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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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of many diseases First endeavor to evaeuate the blood from the womb by Frictions Ligatures and Cupping i● they will not do open a vein in the foot Then open the pass●ges with external and internal means● anoint the Belly with loosning Oyls or soment thus Take Lilly roots Birthworts Briony Angel●ca each half an ounce Mercury Mugwort Pennyroyal Savin Calamints each a handful Tansey Chamomil and Elder fl●wers each half a handful Faenugreek and Linseed each two drams bruise them grosly and put them in a bag and boyl them in Water and Wine lay it to the privities and bottom of the belly Give emollient Clysters and if some daies are pa●● purge with Agarick Rhubarb Senna Or Take Lilly roots Al●haea each half an ounce Birthworts two drams Pellitory Mercury● Althiea each a handful Calamints Chamomil Elder flo●ers each two pugils Faenugreek and Lineseed each two drams boyl them to ten ounces strained ●dd O●l of Dill Lillies each an ounce Hiera simple half an ounce Oyntment of Sowbread three drams make a Clyster Or give Pessaries that provoke the Terms Give things to melt and attenuate the blood As Take opening Roots three drams Bettony Maidenhair Endive Schaenanth each two pugils Anise Fennel seed each a scruple red Pease a spoonful boyl them to a pint and half add Cinna●on water two drams Syrup of the five Roots three ●●nces give four ounces Chap. 4. Of too great a flux of blood after Childbearing THat is too much which makes weak It is blood abounding which ha●● been g●thered nine months in the womb It is thick or spends the Spirits and weakens There is loathing of meat pain the Hypochondria belly-ach weak and often pulse dark sight noise in the ears fainting and Convulsion It is dangerous when long and with fainting and Convulsion Therefore observe the pulse least she die suddenly See what strength she hath and stopt it not ●●ddenly I● it be not very g●●at order a diet of ●oas●ed Hens basted with red Wine or Pomegra●●e of Sta●ch Almonds Rice Quinces Con●●●ve of Roses steeled Water and make Revul●●ns use gentle things and strengthen the loose ●●●●ges Anoint the belly with oyl of Roses Mirtles cup under ●he breasts and sides without scari●ication Apply a Cataplasm of red Roses Bole and Ros●-water to the Liver Then use stronger and give a higher diet o●ten in small quantity and give Syrups to stop blood As Take old Conserve of Roses two ounces of Tormentil an ounce of Quinces without speci●● half an ounce Bole red Coral each half a dram with syrup of Currans and Coral make an Electua●y Anoint the belly with the Oyntment of the Countess and other Astringents or use astringent Fomentations or let her take into the womb a Fume of Mastich Frankincense red Roses c. Then open a vein in the arm and let blood by degrees See Sect. 2. Chap. 6. of overflowing of the Terms Chap. 5. Of the Pains after Travel and torments in the Belly THese are not in the body and bottome of the womb but in the vessels and membranes by which the womb hangs and that goes to the sides and belly They are from a constant labor in travel when the bottom of the womb is pricked to send forth from cold air let into it or clotted blood detained or sharp blood sticking to the womb and pricking it They are in the womb it self you m●y know i● they came from cold by what hath been done clotted blood will manifest it self They we●ken much and are very troubl●som therefore they must be abated First take away the cause or abate the pain and make that which hurts the womb fit to be evacuated by these Pills Take Cinnamon a dram Saffron a scruple Dia●ymini Diagalangal Zedoary each half a dram make a Pouder give a dram in Pennyroyal or Cinnamon water Or Take of Cummin seed steept in Spirit of wine and dried again a dram Ameos s●eds and Ginger each half a dram Cinnamon a scruple Castor half a scruple make a Pouder If she faint ad Cordial Waters As Take Diacyminum a dram Diamargariton frigid Citron pe●ls Zedoary each half ● dram make a Pouder If she be cholerick or the humor thin and sharp cure it as a Colick from Choler As Take Syrup of Violets Borage each an ounce Mucilage of Quince seeds made with Violet water half an ounce water of Borage Scorzonera each two ounces give it at twice Extenuate the humors and loosen the passages outwardly Take Bean flour Faenugreek and Linseed each an ounce Chamomil flowers and Cummin seeds each half an ounce boyl them in Oyl of Lillies for a Cataplasm You may sume the womb with Decoctions of Herbs 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 THe tearing i● in hard travel when the mothe● is tende● and the child great of which ●●for●● The womb comes forth from the violent extraction of the child or afterbirth when the ligaments are stre●ched The Cure is mentioned but you must not