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A38470 The English midwife enlarged containing directions to midwives; wherein is laid down whatever is most requisite for the safe practising her art. Also instructions for women in their conceiving, bearing and nursing of children. With two new treatises, one of the cure of diseases and symptoms happening to women before and after child-birth. And another of the diseases, &c. of little children, and the conditions necessary to be considered in the choice of their nurses and milk. The whole fitted for the meanest capacities. Illustrated with near 40 copper-cuts. 1682 (1682) Wing E3104A; ESTC R218753 111,486 336

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Night going to bed or after her first sleep 2. The Terms overflow 1. when they continue longer then their usual time which is 2 or 3 days in Women that use no exercise 4 or 5 days 2. when they come oftner then once a month the cause is 1. a Rupture of some Vessel 2. immoderate purgation 3. some corroding humor 4. hard Labor in Child-bed or unkind handing the Womb if the Vessels be broken blood gusheth out in heaps and if from some knawing humor they are few but very painful the rest are easily known Let them abstain from exercise then 1. anoint the reins with Oil of Roses Myrtles or Quinces then boil the roots of Tormentil Cinquefoil Yarrow Knot-grass Comfrey dead Nettles Solomon's Seal Purslan Shepherds-purse red Roses acorn Cups bark of Oak Trees some of these in her ordinary drink or the juices of what can be had taken alone and this above all take Comfrey leaves or roots and Clowns alheal of each an handful bruise and boil them well in Ale and drink of it now and then this will do though the Vessels were open 3. Flux of the Womb is a continual droping from that part of the body if it be red like putrified blood it comes from that humor if white and pale 't is from Phlegm if yellow 't is from Choler if pure blood as if a vein were opened either a knawing of the Womb or tearing in delivery is feared The cure differs as the cause if pure blood flow let blood i' th arm then use the Medicine last mentioned of Comfrey roots and Woundworth if flegm be the cause use Cinnamon in all meats and drinks and Methridate and Treacle for Antidotes a little every Morning take a scruple of Pills of Amber going to Bed for divers Nights if from Choler purge with syrup of Violets and Cassia Fistularis of each an ounce after take powder of Ivory and Missleto of the oak of each one scruple mixt with half an ounce of conserve of Roses every Morning for a Week if from putrified blood having first let blood i' th Foot then strengthen the Womb as before always forbearing violent motions and passions and sharp and salt meats and provokers of Urine for dead Nettles there are three sorts white red and yellow the flowers of that colour the white help the white the red the red the yellow the yellow flux 4. The Womb fallen out is cured if it be swell'd by bathing it with a decoction of Mallows Linseed and Fennigreek boil'd in water 2 or 3 times and when 't is got up let her keep her Legs close or else tye them with a swath apply stinking things to the Womb as Assa Foetida oil of Amber her own Hair burnt and let her smell of Civet c. the rest is before and after 5. The Womb is inflamed by many causes a blow stopping of the Terms Abortion Ulceration Immoderate Lechery overmuch walking cold For cure strengthen the Womb first then first clarifie Whey and boil Plantain leaves or roots in it and drink it then inject the juice of Plantain into the Womb with a Syringe if in Winter when you cannot get the juice make a strong decoction of the leaves and roots in water if the body be costive use a Clyster and here note that in all Inflammations blood-letting is the chiefest remedy first i' th Arm then if need i' th Foot if it be near the Neck of the Womb make a pessary of wool and anoint it with unguent album or populeon or mixt 6. The Womb is sometimes troubled with wind which is cured as the fits of the Mother and moistness of the Womb is cured as a flux of flegm 7. Heat and dryness of the Womb is incident to Women of a Cholerick complexion is cured by cool and moistning herbs of which stinking Arach is chief neither are Plantan and Mallows much behind milk is good for such to drink first purging with an ounce of Cassia Fistula new drawn going to bed and follow your business the next day Dr. Thus far good Mrs. Eutrap but now hear me a little concerning this matter All rational men know that the generation of mankind as also of other irrational Animals is the most perfect excellent and exquisite work of God's Vicegerent Nature the which is most excellently and elegantly demonstrated and set forth by Aristotle that great Secretary of Nature in his second Book which he hath written of the Generation of living Creatures for whereas it is impossible by the decree of Nature that any humane Creature should live always or have an immortal Being in this World much less should we imagine that should be granted to Bruits and other Souls of an inferior rank therefore for the continuance and propagation of each sort it hath otherwise ordained that during the continuance of this World there should be likewise maintained a successive generation of both Sexes by the Action of procreation and from hence after him Galen the greatest Luminary of Physick next Hippocrates says that it comes to pass that Creatures are furnished with Instruments of Generation proper for the quality of their Sex and are consequently indued with natural Instincts prompting them to the use thereof Therefore we shall at this time discourse of this wonderful operation of Nature and endeavour as far forth as our Talent will afford us to seek out the causes that may hinder and from thence prescribe means to remove them and so consequently assist and further her in so miraculous a concern and this partly upon our Dame nature's account whose Servants only we are and in the next place for the sakes of those Ladies Gentlewomen and others who are often disconsolate and dejected upon their being accounted barren Now then you must note that as conception hath some alliance with every part of the Body as being undoubtedly concern'd therein so the same Conception may be quite abolished diminished or deprived as it happens in all other actions and motions of the body so that if Conception be quite abolish'd in a Woman in such sort that she can never be able to conceive this affection is then called Barrenness or such a Woman may be called a barren Woman which you please But if she Conceive sometimes though seldome here the Conceptive faculties may be said to be diminished or weakened by some cause or other and to this kind of diminished Conception may be referr'd untimely births called Abortion And lastly a depraved Conception is when in the Womb is contained some unnatural Conception such as Monsters and Mola's c. The causes and remedies of all which it hath and shall be our duty to lay open to the Females Sex according to the best of our skil and knowledge first to the end we may further the propagation of humane kind and secondly that we make if possibly remove the reproaches laid upon Barrenness which hath been in all ages and continues to this day and will do to end
