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 capaâity namely the transmutation of the navel vessels and lungs and heart in the infant and why Nature ordered it of which Galen elegantlâ in the 15. Book of the Use of Parts and 6. Chapter There is also a legitimate birth when it is accoâding to the Law of Nature and an illegitimate when it is before or after the time Hippocraâes saith that a birth in the seventh month is vital and legitimate And it is sooner fâom the strength of the faculty and matter âit for formation yet it is commonly weak except the âeventh month be compleat Of the eighth month Hippocrates âaith thus None liveâ that is born in the eighth month because iâ cannot bear the two afflictionâ to follow but the reason of the Arithmeticians is better that say an even month is imperâect The ninth and tenth month are the best as Hiâpâcrateâ âaith A child is born in ten months at tâe fârthest and so âaies the wisest Salomon Some say that a child may âe 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 Hippocraâes 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 yât that must not dârogate 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 âinger and members may be distinguished And somtimes the child is almost perfect The immediate Cause is the expulsive faculty stiâred up and that is done by three means from Galen from the weight bigneâs 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 âindeth out these waies by all the causes The expulsive fâculty 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 humorsâ 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 Alâo 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 huâts 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 baâk Also passions as anger fear sorrow Also bleeding purging fasting âmel of brimsâone or ashes hoofs burnt or stink of the snuââ of a candle If the breasts be less or much milk flow from them or she feel much and often pain about thâ belly or loyns that go to the Pubes and Os sacâum with a deâire of thrusting forth in the womb If the child change its place and if it fâl lower when it was in the middle of the belly there is fear of miscarrâing It is dangerous alwaââs because it is with violence there are also great Symptoms they are in lââs danger that have already brought forth a âhild ââârefore the âirst is most dangerâus and ãâã mouââs of the vessels arâ toân and they commonlâ become barren Abortion is moât dangeâoâs in the sixth seventh and eighth month beâââse thâ inâant being ââeater ââuseth 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 âiâth month in the arm Iâ it be from Cacochymy purge the whole body and purge the womb with Pessaries and strengâhen 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 iâ there Cacochymy purge gently at times If there be a cold distemper of body by flegm that hurts the womb give the dâcoction of China or Sarâa with strengtheners of the child Avoid the external Causes of Abortion and if they have done hurâ help it presently Lât nât the belly be bound if the child be weak ââmove the causes of weakness and strengthen iââ Use things that strengthen the womb and child as Coral as Kermes-berries Or Take Magistery of Coral a dram Pearl pââpared half a dram Ivory shaved a dram Maââiââ half a dram grains of Kermes a dram Manus ââristi with Pearl two drams make a Pouder Iâ thâ Abortion be at hand and the pains increase give this Pouder with a rear Eg Or Take Conâârââ of red Roses two drams red Coral aââ Maââiâh âââh a scruple give iâ presently Use the âounteââes Oyâtment outwardly to the Loyns Râins Pâcâân and Perinaeum Or Take Oyl of Roses Mirtâes Maââiâh Qâinces eaââ two ounces Oyl of Mints an ounce Bdellium ãâã 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 Pâaisters 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 Aââringents and use Leniâives 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 thicâ great ãâã little and he shews in another place that Abortion may be from the straitnâss of the womb And in another place he saith Iâ a woman in the third âourth or fifth mânth miââarry often aââ at the sâme time it is because the womb wil not stretch And Galen confirms the same and iâ stânds to reason for natural birth is when the womb cannot contain the child for its growth Thârâforâ iâ it be ââeternaturally too little it iâ the cause oâ Morââon And though Nâture hath made the womb âo hold the child yet iâ iâ be not made large enough it cannot âântain
the body and it could not form the child ãâã would Nature make milk of it Therefore menstrual blood onely offends quantity and not in any maniâeât or hidden qâlity But it hath strange qualities when it is ãâã with bad humors or is kept too long in body to be corrupted and cause great Syâtoms but this is when it is mixââ with bad mors or is out of its vessels and so corrupts Question 3. Of the âext of Aristotle 7. de hist Animalium câpââ and how it is to be understâod Aristotle writes thus Constantly every month âome have their Terms but most in the third as âf he should say Few women have their courses âvery month but many have them every third âonth This is against Galen and against expeâience 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 ãâã which is probable and so did Arist tle in this of Physick Therefore it is in vain to defend their ârrour Chap. 2. Of the Terms flowing too soon ORdinarily they begin at fourteen but many have had them sooner A child of eleâen daies old had a bloody humor flowing from ãâã privities Another of five years old had eveây month a moderate flux Fernel reports that Girl of eight years old had the Terms but these ãâã rare and for the most part very lecherous ãâã 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 agaiâ This is an evil constitution or suppression of thââ which it ought to flow from the fault of the blood and stoppage of the passages When Terms are wanting either blood is