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A81130 Culpeper's Directory for midwives: or, A guide for women The second part. Discovering, 1. The diseases in the privities of women. 2. The diseases of the privy part. 3. The diseases of the womb. 4. The symptomes of the womb. 5. The symptomes in the terms. 6. The symptomes that befal all virgins and women in their womb, after they are ripe of age.7. The symptomes which are in conception. 8. The government of women with child. 9. The symptomes that happen in child-bearing. 10. The government of women in child-bed, and the diseases that come after travel. 11. The diseases of the breasts. 12. The symptomes of the breasts. 13. The diet and government of infants. 14. The diseases and symptomes in children.; Directory for midwives. Part 2 Culpeper, Nicholas, 1616-1654.; Sennert, Daniel, 1572-1637. Practical physick; the fourth book.; Cole, Abdiah, ca. 1610-ca. 1670. 1676 (1676) Wing C7498A; ESTC R224998 142,841 289

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the Spleen be stopt Take Steel prepared a pound wash it with Vinegar then strain it and lay it on a Clout and add powder of Cloves half an ounce Let them stand so a day and a night then put them in a glassed Vessel and ten ounces of white Wine Diarrhodon Harts-tongue Senna and Caper-bark then stir them then set them in the Sun for a day or in an Oven Do this ten daies till the Steel be melted in the Wine and little or nothing at the bottom Give two ounces of this in the morning after purging and exercise Or Take Steel prepared an ounce Cinnamon Aniseeds each two drams Diamoschu without Musk a dram Sugar an ounce make a powder give a dram drink white Wine and Mugwort-water after it Steeled Wine Take Steel in powder three ounces Cinnamon half an ounce white Wine three pints Set them in a close glass eight daies in the Sun stir them every day Give six or eight ounces four hours afore dinner for fifteen or twenty daies and walk after it At first give a Steel-medicine to prepare As Take Steel-filings four ounces put it in an Iron Crucible or Ladle then cast it into two pints of water of Hops Grass Madder Borage or Spring-water strain it and do so seven times Then Take so many ounces of new Steel and cast it into water as before strain and add Syrup of Violets Borage or Honey of Roses four ounces give three ounces in the morning after exercise Prepare thus three or four times and then use stronger After Steel use Scorzonera steept all night in Wine give it in the morning This hath cured Obstructions in many Mercatus Bezoar-stone saith Mercatus opens Obstructions in my Experience and resists Venom give six or seven grains Steel is best Spring and Fall purge and exercise before and after it that it may be better dispersed Use Preparatives Purges and strengthners often and for a long time and change the forms lost the Patient loath them If water spread about the body cool the body and make it heavy Use sweats as Baths natural or artificial of Mugwort Calamints Nep Danewort Sage Bayes Rosemary Mercury Ivy Briony-roots Orris Elicampane After purging and opening Obstructions all the Symptoms will vanish if not see for the Symptoms of the Womb. The Diet. Let the Air be temperately hot The Meat of good juyce and easie digestion Pot-herbs and green Fruits must be avoided Fish Milk Lettice Make Sauce with Sage and Cinnamon Drink Wine Let Bread be well leavened with Fennel-seed Drink no Water nor Broaths at first and in the declination of the disease use Exercise and Venery Let sleep be moderate Question 1. Whether may the Woman in this Disease be allowed the absurd things they long for They are Virgins or Women with child that long for such things Virgins must not be allowed them as Chalk c. For they will increase the disease Women with child must be pleased with fair words to abstain from them but if the appetite will not be allayed rather grant them then suffer an abortion or mark upon the Child Question 2. Is Motion and Exercise good in the Green-sickness They are better then idleness which heaps up crudities they raise the languishing heat in the Bowels and help the nourishment to be destributed therefore they are to be used before the disease be great and in the declination they discuss the humors But use moderation lest you weaken the body or choak them First therefore use Frictions then watching then more exercise after convenient purging Question 3. Whether is Venery good for Maids in the Green-sickness It is probable and agreeable to Reason and Experience that