in the Veins is too hot and over-heats the Artery but if this heat of the Artery affect the Brain the Patient will be mad if it go over the whole body she falls into a Consumption lay your hand on the left side and you shall feel the Arteries beat much So then this Disease hath several considerations and must be cured partly as hypochondriacal Melancholy partly as in the cure for stopping of the Courses and partly as Melancholy arising from the womb Physitians can hardly tell which way to proceed oftentimes in these Distempers because it is hard to say what Disease the woman is sick of when the Spleen and left Hypochondry are afflicted from the womb The womb hath two Arteries the one from the Hypogastrick Artery and another from the preparing Arteries that which comes from the Hypogastrick runs almost through the whole Abdomen when the foul corrupt blood in the womb runs backward to the Hypogastrick Artery it passeth to the Caeliac Artery and so to the Spleen and the parts near it and it is Natures present way to thrust ill humors to the ignoble parts When the courses are stopt these ill humors are thought to be onely in the Veins but the veins and Arteries mouthes are so joyned that they pass from the Veins to the Arteries and that is the reason that elderly women whose courses were stopt when they were young are troubled oftentimes with the Spleen hypochondriack Melancholy These cannot endure to smell to sweet Scents they are short breathed Costive and Belch often they have pain in the left side and are very sad when the thin part of the blood is inflamed they grow very hot and red in the Face but that lasts not long the disease it will produce if not cured is chiefly a Schirrhus of the Spleen open a Vein if the blood be hot and the Courses stopt use Leeches to the haemorroids and Purge often but very gently with Quercetan's Pill of Tartar or Fernelius his Cum Ammoniaco and Birth-wort or prepared Steel to open the Courses and to cure Melancholy that ariseth from the womb When the liver is hurt by the gross blood running back to the holow vein from the womb as it often doth if the courses be stopt blood abound it breeds raw flegmatick blood and causeth the Green-sickness for there are many more great veins in the womb than in any other part of the body and they are often obstructed and sometimes by this stopping not onely sundry Diseases but Hair will grow over the whole body for hairs grow from the Excrementitious part of the blood and if that Excrement be sent over the body it will produce hair So Hippocrates tells us of a woman with a great beard and it is not long since there was a woman to be seen here in England which had not onely a long beard but her whole Body covered with hair It is also by reason of the womb or by consent from it that many women have no stomach others have a very large Appetite and sometimes a desire to eat strange things not fit for Food they Vomit and have the Hiccough many such ill symptomes as the vapors are so are the Diseases if Cold then they breed cold diseases if hot such diseases as proceed of heat For these filthy vapors when the way is large easily ascend from the Arteries of the womb and get into the Hypogastrick and Caeliac Arteries hot vapors cause Thirst cold vapors destroy concoction and are the cause of many cruel diseases by their Malignity When the stomach is hurt by the womb it is easily perceived for the signes of it go away sometimes and come again onely when the Fumes fly to the stomach There is no cure for this but by first curing the womb for this disease is worse than if the stomach were originally the cause of the distemper Cure the womb and if there be no other cause the stomach is cured first give a vomit to cleanse the stomach and use often to take pills of Aloes and Mastick for these fortifie the stomach If one womb in a woman be the cause of so many strong and violent diseases she may be thought a happy woman of our sex that was born without a womb Columbus reports that he saw such a woman and that her secrets were as the secrets of other women and part of the neck out It will be needless to tell you what some have written that it hath been often seen that worms and Hair and Fat and Stones and many other strange things have been found in womens wombs but what a miserable case is she in that was born with two wombs Such a woman Julius Obsequeus related that he saw and Bauhinus speaks of a maid who had a Matrix like that of a Bitch divided in two parts But some perhaps may think these things fabulous I confess they are monstrous and out of the ordinary course of nature and I know no cure for them if such things should happen I forbear therefore to speak any more of them and shall proceed to some things more material to be known and such things as few women living but have frequent occasion to be provided with remedies for CHAP. III. Of Womens Breasts and Nipples NAture within some convenient time after the Child is conceived in the womb begins to provide nourishment for it so soon as it shall be born The breasts are two in number lest by accident one Breast should fail and sometimes women have Twins and more children than one to give suck to Some women saith Gardan have been seen with more than two breasts for they have had two breasts on each side but that is very rare The form of the breast is round and sharp at the Nipple yet these differ in many women for some have breasts no bigger than men and some have huge overgrown swoln breasts by reason of much blood abounding and strong heat to draw and to concoct it The breasts should be of a moderate size neither too great nor too small not too soft nor too hard it is not necessary to have them over-big though they can hold but little milk thee may hold sufficient but large breasts are in danger to be cancerated and inflamed besides that the milk is not so good because their wants a moderate heat The immediate causes of great Breasts is partly natural by birth the passages being loose and large and sleep and idleness furthers it and much handling of them heats and draws the blood thither their causes are not many It is best to prevent their growing too big at first for it is not easily done afterward Cooling Diet and drying and astringent repercussive Topical means are the best Binding things help loose breasts and make them hard all cold Narcotick stupefying Medicaments are forbidden they will bind the Vessels but they abate Natural heat and will let no milk breed When children are weaned Discussers and Driers
a present Gratification from the Parents that is answerable to the Nurses pains But children should remember when they come to years to be thankful to their Nurses that bred them up and to requite their great care and pains having them in little less esteem than their own Mothers that bore them The Nurse on the other side must not neglect her Duty and doubtless some nurses are as fond of their nurse Children as if they were their own If the nurse use good Diet and Exercise it will breed good blood and good blood makes good milk but let her forbear all sharp sowr fiery melancholy meats or Mustard and Onyons or Leeks and Garlick and let her not drink much strong drink for that will enflame the Child and make it cholerick all Cheese breeds melancholy and Fish is Flegmatick Gross and thick air make gross blood and heavy bodies and dull wits Places that are near the Sea side and Bogs are very sickly and unwholsome but a clear air that is pure is as needful as Meat and Drink it makes the body sprightful and the reason and understanding ready good vital and animal spirits are bred by it whereby all things to reason become more subservient opinion fancy judgement resolution apprehension imagination memory knowledge mirth hope trust joy urbanity and what can be said almost are produced Meats and Drinks feed the body but the air guides the mind in almost all its actions and life and health sickness and death depend most upon it If the nurses milk be too hot Succory Purslain are good herbs for her to eat and if it be too cold then Vervain and Mother of time Cinnamon Borrage and Bugloss and all wholesome Herbs and Meats and Drinks that a little exceed in heat mend her milk If the child be ill the Nurses milk is commonly the cause of it if wind oppress the child let the Nurse but put Fennel seed and Anniseed into her meats or broths and the child will be well but of that more by and by as I pass on to speak of the diseases and infirmities of children but before I part with the Nurse it will be but reason to enquire when the Nurse should part with her child and wean it from the breasts I know there can be no general rule for all because some children are weak and must stay longer before they be weaned Avicenna saith two years is the time children should suck I have seen some in England that have kept their children sucking near four years who would carry their stool after their Nurses to sit down on to give them suck but a year old is sufficient to most children yet they are loth to leave the Dug till they be driven from it Breast milk is very sweet of good digestion and therefore some that are fallen into consumptions in their riper years are cured by sucking a wholesome womans breasts but sucking is not proper for children so soon as they can concoct other nutriment Milk is for Babes but strong meat for men I have known some women so fond of their children that they would never wean them by their good will But when children suck so over-long as three or four years I seldome hear of any of them that ever come to good insomuch that many women have repented of their folly when it was too late Their children by overcockering growing so stuborn and unnatural that they have proved a great grief to their parents It seems God sometimes thus punishes women for their folly and the children thus tenderly bred for want of stronger meat than breast milk in their child-hood grow lame and weak and sick of the Rickets Some women will not be contented with such children as God sends them but they will be mending the feature of their noses and their bodies till they make them very ill favoured that would have grown in good shape and some though they have Daughters will not be contented unless they may have a son God sometimes hears their prayers and sends them a Boy it may be a Fool that will be a boy as long as he lives I have shewed you that children be they Boys or Girls unless they be weak should not suck the breast above a year and if it be a nurses breasts and not the own mother that they suck it is the same thing for time yet the Nurse should be chosen as near to the constitution of the mother as possibly you can for then there will not be so great alteration in the constitution and manners of the child a Nurse is best after her second child if she be but between twenty and thirty years of age her milk must not be above ten months old when you chuse her nor under two months old for that will be too new If the nurses milk prove ill she must take a gentle purgation but if it be to purge the child it must be very gentle indeed for that purging quality of the Medicament passeth to the milk and will operate upon the Child which cannot otherwise be purged by Physick It hath been much argued whether the mother or some other women be best to nurse the child surely I should think the mother in all respects if she be sound and well because it agrees better with the childs temper for the milk of the mother is the same with that nutriment the child drew in in the Womb. But yet it will do good sometimes to change the nurse if the mothers milk contract any ill qualities or be too sharp or salt or otherwise offensive to the child for if the child do not take rest well or cry and complain doubtless the milk it feeds on is distempered Good milk is neither too thick nor too thin too thin is raw and breeds crudities too thick is hardly concocted by the infant it must be white and sweet scented if it smell sowr or burnt it will corrupt in the stomach and so it will if it taste salt or sowr or bitter or have any ill tast drop a drop of breast milk on your nail or upon a Glass and if it shew very white and neither stick like glew nor run off like water but be off a middle nature you may conclude that it is good When the blood is too full of Whey it breeds thin milk which gives little nourishment and the children by sucking of it fall into Fluxes and looseness of the belly and sharp milk makes them scabby purge away the whey of the blood if it be too hot cholerick with Rhubarb otherwise with Mechoachan or sirrup of Roses cold and moist breasts are mended by the contraries that is by hot and dry things If wheyish humours come from the Liver that must be mended hot and dry things that profit are bread well baked with Anniseed and Fennel seed Roast-meat Rice sweet Almonds but broth and Fish and Sallets and Summer fruits must be avoided good exercise breeds good blood gross diet makes
shivering or trembling to run through every part of her body and that is by reason of the heat that draws inward to keep the conception and so leaves the outward parts cold chill Secondly The pleasure she takes at that time is extraordinary and the mans seed comes not forth again for the womb closely embraceth it and will shut as fast as possibly may be Thirdly The womb sinks down to cherish the seed and so the belly grows flatter than it was before Fourthly She finds pain that goes about her belly chiefly about her Navel and lower belly which some call the Water-course Fifthly Her stomach becomes very weak she hath no desire to eat her meat but is troubled with sowr belchings Sixthly Her monthly terms stop at some unseasonable time that she lookt not for Seventhly She hath a preternatural desire to something not fit to eat nor drink as some women with child have longed to bite off a piece of their Husbands Buttocks Eightly Her Brests swell and grow round and hard and painful Ninthly She hath no great desire to copulation for some time she will be merry or sad suddenly upon no manifest cause Tenthly She so much loatheth her victuals that let her but exercise her body a little in motion and she will cast off what lieth upon her stomack Eleventhly Her Nipples will look more red at the ends than they usually do Twelfthly the veins of her breasts will swell and shew themselves very plain to be seen Thirteenthly Likewise the veins about the eyes will be more apparent Fourteenthly The womb pressing the right gut it is painful for her to go to stool she is weaker than she was her visage discoloured These are the common rules that are laid down But if a womans courses be stopt and the Veins under her lowest Eylid swell and the colour be changed and she hath not broken her rest by watching the night before these signs seldom or never fail of Conception for the first two months If you keep her water three dayes close stopt in a glass and then strain it through a fine linnen cloth you will find live worms in the cloth Also a needle laid twenty four hours in her Urine will be full of red spots if she have conceived or otherwise it will be black or dark coloured To know whether the Infant conceived be male or female I refer you to Hippocrates Aphor 48. for it is a very hard thing to discover 1. If it be a boy she is better coloured her right Breast will swell more for males lye most on the right side and her belly especially on that side lieth rounder and more tumified and the Child will be first felt to move on that side the woman is more cheerful and in better health her pains are not so often nor so great the right breast is harder and more plump the nipple a more clear red and the whole visage clear not swarthy 2. If the marks before mentioned be more apparent on the left side it is a Girle that she goes with all 3. If when she riseth from the place she sits on she move her right foot first and is more ready to lean on her right hand when she reposeth all signifies a boy Lastly Drop some drops of breast Milk into a Bason of water if it swim on the top it is a Boy if it sink in round drops judge the contrary CHAP. IV. Of false Conception and of the Mole or Moon Calf MAny women themselves have thought that they had conceived