith They that will abort have first breasts that ●al away which i● from want of nourishment in the common vei●s of the womb and breasts Hipp●crates ●ath a se●ond sign● which is this● I● a W●man with Child hath much milk flowing from her breast her Child is weak 3. If the terms flow often the nourishment is taken from the child 4. A mother often and long being sick shews that her child is weak because her blood is not good and the bad humors with the blood go to nourish the child which makes him sick 5. When the mother hath a flux of the belly the child is weak 6. Whē it begins to move and is scarce felt it is weak If it be from these causes take them away and strengthen the child first ●eed the mother high with meats of good juyce and sweet Almonds steept in Honey Raisons Quinces outwardly thus Take Malmsey three pints dissolve it in oyl ●f Nutmeg● by expr●ssion half an ounce add pouder of Cloves Rue each half an ounce Rose Sage Mar●oram Penny●oyal water each a pint Aqua vitae three ounces Dip Spunges in it and apply them under the le●t breast to the arm-pits hams pulses soles of the feet and when they dry wet them again Chap. 8. Of Crying in the Womb. CHildren have somtimes cryed in the womb as Fabricius saith in his Epistle to his Brother James Fin●el and W●inridi●k of Monsters writes thus In this City of Bressa a child was heard to cry in the womb three daies before the travel when he was a man he was mis●rable with poverty and dis●as●s till he died Andreas Libavi●● writes the same and others Some sa● it portends evil to the Mother or Child or Countrey It is a v●ice by the expulsion of the air th●ou●h the ●ough arte●y and some air may in the c●vities from vapors or Spirits as in eggs when chickens pip in them And if the child have a rough artery lungs and breasts which are the organs of breathing ●ound and the child is strong there is no hinderance but it may utter a voice But somthing whatsoever it is must stir it to make this noise THE FOURTH BOOK THE THIRD PART THE SIXTH SECTION Of Symptoms that happen in Childbearing Chap. 1. Of Child-bearing in General WHEN the child can no longer be contained in so small a place being grown and requiring mo●e nourishment it ki●ks and b●eaks the membranes and Ligaments that h●ld it and th● womb by an expelling f●culty sends it forth with great straining● and this is called ●ravel It is either natur●l or not natural legitima●e or illigitimate The natural is when the child ●omes with the head forward and heels upwards with his hands and arms to his thighs and so the other parts easily follow then the Amnios is broken and the water that was laid up in time of being with child flows forth and moistens the passa●es then the child with more force breaks the Acetabula from which the Secundine is separated and the other membranes are broken and the blood flows into the cavity of the womb and the child gets out by the expulsive faculty with such force that
it seems to fall rather then be expelled and the bones of the privities must needs be divided That which follows the birth is above humane capa●ity namely the transmutation of the navel vessels and lungs and heart in the infant and why Nature ordered it of which Galen elegantl● in the 15. Book of the Use of Parts and 6. Chapter There is also a legitimate birth when it is acco●ding to the Law of Nature and an illegitimate when it is before or after the time Hippocra●es saith that a birth in the seventh month is vital and legitimate And it is sooner f●om the strength of the faculty and matter ●it for formation yet it is commonly weak except the ●eventh month be compleat Of the eighth month Hippocrates ●aith thus None live● that is born in the eighth month because i● cannot bear the two affliction● to follow but the reason of the Arithmeticians is better that say an even month is imper●ect The ninth and tenth month are the best as Hi●p●crate● ●aith A child is born in ten months at t●e f●rthest and so ●aies the wisest Salomon Some say that a child may ●e born in the eleventh month and Peter Apponensis was so born and some say they have been born in the fourteenth and fifteenth month but rare things are not to be counted the Law of Nature Generally Physitians agree with Hippocrates though some dissent Chap. 2. Of Abortion IT is the exclusion of a child not perfect nor living before legitimate time This time is defined by Hippocra●es Whosoever conceiveth doth it within seven daies but they are properly abortions that come before the seventh day and though some are in the fifth and sixth month that have lived y●t that must not d●rogate from the common Law of Nature Some differences of Abortion are from the time and bigness of the child For that which is cast out is little and round without distinction of members at first like a Grape Somtimes as long as a ●inger and members may be distinguished And somtimes the child is almost perfect The immediate Cause is the expulsive faculty sti●red up and that is done by three means from Galen from the weight bigne●s and pain There are more causes which we shal place in two Ranks The first is of the manner of the causes that provoke the expulsive faculty The other is that which ●indeth out these waies by all the causes The expulsive f●culty is first provoked by the child being weak either from evil seed or being dead The child is weak for want of food and from the mothers diseases either in her whole body or in the womb or parts adjacent that consent as Feavers Inflammations Fainting Convulsions Pain Vomiting Neesing Cough that move the Spirits and humors● and shake the child and stir up Nature to expel it Also straitness of the womb causeth Abortion by which means it cannot contain a great child Al●o shortness of the navel-vessels which Fabricius first observed The outward Causes are cold air after hot and moist which gets into the womb and provokes it and hu●ts the child The Astrologers add the malignant aspects of the Stars also too much or too little meat Great watchings purging and flux of blood by the womb and Haemorrhoids Also violent motion as leaping carrying of burdens strokes on the belly or ba●k Also passions as anger fear sorrow Also bleeding purging fasting ●mel of brims●one or ashes hoofs burnt or stink of the snu●● of a candle If the breasts be less or much milk flow from them or she feel much and often pain about th● belly or loyns that go to the Pubes and Os sac●um with a de●ire of thrusting forth in the womb If the child change its place and if it f●l lower when it was in the middle of the belly there is fear of miscarr●ing It is dangerous alwa●●s because it is with violence there are also great Symptoms they are in l●●s danger that have already brought forth a ●hild ●●●refore the ●irst is most danger●us and 〈◊〉 mou●●s of the vessels ar● to●n and they commonl● become barren Abortion