hinder the after flux by astringents let her therefore rest and lie one her back with her ●eet drawn up with Sweets to her nose and stinks to the womb so the womb will be retained and the flux continued after this is past you may use Astringents If there be inflammation from hard travel hinder not the af●er-flux of blood by Coolers If it turn to an ulcer let the after-flux flow and then cure it Suffocation after childbearing is from the ●●inking after-blood which sends up stinking vapors which kill many It is cured by Friction of the leggs Ligatures and Cupping with Scarification applying stinks to the nose as Castor Partridg●eathers burnt Rue And applying Sweets to the privities You must cure the ●alling out of the Fundament from straining in Delivery as formerly shewed Chap. 7. Of Watching Doting and Epilepsie of Women in Child-bed THese are from the motion of the blood a●d hu●ors● when the after-blood flows n●t kindly● and there is a ●eaver of which in ●●e 〈◊〉 Book And from vapors sent from the 〈◊〉 there is an Epilepsie which is cured by R●v●●sion o● vapors and humors downwa●d● and ●●●fect Evacuation of the a●ter-blood which done all these Symptoms cease Chap. 8. Of the Swelling of the Womb Belly and Feet after Childbearing IT is commonly from cold gott●n into the womb and the belly sometimes swells as if there were another child It is cured by hysterical or mother Fomentations or with the skin of a new ●lain sheep and hard wine if in travel they keep a bad diet or drink too much the humors go into wind and if they fall into the legs they swel then take heed of much drink and after the flux is past make Evacuation with things that expel wind As Take C●leworts and Chamomil each as you please boyl them in Wine and ●ome●t the parts Or Take
the org●ns of sense and motion with the liver spleen stomach belly mesentery bladder strait ●ut back hips arms and legs and causeth sym●toms As Galen ●aith the mother or hysterical ●●●●ion is one name but hath under it innume●●ble 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 it by one Sometimes there is only short breath sometimes the animal actions are hurt the whole body is cold from a malignant vapor sent up from the womb The immediate Cause is a vapor malignant and venemous sent up by the arteries veins and nerves that hurt the actions of the parts it goes to This vapor is like air or wind thin and little but very strong to get presently through the whole body it chie●ly ascends to the gullet and causeth choaking as eating of Mushrooms Hellebore and other poysons There is often short difficult breathing with heart-ach vomiting and loathing If the vapor go first to the heart the motion of it ceaseth and there is swounding and she falls down If it go to the brain the animal actions are hurt When ●eed and terms corrupt in the womb with other bad humors they breed this evil vapor because they are the best substance and the beginning of generation they are worst when corrupted especially seed to hurt the whole body Somtimes it is in women with child when they have not their after pu●ging but evil humors a●e le●t and corrupt in the womb The chief cause of this humor is in the trumpet of the womb and stones the body of which is hollow and loose the stones being in bladders and have hollowness full of water which in hyst●rical women is yellow and thicker then ordinary This trumpet and the stones are often taken for the womb it self● when they are swollen with corrupt seed and humors and wind and reach to the navel of which in the Chapter of ascent of the Womb. This disease is breeding sooner or longer as the matter is more or less somtimes corrupt humo●s lie still and if they be stirred they send a venom or vapor to the whole body now in women subject to this disease sweet s●ents to the nose or taken in or anger will move these huhumors and vapors They are according to the variety of the symptoms and efficient cause or venemous humors for corrupt blood especially seed puts on another Nature That Suffocation is at hand it appears by laziness weakness of the legs paleness sad countenance and the motion of somthing like a ball in the belly with noise like Froggs Snakes or Crows so that some think it devillish There is also belching yawning yexing short wind heart-beating loathing dulness laughture at the coming of the fit ●rom the vapor g●tting into the membr●ne of the breast that tickle them some cry some both laugh and cry These Symptoms increase when the fit comes and the jaws are closed that she seems to be choaked and sense and motion is gone or depraved Some have Convulsions some h●ar what is done about them but cannot speak the ●ul●e i● less the whole body is cold and the eyes 〈◊〉 as if they were dead When the ●it declines humors s●ow from the ●riv●●i●s the gu●s rumble the eyes open the cheeks grow red and the body warm the animal actions return and the patient sighs and comes