with Child because their bellies were swoln so great and their courses were staid and came not down according to natures custome whereas this swelling of the belly more and more and stopping of the Termes proceeded from nothing else but an ill shaped lump of flesh which grows greater every day in the womb and is fed by the Terms that flow to it and this is that Midwives call a Mole or Moon-Calf and these are of two sorts one the true the other the false Mole The true Mole is a mishapen piece of flesh without figure or order it is full of Veins and Vessels with discoloured veins or membranes of almost all colours without any entrails or bones or motion it is bred in the wombs hollowness and cleaves fast to the sides of it but takes no substance from it sometimes it hath a skin to cover it and is empty within sometimes it is long or round and some women have cast forth three at a time like the Yard of a man sometimes these Moles are without sense sometimes they have an obscure feeling sometimes they are bred with the Child and then is the Child in great danger to be opprest by them sometimes they are voided when the Child is delivered or before or after Widows have been known to have had these Moles formed in their wombs by their own seed and blood that flows thither But ordinarily I think this comes not to pass but it proceeds from a fault in the forming faculty when the mans seed in Copulation is weak or defective and too little so that it is overcome by the much quantity of the womans blood the faculty begins to work but cannot perfect and so onely Veins and Membranes are made but the Child is not made yet this Mole is of so different kinds that it is not possible to set them down according to their several varieties but doubtless a Mole is sooner formed if Men and Women ly together when they have their courses and the blood is not fit for formation by reason of impurity so that neither heat nor cold are the chief cause of this error but the uncleanness of the matter that is not endued with a forming faculty from corrupt seed or menstruous blood bad humours are ingendred and nature works in vain Some are called false Moles and of those are four sorts as their causes are for either they proceed from wind and are called windy swellings or from water flowing to the womb and called watry swellings or else diverse humours cause this swelling and sometimes it is nothing but a bag full of blood If the Child be conceived with a Mole it draws the nourishment from the Child Both sexes doubtless contribute to the making of most Moles the seed of the Man being choakt with the blood of the woman and wrapt both in a caule Nature will make something of it though nothing to the purpose If it be true that some widdows have had them they were neither of the same shape nor substance but voided will consume into water and this can be supposed only of dead Moles for living Moles that have some sense or feeling or true motion in them can never be produced but mans seed must be a part of their beginning as for Maids they cannot breed any true Mole because a true Mole must be made of the greatest part of the womans blood coming into the womb but the vessels passages in
the child by his calcining heat what is bred by moisture and heat is fixed by cold and dryness Mars heats with a fiery calcination but Venus she tempers the heat of Mars by her moisture for she is a cold moist Planet and fitly added to abate the courage and violent heat of warlike Mars there is a great sympathy between Mars and Venus and therefore surely the Poets speak so much of their conjunction for they are eminent in this of mans generation You may by this find out the causes of sympathy and antipathy in natural things and seeing all things are made up of such contrary qualities what is generated must in time be corrupted nothing is eternal in this world but a perpetual motion breeds mutation and not man nor any thing else can continue in the same stay Mars and Venus do here play their parts in mans production for they are the nearest of the five Planets to the earth but next to them is Mercury of a changeable disposition and applieth himself to the rest of the Planets with several aspects and he causeth the desire of knowledge in man sense and reason also some maintain to be the work of Mercury by his influence upon the child in the womb It is not denied but a piercing acute humour proceeds from him which is most likely to effect not alone the sensible but the rational part in man CHAP. IX Of the Posture the child holdeth in the Womb and after what fashion it lieth there HEre Physicians are at a stand and are never like to agree about it not two in twenty that can set their horses together the speculation is very curious insomuch that the Prophet David ascribes this knowledge as more peculiar to God Psalm 139. My reins are thine thou hast covered me in my mothers womb I will give thanks unto thee for I am fearfully and wonderfully made marvellous are thy works and that my soul knoweth right well my bones are not hid from thee though I be made secretly and fashioned beneath in the earth thine eyes did see my substance yet being unperfect and in thy Book were all my members written which day by day were fashioned whenas yet there was none of them Yet Anatomists have narrowly enquired into this secret Cabinet of nature and Hippocrates that great Physician tells us in his Book De natura Pueri that the infant lieth in the womb with his head his hands and his knees bending downward towards his feet so that he is bended round together his hands lying upon both his knees the thumbs of his hands his eyes meeting each with other so saith Bartholinus the younger of the two Likewise Columbus's opinion is that the child lieth round in the womb with the right arm bended and the fingers of the right hand lying under the ear of it above the neck the head bowed so low that the chin meets and toucheth the breast and the left arm bowed lying above the breast and the face and the right elbow bended serves to underprop the left arm lying upon it the legs are lying upwards and the right leg is lifted so high that the infants thigh toucheth its belly the knees touch the Navel and the heel toucheth the left buttock and the foot is turned backward and hides the privy members as for the left thigh that toucheth the belly and the left leg is lifted up to the breast the stomach lyeth inward But the expert Spigelius hath the fashion of a child near the birth whose figure I have here laid down and I believe it is very proper for as well as I am able to judge by the figure it is the very same with that of a child that I had once the chance to see when I was performing my office of Midwifry Here insert the Figure of the Child near its Birth The Figure Explained Being a Dissection of the WOMB with the usual manner how the CHILD lies therein near the time of its Birth BB. The inner parts of the Chorion extended and branched out C. The Amnios extended DD. The Membrane of the Womb extended and branched E. The Fleshy substance call'd the Cake or Placenta which nourishes the Infant it is full of Vessels F. The Vessels appointâ—d for th◠〈…〉 This is a general observation that the Male Child most commonly lyeth on the right side in the womb and the Female on the left side but Hippocrates layeth it down as the most universal way to have his hands knees and head bending down toward the feet his nose betwixt his knees his hands upon both knees and his face between them each eye touching each thumb but he is wrapt as he lieth in two mantles or garments as I said for a boy hath no more that which immediately covers him and lieth next to his skin is called Amnios the skirt or Lamb-skin it is wonderful soft and thin and is loose on all sides only it grows so fast to the Cake that it can hardly be parted from it the use of it farther is to receive the Childs sweat and Urine which moisteneth the mouth of the Matrix also and makes the birth more easie but the outward coat called Chorion is very strong and sinewy and encloseth the child round about and like a soft pillow or bed bears up all the veins and Arteries of the Navel which would have been in danger to have been carried so far without some soft bolster to sustain them These coats growing fast together seem to be but one coat or one to be the beginning of the other and this altogether taken is called the after-burden or Secundine for when the Child is grown strong enough to come out of the womb and the time of his birth is at hand he breaks through these coverings and the coverings come forth after the child is born yet sometimes a piece of the Amnios covers the childs face and head when he is born and women call it the caule and hold it to be a Sign of some great happiness that will befall the child in the following part of his life but some think it is neither here nor there one born without this caule may be as happy as he that is born with it There belong to the child whilest it lieth in the womb some things that are proper for it some to cloath it and are only for that time that it lieth in that place and afterwards of no known use though some have tried to make use of them in Physick and Chirurgery but commonly they cast it away Some things again serve to nourish and feed it in the womb and those are the Navel-vessels which are four in number two arteries one vein and that vessel which is called Vrachos which carrieth away the childs water in the womb to that skin that is prepared to hold that water so long as the child staies in the womb and it is called Allantois The vein I speak of comes from the Infants Liver and
true place also if the woman have blackish courses chiefly if she be far gone with child she is in danger to lose the Child many women have their Terms in the first moneths but they are but watry pale coloured not fitting for the nourishment of the infant and they are also superfluous so that nature at first sends them out as being useful neither for nutriment for the Mother nor the Child I said before that the breasts will shew danger and of Twins which is most likely to suffer if the right breast flag she will miscarry of a Boy if the left of a Girle and the head shaking as with a Palsie the body trembling the face flushing with red the eyes painâ—d inwardly if the body be afflicted with wind there is fear of miscariage in child birth but if she travel when she is sick of a sharp Feaver or some such dangerous disease seldom doth either Mother or the child escape death but the ordinary causes of Abortion are when the womb is too weak or corrupted by phlegmatick slippery slimy or watry humours so that it cannot retain the Child the pains of inflammation and Imposthumes hinder delivery extream Costiveness of the body by straining to go to stool forceth the child downwards and the dung staying in the right gut when the woman is bound oppresseth the child if she fall into a Tenesmus which is a great desire to go to stool and can do nothing Hippocrates saith Abortion is like to follow Piles and Hemorrhoids cause pain and miscarriage fat women have slippery wombs and lean women have as dry and want nourishment for the child neither are fit for child-bearing Bleeding is bad for childing women unless there be great need purging especially in the first or second or about the last months and vomiting is far worse too much fasting starves the child too much eating and drinking will stifle it great heats or baths or stoves force the child to press for a more free air and great cold is not good for it all immoderate exercises passions desires longings falls strokes and all violent running leaping coughing lifting and such like will bring on this misfortune There being then so many causes and accidents whereby women usually fall into such mishaps 't will be profitable for women with child to observe some good rules beforehand that when her time of delivery is at hand she may more easily undergo it and not so soon miscarry But as there are diverse causes of miscarriage so the times are diverse that we are to provide for either before or after conception And before she be conceived with child let her use means both by diet and physick to strengthen her womb and to further conception Drink wine that is first well boyled with the mother of Tyme for it is a pretious thing If the womb be too windy eat ten Juniper berries every morning if too moist the woman must exercise or sweat in a Stove or Hot-house or else take half a dram of Galingal and as much Cinnamon mingled in powder and drink it in Muskadel every morning but if she use moderate labour perhaps she may have no need of this but the most frequent cause of barrenness in young lusty women that are of a cholerick complexion is driness of the Matrix and this is easily known by their great desire of copulation It is to be corrected by cooling drinks and emulsions made of barley-water blanched Almonds white poppy seeds Cucumbers Citrons Melons and Gours and to drink frequently of this all violent exercise drinking of wine or strong waters must be forborn The Oyl of Nightshade is good to annoint the Reins some report that the seeds of Mandrakes are very useful to cool and purge a hot and foul womb such diseases are common to salt complexions and the dose of half a dram of Mandrake seed bruised and drunk at once in a cup of white wine cannot be dangerous for though the leaves be cold yet the seeds have a vital spirit in them to beget their like cold begets nothing but heat is an active quality for production There are many conjectures concerning those Mandrakes that Reuben found and that Rachel so much desired because she was then barren Gen. 30. it may be she knew that they were fit to cure her barrenness I grant that sometimes God is the cause of barrenness who shuts up the womb and will not suffer some women to conceive we have multitudes of examples in Scripture for it Rachel doubtless was not barren of her self and she was angry with Jacob that she said unto him Give me Children or else I die but he acknowledgeth God to be the chief cause of it And he said unto her Am I God who hath withheld the fruit of the womb from thee And again he makes the barren women to keep house and be a joyful mother of Children Prayer is then the chief remedy of their barrenness not neglecting such natural means to further conception and to remove impediments that God hath appointed and those means are chiefly either by a well ordering of the body and mind or else when need requires by taking of Physick The good order of the body consists in seasonable moderate eating and drinking of wholsome meats and drinks moderate exercise for idleness is a great enemy to conception and that may be the reason that so many City Dames have so few children if they have any they are commonly sickly and short lived it is not so with Country women who are always working they usually have many children and they are lusty and strong for moderate labour raiseth natural heat revives the spirits helps digestion opens the pores and wasts excrements comforts all the parts and strengtheneth the senses and spirits help nature in all her faculties and that is the way to have strong and many children As for working too much it wasts and destroys nature but I think few women are guilty of this fault Moderate rest refresheth nature as well as moderate work but there is a large difference between moderate rest and extreme idleness which dulls both mind and body and hastens old age and therefore Lycurgus commanded all the Spartans to work at least four hours in a day If women will be fair let them work as it is with the body so it is with the mind the mind must alwayes be intent upon something that is good yet this also admits of some relaxation and rest or else we are never able to endure but above all we must take heed of discontent for that wonderfully hinders conception whereas content of mind dilates the Heart and Arteries and distributes the vital blood and spirits through the body which exceedingly recreates nature in all her operations Much might be said in Divinity against discontent sullenness and murmuring which many women especially are too much guilty of for it troubles the imagination which should be pure in the act of conception it stirs up ill
