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A69832 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 privie part. 3. The diseases of the womb ... 14. The diseases and symptoms in children. Culpeper, Nicholas, 1616-1654. 1651 (1651) Wing C7488; Wing C7497; ESTC R171645 150,923 300

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it seems to fall rather then be expelled and the bones of the privities must needs be divided That which follows the birth is above humane capa●ity namely the transmutation of the navel vessels and lungs and heart in the infant and why Nature ordered it of which Galen elegantl● in the 15. Book of the Use of Parts and 6. Chapter There is also a legitimate birth when it is acco●ding to the Law of Nature and an illegitimate when it is before or after the time Hippocra●es saith that a birth in the seventh month is vital and legitimate And it is sooner f●om the strength of the faculty and matter ●it for formation yet it is commonly weak except the ●eventh month be compleat Of the eighth month Hippocrates ●aith thus None live● that is born in the eighth month because i● cannot bear the two affliction● to follow but the reason of the Arithmeticians is better that say an even month is imper●ect The ninth and tenth month are the best as Hi●p●crate● ●aith A child is born in ten months at t●e f●rthest and so ●aies the wisest Salomon Some say that a child may ●e born in the eleventh month and Peter Apponensis was so born and some say they have been born in the fourteenth and fifteenth month but rare things are not to be counted the Law of Nature Generally Physitians agree with Hippocrates though some dissent Chap. 2. Of Abortion IT is the exclusion of a child not perfect nor living before legitimate time This time is defined by Hippocra●es Whosoever conceiveth doth it within seven daies but they are properly abortions that come before the seventh day and though some are in the fifth and sixth month that have lived y●t that must not d●rogate from the common Law of Nature Some differences of Abortion are from the time and bigness of the child For that which is cast out is little and round without distinction of members at first like a Grape Somtimes as long as a ●inger and members may be distinguished And somtimes the child is almost perfect The immediate Cause is the expulsive faculty sti●red up and that is done by three means from Galen from the weight bigne●s and pain There are more causes which we shal place in two Ranks The first is of the manner of the causes that provoke the expulsive faculty The other is that which ●indeth out these waies by all the causes The expulsive f●culty is first provoked by the child being weak either from evil seed or being dead The child is weak for want of food and from the mothers diseases either in her whole body or in the womb or parts adjacent that consent as Feavers Inflammations Fainting Convulsions Pain Vomiting Neesing Cough that move the Spirits and humors● and shake the child and stir up Nature to expel it Also straitness of the womb causeth Abortion by which means it cannot contain a great child Al●o shortness of the navel-vessels which Fabricius first observed The outward Causes are cold air after hot and moist which gets into the womb and provokes it and hu●ts the child The Astrologers add the malignant aspects of the Stars also too much or too little meat Great watchings purging and flux of blood by the womb and Haemorrhoids Also violent motion as leaping carrying of burdens strokes on the belly or ba●k Also passions as anger fear sorrow Also bleeding purging fasting ●mel of brims●one or ashes hoofs burnt or stink of the snu●● of a candle If the breasts be less or much milk flow from them or she feel much and often pain about th● belly or loyns that go to the Pubes and Os sac●um with a de●ire of thrusting forth in the womb If the child change its place and if it f●l lower when it was in the middle of the belly there is fear of miscarr●ing It is dangerous alwa●●s because it is with violence there are also great Symptoms they are in l●●s danger that have