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
maids are too narrow so that there is no flux of blood thither to make this Mole of as it is in women that have had the use of man but without dispute the principal cause is womens carnally knowing their Husbands when their Terms are purging forth from whence Moles and Monsters distorted imperfect ill qualified Childred are begotten Let such as fear God or love themselves or their posterity beware of it The windy Mole proceeds from an over-cold womb Spleen and Liver which breeds wind that fastneth in the hollow of the part Sometimes the womb is weak and cannot transmute the blood for nourishment but it turns to water which cannot be all sent forth but part of it remains in the womb also the womb ofttimes receives a great confluence of water from the spleen or from some parts nigh unto it The Mole made of many humors flowing to the womb proceeds from the Whites or ill purgations coming from the menstruous Veins The fourth Mole is a skin full of blood with many white diaphanous vessels if you cast it into the water the skin coagulates like a clod of seed and the blood runs away It is very hard to know a false conception from a true until four moneths be past and then the motion of the body of the thing conceived will shew it for if it be a living Child that moves quick and lively but the false conception falls from one side to another like a stone as the woman turns her self in her bed if it stir at all it is but like a sponge trembling and beating and contracts and dilates it self like the beating of the pulse almost This false conception hath many signes whereby it personates and shews like a true Conception for the Terms stop their stomachs fail they loath their meat they vomit and belch sowrly their breasts and belly swell cunning Midwives and women themselves that have them are deceived taking one for the other There are many other things bred in the womb sometimes besides these Moles Two famous Physician of Senon tell us of a woman that had a Child in her womb that did not corrupt nor stink though it lay long dead there untill it was turned into a stone cold and heat and driness might keep the child from corrupting but there was also a petrifying humour mixt with the seed and blood or it could never have been turned into a stone there is but this single History that I ever read of this kind and Authors say the mother lived twenty eight years after she was delivered of it but it is no great wonder why it did not stink nor corrupt in the womb for many aged women live many years with a Mole in the body yet it never stinks nor corrupts though they keep it in them till they dye As for Monsters of all sorts to be formed in the womb all nations can bring some examples Worms Toades Mice Serpents Gordonius saith are common in Lumbardy and so are those they call Soole kints in the Low Countries which are certainly caused by the heat of their stones and menstrual blood to work upon in women that have had company with men and these are sometimes alive with the infant and when the Child is brought forth these stay behind and the woman is sometimes thought to be with Child again as I knew one there my self which was after her child-birth delivered of two like Serpents and both run away into the Burg wall as the women supposed but it was at least three moneths after she was delivered of a Child and they came forth without any loss of blood for there was no after burden Again in time of Copulation Imagination ofttimes also produceth Monstrous births when women look too much on strange objects To distinguish then false conceptions from true but if there be both true and false at once that is very hard to know False Conceptions cause the greatest pains in their Backs and Groins and Loyns and Head their Bellies swell sooner they faint more their Faces and Feet and Legs swell their Bellies grow hard like a Dropsie they have such pain in their Bellies that they cannot sleep because they carry such a dead weight within them and though their Faces and breasts swell they grow daily soft and lank and no milk in their Breasts but what is like water or very little whereas women with Child about the fourth moneth have their Breasts swoln with milk Some women look well with these false Conceptions but most of them look pale and wan and ill favoured If it be a boy that is conceived he will stir at the beginning of the third Moneth and a Girle at the beginning of the third or fourth moneth and so soon as the infant moves there is Milk bred in the Breasts as any one may prove that will The Child that is alive moves to all sides and upward and downward without any help but oftenest to the right flanck A false conception may have a motion from the expulsive faculty but not from it self and being not tied by ligaments as a living Child is it tumbles to one side or other and if she lye on her back and one press it down with his hand gently there it will stay and not remove up again of it self If she go with a Mole nine months compleat her belly will swell more and more but she will wax lean and wan and never offer to be delivered Yet a woman may go ten or eleven months with child before her time be perfect to bring forth but this depends upon the time when the child was