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A53915 A general treatise of the diseases of maids, bigbellied women, child-bed-women, and widows together with the best methods of preventing or curing the same / by J. Pechey ... Pechey, John, 1655-1716. 1696 (1696) Wing P1024; ESTC R1373 102,098 324

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A General TREATISE OF THE DISEASES OF Maids Bigbellied Women Child-bed-Women and Widows TOGETHER With the best Methods of Preventing or Curing the same By J. PECHEY of the College of Physicians in London LONDON Printed for Henry Bonwick at the Red-Lyon in St. Paul 's Church-Yard 1696. THE PREFACE WOMAN of all the Creatures is the Fairest and most Beautiful kind Nature having bestow'd on her a delicate and fine habit of Body and design'd her only for an easie Life and to perform the tender Offices of Love whereas she compos'd Man of more robust Principles that he might be able to protect the Woman to delve and manure the Earth and to undergo the other Toils of Life But by reason of this Curious Frame the Fair Sex as other fine things are is subject to many Injuries for besides the common Calamities there are many great and dangerous Diseases peculiar to Women arising from their Constitutions monthly Purgations Pregnancy Labours and Lying in Their Constitution disposes them to Hysteric Diseases which resemble almost all the Diseases Mankind is subject to viz. An Apoplexy Epilepsie Palpitation of the Heart Coughs Violent Vomiting Colick Stone in the Kidnies and many other Pains and sometimes Swellings in the Jaws Shoulder Hands Thighs and Legs accompany these Diseases Nor can the Teeth free themselves from this Disease but the most cmomon Pain is the Pain of the Back A dejection of Mind also accompanies this Disease continually A Suppression or Immoderate Flux of the Courses causes many disorders in the Body so also does their Flowing before their due time or their staying longer than they should and their complication with other Diseases renders the Cure difficult All the time their being with Child which is a nine Months Sickness they are inclined to Nauseousness Vomiting to Pains of the Back Reins and Hips violent Coughs Swellings of the Legs and Thighs Piles and many other Diseases and upon some Indispositions of the Body to Miscarriage which is the worst and most dangerous of all When they are in Labour and when they lie in they are encompassed with many difficulties and dangers viz. an ill position of the Child suppression of the Lochia Floodings Fevers after Pains Apostemations of the Breasts and many other Diseases So that if Nature had not wisely tacked an Appetite to things necessary we must conclude the Preservation of Individuals and of Species too would not have been near so well provided for as now it is The following Treatise is a Collection from Rodericus a Castro and others that have wrote well of Womens Diseases and I judge it may be serviceable to Ladies and Gentlewomen who charitably dispence Physick and give advice to their poor Neighbours in the Country where there is no Physician near and it may be also of use to Physicians Chyrugeons and Midwives it being a general Treatise of Womens Diseases and the Methods and Medicines contained in it being approved and frequently practised by the most Renowned Authors of each Physical Province From the Angel and Crown in Basing-Lane London June the 16th 1696. John Pechey THE INDEX Page ABscesses 194 Acrocordo 233 Acute Diseases of Women in Child-bed 165 After-pains 161 Allantois 84 Amnios 82 Back pains 98 Barrenness 53 Bath-waters 8 Belly-bound 96 Bloody-Flux 103 Breasts Cancerated 214 Caesarian Delivery 150 Chaps in the Nipples 173 Child-bed Purgations 161 Child dead 148 Choice of a Nurse 182 Clefts of the Privities 233 Clitoris 61 Conception 73 Condyloma 233 Corion 82 Cough 100 Courses 14 19 22 28 30 37 45 46 104 Decoction 99 Delirium 170 Dropsie of the Womb 203 Eggs 69 Emulsion 99 Epilepsie 170 Fallopian Tubes 71 Ficus 233 Flooding 105 158 Green-sickness 13 Hermophrodites 61 Hill of Venus 59 Hip-Pains 98 Hymen 63 Hysteric Diseases 1 Infant nourished 88 Inflation of the Womb 203 Labour hard 143 Labour contrary to Nature 122 Legs swell'd 100 Liquid Laudanum 12 Loosness 102 Lozenges 115 Madness 170 Melancholy ibid 245 Milk 173 179 Miscarriage 107 Mole 75 Myrtle berry Caruncles 64 Navel-string 86 Nymphs 60 Piles 101 Privities 59 106 191 Reins pain'd 98 Scabs of the Privities 233 Secundine retain'd 155 Sphincter 64 Stone of the Womb 226 Suckling of a Child 182 Superfaetation 78 Testicles 68 Thymus 233 Tumours from