Althaea Vnguentum Resumptivum of each an ounce Oyle of white lillies Oyle of Dill Hensgrease of each halfe an ounce Saffron Dittany beaten to powder of each two drams With a sufficient quanty of wax make an oyntment But if nature be culpable in both namely in the weaknesse of the Mother and the expulsive faculty and also in the strength of the retentive then against one you must administer corroborating medicines as hath already been said and to rectifie the other fault you must adhibit loosening remedies such namely as are recited above CHAP. III. Of the Retained Secundine GAlen in his book de usu partium hath rekoned up three membranes which enwrap the childe in the wombe the first whereof is called Ammios this on every side is spread over the whole childe and receiveth the childs sweat that it may swim in it The second is named Allantoeides or Intestinalis or as others name it better Vrinaculum whose use is to receive the urine the third is called Chorion our Midwives call it the Secundine which is nothing else but a multitude and connexion of vessells and membranes thorough which as by little springs or rivolets the child draweth bloud and ayre these membranes are burst when the childe begins to â—â—ick his way out into the world from whence that liquor distilleth as we have noted above which makes the passages slippery after the nativity of the childe these membranes are excerned but if they chance to be retained they introduce most outragious Symptomes and a disease of number in the excesse The Causes of the retention are diverse for many times the Matrix is confirmed after the childe is borne many times the immoderate passions of the minde make nature forget her selfe in his duty sometimes odoriferous things draw the Matrix upwards and so nature is disturbed in her purposes of exclusion an unseasonable drinking of cold water is a very frequent cause of it and so are grosse meats that stuffe the body and thicken the bloud You may know by the Midwives relation that the Secundine is retained unto whom if she be skillfull you ought at the command of Hippocrates yield up your beliefe or you may conjecture it if the woman be sad in minde subject to faint and swound full of tossing and unquietnesse if she feele a heavinesse in her wombe or a round substance like unto a fixt and immoveable ball This is a most lamentable disease for if he Secundine be retained for any consideraâ—le time it putrifies and communicates poiâ—sonous exhalations to the principall parts as the heart the brain the liver from whence arise swounding fits anxiety of minde giddinesse in the head and direfull torments Wherefore let it be the Midwives care with all speed to attempt the cure bringing down the Secundine with her fingers besmeared with oyle and let her hold fast the umbilicall vessells till the Secundine follow but what if it remaine behinde then according to the Oracle of Hippocrates delivered in the fortieth Aphorisme of his fifth book you may exhibit sneezing medicines to the nostrills for these by that motion compresse the upper parts and the expulsive faculty being irritated out comes the Secundine Take black pepper Mustard seed Sagapenum of each a dram and a halfe Tobacco Castor White hellebore of each a dram A scruple of Euphorbium Make a fine powder of them and upon the point of a knife or thorow a quill let her sniffe up a little of it at a time or you may prescribe this Potion for two Doses it hath often done the Cure Take eight ounces of penniroyall water An ounce and a halfe of aqua Hysterica Two scruples of Castor in powder Mingle them for a Potion to be taken at twice or Take two scruples of the Trochischs de Carabre A scruple of Borace Halfe an ounce of the Syrup of juice of betony Three ounces of a decoction of Savine Mingle them for a Draught Suffumigations are also very profitable to bring away the Secundine Take Storax Benjamin Lign aloes of each two ounces Musk Civet of each a scruple Make a pessarie of them adding Vnguentum Agrippe and the juice of Mercuty Liniments must not be omitted made with unguentum de Althaea de Agrippa oyle of Almonds and oyle of Dill fomentations and halfe tubs are equally necessary made of a decoction of camomile pellitory of the wall Motherwort Birthwort Origanum Sage Savine annise fennill and Line seeds unto all which may be added oyle of Almonds and oyle of Dill Glysters must also be injected and with good successe you may continually rub her hips and her thighes tye ligatures about her legs apply Cuppinglasses and cut a veine in her ankle When the Secundine is ejected or drawn out give the woman Cordialls as Bezoar stone Treacle Confect de hyacintha or Alkermes all which things are of undoubted vertue to restraine the malignity of the vapours sometimes a Mole remaineth in the Matrix after the birth which by reason of the congealed bloud and the fleshie substance whereof it is compounded is as difficult to cure as the recention of the Secundine wherefore you must indeavour to expell that by the help of those remedies which we have prescribed above in the chapter of a Mola and here also a little above Note the difference betweene the Secundine and a Mole this is fixt and unmoveable but that is moveable from one place to another in a Mole or when a woman is troubled with that halfe conception so called a black and clotted bloud drops from the Matrix which upon the retention of the Secundine appeares not CHAP. IV. Of the Dead Childe CErtaine it is that the Childe dyes in the Mothers wombe for many causes the first of these is an inward cause as a defect of aliment or the corruption of it the second is a most vehement burning Fever which by the excessive heat thereof wastes the spirits and destroyes the naturall heat The third cause is an unseasonable evacuation of bloud at the nose the mouth the Matrix or by phlebotomy The fourth is an exuperance or an immoderate predominancy of humours in the body The fifth is a great quantity of moysture loosening the vessells The sixth is some vehement medicine The first outward cause is some blow the second a Cough the third vociferations or loud and clamorous yawlings the fourth sneezing the fifth sad tydings the sixth some horrible and dreadfull sights The Childe may be known to be dead by a coldnesse about the Mothers navell and by a kinde of sixt and immoveable weight in her belly by a bad taste in her mouth and by her stinking breath Use your utmost activity and cunning to bring away the dead childe both by inward administrations and by outward applications inwardly let her take this Potion Take a a dram of the Trochishs of myrrhe Castor Storax Borace of each ten graines Foure ounces of a decoction of Savine Mingle them for a draught or Take the powder
