her Food being rather roasted than boyl'd and must refrain from Copulation and must not be strait Laced If the lips of the Privities are much swelled by reason of watery humours falling upon them you must scarifie with a Lancet all along the Lips that the humours may distil out and you must foment the Parts with the following Decoction Take of the leaves of Bays Sage Rosemary and of the Flowers of Camomile each one handful boyl them in a Sufficient quantity of Fountain water to a pint and half of the strain'd Liquor add a quarter of a pint of Brandy and bath the parts affected often with a Spunge dipt in the hot Liquor CHAP. XX. Of Miscarriage TO prevent Miscarriage all indispositions of the Body which are wont to occasion it must be removed as fulness of Blood ill humours and peculiar Diseases of the VVomb as Swellings Ulcers and the like Fulness of Blood opens the Veins of the VVomb or Strangles the Infant and therefore the VVoman must be Blooded and so much Blood must be taken away as will sufficiently discharge nature If an ill habit of body and ill humours are the cause of Miscarriage the VVoman must be frequently purged and a small quantity of Blood may be taken away and betwixt the Purges such things must be used as correct the indisposition of the Bowels and the sharpness of the humours and the humours must be thickened if they are too thin And if Flegmatick humours abound they must be carried off by Sweats and such things as force Urin Issues in the Arms and Thighs are also very proper to prevent Miscarriage whatever ill humours abound in the body The peculiar Diseases of the VVomb as over great Moisture Swellings Ulcers and such like must be cured by their proper Remedies And first if Moisture abound let the Woman be purged with two Scruples of the Pill Coch-major twice a week and when she does not Purge let her drink Morning and Evening of the following Decoction Take of the roots of Sarsaparilla four Ounces of China two Ounces of white and red Sanders each half an Ounce of the rasping of Harts-horn and Ivory each three Drams infuse them and boyl them in eight pints of Fountain water till half is consumed add a quarter of pound of Raisins of the Sun and if the Woman be of a Flegmatick constitution instead of China add two Ounces of Guiacum rasped Let her drink half a pint Morning and Evening Take of Franckincense Myrrh Mastich Storax Calamite Gum of Juniper Ladanum each one Ounce with a sufficient quantity of Turpentine make Troches and let one or more of them be cast on live Coals and let the fume be received into the Privities through a Funnel If a Swelling be the cause you must make application according to the nature of the humour and the time and other Circumstances of the swelling if it be hot and made by fluxion which may be known by the pain and suddenness of the swelling as also by the Tension and Pulsation and by being accompanied with a Fever Bleeding must be used in the first place and the Woman must be frequently purged with the purging Potion mention'd in the foregoing Chapter made of Tamarinds Sena Manna and the like and after Evacuations you must apply cooling and repelling things to the Reins and the lower part of the Belly as Oyl of Roses washed in Vinegar and the like and the following Decoction may be injected into the Womb. Take of the leaves of Plantain Water Lillies Night-shade and Endive each one handful of red Roses two Pugils boyl them in three pints of Fountain water till a pint is consumed add to it of Oyl of Myrtles one Ounce of Vinegar half an Ounce But note you must not use cooling and repelling things too long lest the Tumour be hardened thereby and turn to a Scirrhus and therefore soon after the beginning of the Swelling emollient and resolving things must be mixt with Repellents Mallows Marshmallows Mugwort Fenugreek Camomile and Melilote and if the pain be violent you must inject into the Womb Goat or Sheeps milk with Opium and Saffron each three or four Grains to which may be added a little Rose Water But if the swelling cannot be resolved and tends to Suppuration it must be furthered by the application of the following Pultis Take of the roots of Marshmallows of the Flowers of Camomile and Melilote of the Seeds of Flax and Fenugreek each one Ounce of fat Figs number eight boyl them to the consistence of a Pultis then add the yolks of four Eggs of Saffron half a Scruple of Oyl of Lillies and fresh butter each one Ounce make a Cataplasm If the Swelling be made by congestion it is slow and without pain and generally cold and the matter of it is either thin and serous or thick and flegmatick and apt to grow hard In this case Steel Medicines used as directed in the Chapter of Hysteric Diseases do good but purging must go before Issues in the Legs are also proper and emollient and resolving Medicines must be apply'd outwardly in the following manner Take of the Roots of Marshmallows and Lillies each two Ounces of the leaves of Mallows Violets Marshmallows and Bears-breech each one handful of the Seeds of Flax and Fenugreek each one Ounce of the leaves of Mugwort and Calamint half a handful of the Flowers of Camomile and Melilote each one Pugil boyl them in three pints of Fountain water till a third be consumed and foment the region of the Pubes and Groin with a Spunge dipt in it and pressed out Of the same Decoction the dose of the Simples being increased a bath may be made which is very effectual in this case and more powerful than the Fomentation Glisters also and Injections may be made of the same Decoction and frequently used whereunto may be added the Oyls of Lillies Camomile and sweet Almonds But these Medicines must be used with great caution lest the swelling shou'd degenerate into a Cancer and indeed 't is to no purpose to use Medicines when the Swelling is without pain and of a stony nature But if an Ulcer be the cause the cure of it must be performed by stopping the Fluxion of the humours and by cleansing and conglutinating the Ulcer and first if the Body abound with Blood or if the Ulcer be accompanied with an Inflammation a Vein must be opened in the Arm and Bleeding must be repeated as often as there is danger of a new Fluxion especially at the times of the Courses to lessen them for they are wont to increase the matter of the Ulcer and to promote the Flux of other humours to the Womb. Purging is also very necessary to cleanse the Body from ill humours but it ought to consist of gentle Catharticks as of Sena Rhubarb Tamarinds Myrobolans and the like or the Purging Potion of Tamarinds may be used but if the Woman Vomits easily she may take the following Vomit or the like
Lotion to fortifie and settle those parts which have been much relaxed as well by the great extension they received as by the Humours wherewith they have been so long time soak'd this Remedy may be composed with an Ounce and an half of Pomgranat Peel an Ounce of Cypress Nuts half an Ounce of Accorns an Ounce of seal'd Earth an Handful of Provence Roses and two Drachms of Roch-allom all which being infused in a Quart and half a Pint of strong Red-wine or that it may not be too sharp some Smiths water may be mixed with the Wine afterwards boil it to a Quart then strain it squeezing it strongly and with this Decoction Foment the inferior parts Night and Morning to strengthen and confirm them But they will never be reduced to the same state they were in before the Woman had Children A small Plaister of Galbanum with a little Civit in the middle may be also applyed to the Womans Navel As for Swaiths they need not be used the first Day or at least very loosly especially if there has been hard Labour because the least compression of the Womans Belly which is then very sore as the Womb also is proves a great inconvenience to her wherefore let her not be swaithed until the second Day and that very gently at the beginning The use of Swaiths and of a good large square Bolster over the whole Belly may be continued the first seven or eight Days to keep it a little steady but they must be taken off and removed often to anoint the Womans Belly all over if it be sore and if she has After-Pains with Oils of sweet Almonds and St. Johns-wort mixed together which may be done every Day But after that time they may be degrees begin to swaith her straiter to contract and gather together the parts which are greatly extended during her going with Child which may be then safely done because the Womb by these former cleansings is so diminished that it cannot be too much compressed by the Swaiths Proper Remedies may be applied to the Breasts to drive back the Milk if the Woman will not be a Nurse but if she intends to be a Nurse it will be sufficient to keep her Breasts very close and well covered with gentle and soft Cloaths to keep them warm and to prevent the curdling of the Milk and if there be danger of too much Milk being carried thither anoint the Breasts with Oyl of Roses and a little Vinegar beat together and put upon them some fine Linnen dipt in it observing that if the Woman do Suckle the Child she give not the Breast the same day she is brought to Bed because then all her Humours are extreamly moved with the pains and agitation of the Labour therefore let her defer it at least till the next day and it would be yet better to stay four or five days or longer to the end the fury of the Milk and the abundance of the Humours which flow to the Breast at the beginning may be spent in which time another Woman may give it Suck Although a Woman be naturally Delivered yet notwithstanding she must observe a good Diet to prevent many ill accidents which may happen to her during her Child-bed at the beginning whereof she must be directed in her Meat and Drink almost in the same manner as if she had a Fever that so it may be prevented in as much as she is then very subject to it for this reason she must be regular in her Diet especially the three or four first Days in which time she must be nourished only with good Broaths new-laid Eggs and Gellies without using at the beginning more solid Meats but when the great abundance of her Milk is a little past she may with more safety eat a little Broath at Dinner or a small piece of boyl'd Chicken or Mutton afterwards if no accident happens she may be degrees be nourished more plentifully provided that it be a third part less than she was accustomed to take in her perfect health and that her Food be of good and easie Digestion as for her Drink let it be a Ptisan made of Liquorish Figs and Anniseeds boyled in Water She may also if she be not Feverish drink a little white Wine well mixed with Water but not till after the fifth or sixth Day But it is to be noted that laborious Women of a strong Constitution require a more plentiful feeding yet notwithstanding if they do not change the quality they must at least retrench the quantity of their ordinary Food The Child-bed Woman must likewise keep her self very quiet in her Bed lying on her Back with her Head raised and not turning often from side to side that so the Womb may be the better settled in its first Situation She must free her self at that time from all care of Business let her talk as little as may be and that with a low Voice and let no ill News be brought to her which may affect her because all these things do cause so great a commotion of the Humours that Nature not being able to overcome them cannot make the necessary Evacuation of them which has been the Death of many The Woman ought always to keep her Body open with Glisters taking one once in two Days which not only evacuate the gross Excrements but also by drawing downwards cause her to Cleanse the better When she has observed this Rule a Fortnight or three Weeks which is very near the time of having Cleansed sufficiently that those Parts may be throughly cleansed before she goes abroad and begin upon a new Score let her take a gentle Purge of Senna Cassia and Syrup of Cichory with Rubarb which is good to Purge the Stomach and Bowels of those ill Humours Nature could not evacuate by the Womb This Purge may be repeated upon occasion Women in their first Labours have many times bruises and rents of the outward parts of the Womb and they must never be neglected lest they degenerate into malignant Ulcers for the heat and moisture of these Parts besides the filth which continually flows thence easily contributes to it if convenient Remedies be not timely applied wherefore as soon as the Woman is laid if there be only simple contusions and excoriations apply a Pultiss made of yolks and whites of new-laid Eggs and Oil of Roses seethed a little over warm Embers continually stirring till it be mixed and then spread it upon a fine Cloath and apply it very warm for five or six Hours when being taken away lay some fine Rags dipt in Oil of St. Johns-wort on each side the bearing place and renew them twice or thrice a Day Foment these parts with Barly-water and Honey of Roses to cleanse them from the Excrements which pass and when the VVoman makes water let them be defended with fine Rags to hinder the Urine from causing pain and smarting Sometimes the bruises are so great that the Bearing-place is inflamed