is mo●t dange●o●s in the sixth seventh and eighth month be●●●se th● in●ant being ●●eater ●●useth greater pain and breaks the Ligaments worse To preserve from Abortion Consider the constitution before she is with child and prevent every cause If it be like to come from Plethory before Conception open a vein and after Conception in the fourth or ●i●th month in the arm I● it be from Cacochymy purge the whole body and purge the womb with Pessaries and streng●hen it of which in the cold and moist distemper of the Womb If she have conceived open a vein before the time she used to abort i● there Cacochymy purge gently at times If there be a cold distemper of body by flegm that hurts the womb give the d●coction of China or Sar●a with strengtheners of the child Avoid the external Causes of Abortion and if they have done hur● help it presently L●t n●t the belly be bound if the child be weak ●●move the causes of weakness and strengthen i●● Use things that strengthen the womb and child as Coral as Kermes-berries Or Take Magistery of Coral a dram Pearl p●●pared half a dram Ivory shaved a dram Ma●●i●● half a dram grains of Kermes a dram Manus ●●risti with Pearl two drams make a Pouder I● th● Abortion be at hand and the pains increase give this Pouder with a rear Eg Or Take Con●●r●● of red Roses two drams red Coral a●● Ma●●i●h ●●●h a scruple give i● presently Use the ●ounte●●es Oy●tment outwardly to the Loyns R●ins P●c●●n and Perinaeum Or Take Oyl of Roses Mirt●es Ma●●i●h Q●inces ea●● two ounces Oyl of Mints an ounce Bdellium 〈◊〉 in Vinegar liquid Storax each two ounces Oyl of Nutmegs by expression a dram with Wax make an Oyntment Of the same with Pitch Rosin Colophony you may make P●aisters Let her hold a Loadstone in her hand or tie it to her navel or wear an Eagle stone under her arm-pits or Coral Jaspar Smaragds Diamonds If these will not keep the child up you must give over A●●ringents and use Leni●ives Question Whether the straitness of the Womb is the Cause of Abortion Hippocrates 1. de morb saith That the Womb may cause Abortion if they be windy thic● great 〈◊〉 little and he shews in another place that Abortion may be from the straitn●ss of the womb And in another place he saith I● a woman in the third ●ourth or fifth m●nth mi●●arry often a●● at the s●me time it is because the womb wil not stretch And Galen confirms the same and i● st●nds to reason for natural birth is when the womb cannot contain the child for its growth Th●r●for● i● it be ●●eternaturally too little it i● the cause o● Mor●●on And though N●ture hath made the womb ●o hold the child yet i● i● be not made large enough it cannot ●●ntain
Argument of no force because the child hath its proper Soul and if it be wel it may live a while in the womb without bene●it from the mother as it doth when it is delivered But take heed it be not suffocated in the womb and keep the mothers mouth open and let the Midwi●e never move her hand from the privities till the Chirurgion have taken it out and you may know that the child is alive when the mother is dead by its leaping Charles Step●ens shews the way of taking out a dead child When a live child is cut out of the belly of a live mother it is done onely least the mother or child or both should die And this may be done and both preserved alive which is plainly demonstrated by Francis Rousset in his Book of this subject so that there is no doubt of it For first he shews the necessity of the operation and next the possibility of it shewing that the muscles of the belly the Peritonaeum and womb may be cut without hazard of life Thirdly he confirms by History what he proved by reason and shews that many wounds of the muscles in the lower belly Peritonaeum and womb have been cured Fourthly he propounds many more dangerous cases then the Caesarean Section which were not deadly in themselves And then he shews the manner of the operation and how it is to be done Therefore have recourse to his works if thou wilt learn it THE FOURTH BOOK THE SEVENTH SECTION Of the Government of Women in Child-bed of the Diseases that come after Travel Chap. 1 Of the Government of Women in Child-bed PRESENTLY after she is delivered labor to make the Afte●birth follow of which in the Chapter following then compose her in bed and give her good food Let the air be temperate rather hot then cold Let her beware of cold that it get not into the womb it will cause torments and inflammations If travel be hard anoynt the belly and ●ides with oyl of sweet Almonds Lillies and warm Wine Let her meat be of good juyce and easie concoction Hen broath and Chickens and Capons Kid Mutton Veal let her drink thin wine i● there be no feaver or Cinnamon boyled in water the first daies drunk warm Let there be no noise about her and let her not rise too soon avoid passions least the humors be stirred and ●●ll into some part If sh● cannot or wil not suckle her child turn the milk from the breasts by repellers under the Arm-pits as Unguent of Roses Cerot of Sande●s dissolved in vinegar and to the breasts apply a Cataplasm of Bean and Orobus flour with Oxymel or foment the breasts with the decocti●n of Mints Dill Smallage or lay the leaves bruised upon them Before she goes forth let her bath with a decoction of Lilly roots Elicampane Mug●o●t Agrimony Borage Rosemary Chamo●il flowers Staechas Faenugreek Lineseed Citron peels Chap. 2. Of the Secundine or Afterbirth or a Mole that is left after Child-bearing THese stick in the bottom of the womb or like a ball to another part the mouth of ●he womb being open or closed It is not safe to cut the A●●erbirth from the Navel till both be come forth therefore draw i● out without breaking of the Navel string this i● retained because it grows to the sides of the womb or is swollen by hard travel or because the Navel string is broken by the infants straining or from cold air got in or from a fright● or from her not having throws fit to exclude it● or because she is impatient and wil not continu● in a due posture The Midwife wil declare it and the purgation is not the belly swels there is a feaver and heaviness and pain in the belly there is a stink an● loathing from stinking vapors difficult breathing Suffocation and Convulsion Many die from the retaining of it if it canno● come forth when matter flows from the womb there is hope that they wil rot and come away in sixty daies First let the Midwife draw it gently with he● hand and use sneesing then burnt Partridge feathers to the nose and Goats hoofs as in th● suffocation of the womb Then use things that expel a dead child Di●tany oyl of wood Her●cleon after Preparatives Or Take Marjoram Chervil Pennyroyal each a handful Savin half a handful Anise and Fennel seed each half a dram Lovage and Parsley roots each three drams boyl them in water for thr●● draughts Or Take Dittany troches of Myrrh Borax