to its natural posture but if it come the feet forward and the legs abroad she must joyn the legs and feet together taking care that she remove not the hands from the place they should hang down close by the side If the infant with one or both the knees first strive to come forth she must put them back that both feet may first come down to the passage If the child come headlong with one hand thrust out then she must put the Child back with her hand upon the shoulders that the hand may goe to its natural place if this will not prevail lay the woman upright with her thighs and belly upwards that it may pass forth as it should do If both hands come out first she must thrust the Child back by the shoulders as formerly till the hands hang down by the sides of the Child If it would come forth arsewards the buttocks first she must return it back with her hands till the legs and feet may present themselves or the head first if it be possible which is most natural If the infant present both hands and both feet together to come forth so all at once she must take the Child carefully by the head and put the legs upward to take it forth If the shoulders come first she must put it back by the shoulders that the head may come first If it come the breast forward the legs and hands lying behind she must take it by the feet or by the head as she finds it to be most easy putting the other part upward that it may come forth right If a Woman have two Children at once that come together headlong she must take forth one after the other but beware the other retreat not back in the mean time so also must she receive them both that come together with the feet forward taking them out one after the other If they come one with his feet the other with the head forward at the same time she must receive that first which is most likely and next the passage and that which cometh with the feet first if she can receive last taking heed that they do not hurt one the other But let this general rule be observed still to annoint the passage with Ducks grease or Oyle of Lillies or sweet Almonds or such things as may smooth the passage and ease womans labour and Iikewise when she toucheth any part of the infant this will help much if there should be any aposthume in the place Particular helps to delivery are to lay the woman first all along on her back her head a little raised with a Pillow and a pillow under her back and another pillow larger than the other to raise her buttocks and rump lay her thighs and knees wide open asunder her legs must be bowed backwards toward her buttocks and drawn upwards her heels and soles of her feet must be fixed against a board to that purpose laid cross her bed Some woman must have a swathe-band above a foot broad four double this must be put under her Reins and two women standing on each side of her must hold it up straight and these two persons must lift up the swathe-band equally just when her throws come or else they may do her hurt and two more of the standers by must lay hold on the upper part of her shoulders that she may with more ease force the child forth The woman must hold her breath in and strive to be delivered and the Midwife must stroke down the birth from above the Navel easily with her hand for that will as I said before make the Infant move downwards CHAP. II. To know the fit time when the Child is ready to be born I Shall desire all Midwives to take heed how they give any thing inwardly to hasten the Birth unless they are sure the Birth is at hand many a child hath been lost for want of this knowledge and the mother put to more pain than she would have been Let not therefore the child be forced out unless there fall down an extreme flux of blood for in such cases it is best to save the Mothers life to drive forth the Child but there is great skill and care to be used or the woman were as good be set upon the Rack It is hard to know when the true time of her travel is near because many women have great pains many weeks before the time of delivery comes But I think the heat of their Reins is the cause of these pains but you may know whether the heat of their reins be the cause of it or not for if their legs swell their reins are too hot and the cure will be to annoint their backs to cool the reins with Oyl of Poppies water Lillies or Violets women whose reins are hot have alwaies hard labour A strong decoction of Plantane leaves and roots in water then strained and clarified with the white of an egg boil'd then to a sirrup with its weight in Sugar is excellent take a spoonful or two when you please or drink often the water and sirrups of Violets and water Lillies But if the birth be at hand you shall know when the skins Amnios and Allantois which as I told you serve to hold the sweat and urine of the child in the womb and by the means of which skins the infant is also supported in the Matrix do break by the violent motion of the child so that these excrements fall down to the neck of the womb Midwives call it the water and when that runs forth then the Birth is near this is the truest sign that is for when those skins are broken the Infant can no longer stay there than a naked man in a heap of snow These waters make the parts slippery and the birth easie if the child come presently with them but if it stay longer till the parts grow dry it will be hard therefore Midwives do ill to rend these skins open with their nails to make way for the water to come nature will make it come forth only when she needs it and not before but if the water breakaway long before the birth it is safe to give medicaments to drive the birth after the water But there are other signs of the birth approaching let the Midwife look well on the womans belly for if the upper part of it be sunk and hollow and the lower part big and full it is certain the child is sunk down again if the womans Throws be quick and strong coming from the reins downward all along the belly and not staying at the Navel but falling still lower to the groins and inwardly to the bottom of the belly where lieth the inmost neck of the womb this is another sure sign Then let the Midwife her hand annointed with fresh butter or with oyl of sweet Almonds put up her hand and if she feel the inward neck of the womb open or any substance to push
ligaments are so strong that tye it down and the falling of it down is onely by reason of moisture that relax the ligaments but that will not make it ascend and though it be enlarged in conception that is not presently but by degrees nor are the ligaments always much relaxed in Childbearing but what is that if it be not the womb that may sometimes be felt to move above the womans navel as round as a Ball that round ball is the womans stones together with that blind Vessel Fallopius found out like to the great end of a Trumpet and is therefore called Fallopius hiâ— Trumpet the stones they hang and the body of the Trumpet is like a pipe that is loose and moving and when they are full swoln with vapours and corrupt seed they stir to and fro and come up to the navel and Riolanus saith this Trumpet and the stones make this great round Ball. Whasoever fills them with corrupt seed and venemous windy vapours causeth this moving and from thence suffocation of the womb when these poysonous vapours are freely carried by the Nerves veins and arteries to all the principal parts the Brain the Heart the Liver and the rest it is not extream dangerous yet it may turn to the strangling of the womb if means be not used such as are good against suffocations of the womb when they seem to be strangled but of that afterwards Sometimes it falls as low as the middle of the thighs and sometimes near the knees when the ligaments are loose it falls by its own weight when the Terms are stopt and the Veins and arteries are full that go to the womb it is drawn on one side if there be a Mole on one side the Liver veins too full on the right side or the spleen on the left are the cause of it But how it comes to be loose is questioned Hâ—ppocrates saith great heat or cold of the feet or loyns violent causes external leaping or dancing may do it for these moisten and soke the ligaments if the woman take cold after she is delivered and the Terms flow Platerus ascribes it to the loosening of the fibrous neck the adjacent parts by the weight of the Matrix falling down but then the ligatures must be loose or broken but when a woman is so in a dropsie it is the salt water that causeth it and that drieth more than it moisteneth The signs to know it are that the womb is only fallen down if there be a little swelling within or without the privities like a skin stretched but if the swelling be like a Goose egg and a hole at the bottom there is then a great pain in the Os sacrum the bottom of the belly the loyns and secrets to which the womb is tied because the ligaments are relaxed or broken but the pain will abate soon and the woman can hardly go sometimes the vessels breaking blood comes forth the woman falls into Convulsions and a Feaver and cannot void her excrements by stool nor Urine at first it may be easily helpt but hardly afterwards yet it is not mortal though it be filthy and troublesome if it come with a Feaver or convulsion it is mortal in women with child if the ligaments be corroded the danger is the more The cure is thrust it up gently before the air change it or it swell and inflame first administer a gentle Glister to void the excrements then lay the woman on her back her head downwards her legs abroad and thighs lifted up and with your hand thrust it in gently remove the humours with a decoction of Mallows Marsh-mallows Cammomile flowers Bay berries Linseed and Fenugreek and annoint it with Oil of Lillies and Hens-greafe if it be inflamed stay a while before you put it up you may fright it in with a hot Iron presented near it as if you would burn it sprinkle on it the powder of Mastick Frankincense and the like when it is put up let her ly stretcht out with her legs and one leg upon the other for eight or ten dayes and a Pessary with a Sponge or Cork dipt in astringent wine with powder of Dragons-blood Bole or the ointment called the Caunlesses at the Apothecaries apply a large cupping glass to the Navel or breasts or both kidneys use astringent Plaisters to her back fomentations baths injections if evil humors cause it to fall out purge them first away because they sob the ligaments and then use drying drinks of Guaicum China Forta use Pessaries and ligaments as for the Rupture to keep it in its place of which see Francis Rauset you may use circles or balls in place of Pessaries made of Briony roots cut round or of Virgins wax with white Rosin and Turpentine when they are dried if it gangrene cut it off or bind it fast that it may fall of it self Rauset shews when you may ty it or cut it off without danger her diet must be drying and astringent and astringent red wine to drink If it encline to either side apply Cupping Glasses to the other side and the Midwife may annoint her finger with the oyl of sweet Almonds and by degrees draw it to its place CHAP. III. Of Feavers after Child-bearing THis disease frequently follows when she is not well purged of her burden or the purgations are corrupt that stay behind about the third or fourth day they will be Feaverish also by the turning of the blood from the womb to the breasts to make milk but this lasts not long nor is it any danger but you may mistake a putrid Feaver for a Feaver that comes from the milk for the humours may be inflamed from her labour in travel and corrupt though they appear not presently to be so the next day after she is delivered but from thence you must reckon the beginning of the Feaver it is probable then that this Feaver comes from some other cause especially if her purgings be stopt it may proceed from ill humours gathered in her body whilst she went with child and are only stirred by her labour if she be not well purged after travel the blood and ill humours retreat to the Liver by the great veins and cause a putrid Feaver but if they flow too much the Feaver may come long after A feaver from milk will come on the fourth day with pains in the shoulders and the back and the terms may flow well if she kept an ill diet when she was big with child the Feaver comes from ill humours if it come not from milk if it do it will end about eight or ten dayes after but if it come from stoppage of purgations if she have not a loosness it is very dangerous if black and ill savouring matter purge by the womb it is safe But if the Feaver come from ill humours and the body be Cacochymical it is worse for that shews the ill humours are many which nature cannot send forth by the after-purgings and
dry like Men that they have hardly any courses at all as the Indian women have none but they are barren if they abound with no more blood than will nourish their body Blood is wanting either because it is not made or not dispersed where it should but turned to other uses Old age cold constitutions diseased bodies will not make blood also often bleeding of the great vessels and much loss of blood or from Issues to make diversions the womb is not supplied with it Nature spends the blood in Nurses that give suck for an other end and fat women wear it on their backs sadness and fear not only wast but cool and corrupt the blood 4. The weakness of the woman hinders the courses and so long as she continues weak she will have noâ— But all these things must be judged of by the relation of the party whether the whole body be diseased or the defect be in the womb or vessels or the mouth of the womb turned aside If the cause be from heat that her courses are stopt her Pulses are swift and strong she is very thirsty and her head aketh and such like signs of heat If from cold the woman is drowsie and sleepy her Pulse beats slow and she is not thirsty the Veins are ill coloured if the woman be fat or lean that will discover the inward cause of it The usual cause of obstruction of the courses is thick slimy humours or from thick gross melancholly blood proceeding from a cold distemper of the Spleen and Liver by drinking cold Water or eating gross Food The Roman women drank snow water and that was the reason said Galen that they had few or no courses but in such cases they could not be very fruitful It will seem strange that some women are so hot of constitution that they have conceived yet never had their courses at all Courses stopt in maids are not the same as they are in women for the effects are very different Maids they prâ—â—â—ntly fall into the Green sickness by it the blood going to and fro all the body over and is corrupted but in women it runs to the womb commonly and causes them to vomit and to loath their meat or to desire unnatural things You shall know a woman with child when her courses are stopt from a maid that hath hers stopt for the one looks wan and pale the other lively and well the one is sad the other merry the womans pains daily decrease and the others increase This obstruction causeth not only barrenness but strange distempers Suffocations Swellings Imposthumes Coffing Dropsies difficulty of breathings urine supprest Costiveness Heaviness Megrims Vertigoes Head ach and many more fearful distempers Hippocrates tells us that when the terms are long stopt the Womb is diseased with humours imposthumes ulcers barrenness Leucophlegmacy vomiting of blood heart-ach and head-ach if the symptomes be great there is danger of death The best way to move the courses in weak women is to forbear Physick and to feed them high with nourishing meats and drinks this is where the Woman is lean her Liver weak and blood is wanting but if blood abound then give a gentle purge or Glister then open a vein to draw down the blood to the womb open a vein in the foot or ancle one day one leg and another day the other four or five daies before the time the courses should come down use Frictions and binding of the parts below but Issues and opening of the Emrods do hurt and draw from the womb you may first loosen the belly with Hiera Picra or Pills de tribus For Phlegmatick bodies use the Decoction of Guaicum or Sarsa