attenuating and heating Potions made of opening Roots of Calaminth Fennel Saxifrage Burnet Hysop and the like Saffron and Cinnamon being added to them and the Cure must be begun presently after the Purgation of the Courses Let the Woman take every Morning five or six Ounces of the following Apozem Take of the Roots of Smallage Fennel and Parsley each two Ounces of the Leaves of Feverfew Cat-mint Penny-royal Maiden-hair each one Handful and an Half of the Seeds of Anise and Fennel each one Drachm and an Half boyl them in a sufficient quantity of Water to a Quart in the strained Liquor dissolve of the Syrups of Mugwort and Maiden-hair each three Ounces the Syrup of Hysop or of the Five Opening Roots made without Vinegar is also very good being mixed with the Waters of Fennel Cat-mint Penny-royal and Parsley and other things may be used which are mentioned in the Chapter of the Suppression of the Courses 3dly She must be Purged with Agarick Trochiscated or with the Pill of Mastick Or Take of the Pills of Agarick and Aloephargin each two Scruples with the Syrup of Mugwort make four Pills Fourthly Those things which draw the the Blood downwards must be used as bleeding in the Foot three or four days before the accustomed time of the Courses these things being done the Legs and lower Belly must be fomented with a decoction of Fenugreek Camomile Dill Melilot Fennel Parsly Daucus And while she is bathing let her take one of the Tablets called Diacalaminth afterwards let the Parts be fumed with Spices and use Frictions and Ligatures to the Legs and let Cupping-glasses be applyed to the Claves of the Legs without scarification and if the Courses do not yet flow let the Woman be purged every third day with four or five of the Pills mentioned before Let the lower Belly be anointed with the Oyls of Capers White Lillies Dill Cinnamon and Saffron and let Uterine Glisters be injected made of four Ounces of the Decoction of Penny-royal Horse-mint Thym and Cresses with two Ounces of Oyl of Rue or of Dill which wonderfully rouze the dull sense of the Womb. CHAP. VI. Of the Courses corrupted or suppurated THE Courses may be corrupted four several ways First from drawing a putrid quality from the whole Body Secondly from the mixture of some putrid humour in the passages Thirdly by a long suppression Fourthly from an intemperies in the Womb or from an abundance of putrid humours contained in and about it and are coloured and disordered according to the nature of the humours they are White Pale Livid Green Black Skinny Fibrous Membranous Windy Fetid and they have Sand and Worms in them The Cure is in a manner the same which is proposed for the Cure of the Whites for an exact course of Diet being ordered the Woman must be purged with Agarick trochiscated or with the Pill of Mastich if a Phlegmatic humour abounds if a bilious humour be the cause let her be purged with Rhubarb as Take of the best Rhubarb four Scruples of yellow Myrobalans one Drachm and an Half infuse them a Night in three Ounces of Succory Water to the strained Liquor add of Syrup of Roses Solutive and of Manna each one Ounce If Melancholy Humours abound Take of Senna one Ounce of the Seeds of Annise one Drachm infuse them in four Ounces of Fumitory-water to the strained Liquor add of Pulp of Cassia and of Syrup of Roses Solutive each one Ounce If the Courses are suppurated such things must be used now and then as evacute a dust and Cholerick humours which may be easily prepared with Agarick Rhubarb and Senna and sometimes Glisters must be used and moderate exercise which purge the Body and Womb and if the Stomach abounding with Flegm be the cause a Vomit used by Intervals is proper that what is daily heapt up there may be purged off before it enters the Veins Thirdly Such things must be used as are able to eradicate the Disease and if the Humours are cold and gross sudorifics must be used as a Decoction of Sarsaparilla Guiac China and the like But if Choler or Melancholy be the cause bathing is most proper but gentle Frictions and Pessaries are proper for both and anoint the Belly with the Oyl of Sweet Almonds or with the Oyl of Violets which are also to be put up the Womb. But if these things do no good an Issue must be made in one or both the Arms which is of excellent use CHAP. VII Of the Complication of the Courses with other Diseases THere is scarce any thing that does disturb Physicians more and which makes them err so much as the complication of the Courses with Diseases and this happens chiefly six ways First When a Disease happens just when the Courses are about to come Secondly If by reason of the invasion of a Disease the Courses come before their due time Thirdly If the time of the Courses and of the Disease are complicated so that they come together Fourthly If the Courses being suppressed delayed or lessened a Disease comes upon them upon an other account Fifthly If by reason of a Disease pre-existing a suppression or delay of the Courses is the cause of the increase of the Disease and its Symptoms Sixthly If when there is a Disease the Courses flow If therefore the Courses are just about to flow when the Disease is beginning or in the process of it we must consider whether the Disease be one of those which is occasioned by the Womb in which case if the Disease requires bleeding without any delay we must draw it from the foot that it may be let out by a convenient way that the Womb may be evacuated and the cause expelled But if the Disease arises from the whole Body or from some principal member of it that Vein of the Arm most affirm must be opened which chiefly respects the part affected but this opinion if it be generally received seems to me injurious and we ought rather to distinguish concerning the number of the days the acuteness of the Disease and the plenitude of the Body for if the Disease be not acute Blood ought to be drawn from the Foot and especially if the Woman be within three or four days of her Courses and in this case she ought to be blooded in the Foot although the Disease be acute and this both reason and experience confirms for Nature is to be evacuated that way she tends if it be a convenient place for if the Woman be blooded in the upper parts we often see that she becomes delirious and that watchings sleepy Diseases difficulty of Breathing and at length Death it self follow But if there be eight days or thereabouts before the time of the Courses and there is a great plenitude and the Woman cannot be so sufficiently evacuated by the Foot as the Disease requires then all agree that she must be blooded in the Arm especially if the Disease be acute but purging Medicines
either and it happens sometimes that the same Man has Children by another Woman and the same Woman Children by another Man when together they were Childless It comes to pass sometimes that after a Woman has conversed ten or more Years with her Husband and has not conceived afterwards she has had Children the cause whereof is the change of her Constitution by time Having made frequent mention of Womens Seed I must here acquaint you that many Learned Physicians and Anatomists deny that Women have any Seed for some Women send forth no humour as is called Seed and yet they are Fruitful enough yea some after they have begun to emit such an humour tho indeed they took great pleasure in Copulation yet grew less fruitful than before 'T is also said by some that a seminal Air or Vapour arising from the Mans Seed and not the Seed it self causes Conception but passing by Controversies and nice Speculations I according to my way of Writing set down such Methods and Medicines as are approved of for the Cure of this Disease And First the narrowness of the genital parts by reason of youth in progress of time will grow large enough and therefore there is no need of any other Cure but in the mean while Copulation must be forbid for by the too early use of it the natural constitution of the parts is disordered but if it proceed from small stature or age it is incurable Over-fatness may be corrected by a spare and proper Diet and by convenient evacuations If Barrenness proceeds from a disorderly Diet as from excessive eating or drinking the Woman must be reduced to a regular course of Life Such as are robust and of a manly Constitution must by all means be reduced to a womanly state that they may become fit for generation they must forbear strong Meats and Labour and the Courses must be forced and by Bleeding and Purging and the like the habit of the Body must be rendred cold and moist But the most frequent cause of Barrenness is a cold and moist disposition of the whole Body and of the Womb which the Whites often accompany and for the cure in this case the Whites must be cured by the method prescribed in the Chapter of the Whites and the following things must be ordered which are peculiarly proper And First the flegmatick humours must be evacuated by Medicines that purge Sweat and force Urine and revulsion must be made by Issues in the Arms Neck and Legs and the principal parts must be strengthened by Treacle Mithridate Confection of Alkermes and the like Afterwards such things must be used as are proper by a specific quality to strengthen the Womb and to help Conception Take of the roots of Eringo and Satyrion candied each one Ounce of green Ginger candied half an Ounce of Hazel Nuts Pine Nuts and Pistachies each six Drams one Nutmeg candied of the Seed of Rocket and Cresses each two Drams of the ashes of a Bulls Pisle of the Reins of Scinks and of the raspings of Ivory each one Dram of confection of Alkermes three Drams of Diambra and sweet Diamoch each one Ounce and an half of Ambergriese half a Dram with the Syrup of candied Citrons make an Electuary let her take the quantity of a Nutmeg at bedtime drinking upon it a glass of good Wine Some count the Secundine of a Woman dried and powderd very effectual one Drachm of it being taken The Seeds of Bishops weed are also much commended Many good Authors affirm that if a Woman drink six Ounces of the juice of Garden Sage with a little Salt the fourth day of her Menstruous Purgation and a quarter of an hour after has Conversation with her Husband she will infallibly conceive And by the use of this remedy Aetius says the Egyptian Women became fruitful after a great Plague It 's said many have conceived when their having Children has bin despair'd of by thrusting up far in the Privities Garlic heated with Oyl of Spike and wrapt in a fine rag for it powerfully forces the Courses and cleanses and delights the Womb. CHAP. XIV Of the Parts of Women that serve for Generation THE Parts serving for Generation in Women may be divided into the Privities the Womb the Testicles and the Vessels that prepare and carry That part is called the Privities which appears at first sight without dissection it reaches from the lower part of the Os Pubis within an Inch of the Fundament it is less and closer in Maids than in those that have born Children It hath two Lips which toward the Pubes grows thicker and meeting upon the middle of the Os Pubis makes that rising that is called the Hill of Venus its outward substance is Skin covered with Hair as the Lips are which begin to grow in this place about the age of Fourteen the inner substance of the Hill of Venus chiefly consists of Fat which makes it bunch up which in Copulation hinders the bones of the Pubes of the Man and Woman to hit one against another which would by causing pain abate the Venereal pleasure A Muscle springing from the sphincter of the Fundament lies under this Fat Its Office is to straighten the Orifice of the Sheath The Nymphs and the Clitoris appear when the Lips are drawn a little aside The Nymphs stand next the Urine as it spouts out from the Bladder and keeps the Lips from being wet they are placed on each side just within the Lips they are two fleshy and soft Productions beginning at the upper part of the Privities where they make that wrinkled membranous Production which cloaths the Clitoris like a Fore-skin They are in shape and colour like the Thrils that hang under a Cocks Throat they have a red substance partly Fleshy partly Membranous within Soft and Spongy composed loosly of small Membranes and Vessels so that they are very easily distended by the influx of the Animal Spirits and Arterial Blood They are larger in grown Maids than in Young and grow larger upon the use of Venery and after the Bearing of Children their use is to defend the inner Parts and to cover the passage of the Urine and a good part of the Orifice of the Sheath in the upper part of the Privity Betwixt the Nymphs is placed the Clitoris it answers to a Man's Yard in shape situation substance erection and differs from it only in length and bigness Those that are called Hermophrodites have it so long and big as to be able to Converse with Women in the manner of Men. They are not of two Sexs as is commonly reported only their Stones are placed in the Lips of the Privities and their Clitoris is preternaturally extended But in most it does not appear unless the Lips are drawn aside It is a little long and round Body it lies under the fat of the hill of Venus and puffs up in Venery and straightening the Orifice of the Sheath makes it embrace the Virile
