their danger how corrected p. 24 In child-bed women not well purged dangerous p. 112 T. TArtness of milk how corrected p. 146 Terms in child-bearing to help p. 113 Timpany how caused p. 82 Truncus phrenicus what p. 7 The trunk of the hollow vein ascending and descending p. 5 Tryal of milk p. 135 Twins have so many navil-cords as there are twins and yet but one Placenta p. 103 V. VEin hollow what p. 9 Vein two forked what It s ose p. 3 The Venal Arterie with its use p. 7 Venery and its use spoyl the milk in the nurse p. 144 Venereous thoughts in the nurse spoyl the milk ibid. Ugly children the reason why they are so p. 21 Vitious seed the cause of strangulation of the womb p. 156 Virtue of the milk of a male child if a female suck it and of a female if a male suck it p. 145 Unguent against Abortion p. 41.126 See Ointment Vomit of Oxymell good to attenuate thick milk p. 146 Urine of the infant in the womb by what passages voided in the womb p. 16 W. WAnt of milk the causes and cure p. 147 Waterish humors flowing out of the breasts of its own accord is an argument of a weak child p. 105 Weakness of the matrix is the cause of the secundine not coming forth p. 90 Whelps dye with sucking women p. 142 Winds sharp and cold not good for the child in the womb p. 106 Women meet helps for man p. 27 Fit helps for women by reason of the modesty of their Sex p. 27 c. How delivered ibid. How long to keep their beds in child-bed with safety p. 115 Women above 40 years old bring forth with more difficulty p. 30 They are to be dealt withal in child-bed as with wounded persons p. 124 Womb its natural property to receive seed p. 1 The falling out of it p. 162 The signs ibid. The causes p. 163. Prognosticks and cure p. 164 Y. A YEar sufficient for a child to be suckled p. 153 Young women bring forth males most commonly why p. 100 c. The end of the Table THE PREFACE SInce all Arts and Sciences tend to the use and benefit of Mankind all things by the Almighty Creator being subjected to him who is no other than a little World in himself Man would not only be ungrateful to his Creator but wanting to his off-spring should he not endeavour to improve his whole industry Reason and skill to propagate his kind to all posterity And therefore besides other helps as Physical Anatomical and Diaetetical c. The art and skill of Obstetricie commonly called Midwivery is none of the least Non minor est virtus quam quaerere parta tueri It being no less virtue and prudence to preserve a child when begotten than content and pleasure in begetting in both which both Sexes are and ought equally to be concerned for where the womb proves the tomb there is neither room for Physick Anatomie Chirurgery or diet c. or any thing like it This then being the first work in reference to mans future well-doing laying aside all other Argumentative circumlocutions and deviations let us by way of discourse examine and contrive how that creature man may be preserved from the beginning of his Conception to the hour of his birth and that with safety too to her that bare him And truly it may be worth the while if we consider the excellency of man whom some call as like unto God The dignity of man described 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 so The Interpreter of the gods Pythagoras calls him The Measure of all things And Plato calls him The Wonder of Wonders Theophrastus stiles him The Great Pattern of the Vniverse Aristotle terms him A Politick Animal born for society whom God made with his face upright whereas all other creatures look with their faces downward Pronaque Ovid. Met am Lib. 1. cum spectant animalia caetera terram Os homini sublime dedit coelumque tueri Jussit erectos ad sydera tollere vultus Horizontem corporeorum incorporeorum Divinum animal plenum rationis consilii Mundi Epitomen naturae delicias 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 P. 8. ve 4 5 c. Synesius terms man the Horizon of all corporeal and incorporeals Tully calls him a Divine creature full of Reason counsel whom Pliny also calls the Epitomy of the World and delight of Nature And whom all with one consent call a Microcosme a little world in a bigger Of whom the Kingly Prophet David in Psalme the 8th saith Thou hast made him little lower than the Angels thou hast crowned him with glory and honour and hast placed him over all the works of thy hands Now then man being so excellent a Creature who though the last in the Creation yet not the least God making him as after his own Image and Likeness Gen. the 1 Chap. ve◠26 27. and instructing him with so large a Commission and a blessing annexed to it as to subdue the Creation making all the creatures subject to the dominion of man whom God had or dained as his Vice-Roy on earth with this blessing viz. be fruitful and multiply and replenish the earth Let us make a nearer indagation and scrutiny into the formation of man as to the order of the generation of the parts and increase of the infant according to the daies and times from the first conception till the day of his birth And then the more we seriously weigh it and pry into it Ps 139. ver 13. the more with the Psalmist we shall admire our Creator by our creation and bless that God that hath cover'd us in our Mothers womb and praising him say We are fearfully wonderfully made marvellous are thy works Ver. 15. Septuagint 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 My bones 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Vers 16. c. My fubstance was not hid from thee when I was made in secret and curiously wrought in the lowest parts of the Earth Thine eyes did see my substance yet being unperfect and in thy Book all my members were written which in continuance were fashioned when as yet there was none of them And if God who created male and female thought it fit to provide the woman as a help meet for him Gen. 2.20 Women being most fit to help women in their deliveries by reason of the modesty of their sex It shall be the whole subject of this ensuing small Tract to describe a Midwife and such a woman too that may be most apt for so necessary an employment and then still aiming at a publick good declining that Idiom best becoming the Pen of Doctors The Latin Tongue shall shape my Quill to an English Dialect and avoiding intricate and Bombastick words and Acroamatical sentences where they may be otherwise expressed afford such material directory assistance in the business of Midwivery as shall be suitable to the meanest capacity not presuming to
by prescribing it Your Obliged Friend Richard Sampson An INDEX containing the Contents Alphabetically A. ABortion what with its causes and sings Page 104 c. How prevented and cured pag. 112 c. Air ambient dangerous in child-bed p. 111.116 After-pains what their causes and cure p. 133 c. After-burden what it is p. 84 c. Why so called p. 90 91 92 c. Must be brought away and why It s danger being left behind How it is hindred in its coming forth How drawn out ibid. Aged women commonly bring forth females and why p. 101. They are subject to the falling down of the womb p. 163 Age of the best nurse described p. 141 Allantois part of the secundine in beasts but not to be found in men and is as a girdle p. 90 Amnios the inward membrane of the secundine p. 89 c. Anger in nurses naught p. 143 Aorta what arterie and how generated p. 8 Arterial vein what it is ibid. Astringent powder useful for Midwives p. 30 B. BAgg described Page 76. c. In use Behaviour of nurses to be enquired into p. 124 c. Birth natural what and how described p. 24. How facilitated 110.130 Blood after conception distinguished three waies p. 14. Bones generated from the seed p. 12. Botches in children their causes p. 115.145 Brains how generated and for what p. 9 c. Breath stinking argues a child dead and putrified in the womb p. 79 Breasts sore to cure p. 101 Breeding women what forbidden them p. 101 C. CApsula of the heart generated p. 6 Cake of the