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A80289 The compleat doctoress: or, A choice treatise of all diseases insident to women. With experimentall remedies against the same. Being safe in the composition. Pleasant in the use. Effectuall in the operation. Faithfully translated out of Latine into English for a common good 1656 (1656) Wing C5638AE; ESTC R224420 90,956 267

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before the head or when both the feet joyned together come out first and afterwards the head the third is when the childe which comes forth of the wombe is mishapen nature having erred in the conformation the fourth is intolerable paine fainting swounding fits and bitter torments about the bottome of her belly and the secret parts the fifth is an effusion or running out of water many dayes before the birth which being run out the passages which before were slippery to assist the emission of the childe now remaine hard and dry and become an impediment to the birth this humour is of no small advantage nay it is of admirall concernment to facifitate the birth if we may without procuring envie to the man beleeve Galen who saith in his book de usu partium that that humour serves not onely to moisten the childe and to make the wayes slippery but it likewise 〈◊〉 the callosity and hardnesse of the matrix almost to an incredible dilatation to these we may adjoyne the weaknesse of the mother and the imbecillity of the expulsive faculty as also the strength of the Retentive The signes of an illegitimate birth succeeding are vehement but vaine indeavours and strivings seeing that the childe for the reasons aforesaid is hindred from coming forth No man of understanding can deny but this must be terrible to behold and painefull to endure for if the childe chance to dye and lye dead in the Matrix some dayes it is most certaine that it will putrifie infest the principall parts with noysome vapours and poysonous exhalations weaken their strength and bring an unavoided death upon the woman We have often and with the saddest apprehensions beheld how much diligence was necessary both to the reliefe of the Mother and the preservation of the childe wherefore having provided a skilfull Midwife you must lay the woman in a darke place least her minde should be distracted with too much light all passions of the minde must be diverted by a pleasant and cheerefull conversation and provide such meat for her as is easie of concoction Let her drinke be small beere or barley water boiled with Mdidenhaire and cinamon unto which add a small quantity of Rhe●ish wine for this brings down the urine moves the Courses and facilitates the birth boiled meats are most wholsome for her as mutton boiled with Rosemary chicken broth also is good for her and so are the chickens Binding and sharp things must be avoided gentle and moderate exercise is commendable and afterwards the Midwife may rub her legs and her feet We have acquai●t●d you with the Conditions of an ill birth and now we shall furnish you with remedies to prevent or oppose those conditions When the childe goeth out in a depraved figure the Midwife must gently dilate the parts with her hand or with some convenient instrument certaine it is that this happens very often if a monster be borne in regard of the ●ad conformation of the body if a foot or an arme or the shoulders or the bu●tocks come out first then the Midwife by the activity of her hand anoynted with oyle of sweet ●imonds must thrust back the childe and dispose it to a more regular egresse but if this cannot be done the childs life is in danger and if the child perish it must either be expelled with medicines or drawn out with an ●ooked instrument as we shall shew you in the chapter next following If vehement Symptomes arise from hence all which are wont to proceed from the weaknesse of the Mother or else from clotted bloud destilling from the Matrix before the birth and that you feare a greater i●quination in regard of that putrified bloud then comfort the f●eble and deca●ed spirits of the woman with the Rhenish wine and broths aforesaid whe● this is done provoke the clotted bloud and f●culent humour by strong ligatures by rubbing her body with a course cloath and applying Cuppinglasses to her leg● and if the woman be fallen into an agony● if 〈◊〉 be young of a good ●abit full of bloud or of a sanguine complexion and if it be also the Spring time if those about her have strong fea●es that she will dye● open a veine in her ankle for thus Nature is disburthe●ed and the womb which was opprest with the weight of the bloud feel●● ease