which hath both a purging and a strengthning faculty for if we may adventure our beliefe to the assertions of the best Physitians Rubarb may be safely given to old men infants and women with childe and Fallopius in his booke of purging Simples and in the chapter where he speaketh of Rubarb saith it dries up all superfluous moisture contained in the vessells of the Matrix it is a gentle cleanser it strengthneth the Heart and the stomack by its astringent faculty neither need you to entertaine the vaine feares of some who suspect that the bitternesse thereof may destroy the childe for the taste of it is not horrible to nature and besides the bitternesse quickly vanisheth There remaines another doubt to be answered namely whether it be more proper and advantagious to prescribe an infusion of Rubarb or to give it in the substance I answer that it purgeth most in the substance or body of it expelling the humours by siege which it doth not in an infusion at least not so powerfully because then it evacuates onely by the purgative vertue which is in it and of the same opinion is the Author before named CHAP. IV. Of a bad stomach proceeding from Vomiting IT is a known truth that most dangerous direfull and pernicious Symptomes invade women with childe from which also forsaking of meat and Vomiting doe afterwards follow all which things proceed from those noysome and soggy exhalations which are distributed into the severall parts from the corruption of the bloud for whereas there is a sympathy and consent between the stomack and the Matrix when any poysonous or malignant vapour ascendeth from the latter it immediately invades and overcomes the stomack which being weakned in the conflict or indeavour to resist and keep out those vapours the functions of it are depraved it refuseth all comfort or nourishment or if at any time it admit any 't is no sooner swallowed but vomited up againe these are the signes of this disease and to cure it proceed according to the Method following In the first place prescribe a cleansing potion Take three drams of Elecampane roots The leaves of wormewood and Century the lesse of each halfe a handfull Boile them in a sufficient quantity of whole barley water to a pint and a halfe to the strained liquor add three ounces of honey of roses strained mingle them for a Potion against the next morning prepare this purge following Take three drams of rubarb Two scruples of agarick Trochischt A dram of annise seeds Macerate them a whole night in a sufficient ' quantity of mint water to two ounces and a halfe in the morning presse them hard with all your strength and add three drams of the Electuary Diaphenicon if she cannot take down a Purge let her swallow these Pills following Take a dram of the mass of Pills de Hiera cum agarico Make nine pillâ— and guild them The next day following give her this strengthning mixture which doth not purge at all and every morning let her eat the quantity of a Nutmeg Take Elecampane roots candied Marmalade of Quinces of each an ounce Halfe an ounce of Conserve of red Roses Foure scruples of aromat rosat in powder Two scruples of mastick in powder With a sufficient quantity of Syrup of â—int make a Confection After the use of these things make this plaister following and lay it to her stomack Take lignum aloes Yellow Sanders And the round Cyperus of each two drams Galangale mace cloves And calam aromat of each a dram Common wormewood roman wormewood Spikenard dried mint Of each as much as you can take up between your thumb and two fingers Mastick Storax calamitu Red Corall of each two scruples Amber Musk of each a scruple Pure ladanum Turpentine of each an ounce Foure ounces of white wax Make a Masse whereof let him take a sufficient quantity and spread it upon leather and lay it to her stomack Bisket steeped in muskadine is excellent good for her because it refresheth the spirits and mightily strengthneth the stomack CHAP. V. Of a Pain in the Belly the Passion of the Heart and of sounding Fits VVOmen with Childe doe often feele a pain in their bellies and this also proceeds from winde and the malignant vapours aforesaid neither are the swounding Fits or the Passion of the heart produced by any other causes because the heart when it is shaken with this fuliginous and grosse spirit doth frequently stretch and contract it selfe and endeavouring to expell the evill which annoyes it it falls into an inordinate and strange motion like unto trembling Under these diseases the woman languisheth is full of feares and frights prone to despaire subject to faint can obtaine no sleep but wasteth away daily and waxeth leane and meager To take away her paine you may administer such remedies as will expell the winde and strengthen the bowell of which sort you may furnish your selfe with plenty above in the chapter of a cold distemper and windy humours in the Matrix You may likewise anoynt the stomack with this oyntment following Take an ounce of unguent Altheae Oyle of wormewood Oyle of Camomile And oyle of rue of each three drams The power of lignum aloes