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

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make a Pessary The stronger are of the Decoction of wild Cowcumber Coloquintida Staphisacre Hellebore Honey and gall of an Ox. Fumes are made of Cassia lignea Nard Mugwort Savin Penny-royal Dittany Or Take Myrrh Castor Galbanum each half a dram Opopanax Cinnamon each a dram with Honey make Troches for to be burnt Then foment the Belly with the Decoction of those Plants Or Take Lupine-meal an ounce powder of Wormwood half an ounce Mirrh Rue each three drams with Ox-gall and Honey make a Cataplasm If it come not forth give a Womb-clyster of the Decoction of Sage Mugwort Mercury Calamints Penny-royal If all fail inject things to suppurate into the womb and let it be turned to matter and come out by degrees and inject strengtheners into the womb Of the Mole left after Child-bearing You may know it by the signs of a Mole mentioned she hath no ease after travel there is pain in the navel back and groyns and much clotted blood comes away and yet she hath no ease the Cure is mentioned before in the Mole Chap. 3. Of the Purgation after Child-bearing diminished or detained THis is not alike in all women for in some women the blood is fresh in others it is waterish cholerick or melancholick And some bleed more then others according to the constitution and Countrey It is either not at all or too much or too little The Causes When they are stopt or lessened the vessels are too strait or the blood flows another way or it is too thick or the vessels of the womb are pressed from its position the blood is drawn away by passions fears or goes hastily to the breasts The Signs The just quantity is not to be defined when it is stopt the belly swells the pain is in the bottom of the belly and groyns there is chilness and a Feaver after it fainting weak swift unequal pulse there is soot in the urin Sometimes the belly inflamed or she voids blew or black clodds or blood The Prognostick Gal. 1. epid com 3. t. 21. The Cure It is bad of it self to have any thing left after Child-bearing and worse if it staies long and grows melancholick therefore it is a cause of many diseases First endeavor to evacuate the blood from the womb by Frictions Ligatures and Cupping if they will not do open a vein in the foot Then open the passages with external and internal meats anoint the Belly with loosning Oyls or foment thus Take Lilly-roots Birthwort Briony Angelica each half an ounce Mercury Mugwort Penny-royal Savin Calamints each a handful Tansey Chamomil and Elder-flowers 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 dayes are past purge with Agarick Rhubarb Senna Or Take Lilly-roots Althaea each half an ounce Birthworts two drams Pellitory Mercury Althaea each a handful Calamints Chamomil Elder-flowers each two pugils Foenugreek and Linseed each two drams boyl them to ten ounces strained add Oyl 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 Maiden-hair Endive Schoenanth each two pugils Anise Fennel-seed each a scruple red Pease a spoonful boyl them to a pint and half add Cinnamon-water two drams syrup of the five Roots three ounces give four ounces Chap. 4. Of too great a flux of blood after Child-bearing THat is too much which makes weak It is blood abounding which hath been gathered nine months in the womb The Causes It is thick or spends the Spirits and weakens The Signs 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 The Prognostick Hippoc. 9. aphor 55. The Cure and with fainting and Convulsion Therefore observe the Pulse lest she dye suddenly See what strength she hath and stop it not suddenly If it be not very great order a dyet of roasted Hens basted with red Wine or Pomegranate of Starch Almonds Rice Quinces Conserve of Roses steeled Water and make Revulsions use gentle things and strengthen the loose passages Anoint the belly with Oyl of Roses Mirtles cup under the breasts and sides without scarrification Apply a Cataplasm of red Roses Bole and Rose-water to the Liver Then use stronger and give a higher diet often in small quantity and give Syrups to stop blood As Take old Conserve of Roses two ounces of Tormentil an ounce of Quinces without species half an ounce Bole red Coral each half a dram with syrup of Currans and Coral make an Electuary 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 bottom of the womb but in the vessels and membranes by which the womb hangs and that goes to the sides and belly The Causes They are from a constant labour 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 The Signs They are in the womb it self you may know if they came from cold by what hath been done and clotted blood will manifest it self The Prognostick The Cure They weaken much and are very troublesome 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 Diacymini Diagalangal Zedoary each half a dram make a Powder give a dram in Penny-royal or Cinnamon-water Or Take of Cummin-seed steept in Spirit of Wine and dried again a dram Ameos-seed and Ginger each half a dram Cinnamon a scruple Castor half a scruple make a Powder If she faint add Cordial Waters As Take Diacyminum a dram Diamargariton frigid Citron-peels Zedoary each half a dram make a Powder If she be cholerick or the humor thin and sharp cure it as a Cholick 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 fume the womb with Decoctions of Herbs Chap.
