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Word A	Word B	Word C	Word D	Occurrence	Frequency Band	MI	MI Band	Prominent
death_n	woman_n	womb_n	wound_n	28	3	8.4991	4	false

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ID	Title	Author	Corrected Date of Publication (TCP Date of Publication)	STC	Words	Pages
A94421	The hidden treasures of the art of physick; fully discovered: in four books. 1 Containing a physical description of man. 2 The causes, signes, and cures of all diseases, incident to the body. 3 The general cure of wounds, tumours, and ulcers. 4 A general rule, for making all kind of medicines; with the use and nature of distilled waters, juyces, decoctions, conserves, powders, elestuaries, plaisters, &c. To which is added three necessary tables, 1 sheweth the contents of the four books. 2 Explaineth all the terms of art which are used in physick and chirurgery. 3 Explaining the nature and use of simples, what they are, and where they grow. A work whereby the diligent reader may, without the help of other authors, attain to the knowledge of the art above-named. / By John Tanner, student in physick, and astrology.	Tanner, John, ca. 1636-1715.	1659 (1659)	Wing T136; Thomason E1847_1; ESTC R203798	295,583	577

Inflammation imposthumate and gather Matter the pain and Feaver encreaseth and the Patient hath shaking Fits and most of all about the Evening Sometimes it turns to an Ulcer which is known by avoiding of snotty Matter or Quittor out of the Womb. If it be party-coloured greenish or Lead coloured stinking and cometh away with great pain it is the worse If it depend upon the French Pox or Gonorthaea their Symptoms will declare the same Sometimes the Inflammation turns not to an Imposthume nor Ulcer but to a painlesse hard Swelling called a Schirrus which is thus known the Feaver and pain ceaseth and the Swelling remaineth there is a hardnesse heavinesse and Sense of Weight bearing down when the Woman standeth As to the Prognostick I shall say a word or two of either of them An Inflammation of the Womb is a dangerous and de adly Symptome especially if the whole Womb be inflamed If a Woman with Child suffer Inflammation of the Womb the Child dyeth and probably the Mother followeth Ravings Hiccoughs Coldnesse of the Hands and Feet and cold Sweats are the Messengers of Death If it imposthumate and turn to an Ulcer it ought not to be slighted because the Womb is of exquisite Sense and hath a fellow-felling with the principall parts of the Body If the Ulcer turns cancrous hollow or fistulous it is seldom or never cured but vexeth the Patient miserably all her life-time An Ulcer in the Neck of the Womb is most easily cured because Medicines may be applyed to them immediatly A Schirrhus or insensible hard Swelling is seldom cured because the naturall Heat is so weak in that part that it can hardly discusse such an hard and almost stony Substance If it be not cured it soon brings a Dropsy and if it be tampered with with over hot and moist Medicines it turns to a Cancer The Cure you must prosecute thus First in the Inflammation of the Womb give a cooling Clister then open the Basilick Vein on the same side the Womb is inflamed if all the Womb be inflamed repeat your Phlebotomy afterwards open the lower Veins Rubbings and Bindings are good and Cupping-Glasses fastened to the Loins and Back Purge the Humour offending with such things as purge gently Then give cooling Juleps or Emulsions to allay the Heat and sharpnesse of the Humours mix therewith Narcoticks to give ease and rest if the Patient be tired out Apply cooling Liniments and Cataplasms In Liniments use the Oyl and Ointment of Roses Galen's cooling Ointment Ceratum Santalinum and such like and with the Oyl of Roses white Bread and Milk make Cataplasms adding the Juyce of Henbane Night-shade Plantant and Sorrell or instead of the white Bread the Meal of Barly Flax and Fenugreek Seed Of such cool Herbs make Injections and Pessaries But use not cooling and repelling too long lest the Tumor be fixed and hardned but rather use softning and discussing Medicines with repelling such as these viz. Marsh and cōmon Mallows Mugwort Melilor Camomill Fenugreek If the Patient be subject to be costive give gentle purgers or mollifying and cooling Clisters If the pain be very violent make Injections with new Milk and a little Opium and make Pessaries of Philonium Romanum and a little Cotton and apply it If it tends to Suppuration apply a Cataplasm made of the aforenamed softning Herbs fat Figs Yolks of Egs Saffion Oyl of Lillyes and fresh Butter When it is broken we must endeavour to purge out the Quitter and cleanse the Ulcer You must often purge with gentle Medicines as Senna Rubarb Tamarinds Mirabolans Agarick Catholicon and such like that the evill Humours may be diverted from the Womb for such who are easy to vomit a gentle Vomit is very profitable Make a vulnerary Drink to cleanse and heal the Ulcer Take of Agrimony Burnet Mugwort Knot-Grasse Plantane and Yarrow of each one Handfull China Root half an Ounce Rha Ponticum one Ounce Currance and French Barly of each two Ounces boil them in Chicken-Broth and let the Patient take somewhat more then a Quarter of a Pint Morning and Evening Venice Turpotine washed in Mugwort Water or in the Water of any other Herb respecting the Ulcer is good to cleanse and heal it If the Humours be sharp and painfull inject the Emulsion of the cold Seeds Goats Milk or for want thereof Cows Milk with the Juyce of Shepherds Purse or of any of the Herbs aforenamed To dry and fill up the Ulcer make a Decoction of the aforenamed Herbs or of the like Nature made in Water wherein Steel hath been quenched or in Plantane Water add thereto Acacia Hypocistis Sanguis Draconis Bolearmenick fine Starch Aristolochia rotunda great Comphry c. Unguentum Egyptiacum de Plumbo de Ceruso and de Apio are very good in Injections and the Oyl of the Yolks of Egs stirred in a Leaden Morter is much more commended If the Ulcer