already brought forth a ●hild ●●●refore the ●irst is most danger●us and 〈◊〉 mou●●s of the vessels ar● to●n and they commonl● become barren Abortion is mo●t dange●o●s in the sixth seventh and eighth month be●●●se th● in●ant being ●●eater ●●useth greater pain and breaks the Ligaments worse To preserve from Abortion Consider the constitution before she is with child and prevent every cause If it be like to come from Plethory before Conception open a vein and after Conception in the fourth or ●i●th month in the arm I● it be from Cacochymy purge the whole body and purge the womb with Pessaries and streng●hen it of which in the cold and moist distemper of the Womb If she have conceived open a vein before the time she used to abort i● there Cacochymy purge gently at times If there be a cold distemper of body by flegm that hurts the womb give the d●coction of China or Sar●a with strengtheners of the child Avoid the external Causes of Abortion and if they have done hur● help it presently L●t n●t the belly be bound if the child be weak ●●move the causes of weakness and strengthen i●● Use things that strengthen the womb and child as Coral as Kermes-berries Or Take Magistery of Coral a dram Pearl p●●pared half a dram Ivory shaved a dram Ma●●i●● half a dram grains of Kermes a dram Manus ●●risti with Pearl two drams make a Pouder I● th● Abortion be at hand and the pains increase give this Pouder with a rear Eg Or Take Con●●r●● of red Roses two drams red Coral a●● Ma●●i●h ●●●h a scruple give i● presently Use the ●ounte●●es Oy●tment outwardly to the Loyns R●ins P●c●●n and Perinaeum Or Take Oyl of Roses Mirt●es Ma●●i●h Q●inces ea●● two ounces Oyl of Mints an ounce Bdellium 〈◊〉 in Vinegar liquid Storax each two ounces Oyl of Nutmegs by expression a dram with Wax make an Oyntment Of the same with Pitch Rosin Colophony you may make P●aisters Let her hold a Loadstone in her hand or tie it to her navel or wear an Eagle stone under her arm-pits or Coral Jaspar Smaragds Diamonds If these will not keep the child up you must give over A●●ringents and use Leni●ives Question Whether the straitness of the Womb is the Cause of Abortion Hippocrates 1. de morb saith That the Womb may cause Abortion if they be windy thic● great 〈◊〉 little and he shews in another place that Abortion may be from the straitn●ss of the womb And in another place he saith I● a woman in the third ●ourth or fifth m●nth mi●●arry often a●● at the s●me time it is because the womb wil not stretch And Galen confirms the same and i● st●nds to reason for natural birth is when the womb cannot contain the child for its growth Th●r●for● i● it be ●●eternaturally too little it i● the cause o● Mor●●on And though N●ture hath made the womb ●o hold the child yet i● i● be not made large enough it cannot ●●ntain
the body and it could not form the child 〈◊〉 would Nature make milk of it Therefore menstrual blood onely offends quantity and not in any mani●e●t or hidden q●lity But it hath strange qualities when it is 〈◊〉 with bad humors or is kept too long in body to be corrupted and cause great Sy●toms but this is when it is mix●● with bad mors or is out of its vessels and so corrupts Question 3. Of the ●ext of Aristotle 7. de hist Animalium c●p●● and how it is to be underst●od Aristotle writes thus Constantly every month ●ome have their Terms but most in the third as ●f he should say Few women have their courses ●very month but many have them every third ●onth This is against Galen and against expe●ience for it is certain that among six hundred women scarce one hath them every third month Therefore there is either an errour in the Greek Text or in the Translation or great Men do often 〈◊〉 which is probable and so did Arist tle in this of Physick Therefore it is in vain to defend their ●rrour Chap. 2. Of the Terms flowing too soon ORdinarily they begin at fourteen but many have had them sooner A child of ele●en daies old had a bloody humor flowing from 〈◊〉 privities Another of five years old had eve●y month a moderate flux Fernel reports that Girl of eight years old had the Terms but these 〈◊〉 rare and