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heart_n blood_n left_a lung_n 2,712 5 11.4591 5 false
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A78521 The compleat midwifes practice, in the most weighty and high concernments of the birth of man. Containing perfect rules for midwifes and nurses, as also for women in their conception, bearing, and nursing of children: from the experience not onely of our English, but also the most accomplisht and absolute practicers among the French, Spanish, Italian, and other nations. A work so plain, that the weakest capacity may easily attain the knowledge of the whole art. With instructions of the midwife to the Queen of France (given to her daughter a little before her death) touching the practice of the said art. / Published with the approbation and good liking of sundry the most knowing professors of midwifery now living in the city of London, and other places. Illustrated with severall cuts in brass. By T.C. I.D. M.S. T.B. practitioners. Chamberlayne, Thomas.; Boursier, Louise Bourgeois, ca. 1563-1636. 1656 (1656) Wing C1817C; Thomason E1588_3; ESTC R14527 137,828 305

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also of its substance and form AFter that the womb which is the Genital member of the Female Sex hath received the seed of the Man she commixes also her own seed so that there is now but one mixture made of the seed of both sexes Now of the next matter of the birth there is a difference among the learned which being unnecessary for this place we shall let go and stick close to them who affirm that the seeds of both sexes being confused in the womb doth make up the first matter of the birth so that if there were not a mixture of both seeds it were impossible that any generation could be Yet though there be of necessity a confusion of both seeds we deny not but that their qualities are different for the seed of a man exceeds the seed of a woman both in thickness and heat which is more cold and moist and therefore more watry Yet though they differ thus in quality it is not to be denied but that the seed of the woman gives a mutual assistance to the seed of man in the work of generation But it being unquestionable that the menstruous bloud is the matter of the womans seed therfore that ye may know the original of it it is to be understood that the Menstruous blood Of the monstruous bloud is nothing els but an excrement of the third concoction gathered together every moneth and purged out Which purgation being duly made the woman is then in perfect health of body but if they come not down according to their accustomed times and seasons or do not come down at all the woman neither can conceive nor engender Thus the seeds of both sexes meeting in the womb and there mixing together they are presently enclosed in a little Tunicle begot by the heat of the womb and are there as it were coagulated and curdled together CHAP. II. Of the three tunicles which the birth is wrapt in in the womb FIrst out of the extreme superficies of the seed by reason of the more watrie moisture of the womans seed a thin membrane is generated which by reason of its moist qualitie is dilated farther being at first transparent but after the birth comes forth folded up together and is called the secondines But of the superfluous moisture of these two tunicles are begot two other tunicles which defend the infant from being cloged with any superfluities as from the flowers retained after conception which serve neither for the nourishment nor for the increase of the infant Yet are they retained till the very time of the birth at which time they are either let out by the hand of the Midwife or else bursting the secondine wherein they are contained they flow out of themselves The second tunicle is that which was anciently called Allancoides wrapping about all the inferior parts from the navel downward this is full of folds and wrinkles in which the urine sweat and other sharp humours that distill from the infant almost grown to maturity are contained and kept to the time of delivery By this second tunicle therefore the infant is delivered and defended from those humours least they should either corrode and hurt the tender skin of the Infant or else any way defile and foul the Infant The third tunicle with in all these compasses the whole birth round about defending it from all sharp exterior humours being very soft and tender CHAP. III. Of the true generation of the parts and the increase of them according to the several dayes and seasons AFter the womb hath received the Genital seed and by its heat hath shut them both up curdled and coagulated together from the first to the seventh day are generated many fibres bred by a hot motion in which not long after the liver with its chief Organs is first formed Through which Organs the vital spirit being sent to the seed within the tenth day forms and distinguishes the chiefest members This spirit is let in through certain veins of the secondine through which the bloud flows in and out of which the navel is generated At the same time in the clotted seed there do appear three white lumps not unlike curdled milk out of which arise the liver the brain and the heart Presently after this a vein is directed through the navel to suck the thicker sort of the bloud that remains in the seed for the nourishment of the parts This vein is two forked In the other branch of this vein is a certain bloud collected