in the Womb come by reason of the French Pox a Fumigation made of Cinnabaris or Minium taken into the Cavity of the Womb hath a peculiar property to cleanse and heal the Ulcer the same virtue hath Quick-Silver Ointments If it come to a Schirrhous Tumor you must purge the melancholy and rebellious Humours and give steeled and such Medicines which powerfully open Obstructions of the Womb or other parts Then you must prepare emollient and resolving Medicaments to be applyed outwardly as the Fomentation and Cataplasm mentioned in the 56 Chapter Of the Schirrbus of the Liver Likewise the Liniment there prescribed may serve here for an Injection To conclude you must use a great deal of care diligence and industry in this Cure lest that the Tumor become harder or which is most dangerous degenerate into a Cancer CHAP. LXXVII Of the Womb swelled by Wind or Water There is a twofold Dropsy of the Womb one from Wind which is like that sort called Tympanites the other from a watry and wheyish Humour answering to Ascites Some add a third answering to Leucophlegmatia which is seldom seen This Wind or Water is contained in the Cavity of the Womb or in the Membranes thereof or in certain Bladders It is caused by the weaknesse of naturall Heat in the Liver or Spleen from which parts Wind Phlegm or wheyish Humours are sent to the Womb or by the weaknesse of the Womb those Humours are collected Causes which weaken the naturall heat of the womb are many viz. cold aire heedlesly taken into the womb or staying in the cold or padling in cold water whilst the courses flow the use of cold meates and drinks add to these abortion hard labour immoderat flux of the Termes all diseases proper to the Womb. This disease is best discovered by signes which distinguish between this and the universall Dropsy of the Belly The Womb-Dropsy causeth a swelling chiefly in the lower Belly in the other Dropsy the swelling is in all parts in this the Body decays not nor there is not such a Thirst and Drinesse of

the Tongue as in the other and Wind and Water sometimes bursteth out at the Mouth of the Womb. Secondly to distinguish between the sorts of these Dropsyes consider if Wind be the Cause the lower part of the Belly being struck giveth a Sound thence is a pricking pain in the Belly which reacheth to the Diaphragma the Womb riseth like a Globe towards the stomach Wind bursteth our of its Neck and the Patient is subject to Belching and when she breaketh Wind she findeth some ease If a watry wheyish Humour be the Cause the part appeareth soft and flaggy with a Noise of Water and great Heavinesse If from Phlegm it will be more soft and the parts adjacent as well as the Womb have a phlegmatick Swelling Thirdly you ought to consider whether this Disease hath its originall in the Womb or by consent of other parts thus if there appear Symptoms of the whole Body or some part thereof to be misaffected viz. if there be long Feavers or a Flux of Blood Distillations from the Head Weaknesse of the Stomach Swelling of the Liver and Spleen and other stubborn Diseases in those arts judge that the Womb receives its Distemper frō some of these parts On the contrary if the Body and all the parts are in good health saving some particular Disease of the Womb then judge that the Disease hath its originall in the Womb. Fourthly to know whether the Wind or watry Humour be in the Cavity of the Womb or in little Bladders take these two Rules that if it be in the Cavity of the Womb it maketh a greater Swelling and more Water flows out at the Neck of the Womb. Secondly if little Bladders of Water come forth it is an evident Signe that the Water or Wind is not contained in the Cavity of the Womb. Fifthly this Womb-Dropsy is easily distinguished from Tumors of the Womb caused of blood or Choller because there is no Feaver nor pain in the touching of it it differeth likewise from a schirrhous Tumor for it is not so hard as not to yeeld to the finger Sixthly it is very convenient to distinguish between this Disease and a Woman's being with Child when a Woman begins to be big with Child the bignesse of her Belly buncheth out in this Disease it is depressed and flat in the first the Woman's Dugs do swell in the latter they become extenuated and smaller Women with Child after a while grow better and better but in this Disease they grow worse and worse Again the Child is manifestly perceived to stir Lastly you must distinguish between this Disease and the false Conception Mola thus in Mola Women find a great heavinesse in their Wombs and when they turn toly on either side it roules like a Stone to that side again they that have conceaved with Mola for the most part have a violent Flux of their Terms every third or fourth Month and lastly the Dugs swell and sometimes have Milk in them which things never happen in this Womb-Dropsy Sometimes this Disease cometh not to the height but proveth an Inflation if it continueth if the Humour be void of Putrefaction though it continueth long yet it is curable nay sometimes it floweth out of its own accord If wind or water be in the cavity it is evacuated with more ease then if it be shut up in Bladders If the Humour be malignant and sharp it produceth the like Symptoms and is dangerous for the most part deadly You must begin the Cure with Phlebotomy if the Disease hath its originall from the Terms and the Body be plethorick other wise it will much hurt because natural Heat is much weakned thereby Then you must give such things as have power to purge open provoke Sweat and move the Courses you need go no farther then to the 58 and 71 Chapters treating Of the Dropsy and Green-Sicknesse Give a gentle Vomit twice a week if the Woman be easy to vomit The Heat of the Stomach must be cherished and maintained by Medicines prescribed in the Chapters treating of the Diseases of that part and the Womb must be strengthned and the peccant Humours discussed by Fomentations or Baths made of the Decoction of the Roots of Briony wild