for the most part very lecherous 〈◊〉 short lived Chap. 3. Of want and stopping of the Terms SOme Women have them not till eighteen or twenty Some before and then they stop for a time without either giving suck or being with child Some have been without them three five or seven months and then they came agai● This is an evil constitution or suppression of th●● which it ought to flow from the fault of the blood and stoppage of the passages When Terms are wanting either blood is wanting o● stopt It is wanting either be●ause it i● not made or dispersed or turned to other use● for nature being more sollicito●s to preserve the individual person then to propagate the speci●s spends 〈◊〉 in preserving of the person Blood is not made from divers causes as a●e cold constitution of ●iver Heart or a disease which distempers the ●●wels Or often bleeding from great vessels or ●●om having many issues which take from the blood It is spent other waies as before ripe age an● when women are with child or give suck or i● hot Natures and fat women in whom it is tu●ned to fat It is in vain to provoke Terms i● these There are other external evident causes of s●●●ping of the Terms as too great labour trouble●●adness fear but these last do not only wast 〈◊〉 blood but cool and corrupt it and cause obs●●ctions as Hippocrates speaks of Phatusa the 〈◊〉 of Pytheus The proper causes are the straitness of 〈◊〉 passages or evil conformation of the 〈◊〉 through which it should slow Or the closin● the womb of which we spake but I speak 〈◊〉 of the ve●sels The usual cause of obs●●uction is thick 〈◊〉 humors f●om the blood too thi●k or mixed 〈◊〉 melancholy which comes with it to the vei●● 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 So thought Galen in his time of the Roman women that drank Snow-water● and had few or no courses● Straitness 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 diste●per 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 ●●ar 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 for blood stopt in Virgins goes to and ●ro 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 as loathing vomiting and Pica Galen hath other signs as heaviness a lazy pain in the loyns neck and behind in the head that reacheth to the roots of the eyes from the sp●eading of the blood stopt through the whole body This laziness is chie●ly 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 a● want their Terms only by p●●per signs First the women with child keep their colour but the other are pale and ill-c●loured 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 ●old 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 If it be ●rom flegm or melancholy which is o●ten there are signs of their abounding as laz●ness paleness seldom pulse crude urin Hippocrates saith That if the Terms stop ther● 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 ha●der they are to be opened If the blood stop● go out at the nose it is good If it have great Symptomes 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 sed high First see i● blo●d abound and then a●ter a Leni●ive open a vein● and l●t that blood which is in the veins be drawn to the womb Gal●● took th●ee ●ints of blood at three times f●om 〈◊〉 le●n wom●n and cured her of an old stopping 〈◊〉 the Terms You must open the ankle vein● the fir●t day the right the next the left four or five daies before the time Or you may cup and ●●ari●ie the Leggs 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 hal● an ounce or Pills de T●ibus o● Hiera simple are good first Then prepare as Take water of Mugwort 〈◊〉 Maidenhair ●a●h three ●u●ces Syrup o●●he five Roots and of Mugwort each two ounces ma●e