out of which the liver is first framed The Liver framed for the liver is nothing but a certain mass of bloud or bloud coagulated and hardened to a substance and here you may see what a company of veines it hath which serve both for the expulsive and attractive faculty In the other branch are generated those textures of veins with a dilatation of other veins as also of the spleen and the guts in the lower part of the belly by and by all the veins like branches gathering into one trunk toward the upper part of the liver meet all in the concave or hollow vein This trunk sends other branches of veines to constitute the Diaphragma others it sends into the upper part of the back-bone seated about the Diaphragma as also the lower parts as far as the thighs The Heart formed Afterwards the heart with its veins directed from the navel to that part of the seed and carried as far as the back-bone is formed These veins suck the hottest and most subtile part of the bloud out of which the heart is generated in the membrane of the heart otherwise called the Pericardium being by nature thick and fleshie according as the heat of the member requires Now the hollow vein extending it self and piercing the interiour part of the right side of the heart carries bloud thither for the nourishment of the heart from the same branch of this vein in the same part of the heart arises another vein called by some the still vein because it beats not with so quick a pulse as the others do ordained to send the most purely concocted bloud in the heart to the lungs being encompassed with two tunicles like Arteries But in the concavity of the left part of the heart arises a great beating vein called the Aorta diffusing the vital spirit from the heart into all the beating veines in the body Under the said vein called the Aorta in the concavity of the heart there is another vein called the veiny Artery which was therefore framed to carry the cool air from the Lungs to temper the great heat of the heart Now there being many veins which running from the concavity of the heart are inserted into the Lungs therefore by these veins the Lungs are also framed for the vein which proceeds from the right concavity produces a most subtile bloud which is turned into the substance of the Lungs By the great veins of the heart and liver the hollow
vein and the Aorta is the whole breast generated and after that the arms and legs in order Within the foresaid time is generated the last and chiefest part of this substance that is to say the brain in the third little skin of this mass for the whole mass of the seed being repleat with vital spirits that vital spirit contracts great part of the Genital moisture into one certain hollowness where the brain is formed outwardly it is covered with a certain covering which being baked and dried by the heat is reduced into a bone and so is the Cranium made Now the brain is so formed as to conceive retain and change the natures of all the vital spirits whence are the beginnings of reason and of all the sences for as out of the liver arise the veins out of the heart arise the arteries so out of the brain arise the nerves of a more soft and gentle nature yet not hollow like veins but solid These are the chiefest instruments of all the sences and by which all the motions of the sences are made by the vital spirit After the nerves is generated by the brain also the pith of the back-bone which cannot be called marrow for the marrow is a superfluous substance begot out of the bloud destined for the moistening and for the strenghthening of the bones but the brain and pith of the back-bone take their beginning from the seed being not destined for the nourishing or strengthening of the members but to constitute certain private and particular parts of the body for the motion and use of the sences that all the other nerves may take their beginning thence for from the pith of the back-bone do arise many nerves by which the body obtaines both sence and motion Here is also to be noted that out of the seed it self are generated gristles bones tunicles for the veins of the liver the arteries of the heart the brain with its nerves besides the tunicles and pannicles and the other coverings which the infant is wrapt in Now of the proper bloud of the birth the flesh is formed and whatever parts are of a fleshie substance as the heart the liver and the lights Then are all these nourished by the menstruous bloud which is attracted through the veins of the navel This is all distinctly done from the conception unto the eighteenth day of the first moneth in all which time it is called seed After which it receives the name of Birth CHAP. IV. Of the nourishment of the birth in the womb VVHile the birth remaines in the womb it is cherished up with blood attracted through the navel which is the reason that the flowers doe cease alwayes in women as soone as they have conceived Now this blood presently after conception is distinguished into three parts the purest part of it is drawn by the child for the nourishment of its selfe the second which is less pure and thin the womb forces upwards to the breast where it is turned into Milke The third and most impure part of the blood remaines in the matrix and comes away with the secondines both in the birth and after the Birth Now the infant being thus formed and perfected in the womb for the first moneth sends forth its Urine through the passages of the navel but in the last month