each half a dram Saffron Castor each a scruple make a Pouder Or Take round Birthwort two scruples Myrrh a scruple make a Pouder give it in Wine Make Pessaries of Mugwort Mercury Sage Orris in pouder with oyl of Keir Or Take round Birthwort Savin Briony Ox gall and Hon●y and make a Pessary The stronger are of the Decoction of wild Cowcumber Coloquintida Staphisager Hellebore Honey and gall of an Ox. Fumes are made of Cassia lignea Nard Mugwort Savin Pennyroyal Dittany Or Take Mirrh Castor Galba●um each half a dram Opopanax Cinnamon each a dram with Honey make Troches for to be burnt Then ●oment the Belly with the Decoction of those Plants Or Take Lupine meal an ounce pouder of Wormwood half an ounce Mirrh Rue ●ach three drams with Ox gall and Honey make a C●taplasm If it come not forth give a Womb-clyster of the Decoction of Sage Mugwort Mercury Calamints Pennyroyal If all fail inject things to suppurate into the womb and let it be turned to matter and come out by degrees and inject strengtheners into the womb Of the Mole lef● after Childbearing You may know it by the signs of a Mole mentioned she hath no ease after travel there is pain in the navel back and groyns and much clotted blood comes away and yet she hath no ease● the Cure is mentioned before in the Mole Chap. 3. Of the Purgation after Childbearing diminished or detained THis is not alike in all women for in some women the blo●d is fresh in others it is waterish cholerick or melancholick And som● bleed more then others according to the constitution and Countrey It is either not at all o● too much or too little When they are stopt or lessened the vessels ar● too strait or the blood flows another way or i● is too thick or the vessels of the womb are pressed from its position the blood is drawn away by passions fear or goes hastily to the brea●●s The just quantity is not to be de●ined when it is stopt the belly swels the pain is in the b●ttom of the b●lly and groyns there is chilness and a feaver after it ●ainting weak swi●t unequal pulse there is ●oot● in the urin Somtimes the belly is inflamed or she voids blew or black clodds of blood It is bad of it self to have any thing left after Childbearing and worse if it staies long and grows melancholick therefore it is a cause
Wormw●●d S●uthernwood Bettony● Calamints Organ Chamomil flowers Anis●eds Rue Caraway as much as will s●rve for a Fomentation for the feet Chap. 9. Of Vomiting Loosness Belly bound and not holding of urin in women in Child-bed THey ●a●● up crude and i●dig●sted meat somtime● from weak●●●s of the stomach by consent from the womb or from the humors that 〈◊〉 to the ●●●mach from the parts near the womb when the after flux doth not ●low they somtimes vomit blood or when it is disordered For the blood not getting out goes to the great veins and liver and in its hollow part by plenty and sharp it opens the veins and it gets into the stomach Sometimes a vein is broken from hard travel the strength will ●ail and there will be no ma●●er to make milk of● if the food be vomited If other humors they may cause a feaver by their motion If blood be vomited from a vein of the liver broken or opened a Dropsie is to be feared therefore stop it whatsoever it be in this case If it be of the meat give that which will be easily digested that oppress not the stomach which must be strengthened If bad humors are vomited up stop it not so soon but ●lense with gentle Medicines and ●pen the way by stool In vomiting of blood make Revulsion to the lower parts by rubbing cupping them or bleeding in the ham or ankle and provoke the after-flux The flux of the belly is dangerous if it be great for it weakneth and threatneth to bring a Dysentery or Tenesmus● or Needing Nor is it safe to stop it presently least you stop the after-flux with it If it be from food not well concocted let her keep a better diet and let the stomach be strengthened outwardly If this will not do give internal remedies so that they help the stomach● and hurt not the womb as the Decoction of Ba●ley Syrup and Honey of Roses Give Clysters ●lso to temper the sharp humors● and ●len●e Or give Syrup of Roses Pulp ●f Tama●inds or Rhuba●b And A●●ingents of Roses Pl●ntan● Torment●l Quinces Coral and the like If they be wholly stopt the belly must not be bound But first give Rhubarb and Astringents outwardly and provokers of Terms Also the belly is bound in women in childbed then give a Suppository of Soap or Honey and after four or five daies give emollient Clysters and Manna or Ca●●ia If they cannot hold their urin after hard travel use a Bath of Bettony Sage Bayes Rosemary● Pennyroyal Organ Stoechas and presently after anoint with this Take ●at Puppy-dogs ●oyled in Oyl of Worms Lillies and Foxes till the flesh fall from the bones then take the Fat and add Frankincense Stora● calamite Benzoin Opopanax Mace each a dram Oyl of Nutmegs by expression ●alf a dram with Goose grease and Wax make an Oyntment Chap. 10. Of the Wrinkles of the Belly after Child-bearing and mending of the largeness of the Privities AFter the ●ourth month Women prevent wrinkles by carrying a clout upon the belly● dipt in Oyl of sweet Almonds Jesamine Oyl of Lillies to loosen the skin that it may stretch better without cle●●s If the belly be alreadly wrinkled Take Sheeps 〈◊〉 Goats ●●et Oyl of sweet Almonds each an ounce Sperma C●●● two drams with Wax make an O●ntment After the flux is past● add O●l of 〈◊〉 or R●s●s or make Aeti●s his Cataplasm Chap. 11. Of Feavers and acute diseases in Women in child-bed THey have oftē cōtinual Fevers The ●●●st is th Feaver of milk about the fourth or third day from the motion of the blood from the womb to the breasts it is not of many daies and continuance and is not dangerous But take heed you mistake not a putrid ●eaver for a milk-●eaver for labour and pain somtimes inflame the humors and cause putr●●action and though the Symptomes appear not the next day after delivery yet there may be the beginning of putre●action from the heat of the humors in ●ravel● especially if the after-flux be stopt from which time you must count the beginning of the diseases For a feaver cannot be long concealed nor the motion from travel last long therefore it is probable the motion is ceased and the ●eaver comes of another cause which I shal decla●e presently They are the sto●page of the after-flux or the diminishing of it or the ●oul humors that were gathered in the time of being with ch●ld and stirred ●n travel Too great purging of the af●e●blood or Lochia signifies Cacochymy or a Feaver that will come long after travel If the Lochia ●low not in due time or be stopt then the blood and ●oul humo●s go back to the great veins and liver and make a putrid Feaver or inflame those parts A Feaver from milk comes the fourth day and t●ere is heaviness ●f back and shoulders and the Lochia