and Sassafras and Dittany fifteen drops without sweating purge with Agarick Mechoachan Turbith and Scamony or drink wine of their infusions if the stomach be foul give a vomit lest it get into the Reins Things that provoke the terms are hot and thin take sirrup of Mugwort and of the Fierwort of each one ounce and a half Oximel simple one ounce Water of Motherwort and Mugwort of each two ounces Pennyroyal and Nip of each one ounce sweeten it with a spoonful or two of Cinnamon water make a Julip to drink at thrice Pessaries are not fit for maids but Fumes may be used if she be no maid bruise Mercury with Centaury Flowers put in a bag for a pessary begin with the mildest remedies if it be from a humour provoke not the Terms but cure the swelling Some say that the blood going to other parts cause the Terms to stop but that is contrary for the blood goes to other parts because the Terms are stopt Authors agree not what veins must be opened to move the Terms Galen thinks the Ancle Vein and most men conclude the same because it opens obstructions and brings down the blood open the ancle twice or thrice rather than the arm once but in other diseases of the womb it is best to open a vein in the arm as when the Terms are too many or drop or the womb is inflamed The Saphaena is opened by putting the foot into warm water few terms flowing if the blood be but little there is no harm Diseases grow when they are stopt by thick blood as the Cancer Schirrhus and Erisipelas when the time is near then use the stronger remedies the weaker having made a way for them Tender natures as maids must have but gentle remedies as Aloes one dram and a half Agarick and Rhubarb of each one dram Myrrh Gum Ammoniack dissolved in Vinegar Gentian Root Asarum of each half a dram Cinnamon Mastich Spikenard of each one scruple five grains of Saffron make a mass of the fine powder with sirrup of Mugwort the Dose is one dram To urge the terms in strong Country people take pills Aureae and Aggregativae of each two drams pill Felid and Hiera of each four scruples at the Apothecaries Diagrid one scruple Trochischi Alhandal half a scruple with a hot pestle mix them well in a Mortar adding sirrup of Damask Roses one dram oil of Anniseed olympical half a scruple dissolve Gum Dragant in Cinnamon water and make your pills and let the woman take two scruples every morning before the time of their terms at least three or four drops Ointments and Plaisters are good also and pessaries made of Aromatical things and sweet smells and Fumes as take Benzoin Storax Calamita Bdellium Myrrh what you please mingle them and strew some on a pan of Coles the woman so placed that she may receive the Fume by a Tunnel broad at the lower end to keep the smoke in but lest these Fumes cause the head-ach keep the Fumes down with clothes about the woman that they come not to her head But do none of these things to women with child for that will be Murder give your remedy a little before the Full Moon or between the New and the full for then blood increaseth but never in the Wane of the Moon
for it doth no good Sometimes but seldome the courses stop with Fulness such must saith Riolanus be let blood in the arm but with great care CAHP. X. Of the overflowing of the Courses or immoderate flux thereof THis distemper is contrary to the former and Women are often subject to it and it brings many diseases great weakness loss of appetite ill digestion dropsies consumptions pains in the back and stomach Their ordinary continuance should be two or three daies or four or five daies in large People but if they stay longer it is not good or if they come oftener than once a month I mean the Moons Month passing through the twelve Signs that is twenty seven daies and odd minutes The causes may be falls or blows or strains or hard labour over-heating the body which makes the blood thin or from weakness of the retentive faculty and too much strength of the expulsive faculty or from crude raw blood and weakness or too much moisture and this is the cause that some women have their terms by drops and it lasts long and there is pain and the secrets are alwaies wet if this be not remedied it may cause Ulcers and inflammations if the blood be superfluous open the arm not the ancle vein if it be Cacochymical correct it if too thin and sharp correct and amend it by coolers and thickeners and strengthen the wombs retentive faculty by astringents and convenient driers Many think that the overflowing of the Terms and Issues in women are the same diseases but that is not so as Galen shews for by superfluous Flux of the courses only blood is voided but in too great a measure But women continual Issues send forth not only blood at certain periods but various humours that cause the disease The Terms exceed when they flow in too great abundance in a short time or continue longer than is needful the one resembles violent rain the other flow rain but lasts long If too much blood be the cause of this superfluity the blood will be whitish and pale if choller the terms will be yellow if melancholly they will be dark coloured black or blew it weakeneth all the body and the Liver and Bowels dip a clout in the blood and dry it in the shade and then the colour of the blood will shew the humour that offendeth and accordingly prepare your remedies Sometimes it causeth swounding paleness the whites or the dropsie If fulness be the cause abate blood opening the Liver vein of the right arm repel cool bind bleed little but often use cuppings to the back and breast against the Liver below the paps to draw the blood back but scarifie not under the breasts upon the Salvatella bind and rub the arms and shoulders Waters of Plantane Purslain Shepherds Purse Sorrel sirrup of Pomegranates or dried Roses will cool and thicken the blood and so will Bole or Sealed Earth sirrup of Poppeys Philonium Laudanum are good If it proceed from choller purge with sirrup of Roses of Rhubarb or with Senna or Manna if watry blood be the cause the Reins and Liver are out of temper sweat with China and strengthen those parts Do not force veins but use astringents take the juice of ass dung sirrup of Myrtles of each half an ounce with an ounce of Plantane water let the woman drink it and not know what she takes lest it offend her or give every day a dram of the powder of Mulberry tree roots When you use cold astringents temper them so that you stop not the Veins use no Pessaries except the Veins of the neck of the womb be open Cold and binding fomentations are better than baths for baths make the humours to flow more wash the legs and hips in cold water If choller persist Rhubarb powder in conserve of Roses is very good The principal causes of this overflowing are but four viz. 1. Some of the Vessels broken or much dilated 2. Violent Purgation 3. Corroding humours 4. Hard travel in Childbed or the Midwives unkind handling First if the Vessels be broken the blood gusheth forth in heaps if flowing of humors they come with much pain though the quantity be small Secondly All Physicians almost wish to stop the Courses first that are too many before you strengthen the woman But I think it more reasonable to strengthen nature first and nature will help her self with less means but strengthen the womb and annoint the reins and back with oils of roses Myrtles Quinces do this every night lay a piece of white bays then next your reins upon the bare skin and keep it there constantly inject the juice of Plantane into the Matrix it seldome fails You may drink of the decoctions of Sage Bistort Tormentil Knotgrass Sannicle Ladies-mantle Golden Rod Loos-strife Meadow Sweet Archangel Solomons Seal Purslane Shepherds Purse red Beets Bark and Cups of Oak and Acorns But I commend this medicine take of Comfry leaves or roots of either a handful and of Clowns all-heal the same bruise them and boil them well in Ale drink a good draught when you please and it will help you though the mouths of the Vessels be open Too much blood is lost in the overflowing of the courses when the faculty is hurt by it otherwise the quantity cannot be defined The immediate causes are the opening of the Vessels but the mediate cause is the blood offending in quantity or quality Vessels are opened three or four wayes by Anastomosis when the mouthes lye open by reason of a moist distemper or use of Aloes or hot and moist bathes or from Diapedesis when the blood sweats through the Coats this is not often or from Diaeresis when the sharpness of the blood eates the Vessels in sunder if a Vein be broken Coral Bole Myrtles Comfrey are good to bind or a Poultis with astringent powders and the White of an Egg. Thirdly If a vessel be Corroded a dram of the roots of Dropwort in a new Egg will glutinate Sleep long use little Exercise nor Venery but eat little if it come from Plethory use thin Nutriment beware of hot things alwayes purge the humour that offends vomits are good to stay and turn the course of the humours Take Conserve of Roses two ounces of water Lillies one ounce prepared Pearls and burnt Harts-horn of each half an ounce Bole Armoniac and Terra Lemnia of each half a scruple make an Electuary with sirrup of Plantane this is cooling thickning and binding or in case of great necessity take a Bolus made with old conserve of Roses half anounce Philonium or Requies Nicolai two scruples or but a scruple of each let them drink Red Wine or quench steel in their drink or bloil Plantane Seeds Leaves and Roots in their drink CHAP. XI Of the whites or Womens Disease from corruption of humors WHen the body grows Cacochymical womens Courses stop or run very slowly and sometimes they abound sometimes all humours run thither to a general vent
Legs and arms and is the cause of strange symptomes in them all For Galen saith well the strangling of the Mother or Hysterical Passion is but one by name but the symptomes are scarce to be numbered It alters womens complexions they grow sandy or pale and yellow or swarthy and now and then their eyes and faces shew red and very sanguine When this strange affection falls upon them they will gnash theit teeth and become speechless for their breath is stopt and it hath been often observed that they have been supposed to be dead neither breath nor Pulse nor Life to be found for that time and sometimes their breath is stopt so close and it holds so long that they have died of it The causes of this disease are very many for a sudden fear a bad news related hath cast divers women into these fits for by this Melancholly gets the mastery of them it were but reason therefore for men to forbear relating any sad accident to them but with great proviso When the womb is strangled no one disease can determine it for that seldome comes alone sometimes only the breath is stopt sometimes the speech and animal actions of the brain fail and the whole body is chill and almost dead by ill vapors that choke it rising from the womb The Malignant Vapors then sent from thence by the Nerves Veins and arteries are the immediate causes of all the hurt that is done and these vapors are much like the wind very powerful and almost unperceived they are so subtil and thin that they pass in a moment of time through the whole body it will choke the Patient when they flie to the Throat as people are that eat White Hellebore or venomous mushromes Ofttimes you shall see the woman to loth and vomit and draw her breath short and her heart akes if the vapour strike the heart first it will cease from moving and she falls into a swound but if it flie to the brain she is void of all sense and motion There is nothing worse than corrupt seed to offend the Body Women with Child are not free from this disease when corrupt humours rise from an unclean womb The chief seat of this ill humour lieth in the Trumpet of the womb and in her stones for the substance of it is loose and hollow and the Stones lie in bladders full of water and women that have strangling of the womb have this water of a yellow colour and grosser than it should be Many Physicians have mistook the stones and the Trumpet for the womb it self when putrified rotten seed makes them swell and windy humours cause them to rise as far as the Navel but I spoke of this before when I shewed the reason how the womb is thought to ascend higher than nature hath placed it It hath sometimes a long time to breed in and sometimes it comes suddenly according as the corruption of the humours is which sometimes also lie still and so soon as they are but moved they evacuate and send a poisonous fume into other parts of the body And nothing will sooner stir these vapours and humours in women who are subject to this disease than anger or fear or such like passions or sweet scents and smells applied to their noses which is an argument that the womb is delighted with sweet scents but cannot away with stinking things for let Musk or Civet be held to such womens noses they are presently sick till they be taken away What Distemper this strangling of the womb is Physicians agree not some say it is a cold distemper but coldness is not the chief symptome though cold be great others say it is a convulsion or Syncope or breathing stopt but it cannot be set forth by any one symptome for though the venomous vapor be small that breeds it it goes many waies and spreads through all the body But the true causes of this Disease are the poisonous vapours that rise from the womb it is not an apparent quality that this vapour works by but a secret quality as the Torpedo or Scorpion small creatures prevail with to do great mischief as they are enemies to the natural heat and vital spirits and when the heart suffers there can be no good animal spirits bred because the vital are corrupted but blood and seed whilest they are in their own proper vessels hurt not unless they are mingled with ill humors Fernelius saith that the womb and seed the place and matter of life are the breeding of the most deadly poisons Hippâ—crates in these fits bids give them wine to refresh their weakness Avicenna bids give them no wine but water and forbids eating flesh because they ingender more seed and blood but when she is in the fit wine is best for a little wine will not presently get to the womb Sometimes both maids and widdows from such like causes are troubled with the rage of the womb that they will grow even mad with carnal desire and entice men to lie with them they are hot but not feaverish and they are inclined to madness Modest women will die of consumptions when they have this rage of the womb rather than declare their desire but some women are shameless The cause is great store of sharp hot seed that is not natural but the next degree to it that bites and swells and provokes nature to expulsion the brain suffers by consent the womb in the Nymphe is most affected which swells with heat but the Clitoris and not the Nymphe is the seat of lust hot blood and humours in the womb breed this and they are increased by hot spiced meats and drinks idleneness and bawdy acts and objects at first it may be cured but the end of it is frenzy and madness if it be neglected Maids must marry that cannot live chast or draw blood to abate the heat and sharpness of it let them purge these humours gently and use cooling and moistening meats and drinks and all with moderation Lettice Violets and water-Lillies and Purslain are good coolers and take away the windiness of the parts the seed leaves and flowers of Agnus Castus strewed in their beds or Camphire smelt unto are very good in such cases Let them use this Electuary take conserve of water Lillies Violets tops of Agnus Castus of each one ounce of red Roses half an ounce of red Coral and emralds in powder of each half a dram of Coleworts and Lettice candid of each one ounce with sirrup of Violets and water-Lillies make an Electuary lay a plate of lead to their backs Nuns and such as cannot marry may use tâ—ings â—hat by a hidden quality diminish seed but they cause barrenness let them eat no eggs nor much nourishing meats and sleep little Camphire that is so much commended against this preternatural desire is hot and sharp and bitter it will burn and flame and being of thin parts penetrates deep but it hath cold operations for it will cure