that passage being shut up through the privie members yet notwithstanding while the Infant is in the womb he voyds nothing out at the fundament because he hath taken no nourishment in at the mouth After the fourty fifth day it receives life and is then called an Infant Now though the infant hath by this time obtained sence yet doth he not move He most commonly moves in twice the time that he was formed and in thrice the space after he began his motion he hastens into the world as for example if the Infant were formed in forty five dayes it will move in ninetie and be born the ninth month after that and thus much of the formation and nourishment of the child in the womb CHAP. V. Of the condition of the Infant in the womb in the sixth seaventh and eighth moneth AFter the third and fourth moneth the infant is nourished with more plenty of nourishment until the time of deliverie approach Now you must observe that a childe born in the sixth month cannot live by reason that it is not come to its just perfection but if it be born in the seventh moneth it will very easily live because it is come to its full perfection Now the reason why those that are born in the eight moneth doe not live when as those which are born in the seventh doe is plaine for in the seventh moneth the Infant stirs it self to come forth so that if it have so much strength it easily performes its desire if not it remaines in the womb till it have gathered two months more strength After this motion of the seventh month if it be not able to come forth it changes it self into another part of the womb by which motion it is so weakened that if it should be born in the eight moneth it were impossible that it should live for it is weakened by a double motion not only that of the seventh moneth but also by that motion whereby it strives to go forth in the eight moneth SECT IV. CHAP. I. Of the situation of the child in the womb COncerning the scituation of the child in the womb it may be considered either generally or specially specially either as it concerns the male or the female The male is commonly scituated in the right side of the womb the female in the left The general situation of the childe either male or female in the womb is always the same Which hath been observed and seen to be in this posture when the infant lies with his back and his buttocks leaning against the back of the mother the head enclined and touching his breast with his chin resting his two hands upon his knees his navel and his nose between his two knees with his two eyes upon his two thumbs his legs folded backward and touching his buttocks with each leg This figure is the most natural as being least subject to suffer any accident being less inconvenient and less troublesome to the mother The most naturall form for the childe to come into the world is when the head comes forward the hands being stretched upon the hips The things which are the causes of a womans delivery are three first the want of respiration and air for the infant The second is the want of nourishment of which when the infant finds a defect in his mothers womb he is forced to seek it in another place The third is the narrowness of the place where the infant lies so that he is forced to seek room other-where which makes him to break the membranes wherein he was contained pressing and constraining the mother by the sharpness of those waters to do her
let her be brought to the bed and anointed with this oyntment Take oyle of sweet Almonds Hens fatt Oyle of Lillies Muscilage of Althoea of each halfe an ounce Mingle all these with as much wax as is sufficient and make an oyntment This being done give her this little doss Take two yolkes of egges and boyle them in ould wine then mix with them these spices Cinamon half an ounce rind of Cassia two drams or you may leave out the Cassia and instead thereof put in the more Cinnamon saffron halfe ascruple Savine Betonie Venus-haire Dittanie Fenugreeke Lawrel berries Mint of each one dram The bone of the heart of a Hart Pearles prepared Mingle all these with sugar and make a thick pouder and give it If the secondine come before the child and hinder the egress of the child it is to be cut of and this following pessarie to be put up Take Marsh-mallows with the rootes two hand fulls Mother wort one handfull Rue one ounce and a half Fenugreek Line-seed of each an ounce ten figgs make of these a decoction with as much water as is sufficient and when you have streined it add this to it Oyle of Lillies oyle of Line of each two ounces Musk one graine In this decoction let the pessary be dipt and put up she may afterwards use this electuarie ℞ Take Myrrh Castor Calamum Arom of each two dramms Cinamon one ounce saffron halfe a scruple Mace Savin of eace a scruple clarified hony halfe a pound you may also make an electuary with the water of Thyme and mother worte wherein have bin boyled Fenu-greek Line-seed Graines of Iuniper of each one spoonful Now after that the woman hath bin weakned with these impediments you may give her in broth species Loetificans or Manus Christi or Diamargaritont CHAP. XXVII How the secondines are to be hastened out THe secondines afore that the Infant is born may be many ways hindred first by the debilitie or weaknes of the Matrix which happens by the frequent motion and endeavouring of the Infant as also by reason of the difficultie of the birth or by reason that the womb doth not continue distended or because it is