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 Causes The immediate Cause is a vapour malignant and venomous 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 chiefly 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 seed 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 Gal. cit 1. Sometimes it is in Women with child when they have not their after-purging but evil humors are left 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 hysterical women is yellow and thicker then ordinary Vesal de corp human Fabr. lib. 5. c. 15. This trumpet and the stones are often taken from 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 sometimes corrupt humors 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 scents to the Nose or taken in or anger will move these humors and vapors They are according to the variety of the Symptoms and efficient cause or venomous humors The Differences for corrupt blood especially seed puts on another Nature That Suffocation is at hand The Signs it appears by laziness weakness of the Legs paleness sad countenance and the motion of something like a Ball in the Belly with noise like Frogs Snakes or Crows so that some think it is devillish There is also Belching Yawning Yexing short Wind Heart-beating Loathing Dulness Laughter at the coming of the fit from the vapor getting into the Membrane 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 hear what is done about them but cannot speak the pulse is less the whole body is cold and the Eyes shut as if they were dead When the fit declines humors flow from the Privities the Guts 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 Symptoms are then more vehement and at the end of the fit there flows a humour like seed out of the privities It is from the terms if they be stopt or flow not orderly and if there be a disease in the womb it is neither from the seed nor the terms The Prognostick 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 young Women when they begin to bear children 4. The oftner the fit comes the more you may fear 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 rise from the womb and turn it from the principal parts and you must evacuate the matter that breeds it and prevent its return Call upon her loud pluck the hairs of her privities and Ears make strong Ligatures and Frictions cup the Legs and Thighs and Groyns hold stinks to the Nose as Partridge-feathers burnt hairs Leather Horn Castor Assa-foetida Galbanum Oyl of Amber Rue the warts on Horses legs dried and the powder upon coals burnt makes a Fume which if taken in the nose suddenly raised them Apply sweet Scents to the Privities as Civet Musk Gallia and Alipta moschata or powder of Cloves Or Take Storax calamita Benzoin each a dram Gallia moschata half a scruple make Troches with Gum traganth and let the Fume be taken into the VVomb by a Fennel 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 Decoction a pint Electuary of Hiera six drams Benedicta laxativa an ounce Oyl of Rue and Bayberries each a dram Use VVomb-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 ounce Castor half a dram with Wooll make a Pessary Oyl of Tin applied to the Navel doth remove the fit Or Rue Castor and sneesing Powders As Take white Hellebore half a scruple long Pepper and Ginger each half a dram or put Oyl of Amber into the Nose and Ears Apply to the VVomb this Take Oyl of Rue Bayes each two ounces Cummin-seed Castor dissolved in Vinegar each two drams with Wax make a Liniment Or use a Plaister of Galbanum Castor and Assa-foetida A Compound distilled VVater Take Zedoary Parsnep-seeds Lovage-roots each two ounces Mirrh Castor each half an ounce Piony-roots four ounces Misleto of the Oak gathered in the wain of the Moon three ounces and water of Motherwort four ounces and half Spirit of Wine a pint and half steep them eight daies distil and give a spoonful with Tile-flower or Mugwort-water or Oyl of Amber some drops Or Take Castor Assa-foetida each a scruple Pepper half a scruple with syrup of Mugwort make Pills give three The Cure out of the Fit First prevent the seed from corrupting in the womb and if it be corrupt evacuate it presently with Womb-Clysters and Pessaries then disperse the reliques and strengthen the womb But first give a general Purge that is gentle often and use things that prevent the breeding of Seed Strengthen with Plaisters and Oyntments to the Region of the Womb. As Take liquid Storax two drams Avens Agnus castus seeds Angelica each half a dram