Venery is good Hippocrates bids them presently marry for if they conceive Hippocr lib. de morb virgin Lib. 1. ep 2. they are cured John Langius saith This disease comes in the ripeness of age or presently after Venery heats the womb and the parts adjacent opens and loosens the passages so that the terms may better flow to the womb But if there be a great Cacochymy take that away before she be married and then Venery may do more in Physick But use it not in the vigor of the Disease nor in weakness Question 4. Whether is Blood-letting good in this Disease A Cachexy beginning with coldness of the whole Body seem to deny bleeding and because the crude humors are in fault rather then blood Lib. de morb virg But Hippocrates adviseth bleeding at the first If it be a new disease and comes from stopt terms and blood abound that is stopt and not turned into another humour you may boldly bleed provided the strength permit and the passages be open But in an old disease when crude Flegm abounds bleed not for it will increase the Disease Chap. 3. Of Symptomes from the Womb and Mother-fits in general IT is not to be expressed what miserable diseases Women are subject to both Virgins and others from the womb and its consent with other parts For when terms or blood are stopt there are great Symptoms and while they putrifie or get evil qualities the Symptoms are grievous and almost unexpressible One woman may have divers Symptoms from the womb at the same time when the seed and terms are mixed with other humors after they are corrupted and there is more sometimes and such noble substance as seed and terms being corrupted are like poyson Gal. 6. de loc aff c. 5. The consent with other parts is from likeness of parts nearness or connexion of Vessels And because the womb is membranous it hath a great consent with the Membranes and Nerves Also the parts adjacent are easily infected And thirdly it hath consent with all the Body by Veins Arteries and Nerves It consents with the Brain by the Nerves and Membranes of the Back-marrow It consents with the Heart by the Arteries with the Liver by the Veins which are great in the Womb and therefore the blood and bad humors go back to the Liver It consents with the stomach by Anastomosis in the Veins of the Mesentery and by the Arteries through foul humors and vapors go from the womb to the Mesentery and Stomach It consents with the Spleen by the Arteries therefore many Women that had not their terms enough in their youth and have hot blood are after Hypochondriack and a Physitian can scarce distinguish these diseases of the Womb and Spleen nor cure them severally It consents with the Paps by Veins and Nerves and the Heart Diaphragma Head Brain and all the Organs of sense and motion with the Liver Spleen Stomach Belly Mesentery Bladder strait Gut Back Hips Arms and Legs and causeth Symptoms As Galen saith the Mother and Histerical passions in one name Gal. de loc aff c. 5. but hath under it innumerable Symptoms Chap. 4. Of Suffocation of the Womb. IN this they seem to be strangled And there are so many Symptoms at once that it is impossible to define
with it to the veins of the womb and stops them This thick blood comes from a cold distemper of the stomach liver and spleen from thick and gross food and drinking cold water when the Terms flow Lib. de venae sec adversus Erasistrat So thought Galen in his time of the Roman women that drank Snow-water and had few or no courses Straightness is when the body of the womb is made thicker either by Nature or other causes as a cold and dry or hot and dry distemper Thirdly Straitness is from compression of the vessels by a Scirrhus or hardness of the parts adjacent as the straight gut or by the stone in the bladder and the womb displaced Fourthly The flesh may grow together by a membrane that grows to the vessels or a scar after a wound Or after a mischance when the veins annexed to the Secundine grow so together that they cannot be opened of which in the first Question They are not the same in women and Virgins The Signs for blood stopt in Virgins goes to and fro changeth the colour and brings Feavers especially the white Feaver or Green-sickness But in women it goes more to the womb and brings Symptomes loathing vomiting and Pica Galen hath other signs as heaviness 8. De lo. aff c. 5. a lazy pain in the loyns neck and behind in the head that reacheth to the roots of the eyes from the spreading of the blood stopt through the whole body This laziness is chiefly in the thighs and leggs by reason of the veins there