Cloves of each one scruple Frankincense Bark Calamus of each half a dram Marjoram water three ounces snuff up this water often and drop hot oils into the ears If the water be not dissipated in twenty daies you must open the skull and let out the water by degrees and beware that the child take no cold If such means as are outwardly applied will not help it the last remedy is by the Chirurgion XIV Sometimes children are much vexed with the Hiccough or Hickets or Huckets as they call it it comes commonly from too much repletion and fulness wherefore dip a feather in oil and put it down the childs Throat and make it vomit It may come from a cold stomach then anoint the stomach with oil of Cammomile of Worm wood of Mastick and Quinces and dissolve a scruple of the Troches of Diarrhodon in the Nurses Milk and give it the child If this disease come from too much Milk the belly swells and the child vomits if the Nurses Milk be bad it comes from thence and the Excrements will smell of stinking Milk This is no dangerous disease unless the cause be violent for then it will flie to the Nerves and cause a Convulsion Falling sickness and death Give the child sirrups of Mints and Betony to strengthen the stomach and anoint it with oil of Mints of Mastick and of Dill. There is a disease like the Hickets in children from grief or anger when the spirits flie from the Heart to the Midriff and stop the breath but it is soon over XV. Children are sometimes subject to vomiting from too much or from ill milk or from flegm that falls from the head to the stomach a moist loose stomach is the immediate cause if they vomit milk they are better for it if the milk be naught the matter that comes forth will shew that for it is yellow green or filthy coloured and it stinks Worms may make them vomit but that will be known by the signs children that vomit often are best in health and thrive best because their stomach is kept clean of ill humours but to vomit too much will make them wast away cleanse the stomach with honey of Roses and strengthen it with sirrup of Quinces and of Mints When the humour is too sharp and hot give the sirrup of Pomegranates or of Coral or of Currants Coral hath a hidden vertue and some hang it about their necks Anoint the stomach with oils of Mastick Mints Quinces Wormwood of each half an ounce oil of Nutmegs by expression half a dram oil of Mints chymically extracted three drops or dip bread in hot Wine and lay it to the mouth of the Stomach XVI If the child be griped and pained in the belly you shall know it by the great unquietness and crying and turning it self from side to side it is oft with a scowring and from bad milk that breeds sharp windy humours it gets to the guts and gnaws them and sometimes it is from worms if it be wind it will cease when they break wind but ill humors cause a constant pain Tough flegm binds the belly and the Dung is slimy sharp humours cause a green and yellow flux if this pain last long it casts them into convulsions and falling-sicknesses and is dangerous Foment the belly with a decoction of Lavender Fennel and Cummin seed or take oil of Olives and Dill seed and dip a piece of Wool in it and lay it over the belly warm Give the child some oil of sweet Almonds with Sugar-Candy and a scruple of Anni-seeds and purge it with Honey of Roses which is good also when the body is swoln with wind or too much milk not digested and use a decoction of Cardiaca Cammomile flowers and Cummin seed or boil the top of dwarf-Elder and of Elder in white wine and bath the parts that are swoln with it If the griping pain comes from the sharp milk sirrup of Succory with Rhubarb or sirrup or Honey of Roses or a Glister of the decoction of bran and Pellitory of the wall with sirrup of Roses is very good using an outward Ointment of oil of Dill and Cammomile XVII Sometimes children will sneeze mightily it may come from an imposthume in the head then cooling oils and ointments are commended but if any other cause produce it put the powder of Bazil into the nostrils If heat cause it the childs eyes will sink in then bruise Purslain leaves and with oil of Roses Barley meal and the yolk of an egg mingled make an Application to the Head XVIII When the child is Feaverish and hot the nurse must eat cooling and moistening things and anoint all the parts of the child with oil of Roses and Unguent Populeon and lay to the breasts clarified juice of Wormwood Plantane Mallows Seagreen made to a Cataplasme of Barley meal XIX It falls oftentimes out that children are squint-eyed and that comes when they lie in their Cradle and the Candle or light stands behind them or on one side It may come from the Falling-sickness or by birth but that is seldome and not curable if ill custom have bred it put your candle on the other side or a Picture till the childs eyes come to look right but you may prevent all if you set the candle before the child and not on either side for the child will stare after the light you may when you find the childs eyes distorted hang cloths of all colours on the other side to make the child to turn the eyes the contrary way to gaze on them till it be cured XX. Sometimes children have sore eyes with great pain with Ulcers and Worms and inflammations for childrens brains are very moist and there are many excrements which nature casts forth at other places because the natural Emunctories will not carry them all out much of this goes to their ears which will be very sore that they will cry and not suffer them to be touched it is dangerous for it will not let them sleep the heat and pain is so great it causeth the Falling-sickness and fouls the spongy bones and breeds Worms and sometimes makes children deaf so long as they live you cannot use strong remedies to children drop a little hemp seed oil with Wine into their ears to allay the pain use warm milk about their ears or oil of Violets or the decoction of Poppey tops to dry up the moisture use honey of Roses or water of honey to drop in their ears XXI The usual painful disease of all children is the breeding of their teeth it is very dangerous to some about the seventh month first come forth the fore teeth then the eyteeth lastly the grinders first the Gums itch then they prick like needles by reason of the sharp bones which causeth watchings and inflammations of the Gums Feavers Convulsions Scourings especially when they breed their eye-teeth The beginning of the seventh month is the time that discovers it and the childs putting his
THE MIDWIVES BOOK Or the whole ART of MIDWIFRY DISCOVERED Directing Childbearing Women how to behave themselves In their Conception Breeding Bearing and Nursing of CHILDREN In Six Books Viz. I. An Anatomical Description of the Parts of Men and Women II. What is requisite for Procreation Signes of a Womans being with Child and whether it be Male or Female and how the Child is formed in the womb III. The causes and hinderance of conception and Barrenness and of the paines and difficulties of Childbearing with their causes signes and cures IV. Rules to know when a woman is near her labour and when she is near conception and how to order the Child when born V. How to order women in Childbirth and of several diseases and cures for women in that condition VI. Of Diseases incident to women after conception Rules for the choice of a nurse her office with proper cures for all diseases Incident to young Children By Mrs. Jane Sharp Practitioner in the Art of MIDWIFRY above thirty years London Printed for Simon Miller at the Star at the West End of St. Pauls 1671. TO HER MUCH ESTEEMED AND EVER HONOVRED FRIEND THE LADY ELLENOUR TALBUTT BE THESE My Poor and Weak Endeavours Humbly Presented BY Madam An Admirer of Your Vertue and Piety Jane Sharp TO THE MIDWIVES OF ENGLAND Sisters I Have often sate down sad in the Consideration of the many Miseries Women endure in the Hands of unskilful Midwives many professing the Art without any skill in Anatomy which is the Principal part effectually necessary for a Midwife meerly for Lucres sake I have been at Great Cost in Translations for all Books either French Dutch or Italian of this kind All which I offer with my own Experience Humbly begging the assistance of Almighty God to aid you in this Great Work and am Your Affectionate Friend Jane Sharp THE CONTENTS Of the several CHAPTERS BOOK I. OF the necessity and usefulness of the Art of Midwifry Page 1. CHAP. I. A brief description of the Generative parts in both Sexes and first of the Vessels in Men appropriated to Generation p. 5. CHAP. II. Of the Seed-preparing Vessels p. 6. CHAP. III. Of the Vessels that make the Change of the Red Blood into a white substance like Seed p. 8. CHAP. IV. Of the Cods or rather the Stones contained therein p. 10. CHAP. V. Of the Carrying Vessels p. 14. CHAP. VI. Of the Vessels for Seed p. 16 CHAP. VII Of a Mans Yard p. 18. CHAP. VIII Of the Nut of the Yard p. 27. CHAP. IX Of the Muscles of the Yard p. 28. CHAP. X. Of the Generative parts in Women p. 33. CHAP. XI Of the Womb p. 38. CHAP. XII Of the likeness of the Privities in both Sexes p. 40. CHAP. XIII Of the Privy passage in the Secrets of the Female Sex p. 41. CHAP. XIV Of the Seed-preparing Vessels in Women p. 54. CHAP. XV. Of the Seed-carrying Vessels in Women p. 58. CHAP. XVI Of Womens Stones p. 60. CHAP. XVII Of the Womb or Matrix p. 63. CHAP. XVIII Of the fashion of the Womb and the parts of which it is made p. 73. BOOK II. CHAP. I. WHat things are required for the Procreation of Children p. 87. CHAP. II. Of true Conception p. 92. CHAP. III. Signes that a Women hath conceived and whether it be a boy or Girle p. 102. CHAP. IV. Of false Conception and of the Mole or Moon calf p. 106. CHAP. V. Of the Causes of Monstrous Conceptions p. 116. CHAP. VI. Of the resemblance or likeness of Children to Parents p. 120. CHAP. VII Of the sympathy between the Womb and other parts p. 125 CHAP. VIII How the Child grows in the Womb and how the parts of it are successively made p. 132. CHAP. IX Of the Posture the Child lieth in the Womb. p. 153. BOOK III. CHAP. I. WHat hinders Conception and the causes of Womens Barrenness p. 163. CHAP. II. Of the great pain and difficulty of Child-bearing with the signes cause and Cure p. 166. BOOK IV. CHAP. I. RVles for Women when near their labour p. 187. CHAP. II. To know the fit time when the child is ready to be born p. 205. CHAP. III. What must be done after the woman is delivered p. 210. CHAP. IV. When and how to cut off the Child's Navel-string and what is the consequent thereof p. 212. CHAP. V. What is best to bring away the Secundine or After-birth p. 217. CHAP. VI. Of the great pains and throws some Women suffer after they are delivered p. 219. CHAP. VII Of the Cholick some women are afflicted with in the time of their travel p. 220 CHAP. VIII Of Womens miscarrying or Abortment with the Signs thereof p. 221. BOOK V. CHAP. I. HOw Women in Childbirth must be governed p. 228. CHAP. II. Of the loosness of the Womb p. 236. CHAP. III. Of Feavers after Child-bearing p. 243. CHAP. IV. Of Womens Vomiting p. 248. CHAP. V. Of Womens diseases in general p. 250. CHAP. VI. Of the Green Sickness or white Feaver p. 266. CHAP. VII Of the straitness of the Womb o. 299. CHAP. VIII Of the largeness of the Womb p. 285. CHAI IX Of the Terms in Women p. 288. CHAP. X. Of the overflowing of the Courses and immoderate Flux thereof p. 296. CHAP. XI Of the Whites or Womans disease from corruption of Humours p. 302. CHAP. XII Of the swelling and puffing up fâ— the Body especially the Belly and Feet of Women after delivery p. 308. CHAP. XIII Of Cold Moist Hot Dry and all the several distempers of the Womb p. 313. BOOK VI. CHAP. I. OF the Strangling of the Womb and the effects of it with the Causes and Cure p. 317. CHAP. II. Of the Falling Sickness p 328. CHAP. III. Of Womens Breasts and Nipples the Diseases incident to the same with their Cures p. 336. CHAP. IV. Necessary Directions for Nurses p. 351. CHAP. V. Instructions in the choice of Nurses p. 360. CHAP. VI. Of the Child p. 372. CHAP. VII Discoveries of the several Diseases incident to Children with the Cure p. 377. THE MID-WIVES BOOK BOOK I. The Introduction Of the necessity and Vsefulness of the Art of Midwifry THe Art of Midwifry is doubtless one of the most useful and necessary of all Arts for the being and well-being of Mankind and therefore it is extremely requisite that a Midwife be both fearing God faithful and exceeding well experienced in that profession Her fidelity shall find not only a reward here from man but God hath given a special example of it Exod. 1. in the Midwives of Israel who were so faithful to their trust that the Command of a King could not make them depart from it viz. But the Midwives feared God and did not as the King of Egypt commanded them but saved the men children alive Therefore God dealt well with the Midwives and because they feared God he made them Houses As for their knowledge it must be two-fold Speculative and Practical she that wants the knowledge of
this straitness as I said But the straitness of the womb it self and its vessels are sometimes natural by ill conformation and such women will miscarry in the fourth or fifth month because the womb that naturally stretcheth as the child grows in bigness will after the woman is delivered shrink as small as it was before in some women will not be extended But if the straitness be in the vessels or neck of the womb Conception is hindered because the terms cannot flow gross humours especially when the womb is cold and weak stop the mouths of the veins and arteries Inflammations or Swellings or Scars or Schirrhus or the like may be the causes sometimes thick Flegm abounds if there were a wound or the after-burden were forcibly pulled out If the terms be stopt from an old obstruction of grown humors the cure is hard a Schirrhus or humour that shuts up the vessels cannot be cured what is to be cured must first be done by general evacuations of purging and bleeding then use means to provoke the terms if the straitness come from diseases first cure them Sometimes the Secrets of women are full of pushes and scurf with itching and pain wheals rising in the neck of the womb They are of two sorts some are gentle but most commonly they are venemous and come from the foul disease and will impart it unto men They proceed from burnt sharp cholerick malignant humours hard to be cured Sirrup of Fumitory is very good in such cases it is also profitable to wash the parts with wine and Salt-Peter Draw blood if it abound first in the arm then in the ancle but first if be the disease drink the decoction of Sarsa and Guaicum for it Avoid sharp sowr meats it is good to purge with Confectio Hamech or Fumitory Pills You may see the cause of this great itching and scurf if you search with Speculum Matricis an instrument Chirurgeons use Sometimes Tubercles grow in the neck of the womb with heat and pain you may see them them for they are a kind of swelling wrinkles like the wrinkles you see when you close your Fist but they are much larger and when they swell they make these Tubercles they are usual in the secrets or Fundament and come from the same malignant causes with the former and some are more enflamed and painful than others are The swellings are hard proceeding from thick burnt humours Powder of egg-shels burnt is good to strew upon them to dry them up if they be new and there be no inflammation but if they be old and dry they must first be softened These wrinkled skins when they are many resemble a bunch of Grapes Cure the Pox first for usually that is the cause and then they will vanish of themselves If Medicaments prevail not some old authors bid us to use an actual Cautery and to burn them away Likewise Warts in the secrets are bred by a gross dreggy ill humour and is of kind with the forementioned Nature sends it forth to the outward skin and there it becomes Warts if they be hard or blew and painful you may know what they are the Pox is in them and hard to be got out and they lie where medicines can scarce be applied to them to remain if you apply sharp Topicals use a defensative of Bole and Vinegar that you hurt not the parts and so you may touch them with Aqua fortis or