Milk 173 Vlcers corrosive 194 Vomiting 97 Vrachus 87 Vrine difficult 100 Warts 233 Water breaking 121 Whites 52 Womb closed 42 Womb 65 Womb-Cake 80 Woman with Child managed 95 Womb bearing down 106 Womb falling 201 Womb Cancerated 214 Womb Worms 226 Wrinkles in the Belly 188 A General TREATISE OF Womens Diseases CHAP. I. Of the Hysteric Disease THIS Disease proceeds from a weakness and confusion of the Spirits and is not only very frequent but also so wonderfully various that it resembles almost all Diseases Mankind is subject to For after hard Labour or some great disturbance of the Mind it occasions an Apoplexy which ends in a Palsie of half the Body Sometimes it produces violent Convulsions very like the Falling-Sickness and these are commonly call'd Mother-fits Sometimes it possesses the outward part of the head causing violent pain continually fixt in one part which may be cover'd with the top of the Thumb and violent Vomiting accompanies this pain It also occasions sometimes a great Palpitation of the Heart and sometimes the Woman coughs without intermission but spits up nothing Sometimes rushing violently upon the region under the Heart it causes violent pain much like the twisting of the Guts and the Woman Vomits exceedingly and casts up a green Matter and sometimes Matter of an unusual Colour and often after the Sick have been almost destroy'd by the said pain and the reachings to Vomit it is at length carried off by the Jaundice tincturing the surface of the Body like Saffron The Sick is much dejected and Despair as certainly accompanies this kind of Hysteric Disease as the Pain and Vomiting above mention'd When this Disease falls upon one of the Kidnies it plainly represents by the pain it causes there a fit of the Stone and it is difficult to distinguish it from the Stone unless perchance some unlucky accident disturbing the Womans mind a little before she was taken ill shews that it was an Hysteric Disease Nor is the Bladder free from this false Symptom for it does not only cause pain there but it also stops the Urin. Sometimes falling upon the Stomach it causes continual Vomiting and sometimes a Loosness when it is settled upon the Guts but no pain accompanies either of these Symptoms And as this Disease afflicts almost all the inward parts so sometimes it seizes all the outward parts occasioning pain and sometimes a Swelling in the Jaws Shoulders Hands Thighs Legs but the Swelling of the Legs is plainer seen than the rest and contrary to Swellings in the Dropsie is most in the Morning nor being pressed does it leave a pit and most commonly it swells only one of the Legs Nor can the Teeth free themselves from
Lotion to fortifie and settle those parts which have been much relaxed as well by the great extension they received as by the Humours wherewith they have been so long time soak'd this Remedy may be composed with an Ounce and an half of Pomgranat Peel an Ounce of Cypress Nuts half an Ounce of Accorns an Ounce of seal'd Earth an Handful of Provence Roses and two Drachms of Roch-allom all which being infused in a Quart and half a Pint of strong Red-wine or that it may not be too sharp some Smiths water may be mixed with the Wine afterwards boil it to a Quart then strain it squeezing it strongly and with this Decoction Foment the inferior parts Night and Morning to strengthen and confirm them But they will never be reduced to the same state they were in before the Woman had Children A small Plaister of Galbanum with a little Civit in the middle may be also applyed to the Womans Navel As for Swaiths they need not be used the first Day or at least very loosly especially if there has been hard Labour because the least compression of the Womans Belly which is then very sore as the Womb also is proves a great inconvenience to her wherefore let her not be swaithed until the second Day and that very gently at the beginning The use of Swaiths and of a good large square Bolster over the whole Belly may be continued the first seven or eight Days to keep it a little steady but they must be taken off and removed often to anoint the Womans Belly all over if it be sore and if she has After-Pains with Oils of sweet Almonds and St. Johns-wort mixed together which may be done every Day But after that time they may be degrees begin to swaith her straiter to contract and gather together the parts which are greatly extended during her going with Child which may be then safely done because the Womb by these former cleansings is so diminished that it cannot be too much compressed by the Swaiths Proper Remedies may be applied to