to the consistence of a Pultiss apply them often with a rag Or infuse Galls in Rain-water eight days and with soft Wool sprinkled with Sulphur and dipt in this Water and dried without pressing make a Pessary But Secondly And chiefly you must use Astringents Foment the Genitals with the Water or Decoction of Acorns unripe Sloes and of Horse-tail or Foment the Parts with Allom-water or with Stiptic-Wine that is red and rough Wine boyl'd with Galls Leaves of Myrtles Red Roses Pomgranet-peel Balaustines and Cypress Nuts Or Take of Cypress Nuts and Galls each one Pound of Roch-allom and the filings of Iron prepared in Vinegar each half a Pound boyl them in a sufficient quantity of the Waters of Galls which Tanners use and Foment the Parts often with it The following Water is counted excellent Take of Galls and of Cypress Nuts each half a Pound of Allom six Drams Bole-armonick half a Pound of the Meal of Acorns and of old Beans each half a Pound the Whites of twelve Eggs of Powder of Brick one Pound let them be all finely powdered and infuse them three Days in Smiths Water or in a decoction of Sloes Medlars or Horse-tail with half a Pint of Rose Vinegar then Distill them in a cold Still with a gentle Fire add to the Water that comes off of the Powders of Mastick Myrrh and Dragons Blood each two Drams Set the water in the Sun in the Summer for ten days this straitens the Privities smoothens the Belly and makes the Breasts solid CHAP. XXXV Of Abscesses and Corrosive Vlcers arising from Distempers of the Womb in Childbed THE Womb is sometimes terribly affected in Child-bed and produces Fevers of very Malignant and Venomous Natures which soon cause Phlegmons and worse Tumours in the Womb it self and sometimes in other parts of the Body there being none of them on which the Uterine Ferment has not an influence The Exhorbitances or Degenerations of that whether from an hurt in Labour from part of the After-birth left behind from cold taken or the Lochia stopt soon produce such Virulent Distempers in the Blood as make it cast out a Tumor either upon the part it self or else outwardly upon the Muscles of the Body where when they light they prove corrosive sometimes eating out the Flesh in which they lodge which falls off in whole pieces without that change of colour in the Skin which is in Gangreens so that sometimes the Bone it self is laid bare by them The Causes are hard Labour the Womb hurt or part of the Secundine left behind Cold taken in Child-bed and a predisposition in the Humours by reason of their peccancy in quantity or quality The Prognostick may be taken from the largness or other qualifications of the Abscess and the Symptoms that happen to the Body thereupon If the Tumor happens only from some little disturbance in the Womb of a Person otherwise of a good habit of Body the cure is hopeful If part of the After-birth be retained there is no hope 's of Cure till that be removed nay if it stay so long as to induce Putrefaction of the part it will be too late then to remove it If the Body be of an ill Habit the Tumours are apt to Degenerate into very Venomous and Malignant Abscesses which if they do not suddenly kill do at least produce ill conditoned Ulcers hard of Cure and for the most part mortal in the long course of the Disease In the Cure of these Abscesses you are to inform your self how the Womb is disturbed and appease that and if any part of the After-birth be left behind to endeavour the bringing that away and by good Sudorificks Cordials and the like to expel the Venom and fortifie the Spirits against the Malignity that is thereby contracted and to attemperate the heat and the Acrimony by Julips and Emulsions The Swellings arising from these require to be treated in their beginning with moderate Repellents and Discutients afterward according as the Matter prepredominates make way for its discharge A young Woman after Child-bed was seized with a great Pain and Swelling in her Groin with a Fever Bleeding and Lenient Purgatives to Evacuate the Humours were prescribed also Cordial Juleps and the like to attemperate the Heat and fortifie the Spirits and Moderate Repellents mixed with Discutients in Fomentations and Plasters with Bandage were used which dispersed the Humor in the Thigh and restored that part to its former temper But in the mean time the Tumor increased in the Groin and was suppurated after the manner of a Bubo it was opened and a detersion was endeavoured but the Sinus reaching down the Twist the Matter could not be discharged without laying it more open as in Sinous Ulcers by which method it was cured A Gentlewoman in Child-bed was seized with a Fever and the Ninth Day complained of a pain in her Foot Discutients were prescribed together with things proper for the Fever to breath out the impacted Matter in her Foot but the pain increasing the upper part of the Foot from the Instep to the Toes were Oedematous but from the inside of the Ancle to the middle of the Sole of her Foot inflamed and seeming to apostumate The ill consequences of an Apostumation in that part amongst the Tendons and Bones and where the Skin is usually so hard and tough that our strongest Causticks could difficultly penetrate being feared It was resolved to endeavour the restraint of the Influx and so to dry up the Humour affecting the part to which purpose was applied the following Plaster Take of Barley Meal Six Ounces of Flax Seeds powdered Six Drams of the Flowers of Camomile and Elder each three Drams of the Flowers of Red Roses and Balaustins each one Ounce these with the addition of Honey of Roses and Oyl of Myrtles were boyled to the consistence of a Plaster in red Wine and at Bed-time an Anodyne Draught was given to cause rest The next Morning the Patient was somewhat relieved and when the Dressings were taken off the Tumor and Inflammation seemed less This way of dressing was continued with Compress and Bandage and the Humour was in few Days dried up and the Foot seemed well but there appeared again a Swelling on the Foot and Apostumated in the Sole of the Foot in three several places which were opened with a Caustick to prevent the increase of the Matter and the Eschars were divided to give a vent and they were dressed with Basilicon and the Plaster as before and the flowing of the Matter was indeavoured to be hindred dayly by Compress and Bandage but the Position of the Foot gave way and it sunk lower so that there was a necessity of applying another Caustick which proved effectual to the Discharge of it so that the upper Orifices healed but this last Eschar separated slowly and left the great Tendon bare the Separation was furthered by the use of Oyl of Turpentine with Basilicon applied warm and the
the assaults of this Disease tho they are not hollow and tho there is no apparent Defluction that may occasion the pain yet it is no whit gentler nor shorter nor easier Cured But the pain of the Back is most common which most certainly all feel how little soever they are afflicted with this Disease Moreover this is common to the foresaid pains that the place whereon they were is tender and akes as if it were soundly beaten but this tenderness goes off by degrees And this is worth observing that often a notable coldness of the outward parts makes way for these Symptoms which for the most part does not go off till the fit ends which coldness is almost like that wherewith a Carcass grows stiff yet the Pulse is good Moreover all Hysteric Women complain of a dejection and sinking of the Spirits and sometimes laugh excessively and at other times cry as much without any real cause for either But the most proper and almost inseparable Symptom is a Urin as clear as Rock-water Sometimes ill fumes are belched up and sometimes the Wind that comes from the Stomach is sower just like Vinegar But their Minds are more affected than their Bodies for an incurable Desperation is mixt with the very nature of the Disease A day would scarce be sufficient to reckon up all the Symptoms belonging to this Disease and I think Demetrius reckn'd pretty right tho he mistook the cause of the Disease when he said in an Epistle to Hippocrates that the Womb was the cause of Six hundred Miseries and of innumerable Calamities The external causes of this Disease are either violent motions of the Body or which is much oftner vehement disturbances of the Mind to these disorders of the Mind which are usually the occasion of this Disease is to be added emptiness of the Stomach by reason of long fasting inmmoderate Bleeding a Vomit or Purge that works too much In order to the cure I order that eight Ounces of Blood be taken from the right Arm and that the following Plaister be apply'd to the Navel Take of Galbanum dissolved in Tincture of Castor and strain'd three Drachms of Tacamahaca two Drams mix them make a Plaister The next Morning let her use the following Pills Take of the Pill Coch-major two Scruples of Castor powder'd two Grains of Peruvian Balsam four drops make four Pills let her take them at five in the Morning and sleep after repeat them twice or thrice every Morning or every other Morning according to the Womans strength and as they work Take of the Waters of Black-Cherries Rhue and Compound Briony each three Ounces of Castor ty'd up in a rag and hanged in the Viol half a Dram of Fine Sugar a Sufficient quantity make a Julep whereof let her take four or five Spoonfulls when she is faint dropping into the first dose if the fit is violent twenty drops of the Spirit of Harts-horn After the Purging Pills just described are taken let her use the following Take of the filings of Steel eight Grains with a sufficient quantity of extract of Wormwood make two Pills let her take them early in the Morning and at five in the Afternoon for Thirty days drinking upon them a draught of Wormwood Wine Or if she like a Bolus better Take of the Conserves of Roman Wormwood and of the yellow peel of Oranges each one Ounce of Angelica and Nutmegs candied and of Venice Treacle each half an Ounce of candied Ginger two Drachms make an electuary with a sufficient quantity of Syrup of Oranges Take of this electuary one Drachm and an half of the filings of Steel well rub'd eight Grains make a Bolus with a sufficient quantity of Syrup of Oranges to be taken in the Morning and at five in the Evening drinking upon it a Glass of Wormwood-wine Take of choice Myrrh and Galbanum each one Drachm and an half of Castor fifteen Grains with a sufficient quantity of Balsam Peru make twelve Pills of every Drachm let her take three every Night and drink upon them three or four Spoonfuls of Compound Briony Water through the whole course of this process But if these Pills move the Body which sometimes they do in Bodies that are very easily purged the following may be used instead of them Take of Castor one Drachm of Volatile Salt of Amber half a Drachm with a sufficient quantity of extract of Rue make twenty-four small Pills let her take three every Night But Steel Medicines which must be noted occasion sometimes in Women great disorders both of Body and Mind and not only on the first days which is usual almost in every body but also all the time they are taken In this case the use of Steel must not presently be interrupted but Laudanum must be given every night for some time in some Hysteric water that they may the better bear it But when the Symptoms are mild and it seems the business may be done without Steel I think it sufficient to Bleed and to Purge three or four times and then to give the altering Hysteric Pills above-mentioned morning and evening for ten days which method seldom fails when the Disease is not violent yea the Pills alone Bleeding and Purging being omitted do often a great deal of good But some Women can't bear Hysteric Medicines and are much injured thereby therefore they must not be given to such If the Blood is so very feeble and the confusion of the Spirits so great that Steel ordered to be used according to the method prescribed is not sufficient to cure the Disease the Sick must drink Tunbridge-waters or the like for they cure Diseases more efectually than any preparation of Iron but if in drinking of them any Sickness happen that belongs to Hysteric Symptoms the Sick must forbear drinking them a day or two till that Symptom that hindred their passage is quite gon And it is to be noted that Purging must be avoided all the time the Woman drinks these waters But if this Disease does not yeild to Steel-waters the Sick must go to the Bath and when she has used the waters of it three mornings following the next day let her go into the Bath and the day following let her drink them again and so let her do by turns for two months for in these and others of what kind soever they are the Patient must persist in the use of them till she is quite well Venice-treacle used often and a long time is a great remedy in this Disease Spanish-wine with Gentian Angelica Worm-wood Centory and other strengthening things infus'd in it does a great deal of good some spoonfuls of it being taken thrice a day if the Woman be not thin and of a cholerick habit of Body And truly a large draught of Spanish-wine taken by it self at bed-time for some nights has been very beneficial to some Women Jesuits-powder also wonderfully comforts and invigorates the Blood and Spirits a Scruple of it being taken morning and