flow wel if not there is the sign of a ●●ver If the humors putri●ie in the womb● there is ●oul stinking matter voided the belly is swollen and is pained when touch● If the feaver be not from milk and the Lochia ●low it comes from bad humors especially if when she was big with child● she kept not a good diet A Feaver from milk is without danger and ceaseth the eighth or tenth day that which comes from suppression of the Lochia or after-flux is dangerous and often deadly except there follow a flux of the belly If black stinking matter ●low from the womb they escape If the feaver come from a Cacochymy before Delivery it is worse because it argues much humors which Nature cannot discharge by the after-flux and the strength is dejected by hard travel A Feaver from milk requires only good diet and sweating must not be hindered for it cures That which is from stoppage or diminishing of the Lochia must be cured by provoking the after-flux or by another evacuatiō instead of it as purging bleeding in the ●oot to provoke the flux or by ●carifying of the thighs and legs after cupping while the time is that the after flux should ●e not afterwards For if that time be past if ●●rength permit open a vein in the arm bleed plentifully For purging some purge them in a Pleurisie after the seventh day but beware by reason of the weakness after travel and because Purges may hinder the after flux which is dangerous it is good to evacuate onely by the womb but if the flux of blood cease and Nature would pu●ge somthing from the womb you may give a gentle Purge of Rhubarb Cassia Manna Syrup of Roses Senna Alterers are thus to be ordered Avoid too cold and sharp things le●t the evacuation by the womb should de di●●urbed by cold things Let it be thin the first daies of lying in then thicker and so increasing take heed of too much drink especially of cold drink Question What Veins are to be opened in women that lie in and have a Pleurisie They
have Symptomatical ●eavers also from in●●ammation of the Pleura Jaws or Liver because some of the ●oul humors are sent to some private part and makes an inflamation to which the ●eaver is joyned and the causes are as before mentioned If there be a Pleuri●ie she is in great danger The question is whether she must bleed above or below I say thus First this ●eaver is not properly Symptomatical but primary and hath the inflammation its associate while Nature sends part of the matter to the Pleura or other part Secondly note that Nature is in an er●or while she sends the vitious humors which she should expel by the womb to the Pleura Thirdly note that the vitious mo●ion of Nature is not to be helped therefore which should be done if you should presently open a vein in the arm but the blood is to be voided by the womb which is Natures way Fourthly i● the Pleuri●ie be not abated by o●ening a vein in the a●kle for revulsion but the Symp●oms continue or increase you must not continue to open the veins beneath because they evacuate not from the part affected which is ne●ess●ry in such a dangerous disease It is a sign that the matter is fastned to the part that it cannot again be brought to the womb by revulsion Therefore then you may open a vein in the arm on the same side to evacuate and derive the blood from the part or there about or she will be in danger of death And fear not that Nature will be taken from her ordinary motion towards the womb thereby for the vein that was opened in the foot prevented that and if you fear any danger you may prevent it by Frictions and cupping of the leggs while you let blood in the arm And you may give Clysters that may cause the humors moving upwards to come down and loosen the passages of the womb that blood may flow out the better As Take Pellitory of the Wall Mallows Althaea red Coleworts each a handful Chamomil●●owers half a handful Faenugreek and Linseed each half an ounce boyl them in Water to a pint strained add lenitive Electuary an ounce Diacatholicon or Cassia half an ounce Oyl of Violets two ounces make a Clyster If the Feaver abate and the time of the flux of the Lochia be past give a gentle Purge Cure the rest as an ordinary Pleurisie onely take heed that while the after-flux lasts you give no binding Medicine Also she may have a Quinzie while she lies in while the vitious matter flows to the jaws The ●ure of which bleeding is to be done as in the Pleuris●e but the rest is to be done as in the Quin●●ie And if the Liver be inflamed by the motion of the humors to it you must bleed as in the Pleurisie and Quinzie Yet it is not so needful in the arm as in the Pleuri●ie by reason of the greater distance of the Liver from the arm for the Pleura and the breast are nearer and consent more with the arms but the vein in the leg● is near to the hollow vein as the distribution of the upper veins to the arms The rest of the Cure of the inflammation ●f the Liver is in Lib. 3. onely observe that you must not use too great Coolers or Binders in women in Child-bed but things that are of thin parts least the flux called Lochia or after-blood should be stopped THE FOURTH BOOK THE THIRD PART Of the Diseases of Womens Breasts THE FIRST SECTION Of Diseases of the Breasts Chap. 1. Of the increased number of Breasts and gr●atness extraordinary THOUGH Nature hath ordained two in all women yet some have Breasts like men others have had two on each side that had milk The figure of the Breasts is round pointed at the nipple a little it ought not to be soft nor hard and of an indifferent bigness and it is better they be indifferent though th●y hold not so much milk least they be subject to C●n●ers and in●lammations and when they are too big they have not a temperate heat The Causes of over-great Breasts is much blood and the ●●●ength of heat attracting and ●onco●ting it these are remote causes but the immedi●te cause is the la●geness of the passages and loosness which is in the first conformation and furthered by idl●ness much sleep and few terms and often handling of the Breasts by whi●h the blood and the heat is drawn to the Breasts It is easier to keep them from growing great then to abate them when too big with good diet and Topicks that repel by cooling and binding and drying As Take Mirtle leaves● Horstayl Plantane Mints red Roses each a handful Pomegranate flowers two pugil● boyl them in red Wine and Vinegar and with a Spunge apply it to the breasts● and let it dry or apply Hemlo●k bruised with Vinegar Or Take pouder of Com●r●●roots two drams Pom●granate flowers red R●●●s Frankincense Mastich each half an ounce ●●●ley ●●our red Oakre each an ounce and half with Rose-wat●● the white of an E● and ● little Vineg●r make a Cataplasme These may be laid to the Breasts and under the arm-pi●s to astringe the vessels and hinder the blood from flowing to them Hemlock Henbane and other Narcoticks are