Cucumber and horse Radish the Leavs of Dwarf-Elder Mercury common Elder Origanum Calamint Rue Sage Wormwood Marjarom Mugwort Pennyroyall Time the Seeds of Annis Fennel Broom Carrots Cummin Bay and Juniper the Flowers of Camomill Melilot and Rosemary If it be a windy Dropsy a dry Fomentation will be much better Afterwards anoint with the Oyl of Nard Rue Wormwood Dill and Southernwood Give frequent Clisters and Injections to evacuate the Humours contained in the Womb then make Pessaryes of Coloquintida Elaterium Mechoacan and such like with Hony and apply it Nitrous and sulphurous Baths do profit much and if the Disease proceed from Humours falling to the part let Issues be made in the Thighs CHAP. LXXVIII Of the falling down of the Womb. SOmetimes the Womb looseth its natural Scituation and falleth down to the water-gate sometimes out to the very Thigh All things that may cause a Rupture or Relaxation of the Ligaments of the Womb may be a cause of this grief as a Blow Fall dancing leaping lifting carrying violent sneezing or coughing especially in Child-bed or being big with Child Tenasmus hard Travel a violent drawing the Child out of the Womb or of the after-birth or the expulsive Faculty of the womb being violently provoked to expel a dead Child after birth or the Mole and many such like Accidents may be the cause of the breaking of the Ligaments and falling out of the Womb. A Relaxation of the Ligaments may be caused by a long Defluxion by Crudityes the Whites external Causes may be prevalent as bathing in cold water the Southern or moist Air being received into the Womb soon after a lying in Meat of a cold and moist Nature to conclude all Meats Drinks and Actions which will breed Phlegm or cause its Deflux into the Womb. This Disease needs no Signes to discover it by it being apparent to the Sense the causes may be thus distinguished If it come by Loosenesse of the Ligaments it cometh by little and little the pain is leffe causes moystening the Womb have preceded If it come by a Rupture there is a violent pain sometimes Blood starteth out and such causes which have been able tobreak the Ligaments have preceded If the womb fall down by a rupture of the Ligaments it is incurable That which comes by a relaxation of the Ligaments is not very dangerous but troublesome to the patient it hinders her walking conception and monthly Purgation In young Women it is caslier restored to its place than in elderly The womb coming not far out and if taken in time the Cure is farr more easy then if the contrary happen Sometimes grievous and violent Pains do attend it and threaten Death Sometimes the Air corrupteth the womb and it becomes gangrenated so

little and flaggy she feels a heavinesse about the Loius and Hips she hath no appetite to eat nor desire to stirr she hath a shivering by Fits she hath Streightnesse of the Sides and Belly above the Navell and a pain in her Head plenty of Milk flowing from the Dugs shews that the Child is weak and danger of Abortion If pains about the Reins Loins and Share torment the Woman then know that Abortion is hard at hand the same judg if Blood or Water burst out and flow and the Scituation of the Child is changed from the middle of the Belly to the Bottom If any of these or the like Symptoms befall a Woman with Child after any externall cause of Abortion as Blow Fall c. let the Woman betake herself to her Bed and take such Medicines which prevent Abortion Prognosticks of Abortion are thus made Women are more endangered by Abortion then by a naturall and timely Birth because in a timely Birth the Vessels and Ligaments are loosned and opened of their own accord but in Misearriage they are broken in sunder the like you may perceive between the Stalk of ripe and unripe fruit Women many times become barren by Miscartiage because the womb is rent and its natur all disposition much altered Much bleeding seconded with Convulsions raving and fainting is alwayes deadly If an Inflammation of the Womb follow Abortion it is deadly In young Women who never bore Child before it is worst because the passage is narrower and they more unaccustomed to pains The bigger the Child is the more the danger Women who have moist and slippery Wombs do often miscarry and with little danger To prevent Miscarriage you must before and after she is with Child endeavour to remove all evill dispositions of the Body or Womb that may cause Miscarriage if Blood abound open a Vein purge the peccant Humours strengthen the Womb but if the Woman be with Child beware how you bleed except it be in the first month and the Body full of Blood and in this case let Purges be gentle and often reiterated To conclude to streng then the Womb fetch Medicines from the 73 Chapter CHAP. LXXXI Of hard Travel in Child-birth HArd Labour is when more vehement Pains and dangerous Symptomes happen to Women in Travell and continue a longer time There are divers causes some whereof may be assigned to the weakness of the Womans Body Leannesse or Drinesse as well as Fatnesse of the Body her Age or Sicknesses as the Stone or preternaturall Tumor in the Bladder or any Disease of the womb Other causes may be assigned to the Child when its Body or Head is too big when there are two or when the Child is dead or when it endeavours to come forth with his Feet Hands Back Belly or Breech c. A cold and dry Air and Northern Wind streightneth the Body and driveth the Spirits inward and is obnoxious to the Child's first entrance into the world If the Air be more hot then ordinary it is as bad as the former for it dissipates the Spirits exhausts the Strength and introduceth feavourish Distempers into the Bodyes of Mother and Child Meats of a hard digesture or astringing quality taken a little before the time of Delivery Sleepinesse and Sortishnesse the Retention of Excrements all vehement Passions of the Mind want of an expert Midwife and Women to assist the labouring Woman may be causes of hard Labour Hard Labour is easily known