womb what p. 88 89 c. Cartilages whence generated p. 11 Cataplasms against a loosness in child-bed 137. Against miscarrying to be applyed to the navil p. 118 Cataplasme in case of sore breasts p. 102 Caudles in after-pains and in case any of the secundine be left behind p. 134 Causes of immoderate flowing of the Lochia in child-bed with their cure p. 119 120. Cautions to Midwives in their business p. 28 29 a Caution to the Irish women in a loosness p. 105 Child when so properly called p. 112 Child-bearing women ought to be cheerful p. 110 Children how overlaid with the reasons p. 141. Of their pining away 150 Chorion what and why so called p. 88 Coats of the Arteries whence p. 11 Cold in child-bed dangerous with its cure p. 124 Cold dangerous in Child-bearing 111 Calostrat what children p. 144 Conception with its signs 95 96 c. Conception in Nurses make the child diseased p. 144 Conditions of Nurses to be inquired into with her complexion p. 143 Convulsion-fits in infants whence and how cured 134 135 Cordials against fainting fits p 112. A general excellent Cordial-water p. 113. Against a nauseous stomack p. ibid. Costiveness the cause of difficult birth p. 35 Costivenes in breeding women naught how it may be prevented p. 112 Cotyledons of the womb what p. 104 Courses why stop'd after conception p. 14. How they are to be provoked p. 115 c. They are stirred up by the use of Venery are destructive to milk p. 144 Cranium what how generated p. 10 Critical Fevers in child-bed their cure p. 123 c. Crying in children discovers want of milk p. 151 Cupping-glasses how and where to be applyed p. 147 D. DAncing in the child-bearing women or running naught for the child p. 110 Dancing of the child a good exercise for the Nurse p. 147 Danger from being not well purged in child-bed p. 115 c. a Decoction against too much milk p. 148 Dead child how delivered of p. 93 c. signs of a dead child p. 102 c. 108.131 Diet prescribed for breeding women p. 111. For child-bed women p. 120 Diarrhaea see Loosness in p. 131.136 Different postures of infants in the womb why p. 78 Difficult births their causes p. 34 c. Distinction of parts when p. 12 Dreams in the infant discover want of milk p. 151 Dropsies how distinguished from a Mola or false conception p. 82 Drunkenness not to be indured in nurses p. 140 The dura mater how generated p. 10 E. EAting flesh in child-bed the cause of Fevers p. 124 Eating and drinking to be observed by nurses p. 143 Eight moneths birth not like to live p. 19 c. The reasons ibid. Emplaster against abortion p. 113.132 Against Convulsions in infants p. 135 c. Against the inconveniency of milk to be applyed in the breasts p. 122.146 Embryon what p. 87 Epar uterinum that is the liver of the womb what its use and why so called p. 86 88 Exercise attenuates milk p. 146. In the nurse good for the child p. 147 Experiments to know if a woman hath conceived or no p. 98 c. Experiments to try milk p. 126 The Excrements are not voided by the fundament whilst the child is in the womb p. 16 c. F. FAlse conception what p. 79. How it differs from a true conception p. 81. How distinguished from a Dropsie p. 82. How delivered of p. 94 Falling out of the womb p. 162 c. Fainting fits in breeding women how prevented p. 112 Fevers in child-bed in general and of a Fever of milk what it is with the cures p. 121 Female when conceived and how known p. 200 Fibres in the first generation what p. 2 Figure of a child of 18 daies old p. 12 Fume or suffumigation in fits of the mother p. 160 G. GAlea is part of that coat of the secundine called the Amnios p. 87 a General cordial water against all fainting fits at all times p. 128 a Gibbous infant the cause of a difficult birth p. 35 Glysters for a looseness in child-bed p. 136 c. For the retention of the Lochia then p. 116 Gluttony in nurses condemned p. 143 Great breasts and great nipples in nurses not commendable why p. 141 Grief in nurses naught for the child p. 143 Naught for child-bearing women p. 110 Gripes in the belly of infants whence p. 149 H. HAndsome children why some so why others unhandsome p. 21 Hastiness in the Midwife not good p. 27 29 Hasty rising up of the mother naught for the child in the womb p. 110 Hard breasts the signs of the infants thriving in the womb p. 101 Haemorrhoids the cause of difficult birth p. 35 Heart generated when p. 6 Heat of the seed the cause of generation of males they are generated in the right side p. 21 Helmet called the Galea part of the Amnios p. 87 Heavy burdens carried by the mother are naught for the infant in the womb p. 111 Hysterick fits see Strangulation of the womb and mother-fits p. 155 c. I. INnate heat in infants requires constant aliment p. 150 Infant when said to be p. 16 How it lyeth in the womb p. 33 c. How nourished in the womb p. 14 It attracts the purest blood ibid. Hath more from the mother then from the father ibid. Why like their Parents p. 21 To know
birth For believe me neither is it only my opinion but also the opinion of the most Learned Doctors that there is nothing worse to child-bearing women than the cold air Rodericus a Castro parte 2 lib. 4. Cap. 12. because that entring into the womb the womb it self is distended waxeth cold and swelleth and its orifices are shut from whence cometh the menstruous matter and thence arise grievous symptoms and often times death it self But as to the suppression of them and their cure we shall by divine assistance treat more largely e're we leave this subject in hand This precedent figure is the form of a child lying in the womb according as cut in Tho. Bartholinus in Page 197. naked and out of all its coats both proper and common The description of it appears by the explanation of these letters in it viz. AA Shews the parts of the Chorion diffected and removed from their proper place B A portion of the membrane Amnios CC The membrane of the womb diffected DD The placenta Uteri or hepar uterinum being a fleshy substance full of many vessels by which the infant receives its nourishment E The varication of the Vessels which makes up the navil string FF The navil string by which the Umbili or vessels are carried from the placenta to the navil GG The infant as it lyes perfect in the womb near the time of travel H How the umbilical vessels are inserted into the navil of the infant SECT VI. Of the site of the child in the womb The infant how it lyeth in the womb THE infant in the womb lyeth altogether bowed and contracted together his knees to his belly and head to his knees the anckles being joyned to the buttocks cross-legg'd his hands lifted up towards his head on which he so leaneth his head that his eyes seem to be fixed to the thumbs of his hands the one placed on the temples the other on the cheeks insomuch that white spots may be seen in the skin as if they had been fretted the one against the other The former part of the body tends towards the lower part of the belly of the mother if it be a male and the hinder part towards the back but if it be a female the posture is clean contrary But the usual posture is as in this figure which goeth before SECT VII Of difficult births whether praeternatural or whether they proceed from Causes external or internal DIfficult births from external causes may be either first from excessive heat dissolving the strength of the women or second excessive cold condensing the womb Their canses or third from sweet things often applied to the nostrils of the woman that by smelling to sweet things she may recover her strength and faintings for sweet smells do attract the womb upwards and so render the birth more difficult Difficult birth from internal causes may be either first from the woman second from the womb third from the infant fourth from the membranes of the womb 1. From the woman as when she is too angry too fearful or too modest or if she be in age above 40 years Women of above 40 years bring forth with difficulty from whence the muscles of the