begotten and some women ordinarily go longer or shorter before they come to bring forth Those that have Moles are usually barren or their Privities are ulcerated for it hurts the womb and the whole fabrick of their bodies The windy Mole will swell the belly like a Bladder and it will sound like a Drum but it is softer than the fleshy Mole or the watry it grows sooner and sooner disappears and she will feel her self lighter when it abates but sometimes it will heat the belly with such violence as if she were upon the rack The watry Mole is a fluctuation of water from one side to another as the woman turns her self when she lieth and then that lide will be higher where the water falls and the other side will sink down the more and grow flatter The Mole caused from many humours doth not make the belly swell so much as the watry Mole doth because the water comes more in quantity and is clear whereas the humours are reddish and stink when they come forth like water wherein flesh hath been washed There is one observation more concerning false conceptions that when they happen the Flowers stop presently and never come down whereas they do sometimes the first two months in true conceptions because they are superfluous in strong full fed persons before the child comes to want more nutriment also the Navel
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
slice the roots boil all in Rain water take out the mucilage and mix it with the foresaid Oyles then let the pounded Gum traganth and hens grease boil so long till the mucilage come to a Salve Use this annoynting every day for five or six weeks before she lye in But before I come to her time of delivery I shall speak a word of one frequent cause of womens miscarriage and that is their longings and sometimes of their unnatural and unreasonable desires after they have conceived with Child You must know that to exceed in the things not natural as Philosopers call eating and drinking fullness emptiness sleep and watchings exercise and rest and too great intention of the mind may hasten the birth and cause abortion Those women that use moderation in the foresaid things are not so often longing for what they can not easily attain to Nay sometimes you have Ladies at Court and Citizens Wives and Country women too will long to eat sand and dirt but their Children seldome live long that are begun thus That some women with child will desire to steal things from others this is no small argument that the Child she goes withal will be a Thief wherefore she must take care to give it good education and to bring it up in the fear of God When nature is thus perverted in what she desires she is forced to leave the conception because she cannot attain what she looks for This may be prevented by a decoction of vine leaves frequently taken it may be provided by preparing a decoction strong of it at time of the year and to boil that into a sirrup to use when need requires for it is said to be very proper for this distemper though I cannot call it a disease There is another cause not far unlike in the effects to womens longings and that is suddain fears for many a woman brings forth a Child with a hare lip being suddenly frighted when she conceived by the starting of a Hare or by longing after a piece of a Hare Miraldus thought so and many women cannot deny it to be true but he was a notable conceited old Philosopher and he bethought himself how he might find but a remedy to do poor women good and it is this which is easily proved let a woman slit her smock like her husbands shirt and that he saith upon his knowledge will do it BOOK IV. CHAP. I. Rules for Women that are come to their Labour ALl Women Midwives especially should be well seen against this time of necessity and all things provided that may cause them to be easily delivered and Childbed linnen at hand having first invoked the Divine assistance by whom we live and move and have our being When the Patient feels her Throws coming she should walk easily in her Chamber and then again lye down keep her self warm rest her self and then stir again till she feels the waters coming down and the womb to open let her not lye long a bed yet she may lye sometimes and sleep to strengthen her and to abate pain the Child will be the stronger Sometimes the Child is dead in the womb before and you may know it to be dead when the Breasts suddenly hang down slack Nature makes no Milk or provision for them for there is no reason she should Secondly she is cold all the belly over chiefly the Navel Thirdly Her water is thick and hath a stinking substance that falls to the bottom Fourthly The Child moves not though you wet your hand in warm water and rub it over her belly which is a true trial and it will stir if it be alive Fifthly She dreams of dead people and is frightned with it Sixthly Her breath smels filthily Seventhly She longs to eat strange things unfit for to eat Eightly She looks ill favouredly and sorrowfully Ninethly The Child falls to the side she lyeth on like a lump of lead But Garden Tansey or the Eagle stone will bring the Child to its right place if it be weak onely but if it be dead there is no way to help that but to hasten delivery as fast as may be for it is a misery beyond expression for a woman to go with a