the Breasts to drive back the Milk if the Woman will not be a Nurse but if she intends to be a Nurse it will be sufficient to keep her Breasts very close and well covered with gentle and soft Cloaths to keep them warm and to prevent the curdling of the Milk and if there be danger of too much Milk being carried thither anoint the Breasts with Oyl of Roses and a little Vinegar beat together and put upon them some fine Linnen dipt in it observing that if the Woman do Suckle the Child she give not the Breast the same day she is brought to Bed because then all her Humours are extreamly moved with the pains and agitation of the Labour therefore let her defer it at least till the next day and it would be yet better to stay four or five days or longer to the end the fury of the Milk and the abundance of the Humours which flow to the Breast at the beginning may be spent in which time another Woman may give it Suck Although a Woman be naturally Delivered yet notwithstanding she must observe a good Diet to prevent many ill accidents which may happen to her during her Child-bed at the beginning whereof she must be directed in her Meat and Drink almost in the same manner as if she had a Fever that so it may be prevented in as much as she is then very subject to it for this reason she must be regular in her Diet especially the three or four first Days in which time she must be nourished only with good Broaths new-laid Eggs and Gellies without using at the beginning more solid Meats but when the great abundance of her Milk is a little past she may with more safety eat a little Broath at Dinner or a small piece of boyl'd Chicken or Mutton afterwards if no accident happens she may be degrees be nourished more plentifully provided that it be a third part less than she was accustomed to take in her perfect health and that her Food be of good and easie Digestion as for her Drink let it be a Ptisan made of Liquorish Figs and Anniseeds boyled in Water She may also if she be not Feverish drink a little white Wine well mixed with Water but not till after the fifth or sixth Day But it is to be noted that laborious Women of a strong Constitution require a more plentiful feeding yet notwithstanding if they do not change the quality they must at least retrench the quantity of their ordinary Food The Child-bed Woman must likewise keep her self very quiet in her Bed lying on her Back with her Head raised and not turning often from side to side that so the Womb may be the better settled in its first Situation She must free her self at that time from all care of Business let her talk as little as may be and that with a low Voice and let no ill News be brought to her which may affect her because all these things do cause so great a commotion of the Humours that Nature not being able to overcome them cannot make the necessary Evacuation of them which has been the Death of many The Woman ought always to keep her Body open with Glisters taking one once in two Days which not only evacuate the gross Excrements but also by drawing downwards cause her to Cleanse the better When she has observed this Rule a Fortnight or three Weeks which is very near the time of having Cleansed sufficiently that those Parts may be throughly cleansed before she goes abroad and begin upon a new Score let her take a gentle Purge of Senna Cassia and Syrup of Cichory with Rubarb which is good to Purge the Stomach and Bowels of those ill Humours Nature could not evacuate by the Womb This Purge may be repeated upon occasion Women in their first Labours have many times bruises and rents of the outward parts of the Womb and they must never be neglected lest they degenerate into malignant Ulcers for the heat and moisture of these Parts besides the filth which continually flows thence easily contributes to it if convenient Remedies be not timely applied wherefore as soon as the Woman is laid if there be only simple contusions and excoriations apply a Pultiss made of yolks and whites of new-laid Eggs and Oil of Roses seethed a little over warm Embers continually stirring till it be mixed and then spread it upon a fine Cloath and apply it very warm for five or six Hours when being taken away lay some fine Rags dipt in Oil of St. Johns-wort on each side the bearing place and renew them twice or thrice a Day Foment these parts with Barly-water and Honey of Roses to cleanse them from the Excrements which pass and when the VVoman makes water let them be defended with fine Rags to hinder the Urine from causing pain and smarting Sometimes the bruises are so great that the Bearing-place is inflamed