to her self It is known to be from corrupt seed if the terms are in order and short breath and low voice Suffocation and Convulsions and all Symptomes are then more vehement and at the end of the fit there flows a humor like seed out of the privities It is from the terms if they be stopt or flow not orderly and if there be a dis●ase in the womb it is neither from the seed no● the terms 1. If there come swounding or a great Convulsion or quenching of natural heat it is deadly 2. Suffocation from corrupt seed is more dangerous then that which is from the terms mixt with melancholick humors 3. The longer it lasts and the worse the symptoms the more is the danger It ceaseth in yong women when they begin to bear children 4. The oftner the fit comes the more you may ●ear the quenching of the natural heat by weakning of the heart often and if she foam at the mouth she dies The Cure of the Fit In the fit you must discuss the malignant vapors that riseth from the womb and turn it f●om the principal parts and you must evacuate the matter that breeds it and prevent its return Cal upon her loud pluck the hairs of her privities and ears make strong Ligatures and Frictions cup the legs and thighs and g●oyns hold stinks to the nose as Partridg-feathers burnt hairs Leather Horn Castor Assa foetida Galbanum oyl of Amber Rue the warts on Horses legs dried and the pouder upon coals burnt makes a ●ume which if taken in the nose suddenly raised them Apply sweet Scen●s to the privi●ies as Cive● Musk Gallia and Al●pta mos●hata or pouder of Cloves Or Take Storax calamita Benzoin each a dram Gallia moschata half a s●ruple make Tro●hes with Gum Tr●ganth and let the Fume be taken into the womb by a Funnel A Liniment Take Storax Benzoin each a dram Gallia moschata half a scruple Civet four grains liquid Storax half a scruple with Cotton put it into the womb Clysters to discuss wind draw down the matter Take the Carminative D●coction a pint Electuary of Hiera six drams Benedicta laxativa an ●●●ce Oyl of Rue and Bayberri●s each a dram Use Womb-clysters and Pessaries to women that have known man Take Electuary of Hiera and Diaphaenicon each two drams Turpentine half an ounce Honey of Mercury an ●unce Castor hal● a dram ●●th Wool make a Pessary Oyl of Tin applied to the navel doth remove the sit Or Rue Castor and sneesing Pouders As Take white Hellebore hal● a scruple long Pepper ●nd Ginger each half a dram or put Oyl of Am●●● into the Nose and E●rs Apply to the Womb this Take Oyl of Rue ●a●s each two oun●●s Cummin seed C●st●r dissol●●● in Vin●gar e●ch two drams with Wax make a 〈◊〉 Or use a ●l●●s●●r of ●●lb●num Ca●or and A●●a foetida A compound distilled Water Take Zedoary ●●smp s●●ds Lovage ●●●ts each two oun●●s Mirrh Castor each half an o●nce Piony roots four oun●●● Misteto of the Oak gathered in the wain of the Mo●n three ounces ad water of Motherwort four pin●s an● half Spirit of Wine a pint and half steep them eig●● daies distil and give a spoonful with Tile-flower or Mugwort water or Oyl of Amber some drops Or Take Castor Mirrh Assa faetida each a s●rupl●● Pepper half a scruple with syrup of Mugwort m●l● Pills give three The Cure out of the Fit First prevent the ●eed from corrupting in the womb and if it be corrupt evacuate it presen●●y
li●tle of the Electuary of the ju●ce of Roses If there be a chronick di●ease she may also be purged safely especially if she be used to it and strengtheners be applied to the navel Question 4. Whether purging or bleeding is most dangerous for a Woman with Child We s●●wed in the last Question the necessity of purging and its danger by the great motion of humors which if i● reach to the womb causeth abortion because it causeth pain in the belly and provokes the te●ms But bleedin● di●●urbs the humors less nor doth hurt any way but by taking nourishment from the child● And this you need not fear if there be too much blood There●ore pu●ging is more dangerous then bleeding Question 5. Wh●ther is it lawful to cause an Abortion to preserve the Mother A Christian may not cause an abortion for any cause for it is wicked● and the Gentiles in Hipp●crates his time never allowed it they would not hinder Conception much less would they destroy it when made Nor must the mo●her be p●eserved by the loss of the child For we must not do evil that good may come thereby But if to preserve the mother the Physitian purge or bleed and the abortion follow the fault is not the Physitian that intended it not but in the weakness of Nature and of the child and is better to preserve the mother then by neglecting the lawful means let both die Also the dead child must presently be thrown out Question 6. Whether are Clysters Diureticks and Swea●s prop●r for a Woman with Child Though women deny Clysters to them yet if they have been used to them they may be given in a 〈◊〉 quantity such as only molli●ie and sup●le no● do th●y more hurt th●n