to the Woman herself to the Midwife and the Assistants The time of a naturall Birth ought to be accomplished in the space of twenty four houres if the Woman continue a longer time it is hard Labour If her pains be weak and long before they return and more about her Back then Privityes the causes may easily be known many you may gather from the Relation of the Woman in Travell her Leannesse Weaknesse Fatnesse and Age is perceived Diseases of the Womb and Bladder may be known by their proper Signes The Bigness and disorderly Posture of the Child is soon seen by an expert Midwife If the Child be dead you may know it by these Signs the Breasts of the Woman become flat and flaggy her Eyes hollow and troubled her Face and Lips are of a pale and leaden colour her Belly is cold there is a Sense of Weight there is no Motion felt though you apply somthing wetred in the Decoction of Tansy warm to her Navell When the Woman turnes the Child sways that way like Lead If the after-Birth come away before the Child it is a Sign of the Death of the Child And if the Child cometh not away it soon putrifieth and stinketh and stinking Moisture floweth from the womb and their Breath stinketh Hard Labour is dangerous for sometimes the Mother sometimes the Child and sometimes both do lose their lives Sleepy Diseases and Convulsions if they befall a Woman in Travell death is at hand If the Woman be in Travell above three dayes it is likely the Child will dy If the Woman fall a sneezing in her Travell it is good saith Hippocrates If the Child be dead the danger is exceeding great especially if it be not brought soon away for it will cause Feavers Faintings Convulsions dead Sleeps and death it self In difficult Labour first all causes which hinder the Birth must be removed if it be possible then such things as further the Birth must be administred An Ounce of Oyl of sweet Almonds and a Drachm of Confectio Alchermes given in Broth is good Burn white Wine with a little Saffron and Cinnamon afterwards dissolve a little Alchermes this I have found very powerfull to hasten the Birth If you find this Medicine too gentle make a Julep of more efficacy thus Take of the Water of Mugwort and Vervain of each two Ounces the Sirrup of Maiden-hair one Ounce Confectio Alchermes half a Drachm Dittany of Creet and both Birth worts of each one Scruple Oyl of Cinnamon five Drops mix them and make a Potion Oyl of Amber fifteen Drops or the Extract of Saffron five Grains may be either of them mixed insteed of the Oyl of Cinnamon Provoke sneezing and open the lower Veins if need be Then let the Midwife anoint the Mouth of the womb with the Oyl of Lillyes and Sweet Almonds and the like and foment the Belly with a mollifying Decoction and in a dangerous case give a sharp Clister Some things have a peculiar property to help the Birth as the Stone Aetitis Loadstone and Storax held neer the Privityes the Eyes of a Hare taken out in the month of March and dryed use it as the Stones and when the Woman is delivered take them away lest it draw out the Womb. Some commend the Gall of an Hen applyed to the Navell If the Child be dead give the same things before mentioned but it is convenient to make them stronger by adding Savin Water and the Leavs of Savin dried the Troches of Mirrh

vitall Heat is decayed and the Body oppressed with cold and moist Humours The other Cause you may discover in those whose Bladder nor Sphincter is no ways distempered but they imagine when the Quantity and Sharpnesse of the Vrine stirreth up the expulsive Faculty that they are pissing against the Wall and so get a custome of it which cannot be cured by Medicines The Sphincter Muscle may become weak or loose by Youth old Age decay of vitall Heat by the Palsy in Women from Diseases of the Womb or hard Labour cutting for the Stone or any Wound there or deep Vlcer This Disease is easily known and the cause thereof is as easily discovered if it come by Wound Vlcer old Age or the like it is apparent If it come by consent of other parts the Diseases of those parts are obvious as the original If neither of them appear consider the cold and moist Temper of the part which is known by the internall and external causes and the Effects upon them depending as Softnesse of the Body Whitenesse and Loosenesse of the Nervs about the privityes Childhood Age evill phlegmatick Concoction and such like In old Men this Disease is incurable because the vitall Hant cannot be repaired In Children Nature worketh the cure when they grow elder by drying up the superfluous Humidity and knitting the Muscle but if a man continue so till the Age of twenty or twenty five he is incurable If involuntary Pissing come to a man sick of an acute Feaver Death is at hand If this Disease come by a Wound or Vlcer or any other manifest Disease the cure depends upon the removing of them otherwise the cure is wrought by amending the cold and moist Distemper and the Loosenesse of the Sphincter Muscle First you must purge the cold and phlegmatick Humours add to your phlegm-Purgers such Medicines which purge and leav a binding Quality behind it as Rubarb Myrabolans and the like Then give Medicines that knit the part and dry the Humours Take of the Roots of Comphry and Cypresse of each half an Ounce Cypresse-Nuts and Myrtles dryed of each two Drachms Coriander Seed prepared red Corall Amber and Shavings of Ivory of each one Drachm the Seeds of Plantane Rue and Acorn cups of each two Scruples powder them and with the Sirrup of Comphry make an Opiate and give the Quantity of a chesnut Morning and Evening or drink half a Drachm of the powder in red Wine Sweating Medicines are much cōmended Things proper for the cure of this Disease are the Brain and Stones of a Hare burnt the Throat of a Cock Snails and Egg shells Mice fryed or dryed to powder Hogs Hoofs powdered Agrimony and the Gizzards of Hens in powder Apply Medicines to the Privityes that are hot strengthning and astringing Let him drink the Decoction of the inward