womb may be concluded to be dry and so the less extensible or when she is so thick and fat that the passages be narrow Or 2. From the womb it self as when it is so small nature so weak and feeble that it cannot expell the birth Or if there be any inflammation Inflammation The stone Costiveness Haemorrhoids or other preternatural affect in the privities be it the stone or haemorrhoid's or extraordinary costiveness all which may so compress the womb with their weight that it cannot expell the birth 3. Is from the infant it self as if it be of an unusual bigness of a great head or a monstrous birth hydropical gibbous that is crook-back'd full of wind dead in the womb or lying there in a posture beyond nature as when it comes overthwart with the feet forward and not the head or if the thigh before the head 4 th From the membranes of the womb as when they are so forcibly broken by the child in the womb that the moysture floweth thence leaving the infant behind that when the child should come forth that moysture faileth and so the membranes being dryer maketh the birth the more difficult or when it is so firm and sollid that it is broken with much difficulty and so makes the labour the harder SECT VIII Of the Schemes Fashions and Figures of the birth lying in the womb and how they are born or may be born THE postures of the infant in the womb are generally four First they offer to come with their heads forward which is the natural birth Secondly with the feet forwards Thirdly overthwart Fourthly doubled to all which the Midwives care and skill is required but especially in the three later But chiefly very many postures and schemes have been observed and are to be found by continuance of practise for that child that comes with his head forward sometimes hath his head right as to the orifice of the matrix but the rest of the body crooked and sometimes overthwart and sometimes the infant pitcheth his head either in the former part from the orifice or backward or comes crooked and sometimes also these schemes are without any tye as to the bottom of the matrix and sometimes with it sometimes also it puts forth one hand or both so as that they are twisted above the head sometimes it cometh forward with its feet asunder and those fixed in the parts of the womb sometimes the feet being doubled it endeavours to come forth with the knees forward sometimes it is so doubled that it shews forth its little buttocks like one that is sitting or contrarily may be so doubled that you may find the soles of the feet joyned to the head in the orifice of the matrix but those that lye o'rethwart sometimes lye on one side and sometimes with the face upwards and sometimes downwards But if there be twins then that which presenteth it self fairest must be laid hold on and the other put back As to all which the next 15 or 16 Sections will not only furnish with schemes but with directions Hitherto having described the Midwife and her office together with the site of the infant in the womb as natural together with difficult births in general and their causes It is reasonable good Mrs. Eutrapelia that we discourse of praeternatural births because those bring the greatest danger with them both to the mother and infant SECT IX Scheme the first Of praeternatural Births Quest 1 DR Philad Courteous Mrs. Eutrapelia If you perceive a child come with his feet forwards and the hands drawn downwards to the thighs according to this next ensuing form How will you deliver the woman Eutrap In this I will take care to be furnished with Oyles
is conveyed upwards into the breasts Milk how generated and there is prepared for milk Eighthly the thighs swell with pains but the body is weaker and the face pale Ninthly the belly is costive by reason of the compressure of the intestines The urine is white with a cloud swimming at the top wherein are to be seen many atomes like those observable in the beams of the sun but when in the first moneth many of these sink to the bottom and the vessel in which it is being shaken it seems to be drawn out like to wooll In the later moneths the urine is reddish or yellow it becomes blackish with a red cloud at the top I will here-with relate to you two experiments Experiments by which it may be known whether or no a woman hath conceived First And the first is this Stop up a womans urine three daies in a urinal at the end of which strain it or rather drop it through fine linnen and if she hath conceived you shall see little creatures like to lice if these be red 't is a token of a male Signs of a Male. but if white they portend a female But this is said to be sure Experiments If a womans urine be put in a brass Bason and stand there one night if you put into it a bright needle if she hath conceived that needle will be bespeckled with red spots but if otherwise it will be rusty all over Dr. Philadel These 't is true Quest may be promiscuous signs of Conception But Mrs. how know you the Sex whether male or female Eutrapelia By these signs Sir Answer First usually as First If she hath conceived a male the right eye moves oftner and is better as to its native colour than the left The belly is sharper about the navil Second The right breast groweth turgid before the left and the nipple is sooner changed Thirdly The milk increaseth sooner and if it be milked out and set in a glass in the sun it will grow into a clear mass not unlike to an oriental pearl as also if the courses appear about the 40th day after the Conception The right cheek is redder Fourthly and the whole colour of the face better neither is she so heavy as otherwise and the first stirring on the right side is the sixtieth day and that strongly too and the right foot moves first in walking and in arising from a seat the right foot is first apt to bear up the body The pulse is more frequent on the right side than on the left Fifthly Signs of a Female Now the signs of a female are contrary and these are most commonly the signs The first motion after conception is selt the 90th day The 90th day and that first in the left side Secondly Females are born with more sickness the thighs and privities swell the colour is paler the appetite stronger and yet apt to loath that which is contrary to it Thirdly the Courses appear about the 30th day after conception Youth bring males Fourthly the age of the woman is very considerable for the younger women most commonly bring males by reason of their greater heat in the womb And the more aged females Aged females by reason of the defect of heat contracted in the matrix by their age and females are more often generated by such Patents that are more cold and moist by nature and of seed that is too moist cold and liquid Dr. Philadel Since you have given such a character of the signs of Conception Quest and the distinction of Sexes let me know by what signs you apprehend the infant to be well and thrive in the womb or not Answer Sign of the infants thriving Eutrapelia I shall Sir And first if it be well the breasts will be hard but if otherwise they will be flaccid and a waterish humor will flow out of them like to milk of its own accord Secondly if the courses flow too often out of the womb in the time of child-bearing it is an argument of an unhealthy child And moreover the fattest women commonly bring forth the weakest insants Thirdly if a woman bring twins the one a male the other a female there is great danger of the female because they are nourished by a different aliment in the womb but if they be both females there is the less danger Fourthly if the child be gotten in the time of the monethly terms they are mix'd with untoward humors from whence it is experienced that many leprous infants are begotten Superfaetation what Aristot Hist Animal Lib. 7. C. 4. Fifthly if there be superfaetation the last conception seldom liveth Now superfaetation is when a woman having once conceived conceiveth again after a certain time which sometimes happeneth