naribus erumpere bonum est The cause of this Disease is most commonly some violent Passion of the Mind or some great disturbance happening when the Courses are near flowing it comes also from Obstructions of the Womb or by reason of violent Pains and great Diseases of the upper Parts also from the weakness of them when the VVomb and lower Parts are strong for the weak Parts always receive what the stronger put upon them It also comes from some external Cause as by drinking cold Water unseasonably or by washing the Feet and Legs unseasonably or by the use of Vinegar when the Courses are near The Scope of the Cure is Two-fold the First is the Evacuation of the Blood abounding the other is the Recalling of it to the lower Parts which is chiefly done by Cooling the upper Parts and by Heating Moistning and Opening the lower Parts but both may be well answered by Bleeding in the Foot three or four days before the Blood flows and by applying Cupping-glasses to the Thighs Legs and Hips sometimes Dry but most commonly with Scarification and also by provoking the Hemorrhoids by Frictions by Walking by hot Baths natural or artificial by Fomentations made of opening Herbs by Unctions Pessaries and uterine Glisters But see more of this in the Chapter of Suppression of the Courses The two following Remedies are peculiarly proper for this Disease viz. Bleeding in the Foot for several Months at the times we have mentioned and the Bath-waters wherein the Woman must be Bathed early in the Morning and must continue a while in them but this must be noted that the Waters must not reach above the region of the Liver and in the mean while the upper Parts must be â—anned CHAP. V. Of the Courses coming before their due time and of staying longer than they should IN many Women the Courses flow before their accustomed time and sometimes they stay longer than they should and this anticipation and delay are sometimes orderly and sometimes disorderly The Causes are either the Vice of the Womb as the ill Figure of it or a Solution of the Continuum and sometimes a hurt on some other account as a Vitious humour that irritates before the time by reason of plenty of Blood or the thinness or sharpness of it the quantity of humours occasioning it may be known by the dulness of the Body by the sanguine habit of the Woman by a sedentary and idle Life by excess in eating and drinking or by some other Evacuation stopped or lessened The Acrimony of the Blood may be known by the Heat Erosion and Pain in the Excretion or by the Vitious habit of the Womans Body and the course of her Life foregoing or by the Diet she was wont to use and the like But if it come leasurely and without pain the retentive faculty is weak it may also be occasioned by a blow or fall If it proceed by reason of the Loosness and fault of the retentive faculty it must be strengthened by proper Remedies if it come from a plenitude it must be remedied by a sparing Diet and moderate Exercise and by taking away so much Blood as is agreeable to the strength in the middle of the Month or a little before the Courses flow Frictions also in the Arms and in all the upper parts of the Body are proper the Woman must abstain from Wine and all Strong-waters and instead of them Chalybeats must be used and if these things do not do the business she must be blooded in the Arm but if it proceed from the Acrimony of the Humours she must eat freely Meat of good nourishment and must exercise a little and such Medicines must be used as attemperate the humours and she must be purg'd and Uterine Glisters must be injected made of two Ounces of Oyl of Violets and four Ounces of the Decoction of Mallows but care must be taken that the Courses be not quite stopped because it is dangerous Lastly if a blow a fall or difficult labour occasion this disease the following Cataplasm must be applied to the Womb and Neighbouring parts Take of the Powders of Dragons-blood Frankincense Mastich and of the greater Comfry each two Drams with a sufficient quantity of Turpentine make a Cataplasm If the Woman be of a hot Constitution apply the following Plaister Take of the Powders of Roses Myrtles and Balaustins and Mastich each one Drahom of fine Flour one Ounce with the Whites of Eggs make a Plaister The Courses stay beyond their time by reason of age when they are about to go away or by a vice of the whole Body or of the womb If it proceed on the account of age you must only endeavour to prevent those inconveniences which are wont to follow especially the Gout and a pain in the Hip which may be done by a spare Diet much exercise and by bleeding yearly till Nature has been accustomed to the want of the menstruous Purgation But if it proceed from a Vice of the whole Body it must be treated as a suppression of the Courses If it proceed from a peculiar disorder of the Womb it requires a peculiar Cure and is a Symptom of the kind of the vitiated action of Excretion either because it is hindred by the ill Formation or a gross Humour that Obstructs The Causes therefore are these three which are contrary to the anticipation of the Courses viz. the weakness of the Faculty the fault of the Humours and the dulness of the Sense The impotence of the Faculty is occasioned by the frigidity or moisture of the Temperament or by the depraved Figure of the Instrument the Humour is faulty upon the account of its thickness siccity and clamminess The Sense is rendred dull most commonly by moisture abounding The weak Faculty by reason of Frigidity is known by the Womans perceiving a weight and disturbance after the time of the coming of her Courses is past The fault of the Instrument may be known by what went before as by hard labour a tumour cicatrix leaping or a fall whereby the Womb or a part subservient to it is displaced or the figure of it deformed The fault of the Humour may be known by those things that are evacuated by the Blood as if it be whitish it may be seen if it be gross and clammy a sedentary life and a gross and flegmatic Diet went before the Woman is of a soft pale and leaden habit of body and is fat and by the Bloods flowing slowly and by the long continuance of the Courses sometimes and by their ending in a slime If when they stay a long time before they come the Woman does not perceive any disturbance in the Womb and neighbouring Parts the Sense is dull If the Disease arise from a thick and clammy Humour as it does most commonly it must be cured according to Galen with three sorts of Remedies First by a thin and heating Diet by moderate exercise and frictions of the Legs Secondly by
The Courses as was said before come sometimes drop by drop and sometimes plentifully sometimes by intervals and sometimes continually sometimes orderly and sometimes disorderly It is most commonly occasioned by the same Causes from whence a suppression of the Courses proceeds but gentler for there is not a total Suppression but an unequal Obstruction of the Vessels of the Womb by reason of thick clotted and feculent blood which stretches the Vessels and Nature violently endeavouing to Evacuate it a gross wind arises which distending the Vessels and the neighbouring parts occasions the violent pain which continues untill the clods are ejected Sometimes the Blood flows plentifully yet the Courses are counted difficult and lessened because tho a great quantity is evacuated yet it is not answerable to the plenitude The second Cause is an Ulcer or some preternatural Tumour in the Womb or neighbouring parts which are provoked and hurt by the commotion of the Blood The third is the acrimony of the Humours This Disease is known by a pain in the Head a pain in the Stomach Restlesness pains in the Loins and of the lower Belly just like the pains of Child-bearing coming with the Courses or eight days before There is often also fainting and convulsions and a palpitation of the Heart and by these you may know that the Blood is clotted or thick and a small swelling is sometimes perceived in one or both of the Groins by reason of clotted Blood contained in it and just before the evacuation of the clotted Blood the pain is most violent and at the same time if wind be joined with it it breaks from the Womb or backwards with a noise and there are wandring pains about the Loins and Hips If an Ulcer be the cause Sanies or Pus is mixed with the Blood and the Courses flow always with a fixed pain This Disease afflicts Virgins and those that are Barren The Cure is two-fold the first respects the Cause the second the mitigating the Pain If it proceed from feculent gross and clotted Blood a thin Diet and moderate Exercise must be ordered and Medicines that cause Revulsion and Evacuation must be used Blood therefore must be drawn from the Arm if there be a great quantity of it but if the quantity be small from the Foot and the clotted Blood that cannot be evacuated must be drawn out by Cupping-glasses applied to the Thighs and Legs with Scarification and by Ligatures upon the Legs and the Humour may be turned by applying Leeches to the Fundament if the pain continue after the Courses are stopp'd but they must not be used before Secondly Evacuation must be used with this distinction when feculent and grumous Blood is the cause you must Bleed when an Ulcer Wind or an Acrid Matter you must Purge most Thirdly The Passages must be Relaxed and Opened and the Pain mitigated wherefore if the matter be thick slatulent feculent or clammy a Dram of Venice Treacle or of Mithridate must be taken at Bed-time in three Ounces of Balm-water and Baths must be provided and Lotions for the Legs made of a Decoction of Marsh-mallows of the Seeds of Flax Fenugreek Dill Rhue and Mugwort and the Feet must be bathed in it hot a while and the vapours must be received and a Spunge dipt in it must be applyed to the Privities and the lower Belly must be Fomented afterwards with Flannel dipt in Wine and Oyl of Roses or with a Bladder half full of warm Oyl but it will be better to anoint the Navel and the region below it with Oyl of Saffron of White-lillies the Seeds of Flax of Capers of Yolks of Eggs or of sweet Almonds among which or with one of them must be dissolved a Drachm of Treacle a Pessary dipt in the same is also is of great use or the foresaid Parts may be annointed with Hens-fat and Butter or with Butter and some of the foresaid Oyls The following Oyntment is also very proper Take of the juice of Angelica one Drachm of Oyls of Capers and of White-lilies each one Ounce and an half of White-wine half an Ounce with Wax make an Oyntment The following Cataplasm is also very good Take of common Oyl of sweet Wine and fresh Butter each two Ounces of Bran three Ounces boyl them gently apply them hot and repeat them frequently But if acrid and eroding Matter be the cause you must use gentle Oyntments and Fomentation of warm Water or Purslain and Lettice Water with Emulsions of the cold Seeds and the Parts must be anointed with the Oils of sweet Almonds of Violets and of Roses If the Disease proceeds from an Ulcer you must endeavour the Cure of it and you must mitigate the Pain by injecting uterine Glisters made of four Ounces of warm Water and if the heat be very much the Water must be sweetned with Sugar and you must add one Drachm of the white Troches of Rhasis Or the Glister may be made with three Ounces of Allum-water which is of excellent use or with so much Barly-water with an Ounce of Syrup of Roses or with Milk-water with Sugar or with an Ounce and an half of Milk it self with the like quantity of a Decoction of the Leaves and Seeds of Plaintain to which may be added half an Ounce of the emulsion of the cold Seeds and if the Pain and Heat is very violent inject two Ounces of the Decoction of Henbane or white Poppies But if these things will not do the business some Opium must be mixed with the Decoction before mentioned Lastly if other remedies will not do the business an Issue must be opened in the Leg. CHAP. IX Of the Closure of the Womb. VIrgins labouring under this Disease are said to be Imperforate This closure is wont to be in three places viz. in the mouth of the Womb in the neck of it and in the Privities It is occasioned either in the first Formation when a Membrance covers the Orifice of the Womb or its Neck or by a Wound or Ulcer preceding which growing together stops the Neck of the Womb or joins the Lips or it is occasioned by Humours or a Compression If the Closure be in the Privities it may be easily known but if it be in the Neck or Orifice of the Womb it is not found out till the Courses begin to flow or till Women are Married for at the time of the menstruous Purgation Pains and Gripes are perceived in the region of the Womb at certain times with a sense of weight yet no Flux follows Moreover you may guess at it if the Maid be of good habit of Body not Cachetical and without Obstruction the Disease continuing the Womb swells so that Virgins seem to be with Child and sometimes the whole Body which looks livid But if the Neck of the Womb be closed it may be known in the first Copualtion because it cannot admit the Virile Member Lastly if the Orifice of the Womb be shut it is difficultly known but it