Country-man the immortal Dr. Harvey the English Hippocrates will teach us better how this comes then that we need have have recourse to this expulsive faculty but because 't is fitter for Physitians and Chyrurgeons that are learned in Anatomy then Midwifes being they may help them without such curious knowledge I shall omit it and if you would be satisfied see what the learned and expert French Chirurgeon Moricean hath written on this Subject 't is put into English by Dr. Chamberlain Now to remedy these let her only use a palliative cure in swathing the parts with a rowler 3 or 4 fingers broad beginning at the bottom and she should most keep her bed if she can and if there be signs of abundance of blood in other parts she may bleed without danger Some Womens Legs swell only from weakness and are so Flegmatick that when you press them with your finger the print remains because they want Natural heat sufficient to concoct all the nourishment sent to them and expel its superfluities which remaining makes them so Hydropical To resolve these swellings make a Lee made with the ashes of Vines or other wood ashes and Melilote Camomil and Lavender boild in it if that do not foment them with this Take Rosemary Bays Time Merjoram Sage and Lavender of each a handful Province Roses half a handful Pomgranat flowers and Alum each an ounce boil them in 3 pints of strong red wine to the wasting of a 3d part and use it But these swellings commonly cease when she brought to Bed because she purgeth the superfluity of her whole habit by her Lochia SECT IX Of the Hemorrhoids THese are swellings and painful Inflammations caused by a flux of humors upon the extremities of the Hemorrhoid veins and Arteries caused by a bundance of blood cast upon these parts because the body is not purged as before and sometimes by endeavors they have to go to stool when costive If they be small and without pain either inward or outward 't is easie to prevent their farther growth by remedies which hinder and turn the flux from those parts but the great ones are cured by first easing the pain so that if she have other signs of fulness in the rest of her body she may safely be once let blood i' th Arm and if great necessity twice if she be costive let her take a Clyster of Violets Mallows Marsh-mallows and hony of Violets with some fresh Butter or Oil of Almonds adding no sharp thing especially in inward Piles after let her keep a moderate and cooling dyet and rest in her Bed if she may till the flux be past in that while anointing them with strokings from the Cow and foment them with the decoction of her Clyster adding some Linseed your Oil of sweet Almonds Oil of Poppies and Oil of water Lillies well beaten together with the yelk of an Egg in a leaden morter are very good to ease pain and if that Inflammation be great anoint a little with Vnguentum refrigerens Galeni or anguentum album populeon equally mixed After all this if the swelling abates not apply Leeches or if soft or any kind of inundation use a Lancet but Leeches are properer for hard Piles because they pain not so much Women are not here eased by Piles as Men are because 't is contrary to nature for this evacuation ought always to be made by the Womb if not with Child but if she be it may in some measure if full of blood supply the natural if they bleed moderately and without pain she may be eased but if they flow too much there 's danger of both Mother and Child being weakned to avoid which make binding fomentations with the decoction of Pomgranate flowers and Vines and Province Roses made in Smiths water and a little Allum or this pultis made of Bole-Armenac Dragons-blood and sealed earth with the white of an Egg and to turn the blood by bleeding i' th Arm and Cupping-Glasses to the Reins c. as you may consult the Physitian SECT X. Of the several Fluxes happening to Women with Child SHE is Subject to three sorts of Fluxes the Flux of the Belly of the Terms and Fludings Of the Belly are three kinds the first Lienteria when the Stomach and Guts not digesting the nourishments received let it pass away raw 2. Diarrhea when they simply discharge the humours and excrements which they contain The 3d and worst is a Dysenteria when with the humors and excrements she voids blood with violent pains caus'd by an ulceration of the Guts Any of these if they continue long put her in great danger of Aborting if the first the Stomach letting the food pass before it be turned into juice whereof blood is made to nourish Mother and Child they must both be weakened if the 2d it will cause the same accident because of voiding the Spirits with the humors but most danger's i' th last because she hath then great pains and Gripes i' th Guts from their Ulcer which excites them continually by constant prickings to discharge themselves of the sharp humors which causes a violent motion of the Womb being pla●ed upon the right gut and to the Child and by the compression the Muscles of the belly make on all sides as also those that are made by them of the Midriff which force themselves downwards in the endeavors she makes with pain so often to go to stool the Child is constrained to come before its time and the oft'ner by how much the prickings are greater for according to Hippocrates Aphorism 27 book 7. If a tenasm happen to one with Child it makes her Miscarry Now this tenasm is a great passion of the right Gut which forceth it to make those violent endeavours to discharge it self without being able to avoid any thing but Cholerick humors mixt with blood by which 't is perpetually pricked This Flux happens to her commonly from a weak digestion of the Stomach because of her bad dyet which her strange appetite causes her often to long for by the constant use whereof at last being weakened it suffers the food to pass without digestion or if it stay longer 't is turn'd into a corrupt juice which descending into the Guts iritates them by its sharpness to discharge themselves as soon as they can To proceed safely in the cure of these Fluxes their nature must be consider'd that the cause that maintains them may be remov'd If it be a Lienteria following Vomitings as is usual which have so weakn'd the Stomach and loosn'd its Skins that haveing no longer strength to vomit up the food it suffers it to pass downward without digestion then she must refrain all irregular appetites and eat food of good digestion and little at a time she may drink a little deep Claret wine in which Iron hath been quenched if she have not a strong Feaver for in a small one wine is to be prefer'd because her Feaver is but