Hence the Poets feign Iphicles and Hercules to be twins by Alcmaena the wife of Amphitrio the first begotten by Amphitrio but the last viz. Hercules begotten by Jupiter But this by the way although more instances might be alledged nearer home Signs of a dead child Sixthly if a Dropsie overtake the praegnant woman and that her nose cars and lips look red it is a sign of a dead child Seventhly if the infant come forth after the ninth moneth 't is oftentimes very weak Eighthly if a virgin conceive before her first flowers it proves a lusty and perfect child Lastly all these things praemised Note Midwives also usually observe that as many knots as they find in the navil-string of an infant so many males they say she will have But so much for Conception Tell me now somewhat of Abortion with its Causes and Signs SECT XXVIII Of Abortion DR Philadel Tell me Quest Mrs. Eutrapelia what is that which you call Abortion or miscarrying Eutrap Answer It is to bring forth an untimely birth which may proceed from divers causes and those either internal or external First from internal causes as from the infant it self Internal Coâ—yledons what as when the Cotyledons that is the mouths of the vessels ending in the womb through vvhich the blood is conveyed into the vvomb from all parts of the body are so infirm that those vessels by reason of their rarity and vveakness are sooner broken and so of consequence and Abortion Secondly if the tunicles that is the secundine vvherein the infant is vvrapped be so vveak that it break and the humor contained therein flovv out by vvhich the matrix is slippery vveak and the infant being destitute of those humors faileth And also vvhen virulent moistures flovv forth and provoke the expulsive faculty of the vvomb Thirdly the third cause is vvhen the Woman is so vveak and consuming in her self that she vvithdravvs the nourishment from the infant insomuch that it hath neither matter to grovv by nor to generate the parts and members of it Fourthly the fourth cause may be the wideness of the orifice of the womb and
〈◊〉 word which signifieth The womb It is called by most women The Mother Fits and that from another Greek b 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 from 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 word which signifieth the Matrix which is from another word which signifieth a Mother because women after they have brought forth are Mothers and hence Fits of the Mother Which is What is the suffocation of the womb a retraction of the womb to the upper parts making the principal parts fellow-sufferers of the distemper For although the womb may be concluded to be moved out of its place yet except it be carried downwards it never causeth a suffocation for a suffocation is nothing else but a defect in breathing Therefore it is necessary that the upper parts that serve for Respiration be affected The parts affected what and how and carried upwards by reason of that suffocation and amongst all the chiefest are the heart lungs the midriff and the brain to which the force of the affection cometh viz. to the heart by the veins and arteries and so to the lungs to the brain and midriff by the nerves and membranes of the spine of the back The cause is from the womb The causes which being full of some naughty humor as menstuous blood Menstruous blood Vitious seed or vitious and putrid seed offendeth the noble parts with some stinking malignant sharp griping cold vapours The symptoms The symptoms that follow are various either according to the greatness of the efficient cause or the variety of some qualities or natures for some women are without any sense or motion and seem to have no pulse at all or at least that very small and weak and sometimes lye without any manner of breathing at all that can be perceived Others there are that neither want sense nor motion and seem not to be troubled with any passion of the mind but they faint and very hardly fetch breath some also seem to have Convulsions in their joynts as in their hands arms feet but these generally are the signs of the fit at hand viz. a Signs of the Fit coming in augmente A dulness of the mind a laziness weakness of the thighes paleness and clamminess about the face b Signs of the Fit present but when the fit is come then there cometh a c 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 profound sleep like those in an Apoplexy or Lethargy the mind is dotish the senses are intercepted the voice ceaseth the thighes are contracted the cheeks look red and the face is swelled Signs of the declination of the distemper But when the suffocation declineth a certain moysture distilleth from the privities with great rumbling and murmuring of the belly and the womb by little and little is relaxed and so the sense returneth This disease is moved also by d Suppose of the moon course as is the Falling-sickness and doth most of all infest young women desirous of husbands and that about Autumn and the Winter as also those that are childless or unfruitful or such whose womb is chilled upon any account This differs from * How it differs from a Syncope or swouring fainting Fits in this viz. In a Syncope there is no pulse but in the strangulation of the womb there is ever a pulse though small rare weak In fainting Fits or swounings there are cold sweats and paleness of the face but in this the countenance is plump How from an Apoplexy and ruddy It differs also from an Apoplexy for women that have these Fits have not their parts deprived of sense and motion and although their senses be benummed yet if they are pinched or pricked they are sensibly disturbed and will make signs with their hands that they are strangled now it is clean contrary in an Apoplexy And again those in an Apoplexy do snore which is never seen in these hysterick Fits How they differ from an Epilepsie or Falling-sickness Spasmus Cinicus A distortion of the mouth Lastly these Fits differ from an Epilepsie or Falling-sickness in this that these parts affected are not contracted with Spasmes or Convulsions neither do they foam at mouth except the woman be vehemently suffocated and especially when an Epilepsie is not stirred up out of the womb it self as oftentimes it doth happen Having thus discoursed of the causes symptoms and signs we now come to the Cure The Cure First then let the lower parts be strongly rubbed with clothes and tyed with strong ligatures as also let Cupping-glasses Cupping-glasses how to be used be applyed to the hips groynes * Os pubis or Pectinis Beware the navil share-bone but not to the navil Next sneezing is commended to which Hippocrates agrees 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Aphor. lib. 5. 35. And though I have given you one Receipt for a sneezing-powder in the beginning of the 31th Section which is proper not only in difficult births but here also I now will leave with you the Receipt of another powder A sneezing powder which shall be this Take white Pepper Mustard-seed Pellitory of Spain Castoreum of each a scruple Euphorbium and white Hellebore of each one scruple Twenty grains make a scruple and make a subtile powder which may be used so long as there is no redundance of humors perceived in the head Suppositories Suppositories are good as Take of Agarick Troschisc of the species of Hiera logodii of each a drachm 60 Grains make a drachm of Rats-dung Figs Rue-leaves and Cummin-seeds all made into powder and with honey made up into a Suppository An Ointment Take oyle of St. Iohn's-wort of Orange-flowers of Rue of each one ounce oyle of Mace by expression half an ounce of a Beasts gall dryed and powdered six drachms Venice-Treacle half an ounce Spiders alive in number forty infuse all these for ten hours in a vessel well stop'd on the embers that it neither boyle too fast not evaporate too much of this make an Ointment with which anoint the back and loynes and the navil avoiding all cold A fume to sit over A Suffumigation of Nutmegs powdered and set in a close-stool to burn receiving the smoak by sitting over it is excellent Stinking things to smell to Stinking things are ever best to smell to such as are Partridge-feathers old Leather Brimstone burnt all Assafoetida Castoreum Galbanum Rue malaxed with Vinegar Contrarily all sweet things are proper to be tyed to the thighes in a bag but not smell'd to Sweet things best to be tyed to the thighes The scrapings of Goats-horns and Assafoetida mixed and burnt is excellent Take Assafoetida dissolved in distilled vinegar of Castor prepared into powder Pills of each a scruple Laudanum two grains made into six Pills and taken just before the Fit Lastly if these Fits proceed from the stoppage of the flowers those medicines must be given proper to provoke them but if from the retention of the