Mastick Wormewood And both sorts of Corall of each a dram Halfe a dram of aromat rosat in powder Six drops of oyle of annise seeds With a sufficient quantity of yellow wax according to art make an oyntment This or the like fomentation may likewise be very usefull Take halfe a dram of elecampane roots Two drams of lignum aloes The leaves of Rue Motherwort Sage Wormewood Mint of each a handfull Mastick Cloves of each two drams Boile these Simples in a sufficient quantity of water to three pints and prescribe the strained liquor for a fomentation After the use of the fomentation clap to the stomack the caul of a sheep newly killed In Spaine the greatest persons and those the wisest also take hot bread from the oven afterwards they soake it in Muskadine and having sprinkled upon it the powders of red and white corall and aromat rosatum they lay it to the heart others instead thereof use Treacle Alkermes and Confect Hiachytorum to all which may be added if the evill yield not to the remedies aforesaid a little bag to be worne upon the left pap and made after this manner following Take two drams of lignum aloes Bezoar stone Muske Red corall of each a dram Red and yellow Sanders of each two scuples The Specie Diamosch And Diambr of each a scruple and a half With a piece of red taffata and cotton make â— quilted bombast for the use aforesaid Mingle cordialls with her drinke and cordiall conserves as for example Take two ounces of conserve of red roses Two drams of alkermes Macerate them a night in two pints of â—â—antane water and red wine in the morning straine it thorough Hippocrates his sleeve that is a woolen bag and give her now â—nd then the quantity
of a small wine â—lasse If these remedies overcome not the disâ—â—se apply an exceeding great Cuppinglasse â—o the heart by the force whereof the winâ—y vapour will evaporate for although â—lysters doe draw back the humour from â—â— affected part yet in reference to great bellied woman you ought to suspect the event of them because they raise too great a disturbance by provoking nature down wards and many times cause abortivenesse yet if the paine be insupportable then inject carminative glysters and omit all bitter ingredients as Hieâ—a benedicta Laxativa or Scammoniata but to prevent all errour prescribe this following Take a handfull of mallow leaves The flowers of melilot The tops of Dill of each halfe a handfull Two drams of fennill seeds Boile them in a sufficient quantity of barley water to nine pints to the strained liquor add two ounces of Syrup of â—â—seâ— Laxative An ounce of red Sugar Mingle them and make a glyster Or Take the flowers of melilot And mallowes of each a handfull Annise and Fennill seeds Of each two drams Boyle â—them in a sufficient quantity â—â— broth made with an old Cock to niâ—â— ounces to the inward liquor add Calabrian Manna And red Roses of each an cunce and halfe An ounce of oyle of rue Mingle them and make a glyster It might doe much good if you gave her a draught of balme water in the morning in which water you may sâ—eep lignum aloes the space of a night and afterwards put to the strained liquor a sufficient quantity of Syrup of mint for this expells the winde cleanseth away the phlegme and powerfully strenghthens the stomack You must frequently and laboriously rub her lower parâ—s tye ligatures about them and apply Cuppinglasses to them if there be no imaginable cause to feare abortivenesse but if there be the least suspicion of that omit all such applications as may procure a revulsion of the bloud nay let me give you this caution absolutely to forbeare them unlesse she be taken with desperate trembling and fainting fits or swounding in the spring time too when her spirits require them You must cause her Basilick veine to be opened if she be young fleshy and strong for this Remedy besides that it letteth out the thick dreggish and black blood it refresheth the childe also and the heart is sweetly easily and safely delivered from that burthensome humour which 〈◊〉 presse and almost overwhelme it CHAP. VI. Of a Cough in Women with Childe MOst certaine it is that great-bellied Women by reason of their being with childe have not sometimes a free vent for their crude and indigested aliments either by Stoole or by Urine or by any other Eâ—unctories of the body these being unduly kept in the body putrifie wax hot and communicate noysome fumes and vapours to the spiritous parts which by their clamminesse thicknesse and sharpnesse together with the bad quality that is in them gripe and twitch the Woman and force her to cough Some perhaps may demand why doth this Coughing happen in the last months the answer is obvious namely because in those moneths a greater plenty of excrements are lodged in the body then were accumulated at the first The cause of the Cough according to Hippocrates iâ— a viscous thick and tough homour impâ—cted in the Pipes of the Lungs which humour sometimes also thorough that consent which is between the Matrix and the Chest invadeth that part and raiseth a Coughing and these are these are set down as the true signes of this evill As for the Prognostick's you must know that a Cough befalling a woman with childe is a bad Symptome seeing that by the least stretching and shrinking the Cotyledons or vessells of the wombe are many times loosned yea sometimes burst asunder and from thence comes abortivenesse The Cure is perfected with sweet wine mild beere and the frequent use of a Ptisaâ— sharp sowre and cold things must be avoided meats also must be forborne which breed a thick nourishment and are hard to digest vehement evacuations likewise are not good wherefore having given order for the observation of a good Diet prescribe some gentle lenifying medicines to provoke her to spit as manna Syrup of roses laxative Diacnicu and the like These things being administred proceed to Electuaries and expectorating medicines