Spirit of Vitriol or of Brimstone There are several sorts of these Excrescences there are those that are called Myrmeciae leave an Ulcer if you cut them off Thymi Clavi will grow again but Acrocordanes leave no root if they be once cut away The powder of Mulberries is good to cure Warts and swellings upon the privities of men and I recommend it to women in the same cases Sometimes women have the piles of the womb like those in the Fundament they proceed from gross blood that staies about the ends of these veins in the neck of the womb Women that are thus troubled look pale and are very faint and weary this may come from too long flowing of the courses and grow thick and cannot get forth they are painful and bleed disorderly you may see them by the help of Speculum Matricis and touch them The cure is by revulsion of the humour by letting blood in the arm or heel and by gentle applications if the pains be great if nature open them and they bleed moderately you may give way to nature but if they run violently open a vein in the arm two or three times Purge with Rhubarb Tamarinds and Mirobolans mingled and use Topicals to stay the blood The blind Piles bleed not at all they are cured by letting young women bleed freely and by softening the parts with emollient Fomentations to open the veins and to dispel the humour made with mallows Marshmallows Cammomile Melilot Maâ—lius Linseed Fenugreek Anoint where the pain is with butter Populeon and Opium if the pain be gone and they bleed not use Driers of Bole Ceruss Allum burnt Lead wash'd if the veins swell with blood rub them with Fig leaves or with Horse Leeches applied draw blood from them This disease of the Piles of the womb differs from the flowing of the courses because this is with great pain and moreover the courses run from the veins of the womb and the neck of it but the Piles are caused when the blood runs too much to the veins that force the secrets and either stops there or comes forth sometimes by them but some say they differ from the courses namely by their great pain but that they make the body lean if they last long and the blood comes not forth so orderly nor at certain periods and set times as the courses use to do Sometimes the womb hath Ulcers bred there some are cleaner and some again are sordid and malignant all hard to be cured They proceed generally from a virulent Gonorrhoea or the Pox but they may rise from inflammation by abundance of sharp corroding humors from abortion or hard labour or sharp medicines or when the after-birth is pulled out by force and rends the womb The pain of Ulcers is biting and increased by sharp injections of Wine or Honey and Water All Ulcers are hard to heal there because of the sensibility and moistness of the part and a light Excoriation or rawness will not easily be healed but eating Ulcers never are cured there almost but by Death Ulcers by Venery if they be cured you must first cure the Pox. All Ulcers in the secrets of Wombs may be cured if they be not Cankered and the way to cure them is by Purging and bleeding to cleanse and carry away and divert the ill Humours and moisture from the Womb if there be great pain abait that with Mucilage of Fleabane and whites of Eggs or an Emulsion of Poppey Seeds Warm Injections into the Womb will help forward the Cure made of
some but in others by accident from cold Air cold Diet and Medicaments or from too much idleness the signs are quite contrary to the former for the other are extreme desirous of Venery and these abhor it and take no pleasure in it they have few or no hairs about their Secrets and their seed is watry and Slimy their wombs are windy and they are subject to Gonorrhaeas and the Whites The Cure is long and hard to be done but they must use such things as warm the womb with drinking good wine and sometimes Cordial Waters and good warm nourishing Meats and of easie digestion with Anniseed Fennel seed and Time And Fumigations are good of Myrrh Frankincence Mastick Bay berries of each a dram Labdanum two drams Storax and Cloves of each a dram Gum Arabick and wine make Troches put one or two upon a Pan of coles and let her receive the Fume at the Matrix Then take Labdanum two ounces Frankincence Mastick Liquid Storax of each half an ounce oyl of Cloves and of Nutmegs of each half a scruple oyl of Lillies and Rue of each one ounce Wax sufficient make a Plaister and lay it over the Region of the womb But if the womb be moist and this is commonly joyned with a cold distemper it drowns the seed like as if a Man should sow Corn in a quagmire The causes are almost the same as of cold for it is Idleness that is the cause in most women that are troubled with it and such women have abundance of Courses but they are thin and waterish and the whites also their Secrets are alwayes wet they cannot retain the mans seed but it slips out again This must be cured as the cold distemper by a heating and drying Diet and Medicaments Baths Injections Fomentations wherein Brimstone is mingled but take heed of Astringents for they will make the Disease worse by stopping the ill humours in The fourth is a dry Distemper of the womb this is natural to some but to most it comes when they are old and past childing when the womb grows hard if it be from any other drying causes such women will be barren before they be old It may proceed from diseases as Feavers Inflammations Obstructions when the blood goes not to the Matrix to moisten it so that if they void any blood it comes from the Veins in the neck of the womb and not from the bottom they have but few courses little seed they are of a lean dry Constitution their lower Lip is of a blackish red and commonly chapt This Distemper if it be long is seldom cured moistning things must do it as Borage Bugloss Almonds Dates Figs Raisins Moistning and nourishing Diet is good and to forbear salt and dry meats avoid anger sadness fasting and use to sleep long and labour but little rub the parts with oyl of sweet Almonds Lillies Linseed sweet Butter Jesamine Hens or Ducks Grease Besides these four there are compound distempers as cold and moist wombs and hot and dry but I presume I need not in particular speak of them because I have given sufficient remedies in the several qualitis already which will be easie to apply I confess a compound distemper is harder to be cured than a simple therefore I shall add one or two remedies more First If then the Womb be cold and moist cure this with surrup of Mugwort Bettony Mints or Hyssop then purge the cold humor with Agarick Mechoachan Turbith and Sena Sudorificks of Guaicum Sarfa and China are very good Secondly If the womb be subject to a hot and dry distemper you must put away choler from the Liver and from the whole body those things that will do it are Manna and Tamarinds sirrup of Roses Rhubarb Senna Cassia and the like which are very safe gentle and effectual Remedies BOOK VI. CHAP. I. Of the Strangling of the womb and the effects of it with the Causes and Cure THe womb by its consent with other parts of the Body as well as by its own nature is subject to multitudes of diseases and it is not to be uttered almost what Miseries women in general by meanes thereof be they Maids Wives or widowes are affected with But amongst all diseases those that are called Hysterical Passions or strangling of the womb are held to be the most grievous Swounding and Falling Sickness are from hence by the consent the womb hath with the heart and brain and sometimes this comes to pass by stopping of the Terms which load the heart the brain and Womb with evil humors and sometimes it ariseth from the stopping in of the seed of Generation as is seen in Antient Maids and widowes for by reason hereof ill vapors and wind rise up from the womb to the Midriff and so stops their breath it is most commonly the widowes disease who were wont to use Copulation and are now constrained to live without it when the seed is thus retained it corrupts and sends up filthy vapours to the brain whereby the Animal Spirits are clouded and many ill consequents proceed from it as Falling Sicknesses Megrims Dulness Giddiness Drowsiness Shortness of breath Head-ache beating of the Heart Frenzy and Madness and indeed what not The same woman may be tormented with several of these at the same time when the seed and the Courses are mingled with ill humours being once corrupted The Menstrual blood and seed are noble parts but the best things once corrupted become the worst and degenerate into a venemous nature and are little better than Poyson When the Vessils of the womb lye near the Vessels of other parts of the body or there is near affinity of one part with the womb then by consent are many grievous Diseases produced The womb is of a membranous nature and for that reason it consents exceedingly with the nerves and membranes and so the parts that are near are soon offended by it and it conveys its ill qualities to the whole body by Nerves Veins and Arteries the Brain hath it by the membranes of the marrow of the Back and by Nerves the arteries they carry it to the Heart and the veins to the Liver and these are large in the womb and by them all the noxious blood and poisonous vapours return The Veins of the Mesentery give it a consent with the stomach and so do the arteries carry all to the Spleen which is the cause that some women in age grow hypochondriacal by heat of their blood because their courses did not flow sufficient when they were young It will be hard to distinguish these two diseases in women or to cure the one and not cure the other The Breasts they consent with the womb by Nerves and Veins that go from it to them so then it is clear that it holds a correspondence with the heart the Midriff the Brain and Head and all the instruments of motion and sense likewise with the Stomach Liver Spleen Bladder Belly Mesentery Hips Back straight Gut
burns and hot swellings and head-ach that comes of heat by a likeness and affinity it hath to draw hot vapours to it so Linseed oil is good against burnings Scaliger affirms that Camphire increaseth Venery it may do so if it be used seldome but often used it is certain that it will destroy it There is moreover from ill tempered seed and melancholly blood in the vessels near the Heart which contaminates the Vital and Animal Spirits a melancholy distemper that especially Maids and Widows are often troubled with and they grow exceeding pensive and sad for melancholy black blood abounding in the Vessels of the Matrix runs sometimes back by the great arteries to the heart and infects all the spirits when this blood lieth still they are well but if it be stirred or urged then presently they fall into this distemper they know not why and the arteries of the spleen and back beat strongly and melancholly vapours fly up They are sorely troubled and weary of all things they can take no rest their pain lieth most on their left side and sometimes on the left breast in time they will grow mad and their former great silence turns to prating exceedingly crying out that they see fearful spirits and dead men when it is gone so far it is hard to cure it is vain then to try to make them merry they despair and wish to die and when they find an opportunity they will kill or drown or hang themselves At first when the blood is hot and fiery open a vein in the arm if they have their courses if not in the foot or ancle to bring the courses down Cooling moistening cordials and such things as revive the spirits and conquer melancholy wil do much driers are naught for melancholly is dry Confectio Alkermes is commended for those that can away with it but Confectio de Hyacintho is better use a moistening diet To breed mirth give her waters of Balm and Borage of each three ounces sirrup of the juices of Borage and Bugloss of each one ounce and a half take this at twice and use it often To purge melancholly take six drams of Senna Agarick one dram and a half Borage and violet flowers of each a small handful two drams of Citron peels infuse all six hours in good Rhenish wine strain them and put to them sirrup of Violets one ounce CHAP. II. Of the Falling Sickness WHen Women by reason of the ill affections of the womb fall into Epilepsies and Falling sickness it is worse than any other cause as the symptomes prove for the poisonous vapor is not only in the Nerves as when it is from the brain but also in the membranes veins and arteries The same foul vapour that causeth strangling of the womb produceth this for it causeth divers diseases according to the parts it takes hold on but when it lights forcibly on the Nerves then it causeth the Falling-sickness Sometimes there is a convulsion of the whole body and sometimes but of some parts as of the head or tongue hands or legs eyes or ears some cannot hear others cannot see all lose the sense of feeling some cry out but know not wherefore They that fall if the vapour be not too strong when they rise they go to their work again as if they had no harm but here is not only convulsions as in those that have the Falling-sickness from other parts but stopping the breath as in the strangling of the womb but these seldome some at the mouth as those do for the brain is entire or not much offended nor is their hearing taken away quite by the vapour fastening upon the roots of the Nerves of the ears Rue and Castor that cure fits of the Mother are good here the cure is almost the same only you must add some things that respect the nerves and the Brain Use these Pills twice in a week before supper one hour and take a scruple or half a dram Take Senna and Peony root of each half an ounce Mugwort Rue Betony Yarrow half a handful of each boil them then clarifie the decoction put to it Aloes one ounce and a half of juice of the herb Mercury one ounce let it stand and settle pour off the clear liquor then add two drams of Rhubarb sprinkled with water of Cinnamon Agarick half an ounce Mastick and Epileptick powder of each half a dram make the pills with sirrup of Mugwort To mend the distemper of the head and Womb take conserve of Rosemary flowers and of the Tile tree of Balm and Lillies of the valley of the root Scorzonera Candied of each one ounce Diamoschu dulce one dram with two drams of the roots of Peony and seeds of Agnus Castus and sirrup of Stoechas make an Electuary to take at your pleasure Nor are these all the ill consequences of the wombs distempers but sometimes violent head-ach springs from it which is the greatest pain of all the rest and sometimes it is all over the head or but upon one side or in the eyes the ill vapours rising by the veins and arteries of the Womb to the membranes and films of the brain when the vessels are full of a thin sharp blood that is carried from the womb to the membranes it stretcheth and rends them and corrodes and bites so that the pain is intollerable the cure is to purge away the peccant humour that lieth in the Womb for this is not as other head-ach is that comes from other causes the pain runs also to the Loins and the Membranes there by some capillary veins from the womb The pain of the head by affection with the womb is in all the head commonly but is chiefly iâ— the hinder part of the head because the womb being Nervous consents with the membranes of the brain by the membrane of the Marrow of the back hence it is that women are more subject to the head-ach than men are because of the womb that holds such affinity with the Nerves of the head The violent beating of the heart and Arteries both in the Sides and Back is by consent from the womb when evil humors therein contained pass by the Arteries and Poysonous vapours arise to those parts Cordials are good as Cinnamon Water and Aqua Monefardi or Mathiolas his water the Disease seems small but it is not safe because the cause of it is very ill In this Disease the Artery that beats in the Back beats strongly because it is part of the great Artery but the Arteries that beat in the Hypochondrion beat not so strongly for they are smaller branches from the Spleen and Mesentery but the cause is the same The Arteries are inflamed by the ill vapours and humours sent from the womb and the heart is exceedingly heated by them but this hot humor sometimes beats by reason of the great Artery quite over the whole body but it lasts not long for there is little corruption of the humors Some say the blood