seed Quod si ex retento semine affectio proveniat nullum proponerem nffectae mulieri praestnntius auxilium quam viri sui frequeates amplexus Hieronymus Pulverinus Cap. XCI de Strangulatione Uteri then let nature here be their best director except they could construe the authority of * Learned Physicians with whom let them advis SECT XXXV Of the coming forth of the womb IN the last Section Mistriss I described how the womb might be moveable upwards yea from side to side I now come to speak of its motion downwards which sometimes is so low that it cometh forth and is to be seen outwardly and that which hangs out doth appear like a soft The signs Scrotum and round tumor and like the Testicles of a man but the pain and the heat possess the privities and bottom of the belly and the urine distilling by some and some vexeth the privities The causes may be many as The causes First when a woman from on high falleth upon her hips those skins and membranes which support the womb and tye it to the neighbouring parts being broken The second cause is by extraction of the Secundine as hath been formerly set forth in the 26th Section that through the unskilfulness of the Midwife The third Cause is by a sudden and immoderate flux of blood as is usually in Abortions as hath been shewed in the 5th Section The fourth Cause is by an artificial extraction of a dead child or overmuch holding the breath to blow or carrying of too great a weight The fifth is oftentimes through overmuch humors and the defluxions of them and often bearing of children which makes those Appendices to which the womb depends relaxed and loosed The sixth and last is through some vehement passion of the mind being affrighted with the sudden tydings of the loss of children incursions of enemies dangerous Sea voyages and sometimes from neither of these Old age but from old age it self or much weakness But now as to the Cure in which observe these Prognosticks by the way Prognosticks That when this affection is new the womb is easily reduced to its proper place and being right put up it continues there especially in the prime of age and may both conceive and bring forth again but in riper years it becomes contracted it may be put up truly but upon the least occasion slips out again And in short this All fallings down of the womb which are not and cannot be cured by proper means shew that the Appendices as aforesaid are either laxed or broken The Cure The Cure is First to provide Glysters to be administred by which the strait gut may be discharged of gross and hard excrements and the bladder of its urine by some pipe fitted for the purpose for sometimes it happens that the womb being in a streight betwixt those two Nascimâ—… inteâ—…stercus Urinam cannot be reduced into its proper place The first may be done by Glysters the latter with a pipe put up in the neck of the bladder Fistula urinaria which done the womb may be put up by this following method Let the Patient lye with her face upwards her hamms bent backwards and thighes spread abroad after which foment it with the decoction of Beets Mallows Marsh-mallows Lineseed and Foenugreek A fomentation made in spring-water Then make a pledget of wooll wrap'd up in a linnenrag to the proportion of the privypart which being dipped in the juice of Acatia and Hypocistis dissolved in red Wine apply it to the womb To be bought at the Apothecaries and so without violence press up all that which is come forth After which foment the whole * The share-bone Another fomentation Pecten with this fomentation Take red Wine a quart red Rose-leaves Bramble-leaves Plantain Myrtle-berries Shepherds-purse Hagtaper Horse-tail and Comfrey-roots applyed with sponges using afterward the oyles of Mastich and Myrtles to the place and Unguentum Comitissae to anoint the Reins Now because the main of our drift is to cure the falling out of the womb upon difficult births adde this method to the former First purge her with one drachm of Pulvis sennae compositus major A Purge to be bought at the Apothecaries given in broth or Mace-ale twice or thrice then Take the leaves of Plantain of Withy of Medlars of the Oake of Sloes of red Brambles of red Roses of each a handful of the roots of Tormentill Comfrey and Bistort of * Balaustia Pomegranat-flowers of Cypress-nuts of each an ounce of the seeds of Annise two ounces let these be grosly bruised and sewed up in a bag A bag used of which you have a description in the 24th Section of this Book Boyle these in Smiths water such as they use to quench iron and apply it warm four times a day wearing it continually well trust up Si quid novisti rectius istis Horat. Candidus imperti si non his utere mecum 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 FINIS Imprimatur Tho. Tomkyns Ex Aed Lamb. Maii ult 1671.
whether it thrive in the womb or not p. 101 Infants participate of the nurses food and physick p. 151 How to be received by the Midwife p. 29 Impurities are communicated to them by the Qualities of the milk p. 151 Inflations the cause of after-pains p. 133 Inflammations of the womb the cause of difficult birth p. 35 Intemperance in nurses the ruine of their nurseries p. 140 Immoderate flowing of the Lochia in child-bed dangerous p. 118 c. Juleps in case of retention of the Lochia in child-bed p. 118 c. Against Convulsion-sits in infants p. 135 K. KNots as many as are to be observed in the navil-string so many males p. 103 L. LAdies may nurse their own children with the greatest conveniencies p. 135 Leprous infants how so begoten p. 102 Liver first generated after the coats by the Vena bifurca p. 4 c. Is a concrete blood ibid. Lochia retained in child-birth dangerous p. 115 Flowing over-much dangerous also p. 119 Loosnes in child-bed dangerous p. 131.135 Lungs when and how generated p. 8 M. MAle conceived how known p. 99 Man his dignity and titles vid. Pref. Manner of generation p. 2 3 Marrow of the bones what with its use p. 11 Matrix to be anointed in difficult births p. 40 Meats to be avoided by nurses what p. 144 Medicines usual in Fevers of child-birth p. 124 Members distinguished by the tenth day p. 7 Menstrua the cause of strangulation of the womb or fits of the mother p. 156 Midriff how made p. 7. The best Midwife described p. 27 Her posture p. 28 c. Her office Number of her assistants Her furniture ibid. Midwives are not to take more care of the infant then of the mother p. 93 94 Milk how generated p. 14.98 It is the cause of Fevers p. 121 Driven back too soon dangerus with the reasons of it p. 122 fried by its colour and quality p. 145 Of milk too thick corrected p. 146 c. Too thin corrected ibid. How to cure the too great abundance p. 147. The want of milk supplyed ibid. No milk at all the worst p. 150 Mirth good in breeding women p. 110 In the nurse best for the child p. 141 Mola or false conception what p. 79 Mother contributes more to the infant then doth the father p. 15 Motion too violent in the nurse naught for the child and so in the mother p. 147 Mourning either in the mother naught for the infant in the womb p. 43 Or for the nurse ibid. Mothers if able fittest to