the straitness and largeness of the Orifice Page 1 Chap. 2. Of the Mentula or Yard in a Woman 3 Chap. 3. Of Atretae or Closures and straitness of the Neck and Mouth of the Womb 4 Chap. 4. Of Pustles and Roughness of the Privities 6 Chap. 5. Of Condyloma in the Neck of the Womb Page 7 Chap. 6. Of Warts in the Neck of the Privities and Womb 8 Chap. 7. Of the Haemorrhoids of the Womb. 9 Chap. 8. Of the Ulcers in the Neck of the Womb 11 Chap. 9. Of the Clefts in the Neck of the Womb 14 Chap. 10. Of Fistulae's in the Neck of the Womb 15 Chap. 11. Of a Cancer in the Womb 16 Chap. 12. Of a Gangrene and Sphacel in the Womb 18 THE CONTENTS OF THE FOURTH BOOK THE SECOND SECTION Of the Diseases of the Womb. CHap. 1. Of the Knowledg of the Temper of the Womb. 20 Chap. 2. Of the hot Distemper of the Womb Page 22 Chap. 3. Of the cold Distemper of the Womb 24 Chap. 4. Of the moist Distemper of the Womb 25 Chap. 5. Of the dry Distemper of the Womb 26 Chap. 6. Of Compound Distempers and first of cold and 〈…〉 Chap. 7. Of the ill shape of 〈◊〉 Womb and ●irst of the 〈◊〉 of it and its Vessels 〈◊〉 Chap. 8. Of the opening of t●● Vessels of the Womb besides N●ture 3● Chap. 9. Of a double Womb t●● wanting of a womb and evil sha●● of the womb and strange thing● found in it 3● Chap. 10. Of the Magnitude o● the Womb incre●sed and first of t●e 〈…〉 of the womb 35 Chap. 11. Of the Dropsie of the Womb Page 38 Chap. 12. Of a Tumor in the Womb from Blood in its Veins 42 Chap. 13. Of Inflammation of the Womb ibid. Chap. 14. Of a Scirrhus and Cancer in the Womb 45 Chap. 15. Of the displacing of the Womb and first of the Ascent of it 47 Chap. 16. Of Falling out of the Womb 49 Chap. 17. Of the Rupture of the Womb 54 Chap. 18. Of Wounds and breaking of the Womb ibid. Chap. 19. Of Ulcers and rottenness of the Womb 55 Chap. 20. Of the Diseases of the Stones and Vessels of Procreation in Women ibid THE Contents OF THE FOURTH BOOK THE SECOND PART Of the Symptomes in the Womb and from the Womb. CHap. 1. Of Weakness of the Womb Page 57 Chap. 2. Of the Itch of the Womb 59 Chap. 3. Of pain in the Womb 60 Chap. 4. Of the Diseases of the Womb that come from sweet scents and stinks 63 THE CONTENTS OF THE FOURTH BOOK THE SECOND SECTION Of the Symptoms in the Terms and other fluxes of the Womb. CHap. 1. Of the flux of the Terms Page 66 Chap. 2. Of the Terms flowing too soon 69 Chap. 3. Of want and stoppage of the Terms ibid. Chap. 4. Of fewness of the Terms 78 Chap. 5. Of Dropping of the Terms 79 Chap. 6. Of the over-flowing of the Terms 80 Chap. 7. Of the Terms flowing with pain and Symptoms 85 Chap. 8. Of evil discoloured Terms 86 Chap. 9. Of Terms coming before their time 87 C●ap 10. Of Terms that come after their usual time 88 Chap. 11. Of the Terms voided another way 90 Ch●p 12. Of the Whites ib. C●ap 13. Of a Gonorrhaea 94 Chap. 14. Of strange things voided by the Womb 95 THE CONTENTS OF THE FOURTH BOOK TH● THIRD SECT ON Of the Symptoms that bef● Virgins and Women in their Wo● after they are rip● o● Age. CHap. 1. Of Virginity 96 Chap. 2. Of the Green-sickness or white Feaver 100 Chap. 3. Of Symptoms from the Womb and Mother-fits in General Page 106 Chap. 4. Of Suffocation of the Womb 108 Chap. 5. Of the Frenzie of the Womb. 115 Chap. 6. Of the Melancholy of Virgins and Widdows 118 Chap. 7. Of an Epilepsie from the Womb 120 Chap. 8. Of pain of the Head from the Womb 122 Chap. 9. Of the Diseases of the Heart and beating of the Arteries in the Back and Sides from the Womb 124 Chap. 10. Of the Diseases of the Spleen and the Hypochondriack disease from the Womb 125 Chap. 11. Of the Distemper of the Liver from the Womb and of a Beard growing by consent from the Womb. 127 Chap. 12. Of the Diseases of the Stomach that come from the Womb Page ibid THE CONTENTS OF THE FOURTH BOOK THE FOURTH SECTION Of ●he Symptoms which are in Conception CHap. 1. Of the desire of Venery hurt 130 Chap. 2. Of Barrenness and want of Conception 131 Chap. 3. Of Barrenness for the time and conceiving seldom 139 Chap. 4. Of Conception and forming of the Child 141 Chap. 5. Of the Generation of Twins and many Children 142 Chap. 6. Of S●perfoetation Page 144 Chap. 7. Of the ill Formation of the Child 145 Chap. 8. Of a Child turned into Stone 147 Chap. 9. Of a Mole 148 Chap. 10. Of Monsters 151 Chap. 11. Of false Conception and Swelling 153 THE CONTENTS OF THE FOURTH BOOK THE SECOND PART THE FIFTH SEC●ION Of the Government of Women with Child and preternatural Distempers in Women with Child CHap. 1. Of the signs of Conception 