of the Terms there being so great consent betwixt the breasts and the womb you may feel the small kernels of the breast but that I speak of now is one unmoveable humor but the other are small If it lye near the skin it is soon dissolved but if it lye deep it will hardly be dissolved because the substance of it is so earthy first Purge then bleed after that apply softning and discussing remedies that are strong as you must do for a Schirrhus humor Take Orris Roots and boil them in Oxynel and stamp them mix them with Oyntment of Marshmallowes and Turpentine of each three ounces and one ounce of Mucilage of the seed of Fenugreek If you cannot discuss it ripen it or cut it open but take heed how you do it for this is troublesome and dangerous All these humors if they be unskilfully handled will soon turn to a Schirrhus from melancholy in the veins flowing to the breasts and it is thick flegm dried there are two kinds of it one is bred of Melancholy blood which is gross feculent or thick flegm mixed with it and this feels no pain but the other is not so hard for it is not yet fully come to its perfection and it is probable that it is mingled with other humors A perfect Schirrhus grows from the stoppings of the Spleen whereby the Melancholy blood is retained and being in great quantity falls upon the Breasts or else the courses stopt fly thither There is a double intention for the cure First Use emollient means to soften all that is hard and knotty in the breasts then keep a good Diet and beware of salt Meats and such as are smoak'd and hard of digestion and moreover all things of a sharp corroding faculty use moderate Exercise and Mirth provoke the courses if they be stopt and set on Leeches or bleed in the foot Sena and Rhubarb are good to purge the body well and when you have purged do so no more till you have used some Cordials as Conserve of Bugloss and Orange Flowers Confectio Alkermes Electuarium Degemus and Triosantules Sometimes flegm and melancholy are mingled to cause this Schirrhus but then it is but a bastard Schirrhus if burnt humors abound most it will be a Schrrhus if Melancholy a cancer Secondly The perfect signs of a Schirrhus are that it is very hard and feels no pain if it feel any it is not yet fixed it is coloured according to the humor white or black or blew a bastard Schirrhus is hot and painful if it go on it will be a Cancer and the Veins will swell and look blew if hairs once grow upon it there is no hopes of cure and the bigger and harder it is the more incurable Let general medicaments proceed and cure the cause from the Matrix and from the whole body soften attenuate and discuss the hardness but take heed of hot things that will discuss the thin parts and leave the thick behind neither use too many moistning softning means for that will ferment the matter and change the Schirrhus to a Cancer that is far worse but either soften and moisten and digest together or by turns A Fomentation of Mallows Marshmallows brank Ursine Camomile Flowers Linseed and Fenugreek are good anoint afterwards with oyl of sweet Almonds Hens grease Marrow of a Calf oyntment of Marshmallowes lay on the great Diachylon or the Plaister of Frogs take the Fume of a hot stone sprinkling wine upon it lay on a Plaister of Gum Ammoniacum dissolved in Vinegar of Squills a bastard Schirrhus will soon Cancerate Bleed purge away the humor that breeds black blood to hinder humors from flowing to it anoint with oyl of Roses and juyce of Plantane if it be hot beat them well in a mortar of Lead till they shew another colour then mix Ceruss and Litharge of silver one ounce with wax make an oyntment or take one ounce of Mallow Roots boil bruise them let Sheeps Suet and Capons greese of each two ounces be added to it with wax sufficient to make an Oyntment But the disease worse than a Schirrhus is a Cancer of the breasts and William Fabricius saith that if it be not an Ulcerated Cancer the woman may live above forty years with it and no pain molest her but if you lay on any thing to soften and ripen these swellings she will dye in half a year Many orderly women have lived long with Cancers as if they ailed nothing Hippocrates bids not to cure an occult Cancer if you do the person will dye of the cure because the breasts are loose and spungy Cancers are soon bred there Burnt blood flowing from the womb of one who is of a hot and dry Constitution and the Terms stopping after a Tumor they make an Internal or External Cancer A Cancer that comes naturally undiscerned is hardly known at first being no greater than a Pease and daily increaseth with roots spreading and Veins about it when the skin is eaten through it becomes a loathsome Ulcer the Matter is black and the lips are hard it is scarce curable because it is bred of black burnt blood that is malign and the Vessels are loosned and relapsed by softners and ripeners misapplyed to it so that the passage is made for the humors to pass to and fro and serve to infect the rest Purge melancholy and draw blood but use no Topicks to ripen or rot the part onely Anodynes that will take away pain as oyl of Frogs and Snails with Frogs ashes made to an oyntment with Nightshade water Ashâ—â— of Crayfish or of the herb Robert or the iâ—ward Rind of an Ash-Tree Arceas shewes the way to cut them for 〈◊〉 and to burn the part if the Ulcer be deep â—…bricius bids burn the roots first and afteâ—wards to consume the Reliques and to stoâ— the blood when the root is cut up You must often Purge away melanchoâ—â—â— humors and provoke the Courses or thâ— Cancer will return Mithridate and Treacle with juyces of Sorrel and Borrage and Cray-fish Broth and Asses milk are approved good to palliate the Cure and to keep it from going farther and ease pain This water is commended Take Scrofularia roots and herb Robert of each one handful Lambs Tongue Nightshade Bugloss Borage Purslane Bettony Eybright of each half a handful one Frog two whites of Eggs with Quince seeds and Fenugreeck each one ounce a pint of rose water as much of Eybright water distil them in a Leaden still Cancers must not be handled like other Ulcers for softners Drawers and healers exasperate and kill the woman with great dolour Fichsius his blessed powder against a Cancer is this take white arsenick that shineth like Glass one ounce pour on Aquavitae on the powder of it pour it off again and put on â—â—â—sh Aquavitae every third day for fifteen â—yes together then take roots of great Draâ—on gathered in August or July slice them â—â—d dry them in the wind
to to tell those that knew them before but by their leave they that know some things may be ignorant of other things what one knew before it may be another knew not and what she knew not another might know There are many things here that most women desire to know the reason is the same why all meats are eaten and all Maids may be married for if we all were taken with the same thing there could be no living in the world CHAP. VII Of the Diseases that Infants and children are often troubled with I. SOmetimes the child so soon almost as it is but new born will fall into strange throws and convulsions Hippocrates divides childrens diseases according to their several ages Children new born are subject to inflammation of the navel after it is cut to moistness of the Eares to Coughs and Vomitings and Ulcers in the mouth to Feares and watchings When the Teeth begin to breed there are Feavers Convulsions and Fluxes of the Belly chiefly when the Eye-Teeth breed when they grow older the Tonsils are enflamed the Turnbones of the neck are laxated inwardly they have short breath and are troubled with the stone in the bladder round wormes and Ascarides Strangury Kings-evil and standing Yards as they grow still new diseases come on as the Measels Small-pox some are Tongue-tyed until the Ligament be cut that is too short and hinders their Speech Use no strong Vomitings or purgings or Glisters to children nor bleed them but give them gentle means such are Suppositories and mild Glisters with a little Sugar and Milk give stronger Physick to the Nurse if need require to purge the child strong medicaments given to the nurse may endanger the child that sucks the breasts but weak purges are sufficient to do it good You may give the child a Glister thus take Mallows and violet leaves of each one handful flowers of violets and camomile of each a small handful boil them and take four or five ounces of the decoction and with four or six drams of sirrup of roses and half an ounce of oyl of Violets make it ready to give luke-warm or something more hot as it may well endure II. If a Child be troubled with flegme lay it not on the back for you may soon choak it but turn it to lie on one side or the other Keep the belly loose thrust up a suppository of Castle sope rubbed over with fresh butter to make it more smooth gentle to pass into the body a spoonful of sirrup of Violets afterwards will force down the flegme you may if the child be temperate in heat mingle half the quantity of sweet Almond oyl with half so much sirrup of Violets but rub the belly down with sweet butter as often as it is undressed III. If the childs Codds be swoln observe whether wind or water be the cause of it the water will sweat out if you chafe the part with fresh butter if it be wind swing the child well and dance it and put the decoction of Anniseeds in their drink but there may be many causes of the swelling of the Codds if wind be the cause the Codds will shew thin as a horn and be as stiff as a Drums head too much crying may cause an inflammation or bursting If the swelling arise from heat cooling herbs will cure it but for wind boil a handful of bay leaves of Dill Camomile and Fennel of each a handful Rue half a handful boil all in a quart of Beer wort to a pint strain it out hard and with the liquor boil as much Bean meal as will make a poultis putting to it two or three spoonfuls of oyl of Camomile apply it hot to the Codds IV. If the childs Fundament slip forth as it will oftentimes in many children when they are bound and strain to go to stool or have taken cold or the Muscles are relaxed by moisture when there is a looseness of the Belly and a Tenesmus or Needing then the Muscle that bindes up the hole will come forth if it come from straining it is easily cured at first but too much moisture causing it will be hard to overcome especially when the belly is loose for then the Medicaments are driven off For the cure then if it be swoln and will not be put in bath it first with a decoction of Mallows and Marshmallows or annoint it with oyl of Lillies then try to put it up having cast some astringents upon it or take Galls Acorn cups Myrtle berries dryed red Roses burnt Harts-horn burnt Allum and flowers of sowr Pomegranates of each a like quantity make a strong decoction in water and whilest it is warm bath the Gut with it and put it into its place and to make it flag up spread a little melted wax Frankincense and Mastick together upon a Linnen Clout and lay it to the Fundament so bind it on and take it off onely when the child goes to stool sprinkle the Gut with this following powder Of red roses and sowr Pomegranate flowers of each half a dram Frankincense and mastick of each one dram V. If the Infant be too loose bellyed and cannot contain its Excrements this proceeds either from breeding of Teeth and that is usually with a feaver or from concoction depraved and the nourishment corrupted or from much waking or great pain or Feaverish humors stirring in the body or when they drink or suck too much being over-hot taking cold may also bring a Looseness if the Excrements be yellow and green and stink some sharp humor is the cause of it When children breed teeth it is good to have the belly somewhat loose but if it exceed it must be stopt for the child will consume If the Excrements be black and the child feaverish it is an ill sign But a Sucking child needs not be cured so much as the Nurse mend her milk or get another Nurse and let her avoid green fruit and Meats of hard digestion When the child is past sucking then purge things that leave a binding quality behind will do it such are sirrup or honey of red Roses You may give a Glister of two or three ounces of the decoction of Milium and Myrobolans with an ounce or two of sirrup of dried red Roses If it proceed from a hot cause cleanse first then give sirrup of dried roses Quinces Myrtles Currants Coral Mastick Harts-horn or powder of Myrtles with a little Dragons blood and annoint the belly with oyl of roses of Mastick of Myrtles In a cold cause the Excrements will be white then give sirrup of mastick and Quinces with mint water and take half a scruple of Frankincense and of Nutmeg as much temper it with the juyce of a Quince and give it the child Lay a plaister to the childs belly made with the seeds of red Roses Cummin Anniseed and Smallage Barley meal and juyce of Plantane with a little Vinegar boil all together When the stools are red or yellow a spoonful
or two of red Rose sirrup or of Pomegranates with Mint water may do much good or beat some Sorrel-seeds to powder and give it to eat with the yolk of a roasted Egg or bruise the seed and boil it in fountain water and let the child drink of it twice a day If the child be costive and cannot go to stool this comes oftentimes from a cold and dry distemper of the Guts from the birth or form slimy flegme that sticks to the Guts and wraps up the Dung this last comes from the milk when the Nurse drinks little or eates hard meats or astringent diet or else it may come from a hot distemper of the Kidneys and Liver that drieth the excrements or want of choler to provoke expulsion A dry distemper of the Guts is not easily helped when there wants choler the body looks yellow and the dung is white because the choller is gone some other way When the child is bound the Head will ache and there is pain in the belly wherefore it is more healthful if the belly be loose so it be moderate A hot distemper is remedied by bathing it often in a bath of boiled Lettice and Succory to mosten and cool it In a hot cause use coolers in a moist drying things let the nurse abstain from binding meats in dry causes as from Quinces Medlars Pease Beans and annoint the stomach and belly of the child with fresh butter oyl of Lillies hens grease if the child be grown give it the decoction of red Coleworts with a little Honey and salt Flegme is cured with sirrup of Roses or with Honey and to cool sirrup of Violets is effectual or emulsions of the four cold seeds When choler will not come from the Gall to the guts to move the expulsive faculty let it drink a decoction of Grass roots Maiden-hair Fennel and Sparagus if it will not yet void the Excrements make a suppository of Honey boiled hard let it be as big as a date stone or a little bigger and as long as your little finger or you may make it of the stalks or roots of Beets or flower de Luce dip them in oyl and thrust it up into the Fundament lay a piece of wool dipt in oyl to the childes navel and give it the quantity of a Pease of good honey When the child sucks give the Nurse a gentle purge to loosen the belly if soluble meats will not do it you may safely lay a plaister over the childes belly made of Mallowes and Marshmallowes of each one handful Holyhocks two ounces ten Figs Fenugreek and Linseed of each one ounce boil all in water and then stamp them in a mortar make it up with butter and hens-grease of each two ounces Saffron one scruple spread it on a Linnen Cloath or apply to the navel a walnut shell full of hens-grease and Oxe Gall and anoint the belly with softning things as with oyl of sweet Almonds and of Linseed bran with the juyce of Dwarf Elder will make a loosning Poultis for the belly VI. The child may be troubled with worms that breed in their Guts some like mites of Cheese and some like earth worms and some children have been observed to have them in their Mothers bellies for they have voided them so soon almost as they were born but the chief cause is by mingling milk with other meats when the constitution is hot and moist or from