nurse their own p. 152 Mother-fits see strangulation of the womb p. 155. How cured p. 159 Mucilage what p. 126 N. NAtural form of birth what it is p. 24 Nauseousness prevented p. 113 Navil how generated p. 3. How to be cut ib. How it atracts blood for nourishment p. ib. Cords of the navil so many twins 103 Needing what p. 108 Nerves of the back their original p. 11 How dispersed through the whole body by a figure p. 13 Nipples what are the best p. 141 c. Sore nipples to cure p. 137 c. Nurses the best described p. 140 c. Not to be chosen in poverty p. 150. Nurses purged to cure the child why p. 15â— Nurses not to rock the infant too violently presently after suckling it why p. 153 O. ORiginal of the nerves p. 10 Of the spine of the back ibid. Oxycrat what p. 129 Oyles what fit for Midwives p. 26 Their use in difficult births p. 41 Ointment in case of the Lochia suppressed p. 118 in case of too immoderate flux of them p. 120 An excellent ointment in a difficult birth p. 41.126 For sore nipples ibid. In Hysterick fits p. 160 P. PArsly an enemie to milk p. 144 Passions in the nurse hinder good milk p. 143 Pains in child-bearing whence they are p. 23.133 Pains after the child-birth what p. 52.116.124 Pericardium generated with the heart Piles in hysterick fits p. 161 Planets their aspect the cause of good features and forms in children and of bad p. 21 Placenta uteri what p. 86 88. But one though there be never so many infants Its use ibid. Plenty of milk ever best p. 142 Postures of the infant many p. 37 c. Postures of the infant naturally how p. 33 Many praeternatural postures described in sixteen several figures from p. 37 to p. 72 Their helps resolved by way of Dialogue ibid. Potions useful in difficult births p. 134 Powders for sneezing in difficult births p. 127 c. Against Abortion p. 131 Against Convulsion-fits in infants p. 136 Against immoderate flowings of the Lochia in child-bed p. 119 Pulsatile veins from the great Artery of the heart p. 7 Purgation of women how long p. 115 Not being well purged dangerous ibid. Purge not to be given till seven daies after the birth in case the Lochia be stop'd p. 117 Pustules and whelks in infants their cause p. 149 Q. QUalities of milk pass into those that are suckled by that milk p. 152 Quarrelsomeness in nurses naught p. 143 Quicken when women do p. 17 R. REmedies over-hot in difficult births how inconvenient p. 126 c. Retention of the Lochia in child-bed dangerous with its causes and cure p. 116 Riding in the mother naught for the infant p. 110 Rocking of the infant too vehemently presently after sucking naught p. 153 Running in the mother naught for the infant p. 110 S. SColding in nurses not tollerable p. 142 a Scruple what p. 128 Scull how generated p. 10 Seventh moneth birth may live p. 19 Secundine what p. 84 Described by figures p. 85 Sexes distinguished p. 99 Sixth moneth birth cannot live p. 19 Signs mortal by the infants motion in the womb p. 20 Sleep in the mother good for the infant p. 11 Often sleep in nurses is good for the infant p. 141 Sluttish nurses make nasty children p. 140 Sneezing good in difficult births p. 127 c. And in fits of the mother p. 159 Soul when infused p. 17 Spine of the back how generated p. 11 What it is ibid. It s use ibid. Stature of the nurse p. 104 Stinking things and smells how useful in mother-fits p. 161 Stool for Midwives described p. 28 Stone in the bladder the cause of difficult birth p. 35 Stopping of the terms no sure sign of conception p. 95 Strangulation of the womb a fierce distemper p. 155 Its definition What it is ibid. Parts affected what the causes p. 156 Signs of the fit in its augmentation state and declination p. 157 How it differs from a Syncope or Swouning 158 c. How from an Apoplexy ibid. How it differs from an Epilepsie p. 159 Its cure ibid. Strength how to be restored p. 123 a Suffumigation in fears of Abortion p. 113 In hysterick fits 160 Superfoetation what 102 Suppositories p. 124 For infants p. 136 In the strangulation of the womb p. 255 Sweet smells how used in fits of the mother p. 161 Symptoms grievous in breeding women
its overmuch moysture and an evil temperature of qualities and ventosities included in the womb as also Ulcers and Apostemations in the womb besides other distempers As are too many Courses too great a Flux of blood A caution to the Irish where these distempers are Epidemical and Sporadical too great a Looseness of the belly or too great Costiveness a Tenasmus called commonly a Needing a Cough a constant Sneezing and all things that shake the body too much and lastly any acute sickness which doth so afflict the womans body that by them the infant is deprived of its nourishment Quest The external causes of Abortion Answer Philadel Now then Mrs. pray inform me vvhat are the external causes of Abortion Eutrap Sir the external causes are many As first to fall to run to leap to ride to exercise too immoderately and to be smitten vvith strokes Again too much cold and too great heat for over-much cold killeth the child and too great heat intercepts the air from the infant and so suffocateth it in the womb and this may be done by hot baths if women use them in the first moneths after their conception Thirdly Stinking smells as the snuff of a candle or lamp newly extinguished Fourthly an absurd appetite and manner of eating and drinking as to cat salt coals dirt c. by which either ill humors or a dangerous thirst are procured Fifthly too great hunger for by overmuch fulness the infant is sooner suffocated the passages appointed for nourishment being the sooner obstructed Sixthly immoderate exercise and labours overmuch sleep and a continual laziness unseasonable and unreasonable watchings besides other accidents As sudden fury great wrath over-much fear and sorrow sudden joy and a dull appetite longing for that which is not to be had unsatiable copulation and lust Dr. Philadel Quest You have now discovered the causes of Abortion What I pray Mrs. Eutrapelia are the signs of Abortion Eutrap Answer Sings The signs of Abortion are twofold First before conception in those that use to miscarry as superfluous moysture sudden and unusual fatness against nature which was wont to be of slender and lean constitution or which are ever pained about the loyns and kidneys or fall suddenly into other dangerous diseases Signs of Abortion Secondly the signs of Abortion after conception are these viz. when the breasts that at first were turgid and hard are observed to grow flaccid and soft of a sudden if there be too great a flux and a continual flowing of the terms Moreover if there be horrors colds pains in the head or a swimming there be in the eyes these be sure signs of Abortion Dr. But Quest what are the signs of a dead child Answer Of a dead child Eutrap Where the child is dead Sir there is no motion perceived when the eyes of the woman sink when her colour is turned into a tawny whiteness when there are great pains about the navil and loyns when by reason of the lower parts being compressed there happeneth a Strangury a * A Needing â—enesmus Again when the ears the lips the top of the nostrils are taken with a pale coldness and the face swells and the belly though it sinketh not yet groweth soft so that lying to either side by the touch there may be perceived a hard mass Stinking breath a sign that the child beginneth to putrifie as also stinking breath an argument that the infant doth begin to putrifie These are manifest signs of a dead child The cure whereof I leave to the care of the expert Physitians and Chirurgeons SECT XXIX Rules for Child-bearing Women EUtrap According to your promise I beseech you Doctor lay me down some Rules to be observed by Child-bearing women Dr. Philadel Good Midwife I shall and that very necessary ones too that she may know how to go on safely through by Gods blessing to the last hour or by neglecting them may make her delivery the harder and I shall reduce them under