Take of Vinum benedictum six Drams of the Water of Carduus Benedictus one Ounce of Oxymel of squills half an Ounce mingle them make a Vomit let it be taken about four in the afternoon and she must drink a large draught of Posset Drink after every time she Vomits The days the Sick does not Purge a Vulnerary Decoction must be used a long while in the following manner Take of the leaves of Agrimony Knot-grass Burnet and Plantine each one handful of the roots of China three Drams of Coriander one Dram of Raisins half an Ounce of red Sanders one Scruple boyl them in Chicken broth strain it let the Sick drink it Morning and Evening If there be a Fever and if a great quantity of matter be evacuated Whey is very proper half a pint or more being taken in a Morning with a little Honey of Roses and if there is an Hectick Fever and the Body begins to wast Asses milk must be taken with Sugar of Roses for a whole Month. Turpentine washed in some proper water for the Womb as in Mugwort or Feverfew water or in some water proper for the Ulcer as Plantain or Rose water and taken with Sugar of Roses cleanses and heals the Ulcer To cleanse dry and heal the Ulcer various injections are proposed but they must not be used till the Inflammation is taken off and till the pain is quieted and therefore upon account of the Inflammation an Emulsion of the cold Seeds or the Whey of Goats Milk or Milk it self may be injected first and if necessity requires a Decoction of Poppy heads and tops of Mallows may be injected Some Practitioners say the Sick may be much relieved by injecting frequently warm water and when the heat and pain is quieted we may use such things as cleanse beginning with the gentle and proceeding gradually to the stronger The gentle are Whey with Sugar a Decoction of Barly with Sugar or Honey of Roses but Simple Hydromel cleanses most But if the Ulcer be very sordid the following Decoction may be used Take of the roots of Gentian Rhaponticum Zedoary and round Birthwort each one Ounce of White-wine three pints boyl them to the consumption of a third part in the strain'd Liquor dissolve half a pound of Sugar and keep it for use a little Vnguentum Aegyptiacum may be added to it if there be occasion to cleanse more If the Ulcer be deep the fume mention'd above may be used when the Ulcer is very obstinate Cinnabar must be added which is of excellent use If these Diseases happen when a Woman is with Child the difficulty is greater because bigbellied Women cannot so easily bear all kind of remedies yet lest being destitute of all help they shou'd remain in extream danger of Miscarriage and Death some kind of Remedies are to be used therefore if she be too full of Blood she must have a Vein opened tho she be with Child especially in the first Month and so twice or thrice if need be but much Blood must not be taken away at a time And when there is abundanee of ill humours gentle purging must be used and repeated especially in the middle Months and in the mean while those astringent and strengthening Medicines must be used all the time the Woman is with Child that are proper to hinder Miscarriage Take of Kermes Berries and Tormentil roots each three Ounces of Mastich one Dram and an half make a Powder whereof give now and then half a Dram or as much as will lie on the point of a knife or let her take every Morning some grains of Mastich Or Take of conserve of Roses two Ounces of Citron Peel Candied six Drams of Myrobolans candied of the Pulp of Dates each half an Ounce of Coral prepared Pearl prepared and shavings of Harts-horn each one Dram with Syrup of Quinces make an Electuary of which let the Woman take often the quantity of a Nutmeg The following Lozenges are very good for they strengthen and by little and little free the Body from Excrements tho they do not sensibly purge sometimes Take of Mace of the three Sorts of Sanders Rubarb Sena Coral Pearl each one Scruple of Sugar dissolved in Rose-water four Ounces make all into Lozenges weighing three Drams apeece let her take one twice a Week by it self or dissolved in a little Broth. The following Plaster may be apply'd to the Reins Take of the Plaster ad Herniam and de Minio each equal parts spread it on Leather and apply it to the small of the Back But Plasters must not be worn long together lest they should cause an heat of Urin and the Stone in the Kidnies In the use of these things the Woman must keep her self as quiet as possibly she can both in Body and Mind and must abstain from Copulation But if notwithstanding the Medicines aforesaid by reason of the Vehemence of the cause whether it be outward or inward the Sick be ready to miscarry we must do the best we can with the following remedies and in the first place so soon as Pains and Throws shall be perceived in the lower part of the Belly and in the Loins we must endeavour to allay them both by Medicines taken inwardly and outwardly apply'd according to the variety of the Causes and if Crudities and Wind are the cause as they are most usually when the cause is within a Powder must be given made of Aromaticum Rosatum and Coriander Seeds and we may give of the Imperial Water if Flegm and Wind abound At the same time let Carminative Medicines be apply'd below the Navel of the Patient such are Bags of Anise Seeds Fennel Seeds Fenugreek Seeds Flowers of Camomile Elder Rosemary and Stechas mixt together or a Rose Cake fryed in a Pan with rich Canary and sprinkled with Powder of Nutmegs and Coriander Seeds or the Gaul of a Wether new kill'd or his Lungs lay'd on warm If by these means the pains cease not let a Glister be injected made of Wine and Oyl wherein two Drams of Philonium Romanum may be dissolved or Narcoticks may be given inwardly in a small quantity to allay the Violence of the humours and wind as we are wont to do in pains of the Colick But if Blood begins to come away Frictions and painful Ligatures of the upper parts must be used to turn the course of the Blood and if the Woman be full of Blood it will not be amiss to take some Blood from her especially before it begins to low but it must be taken away at several times a little at once And if the Flux of Blood continues we must proceed to an astringent and thickening Diet and Medicines as mentioned above Astringent Fomentations may be also used outwardly made of Pomgranate-peels Cypress Nuts Acorn Cups Balaustines and the like boyl'd in Smiths water and Red wine Or a little bag full of Red Roses and Balaustines may be boyl'd in Red Wine and apply'd hot to the
resting the Fore-finger of the same Hand extended and stretched forth along the string towards the entry of the Sheath always observing to draw it from the side where the burthen cleaves least Above all things care must be taken that it be not drawn forth with too much violence lest by breaking the string you are obliged to put the whole Hand into the Womb to deliver the Woman or the Womb be drawn down forth with it also by drawing it out with too much violence a great flooding may thereby happen To facilitate the expulsion the Woman may blow strongly into her Hands shut or she may put her Finger into her Throat as if she would provoke Vomiting or she may strive as if she were going to stool bearing always down and holding her breath When all these circumstances have been observed if you meet with difficulty you may if need be after that you know on which side the After-birth is situated command an experienced Nurse-keeper to press the Belly lightly with the flat of her Hand directing it gently downwards by way of Friction above all being careful not to do it too violently but if all this be in vain then must the Hand be directed into the VVomb to loosen and separate it As soon as the VVoman is delivered of both Child and Burthen it must then be considered whether there be all and care had that not the least part of it remain behind not so much as the skirts or clods of Blood which ought all to be brought away with the first for otherwise being retained they cause great pains When the Woman has two Children you must not fetch the Burthen as was said before till both the Children are born and then it may be done without danger shaking and drawing it always gently sometimes by one string sometimes by the other and sometimes by both together and so by turns till all is come When the Infant comes right and naturally the Woman is brought to Bed and delivered with little help for which the meanest Midwifes are capable and oft-times for want of them a simple Nursekeeper may supply the place But when it is a wrong Labour there is a great Mystery belongs to it for then the skill and prudence of a Surgeon is for the most part requisite Immediately after the Woman is delivered and the Burthen come away care must be taken that the loosening of it be not followed with a Flooding if it be not a soft closure must be immediately applied to the Womb five or six times double to prevent the cold Air entring in and stopping the Vessels whereby the Womb should cleanse by degrees when the VVomb is so closed If the VVoman was not delivered upon her ordinary Bed let her presently be carried into it by some strong Body or more if there be need rather than to let her walk thither which Bed must be ready warmed and prepared as is requisite for the cleansings But if she were delivered on it which is best and safest to prevent the danger and trouble of carrying her to it then all the soul Linnen and other things put there for receiving the Bloud VVaters and other filth which comes away in Labour must be removed and she must be placed conveniently in it for her ease and rest which she much wants to recover her of the Pains and Labour she endured in Travail she must be placed with her Head and Body a little raised for to breath the freer and to cleanse the better especially of that Blood which then comes away that so it may not clod which being retained causes very great pains All this will happen if they have not liberty to come freely by this convenient Situation in which she must put down her Legs and Thighs close together having a small Pillow for her greater ease if she desire it under her Hams upon which they may rest a little Being so put to Bed let her lie neither on one side nor the other but just on the middle of her Back that so the VVomb may repossess its natural and proper place It is an ordinary custom to give the VVoman as soon as she is delivered two Ounces of Oyl of Sweet Almonds and as much Syrup of Maiden-hair which is good to sweeten and temper the inside of the Throat which was heated and hoarse by her continual cryes and holding her breath to bear down her Throws during her Labour it is also good to prevent the Grips but this Potion goes so much against the Stomachs of some VVomen that being forced to take it with an aversion it may do them more hurt than good therefore let none have it but those that desire it and have no aversion for it But good Broath taken after she is a little setled may be more beneficial Having thus accommodated her and provided for her Belly Breasts and lower parts leave her to rest and sleep if she can making no noise the Bed-Curtains being close drawn and the Doors and VVindows of her Chamber shut that so seeing no light she may the sooner fall asleep As soon as the Bed is cleansed from the foul Linnen and other impurities of the Labour and the Woman therein placed let there be outwardly applied all over the bottom of her Belly and Privities the following anodyne Pultiss made of two Ounces of sweet Almonds with two or three new laid Eggs yolks and whites stirring them together in an earthen Pipkin over hot Embers till it comes to the consistence of a Pultiss which being spread upon Cloath must be applyed to those parts indifferently warm having first taken away the Closures which were put to her presently after her Delivery and likewise such clods of Blood as were there left This is a very fit Remedy to appease the Pains which Women commonly suffer in those Parts by reason of the violence then endured by the Infants Birth it must lie on five or six hours and then be renewed a second time if there be occasion Afterwards make a Decoction of Barly Linseed and Chervil or with Marsh-mallows and Violet Leaves adding to a Pint of it an Ounce of Honey of Roses wherewith being luke-warm Foment three or four times a-day for the first five or six days of Child-bed the bearing place cleansing it very well from the Clods of Blood and other Excrements which are there emptied Some Persons only use for this purpose luke-warm Milk and many Women only Barly-water Great care must be taken at the beginning that no stopping thing be given to hinder the cleansings but when ten or twelve Days are past and she has cleansed sufficiently Remedies may then be used to fortifie the Parts for which purpose a Decoction is very proper made of Province Roses Leaves and Roots of Plantain and Smiths water and when she has sufficiently and fully done Cleansing which is usually after the eighteenth or twentieth Day there may be made for those that desire it a very strong astringent