and many times the woman recovers who was at deaths doore To witnesse the truth hereof we have an authentick warrant from the writings of Hippocrates who in his booke de morbis mulier hath these words if a woman with childe be a long time restrained and cannot bring forth if she be likewise in the vigour of her age and full of bloud you must open a veine in her ankles and draw away the bloud respect being had to the strength of her body Note that he saith out of her ankles that is at one time from both ankles as Cordaeus his Commentatour hath observed unto us but yet in our Climates we conceive it sufficient to cut a veine in the left ankle onely because our opinion is that somewhat must be left to Nature who is somewhat wearied but yet able to make a further resistance After the phlebotomy curb the malice of the humours with Bezoar stone Tre●cle Mithridate Alkermes Hy●●ynth● with Lozenges made of Manus Christi Diamargariton frigidum Aromaticum rosatum and the like If great plenty of waters come away before the birth if the Matrix and the Scabard thereof remaine dry if the Cotyledo●s be contracted and straightned so that no roome is left for the egresse of the childe then must it be your indeavour to soften to moisten and make wide the passages with oyle of sweet almonds or with a warm cloath dipped in the oyle or else fill a bladder full of this oyle and lay it upon her privities or lastly you may mingle it with a decoction of onyons garlick rue and birthwort Half Tubs are in this case very profitable being made after this manner following Take the leaves of mallowes Marish mallowes of each foure handfulls Motherwort Rue Birthwort Penniroyall of each three handfulls Camomile Melilot flowers The tops of Dill of each two handfulls and a halfe The seeds of Fenugreek Marish mallowes Line of each an ounce and a halfe An ounce and a halfe of Laurell berries Boyle them all in thirty pints of water put them into a tub and let the woman fit covered in it till all things correspond with her expectations You cannot scandalize your judgement by an errour if you present her with an opening dilating and provoking draught as she is seated in the Tub the forme whereof may be this Take two scruples of the Trochischs of Myrrhe Ten graines of Borace Eight graines of Saffron Halfe an ounce of Syrup of Motherwort Three ounces of a decoction of madde● roots and rosemary Mingle them for a draught Many commend this oyntment following which they apply to the privie parts Take unguentum de
dram of Opium dissolved in burnt ●ine Mingle them for a Liniment Between the suppression of the Courses and the staying of the menstruum after a womans delivery there is little or no difference for there is one cause of both and that accompanied with the same signes and there●ore we shall not diversifie the Cure but direct the Reader to the second chapter of our first book where she may furnish her selfe with convenient remedies CHAP. VI. Of the immoderate coming down of the Courses after the birth VVE have sufficiently handled the Causes of the immoderate flowing of the Courses in our first book we have also related unto the signes wherefore now we shall tell you further from an Aphorism in Hippocrates that if Fainting and Convulsion fits befall a woman in Child-bed 't is a bad signe because they argue a great weaknesse after which follow inexpressible tortures with paine in the Hypochondriacall parts by reason of the clotted bloud a small frequent and swift pulse yea and death it selfe sometimes the woman is surprized with dotage a quinsey or a Lethargie wherefore you must labour to stop the Courses with all your best premeditation and caution and the most expedite meanes you can use are a thickning bindiug and cold diet as broth made with trotters in which you may also boile rise quinces or pease but abstaine from wine for it opens the parts thins the humours and provokes the Courses as on the contrary cold things bind thicken and stop up Rub her hands and tie Ligatures about her upper parts and according to the injunction of Hippocrates in his Aphorismes lay Cuppinglasses to her Breasts Finally if the womans strength will bear it there is not a surer remedie then letting bloud and you must open the Basilick vein twice or thrice Thickning things are very necessary and of great moment in this cure Take true bolearmenick The species Diatragacanth frig 1. of each a scruple Halfe an ounce of Syrupe of Quinces Halfe an ounce of plantane water Mingle them for a Draught or Take terra sigillata Red corall prepared Troch de carabe of each a scruple Halfe an ounce of Syrup of