many times streightened by which the womb is so weakned that by its own force it is not able to expell the secondines Besides the secondines may inwardly stick close to the womb which happens many times through the abundance of superfluous humors that are retained in the matrix by reason of which Glutinous humors the secondines stick to the Matrix These are noe way else to be pulled away but by the hand of the midwife Thirdly the secondines are hard to come away if all the waters come away with the Infant for then the secondines being left without moisture cannot come away by reason of the drines of the womb besides that the Matrix and the neck of the womb are rougher by reason of the driness therof for these waters render the way slipperie and easie both for the infant and for the secondines which being slipped away the womb is to be anoynted with juices and oyles Fourthly when the mouth of the Matrix by reason of the paines of child-bearing swells as often happens unless there be a provident care taken to prevent it Fiftly when the neck of the Matrix is streighter and more close and for that reason fat women travaile with much more difficultie Therefore when the secondines doe make any extraordinary stay the Midwife is to use all her endeavour to make way for them for that retention causes suffocation and divers other evils for being long detained they putrifie and cause an evil smell which ascending up to the heart liver stomach diaphragma and so to the brain cause pains in the head and lungs shortness of breath faintness cold sweats so that there is great danger and also Apoplexies and Epilepsies are not a little to be feared Now in all the time of their stay the women are to be refreshed with convenient food to add strength to them giving them sometimes the yolks of eggs boyled in old wine with Sugar and sprinkled over with Saffron and Cinamon or some broth made of Capon or Hen seasoned with Cinamon and Saffron It may not be amiss to make certain perfumes for the woman to receive up into her womb made of Saffron Castor Myrrh annd Cinamon of each the quantity of a bean and care must be had that the fume pass no further then the Matrix and this may be done till the fume of these spices shall cease After this a little sneezing-pouder is to be put into her nostrils composed of Hellebore or such like the woman shutting her mouth hard and keeping her breath If these things prevail not give her this following potion ℞ Trochisch of Myrrh ʒ j ten grains of Saffron one scruple of Cinamon Peny-royal two ounces make of this one draught and give her after she hath taken this and rested a little while let a pessary of Hellebore and Opoponax wrapt up in pure wool be thrust up into the neck of the womb This will certainly bring down the seconds for it is of so great vertue that it is efficacious in expelling the child which is dead together with the seconds Take Mallows Hollihock Wormwood Mugwort Calamint Origanum an M. j. make a bath and let her sit therein up to the navel and stroke ever downwards with her hands and give her inwardly Myrrh ℈ i j. Cinamon pouder'd in Nutmeg-water or wine or drink Calamint or Penyroyal in wine Neither will it be amiss to anoint the Matrix with the oyntment called Basilicon if this doth nothing avail toward the bringing down of the seconds and that the woman is in great danger of her life then with the consent of her husband and kinred give her seven of the following Pils which being taken let her lie still till the vertue of them do provoke new pains for they are of so great vertue also that they do expel the dead child together with the secondines yet herein it will not be amiss to consult the skilful Physician The Pills are these ℞ Of Castor Myrrh Liquid storax of each a scruple the bark of Cinamon or Cassia and Birthwort of each half a scruple Agaric half an ounce Diagridion six grains Saffron Siler of the mountain Savin of each three graines Thebaic Opium Assa faetida of each one grain mingle all these with as much extracted Cassia as is sufficient and make of them certain Pils as big as pease and give them to the woman in a small quantity of Peny-royal-water It may be also expedient to apply this ensuing plaster ℞ one part of Coloquintida boyled in water and as much of the juce of Rue with these mingle Line-seed Fenugreek Barley of meal of each a spoonful let them all boyl together and the plaster made of these must be laid upon all that part from the navel to the privities CHAP. XXVIII Of Cases of Extremity
not lost her appetite she answered that she never had a better in her life her heart was light her body in good temper so that there was nothing that troubled her but an apprehension she had that the child was dead whereupon I made her try all means to make the Infant stir but she notwithstanding felt nothing only she perceived that something did heave a little upon the operation of the Remedies which was nothing but the Matrix which being now distempered and grown cold did as it were answer the hot Remedies testifying thereby some good which it received thereby I advised her to be patient and to wait Natures leisure which is provident enough of it self telling her that I had seen an Infant which had lain a long time in the Womb without budging which for all that was not dead although you could not perceive in the Woman any thing but the signs of a dead child I had oftentimes brought the Lady to bed and she stil had very good deliveries and