and especially to this Apozem following Take an ounce of cleansed Barley The roots of Aristolochy Licoras scraped of each two drams The leaves of Asarabacca Nettles White Maidenhaire of each a handfull Two drams of raisins pickt The flesh of Dates Fat Figs of each three drams Boyle them in a sufficient quantity of water to two pints and to the strained â—â—quor add Two ounces of Diacodium Mingle them and make an Apozem or You may prescribe Lozenges after this manner Take a dram of the species Diatragacâ—nâ—â— frigid Diaireâ—â— Poppy seeds of each a scruple Two ounces and a halfe of Sugar dissolved in rose water according to arâ— make them into Lozenges Then prescribe this Conserve Take Conserve of red Roses Elecampane candied of each an ounce Conserve of Violet flowers Rosemary flowers of each halfe an ounâ—â— Two drams of meale of beanes A dram of Diaireos Ten graines of Sâ—lphur With Syrup of Colt's foot make a Conserve Meale of â—eanes according to Galen doth cleanse and mundifie the Chest digests the crude spittle contained in the pipes and makes it easie to be excerned beanflower water is exceeding good for the Lungâ— especially if she drinke it with Syrupe of Maydenhaire or Oxymel Sâ—iâ—â—iticum the same faculties hath the distilled waters of red Poppies The yolke of an egg taken in the morning with Sugar and the oyle of sweet Almonds is a most incomparable remedy and hath done good to thousands Anoynt her Breast with this Oyntment which is good to prepare the crude and thick matter which stops her pipes Taken an ounce of the oyntment of marish mallowes The axungia of a hen Of a Duck of each halfe an ounce Oyle of sweet Almonds Oyle of Violets of each two drams Ten graines of Saffron Mingle them and according to art make an oyntment heat it when you use it and anoynt the whole region of her Chest therewith CHAP. VII Of the swelling of the Legs in Women with Childe FRom the same cause namely from abundance of phlegme and crude humoâ—rs especially in the last moneths proceed the swelling of the legs face and eye-browes and when I have told you that the flesh of the whole body groweth soft and that she looketh white and wan in the face I have discovered unto your consideration the fignes of this disease Women in this condition cannot be restored to perfect health till she be delivered yet may we not delay our helps least a worse evill happen unto her for whereas the legs and feet are outward parts and at a great distance from the fountaine of heat they are quickly affected with cold and mortified through the abundance of crude humours which many times
which there is or may be a feare of miscarrying then may you properly and securely adadminister those things which we even now prescribed If you demand from whence that abundance of waterish humours doth come which floweth before she is in Labour I answer from the Membrane or skin called Ammion which is fastned to the Childe and from the other called Chorion in which two skins the urine of the Childe is so long reserved till the fulnesse of time be accomplished in which it should be borne at which time seeking by instinct of nature for a greater proportion of nourishment it kicks and teares these membranes out of which when a large plenty of waters have run it comes forth into the world CHAP. XI Of Acute Diseases befalling Women with Childe WOmen are preserved both from the threatnings and also from the Invasions of those Diseases whereunto they are subject by a threefold kinde of Remedies by Diet by Phlebotomy and by Purging or to speake more properly by being purged But the two latter are the more difficult according to the opinion of Galen who in this hath the concurrence of Avicens judgement also you must know saith he that â—very disease of repletion or the malice of a complexion is not cured by his contraâ—y but sometimes by a good regiment of â—ealth wherefore if it be a slight disease â—t will be cured of its own accord for â—heâ—e is no kinde of disease so fierce saith Galen in his book of Diet which is not taâ—ed by it but yet a moderation must be observed for they who are neere their â—ime and looke every day to be in labour â—ant a larger proportion of nourishment because the childe is big and should they be defrauded of this mediocrity they would perish by the cruelty of an acute disease wherefore here lies all the difficulty to prescribe a convenient and fit Diet for such women for should you allow them meat and drinke suitable to the condition of women who are not with childe you should destroy the childe and should you out of a regard to the preservation of the childe be more liberall and indulgent to their appetites this condescension would espouse you to another errour for hereby you might cherish the cause of the disease let her therefore be fed with meats that are of easie concoction and distribution and prohibit her the use of thick sharp sowre bitter and windy meats that are hard to digest Having prescribed a good Diet you must consider whether it be expedient she should be let bloud Valesius sets down the reasons on both sides and for the Negative he alleadgeth an Aphorisme in Hippocrates running to this sense if a woman with childe be let bloud she miscarries and the rather if the childe in her wombe be big because the childe is thereby defrauded of its aliment Secondly Galen saith Physitians ought not to be busie in offering helps or strong remedies to women with childe nor any exquisite manner of Diet here you must understand Phlebotomy say they therefore it must from Galens words be concluded inexpedient Thirdly if any evacuation be a cause of abortivenesse as a flux of the belly or a loosenesse as Hippocrates in another Aphorisme affirmeth how much more will the opening of a veine be a cause by meanes whereof the aliment is taken away from the childe Fourthly a Fever kills the childe by wasting the spirits and drying up the