Bark of an Oak of Sloes and such like and let him avoid drink to bedward You must allay the Symptomes which may accompany this Disease as Feavers Thirst Watchings Consumptions c. by the Remedies laid down in their proper chapters CHAP. LXVIII Of the Stoppage of Urine and Strangury THe Stoppage of Urine and the Strangury are Diseases which differ onely in degree the first is called by the Greeks 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 the other 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Iscuria is when the Urine is totally stopped when little is voided then it is called Stranguria The first is caused by an Obstruction in the Nerv which helpeth the expulsive Faculty of the Bladder by the Palsy or some sleepy or stupifying Disease A cold Distemper of the Bladder dulling the Sense thereof may be the Cause Sometimes an Inflammation or Tumor in the Muscle of the Bladder may stop the Passage the Stone some thick humor clod of Blood or the like Sometimes by long holding of Water by which the Bladder is so stretched that it cannot contract it self to open the Passage Sometimes the Bladder is empty no Urine cometh to it this is called a bastard Iscuria and may be caused by some hurt in the attractive or expulsive Faculty of the Roins The attractive Faculty is hure by some Stoppage in the Reins or emulgent Veins The Reins may be obstructed by the Stone thick Phlegm or the like the emulgent Veins by abundance of Blood or Water Sometimes the watry humour is spent as in Feavers or sent to some other part as in the Dropsy by which means the attractive Faculty of the Reins is hindered The expulsive Faculty of the Reins is hindered by the Stone Phlegm or clods of Blood Diag The Disease is easily known the Causes thereof may be obtained If it come by long holding the Urine the Patient is able to inform you If there be a stoppage in the part the use of the Catheter or fearing Candle and the ingenuity of the Artist will discover the Nature of the stoppage If the Passage be stopped by the Stone the Symptoms of the Stone have gone before If a Caruncle there hath gone before a Gonorrhaea or an Vlcerin the passage of the Yard If clods of Blood stop the Passage the Patient hath formerly voided Blood and clotted Blood will stick to the Catheter The Strangury is thus known there is neither Weight Tumor or Extension about the Privityes but rather an Emptinesse the attractive or expulsive Faculty of the Reins is obstructed as aforesaid Prognosticks are thus made This Disease is ever dangerous if it continue above seven dayes it is deadly The same judge if the Patient hath Hiccough or Tenasmus accompanying this Disease or if it came by a Wound or Blow upon the back-bone or if his Breath stink of Pisse The Cure of both these consisteth in removing the Causes If it proceed from the fullnesse of the emulgent Veins bleeding is good if from Diseases of the Reins or Ureters seek the Cure out of the Chapters that treat of the Pain Inflammation or Stone in the Kidneys If it depend upon the Inflammation of the Bladder see the 64 Chapter If upon the Stone fastned in the Neck of the Bladder lay the Patient upon his back with his Thighs lifted up move him hither and thither till the Stone fall out of the Passage if that will not do make use of the Catheter If the Stone lyeth in the Passage of the Yard bathe the Yard in warm Milk or Oyl labour to get it out with your fingers if it will not come out bind the Yard on each side and make an Incision on the upper side of the Yard If a Caruncle stop the Passage Medicines which are proper to take it away must be conveyed to the part with a Wax-Candle If Phlegm obstruct purge it with Medicines convenient and when you see occasion give such as provoke Urine The Chapters of the Stone of the Bladder or Kidneys will direct you how to prepare them as also Clisters Fomentations Unguents and the like CHAP. LXIX Of the Scalding of the Urine 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Dysuria in

that there is a Necessity that it be cut off You must begin the Cure with such Medicines that may discharge the Guts and Bladder of their Exerements that they may not hinder the Reduction of the womb Then let her ly upon her Back with her Thighs wide asunder and draw up her Knees and let her with her own hands or by the help of a Mid wife thrust the womb inwards or that you may drive it in farther and hurt her lesse make a Pessary of linnen cloaths and with it thrust up the womb first anoint it with the Oyl of Lillyes and if it be swelled use a Fomentation of Althaea common Mallows Fenugreek and the like Before you repose the womb to its place anoint it with the Musilage of Comphry Roots or Infusion of Gum Traganth or any thing that is of a glowing Nature When it is up let the woman ly with one Thigh over the other and put up toward the Neck of the womb a little wool wetted in ted wine or Rosewater wherein Acatia and Hypocystis hath been dissolved Rodericus à Castro adviseth the Physitian to come with a red hot Iron and to make as if he would thrust it into the womb Avenzoar and Zacutus Lusitanus after the use of all means and devices by this Stratagem reduced the womb that is having laid her down as before said and one held down her Thighs and another her Breast then put her into a great fright by setting Mice or Frogs to run up her Legs and Thighs by this fright the womb hath been reduced into its proper place for by this means Nature contracteth her self for fear and draweth the womb with her Then lay a plaister against Ruptures on the Region of the womb and Groins and have a care that you keep the Body that it be not costive nor too soluble To conclude all the Medicines externall and internall prescribed against the immoderate flowing of the Menstrues are here good but beware you use them not when the Courses should flow and lest by the frequent use of such Medicines they should be hindered your Patient being young having her Courses monthly be sparing in the