very sound children of a good colour so that I believing her to be of a sound constitution thought that if the Infant were dead that Nature which was very strong in her would expel it in time convenient and that she should not be forced not having given any testimony of defect resolving also when her Reckoning was out if then Nature shewed it self weak that we would consult her Friends and Physitians Many of her Friends told me that they doubted that she was deceived in thinking her self to be with Child to which I answered that they might be confident that it was so in brief she was brought to bed sixteen weeks after the fright which she had Now here ariseth a great doubt whether the Child dyed at the hour of her being scared by reason that it did not move in all the time A reason that the child was not dead may be because that the Gentlewoman had not her milk til within three weeks afterward and yet I cannot but think that it dyed at the same time for certainly by that fright the vital spirits were ravished from it and the blood of the Arteries retired to the heart of the Mother not being distributed to the Infant but at the good pleasure of Nature the course of which being stopped it retired to its first source through which the child suffering a suffocation gave a violent motion and now after the Fright was come to her self and that Nature would have returned to finish her work she was not received because the vital faculties of the Infant were extinct and notwithstanding all this the Mother not ceasing to retain the menstrual blood as she was accustomed that finding it self stopped and stil increasing without that use made of it that was wont it made a reflux to the breasts which flowd down again in five or six dayes for the Infant coming to decrease in the Womb now way was made for them which came not down for all that but in the Delivery and after which was in this manner At the end of the sixteenth week after the fright she had pains in the night she thinking to indure them wel enough til morning in the morning caused me to be sent for I came to her finding with her a Physitian and sundry others of her acquaintance The Physitian that expected me had ordered her a Clyster to give her if I thought it to the purpose I found her pale cold and yet in a sweat with so little pulse that I esteemed her dead I touched her found she had been in Travail which had been too long neglected I called presently for a plain silver dish into which I squeez'd the juice of half a Citron and set it upon a Chafing-dish of coals being warmed I caused her to take it this restored Nature a little and stirred up her pains and then I assisted her notwithstanding some of the waters ran down after her first throw the leggs and thighs of the Child came forth now finding the Infant to be dead and seeing that she was troubled with no more throws I was afraid of drawing it forth for fear it might be rotten I did give her a Clyster without moving her the force of which bringing the Child away she was delivered of a dead Infant all over of a leaden colour without any ill vapour the Secundines sound and fair as you shal see her purgations as clear as could be and she had as good and as happy a Lying in as any Woman in the world all which time she had not the appearnce of any Milk at all Hence we may admire the effects of Nature which are wonderful But in such cases Women must be sure in due time and place for if a Woman do resist her paines and doth not put her self in a right posture she runs a great hazard of her life A Second Observation of a Woman that had been in Travail nine dayes BEing called to the Labour of a Woman that had been in Travail nine or ten dayes of whom there was little hope I went and there found the Woman almost dead her eyes open and fixed her nose shrunk in her breath smelling like a charnel-house and she took nothing down into her stomack that she did not instantly vomit up again she had drunk up above two pints of water in an hour and by her bed there was a whole sea of those things that she had vomited up They gave her cold water and the yelk of an Egg sometimes though it came up again at the same instant she felt no paine of the Infant but finding her Womb was open and her waters beginning to come down I found that she had been in Travail only Nature was oppressed and had not had any good assistance so that the Infant was retired back again which stifled the Mother and provoked her vomiting upon which I gave my advice and though I thought my self come a little too late yet I resolved to do what lay in the power of my Art and therefore I resolved to give her a good strong Clyster to awaken Nature and to bring the Infant lower which it did according to our hopes afterwards to drink a smal quantity of Rhubarb-water which stayed with her a little after I gave her the yelk of an Egg which stayed with her also causing her to drink nothing but Rhubarb-water and at every hours end I gave her the yelk of an Egg which did also stay with her by this time Nature began to strengthen it self and the paines of the Infant came again and in less then two hours after the Clyster and other nourishment given when I saw her pretty wel and that Nature strove to expel the Infant I gave her half a dram of Confection of Alkermes in a little Wine and a little while after I caused her to take another Clyster into which I put a little Hiera and a little Benedictus which finished the work for She was then