bloud with the vehement heat thereof therefore so also will phlebotomy kill the childe by exhausting the spirits and consuming the bloud But all these reasons to my understanding are of no weight no moment no validity seeing that it is most certaine that the very impregnation or being with child doth forbid phlebotomy in respect of it self yet not as one of those principall scopes which withstand it but of those which indicate and advise to a sober and due celebration of it wherefore when a woman sick of an acute disease must be let bloud yet must she bleed lesse then the affect and the plenitude require because of that indication which is taken from the childe in her wombe for her gravidation or being with childe ought to be reputed as a Symptome which wasts the spirits because her bringing forth the childe is a kinde of evacuation To the second I answer that Galen in that place meanes nothing else but that Physitians should counsell their Patients to avoid intemperance because women with childe admit not of the least degree beyond a medioicity To the third I answer that it is not alwayes true that abortivenesse followeth upon any large evacuation and therefore it should not onely have beene said but proved by the Interpreters of Hippocrates for wee see that it followes not upon hunger or emptinesse unlesse it be diuturnall nor from a loosenesse unlesse it be immoderate nor lastly from phlebotomy if a veine be opened in the arme wherefore that I may conclude I conceive Hippocrates did intend only to prohibit the cutting of a veine in the ankle but not in the arme for I confesse if a veine in the ankle be cut the bloud is drawn in abundance to the Matrix and so may strangle or choake the childe and cause abortivenesse the like also doth any vehement and exorbitant Purge Wherefore if an inflammation be present we affirme that a woman with childe may be let bloud without any danger of abortion yet with this condition that she be first well nourished with meats of good concoction and quick distribution and that a small quantity onely be taken away least the spirits should be empaired either for the present or the future Moreover I like not the cutting of the Basilick veine because it much exhausts the bloud and may cheat the childe of his nourishment Lastly I counsell you to apply strengthning and nourishing things to the navell before you cut the veine as unguentum Comitissae or Emplastrum stomachichum or fomentations made of wormewood roses mastick lignum aloes quince seeds and Claret wine and whilest she is bleeding let her hold cold water in her mouth or cold beer that if perhaps she begin to faint she may swallow it and preserve her selfe from swounding But what shall be said concerning Purges which consist of hot ingredients and as Galen and Averroes contend disturb and hurt the childe I answer all purging medicines are not of that quality wherefore we may safely prescribe manna sena tamarinds rubarb and cassia omitting such simples as have any participation of vehemence and we confidently aver that Hippocrates must be understood in this sense where he saith women with childe must be physickt or purged if the matter be turgid in the fourth moneth unto the seventh because the childe in the wombe is likened to the fruit upon a tree which as at first they fall down by any slight motion and afterwards stick faster to the tree but when they are full ripe fall of their own accord so the childe
the windy humours strengthen the Matrix and dissipate the fuliginous and grosse vapours naturall Baths are excellent for the same purposes and so are Treacle Mithridate Alkermes Aromaticum rosatum Diarrhodon Abbatis Diamargarit calidum and Diacinnamomum and lastly if you desire any satisfaction from our opinion concerning Issues we answer that they evacuate those cold and thick juyces which daily flow unto and settle in the Matrix and therefore as we said almost every where we affirme the use of them to be very expedient and conducible CHAP. II. Of the shapeless lump of Flesh called Mola A Mola is an unprofitable and shapeâ—â—â—â— lump of flesh bred in the Matrix of the menstruous bloud as the Materiall cause thereof according to the opinion of Galen in sundry places of his works He saith of the menstruous bloud that it such as is very thick and much hardned in the Matrix but note that he doth not here exclude the seed of the man for every Physitian knowes that a Mola proceeds from a mixture of the menstruum and â— corrupted seed which indeed doth somewhat indeavour Conception but cannot perfect it neither is there any cause of wonder that such a lump of deformity should be fashioned in the wombe seeing that severall kindes of monsters are bred there according to the variety of thâ— humour which floweth into the Matrix hâ— that would acquaint himselfe with thâ— knowledge of these things may reaâ— Skenkius his Observations and the wonderfull stories related by Marcellus Donatus if also he would search into and examine the true cause of these things let him read Laurentius his book of Anatomy But why doth this breed in the Matrix onely of a woman and not in some other part I answer because although the bloud may congeale and become clotted in the other parts of the body yet it happens so more frequently in the Matrix of a woman then in any other part of her body because the Matrix is as the common shoore of the body where most of the excrements are exonerated But why doth a Mola breed in women onely I answer because women onely have an abundance of this menstruum more then other Creatures and that their bodies are full of grosse thick and tenacious humours by reason that for the most part they use a moist diet and abandon themselves to a reproveable and disorderly course of life This Mola is of severall kindes for sometimes it is waterish sometimes windy and humorall and sometimes againe 't is skinnie and bloudy this