use of them but rather let her wear a Trusse CHAP. LXXIX Of Barrennesse BArrennesse or Sterility is an impotency of Conception the principall causes thereof are four first when the Woman doth not conveniently receiv the Man's Sperm into her Womb and this happeneth by divers causes viz. If the Woman be too young and the Neck of the Womb too strait for the Man's Yard the same happens to elderly Virgins being not exercised in actions tending to Generation their genitall parts become flaggy withered so streight that they canot easily admit of the Man's Yard some are lame and crooked that they cannot ly in a fit posture some have a cold Distemper in the Womb that they are dull and have no delight in the act others are very fat which causeth a Streightnesse in the passage or their Bellyes being big hinder their due conjunction with the Man Want of love between a Man and his Wife is a great cause Diseases in the Womb or the adjacent parts hinder the Reception of the Seed The second cause of Barrennesse is when the Woman doth not retain the Seed of the man in her Womb for sometimes the Womb is moist and slippery and full of excrementitious Humours by which means the Sperm doth easily slide back again and the Orifice of the Womb is so loose flaggy that it cannot contract it self to hold the Seed or it may be so slack that it cannot contract to do its Office and this Slacknesse may be occasioned by a breaking of the Fibres of the Womb one from another in hard Labour or Abortion to say all the Whites or any moist Distemper of the Womb may be the cause of Barrennesse Thirdly want of sufficient Nourishment of the Womb to cherish the Seed may be the cause of Barrennesse and this comes to passe by any Distemper of the Womb that doth corrupt the Seed a cold Distemper extinguisheth a hot Distemper dissipateth the Spirits in the Seed a moist Distemper hindereth the Seeds coming to its due Thicknesse and a dry Distemper consumes and drinks up the moisture of the Seed Some say Witchcraft and Charms may be the cause certain Meats and Poysons many things are antipathetical to Faecundity as Vinegar Mints Water-cresses Beans and such like Jet Glow-Worms Saphires Smaragds the Matrice of a Goat of Mule malignant Diseases may corrupt Seed and hinder Conception as stinking Ulcers the French Pox leprous Infections and the like The fourth thing that hinders Conception is when the Woman wants fit materialls for the formation of the Embrio to augment the same and this chiefly dependeth upon want of seed menstruous blood and this defect happeneth to those that are too young or too old the determined approved age is from fourteen to 50. Likewise the materials may be ill disposed through evill diet which cannot breed blood or good seed Diseases weakening nature may cause the same Add to all these causes a disproportion or unsureablenesse between the man's Sperm and the Woman's that is when the man and the Woman are of one Complexion by which means the seed of either of them partake of the same excesse that is that they are either too hot or too cold hence it cometh to passe that the same Woman who could never have a Child by her Husband after his Death hath Children by another man and a man by another Woman Sometimes a man and Woman live ten years or more together and have no Children and afterwards the woman conceaveth and bringeth forth and this cometh to passe by the change of Temperature caused by years I should now lay down the Signs of all these causes but most of them are evident to the Senses and the rest he who cannot discover hath not a Head befitting a Physitian therefore to abbreviate the work I shall leav it to the search of the Ingenious and trouble the Reader with a few Rules left by the Ancients to try whether a Woman be naturally barren or no Hippocrates adviseth to wrap the Woman close in Blankets and burn some Perfume under her and if the Smell proceed through her Body to her Mouth or Nostrills then certainly she is fruitfull The same Author adviseth to put a clove of Garlick peeled into her womb or Galbanum and if the Smell come to her Head or Mouth judg that she is fruitfull Amatus Lusitanus to try whether a Woman be fruitfull or no giveth a Drachm of Hares Runner dissolved in warm water to the Woman being in a Bath of hot water fasting and if the Woman findeth pains in her Belly he judgeth her fruitfull if she hath no pain he judgeth her barren Some steep Barly in the Urine and if it shoot within ten dayes they judg the Woman fruitfull Before you try these uncertain conclusions upon the Woman

and Castor Then foment the Privityes and Share with a mollifying Decoction to which add Briony Roots and the Roots of wild Cucumber round Birth-wort and the like And put up a Pessary made in this manner Take of the Roots of round Birth-wort Orice black Hellebore Coloquintida and Mirrh of each one Drachm Galbanum Opopanax of each half a Drachm with Ox Gall make a Pessary and apply it If all this will not do you must implore the help of the Chirurgion If the After-birth be retained you must endeavour to expell it by such Medicines as expell the dead Child to which add these which are said to have a specifick property the Stones of a gelded Horse dried and powdered and given as much as will ly on a three pence two or three times as need requireth is commended by Gesnerus and Augenius Some commend the Juyce of an Onion given in Wine or an Onion held in the Woman's mouth between her teeth and the Juyce squeezed out and swallowed and a Draught of white-Wine drunk after it Or 20 or 30 drops of the Oyl of Juniper drunk in Wine or the Juyce of Lovage taken in Renish Wine If her Purgations flow immoderately that you fear the Death of the Woman or in case her Purgations be suppressed which may cause dangerous Symptoms have Recourse to the Chapters treating of those Maladyes Many Women are much troubled with after-pains which do much afflict them and these pains are caused either by the Thicknesse or Sharpnesse of