forbidden because they weaken the natural heat and hinder the breeding of milk Dryers and Discussers are good in women t●at have great Breasts after weaning to consume the moisture As Take Bean and Orobus meal each tw● ounces and half Com●rey roots in pouder half an ounce Mints three drams Wormwood Chamomil fl●wers an● Roses ea●h two drams boyl and add two ounces of Oyl of Mastich make a Cata●lasme The Breasts are too little when the flux of blood to the Breasts is hindered diminished intercepted revelled or turned another way or when the blood is not drawn by the Breasts as in a dry Liver-famine much labour or in watchings feavers and other diseases that consume the body The same is when the radical moisture of the Breasts is con●umed You must remove the cause that breeds it and ●●ten friction wil attract blood and foment with warm water in which Emollients have been boyl●d with white Wine and then anoint with Oyl of sweet Almonds or of Indian-nuts Loosness of the Breasts is cured by astringents Chap. 2. Of Swelling of the Breasts with Milk VVHen the milk carrying veins are too full the Breasts swell all over or in ●a●● and are pained by stretching and red Som●●●es the milk congeal●th and is a hard Tu●●● ●h● cause is abundance of milk or blood that ●●kes it or the weakness of the child that cannot ●u●k o● because he is weaned I● o●t●n ●●●seth without remedies Somtimes 〈◊〉 is an in●●●mmation or the milk hardens to a 〈◊〉 You must hinder the breeding of much milk of which hereafter and consume that which is bred in women that give suck the child will draw them or a Puppy Or use a Glass to su●k with they which wil not give
the orisice and take away the Callus and heal it as an ordinary ulcer Chap. 9. Of straitness of the passages of the Breasts VVHen the veins and arteries are not wide enough to contain blood to be turned there is no milk They are stopt by thick humors as the vessels of the womb are the cause is the stoppage of the terms or hard tumors in the Breasts that stop or press When the nip●le hath no hole for the child to suck it is from the birth or a wound or ●●ar after an ulcer There is little milk and the Breasts pine If the Breasts swell and milk cannot be suckt out the fault is in the papps or the veins of milk An obstruction from gross humors may be cured If it be from a Scirrhus or Scar after an ulcer it is incurable and so is the nipple born without a hole If it be from thick 〈◊〉 or blood atten●ate it with proper things as Fennel Dill P●rsley Aniseeds Pease Rocke● feed or Earth-worms made into Cataplasms o● Fomentations Often rubbing of the Breasts opens the milk-ve●s Chap. 10. Of strange things bred in the Breasts HAirs stones and worms have been found in the Breasts A worm breeds from put●id blood and is like a hair the same may be in the back and navel as I shewed And a good Author writes● that a woman pained in her breasts could not ●e e●●ed till im●osthu●nes broke and wor●s c●me forth Levinus Lemnius ●●w stones that grew in the Breast Chap. 11. Of the Diseases of the Nipples THey are either wan●in● or lie hid one or both● which hinders giving suck If it be from the birth it is searce cured as also when the Nipple is eaten off by an ulcer When they come forth first use a sucking instrument and then apply Puppy-dogs to suck If there be no hole from birth or ulcer healed it is incurable i● it be a little often sucking will enlarge it The cle●ts in the Nipples is an usual evil and causeth great pain in Nurses and if it continue long it turns to foul ulcers and they cannot give ●●ck To prevent this evil in the two last months of being with child wear two cups of wax over the Nipples with a little Rosin They are cured thus with Oyl of Wax Mir●les Oyntment of Lead Tutty Or Take Tut●y prepare● a scruple Allum ●alf a dram Camp●●ire six grains with Capons grease and Oyntment of R●●●s make an Oyntment Or Take Pomatum an ounce and half Mastich a ●●●uple pouder of Gum ●r●ganth and red Roses ●●ch half a scruple Or Take Oyntment of Lead Pomatum each half an ●●nce Frankincense Bole each half a scruple mix them When the in●ant is to suck wash the Breasts ●●rst with whit● Wine and Rose-water That the child may suck without pain to the ●oman let her have a Tin or ●●lver Nipple and ●●ver it with the pap of a new killed Cow and let the child suck that THE FOURTH BOOK THE THIRD PART THE SECOND SECTION Of the Symptoms of the Breasts Chap. 1. Of want of Milk and not giving of suck THERE are many C●uses of want of milk either there is little blood to breed it or the milk making faculty in the breast that makes milk is not right or the instruments for blood-making are distempered Somtimes the matter is consumed by a s●aver or fasting when they loath meat or from care or labour evacuations sweats or loose belly Or from weakness of the infant that cannot draw hard Also sadness fear and the like may hinder blood from flowing to the breasts Milk is wanting when the breasts are flaggie and swell not and little milk is sucked out The signs of the causes thus If it be from the liver there will be signs of its distemper if from great eva●uation that is known the fault is known to be in the breasts if as oft as they lie in they have no milk and the breasts are ●●●al and wrinkled or if Medicines to keep down the breasts have been applied she will tell you or if it be from weakness of the child or passions of mind The inconvenience is little to the Nurse but g●eat to the child therefore get another Nurse or ●ure her To breed milk give t●●ngs that breed much and good blood of easie concoction Medicines to b●eed milk are Fennel roots and all green and thin●s that heat and are not very dry which a●e few but in●inite are they that hinder milk as things hot and dry and cold things These increase milk roots of Smallage seeds of Parsl●y Dill Basil Anise Rocket Earth-worms washt in juyce of Fennel and d●ied or burnt in a pot a dram or two fasting for some mornings or Cr●st●l or Milk-stone a dram Compounds are Take green Fennel Parsley each a handful Barley two pugils red Pease half an ounce boyl them and with Sugar swee●en them or in Chi●ken broath Or Take green Fennel six drams Barley two pugils boyl them in broath and strain them Or Take Fennel seed six drams Anise a dram and half Rocket seed half a dram give a dram or two in Broath Or Take Cows Udder sliced dry it in an Oven and pouder it Take half a pound of it Anise Fennel seed each an ounce Cummin seed two ounces Sugar four ounces make a Pouder Hot Fomentations open the breast and attract blood as the Decoction of Fennel Smallage or stampt Mints applied Or Take Fennel and Parsley green each a handful boyl and stamp them a●●arley meal half an ounce Gith seed a dram Storax calamite two drams Oyl of Lillies two ounces make a Pultis A Dropax and Synapisme or Plaister of Mustard are good if