dead child in her womb as for two Twins to be born that grow together and one of them dead the living Child cannot long endure Virgil tells us of Mezenius a Tyrant Dead bodies to the living he did place Joyning them hand to hand and face to face Tenthty Corrupt stinking humours run from the womb chiefly if she have had some ill disease Eleventhly Her eyes look hollow and her nose strangely her lips wan and pale Twelfthly Her breath stinks if the Child have been dead two or three dayes The more of these signs appear at once the more certainty of the death of the Child Wherefore presently use medicines to expel it forth or Manual and Chirurgical operations with all care to save the Mothers life for she is in great danger of death also The signs of greater danger to her are 1. If she swoond in labor or be in a trance and memory be gone 2. If she be extream weak 3. If she will not answer when you call or very hardly 4. If she hath Convulsion fits or shrinking together in travel 5. If she loath meat 6. If her pulse beat high and quick But if none of these signes appear there is not so great danger wherefore presently hasten by medicaments to provoke the expulsive faculty to cast it forth but the physick must be stronger than for a live Child for a dead Child makes no way wanting motion but a living Child doth The vertue of the Eagle stone in such cases some commend but I fear it is but a fansie of Miraldus for I never saw it tried There must be no delay at such times especially to drive the dead Child forth before it be corrupted for then the Mother can scarcely escape Nature is sometimes strong and able to call forth a dead Birth without helps but then the danger is the more when help wants The causes that some Children dye in the womb are 1. Want of nutriment 2. Corrupt diet 3. Gluttony and surfeiting that choke the Infant 4. The Cups are sometimes broken by strokes sudden fears much sneesing coughing violent motion extream joy sorrow or trouble of mind or by medicaments that corrode or bitter drinks the infant loaths or things that provoke the courses or by acute diseases or lasty by hard labor or difficulty in bearing of Children These following Medicaments will God willing cause her to be delivered of the dead Child and her self escape death by them make her sneeze with powder of Pepper and white Hellebore snuft up into her nostrils drink a dram of Basil powdered with white wine it makes the delivery easy c. But if it fall out that these medicaments prevail not as sometimes they do not that disease is beyond the power of medicine
which the womb hangs and so it passeth to the sides and belly The causes are the cold air that is got in by her sore travel in child-birth or sharp or clotted blood sticking in the womb and pricking for expulsion these pains make the woman weak and very troublesome wherefore you must strive to abate them Some women are so hardy that to hinder this they will drink cold water so soon as they are delivered if the woman be cholerick she may do it with a crust of tosted bread otherwise it is dangerous CHAP. VII Of the Chollick some women are afflicted within the time of their travel SOme women have the Chollick at the time they should bring forth a child which hinders the delivery and the pains surpass the pain of their travel you can scarce distinguish one of these pains from the other but whilst the chollick lasts the birth comes not forward at all the causes of this disease are great crudities and indigestions of the stomach Let her take Cinnamon water one ounce with two ounces of Oyl of sweet Almonds newly drawn if this do it not then give her a Glister against wind or use fomentations against wind both are good in this cases More remedies there are against wind for Child-bed Women but these may suffice CHAP. VIII Of Womens Miscarriage or Abortment with the Signs thereof THere are abundance of causes whereby women are driven to abort or miscarry and I have spoken somewhat of this before I shall add a little more to it the better to know the signs causes and remedies against it it is the bringing forth an untimely birth or fruit before it be ripe if it happen in seven daies after conception it is but an effluxion but if in fourteen daies after it is an untimely birth sometimes an untimely birth may be alive but it is very seldom that it continues the elder and stronger it is the more hopes for life some women have such large wombs or slippery full of slimy humours that the Seed cannot be contain'd but slips away sometimes it is an imposhumation causing pain that hinders retention but this is rather Effluxion than abortment But sometimes the Cups or Veins whereby the conception is tied to the womb through which also nourishment passeth to it as we said before are stopt with viscous ill humours and so swollen with wind or inflamed that the Cups break and the fruit is lost for want of food this happens commonly in the second or third month so Hippocrates tells us that this is the certain cause if the woman that miscarries be of a good state of body not too fat nor too lean Sometimes the right Gut or the womb may have an Ulcer or Piles or the Bladder or Ureters swollen with the Stone or Strangury and the pains thereof may break the Cups or if she have a Tenasmus great