ten heads First let her be chearful not breaking her self with mourning and careful anxiety for this doth exhilarate the infant Res sex non naturales and stirs up all the faculties and confirms it in its parts and members Secondly let her avoid all violent motion and abstain from all hard labours not rising up too hastily not leaping running dancing riding not lacing her self too streight or carrying too heavy a burden but surely sleep is very fit for her Thirdly let her beware of sharp and cold winds of excessive hear anger perturbations of the mind affrights terrors over-much venery and of intemperancy of eating and drinking Fourthly let the diet of breeding women be frugal and moderate abstaining from gross meats hard of digestion let her eat eggs chickens land-fowl birds of the mountains c. variety of broths grewels panadoes mutton veal lamb kid rabbets she may use in her meats nutmeg and cinamon she may drink wine moderately Fifthly in the first four moneths let her open no vein use no cupping or scarrifications fontanells nor use any pills or other Physick without the advice of a prudent Physitian for in these moneths the ligaments of the child are very tender soft and feeble and therefore the easier destroyed and the nourishment kept from him Sixthly if it shall happen that the woman be too costive by which many miscarry let her boyl spinage Against Costiveness and lettuce well buttered with salt and vinegar or wine which if they will not move the belly Suppositories let her use suppositories with honey and the yelk of an egg or of Castile-soap and if these common things will not do let her advise with an expert Physitian Seventhly if it happen that she conceive with grievous symptoms Symptoms and after conception is troubled with faintings let her take this Cordial following Take of Sorrel-water and red-Rose-water of each one ounce of Cinamon-water one ounce Against fainting of Manus Christi pearled called in the Shops Saccharum tabulatum perlatum simplex half an ounce or as much Diamargariton this may be taken as need requires Eighthly if she fear that she may come too soon that is before her time as in the seventh moneth or some other unscasonable time and feels throws as of child-bearing occasioned by immoderate exercise too great costiveness from a Fever or some other disease A suffumigation Let her sit over a suffumigation of Frankincense for that contributes no small strength both to the matrix and to the infant also Ninthly if she nauseate her meat she may use a plaister of Mastich to her stomack and take this following Cordial every morning fasting to strengthen her stomack The Cordial Take syrup of Pomegranates one ounce and half of Mosch and Amber-greece of each two grains of Lignum Aloes finely powdered one scruple of Cinamon half a scruple the water of Sorrel three ounces let these be mingled and drank off
discoursed of the danger of the secundine being left behind and the Lochia stop'd now Sir be pleased to let me know what may be the reason why women fall into Fevers although neither the Lochia be stop'd nor any part of the secundine left behind I shall good Mrs. Eutrapelia Answer for those Fevers that accompany women in Child-bed are never without danger of which I shall give you an account some of them being critical others putrid others symptomatical I call that a Fever critical which I call a Fever of milk so called Fever of milk what and when because about the third or fourth day after child-bearing the milk begins to have a more plentyful recourse to the breasts whither it is carried with some force by reason of the motion and agitation of the blood converted into milk for the nourishment of the infant although this kind of Fever doth not happen unto all women neither doth it usually continue above three or four daies Febris Ephemera being dissolved by sweating and needs little other remedies most commonly if the Lochia be not stop'd The causes Cautions in driving back milk to soon The causes may be the driving back of the milk too soon which ought not to be which doth over-run the blood and settle there or else because that the brests being filled with milk and distended very big and full the vessels for blood are so compressed that they will not admit of that blood that floweth thither insomuch that the blood being hindred in its circulation beginneth to rage over the whole mass of blood whose spirits being inordinately stirred up and confounded take heat and begin to boyle and leaving the womb possesseth the whole mass of blood and so perhaps turn into putrid and malign Fevers Putrid amongst which many happen to be symptomatical Symptomatical as a Squinancy a Pleurisie * Peripneumonia an inflammation of the lungs a Dysenterie and the Small-pox or Measels but these symptomatical Fevers being from the same fountain of * A Bloody Flux Blood out of its vessels extravasat blood which most times turns into Apostemations Tumors and Inflammations if not prevented will bear the same Analogie of cure with respect to the parts they invade but to begin with critical Fevers The cure of which consists first Cure of critical Fevers in an exact observation of diet that the impurities of the blood and the due purgation of the humors the evil affections of the womb may be corrected and the strength impaired may be restored Strength how restored Diet. Wherefore let her diet be Oatmeal-caudles with white-Wine and all mix'd wherein a top of Baulm Speremints Mugwort or Orgamint may be boyled as also Panadoes and Water-grewels c. with these she must be fed for a week at the least by often supping forbearing nourishments that are stronger and solid as also all manner of flesh which are usually the cause of those Fevers Eating flesh in Child-bed the cause of Fevers for women in Child-bed must be dealt with not only like those that are grievously wounded but like those whose mass of blood is disturbed and so apt to be incensed with the least flame The next care conducing to the cure is Cold. to prevent outward colds as hath been formerly observed Section 5th and 31th in the 5th and 31th Sections Wherefore I would advise that women be kept in their beds for five daies at the least after their delivery I know 't is usual for them to rise at three daies end but this to be sure the longer women contein themselves in their bed the more secure they are from danger The third observation is that by a gentle proritation of the blood the Lochia be continued and to this end Midwives usually give Sperma Ceti Usual medicines Irish slatt poudered or Saffron tinged in white-Wine or Marrigold-flowers in posset-drink If the belly be costive it may be moved either with a Violet confect made for a suppository Suppos toty or some gentle emollient Glyster avoiding stronger Glysters Where there hath been vomitings thirst and want of sleep occasioned by the great perturbations of the blood and stopping of the * Lochia Lochia I have known Laudanum mix'd with Saffron each two grains and given in posset with good success Instead of cooling Juleps Julep you may use this rather of which you may give three or four spoonfuls often times in a day take Pennyroyal-water Balm-water each three ounces * Aqua Bryoniae composita Hysterical-water two ounces Tincture of Saffron two drachms a * 20 grains Scruple of Castoreum tyed in a fine rag and hanged in the glass Here also may be used Bezoardical medicines such as provoke sweat but these as also the cure of those symptomatical Fevers before hinted I leave to be considered of by Learned Physitians to whom it is safest to have recourse in such cases of danger SECT XXXII Dr. Philadelphos I shall Mrs. Eutrapelia in this Section afford you a Miscellany of Medicines such as are most useful for you to have with you and conclude all DR Philadel Mrs. Eutrapelia Oyles you may remember in the latter end of the 4th Section I gave you an account of those things that a Midwife ought to be furnished withal