155 Chap. 2. Of the Government and Diet of Women with C●i●● Page 156 Chap. 3. Of the Cure of Women with Child in general 158 Chap. 4. Of the Symptoms that befal Women with Child in the first months 162 Chap. 5. Of the Symptomes in Women with Child in the middle months 164 Chap. 6. Of the Symptoms that are in the last months 166 Chap. 7. Of Weakness of the Child 167 Chap. 8. Of Crying in the Womb 168 THE Contents OF THE FOURTH BOOK THE THIRD PART THE SIXTH SECTION Of Symptoms that happen in Childbearing CHap. 1. Of Childbearing in General Page 170 Chap. 2. Of Abortion 172 Chap. 3. Of the Signs of Natural Birth and the manner and Government of such as bring forth 175 Chap. 5. Of Natural hard Travel 177 Chap. 6. Of a vitious disorderly Birth or difficulty preternatural Page 179 Chap. 7. Of a slow Birth● 180 Chap. 8. Of a Child dead in the Womb 181 Chap. 9. Of the Caesarean Birth 183 THE CONTENTS OF THE Fourth Book THE Seventh Section Of the Government of Women in Child-bed of the Diseases that come after Travel CHap. 1. Of the Government of Women in Child-bed Page 186 Chap. 2. Of the Secundine or After-birth or a Mole that is left after Childbearing Page 187 Chap. 3. Of the Purgation after Childbearing diminished ●r detained 189 Chap. 4. Of too great a Flux of blood after Childbearing 191 Chap. 5. Of the pains after Travel and torments in the Belly 192 Chap. 6 Of the Tearing of the Vulva to the Arse and coming forth of the Womb Inflammation Ulcer Suffocation and Falling out of the Fundament 193 Chap. 7. Of Watching Doting and Epilepsie of Women in Child-bed 194 Chap. 8. Of the Swelling of the Womb Belly and Feet after Child-bearing 195 Chap. 9. Of Vomiting Loosness B●lly bound and not holding of ●rin in Women in Child-bed ibid. Chap.
with proper things as we shewed in the distempers of the Womb. But take heed that you move not the Terms when you attenuate for that wil melt the ●erous humors and fix them more in the vessels use neither Vinegar no● sharp things After purging consume the reliques by sweat if choler be in fault that must not be sweated out discuss it with warm Baths and do so in melancholy Use Pessaries Fomentations and Fumes to the womb Give Treacle Mithridate or the Decoction of An●elica roots if cold humors are the cause Chap. 9. Of Terms coming before their time THese shew an ill constitution And it is a depraved excretion of the Terms that comes for the time often f●r somtimes they fl●w sooner or twice in a month The immediate Cause is hurt of the retentive and expul●ive faculty so that the blood flows not or sooner or late● or oftner the cause why they come sooner is in the blood that stirs●up the expulsive faculty in the whole body or in the womb somtimes all causes meet the blood is too much or too sharp and hot and if the retentive faculty in the womb be weak and the expulsive strong● and of quick sense it is sooner A fall stroke or passion are the evident Causes They will relate it and the signs of the causes are these If it be from much blood there are the signs of plethory heat thinness and sharp humors are known by the distemper of the whole The weakness of the retentive faculty and loosness of the vessels is known from a loose and moist habit of body It is not dangerous but troublesom and hinders conception I● they come too soon from hurt in the faculty provoked by too much plethory Let blood use a spare diet and much exercise If it be from sharp blood temper it by good diet and Medicines as in the choleri●k distemper of the womb Use Baths of Iron-water that corrects the distempers of the bowels then evacuate If it come from the retentive faculty and loosness of the vessels correct the cold and moist distem●er with gentle astringents I● it be from a stroke or fall cu●e it as the vessels opened are cured of which before Chap. 10. Of Terms that come after their usual time VVHen they stay longer then ordinary and return without order at no set time the causes are little and thick blood straitness of the passages weakness of the expulsive faculty and dulness Either of these causes may stop the Terms bu● if all