pomegranets Three ounces of a decoction of red rose leaves Mingle them for a Draught or Take the leaves of plantane Knotgrasse of each a handfull Red roses Pomegranet flowers of each half a handfull Myrtle seeds Sumach seeds of each two drams A dram of the juice of hypocystis Boile them to six pints in a sufficient quantity of water wherein steele hath been quenched give the strained liquor for a fomentation or Take the powder of Cyprus nuts The roots of Tormentill Dragons bloud of each a dram and a half A dram of mastick Halfe a dram of right bolearmenick Two ounces of unguentum Comitissae Oyle of mastick Oyle of myrtles of each two drams With a sufficient quantity of wax make an oyntment If these get not the victory a scruple of the masse of pills de Cynoglossa Make five pills and guild them or Take halfe a dram of new Treacle Halfe a scruple of Requies Nicholai Two drams of Syrup of poppy Three ounces of plantane water Mingle them for a Draught If any fault in the Liver as sometimes it hapneth is the cause of this evill apply cooling Epithems unto it or instead thereof you may adhibit Ceratum Santalinum mixt with the powders of Corall Roses and Camphire CHAP. VII Cures of such Diseases as usually befall a woman after she is delivered VVe are taught by Hippocrates that those Diseases which happen after the Birth are more dangerous and venomous then the rest because they are produced by agrosse impure thick and feculent bloud for the Childe in the wombe sucketh away the sweetest part of the bloud for its own nourishment which it purifies and reserves the melaneholy and thicker portion thereof being separated and forsaken which if the providence of Nature doe not duly evacuate and purge away the woman in Childe-bed will without all doubt be invaded by strong and vehement Fevers by reason of the boyling and putrifying of the bloud in the veines of the Matrix which according to Galen are very large in the first place therefore let the Patient be carefully attended and begin the Cure by opening a veine by Cuppinglasses applyed to the calfes of her legs with Scarification and laying Leeches to the Hemorrhoids But the Controversie will be what vein must be cut for if she bleed from the arme you draw the bloud upwards if from the ancle you weaken the body and contribute no ease but if you will follow my direction tie strong Ligatures about her thighes and legs having first well rubbed them and then open the Cubit veine without any discouragement for this cleanseth the very Minerall sinke and puddle of the putrified Humours Galen indeed affirmeth that if a veine be opened in any part of the body it will exhaust and emptie all the Vessells but not equally and in all respects alike for we deliver it for an undoubted truth that the whole masse of bloud will soonest flow away if the Basilick veine be opened which is greater then any of the rest and of the same Judgement is Fernelius who saith if the menstruum flow away from women in Childe-bed thorough the vehemence of a Fever you must cut the Cubit veine At the beginning you must refraine the use of purging medicines for although you should make choice of such as are most gentle in their operation yet they stir the humours and doe not expell them from convenient places Againe should you prescribe strong purges they would draw back the menstruum from the Matrix to the stomack and disturb Nature when she is labouring to expell it and that this were no rationall and well-grounded meanes of Cure but rather a rash and preposterous adventure any sober judgement will acknowledge because the expedition the Art and the Mystery of the whole Cure consisteth in the provocation of the Menstruum If it be a violent burning Fever prescribe such things as will qualifie and temper the heat of the bloud but avoide cold Simples because they keep in the menstruum by binding up the parts neither may you be too bold with hot things for they inflame the bloud These Glysters following will be of excellent use for the purpose aforesaid Take nine ounces of some softning Decoction An ounce and a halfe of the Electuary called Diacatholicon An ounce of hony of roses Butter and oyle of sweet Almonds of each halfe an ounce A dram of salt mingle them and make a Glyster or Take nine ounces of mutton broth well boiled The leaves of Motherwort Violets and Pellitory of the wall of each a handfull Pellitory of the wall of each a handfull Two ounces of honey of roses The yolkes of two eggs An ounce of oyle of Violets mingle them and make a Glyster You may make a Ptisan of Raisins Barley and Licorish which will be very profitable for the sick