the Blood or by Wind. If the Blood be thick you may know it by its clotting if thin by its Tenuity or yellow Colour If the Blood be thick give this Julep Mugwort water two Ounces sirrup of Violets oyl of sweet Almonds of each half an Ounce If the Blood be sharp add to the former the Musilage of Quince Seeds drawn with Violet Water half an Ounce If Wind be the Cause of these Pains which you may know by its Motion from one part of the Belly to the other then give inwardly and apply outwardly carminative Medicines Take of the Seeds of Carrots one Drachm of Annise Nutmeg and Cinnamon of each a Scruple make them into fine Powder and give it half at one time in Wine Foment her Belly with the Decoction of Bawm Bay Leavs Camomill Calamint Mugwort and the Seeds of Carrots Caraway and Cummin and lay on a Pultise made of boiled Onions Camomill Flowers the Seeds of Flax and Cummin beaten and Barly Meal CHAP. LXXXII Of the Gout and Sciatica 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Arthritis in Greek in Latine Articularis Morbus is the Joynt-Sicknesse caused by an Influx of Humours into them which causeth pain in the Membranes Tendons and Nervs Authors do commonly make four sorts of Gouts according to the diversity of the Joynts affected as 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Chiragra the Hand-Gout of 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 a Hand 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Gonagra when it is in the Knees of 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 the Knee 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Podagra when it is in the Foot because the Greeks call the Foot 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Ischias the Hip-Gout or Sciatica of the word 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 the Hip. The immediate cause of the Gout is a wheyish Humour flowing to the Joynts and by its Quantity stretcheth the sensible parts or by its Sharpnesse twitcheth them and this Humour floweth not onely from the Brain and Head but from all parts of the Body The cause may be attributed to all Meats which encrease raw and wheyish Humours Meats of a grosse Substance hard to be digested and such as afford plenty of Excrements Gluttony Drunkennesse immoderate Venery therefore the Gout is called the daughter of Bacchus and Venus long Sleep and unseasonable Watchings Fear Sadnesse continuall care and intermission of such Excercises or Evacuations as men have been accustomed to and the like The beginning of the Gout is known thus there is a more exquisite and quick Sense in the Joynts then formerly they are easily hurt as by a new shooe walking the least touch against any hard thing Commonly a Feaver ushers it in and at its approach there is a kind of unusuall Heat felt in the Joynts and a Motion as if some living Creature were therein after which followeth a tormenting pain in the Joynts for the most part beginning in the great Toe and attended with Rednesse and Swelling The Signes of the causes or the Humours which are mixed with the wheyish Humours are thus considered If choller be mixed with the wheyish Humour the Urine is thin yellowish or red the pain great and violent the Feaver comes to the height the part is swelled is red or pale but very hot the application of cold things giveth ease If Phlegm be mixed there is a soft and loose swelling of the part the pain not so violent the Urine is thick and troubled little or no Heat and hot things give ease If Melancholy be the Humour mixed the Temper of the Body inclineth to Melancholy and there is a wearinesse felt all over the part is of an obscure Colour like Lead the pain deep and the Urine thick and melancholy The Gout is no dangerous Disease but it continueth long and is attended with violent pain for the most Part to the end of a man's life and sometimes it is a means of long life because Nature doth drive the vitious Humours to the Joynts which if they should fall upon the more noble parts would be a means of great Diseases if not death it self But in weak Bodyes that are decayed by Sicknesse or Age that Nature cannot expell these Humours to the Joynts many dangerous Diseases are ingendered He that hath no knots in his Joynts is inclinable to Labour and is for the most part soluble by a skillfull Physitian may be cured An haereditary Gout is seldom or never cured If the Veins of a gouty Person do swell with black Blood there is hopes that the Gout leavs him If the Gout doth not return at its season it is dangerous unlesse the matter be taken away by Medicines for it is an argument that Nature is weak and cannot expell it The Cure of the Gout is to be performed by stopping the Flux of the Humours into the Joynts by removing the Humours in the Joynts and to abate the Sharpnesse of the pain If the Patient be full of Blood and strong let him bleed in a great Quantity or let him blood often till the plenitude of Blood be sufficiently abated Then let him be purged with strong Medicaments which may evacuate the stirred Humour and turn the cause from the Joynts Whilst you are purging let Ointments or Plaisters be applyed to the Joynt above the part affected of an astringeing and drying property by which the Humours may be intercepted that they may not so much nor so forcibly fall into the Joynt Let your Ointments be made of the Roots of Snake-weed