Summer Fruits and sweet Meats that worms love These worms are broad and small or round and long you may know when they have worms when their Mouthes water much and their breath stinks when they gnash their teeth and start in their sleep and cry when they have a dry cough loath their meat are very thirsty when they vomit and hicket when their bellies swell and they are much bound or very loose when they make thick white water with pain when their belly is empty and the worms want meat their face is covered with a cold sweat and their cheeks flush with red colour and suddenly become pale by this you may know what worms they are for these signs shew round worms commonly rather than flat sometimes children have no great hurt by it when they have worms till the worms grow too strong and then dangerous symptomes follow Long round worms are worst for they will eat quite through the belly and when there is a Feaver the danger is greater Those that do least hurt are white but the fewer and smaller the worms are the less is the danger It is best to eat meats of good juice with Oranges and Pomegranates forbearing all slimy sweet fat meats Fish and milk and Summer fruits and to take some powder of harts-horn and drink thin wine mingled with Grass and Sorrel waters these will keep worms that they breed not which is better than to let them breed and drive them out afterwards Keep the childs belly loose with Glisters when you know they have worms or give them the decoction of Sebestens before meat Scordium and Wormwood are good but children will not be perswaded to take bitter medicaments wherefore you may give them Grass water with juice of Lemmons or one or two drops of Spirit of Vitriol These things following will kill Worms and cast them forth eight grains of Mercurius Dulcis steept all night in Couch-grass water strain it finely and give nothing but the water Wormseed Harts-horn or Coralline are good lay Peach-leaves bruised to the Navel or a little Ox Gall Saint Johns wort and Wormwood Knot-grass water drank with milk Ox Gall and Cummin-seed laid to the Navel are good against great worms mingle with your juice of Wormwood and Ox Gall of each two ounces of Coloquintida one ounce made into a Cataplasme with Wheat meal lay it over the Belly and Navel If there be a Feaver withal use such cooling remedies as are here prescribed against a Feaver you must use several medicaments for the worms will quickly grow familiar with any medicament and will not stir for it the best time to administer your remedies is about the new or full of the Moon for then they will sooner move than in the quarters let the child be fasting and go to stool first if he can and give the medicament to destroy the Worms when they are hungry and the time the child that is of age is wont to eat his breakfast for the worms will look for it VII Sometimes children have Convulsion Fits and the Falling-sickness it is natural to some from their birth but others have it by accident the nurses ill milk may breed it let her cleanse her body and not use too much moist and cooling diet nor let the child suck too much at one time to over-charge the stomach The Male-Peony root hanged about the childs neck and a small quantity of the powder of the same given to the child in any convenient way with milk or pap or broth or drink is much commended and so is the
seed it is good for the child to smell to Rue and Assafaetida and sometimes rub the Nostrils with a drop of oil of Castor or of Costus it may proceed from ill milk in the childs stomach or by consent from other parts or from worms in the Guts or from ill vapours that ascend where bad humours abound These prick the Films of the brain and cause the childs distemper it may be originally bred in the brain or arise from some sudden fright or from breeding of teeth this last will be gone when the pain of the teeth is over Many young children die of this disease it may come with the Small Pox or Measles and when they come forth it will be cured if nature be strong the Nurses good diet is a great furtherer to the cure in the fit you may give Peony or Lavender Water and rub the Nape of the neck with a drop of oil of Amber and touch the Nose with it an Elks hoof or an Emrald are useful to hang about the neck and may be given inwardly If it proceed from corrupt milk in the stomach dip a feather in oil of Almonds and thrust it down the Throat to cause vomit The Florentines with a hot Iron burn the child in the nape of the neck to dry the brain and Celsus maintains it to be the very last remedy But Paulus Aequineta saith It would be sure to kill him with waking pain he would scarce be able to sleep after it To prevent this mischief so soon as the child is born give him this following powder male-Peony roots one scruple gathered in the Moons decreasing magistery of Coral half a scruple with Leaf God VIII Convulsion Fits come when the brain labours to cast off what offends its many die of it for the cause lieth in the nerves and marrow of the back wherefore wash the body and back with a decoction of Marsh-mallows Lilly roots Peony and Cammomile flowers The Sun-flower boiled in water is good to wash the Infant with and annoint the back with mans grease or Goose grease or with oils of Foxes or of worms or of Lillies or of Mastick or Turpentine This disease comes either of indigestion or of weakness of the attractive faculty especially in such children as are fat and moist the back may be anointed with oils of Rue or of Flower de Luce or bath the Limbs with a decoction of Primroses or of Cowslips or Cammomile flowers if you find great heat then mingle oil of Violets and oil of sweet Almonds and anoint with that IX Sometimes the childs navel swells and sticks out that should lie in the reason may be because the navel-string was not well tied and too much of it was left behind which sticks forth sometimes it may come from the childs crying or coughing and that looseneth the Peritonaeum it is without inflammmation but sometimes the navel hath an Ulcery and the Guts fall into it It falls out often so soon as the string is cut wherefore take Spike and â—eeth it in oil of sweet Almonds mingle a little Turpentine with it dip in a piece of Wool and bind it on the part but if crying or coughing or bruise or tall be the cause of it then use bitter Lupines mingled with the powder of an old Linnen cloth burnt to ashes mingle all with red wine dip in Cotton and apply it to the Navel if the navel be inflamed the Navel feels hard else it will feel soft and is neither hot nor red but will last longer than when it is enflamed if the Peritonaeum be loose only and not broken it will be no bigger when he cryeth nor doth the Navel come forth much but it will increase if it be broken if he either cry or stir much but it will not be seen when he lieth on his back ill outting of the Navel string is not so much dangerous as it is troublesome to the child it may be cured at first though it be too long or hath an Ulcer but in time if it be neglected the guts will fall into it and cause inflammation and an Iliack passion which will kill the child wind puffs up the Navel when the Peritonaeum is loose then take the powder of Cummin-seed Bay berries and Lupines with red wine or a bag of â—…ike and Cummin-seeds boiled in red wine for a Cataplasme and roul it on If the Peritonaeum be broken let the gut be first put in then lay on astringent Powders of Cypress-nuts Mirrh Frankincense Sarcocolla Mastick Allum and Isinglass of each a like quantity and make a Poultiss of it with Whites of eggs give the child inwardly such remedies as are good against Ruptures When the Navel is inflamed it looks red and is hard hot and pants much this shews it was not well tied for the pain draws the blood to it If it turns to an Imposthume and break the guts will come out and kill the child To ease the pain take two ounces of Mallows boiled and stampt Barley meal half an ounce with two drams of Lupines and Fenugreek make a Cataplasme of them with oil of Roses drive back the blood with an application made of one dram of Frankincense with Fleabane seed and Acacia of each half a dram incorporated with the white of an egg Keep it if possible from imposthumation but if it cannot be kept then take half an ounce of Turpentine two ounces of oil of Roses and with the Yolk of an Egg lay it on X. If the child be burst as young children often are it may be easily cured at first the Peritonaeum is either loose or broken and the small guts fall into the Cods when the child coughs much or cries or by some violent fall or straining to go to stool elder people are not so easily cured of this sometimes it is only a rupture which falls out of the belly into the Cods and the Peritonaeum is well If a Gut be fallen it is but of one side the right or left Groin and you may see it and feel it and the hole too through which the Gut fell but the watry rupture is all over even alike this will vanish of it self so soon as the water is consumed Keep the child loose and from crying and violent motion lay it upon the back and thrust up the gut gently the head lying low and the heels up then take Emplastrum ad Herniam or an ointment made of Comfrey roots with a thick bolster steeped in Smiths water and lay it on keep the child quiet and see the Bolster come not off never unbind it so in time the hole will grow narrow and the gut larger and will stay in its place You may lay on a Plaister made of Gum Elemi steept in vinegar till there be a cream on the top with that and oil of eggs make it up or take Frankincense one dram Aloes Acacia Cypress nuts of each two drams with a dram of Myrrh and Isinglass make a
preserve the Lungs When the Pox are fully out then to make them die quickly rub the face with fresh hogs-grease old Lard melted and strained and mingled with water or with oil of sweet Almonds When the Pox are dead and begin to fall away to keep them from Pock-holes anoint the face with a feather dipt in an Ointment made of Chalk and Cream use this two or three daies it will smooth the skin handsomely and take away the spots XXVIII Children are exceedingly prone to breed Lice more than men of age though all people are troubled with them They breed from the Excrements of the head and body it is not only filth that breeds Lice but a certain matter fit for them for fleas will not breed of the same that lice are bred of Children and women that are hot and moist have many excrements to breed such things withall Some meats breed Lice as figs by their gross juice which naturally tends to the skin and variety of meat Lice breed most in Childrens heads and stick fast to the skin and roots of the hair some have died of Lice and Lice will leave some when they are dying To prevent Lice comb and keep childrens heads clean let them eat no rigs but meats of good juice and purge them with hot drying thin medicaments Use â—o Mercury nor Arsenick to childrens heads but use this Lotion take parts alike of round Birthwort Lupines Pine and Cypress leaves boil them in water then anoint the head with powder of Staves-acre three drams of Lupines half an ounce of Agarick two drams quick brimstone one dram and half Ox Gall half an ounce all made up wirh oil of Wormwood XXIX If the child fright in the sleep give it good breast milk but not too much let it not sleep presently but carry it about till the milk descend to the bottom of the stomack give it sometimes the oil of sweet Almonds or honey of Roses two spoonfuls To cleanse the stomack strengthen it with magistery of Coral or Confection of Jacinths with milk anoint the stomach with oil of Worm-wood Nard Mints Mastick Nutmegs if it be from worms you have the remedies before It is for the most part ill vapours that ascend by the Weasand and veins to the head when children cannot concoct what they have in their stomachs XXX Sometimes children cannot sleep it is by reason of corrupt milk that disturbs the animal spirits hence arise Catarrhs Convulsions Feavers driness let better milk be given it the Nurse must eat Lettice sweet Almonds Poppey seeds but sleeping medicaments are not good for infants Wash the feet with a decoction of Dill tops Cammomile flowers Sage Osiers Vine leaves Poppy heads to the Temples use oil of Dill or oil of Roses with oil of Nutmegs with Poppey seeds Breast milk Rose or Nightshade water with Saffron If the Childs brain be very dry moisten the covering of the Cradle XXXI Bad and sharp milk hurts the childs stomach for it cannot endure it for it breeds bad humours all these diseases spring from it the Thrush Bladders in the Gums and inflammation of the Tonsils Bladders in the Gums are cured with powder of Lentils husked and strewed upon them or with a Liviment of the flour of Milian and oil of Roses The inflammation of the Tonsils I suppose it is that disease in children called the Mumps that commonly comes between eleven and thirteen years old the parts being then so hard that the humour cannot breath forth alwaies keep the belly loose and anoint outwardly with oil of sweet Almonds or Cammomile or St. John's wort inwardly first repel secondly mix resolvers with repellers and lastly only resolvers but not too hot in age Gargarismes are best Infants may take Diamoron Honey of Roses sirrup of Myrtles and Pomegranates XXXII Sometimes childrens string of the tongue is so short that they cannot suck a skilful Chirurgeon must help it or use this Liviment boil clarified honey till you can powder it then dry yolks of eggs in a Glass in an Oven powder them take a dram weight Mastick and Frankincense of each one scruple burnt Allum six grains make it up with honey of roses The Frog is when the veins under the tongue swell with gross black blood and if the flegm sweat forth and stick in the passages the swelling is like Mushromes and make them stammer take Cuttlebone Salgem Pepper of each one dram burnt Spunge three drams make a powder or of Honey of Besome rub it under the tongue and lay a plaister of Goose dung and Honey boiled in Wine till the Wine be consumed under the Chin. XXXIII Some children grow lean and pine away and the cause is not known if it be from Witchcraft good prayers to God are the best remedy yet some hang Amber and Coral about the childs neck as a Soveraign Amulet But leanness may proceed from a dry distemper of the whole body then it is best to bath it in a decoction of Mallows Marshmallows Branc-Ursine Sheeps heads and anoint with oil of sweet Almonds if it be hot and dry add Roses Violets Lettice Poppey-heads and afterwards anoint with oils of Violets and Roses The child may be lean from want of milk or bad milk from the nurse remedy that or change the nurse for little or bad milk will breed no good blood and the children cannot thrive by it sometimes worms in the body draw away the nourishment sometimes very small worms breed without the body all over and in the Musculous parts and stick in the skin and will not come quite forth but after you rub the child in a Bath they will put forth their heads like black hairs and run in again when they feel the cold air they breed of slimy humours shut up in the Capillary veins which turn to worms for want of transpiration if you rub the child with Yarhound on the back and especially with Honey and Bread you shall see their black heads when you see the heads come forth run over them with a Rasor do it often XXXIV Children used to be galled with lying in piss'd clouts and the scarf skin comes from the true skin the skin looks red change the clouts often and keep the child clean by washing it then anoint the sore with Diapompholix or cast on this powder finely sprinkled of burnt Allum Frankincense Litharge of Silver and seeds and leaves of Roses XXXV Some children cannot hold their water but piss the bed when they sleep the bladder-closing muscle being weak so when piss pricks it it comes forth The stone in the bladder may hurt the Muscle the cause of weakness is a cold moist humour from superfluity or from tough and gross meats in Age it will be hard to be cured but in infants it easily may The nurse must use a hot drying diet with Sage Hyssop Marjoram the child must drink little anoint the region of the bladder outwardly with oil of Costus or Flower de luce and other