consenting with the womb And are of a green complexion and hairy with a beard and shrill voice You may know women with child from such as want their Terms only by proper signs First the women with child keep their colour but the other are pale and ill-coloured they are merry the other sad 2. Their Symptoms daily grow milder but in the other they daily grow worse 3. You may feel the child move 4. It is perceived in a month You shall know from what causes the terms are stopt thus If the Liver be cold there is no blood made that is superfluous and there are signs of a cold Liver and you may know that blood is not sent to the Womb when there is no heaviness pain or tumor about the Womb the Liver or Spleen are stopt The Prognostick If it be from Flegm or Melancholy which is often there are signs of their abounding as laziness paleness seldom pulse crude urin Hippoc. de morb mulier Gal. 6. de loc aff c. 5. Hippoc. 5. aphor 23. Hippocrates saith That if the Terms stop there are diseases in the Womb Tumors Imposthumes Ulcers and Barrenness and diseases in the whole Body Green-sickness Leucophlegmacy Dropsie Vomiting of blood Heart-ach Cough And the longer they have been stopt the harder they are to be opened If the blood stopt go out at the Nose it is good If it have great Symptoms there is fear of death You must not give Medicines to move the terms to extenuate lean persons nor to such as want blood and have a weak Liver but they must be fed high Com. in 6. epid 3. c. 29. First see if blood abound and then after a Lenitive open a Vein and let that blood which is in the Veins be drawn to the Womb. Galen took three pints of blood at three times from a lean Woman and cured her of an old stopping of the Terms You must open the Ankle-veins the first day the right the next the left four or five daies before the time Or you may cup and scarrifie the Legs And bind the parts below and rub them after general Evacuation opening of the Haemorrhoids doth hurt and so do Issues because they draw from the Womb. Hiera picra half an ounce or Pills de Tribus or Hiera simple are good first Then prepare As Take water of Mugwort Calamints Maiden-hair each three ounces Syrup of the five Roots and of Mugwort each two ounces make it for two Doses Or Take opening Roots half an ounce Madder Burnet each three ounces Mugwort Bettony Germander Calamints each a handful red Pease half a handful flowers of Bugloss Dill each a pugil boil and sweeten it with Sugar For flegmatick Bodies take the Decoction of Guajacum Sassaphras Dittany for fifteen daies without sweating Then evacuate with Agarick Mechoacan Turbith Scammony Coloquintida black Hellebore As Take Agarick two drams infuse it in Mugwort-water two ounces Oxymel an ounce strain and the Extract of Mechoacan a scruple Or Take opening Roots half an ounce Mugwort Bettony each two pugils Senna half an ounce Agarick two drams Fennel and Aniseed each a scruple Galangal half a dram Rosemary-flowers a pugil infuse them to three ounces and half add syrup of Senna an ounce and half Cinnamon-water half a dram Or if they drink Wine Take Turbith Mechoacan Agarick each two drams Senna an ounce and half Maiden-hair Balm Rosemary each two pugils Cinnamon Galangal each a dram hang them in Wine give six ounces with half an ounce of Manna Or Take Diaturbith with Rhubarb half an ounce Mechoacan two drams Agarick a dram Diarrhodon Cinnamon each half a dram Steel prepared a dram with Raisons make an Electuary give as much as a Walnut Or give Pills of Agarick foetida and so continue purging and preparing if the matter be stubborn Or Take Agarick two drams Madder a dram with Syrup of Mugwort make Pills Or Take Aloes three drams de Tribus one dram with juyce of Savin make Pills If the stomach is foul give a Vomit lest it get into the veins Par. 1. sec 2. ca. 2. Then give provokers of the Terms which are hot and thin about the time they used to flow they are three degrees in strength and many sorts of Medicines are made of them A Powder Take Cinnamon a dram Amber a scruple Saffron half a scruple Or Take Troches of Mirrh of Wall-flowers each a scruple Saffron five grains Or Take Castor Penny-royal each a scruple with Wine or proper Waters Physical Wine Take Madder-roots an ounce Orris half an ounce Balm Penny-royal Mugwort Rosemary each a handful Wall-flowers half a pugil Cinnamon an ounce Galangal half an ounce with Wine give four ounces Or Take the Decoction of red Pease Or Take Smallage Fennel-roots each half an ounce Mugwort Bettony Penny-royal Balm each a handful red Pease half an handful Juniper-berries half an ounce Wall-flowers a pugil boil and sweeten it Or Take ten ounces of it with three ounces of Mugwort for three doses Quercetan commends this Take Gromwel-seeds Anise Misleto of the Oak each three drams Dittany a dram Saffron a scruple bruise and keep them twenty four hours in Wine then boyl them give four ounces for three daies together Or make the Womans Aqua vitae Or Take Balm Bettony Penny-royal Mugwort Nep Motherwort Dittany each four handfuls Wine thirty pints distil them add three handfuls of each herbs and distil them again