and a very considerable abscess follows in which Case it must be opened just below the Swelling in the most convenient place and after the Matter is evacuated a detersive Decoction must be injected into the Cavity made of Barly-water and Oyl of Roses to which Spirit of Wine may be added if there be any danger of Corruption and afterwards the Ulcer must be Dressed according to Art Sometimes it happens that the Perineum is so rent that the Privities and the Fundament is all in one in this case having cleansed the Womb from such Excrements as may be there with Red-wine let the Rent be strongly stitched together with three or four stiches or more according to the length of the separation taking at each stich good hold of the Flesh that so it may not break out and then dress it with Linimentum Arcaei or the like claping a Plaister on and some Linnen above to prevent as much as may be the falling of the Urine and other Excrements upon it because the acrimony of them would make it smart and cause Pain and that these parts may close together with more ease let the Woman keep her Thighs close together without the least spreading until the Cure be perfected but if afterwards she happens to be with Child she will be obliged to prevent the like mischief to anoint those parts with Emollient Oyls and Oyntments and when she is in Labour she must forbear helping her Throws too strongly at once but leave Nature to perform it by degrees together with the help of a Midwife well Instructed in her Art for usually when these parts have been once rent it is very difficult to prevent the like in the following Travail because the Scar there made does straighten the parts yet more wherefore it were to be wished for greater security against the like accidents that the Woman should have no more Children CHAP. XXII Of hard Labour MAny Causes may be assigned that occasion hard Labour as the natural weakness of the Mothers Body or her Age she being too Young or too Old or it may be occasioned by Diseases that she had with her big Belly leanness or too much dryness of the Body or Fat compressing the passages of the Womb the ill conformation of the Bones encompassing the Womb as in those that are Lame may also occasion it Wind swelling the Bowels a Stone or Preternatural Tumour in the Bladder that presses the Womb may be the occasion so may the ill constitution of the Lungs or of the parts serving respiration for the holding of the Breath conduceth much to the Exclusion of the Child Various Diseases of the VVomb may also render the Delivery difficult as swellings Ulcers Obstructions and the like The hard Labour is occasioned by the Child when by reason it is Dead or Putrified or any way Diseased it cannot confer any thing to its own exclusion also when the Body or Head is too large or when there are more than one so Twins most commonly cause hard Labour or the ill situation of the Child is the cause or when the Hands or the Feet offer first or when one Hand or one Foot comes out first or when it is doubled or when the Membranes break too soon so that the VVater flows out and leaves the Orifice of the VVomb dry at the time of Exclusion or when the Membranes are too thick so that they cannot be easily broken by the Child Cold and dry Air and a North-wind are very injurious to VVomen in Labour because they bind the Body and drive the Blood and Spirits to the inner parts and they are very injurious to the Child coming from so warm a place And hot Weather dissipates the Spirits and weakens the Child Crude Nourishment and such as is difficultly concocted and binds taken in a great quantity before Labours renders it difficult the Stomach being weakned and the common passages contracted which ought to be open in this Case Drowsiness hinders the action of the Mother The unseasonable motion of the VVoman much retards the Delivery as when she refuses upon occasion to stand walk lie or sit or slings her self about unadvisedly so that the Child cannot be Born the right way being turned preposterously by the restlesness of the Mother Urine in the Bladder or Excrements in the right Gut or the Piles when they are much swell'd hinder Natures endeavours by narrowing the Neck of the VVomb Fear Sorrow Anger make the Labour difficult A Blow a Fall or a Wound may also much obstruct the Labour Want of good assistance to lift the Woman up just at the time of Delivery and an Ignorant Midwife who orders the Woman to endeavour an expulsion and to stop her breath when the ligaments of the Fetus stick firmly to the Womb so that the Woman is tired before the time of her Delivery In hard Labour Women commonly give a Spoonful or two of Cinamon-water or Cinnamon powder'd with a little Saffron or half a Dram of Confection of Alkermes in Broth or half a Scruple of Saffron alone in some Broth or every hour a lit-VVine If these things are not sufficient the following may be used which have been frequently found very effectual Take of Dittany of Creet and both the Birthworts and of Troaches of Mirrh each half a Scruple of Saffron and Cinnamon each Twelve Grains of confection of Alkermes half a Dram of Cinnamon-water half an Ounce of Orange-flower-water and of Mugwort-water each one Ounce make a Potion Oyl of Amber and of Cinnamon and extract of Saffron are very effectual in a small quantity namely five Grains of extract of Saffron four or five drops of Oyl of Cinnamon twelve or fifteen drops of Oyl of Amber in Wine Broth or some other Liquor and let the Woman take Sneesing Powder for it hastens delivery The Midwife must frequently anoint the Womb with the Oyls of Lilies or of Sweet Almonds and the Belly must be fomented with a Decoction of the Roots of Marshmallows and Lilies of the Leaves of Mallows Violets Mugwort of the Seeds of Fenugreek and Flax of the Flowers of Camomile and Melilote Sharp Glisters must be also injected to stimulate the Womb and to carry off the Excrements Anoint the Navel with Oyl of Amber If the Child begins to come forth preposterously as with one Arm or Foot the Midwife must thrust them back and turn the Child right which may be done by placing the Woman on her Back upon a Bed with her Head low and Feet high CHAP. XXIII Of a dead Child WHEN the Child is dead the motion of it ceases which either the Woman felt before in the Womb or the Midwife with her Hand a sense of weight with pain afflicts the Belly and the Child falls like a Stone from side to side the Belly feels cold the Eyes are Hollow the Face and Lips pale the extream parts cold and livid the Breasts flaccid and at length the Child putrifying stinking matter Flows from the Womb
are with Ulceration others not some are loose and moveable and so hard that they have knocked one against another like Peebles some are fixed to the Bones and some lie superficially other differences may be taken from the Humour to which they owe their Original If the Matter be not very Corrosive their growth is slow and they are not very painful These are called the milder sort and some of them affecting the Breast have been palliated a long time with easie remedies A Lady laboured many Years of an ulcerated Cancer it eat deep into the left Breast and was fixed to the Ribs but not with much pain in progress of time the Lips inverted and united as it were and lay covered with a crusty Scab the Humour in the mean while spent it self upon the Nerves and caused a Species of the Palsie in some parts of her Body and the Gout in others She lived long and in her latter Age tolerably healthful this is to be judged a Scirrhous Cancer yet by ill management or by an increase of acrimony this and such like frequently terminate in raging Cancers and torment the Patient with exquisite darting pains an instance or two whereof I shall set down to make the Young Practitioner more cautious in undertaking the Cure of them A VVoman had a painful hard Swelling in one of the Glands of her Breast she was advised to forbear the use of all Cataplasms and Plasters that might heat her Breast and to dress it with Valentia Stramonij but she was otherwise perswaded and thereby increased her Misery About half a Year after she had a stinking sordid Ulcer with lips turned out and the Breasts fixed to the Ribs with a hard unequal Swelling reaching to the Clavicle and side of the Neck Apostumated in some parts and Ulcerated in others from the pectoral Muscle it crept up to the Shoulder and affected the Arm-pits and by the compression of the Vessels the upper part of the Arm Swelled Scirrhous from the Elbow downwards it was Oedematous to the Fingers ends she made use of many Eminent Physicians and Chyrurgeons in the City but dyed miserably There is also a sort of Bleeding Cancers which become such either from the eruption of some Vessel which makes the vent often at the Nipple or some other Pin-hole the Breast remaining whole or else from the spreading of infinite capillary Vessels in a Fungus which in ulcerated Cancers is not rare These do very much spend the Strength of the Patient so that she soon Dyes exhausted and tabid Of all the Diseases which afflict Mankind the Cancer is the most grievous and rebellious and is generally Incureable by reason of its corrosive and malignant venome fermenting in the Humours which so far as we can find yields neither to Purging Bleeding Repellents Discutients Suppuratives nor any other Medicine inward or outward Those which lie superficially under the Skin may be attempted by the Chyrurgeon's Hand or if they rise from an External Cause as a Bruise or the like tho they lie deeper they may be cut off or otherwise extirpated But those that arise from a corrosive quality in the Humours though they may be cut off or otherwise extirpated yet the success is most doubtful The Cure of a Cancer in general consists in these Intentions First in the Generation of good Blood Secondly In Correcting and Evacuaating the Atrabilious Humours in the Body Thirdly In preventing the Growth of the Tumour and disposing it to Discussion We endeavour to perform the First intention by an exact regulation of Diet and way of Living advising to abstain from such sharp salt and gross Meats as may dispose the Blood to acrimony and order such as are Cooling and Moistning of easie Digestion and of good Nourishment The Second intention is to prepare and purge all the acrimonious Humours and if there be a Plethora or a Suppression of the Hemorrhoids or Courses a Vein may be opened and a Glister given and the Humours may be also evacuated by a convenient Purge as Take of the three Cordial Flowers one Handful of Sena three Drams of Dodder of Thym two Drams infuse them in Whey and strain it add an Ounce of the Purging Syrup of Apples and six Drams of Manna mingle them Traumatick Decoction are also usually prescribed Take of the Roots and Leaves of Avens of the greater Celandine of Burnet Groundsel Gentian Plantain each one Handful boyl them in two parts of Water and one of Wine to the quantity of three Pints sweeten it with Sugar and let a Pint be drunk thrice aday The following Electuary is also reckoned very good Take of the Powders of Frogs and Snails prepared each half an Ounce of the Powder of River Crabs one Ounce of the Bone of a Stags Heart one Dram of Citron Peel Candied one Ounce of the Conserve of Borrage and Wood-sorrel each two Ounces of the Syrup of the juice of Citron and of Gilly-flowers a sufficient quantity make an Electuary Take the quantity of a Chesnut Morning and Evening Emulsions Distilled Milks and Opiates are also very proper to attemperate the Acrimony and to ease the Pains The Third intention is to restrain the growth of the Tumour and to discuss it moderately Whilst the Humours are are evacuating we apply Repellents and afterwards we add Discutients the Repellents ought to be of the milder sort lest they render the Humours too gross and unfit for resolution as Lettice Purstain Plantain Navel-wort Night-shade and Housleek Lentils boyl'd in Vinegar also Clay tempered with Vinegar The Medicines ready Compounded are the White Oyntment Nutritum Populeon of Tutty and of burnt Lead and Lead it self All the Oyntments prescribed must be beaten up in a Leaden Mortar Thin milled Lead is usually worn in this Case so are Plates of Gold Oyl of Frogs is commended and is made by Baking them with Butter in their Mouths Frogs Spawn Water is proper to be used in Summer Cloaths being dipt in it and applyed but they must be shifted as often as they dry But in the Winter the following Cerat is better Take of a green Frog three Drams of the Powder of River Crabs burnt half an Ounce of Lytharge of Gold two Ounces of burnt Lead and Tutty prepared each two Drams of Cerus six Drams of the Juice of Night-shade and Plantain each six Ounces of Vinegar two Ounces of Oyl of Frogs and of Populeon Oyntment each three Ounces of the Suet of a Calf four Ounces of Wax a sufficient quantity make a Cerat Or Take of the Seeds of White Poppy one Ounce of the Seeds of Henbane half an Ounce of Opium one Dram of Gum Arabick half an Ounce powder them and with the Oyls of Roses and Myrtles each three Ounces of Wax a sufficient quantity make a Cerat This is proper in case of Pain in the extremity whereof you may double the quantity of Opium or in such Cases you may Foment the Tumour with a Decoction of