often changed Chap. 2. Of too much Milk THis is when much blood flows to the breasts and the mother will not give suck or weans the child for the infant cannot suck it as fast as it breeds when there is much blood and good breasts that can make Milk If Milk be kept and cannot be su●ked out by the child there are swellings inflammations pains curdlings and corruption Children that suck much if they be full bodied have a Convulsion The fi●st coming of Milk is not to be stopt but when there is more then the child can suck it is abated with a slender diet of little nourishment as Barley Pot-herbs water By letting blood or cupping or by Repellers to the veins under the arms above the breasts Mints Calamints Smallage Agnus castus Coriander Hemlock to abate Milk Mints and Smallage are doubted Compounds Take Smallage Mints Mallows each a handful Faenugre●k Cummin seed each half an ounce Chamo●il Melilot flowers each a pugil boyl them and foment add a little Wine or make a Pultis of them with Bean flour and Oxy●el Or Take Cummin seed boyl i● in Vinegar and with a Spunge foment They which will not give suck let them foment with this Decoction Take Mallow● ●ays Fennel
the sharp bones whence is great pain watching and inflamation of gums feaver loosness and convulsions especially when they breed their eye-teeth First it is known by the usual time as the ●eginning of the seventh month Also they put their ●ingers in their mouths to allay pain 3. They hold the nipple faster then before 4. The gum is white where the tooth begins to come and there are divers Symptomes mentioned before The feaver that follows breeding of teeth comes from cholerick humors inflamed by watching pain and heat The longer teeth are breeding the greater the danger so that many die of feavers or convulsions They are best that have their belly loose These have no convuision a feaver consumes the humo●s Hard breeding of teeth is from thickness of the gums therefore molli●ie and loosen them rub them with the finger dipt in Butter and Honey or a Virgin Wax Candle is to be chewed upon Or anoint with ●ucilage of Quinces made with Mallow water or with the brains of a Hare Foment the cheek with the Decoction of Althaea and Chamomil flowers and Dill or with juyce of Mallows and f●esh Butter If the gu●s are inflamed add juyce of Nightshade and Lettice Let the Nurse keep a temperate diet inclining to cold as Barley broaths or Watergrewel rear Eggs Prunes Lettice Endive Avoid sal● sharp biting and peppered meats and Wine Chap. 15. Of Loosing of the Tongue and of the Frog WHen the tongue is tied they cannot freely suck This must be done by skilful Artists or use this Liniment Take clarified Honey and boyl it gently till it may be poudered Then Take yolks of hard Eggs dried in a glass in an Oven till they may be poudered a dram ●rankincense and Mastich each a scruple burnt Allum six grains with Honey of Roses make a Liniment The Frog is when the veins under the tongue are filled with bad blood and if flegm sweat out and stick in the passages there is a tumor like Mushrooms which causeth stamering It is cured thus Take Cuttlebone Sal gem Pepper each a dram burnt Spunge three drams make a Pouder or with Honey a Liniment rub under the tongue Lay under the chin a Plaister of goose dung and Honey boyled in Wine till the Wine be consumed Chap. 16. Of Catarrh Cough and difficult Breathing WEE have spoken of these before but because Hippocrates reckons them in Childrens diseases I shall touch upon them The general Cause of a Catarrh in a child is a moist brain and much milk that burdens the stomach from whence many vapors fil the brain and if the brain be full of excrements it is easily dissolved or melted either by heat or cold and goes to the nose ●●ws or lungs which cause a cough or Asthma Moreover much food makes crudities in the first passages and flegmatick blood is bred of crudity and thick chyle in the liver This is sent by the ar●erial vein into the lungs and pr●ssing the Bronchia or pipes of the lungs causeth difficult breathing and Asthma It is known to be from a hot humor if it be thin they often neese the face is red and the jaws the breath is short and the Nurse ●inds it in her nipples If difficulty of breathing come from the head there will be a cough and snorting in breathing and a noise in the lungs when the air passeth not freely through them If it come from the parts below there is neither C●tarrh nor cough but hardness about the Liver and a tumor In children a great Catarrh with short breath is hard to be cured because they cannot take Physick First let it and the Nurse keep a good diet fil not the stomach with milk nor other diet but let the Nurse forbear sharp salt peppered ●our things and things that fill the head with vapors And give her a Pectoral Decoction Take Figs ●ujubes each ten Sebestens thirty Raisons stoned ●en drams Liquorish two drams Maidenhair Hysop Violets each half an ounce boyl them in three pints of Water to the consumption of the third part Let her take six ounces every morning Keep the belly open with Syrup of Roses or Cassia or a Clyster with oyl of sweet Almonds with Sugar candy or juyce of Fennel with Milk or hold down the tongue and provoke Vomiting Give Syrup of Jujubes Maidenhair If the matter be thick give Syrup of Hysop or Horehound or an Emulsion of oyl of sweet Almonds Pine-nuts Scabious water Or give a Lohoch of Diaireos Diatragacanth frigid Pe●idies with Syrup of Jujubes If it be hot give Emulsions of the ●our great cold Seeds with Mallows Pellitory with Diatragacanth frigid To dry up the matter lay outwardly a stuph of Hemp hot and sprinkled with pouder of red Roses and Frankincense Apply Basil and Marjoram to the nose to make it sneese Chap. 17. Of the Hickets IT comes from corruption of the food in the stomach or from milk ●illing it or from cold 〈◊〉 these hurt the expulsive faculty and it is ●●●rred up to expel what is hurtful If i● come from re●letion of milk the belly swells and there is vomiting after If from corruption of milk the Nurse hath bad milk the child cries and is pained and the excrements s●n●●l of stinking milk Hi●kets is commonly not dangerous in children and cease when the cause is taken away I● it be from a vehement cause and goes to the nerves there follows a Convulsion or Epilepsie and death That from corruption of nourishment is cured by vomit with a feather dipt in Oyl to tickle the throat then strengthen the stomach with hot things As Syrup of Mints Bettony and soment it with Decoction of Mints Organ Wo●mwood then anoint with Oyl of Mints Mastich Dill. Or Take Mastich an ounce Frankincense Dill seed each two drams Cummin seed a dram with juyce of Mints and Flax apply them to the stomach There is a disease like the Hi●kets in children from anger or grief when the Spirits are much sti●red and run from the heart to the Diaphragma forceably and hinder or stop the breath Somtimes they have a shril voice the Spirits suddenly breaking forth but when the passion ceaseth this Symptom ceaseth Chap. 18. Of Vomiting IT is from too much milk or bad milk or f●om fl●gm that fals from the head to the stomach but this is seldom in children It is of●en from a moist loose stomach for as driness retains so loosness le ts go If it be from much milk they are better after vomiting If it be from corruption of milk that which is vomited is yellow green or otherwise ill coloured and stinking worms are known by their signs It is for the most part without danger in children and they that vomit from their birth are the lustiest for the stomach being not used to meat and milk being taken too much oftentimes crudities are easily bred or the milk is corrupted and it is