wanting oâ stopt It is wanting either beâause it iâ not made or dispersed or turned to other useâ for nature being more sollicitoâs to preserve the individual person then to propagate the speciâs spends ãâã in preserving of the person Blood is not made from divers causes as aâe cold constitution of âiver Heart or a disease which distempers the ââwels Or often bleeding from great vessels or ââom having many issues which take from the blood It is spent other waies as before ripe age anâ when women are with child or give suck or iâ hot Natures and fat women in whom it is tuâned to fat It is in vain to provoke Terms iâ these There are other external evident causes of sâââping of the Terms as too great labour troubleââadness fear but these last do not only wast ãâã blood but cool and corrupt it and cause obsââctions as Hippocrates speaks of Phatusa the ãâã of Pytheus The proper causes are the straitness of ãâã passages or evil conformation of the ãâã through which it should slow Or the closinâ the womb of which we spake but I speak ãâã of the veâsels The usual cause of obsââuction is thick ãâã humors fâom the blood too thiâk or mixed ãâã melancholy which comes with it to the veiââ 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-waterâ and had few or no coursesâ 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 disteâper 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 ââar 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 âro 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 spâeading of the blood stopt through the whole body This laziness is chieâly 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 aâ want their Terms only by pââper signs First the women with child keep their colour but the other are pale and ill-câloured 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 âold 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 ârom flegm or melancholy which is oâten there are signs of their abounding as lazâness paleness seldom pulse crude urin Hippocrates saith That if the Terms stop therâ 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 haâder they are to be opened If the blood stopâ 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 iâ bloâd abound and then aâter a Leniâive open a veinâ and lât that blood which is in the veins be drawn to the womb Galââ took thâee âints of blood at three times fâom ãâã leân womân and cured her of an old stopping ãâã the Terms You must open the ankle veinâ the firât day the right the next the left four or five daies before the time Or you may cup and ââariâie 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 halâ an ounce or Pills de Tâibus oâ Hiera simple are good first Then prepare as Take water of Mugwort ãâã Maidenhair âaâh three âuâces Syrup oââhe five Roots and of Mugwort each two ounces maâe
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 ãâ¦ã Chap. 7. Of the ill shape of ãâã Womb and âirst of the ãâã of it and its Vessels ãâã Chap. 8. Of the opening of tââ Vessels of the Womb besides Nâture 3â Chap. 9. Of a double Womb tââ wanting of a womb and evil shaââ of the womb and strange thingâ found in it 3â Chap. 10. Of the Magnitude oâ the Womb increâsed and first of tâe ãâ¦ã 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 Câap 10. Of Terms that come after their usual time 88 Chap. 11. Of the Terms voided another way 90 Châp 12. Of the Whites ib. Câap 13. Of a Gonorrhaea 94 Chap. 14. Of strange things voided by the Womb 95 THE CONTENTS OF THE FOURTH BOOK THâ THIRD SECT ON Of the Symptoms that befâ Virgins and Women in their Woâ after they are ripâ oâ 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 âhe 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 Sâperfoetation 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 SECâION 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 Câiââ 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 Birthâ 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 âr 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 Bâlly bound and not holding of ârin 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 âerous humors and fix them more in the vessels use neither Vinegar noâ 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 Anâelica 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 fâr somtimes they flâw sooner or twice in a month The immediate Cause is hurt of the retentive and expulâive faculty so that the blood flows not or sooner or lateâ or oftner the cause why they come sooner is in the blood that stirsâup 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 strongâ 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 Iâ 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 choleriâk 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 distemâer with gentle astringents Iâ it be from a stroke or fall cuâe 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 buâ 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 diââered till there be enough to stir up Nature to expel it If thiâk humors are in the blood the passages stopt and the faculty weak the Terms muât 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 âinds 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 âuller 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 scaâiââe the ankles and hold the feet in warm waâââ âub the legs apply Cuppâng-glasses without Sâââification to the inside of the thighs and use Fumes and Pessaries Anoinâ 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 târms or by a bloody flux Somtimes they are pissed âorth Dodonâeus saies that they come out at the eyes like tears somtimes Amaâus Lusitanus saith they will come forth at the Teats of the breasts and at the navel at the little finger or ring-âinger every month as Mercatâs 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 âoul 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 âad 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