Poppy Heads Flowers of Roses and tops of Mellilot and apply the following Oyntment Take of Old Treacle one Ounce of the Juice of River Crabs half an Ounce of the Juice of Lettice and of Oyl of Roses each one Ounce and an half of the Yolks of Eggs roasted under the Embers number two of Camphor half a Dram beat them in a Leaden Mortar The Discutients are Ceterach Agrimony Ducksmeat Scabious Thorn-apple the Juice of Coriander Frogs Snails River Crabs Raisins of the Sun stoned and beaten with Rue and Garden Night-shade made into a Pultits are proper to resolve them Many such Medicines are designed to this purpose Cancers requiring variety of Applications If notwithstanding all your Endeavours the Tumour increases and is like to ulcerate you may do well to forewarn the Patient of the danger and if it be loose propose the extirpation of it propose it to them lest afterwards they desire it when it is too late But to undergo this Operation Successfully the Patient ought to be of a strong Constitution and of a pretty good habit of Body and not in declining Age when the Courses are ceased It were also to be wished that the Cancer took its original from some Accident or Bruise and the like and the Operation ought to be performed in the Spring or Autumn of the Year For a Cancer of the Womb Topicks must be applyed which moderately Bind and Cool Take of Oyl of Myrtles and of Roses each two Ounces of the Juice of Night-shade and of Housleek each one Ounce beat them all in a Leaden Mortar with a Leaden Pestle till they grow black then add of Lytharge and of Ceruss washed in Scabious water each three Ounces of Tutty prepared two Drams of Camphir ten Grains make a Liniment wherewith Anoint the Part three or four times a-day The following is said to be better and with it the Tumours of the Paps which are counted Cancerous may be Cured Take of the Oyl of Yolks of Eggs two Ounces of the Juice of Night-shade and Speedwel or of Housleek each half an Ounce of crude Mercury two Drams stir them about in a Leaden Mortar with a Leaden Pestle till they acquire the consistence of a Liniment The foresaid Liniments are to be applyed to the Womb with a long Tent or with a Wax Candle wrapt round with a Rag But Injections may be much easier used Take of Barley water half a Pint of the waters of Night-shade and Plantain each two Ounces of the water of speedwel one Ounce of the white Troches of Rhasis two Drams of Sacharum Saturni one Dram make an Injection If the Pain be very violent add to four Oounces of the Injection one Ounce of Syrup of Poppies If the Cancer be Ulcerated the Dose of the Mercury to be added to the foresaid Liniment must be increased and the Ashes of River Crabs may be conveniently added But all these things are not sometimes sufficient to appease the violent Pain which sometimes will not suffer the Sick to sleep or rest so that we are forced sometimes to use Narcoticks and indeed they are not injurious in this Disease I knew a Woman that was affected with a Cancer in her Breast who took every Night for four Months two or three Grains of Laudanum and was much relieved thereby If much Blood flow from a Cancer ulcerated as it often happens inject into the Womb the Juice of Plantain with a little Frankincense Lastly Seeing a perfect Cure cannot be expected whether the Cancer be ulcerated or not we must endeavour to hinder the breaking of it and the increase of it when it is broken and in both we must qualifie the violence of the Pain by such things as evacuate the whole Body and by other Remedies which alter and evacuate the melancholy Humour and hinder its growth as by Bleeding in the Arm the Hemorrhodial Veins in the Foot by the use of Potions Apozems Juleps Broath Milk Whey Mineral Waters and the like which are commonly prescribed but Purging must more especially be repeated CHAP. XXXIX Of Worms and of the Stone of the Womb. THough many are of the Opinion that Worms are Generated only in the Intestines yet it is manifest by Experience and the Testimony of Learned Men that they are Bred in many other parts of the Body as in putrid Ulcers in the Teeth in the Ears in the Reins and in the Bladder tho' rarely by reason of the acrimony and saltness of the Urine In the Womb also Worms are sometimes generated tho' it be rare because the passages of it are so open that they will not suffer the Humours tho' they are gross and crude to continue there so long as to generate Worms They are most commonly Ascarides and they are most commonly in the Privities or in the Neck of the Womb they are very like those that are in the right Gut perhaps they creep thither from the Anus The material cause of Worms is a cold phlegmatick and crude Humour which is apt to putrifie When there are Worms in the Womb the whole Body is restless and uneasie the Mouth of the Womb is always moist the Women are thin and weak and sometimes the Worms are expelled with the Courses and sometimes they may be seen the Lips of the Privities being opened Women so afflicted sleep disturbedly and often wake in a fright they have disorderly Fevers and all other Symptoms which appear in Worms of the Intestines As to the Cure we must endeavour to hinder the generation of them and to kill them when they are generated this may be done by three sorts of Remedies First By a thin hot and drying Dyet by acid and bitter Meats yet they must consist of good Nourishment and be easily concocted and that are free from all crudity the flesh of Chickens of Hens of small Mountain Birds and the Broath of them with the juice of a Lemon are good Among Fruits Oranges Cappares Olives with Vinegar Among Herbs Endive Sow-thistle and Groundsel Let her Drink be a Decoction of Cinnamon Rubarb the Seeds of Purslain the Roots of China Scorzonera or Sarsaparilla All Meats of Milk Fish and whatever generates Flegmatick Humours must be avoided and full Feeding and a disorderly course of Dyet Secondly Those things must be used which Concoct and Purge off Phlegmatick Humours as Syrup of Wormwood Succory Succory with Rhubarb of the acid juice of Citron with the waters of the same Herbs or of Grass Purslain and Sorrel and the Flegm must be constantly Purged off with Pills of Mastick of Agarick or the like Thirdly Such things must be used as kill Worms and uterine Glisters to that purpose must be injected made of a Decoction of Wormwood Southernwood and Centaury with Allom. Or Take of Mint Calaminth Penny-royal each one Handful boyl them till the third part of the Water is consumed mingle Honey with it and inject it Or Take of the Decoction of Lupins six Ounces of Aloes three Drams
of Honey one Ounce which may be injected also with the like quantity of Decoction of Mercury and Wormwood or the following Pessary may be used Take of Bulls Gall one Dram and an half of the Powder of Lupins two Drams of Oyl of Wormwood two Ounces of good White-wine half an Ounce mingle them and dip the Cotton for the Pessary in it At the same time apply to the Region of the Womb the following Oyntment Take of the Leaves of Wormwood Costmary and Calaminth each one Handful of Peach Leaves half an Handful boyl them in the sharpest Vinegar or in Wine for the Womb to the strained Liquor add of Aloes and Agarick each half an Ounce of Coloquitida three Drams of Oyl of bitter Almonds and of Bulls Gall each a sufficient quantity with a little Wax or without it make an Oyntment You may also make a Cataplasm of the same Herbs boyled and bruised with the Meal of Lupins Oyl of Wormwood and Ox Gall and the Pill of Aloes or of Hiera must be taken often a Scruple at a time That the Stones grow in every part of the Body Galen testifies as in the Bladder Reins Liver Intestines Lungs and therefore it is no strange thing if they should be generated also in the Womb as Aetius writes but they are not altogether like the Stones of the Bladder nor are they loose for if so they could not continue in the Womb but they grow to the Tunicks of the neck of the Womb. The causes of them are the same as of the Stone in the Bladder namely gross and viscid Humours The signs of them are a dull pain in the Womb and the Courses are inordinate and a Finger being put up the Anus the Stone may be selt But if the Stone be in the neck of the Womb the pain is great and affects the neighbouring parts and the Womb and the Woman can not sit without pain As to the Cure an emollient and lubricating course of Diet must be used and the gross and viscid Humours must be Purged off But the chief part of the Cure is to be performed by extracting the Stone but first the parts must be quieted by an emollient Glister made of a Decoction of Mallows Marsh-mallows Fenugreek of the Seeds of Flax and a great deal of Oyl of Roses and of Lillies to make the Manual operation the easier which must be performed in the following manner The Womans Thighs being spread the Chirurgeon must thrust up two of the Fingers of his Left-hand and with his Right he must press the upper part of her Belly to force the Stone out and this may be the easier done if the Stone be in the Neck of the Womb but if it be in the Womb it self the Operation will be more difficultly performed But if the stone grow to the mouth or neck of the Womb and cannot be extirpated this way it must be cut out the Woman being rightly placed and the parts dilated with a Speculum Matricis which being done those things must be injected into the Womb which cure Ulcers first Astringents and such things as stop Blood and afterwards drying things and an exact Course of Diet must be ordered and the Woman must be Purged twice in a Year lest the Stone should grow again The Cure of the Stone in the Bladder in Women is to be managed much in the manner as in Men but it seldomer happens and is easier Cured because the passage of the Urine is larger and shorter and straighter in Women But if it happen and must be extracted the Chirurgeon must put two of the Fingers of his Left-hand the VVoman being placed as above directed into the Privities and with his Right he must press the Bladder and force the Stone to the neck of it so as to make it pass the Muscle that shuts the neck of the Bladder and then a little above the wings of the Privities at which place the Stone occurs he must cut so that the Stone may be extracted with a pair of Forceps Lastly the Ulcer must be Cured by Astringent and Incarnating Medicines CHAP. XL. Of a Condyloma of the Hemorrhoids Warts Thymus Acrocordo and a Ficus and of Scabs of the Privities and of Chaps and Clefts of the same A Condyloma is a Tubercle arising from an Inflammation and resembles the Knucles when the Hand is shut It is cured by four kind of Remedies First by Diet and Purging Medicines that respect the antecedent cause Secondly By drying and repelling Topicks if the Callus be newly bred as by Baths and Vapours of a Decoction of Vervain of the Leaves of Brambles of Acacia Ivy-leaves to which must be added by reason of the Pain Camomile Flowers and if the Condyloma be Inflamed such things must be used as mitigate the pain as the following decoction Take of the leaves of Melilot Mallows and Marshmallows each half an handful of the Seeds of Flax and Fenugreek each three Drams of the Flowers of Camomile two Pugils boyl them and to a Pint of the Decoction add two Ounces of Roses inject it by a Syringe or warm Milk may be so injected If the Condyloma being old is grown hard and does not yeild to the foresaid Medicines Aetius commends as a wonderful remedy Mineral Misy mixed with Turpentine or instead of it Roman Vitriol a Dram of the Troches of Steel reduced to powder and mixed with the Oyls of Roses and Wax and made into an Oyntment with half an Ounce of the Juice of Mullein is also very good The following is also much commended Take of Tuty thrice burnt and washed of Ceruss washed of the Froth of Silver washed each two Drams of the Yolks of two roasted Eggs Wax Sope and Oyl of Roses each two Ounces make an Oyntment But if these things do no Good it must be cut off and if there be many of them they must be burnt off and the Ulcer must be regularly cured but cutting or burning in these parts is dangerous and must not therefore be used unless there be an absolute necessity If there be Hemorrhoids they are either in the Mouth or Neck of the Womb or in the Womb it self or in the Privities they are as divers as those in the Anus they are either blind or open they are with or without Inflammation they differ also upon their bigness Number and Figure they are occasioned by Chaps and by a Condyloma but chiefly by gross and feculent Humours falling upon the Veins of the Womb or by an inordinate defluxion of Menstruous Blood into those Veins This Disease may be known by a weight in those Parts and Women so affected are weak and subject to Spontaneous Lassitude But if the Hemorrhoids of the Womb or Anus flow moderately they cure and prevent many Diseases and the unseasonable stopage of them occasions the Falling Sickness and many other Diseases They are cured as the Piles of the Anus There are four sorts of Warts of the Womb and