neither heat nor redness● and it lasts longer then an inflammation If the navel was not wel cu● there wil be too great a quantity if the Peritonaeum be not broken but loose the navel starts not much out and is not greater by crying if it be broken the tu●or scarce appears when he lies upon his back but it increaseth by crying or walking If the Midwi●e did not cut the navel wel it is more troublesom then dangerous If it be too large or ulcerated at first it is easily cured but afterwards it may cause a deadly ilia●k passion when the guts that fall in are inflamed When the Peritonaeum is loose wind stretcheth the navel then use a Cataplasm of Cummin Bayberries and Lupines poudered in ●ed Wine or a Bag of Cummin and Spike boyled i● red Wine Then lay on an astringent and roul it If the Peritonaeum be broken first put in the gut then bind it close after you have laid on astringent Pouders Or Take pouder of ●ypressnuts Frankincens● Mi●●l● Mastich Sarcocol All●m ●●inglass each a dr●m with the whites of Egs make a Pultis and give Medi●ines against Ruptures Chap. 26. Of Inflammation of the Navel IT is from pain when it is hot well tied that draws blood to it There is redness hardness heat and beating If it turns to an impo●t●um● and breaks the gu●s come forth and the child usually dies First abate pain Take Ma●●ows boyled and stampt two ounces Barley meal half an ounce Lupines Fen●gree●● ea●h two dram●● with Oyl o● Rose●●●ke a Cataplasm To repel Blood Tak● Fra●kincense a dram Acacia Fleaban● seed e●ch half a dram with the white of an Eg mak● a Cataplasm 〈◊〉 Suppuration as much as may be but i● it doth suppurate Take Turpenti●e half an ounce the yol● of an Eg● and Oyl of Roses two ounces Chap. 27. Of Falling out of the Fundament VVHen the muscle tha●●huts the Ars●-hol● is loose the fundament comes f●rth the cause is moisture of the muscles afte● a flux or straining at stool in Tenesmus or Needing or when the belly is bound The ●eople will tell you the causes and you may see it It is easily cured when it is from straning at stool if it have not been long out If it be from great store of moisture it is hard to be cured especially if there be a loosness of the belly for then Medicines cannot lie on First put it up if it be swollen foment it with the decoction of Mallows and Althaea or anoint with Oyl of Lillies● then keep it in with astringents As Take ●●d Roses Pomegrana●e peels and flowers Cypress nuts each half an ounce Sumach Frankincense Mastich each two drams● boyl them in red Wine foment with a Spunge then sprinkle on this Pouder Take red Roses and Pomegrana●e flowers each half a dram Frankincense Mastich each a dram lay it upon a clout and put it to the Fundament● See Lib. 3. Part 2. Sect. 1. c. 6. Chap. 28. Of the Stone in the Bladder THe stone in the bladder is usual in infants as that of the kidnies is in elder people How it is cured we shewed before● In infants it is from gross unclean milk made of tough meats this too much taken in causeth crudities sit to breed the stone ●r pap of Barley meal and milk may cause it There is al●o a weakne●s in the liver and stomach when they do not separate unprofitable food but much earthy juyce remains in the chyle that breeds stones Also a ho● distemper in the reins by which the chyle is drawn to the bladder and if there be a native hereditary disposition to breed the stone an earthy part is in the humor which makes the urine thick● this is in bigger Boys more then in infants They piss by drops with itching and pain the Urin is stopt often and tha● which is pissed is like cleer wa●er white or like milk or whey somtimes blood is pissed and the yard often stands It increaseth dayly i● it be not opposed and cannot be cured without cutting which is dangerous for yong or old Prevent the breeding of it when you see the least disposition to it Let the belly be alwaies kept loose and the Nurse eat no gross slimy food make a bath of the decoction of Althaea Mallows Pellitory Parsley Dill Faenugreek Lineseed then anoint the bladder with Althaea oyl of Lillies and Scorpions and apply a Cataplasm o● Pellitory boyled with oyl of Lillies A Pouder Take Magistery of Crabs eyes white Amber Goats blood prepared each a scruple with Parsley water give it often Or give two drops of spirit o● Vitriol with half a dram of Cypress Turpentine Chap. 29. Of Difficulty and Stoppage of Urin. THere are many causes in ripe age that are mentioned but in Infants they are chiefly two causes the thick humor that breeds the stone that makes a strangury and dysury and the Stone that stops the bladder It is voided by drops and the child cries and the urin is thick you may try with the Catheter if there be a Stone If it be not presently cured it turns to the Stone and all natural evacuation in Children being stopt is dangerous It is as in the Stone you must evacuate humors from the first passages with Hon●y of Roses Cassia Turpentine foment and anoint as before with Grass water Restharrow Dropwort watter and decoction of red Pease Or Take the blood of an Hare an ounce Saxi●●●ge roots six drams cal●ine them give from 〈◊〉 scruple to half a dram with white Wine or Saxi●●age water Chap. 30. Of not holding the Urin. SOm●●piss no● o●●y in their sleep but alwaies because the muscle that should close the orifice of the bladder is weak and when much water pricks it it suffers it to come forth sometimes a Stone in the bladder hurts the Sphincter so that it cannot do its duty The cause of weakness is a cold humor and moist from gross ●ough meats from gluttony and the like It cannot b● known i● Infants but i● may in elder children that ●now they ought not piss abed If it come by custome it turns to an habit or a disease and is hard to be cured in ripe years if it be from distemper it is easie to be cured Alter the cold and moist distemper dry and consume the flegm let the Nurse have a hot drying diet with Sage Hysop Marjoram let not the child drink much keep the belly Outwardly a●o●●t the region of the bladder with oyl of Costus Orris and other driers make a bath o● Sulphur Allum and Oak leaves o●luse Sulphur or All●m baths give this pouder Take Hogs bladders burnt roasted stones of a Hare Cocks throats roasted● each half a dram Acrons two scruples Nip Mace each a scruple give half a dram with Oak leaves water see Lib. 3. Part 8. Sect. 2. c. 6. Chap. 31. Of cha●ing in the Hips called