meet the disease is worse For if blood be not bred in such a quantity that it may prick Nature forward to expel it the purging of it is di●●ered till there be enough to stir up Nature to expel it If thi●k humors are in the blood the passages stopt and the faculty weak the Terms mu●t needs be disordered and the purging of them differed longer If it be from want of blood she hath either lived poor in diet or exercised too much and she ●inds no inconvenience by the want of her Terms If it be from gross slimy blood there are signs of Cacochymy The weakness of the faculty is known by the cold distemper of the womb It is not so dangerous as stoppage of the terms but it is bad enough in a plethorick or cacochymical body If little blood be use a ●uller diet and exercise not If blood be gross and foul make it thin and cut it and after Preparatives let the humors mixed therewith be evacuated It is good to purge presently after the Terms and to use Calamints and to purge often Also four or five daies before the Terms sca●i●●e the ankles and hold the feet in warm wa●●● ●ub the legs apply Cupp●ng-glasses without S●●●ification to the inside of the thighs and use Fumes and Pessaries Anoin● the bottom of the belly with things to provoke the Terms If there be a numness use things against the Palsie Chap. 11. Of the Terms voided another way SOmetimes they come out at the nose or are vomited up or flow out by the Haemorrhoid veins Hence Hippocrates saith that a woman that vomits blood is cured by having her t●rms or by a bloody flux Somtimes they are pissed ●orth Dodon●eus saies that they come out at the eyes like tears somtimes Ama●us Lusitanus saith they will come forth at the Teats of the breasts and at the navel at the little finger or ring-●inger every month as Mercat●s observed thrice Are stoppage of the Terms from straitness of the vessels in the womb or evil conformation of the womb It is more troublesom then dangerous and hinders conception It is best when they come out at the nose for it is a part that Nature useth to disburden her self by First bring the blood to the womb again and abate it Open the ankle-vein three daies before she begins to bleed Or cup the thighs or rub them Or use Baths Fomentations Oyntments Womb-clysters Pessaries and the like mentioned in Suppression of the Terms Chap. 12. Of the Whites IT is a ●oul excretion from the womb white and somtimes blew or green or reddish no at a set time nor every month but disorderly longer or shorter Before or after the Terms and when they are stopt Virgins seldom have this disease and women with child have it somtimes It differs from the running of the reins for it is in less quantity whiter and thicker and at a greater distance It differs from night pollution which is onely in sleep with imagination of Venery The immediate Cause is an excrementitious humor flegm choler or melancholy Somtimes it is like waterish blood It is gathered in the whole body or in the stomach liver or spleen For they who have crudities in the stomach are subject to this disease Somtimes the womb alone is distempered after often mischances or when the womb is very cold and moist This matter flows through the veins of the womb or of the neck of it which use to carry blood and Nature abuseth them to carry excrements especially if they are bred in the womb The remote causes are whatsoever doth breed ●ad humors some have it after strong purges or long bathing Somtimes they are pale somtimes blew red waterish and green somtimes slimy or cold or sharp or stinking In young people it is reddish The face is discoloured the urin thick there is loathing and heartach If the humor be sharp and corrupt there is a Feaver If it be flegmatick and much the ligaments of the womb are loose and it falls out thus Hippocrates and there are saith he swelled eyes evil colour and short breathing If it be not bred in the womb the humor is from a Cacochymy If it be from a fault in another part the signs of that wil appear If it come only from the womb there will be but little if from the whole body there will be more It is often long