day in it and not sweat To take away the sharpness of the Seed use Lettice Violets Water-lillies and things that quench seed by a secret quality as Agnus castus Seed Leaves and Flowers of Camphire hereafter As Take leaves of Water-lillies Agnus Castus Willow each three handfuls Ltetice Purslane Venus-navel each a handful Lettice Poppy-seed the four great cold seeds each half an ounce Dill-seed two drams Water-lillies a hundful Violets half a handful beat them with juyce of Lemons distil them after twenty four hours add to every pint a dram of Camphire give an ounce Or Take Agnus castus leaves Rue Willow each two handfuls Mints tops of Dill each a handful and half Water-lillies half a handful Agnus castus seeds Hemp Coriander Lettice-seed each half an ounce beat them and distil them with water add a pint of juyce of Lemons rectifie it to half An Emulsion Take Lettice and white Poppy-seed and the four great cold Seeds each half an ounce water of Lettice Water-lillies Willow each four ounces Syrup of Violets two ounces Magistery of Coral a dram An Electuary Take Conserve of Water-lillies Violets of Agnus castus tops each an ounce of Roses half an ounce red Coral Smaragds each a dram Coleworts and Lettice candied each an ounce with syrup of Violets and Water-lillies make an Electuary Or make Baths of the same As Take tops of Agnus castus Lettice Rue Water-lillies Dill-tops boil them anoint with Oyl of Lillies Unguent of Roses with Camphire after that Or lay a Plaister of Mercury and Marsh-lentils to the Breast and Loins Lay a Plate of Lead to the Back and give a Pessary of Juyce of Plantane Purslane Gourds These that work by an occult quality are fittest for Nuns that must not marry but they that will marry must forbear them because they cause Barrenness Let diet be thin and of little nourishment no Eggs Beef is good and fresh Fish Also Lettice Purslane Succory Sleep little think not of Venery labour and avoid idleness Question Whether is Camphire cold or hot or doth it quench Venery It is hot because it burns flames is thin pierceth is sharp and bitter But it hath cold effects as curing of Burns and Inflammations and hot Head-aches but this is from the likeness of the substance because it draws hot vapors to it and discusseth as Linseed-Oyl that cures burns Nor hath it a double substance cold and hot that may be separated Exercit. 104. sect 8. Scaliger denies it by Experience to quench Venery but if it be taken often it doth He tried it but once Chap. 6. Of the Melancholy of Virgins and Widows IT is a Delirium with sadness trouble and weeping sometimes laughing without a Feaver It differs from others by the efficacy only of the efficient cause for it hath divers pains besides sadness especially on the left side near the Heart in the Pap this is by occasion at a distance The Cause is a melancholick Vapor from a melancholick blood in the vessels near the Heart The Causes that infects the animal Spirits hurts the Fancy and so the reason For melancholick blood abounding in the vessels of the womb comes back to the great Arteries about the Heart by the Arteries of the womb and infects both vital and animal Spirits and causeth trouble of Heart and Delirium while this blood is quiet in the Arteries there is no vapor that riseth but when it is heated or stirred up by any cause the Arteries about the Back and Spleen beat more then ordinary and the vapors arise and trouble the Heart They are sad and full of thoughts The Signs and trouble at the Heart and cannot express their grief all things are tedious to them they weep and laugh without a cause they sleep little and with trouble and fear they have a pain on the left side and sometimes the left Breast their Jaws are dry All which are the effects of a melancholick vapor and when that is discussed all cease If it be old it turns to Madness and then they are first silent then pratlers and think they see Ghosts At first it is easier cured but if it last long The Prognostick