last is the most ordinary and all Physitians have granted it this is that which is most usually presented to our observation and lastly this is that which so often hath deceived women who boasted themselves to be with childe and were not and their Physitians also who told them they were with child when they were not Wherefore to avoid these common couzenages let us be circumspect in the knowledge and right understanding of the signes which are a swelling with a drawing back of the Hypochondriacall parts the women grow leane are full of paine and very apt to long the belly is burthened her back aketh her breasts swell and her Courses are stopped and that at the beginning of her conception but afterwards in processe of time she seemes to have the Dropsey her belly is so immoderately swelled but you may know this from a Dropsey for in that the belly sounds like a Drum the woman feeles within a kinde of fluctuation or waving motion and if a finger be laid hard upon her belly the print of it remaines A Mola is distinguished from a perfect conception by three most certain signes that is by the motion by the milk and by the time that a woman beareth her childe in the motion because there is a great difference between the motion of a childe and the motion or stirring of a Mola because the childe kicks and turneth about to all the parts of the bottome of the belly but a Mola moveth like a Globe now on the right side and anon on the left this also if you presse down the womans belly with a gentle hand removeth from the place and returnes not suddenly into it againe and from the milke you may gather a never-failing signe because the breasts swell all the time a woman is with childe but in the other it happeneth otherwise the time likewise affords a never-failing signe for if the swelling of the belly continue beyond the eleventh moneth which is the most constant and certaine period of a womans Reckoning and no signes of a Dropsie at that time appeare you may warrant your owne confidence that she hath a Mola but no childe in her belly This is a most dangerous disease for many times a woman carries it in her wombe the space of two or three yeares and sometimes longer insomuch that the naturall heat is suffocated therewith moreover in the expulsion of it there is no small danger for many times it groweth to such a bignesse that it comes not away without extreame hazard of the womans life for a great Issue of bloud ensueth whereby the spirits being spent and exhausted she waxeth feeble wan and pale and many times perisheth in the very act of expelling it This evill hath a twofold manner of Cure one Preservative to prevent the Generation or breeding of the Mola and the other curative to destroy and bring it away when it is bred and this last is also twofold for the first designe must be to exclude it and the second to save the woman in the very act of excluding it The Preservation consists in a due observation of these things following the ayre she lives in must be hot and dry and the place healthfull being scituate towards the East let her keep a good diet feeding upon meats that yield a wholsome nourishment to the body and such as are soone concocted and distributed to all the parts let her choice also be rather of hot then cold meats avoiding such as are fat salt and hardned with smoak fish which breed thick windy and viscous juyces are unwholsome for her she cannot desire a more wholesome drink then Wormewood wine or excellent generous French wine her belly must be kept open and soluble exercise must be used and sleep refrained angry chidings and cares of the minde must be moderated and all such things for borne as dry the bloud and diminish the naturall heat In the next place prepare the thick and grosse humours with Rhodomel Syrupe of wormewood Syrupe of mint and the like mingled with some convenient water afterwards prescribe this Purge Take three drams of Sena A scruple of Agarick Trochischt A dram of the root Mechoaca A dram and a halfe of anniseeds Boile them a short space in a sufficient quantity of pure water to three ounces then straine and presse them and to the remaining liquor add three drams of Diaphenicon Mingle them and let her drink it in
the morning early If her Courses be stopped cut a veine in her ankle Leeches also may be applyed to the Hemorrhoids but with caution and warinesse least thereby you more and more weaken such women whose bodies are full of raw and indigested humours afterwards you must purge her body again with a scruple of extract Catholic and as much of mass pillul faetidar and lastly prescribe an Apozem or Decoction to cut asunder and evacuate the grosse and tough humours to provoke urine to open the obstructions of the Matrix and to bring down the Courses all which vertues meet together in this Composition following Take the roots of smallage Eryngos And Fennill of each halfe an ounce The barke of the root of the Caper And Tamarisk tree of each two drams The leaves of penniroyall and birthwort of each a handfull Germander Maidenhaire Balm of each halfe a handfull Ten drams of Sena Three drams of agarick trochischt A dram and a halfe or two drams of Epythymum Boile them all according to art in a sufficient quantity of water wherein steele hath been infused to a quart when you have strained and with a strong hand presâ— out the liquor add Three ounees of Syrup of roses Mingle them and make an Apozem or Take the roots of Butchers broome Asparagus Polypody of the oak And fennill of each halfe an ounce The leaves of Penniroyall And motherwort of each a handfull A dram and a halfe of annise seeds The flowers of Violets Rosemary and Borage of each as many as you can take up between your thumb and two fingers An ounce of raisins of the Sun Boyle them in a sufficient quantity of barley water to a quart In the strained liquor infuse for a night Ten ounces of Sena Three drams of the whitest