Creature which inflicted the Wound were not venemous the pain is less and the danger not so great and the Cure easily performed by ordinary Medicines CHAP. IV. Of a Wound in the Nerves Tendons Ligaments Veins and Arteries VVHether Nerve Tendon c. are wounded may be easily conjectured and how and with what weapon it was done the Patient will be able t● inform If a Sinew be burnt there is great pain hurt both of sense and motion sometimes a Feaver Inflammation Convulsion or raving a breach or wound of a Vein or Artery is known by profusion of bloud But whether the Vein or Arterie be wounded their proper figns must distinguish viz. the bloud black and thick with an equal fluxion sheweth a wounded Vein but if the bloud be thin and yellow and cometh forth leaping like the motion of the Pulse then is the Artery wounden The Nervous Ligaments will endure Medicines of great force If in Wounds of this nature a Tumor appear and afterwards vanish away it threatneth danger of Convulsion and Raving If a Nerve be wounded overthewart and not cut alunder it brings the move peril of Convulsion An Artery cut overthwart is sooner joyned together then if it were severed longwise An Artery cut is harder to cure then a Vein Flux of bloud is peril lous especially of an Artery for unless it be stopped it bringeth death unavoidably Swooning Convulsion Raving c. in this case is an evil token For the Cure if the Nerve be priekt begin thus If there be any weapon or any outward thing sticking in the Wound let it be removed and keep the part from in jury if you fear inflammation open a Vein Let him lye in a warm Room on a soft bed and keep the body loose by Clisters or laxative Medicines regulated according to the nature of the humour peccant Let his Diet be sparing and small Beer his Drink Let him lye as free from motion as may be let not the cold Air which is inimical to the Sinews afflict him not too hot Air for fear of inflammation Keep the Wound oren if it be not wide enough makeit wider then use such Medicines that may ease the pain and draw forth the eruginous and fretting matter Medicines which heat and dry without pain is good in this case as the Oyl of Turpetine Ireos Sage Elder or Water wherein Salt and Turpetine hath been boyled the Oyl of Earth-Worms and of the yolks of Eggs mixed or the Oyl of Roses and Turpetine or the Oyl of Turpetine and of Savine mixed or Euphorbium one drachm boiled in two Ounces of Oyl For which purpose this Plaister is good Take of the Roots of Marshmallows the Meal of Barley Beans and Lentils of eaeh a like quantity as much as you think good boil them in Lye then put to it Oyl of Roses Camomel Dill and Turpetine of each sufficient and a little Saffron so make a Plaister If the Wound will come to suppuration heal it forward and afterwards mundify it If the Nerve be cut after you have observed the asorelaid general Rules joyn the Nerve then apply this Medicine Take of Karth-worms prepared three drachms Horstail two drachms Betony and Nettles in powder of each one drachm Olibanum three drachms encorporate them with the slesh of Snails beaten and apply it four days laying on some Glutinative Unguent Take of the lesser Century Plantane Hounds-tongue Mouse ear both the Consonds Horse tail and Yarrow of each one handsal Earth-worms a pound and an half Oyl and Wine of each one pound and an half Vinegar sour ounces stamp them and let them infuse 7 dayes then add the Suet of a Ram one peund Pitch and Rozin of each sour ounces boil them to the consumption of the Wine and Vinegar add to the straining Ammoniacum Gathanum Opaponax dissolved in Vinegar of each 5 drachms Turpemine one ounce and an half Frankincense Maslick and Sarcocol of each three drachms Of Saffron two ounces Wax as much as needeth to make an Unguent Both these are much commended by Jacobus Weckerus If the Vein or Artery be cut you must first labour to stanch the bloud Secondly to cure the Wound First the bloud may be stanched either with or wit hs out Evacuation With Evacuation is to open a Vein on the contrary part and sometimes near the Wound and to let it fly and suddainly stop it again To stay the bloud without Evacuation must be performed by cupping with scarrifying binding and rubbing of the contrary part Secondly you must bridle the furious course of in by things that thicken cool and astonish Things which thicken the bloud are Rice Lentils Jujubees Quinces and all Stiptick Fruits Cold Water drunk or laid upon the member near the Wound doth astonish it It the Vein or Artery lye so that you may easily come at it ty the end with fine silk stitch up the Wound and apply astrictive Powders upon it and upon that lay on the like powder mixed with the White of an Egg with Stuphs This Powder is good Frankincense Aloes Terra Sigillata Bolearmenick and Senguis Draconis of each equal parts pouder them finely and with the white of an Egg and the hairs of a Hare let it be applyed Or this Take of Lapis Haemitatis one ounce Frankincense Mastich Bolearmenick Cobwebs green Galls dried Frogs Soot white wall and the Meal that lye upon the walls of Mills and Bake-houses of each two drachms Burnt Vitriol Quick-lime and Gum-Traganth of each three drachms the shaving of the skin of a Ram or He-Goat Paper-cards the hairs of an Hare and cotton torrified of each one drachm Asses dung half an ounce make it into fine powder and use it as the fermer The accidental Symptomes both of this and other Wounds you shall have in a Chapter by themselves with their Cures CHAP. V. Of Luxations and Fractures A Luxation or Dislocation is the slipping of a joint from his Natural Position and proper place into some strange and unwonted seat whereby voluntary motion is hindered A Fracture is a division or breaking of the bone the causes of the first are either outward or inward outward causes are falls strokes extension wrenching or the like the Patient is able to inform you The inward causes are filthy slimy and Phlegmatick Humours falling between the joynt as it many times happeneth in the Sciatica Causes of Fractures are things of weight falling upon the place or the Patient falls from on high slippeth or such like A Dislocation is known by these signs viz. a Tumor in the part where the bone lies a pit or cavity in the place from whence the bone is departed great pain a difficulty or deprivation of motion in that member The bone broken is easily seen but whether the Fracture be overthwart or long ways you may discern thus If it be overthwart by seeling you may discern the bone several and disjoyned the bones make a noise and crackling when you handle each side