o● Spunge put into the womb dipt in s●arp ●●ne o● j●yce of Acacia with pouder o● Sa●guis Draconis Bole Masti●h or the Counte●ies Oynt●ent with Galbanum and Bdellium Apply a Cupping-glass with great flame under the navel or paps or to both kidnies and lay this Plaister to the back Take Opopanax two ounces Storax liquid half an ounce Frankincense Mastich Pitch Bole each two drams with wax ma●e a Plaister Or Take Labdanum a dram and half Frankincense M●stich each half a dram wood Aloes Cloves Spik● ea●h a dram Ash coloured Ambergr●ece four gr●i●● Mu●k half ● s●ruple make two r●und Plaister● 〈◊〉 be laid on eac● side the Navel Make a Fume of a Snail ski● falt●d or of Garli●k and let it be taken in by a ●unnel Use a●tringen●●omentations of ●ramble leaves Pla●tane Horstail Mirtles each two handfuls Wormwood two pugils Pomegranate flowers half an ounce bo l them in wine and water Or inject this with a Syringe Take Coms●ey roots an ounce Snakeweed Pomegranate flowers each half an ounce Rup●●rewort two drams Yarrow Mugwort each half an ounce boyl them in red Wine Then use Sulphur Baths To strengthen the Womb Take Harts-born● Bayes ●ach a dram Mirrh hal● a dram make a B●ud●r for two dos●s give it with sharp wine Or Take Zedoary P●rsnep se●ds Crabs e●es prepared ●ach a dram N●●m●g half a dram give a dram in p●uder but use astringents warily lest you stop the courses and cause worse mischief I● it fall out from ●●il h●mors that flow to the womb and loosen the lig●unents purge the body and then ●se dryers as the decoction of China Sarsa and Guajacum To keep it in its place make Roulers and ligatures as for the Rupture and use Pessaries into the bottom of the womb that may force it to remain of which Fran●is Rousset hath writ●en at large and shews that they neither hinder conception nor bring any inconvenience nay that they help conception and retain it and cure this disease perfectly And Gaspar Bau●inus confirms the same in his Appendix to Rousset You may use Circles or Balls instead of Pessaries As Take roots of wild Vine make round Circles or Balls of them greater or less as the Neck of the womb is Then Take Virgin● wax melted with white Rosin or Turpentine dip the b●lls in till they are fit put one into the neck of the womb that will hold in being just fit let it n●t be t●ken out till it fall out and then put in another if she be not ●●red If it gangrene and sphacelate cut it quite off if she fear cutting take it off by ligature of which Rousset who shews the way and saies that it may be cut off without danger of life He tells also of the place where you must cut and in Sect. 4. de partu Caesareo where the ligature is to be made Let the diet be drying and astringent and glewing as Rice Starch Quinces Pears green Cheese Avoid Summer fruits let the Wine be astringent and red The Cure of the inclining of the Womb. When it inclines to the side after Universals apply Cupping-glasses to the other side and let her still lie on the other side and let the Midwife anoint her singer with Oyl of sweet Almonds and draw it a little by degrees to the other side Chap. 17. Of the Rupture of the Womb. FEw Physitians have seen this I never read of any but once I saw it of which in my institutions lib. 2. p●rt 1. cap. 9. Chap. 18. Of Wounds and breaking of the Womb. IT is seldom wound●d by reason of the divers defences it ●●th but somtimes the ●hirurgions wound it in cutting out of the child of which Hollerius inter rara no. 8. he speaks of a Woman with child in Paris that her childs hand put forth at the n●vel and was so in travel fifteen daies and both child and mother were safe It is evident if it be made by the Chirurgion in cu●●ing out of a child and you may know i● by the place if it come otherwise There is blood and matter that flows out at the neck of the womb There is more pain when it is in the ne●● of the womb then when it is in the bottom These wounds are cured as appears by the Caesarean birth or cutting but they are dangerous by reaso● of the strange Symptoms and the consent of the parts Use Consolidaters or Heale●s and if there be pain Anodynes or Pessaries made of Wax candles dipt in Wound-oyntments Or Take Wax Turpen●ine Goose gre●se Bu●●er each a dram Honey Deer's marrow Oyl o● R●s● Bulls grease each two drams Or Take Fra●● kincense Mastich ●eruss Galba●●um each half an ounce mix them all with white ●ine then ●d Po●ph●lix an ounce and wi●h Wax and Oyl of Rose● make an Oyntment Make I●j●ctions or Clysters for the wo●b of the Decoction of round Birthwort Cypr●ss boyled in steeled Water and sharp Wi●e with a little Hydromel Agrimony Mugwo●t Plantane Roses S●haenanth Ho●ehound Chap. 19. Of Ulcers and rottenness of the Womb. THough the neck of the womb be only s●bj●ct to ulcers as we shewed yet the substance of womb hath been ulcerated and it hath been observed to rot when it hath fallen ●ut and to fall away * As we said of a Woman at A●inion that after lived some time And the Examples of Rousset shew that it may be safely cut off Also a ●hild dead in the womb● may cause an ulcer as divers Histories witness in Albucasis and Alexander Benedictus Maurici●s Cord●●us and many others How th●se ulcers and rottenness of the womb are cured is said in Sect. 1. cap. 8. where we sp●ke of Ulcers of the ne●k of the Womb and Cap. 10. of Fi●●ulaes of the Womb. Chap. 20. Of the Diseases of the Stones and Vessels of Procreation in Women IT is appar●nt by Hi●tories w●itten by grave and lea●ned M●n that the sto●es of women and there seed-vessels are many times grievously distempered when the womb joyned to them is not Somtimes water is gathered about the stones as Gaspar Bauhinus John Schenkius write and he hath another History Lib. Obser 3 from John Heintz of a Maid that desired a little before she died that her body might be opened to testifie her innocency In which besides other things remarkabl● the stones were found swollen as big as a head of a young child blewish and spungie much water came out of them and that made her belly swel and she taken to be with child bu● the truth appeared and her chastity testified THE FOURTH BOOK THE SECOND PART Of the Symptoms in the Womb and from the Womb. Chap. 1. Of weakness of the Womb. THERE are many Symptomes from the womb Of those in the womb the first is weakness so that it cannot perform its actions The action of the womb is twofold private and publick By its private action it ●akes it nourishment of blood that comes to it