agarick Two drams of the best rubarb A dram of Epithymum In the morning let them buble once or twice and then to the liquor which you presse out add Syr. Byzantin And Syr. de eupatorio of each an ounce Mingle them and make an Apozem Of this or of the former let her take twice in a day the quantity of three ounces for a week together once in the morning and the second time at foure a clock â—n the afternoon Excellent Lozenges may be made of the species Diamosch and Diacinnamomum or you may compound them with Treacle Mithridate and Bezoar stone When the Mola hath obtained some growth if it be waterish it must be brought away with such simples as have a faculty to purge out waterish humours or iâ— it be windy you must prescribe such medicines as are of a known and approved vertue to strengthen the Matrix and to expell winde and Carminative glysters in such cases will be very convenient so also will plaisters and fomentations applyed to her privie parts but that which is humorall skinny and bloudy may be overcome with the same remedies as are set down at the beginning against the stoppage of the Courses When Nature indeavours to expell this unprofitable burthen and an issue of bloud ensueth thereupon with fainting and swounding fits then you must be diligent to strengthen the Patient with broths made of the flesh of Capons and Partridges and with such things as will stay the bloud and refresh the exhausted spirits such as are Chalybeated wine Sugar of Pearle Corall c. You will object that wine cannot be seasonable because by the heat thereof it makes the bloud thin and makes it more apt to flow away in greater measure by opening the passages rather then it can any way help to stay it I answer it is not guilty of this mischiefe if it hath a reddish Tincture for if good Claret wine be chalybeated as hath bin said besides that it nourisheth the bâ—dy it is also a binder for it comforteth the spirits and refresheth the whole body which vermes must needs be profitable for and welcome unto a Creature who is hourely subject to faint and swound and although it might provoke the bloud to flow yet a greater good must be preferred before a small inconvenience and therefore give her wine to refresh her spirits which will be more to her advantage then the issue of bloud can be to her prejudice for she may perish suddenly in one of those fits but the flux of bloud may be restrained by degrees Note that foure things require an abstinence from wine First an inflammation of the bowells Secondly a vehement paine in the head Thirdly a Phrensie And fourthly a burning Fever in a crude disease and of this opinion was Galen as appeares in his first book ad Glauconem and the 14. chapter Moreover the Patient should be refreshed with the choicest meats and then the Mola should be disposed to come forth by softning and loosening fomentations made of a decoction of marishmallowes mallowes motherwort Mercury Birthwort Sage Hyssope Calamint the seeds of line marishmallowes fenugreek camomile melilot and rosemary in this you may dip a clout and bath her privie parts But if the bloud come not away rub her legs and apply drie Cuppinglasses to the calfes of her legs and binde most painfull ligatures about them and in a word make tryall of all such remedies as will draw down Nature the humours and the Mola to the lower parts CHAP. III. Of Womens Longings WOmen are sometimes so extravagant and preposterous in their appetite that they refuse wholsome meat and long after colaes chalke a piece of an old wall starch earth and the like trash which they devoure as ravenously as a hungry Plowman will winde downe a good bag-pudding Now perhaps you may also long to know the cause hereof which is no other then the menstruous bloud especially if it be retained about the middle of their time and grow corrupt for the child in the wombe is nourished with the sweetest part of the bloud and the other part remaining which is vitious filthy and dreggish noisome exhalations especially in the middle moneths arise from it and in such a manner contaminate all the upper partts that the worst things are vehemently desired and the most wholsome refused the signes are apparent from the depravation and irregular temper of their stomack This Disease is hard to cure yet not so much in respect of the disease it selfe as of the subject wherein it is generated which is a woman with childe now we know that such women must be warily â—nd religiously dealt withall and unlesse it be in extreame necessity their bodies ought not to be purged By this unavoidable abstinence the disease is increased and the bad humour being long retained in the body becomes daily more and more corrupt by the tetrous exhalations which ascend up from the pollutions of the Matrix therefore having first appointed a strengthning and drying dyet you must indeavour to rid away that humour with Syrup of roses solutive and afterwards when the body is cleansed and free from the humour you may prescribe a gentle Purge of Rubarb
wherefore if you will prescribe any physick follow the directions of Hippocrates and exhibit it between the fourth and the seventh moneth because then there is a firme connexion between the Membranes and the Cotyledons If you desire exactly to know these middle moneths I answer they are the fifth the sixth and part of the seventh If you object the words of Galen who saith that a child three months old is strong and able to resist the injuries of physick I answer that he reckons the end of the third to be compleat not till the fourth moneth be begun concerning which argument the learned may consult the Epistles of Mainendus THE FOURTH BOOK OF VVomens Diseases The first Chapter OF a Naturall Birth and of Abortion PRovident Nature at all times hath not a greater care of any thing then of the propagation of mankinde and this although it appeare not so much in the species yet it is cleare