Privities The First are Acrocordones which hang as by a Thred Secondly Thymus which is a rough and oblong Tumour and without pain if it be gentle and white or redish but if it be Malignant it is livid and painful Thirdly Ficus or Mariscae which differ from a Thymus only in bigness The Fourth is Clavus which is a hard white and round prominence like the Heads of Corns These Tumours in general are of a Scirrhous nature and come by immoderate Copulation and are sometimes Malignant by reason of the French-Pox The gentle are known by their white or redish colour and by the absence of pain the Malignant by their hardness leaden colour and pain They are Cured by four sorts of Remedies First By a Diet that is not apt to breed gross Humours and by Catharticks to Purge such Humours off and by Sweats if they are obstinate Secondly By discussing Medicines which are most proper for the Thymus and Clavus as by dried Sage with fat Figs or Old-shoes burnt and powdered and mixed with Wine and applyed But the Soles of Shoes and a dried Gourd powdered by themselves and afterwards mixed and applied with Wine to Warts do very well or you may take of Rue and Pennyroyal each equal parts let them be burnt and powdered the Bark of Frankincense the Leaves of Basil Wine and Vinegar Shoomakers Ink boyl them in the VVater that drops out of a Vine cut moisten the part with this Decoction this is reckoned an excellent Medicine Prick with a Needle the Eye of a Goat newly killed and anoint daily the part with the Liquor that flows from it and within Six Days as Aetius writes Myrmecies will be extirpated which consist of broad Roots and they itch Thirdly Things that burn and eat are proper for Myrmecies and Acrocordos as the juice of wild Cucumber with Salt or the like But corroding things must not continue long upon the part for when they have been applied an hour or thereabout the part must be washed twice or thrice with Astringent Wine and the Neighbouring parts must be defended by an Oyntment made with Bolearmenick sealed Earth Rose-water and Vinegar Fourthly If they may be cut off they ought to be so but some bind the root of these with a Horse-hair and straighten it daily till they fall off In the Privities and Mouth of the Womb especially in such Women as have the French-Pox Pustles arise they often itch they are occasioned by the abundance and grossness of a bilious and adust Humour or by the French-Pox they may be easily seen by a Speculum Matricis They are to be cured by four sorts of Remedies First By Meats of good juice and by abstaining from all acrid acid and salt things Secondly By Universal Evacuations as by Bleeding and Purging and such things as attemperate the Humour must be used as Syrup of Borrage Violets Fumitory and Succory and the like Decoctions of Sarsa or of Guiacum with Sweating are also very proper and Purges and Sudorificks must be often repeated Thirdly Topicks must be applyed and if the Pustles are gentle bathing is proper and afterwards wash the part with hot Wine and Nitre For Pustles and Scabs the following Oyntment of has bin found very successful Take of the Roots Elecampane Burnet and sharp pointed Dock each three Ounces of Fumitory Water Six Ounces of the sharpest Vinegar or of the best Wine for Diseases of the Womb two Ounces having bruised the roots well infuse them a day and a night then boyl them and press them strongly to the strained Liquor add half a pound of Turpentine of Oyl of Roses three Ounces of Wax half an Ounce boyl them again to the Consumption of half and add of Sulphur one Ounce and an half of Cerus five Ounces of Roch-allom half an Ounce of Sal Gemma two drams of Oyl of Eggs six Drams mix them by beating of them well together then wash the whole Composition in Fumitory Water But if the Pustles are Malignant and Obstinate you must use stronger Desiccatives which correct the Venom of the Pustles and at the same time you must use sudorific decoctions Take of Plantain and Rose Water each four Ounces of Sal Gemma Nitre and Allom each two Drams of Sublimate one Dram and an half boyl them till a third part is consumed to the strained Liquor add of Verde-greese one Scruple after you have used this two or three dayes you must forbear a while and use gentler things and return again to the use of it till the Pustles are quite taken off This moreover must be added which is of excellent use having first bathed with a decoction of Fumitory Lupins Beans and a little Salt Take of the Roots of Elecampane cut small four Ounces boyl them well in a sufficient quantity of Water with a little Vinegar or Wine then beat them in a Mortar and Pulp them through a Sieve and add of fresh Lard three Ounces of Juice of ground Elder and of Fumitory each one Ounce and an half of Quick-Silver extinguished in fasting Spittle or in the Yolk of an Egg half an Ounce of Ceruss and Lytharge each one Ounce of Brimstone one Dram and an half stir them about for an hour and mix the Powders by degrees But because Pustles continue sometimes a long while you must make an Issue in the Leg before they are quite dryed up Clefts and Chaps are sometimes in the Mouth of the Womb as in the Anus Hands Lips and Nipples by reason of violent Cold a North Wind and the like they are small long and narrow Ulcers sometimes deep and sometimes only superficial they are also ocasioned by hard labour by Acrid and Corroding Humours or by a great dryness in the Womb. They are to be cured by five sorts of Remedies by a moistening and smoothening Diet avoiding such things as are acrid and stop the Belly therefore let the Woman eat Chicken Mutton Veal and Broaths made of Succory Bugloss Burrage Spinage and the like let her Drink be rather Beer than Wine she must avoid Cheese and Spices Violent Exercise and Copulation And if Acrid humours be the cause she must be blooded if there be a plenitude afterwards she must be Purged with Cassia Manna and the like and the Humours must be attemperated with the Syrups of Succory Roses Violets Borrage Fumitory and with the Waters of the same Herbs If they are occasioned by hard labour and Bleed the Blood must be stop'd by the following Uterine Glister Take of the leaves of Plantain one handfull of Roses four Pugils boyl them in a sufficient quantity of Water till half is consumed To six Ounces of the strained Liquor add of the Powders of Dragons Blood Bole armenick Myrrh Frankincense Birthwort each half a Dram. If the Chaps are dry hot and itch the part must be Fomented with things that moisten as the following Decoction Take of the flesh of Frogs Snails and River Crabs each two Drams of Barley two Pugils
Also Directions for making Compound Waters Syrups Simple and Compound Electuaries Pills Powders and other sorts of Medicines Moreover the Gums Balsams Oyls Juices and the like which are sold by Apothecaries and Druggists are added to this Herbal and their Virtues and Uses are fully described 8 o The Storehouse of Physical Practice Being a General Treatise of the Causes and Signs of all Diseases afflicting Human Bodies Together with the shortest plainest and safest way of curing them by Method Medicine and Diet To which is added for the Benefit of Young Practisers several Choice Forms of Medicines used by the London Physicians 8 o These Five by the Author of this Treatise Pains afflicting Human Bodies Their various Difference Causes Parts affected signals of Danger or Safety shewing the Tendency of Chronick and Acute Diseases for a seasonable prevention of fatal Events With a Tract of Issues and Setons By E. Manwaring M. D. 8 o The Compleat Chyrugeon or the whole Art of Chyrurgery explain'd by way of Questions and Answers Containing an exact account of its Principles and several parts Viz. Of the Bones Muscles Tumours Ulcers and Wounds Simple and Complicated or those by Gun-shot as also of Venereal Diseases the Scurvey Fractures Luxations and all sorts of Chyrurgical Operations together with their proper Bandages and Dressings Whereto is added a Chyrurgical Dispensatory shewing the manner how to prepare all such Medicines as are most necessary for a Chyrurgeon and particularly the Mercurial Panacaea Writen in French by M. Le Clerc Physician in Ordinary and Privy Counseller to the French King Faithfully Translated into English 12 o Pia Desideria or Divine Addresses In three Parts 1. Sighs of the Penitent Soul 2. Desires of the Religious Soul 3. Extasies of the Enamour'd Soul Illustrated with 47 Cuts Written in Latin by Herm. Hugo Englished by Edm. Arwaker 8 o The Art of Catechizing or the Compleat Catechist In four Parts 1. The Church Catechism resolv'd into Easie Questions 2. An Exposition of it in a continued full and Plain Discourse 3. The Church Catechism resolv'd into Scripture Proofs 4. The Whole Duty of Man reduced into Questions Fitted for the meanest capacities the Weakest Memories the Plainest Teachers and the most uninstructed Learners 12 o Country Conversations Being an Account of some Discourses that happened in a Visit to the Country last Summer on Divers Subjects chiefly of the Modern Comidies of Drinking of Translated Verse of Painting and Painters of Poets and Poetry 8 o The Christians Manual In two Parts 1. The Catechumen or an account given by the Young Person of his Knowledge in Religion before his admission to the Lords Supper as a Ground Work for his Right understanding the Sacrament 2. An Introduction to the Sacrament Or a short safe and plain way to the Communion Table being an Instruction for the Worthy Receiving the Lords Supper To which is added the Communicants Assistant being Devotions to that purpose fitted to be used before at and after the Receiving the Blessed Sacrament Collected for and Familiarly addressed to every particular Communicant By L. Addison D. D. Dean of Litchfield 12 o Letters of Religion and Virtue to several Gentlemen and Ladies to excite Piety and Devotion with some short Reflections on Divers Subjects 12 o A Practical Discourse of the Sin against the Holy Ghost Shewing plainly 1. What it is 2. How any Person may certainly know whether he has been Guilty of it Designed to bring Incouragement to the Faithful Penitent Tranquility of mind to the Obedient Joys to them that love and the Returning Sinner from Desparation 8 o A Discourse Proving from Scripture and Reason that the life of Man is not Limited by any Absolute Decree of God By the Author of the Duty of Man 8 o The Best Gnide to Devotion being short Prayers Meditations and Thanksgivings taken out of Scripture and fitted to all occasions 24 o Advertisement EXcellent Purging Pills prepar'd by the Author are to be sold by Mr. Henry Bonwicke at the Red Lyon in St. Paul's Church-yard They cure the Scurvey the most reigning Disease of this Kingdom they Purge the Head Breast Stomach and Reins and Cleanse the Blood and are a very proper Purge for those that cannot confine themselves when they want Purging but are forced to go abroad about their Business The Price of each Box is One Shilling Six Pence with Directions for use FINIS