month especially if they have no Feaver and are strong As Celsus saith A strong Child and a lusty old Man and a healthy Woman with Child Lib. 2. c. 10. may be safely let blood And Hippocrates forbids bleeding only lest the child should want nourishment Question 3. Whether may a Woman with Child be purged You must not give strong Purges lest their force which moveth the humors should reach to the womb and cast out the child Therefore you must not purge women with child in all diseases nor at all times but only in the fourth month till the seventh and that sparingly And if the matter swell and abound 4. Aph. 1. as Hippocrates shews For the danger from the turgent matter is easily avoided thereby for it will be purged with more ease then when it is fixed and quiet 1. Therefore only purge in an acute disease 2. From the beginning of the fourth only to the end of the sixth 3. Use no vehement Medicine nor very bitter as Aloes which is an enemy to the child and opens the mouths of the vessels nor Coloquintida nor Scammony nor Turbith but use Caffia Manna Rhubarb Agarick and Senna but Diacydonium purgans is best with a little of the Electuary of the juyce of Roses If there be a chronick disease she may also be purged safely especially if she be used to it and strengthners be applyed to the navel Question 4. Whether Purging or Bleeding is most dangerous for a Woman with Child We shewed in the last Question the necessity of purging and its danger by the great motion of humors which if it reach to the womb causeth abortion because it causeth pain in the belly and provokes the terms But bleeding disturbs 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 Therefore purging is more dangerous then bleeding Question 5. Whether it is 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 Hippocrates his time never allowed it they would not hinder Conception much less would they destroy it when made Nor must the mother be preserved 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 in 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 Sweats proper 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 small quantity such as only mollifie and supple nor do they more hurt then Lenitives Diureticks or things that provoke Urine are not safe because they provoke the Terms You may not give gentle Sweats for Nature will receive strength by the casting off of her enemies You must use Alterers that are proper as this Syrup Take the juyce of unripe Grapes about the beginning of September three galons add Pomecitrons or Lemons bruised half a pound boil them till they are soft and strain them and with half a pound of Sugar make a Syrup Chap. 4. Of the Symptoms that befal Women with Child in the first Months THey are loathing meat Pica or evil appetite pewking vomiting belly-ach flux of the belly tooth and head-ach 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 First They loath meat 5. Apho. 45. which Hippocrates saith 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 infects it and hence comes the loathing of some sorts of meats Sometimes this ceaseth of it self but if there be danger of a Consumption in the mother lest the child should be in danger for want of food give a gentle Vomit or Stomach-Pills with things that strengthen the Stomach As Take Conser●● of red Roses half an ounce of Bettony an ounce preserved Quinces three drams Aromaticum Rosatum half a dram Pearl prepared half a scruple with Syrup of green Ginger and Quinces make an Electuary Anoint the stomach with oyl of Mastich Mints Quinces Wormwood Mirtles c. Give astringents and powerful things with meat and let it be 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 powdered up the rest Of this disease we spake in the third Book Juyce of young Vine-leaves 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 Piony-roots as much as you please and Malmsey digest them some dayes then beat the roots and peels add more Malmsey and distil them The third is loathing and vomiting from an evil vapour or humour in the stomach from blood retained If vomiting give her ease stop it not but leave it to nature it will 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 from wind and humors about the womb that go to the guts discuss them as in Chap. 3. Of the Cholick Avoid moist Fomentations give Cinnamon-water or spiced wine The fifth is a loosness which must be suddenly stopt lest it cause an abortion First Hippocr 5. Aphor. 34. give a gentle cleanser and strengthener as Rhubarb with syrup of Roses solutive then Quinces at the first course at meals and Rice Starch Almonds Conserve of Roses Quinces Apply to the navel a Pultis of Quinces Mastich Nutmegs Mace Cloves The sixth is the Tooth-ach from a sharp humor from retention of the terms that goes to the root of some tooth and hurts the membranes It ceaseth commonly of it 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-roots Cinquefoyl Snakeweed Sage Mulberry-barks c. The seventh is Head-ach when the vapors from the terms stopt ascend and twitch the membranes of the brain it must be repelled and abated with Lenitives of which in Lib. 1. Part 3. Sect. 1. Cap. 3. Of Head-ach 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