provocation to stool and can do nothing she brings forth her birth by straining downward and that before she should Also great coughs make the woman feeble and consumptive and the child consumes within her great bleeding at the nose or any great loss of blood or too great flux of her courses after conception cause miscarriage if they flow in in the third month else not Also opening of a vein may cause it if the woman want blood but such as are sanguine may let blood after the fourth month and before the seventh month but it is good to see there be cause for it else not Violent purging before the fourth month or after the seventh causes abortment But gentle purging between the fourth and the seventh month are safe Violent fluxing or vomiting make women strain too much especially lean folks and may perish the child and break the Cups If the woman hunger much for want of food Nature hath nothing to spare to keep the child alive it is the same thing with Beasts and Plants that want nutriment and too much will choak it Sharp diseases or Pestilential Feavers Imposthumes in the breast Palsies falling-sicknes kill the child and sometimes the child is sick in the womb Also change of weather may cause miscarriage saith Hippocrates when the winter is hot and moist and the Spring cold and dry that follows it the women that conceive in that Spring will easily abort and if they do not they will suffer hard labour in child-birth and the child will be weak and short liv'd the reason may be because the body is opened and made more tender by the foregoing heat and moist weather and then the succeeding cold makes it more dangerous Great labour as dancing leaping falls or bruises great passions suddenly coming not lookt for may make a woman miscarry let all women beware of it for it is more painful than a true delivery because one is natural and the other against nature nature helps the one but not the other Signs of Abortment I have spoken of in part but commonly about the third and fourth month womens bodies that will swell and puff up with hardness and stiffness stitches and windiness running about her yet she feels no more weight in her body this is a sign of miscarriage if it be not prevented There is nothing better after conception to prevent abortment than good natural food moderately taken and to use all things with moderation to avoid violent passions as care and anger joy fear or whatsoever may too much stir the blood use not Phlebotomy without great cause nor yet violent purgatives If the Matrix be too much dilated use things that contract and fasten as Baths prepared Unguents Ointments Fumes Odours Plaisters Some remedies are specifical against miscarriage and if the woman be in danger she may use them and that in divers ways that she may take them as thus take red Coral in powder two drams shavings of Ivory one dram and a half Mastick half a dram and one Nutmeg in powder give half a dram in a rear egg c. A Powder to hinder Abortion Take Bistort-roots one scruple Kermes berries Plantane and Purslain seeds of each one dram Coriander prepared two scruples Sugar all their weight take every day one scruple with a little Maligo Wine if the body be not costive For an Ague Sometimes women with Child fall into an Ague then take Barley meal juice of Sloes and of Housleek a sufficient quantity and with Vinegar make a Cataplasme and lay it upon a double cloth and lay it often upon the womans belly and this will preserve the child from it For the wind Some are much troubled with wind that will cause them to miscarry then take Cumminseed and boyl it in water give her four spoonful of it twice a week with a dram of Methridate Against sudden frights Take Mastick Frankincence of each one dram Dragons blood Myrtles Bolearmoniak Hermes berries of each half a scruple make them into powder and give half a dram at once with White Wine or Chicken broth To strengthen the Child in
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
the woman is weak already by her travel Good diet and gentle sweating cure a Milk-Feaver but there must be purging and many remedies used for the other as bleeding in the foot cupping of the thighs to provoke the after purgations but if the time of after-purging be over if she be strong then open a vein in the Arm. It is dangerous to purge the woman after the seventh day as some do when she hath a Pleurisie because of her weakness after travel and because purges hinder the after-flux but you may if the flux of blood cease if need be give a gentle purge with Cassia or Manna sirrup of roses or Sena or Rhubarb Too cold and sharp things are naught take heed of cold drink or too much drink let her diet by degrees increase from thin to thicker If the Feaver came from too much milk or terms stopt open a vein in her foot then purge a way the gross humours with sirrup of Maidenhair Endive of each one ounce waters of Succory and Fennel an ounce and half a piece Sharp and putrified humours must be purged away with proper medicaments as water of Succory and violets of each two ounces sirrup of the same of each one ounce cooling Glisters are good here if there be need you may purge stronger but this is not usual I shall give you one example take two drams of Rhubarb in powder Diagridium four grains let them infuse