wherein mention was made of oyles which usually are Difficult Births oyle of Lillies of sweet Almonds or Chamomile mixed I shall offer you one ointment in hard and difficult Births take of new butter not salted and washed in Mugwort-water two ounces the * The mucilage is the quintessence of seeds and fruits boyled to gelly and streined Mucilages of Line-seeds Figs and the seeds of Marsh-mallows extracted out in the water of Savine of each half an ounce oyle of Lillies half an ounce make a liniment with which frequently anoint the neck of the womb you may use also sneezing-powder made thus Errhine or Sneezing-powder Take long Pepper Castoreum Betony white Hellebore sweet Marjoram Cloves each a drachm made into very small powder and kept for use which may be snuff'd up into the nostrils to cause sneezing or of white Hellebore An other and Castoreum powdered this potion also may be given Take of Cinamon A Potion of the bark of Cassia fistula of Dittany of each one drachm and half of white Sugar as much as all let all these be made into a fine powder and of it drink two drachms in that posset wherein Lineseed hath been boyled or else in white-Wine Or this An other Take of Cassia fistula powdered two drachms Red * A sort of red Pease Ciceri rubri Cicers half a handful let them boyl in white-Wine and water of each as much as will suffice adding at the length two drachms of Savine strein it and adde to it half a drachm of Cinamon and six grains of Saffron and make a potion Or this Take Aegrimony
and nerves for all Spasms and Epilepsies proceed from the nerves being oppressed with cold or gross phlegmatick humors but prepare it for future nutriment If these prevail not use this ensuing Julep and Plaister The Julep Take Black-cherry water red-Rose-water and Dragon-water of each two ounces one top of Rosemary of Licoras a drachm of the flowers of o Flores Tiliae Linden-tree of the Lillie of p Lilia Convallia Convall of each a pugill boyl them till a third part be consumed and sweeten it with Sugar-candy give the infant often of this together with this Plaister The Plaister Take Mithridate two drachms Saffron one scruple poudred spirit of Wine some few drops Capons-grease as much as a small nut make a plaister to be spread upon a small piece of scarlet and applyed to the pit of the Stomach And if the child be costive Suppositories put up a Mallow-stalk buttered or a Violet Confect as Suppositories this powder is good Take n Rad. Paeoniae Piony-roots and seeds o Dictamni albi Diptany Misleto of an Oak of each half an ounce of the seed of q Seminis Atriplicis Orach of the scull of a man p Visci Quercini each two drachms red Coral and Hyacinth prepared of each a drachm and a half of Elks-hoof prepared half an ounce Musk fix grains Leaf-gold half a drachm make a powder of this give ten grains or twenty grains in the Julep aforesaid in a spoon Of a Diarrhaea or a Looseness in Child-bed Philad l. A violent looseness in child-bed is not without danger to prevent which these Glysters may be given safely n = 1 Two Glysters 1. Take Rice one drachm and half of Cork finely grated two drachms Red-rose-leaves half a handful strein these and make a Glyster after they have been boyled in a pint and half of milk to a pint the things that remain may be applyed to the navil in form of a plaister n = 2 Cataplasm 2. Take milk a quart boyled to a pint of Diascordium half an ounce the yelks of two eggs in form of a Caudle make a Glyster Caution but here care must be had that by too astringent means the Lochia be not suppressed Of sore breasts in Women To preserve brests against the inconvenience of milk An Emplaister To preserve the breasts that if they nurse not their children the milk offend not or being extravasate cause Apostemations Take Virgins wax white four ounces Spermaceti two ounces of Galbanum dissolved in strong vinegar one ounce Make an Emplaister to be laid on the breasts and continued for many daies let it be spread upon linnen if the breasts should tend to break then A Cataplasm if the breasts should break to be spread upon the wooll Take a Sheeps head wooll and all bruise it and boyle it in water enough till it be all to mash In the top of the streined liquor of which boyl Rice enough to make it to the consistence of a Pultiss to which add some Saffron and apply it and the wooll over it Clefts in the nipples If the nipples be sore with fissures and clefts First wash the furr and stuff off from the nipples as clean as may be with red-Rose-water as hot as may be endured Then use of white wax one ounce of Spermaceti half an ounce 1 Ointment the marrow of Staggs-bones two ounces oyle of St. John's-wort one ounce apply this Or 2 Ointment Take Goats-suet one ounce oyle of the yelks of Eggs oyle of sweet Almonds oyle of Henbane and Poppy by expression of each half an ounce the fat of Geese Capons and Ducks of each three drachms of Litharge of Silver white Lead washed Groundsel stampt and applyed driveth back milk preventeth Inflammations Tutia prepared of red Lead of each one drachm and a half of Pompholyx burnt Allom white Sugar-candy powdered of Olibanum of each one drachm of Saffron one Scruple of Camphire and Opium prepared Flax carded and smoaked over Frankincense with which cover the breast of each half a scruple mingle these and with as much white wax as will suffice make of these an Unguent SECT XXXIII Of Nurses and the best Milk SInce the choice of a Nurse is of so great a concernment Philadel as upon which the future being of the infant consists surely this Nurses not sluttish then requires many serious considerations For though she may have milk enough yet perhaps not good enough or the woman either sluttish or unhandy or careless in the swathing and dressing of the child by which many children like new vessels Quo semel est imbuta recens servabit oderem Testadiù which will keep the savour of that liquor they are first seasoned withal are sluttish or slovenly so long as they live or else being abused at nurse are distort and Ricketty full of botches nasty and nauseous to their own parents And many through the intemperancy of their nurses who by drinking to increase their milk and perhaps make it bad enough sleep so securely and profoundly that they overlay their nurseries in the night Children how overlaid Often sleep good and the children dead by their sides in the morning Therefore let Nurses sleep so often that they may hear the least cry of the infant But this as introductory to a larger discourse and description Let the Nurse then be of a middle stature The Nurse described with her Complexion her Age. and good complexion active not fat and of a sanguine complexion if possible and not in poverty not under twenty years of age nor above forty but rather of twenty five or thirty years of age as a * Medio tutissimus ibis mean bewixt both Let not her nipples be great lest it make the child of a wide mouth Her nipples not too big because it cannot suck without the contraction of the lips together and lest by forcing the tongue into too narrow a compass it hinders the swallowing of the milk Next if the nipple be too small Not too small the child is apt to let it slip out of the mouth and cannot handsomely hold it so that the infant being frustrated of suck and yet still exercising sucking hurts the cheek and attracts some kind of humors thither which oftentimes become praeternatural tumors and oftentimes the cheeks of the infant seem as if they were stirred out of their places Thirdly by the consent of all the Nurse must have a large breast though some think that not so material Pectorae late jacens mammis Virgil. moretum Great breasts not good and others are of opinion that she ought to have large breasts because there is more milk collected together in great breasts than ought and being there is corrupted to the prejudice of the Nurse Wherefore lest the milk should continue there too long it is best to have a lusty young