and manifest in the individuall and thus she hath framed women to a delight in Venereous conjunctions that they might with greedinesse suck in the mans seed and dispose and cherish it to Generation So soone as the woman hath conceived Nature hath an especiall care to fashion augment nourish adorne and perfect the childe and at determined time to send it out into the world in all respects compleat and absolute This sending forth of the childe is twofold either naturall or preternaturall the first is when Nature at a time prefixed sends out into the Province of the world a perfect Citizen with an exact dearticulation of all the parts with a little paine without any fever or passions of the minde this sometimes comes forth before its time with great paine to the woman in her back and belly as in the fifth seventh or eighth moneth or else it stayes beyond the ordinary date of time There are severall opinions among the Physitians why a childe that is borne in the eighth moneth should be weake and not healthfull whereas a childe borne in the seventh moneth is held to be both strong and healthfull Laurentius in his book de re Anatom handles these things with much elegance and thither we refer the Reader and for our own opinion we shall most readily declare it to be this that I hold it impossible that the childe should be able to undergoe two afflictions the one immediately following the other namely one in the seventh and the other in the eighth moneth in which it is very obnoxious to sufferance and danger and therefore most commonly perisheth in the eighth moneth for it comes to passe that the childe is doubly or consequently afflicted first with that affliction which befalls it in the wombe and afterwards with that which happeneth in the birth but this bâ—â—alleth not the childe which comes forth in the seventh moneth because it comes into the world perfect strong and without the labour of the seventh and eighth moneth Galen describes Abortion to be an imperfect Emission of the Childe or a violent Excretion of the Childe The Causes hereof are many and various some inward some outward the outward cause which for the most part is subjected to the arbitrement of sense is a vehement fever which kills the childe especially if it continue long for it is destructive both to the Mother and the Childe the fiery heat thereof devoures the whole substance of the moisture wastes the spirits consumes the flesh and so weakens the body and destroyes the childe by exhausting the spirits and dissipating the aliment to this we have already adjoyned an excessive or lasting loosenesse because as we have said it looseneth the Cotyledons and by the sharpnesse of the humours irritates the Matrix shaking agitating and assaulting it till provoked Nature excern the Childe dancing leaping loud crying long fasting doe all presage that the woman will miscarry so also are the relations of some unexpected events anger chiding thunder the sudden noise of some pistoll or musket a fall the denyall of some ardent request and an innumerable company of other such things The inward are reduced to three Causes namely to the weight or heavinesse of the humour whereby the suffocated childe is overwhelmed and perisheth the second is the great bulke of the Matrix by reason whereof the childe is scarce held fast but slides away and slips out or the small and narrow capacity of the Matrix wherein it neither groweth to any bignesse or perfection but perisheth for want of roome the third is a skirrosity or hard swelling which is an impediment to the childe that it cannot lye stretcht out to its full dimensions but endures a compression and dieth Galen reckons up those signes which goe before abortion the first whereof is an extenuation of the nipples the second a diminution of the milke the third when the child is not perceived to stir in the belly the fourth the slendernesse of the woman the fifth the loosenesse or lanknesse of the whole belly the sixth the depravation of the appetite the seventh which is a true signe that she is now ready to miscarry is a paine in her back in her privie parts and torments all over her belly with a thin humour distilling from her Matrix This is far more dangerous then a lawfull and naturall birth in regard of the perturbations and violence which is offered to nature As for the Cure the woman having already miscarried that consists in the point of preservation namely to prevent the supervening of a Fever or the Whites this may be done by the help of those things which we have noted above sleep must be â—rocured then the belly and the Matrix must be strengthned with fomentations litâ—â—e bags such like administrations as are â—ood to expell winde To prevent obortion and to preserve the woman from miscarrying we approve if the danger be threatned from an extreame fulnesse of humours the cutting of the Basilick or the middle veine for this counsell we have the Authority of Fernelius who in his second book de Meth. Med. saith unlesse many veines be unlockt about the mouth in which the woman looketh she will miscarry for the childe is overwhelmed and choak't with too much bloud but if it proceed from the amplitude and large capacity of the Matrix apply astringent decoctions if from the narrownesse of the part mollifying medicines will be most proper yea and such as resolve and consume away hard swellings may be convenient for this cure CHAP. II. Of a hard Labour VVE call a womans Labour hard and difficult for five conditions or five reasons the first whereof is an Anticipation of or as we use to say when she comes before her due time in the fourth fifth or sixth moneth which because it is excerned by nature before the naturall time it is imperfect precipitating the woman into many straights and bitter pangs the second is a transversall or preposterous Egresse as when one foot onely or an arme appeareth or when the breech cometh