all night in Succory and Anniseed water two ounces and half of each and one ounce of Borrage flower water warm them gently in the morning and strain them well through a linnen cloth add to the strained liquor one ounce of sirrup of Succory Cinnnamon water two spoonfuls drink it warm Then after you have well purged away the ill humours you may gently sweat her to open the passages of the body and womb you will find examples of them in the Treatise of the Courses stopt CHAP. IV. Of the looseness of the belly in child-bed Women THis may be thought a small matter in respect of other infirmities yet this is one of the most dangerous distempers and hardest to help in child-bed women for stop the flux you will stop her purgations if you stop it not she will perish by weakness nothing almost is safely given Physicians are at a stand in such a case but it is good be wary and moderate in what is done and it may be helpt God willing It is not safe to stop it presently and if it continue it may cause a Tenesmus or a dysentury if it come from ill diet let her mend that and strengthen her stomach outwardly if yet it continue use inward remedies that corroborate the stomach yet hurt not the womb as Barley water Honey and sirrup of roses cleansing Glisters are good and to temper sharp cholerick humours But the best way is to observe what loosenes of the belly she is molested with for if it be that they call Diarrhoea that will only discharge her body of ill humours therefore do nothing in that case but let her take strengthening food for when nature hath eased her self sufficiently she will stay both the looseness of the belly and her purgations from the womb and so no ill accidents will come but if the flux be Lienteria that the food comes away with the stools undigested annoint her belly with Oil of Mastick and of Myrtles and give her some sirrup of dried Roses pulp of Tamarinds or some torrified Rhubarb to purge the belly and not hurt the womb But if it rise to a Dysentery called the bloody flux then so soon as her Terms are purged away try to stay it 1. By purging as take half a dram of bark of yellow Mirobolans of rosted Rubarb as much finely powdered sirrup of Roses or of Quinces one ounce pulp of Cassia or of Tamarinds with Sugar half an ounce Plantane or Oaken water four ounces let her drink this at once 2. Abstersives are good as of whey or barley water or Glisters of Mallows Mellilot Wheat-bran and Oyl of sweet Almonds 3. Narcoticks to ease great pains Philonium Romanum two scruples Rose-water two ounces Maligo wine one ounce give it when she goes to sleep this is excellent In this case astringents are to be used but not in the former distempers here they profit there they are dangerous Of Womens vomiting in Child-Bed Women both before they fall in labour and at the time of their travel and also afterwards will sometimes fall to vomiting and it may proceed from ill diet or raw humors or from weakness of their stomach or consent of the womb when the after flux is stopt and sometimes they will vomit blood for the blood that is stopped below runs back to the great veins and liver and being much and sharp finds a way into the stomach and so comes forth at the mouth It is ill after child-birth especially the food being vomited there will be nothing to make milk for the child and sometimes in hard labour a Vein is broken and this may cause a dropsie if ill diet cause vomit rectifie that if ill humours stop it not presently but purge gently if blood come pull back by rubbing or cupping or bleeding opening a Vein in the foot ham or ankle and urging the after flux Sometimes the woman is costive then give her a suppository with Castle sope or Honey and then stay four or five days till you may give a Glister with Manna or Cassia If her Urine run away against her will bath her parts with a decoction of Betony Bays Sage Rosemary Origanum Stoechas and Penni-royal for her vomiting give her three spoonfuls of Cinnamon water one ounce and half of juice of Quinces about a spoonful at a time The leaves of Rosemary dried and brought into powder and so drank about a scruple or half a dram at a time in a cup of wine will stay vomiting preserve or Marmalade of Quinces or Medlars eaten or Pears or sowr Apples do strengthen the stomach juice of Barberries or of Pomegranates or sowr Cherries with Mint water There are many topical applications to be made to the pit of the stomach which being laid on and so continued prevail much as thus take the crum of the inside of a white loaf and tost it and steep it in good Maligo Wine and strew it lightly over with the powder of Cloves and Nutmegs or sirrup of Roses Rhubarb or pulp of Tamarinds and astringents of Roses Plantane Coral Tormentil if the Terms flow not at all the belly must be kept loose but vomiting is so perillous that it ought to be stopt alwaies provided it be done no sooner than it is needful and with good provisoes CHAP. V. Of Womens diseases in general WHosoever rightly considers it will presently find that the Female sex are subject to more diseases by odds than the Male kind are and therefore it is reason that great care should be had for the cure of that
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
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