and she resist not imagination and will not rejoyce with her Gossips it is dangerous They often despair and desire death or hang themselves or drown themselves If the manners are changed it turns to madness Observe what progress the disease hath made The Cure At first if blood be hot open a Vein often in the Arm if the terms be not stopt If they be bleed in the Ankles some daies before they use to flow Let her be merry and prepare and purge Melancholy thus Take Borage and Balm-water each three ounces Syrup of the Juyce of Borage and Bugloss each an ounce an half Mix them for two Doses repeat them sometimes Then purge Melancholy As Take Senna six drams Agarick a dram and half Borage-flowers and Violets each a pugil Citron-peels two drams infuse them in Rhenish wine for six hours strain them add Syrup of Violets an ounce Or Take Scorzonera-roots two ounces Borage an ounce Balm a handful Senna four ounces Agarick half an ounce Citron-peels 6 drams Zedoary two drams Cordial-flowers a handful add half a pint of the juyce of sweet-scented Apples and of Borage and Bugloss steep them two daies then strain them add Sugar and half an ounce of Cinnamon make a Syrup give two or three ounces Also give Cordials Confection of Hyacinths Species Exhilerants and Confection Alkermes to such as can bear it Cure it as Melancholy only the matter comes from the womb therefore still regard that it dry not the body too much The Prognostick but use a moistning Diet. Chap. 7. Of an Epilepsie from the Womb. THis Falling-sickness is worse then from other causes because there are greater Symptoms for that malignant vapor doth not only fall into the Nerves but the Veins and Arteries The same malignant vapor that causeth suffocation causeth this for when it ascends by the Veins and Arteries it begets other diseases but when it gets to the Nerves or to the fountain of them it causeth the Epilepsie In some the whole body hath a Convulsion in others some part only as the Eyes Head Tongue Hand or Leg and the outward Senses are diversly taken Some see not some hear not some see and cannot speak some dote and think they see strange things some cry out and know not why All lose the sense of Feeling If the vapor be not very malignant they return to their work after the fit as if they had not been ill It is known by what hath been said for here is not only a Convulsion as in other Epilepsies but divers Symptoms as in Suffocation of the Womb. They seldom foam at the mouth because the Brain is not so shaken as to cause foaming nor is the vapor so fixed in the roots of the nerves but they often do hear It is grievous and hath grievous
and Althaea or anoint with Oyl of Lillies then keep it in with astringents As Take red Roses Pomegranate-peels and flowers Cypress-nuts each half an ounce Sumach Frankincense Mastich each two drams boyl them in red Wine foment with a Spunge then sprinkle on this Powder Take red Roses and Pomegranate-flowers each half a dram Frankincense Mastich each a dram allay it upon a clout and lay it to the Fundament See Lib. 3. Part 2. Sect. 1. Cap. 6. Chap. 28. Of the Stone in the Bladder Lib. 3. par 3. sec 1. c. 6. par 8. sec 1. c. 1. THe stone in the bladder is usual in Infants as that of the kidnies is in elder people How it is cured we shewed before In Infants it is from gross unclean milk made of tough meats this too much taken in causeth crudities fit to breed the stone or pap of Barley-meal and milk may cause it There is also a weakness in the Liver and Stomach when they do not separate unprofitable food but much earthy juyce remains in the chyle that breeds stones Also a hot distemper in the reins by which the chyle is drawn to the bladder and if there be a native hereditary disposition to breed the stone an earthy part is in the humor which makes the urine thick this is in bigger Boyes more then in Infants They piss by drops with itching and pain the urine is stopt often and that which is pissed is like clear water white or like milk or whey sometimes blood is pissed and the yard often stands It increaseth daily if it be not opposed The Prognostick and cannot be cured without cutting which is dangerous for young or old Prevent the breeding of it when you see the least disposition to it The Cure Let the belly be alwaies kept loose and the Nurse eat no gross slimy food make a bath of the decoction of Althaea Mallows Pellitory Parsley Dill Foenugreek Lineseed then anoint the bladder with Althaea Oyl of Lillies and Scorpions and apply a Cataplasm of Pellitory boyled with Oyl of Lillies