Lenitives Di●●eticks or things that provoke urine are ●●t safe because they p●ovoke the t●●ms You 〈◊〉 not give g●ntle Sweats for Nature will re●●ive strength by the castin● off of her enemies ●ou may use Alterers th●t are proper as this Syrup Take the juyce of unripe Grapes about the beginning of September three galons add Pom●●itrons or Lemons bruised hal● a pound boyl them 〈◊〉 they are soft and strain them and with half a pou●● of Sugar make a Syrup Chap. 4. Of the Symptomes that befal Women with Child in in the first months THey are loathing of meat Pica or evil appetite pewking vomiting belly-ach flux of the belly tooth and headach giddiness These all come from the stoppage of the terms especially in a Cacochymy or evil juyce for it goes to the stomach and so to the head Fi●st ●●ey loath meat which Hippocrates ●aith is a sign of Conception And this is when the child takes the purest blood and leaves the impure which gets into the mouth of the stomach and insects it and hence comes the loathing of some sorts o● meats Sometimes this ceaseth of it self but if there be danger of a Consumption in the mother le●● the child should be in danger for want of food give a gentle Vomit or Stomach-pills with thing● that strengthen the Stomach As Take Co●ser●● of red Rose● half an ounce of Bettony an ounc● p●●served Quinces three dram● Aromaticum 〈◊〉 half a dram Pearl prepared half a scruple 〈◊〉 Syrup of green Ginger and Quin●es make an E●●ctuary Anoint the stomach with oyl of Mastich 〈◊〉 Quinces Wormwood Mirtles c. Give 〈◊〉 and powerful things with 〈…〉 roasted rather then boyled Pica is when they desire strange and absurd things as coals ashes c. as she that longed for her husbands flesh and though she loved him very well she killed him eat part and poudered up the rest Of this disease we spake in the third Book Juyce of yong Vine-●eaves with syrup of Quinces is good against this or the water that drops in May from the Vines This keeps the child from suffering by the mothers appetite Or this Spirit Take Citron peels Oranges P●●ny roots as much as you please add Malmsey di 〈…〉 them some daies then beat the roots and peels ad more Malmsey and distil them The third is loathing and vomiting from an evil vapor or humor in the stomach from blood retained If vomiting gives her ease stop it not but leave it to Nature it wil cease after a month or two If it be with trouble give a gentle Vomit or strengthen the stomach or give a little Rhubarb The fourth is pain of the belly f●om wind and humors about the womb that go to the guts discuss them as in Chap. 3. of the Colick Avoid moist Fomentations give Cinnamon water or spiced Wine The fifth is a loosness which must be suddenly stopt least it cause an abortion First give a ●entle Clenser and strengthener ●s Rhubarb with ●●●up of Roses solutive then Quinces at the first course at meals and Rice Starch Almonds Con●●●●e of Rose● Quinces Apply to the navel a Pul 〈…〉 of Quinc●s Mastich Nutmegs Mace Cloves The sixth is the toothach from a sh●rp humor ●●om retention of the terms that goes to the r●ot 〈◊〉 some tooth and hurts the membranes It ceaseth commonly of 〈◊〉 self yet if it be great use a Plaister of Mastich and Tacamahacca to the temples and hold in the mouth the Decoction of Fern root● Cinquefoyl Snakeweed Sage Mulberry ba●●● c. The seventh is headach when the vapors f●om the terms stopt ascend and twitch the memb●ane● of the brain it must be repelled and abated with Lenitives of which in Lib. 1. Part 3. Sect. 1. Cap 3. of Headach The eighth of the Megrim from the vapors disturbing the Spirits that go to the head by the veins and arteries or by the gullet If it cease not discuss vapors and strengthen the brain inwardly and outwardly as in Vertigo Chap. 5. Of the Symptoms in Women with Child in the middle months THey are cough heart-beating fainting watching pain in the loyns and hips and bleeding 1. The cough is from a sharp vapor that comes to the jaws and rough artery from the ter●s or from a thin part of that blood gotten into the ●eins of the breast or falling from the head to the breast This endangers abortion and strength ●ails from watching therefore purge the h●mors that f●ll from the head to the breast with Rhubarb Agari●l● and strengthen the head as in a C●tarrh and giv●●●eet Lenitives as in 〈◊〉 Cough 2. Palpitation of he●●t and fainting is f●●m vapors that go to it by the ●rteries or f●om bl●●● that aboundeth and cānot get out at the womb but ascends and oppre●leth the heart Use Cordials as in Syncope inwardly and outwardly If it be from too much blood as in Plethory open a vein 3. Watching is from dry sharp vapors that trouble the animal Spirits Then use Frictions and wash the feet at bed-time and give Syrup of Poppies dried Roses Emulsions of sweet Almonds and white Poppy seeds 4. There is pain in the loyns and hipps from the weight of the child or from the terms stopt or growth