A Powder Take Magistery of Crabs-eyes Lib. 3. pra decal ves white Amber Goats-blood prepared each a scruple with Parsley-water give it often Or give two drops of spirit of Vitriol with half a dram of Cypress Turpentine Chap. 29. Of Difficulty and Stoppage of Urine THere are many causes in ripe age that are mentioned but in Infants they are chiefly two causes the thick humor that breeds the Stone that makes a Strangury and Dysury and the Stone that stops the bladder It is voided by drops and the child cries The Signs and the Urine is thick you may try with the Catheter if there be a Stone If it be not presently cured The Prognostick it turns to the Stone and all natural evacuation in Children being stopt is dangerous The Cure It is as in the Stone you must evacuate humors from the first passages with Honey of Roses Cassia Turpentine foment and anoint as before with Grass-water Rest-harrow Dropwort-water and decoction of red Pease Or Take the blood of an Hare an ounce Saxifrage-roots six drams calcine them give from a scruple to half a dram with white Wine or Saxifrage-water Chap. 30. Of not holding the Urine SOme piss not only in their sleep but alwayes because the muscle that should close the orifice of the bladder is weak and when much water pricks it it suffers it to come forth sometimes a stone in the Bladder hurts the Sphincter so that it cannot do its duty The cause of weakness is a cold humor and moist from gross tough meats from gluttony and the like The Signs It cannot be known in Infants but it may in elder children that know they ought not piss a bed The Prognostick If it come by custome it turns to an habit or a disease and is hard to be cured in ripe years if it be from distemper is easie to be cured The Cure Alter the cold and moist distemper dry and consume the flegm let the Nurse have a hot drying diet with Sage Hysop Marjoram let not the child drink much keep the Belly Outwardly anoint the Region of the Bladder with Oyl of Castus Orris and other driers make a Bath of Sulphur Allum and Oak-leaves or use Sulphur or Allum-baths give this Powder Take Hogs-bladders burnt roasted stones of a Hare Cocks throats roasted each half a dram Acrons two scruples Nip Mace each a scruple give half a dram with Oak-leaves-water See Lib. 3. Part 8. Sect. 2. Cap. 6. Chap. 31. Of chafing in the Hips called Intertrigo IT is the separation of the Scarf-skin from the true in the Hips that causeth pain and unquietness It is from sharp Piss The Causes when the clouts are not changed often in such as are fat to whom filth sticks easily The skin is off and it looks red The Signs The Prognostick It is troublesome by reason of the pain and causeth want of sleep and ulcerateth if it be not cured Change the clouts often The Cure wash and cleanse the child often sprinkle on this fine Powder Of Litharge of Silver seeds and leaves of Roses burnt Allum and Frankincense or anoint with white Oyntment and Diapompholigos Chap. 32. Of Leanness and Fascination SOmetimes children and men grow lean the elder from Feavers Consumptions and other diseases but children pine away and the cause is not known and though they eat and perform other actions they are not nourished nor grow The Causes The causes of Consumption in Infants are little or bad milk by which no blood is bred fit to nourish the body so that they thrive not till they change the Nurse The second is worms that sucks away the nourishment The third is worms about the body without as in the Back Arms or Legs and all parts these are very small and breed in musculous parts and stick in the skin and never come wholly out but after rubbing in baths they put forth their heads like black hairs and run in when they feel the cold air they breed of slimy matter shut up in the capillar veins which turns to worms from transpiration hindred The fourth cause in the opinion of people is fascination or witchcraft either from the eyes of Witches or by vapors or by touch or by words from a Witch these are alledged by many Authors I neither allow nor plainly deny all these waies of fascination though it is not credible that a child should suffer by words or looks only I deny not but diseases may be sent from sick bodies to others as the Leprosie the French Pox Consumption and the like and many infect Infants And I believe that they may be hurt by Witches and malitious persons by the help of the Devil and Gods permission Bas in hode invidia as Basil the Great writeth for wicked people make a league with the Devil that they may hurt such as they look enviously