Centinode a good big handfull the rind of Cassia the rind of Pomegranates Scarlet Graines of each three ounces the nature of a whale one ounce Myrrh water rose water and sloe water an ounce and a half thick wine and smiths water of each foure ounces and a half then make two little baggs of a quarter of a yard long causing them to boyle in the foresaid waters in a new pot using one after another as you have occasion leting it lye upon the bone of the Pubes passing in between the hipps chafing her often and holding her head and her reines low using in the morning somtimes a little mastick in an eg or somtimes plantaine seed if the disease be not too old it may be cured by this meanes but if it be of a long standing you must make a pessarie halfe round and half oval of great thick cork peirced through in the middle tye a little packthred to the end then cover it over with white wax that it may doe no hurt and to make it more thick this must be dipped in oyle of Olives to make it enter and it must be streit that it may not easily fall out and if it be too little to have an other bigger when the woman goes to do her necessary occasions she must hold it in least she should force it out the hole is made that the vapors of the womb may have a vent and to give way for her purgations to flow neither must it be taken away till after the purgations are passed the thicknes causes the matrix to mount up as long as it is very thick for the ligaments being close doe then retire If they be women that beare children the midwife ought not to suffer them to force themselves but as nature constraines her having her own hand ready after the throw to put back the Matrix with her finger and when she is brought to bed lay her low with her head and with her reines raising her up with pillows put under her hipps and for women that are troubled with this disease they ought not to lace themselves over hard for that thrusts down the matrix and makes the woman pouch bellyed and hinders the Infant form being well situated in her body causing her to carrie the child all upon her hipps and makes her belly as deformed as her wast is handsome Of a disease that happens by reason of the fall of the Matrix THere is somtimes a relaxation of the membrane that covers the rectum Intestinum when the head of the child at the beginning of the travaile falls downward and draws it low often-times it comes by reason of women with child lacing themselves which causes such a conflux of wind to these parts that it seemes to the woman to be the head of the child in so much that she is hardly able to stand upright neither can she goe For remedy hereof you must keep the woman soluble giving her Anise and Coriander seeds to dissipate the winds You must take Sage Agrimony Mother-wort balme White wormwood Margerome a little rue and a little Thyme and Camomile and having picked all the above written herbs you must cut them very small and having well mingled them put them into a maple platter and then put hot cinders upon them and upon those another handfull of herbes covering the platter with a close cloth that the woman may receive the smoake this is a remedie which hath been much approved and experimented To remedie the fall of the fundament in Infants TAke of the green shrub wherof they make broomes and cut it smal and lay it upon the coales and set the child over the smoake thereof and it will certainly cure it Of the diseases of women and first of the inflammation of the brest THe inflamation of the brests is a hard swelling together with a beating paine redness and shooting The cheif cause of this is the abundance of blood drawn up together in that place though there be somtimes other causes also as the suppression of the courses the Haemorrhoids or a blow received upon the breasts The signes of it are easie to be known that is to say a certain rednes and burning heat oftimes joyned with a fever For the cure of this there are four sorts of remedies first as the order of dyet which must be comforting and moistning as broth of pullets where endive borage lettice and purselaine may be boyled also she may drinke the juce of Pomegranates or barly water with aniseeds boyled in it the use of wine and all sorts of spices are very dangerous and if the woman goe not freely to the stoole there is nothing better then a lenitive glyster she may sleep much and must not disturb her selfe with any passion The next way of remedy is by diverting the humours which is done by frictions letting bloud in the foot scarification of the legs or vesicatories applied to those places especially if the flowers are stopped or ready to come down if not it will be expedient to open a veine in the arme You may also prepare the humour to void it out of the place affected by opening either the middle vein or the Basilic or the Vena Saphena which may be done two or three times if occasion serve after bloud-letting purge but let this be done with sweet medicines such are Cassia Manna Tamarind syrrup of Roses or Violets Solutive having a little before used certain syrrups which may asswage and temper the humours Take syrrup of Roses and Purslain of each one ounce Endive water and Plantain water of each an ounce give this to the patient Neither will it be amiss to give her syrrup of Succory or Endive or such like for these syrrups have a cooling and refreshing faculty especially being mingled with Plantain or Endive water or such like or the decoction of the said herbs now when the humour is thus prepared you may give her some gentle purges As for example take of the pulp of Cassia and Tamarinds of each six drams of this make a little bolus with some sugar and give to the patient or with this potion Take of the Leaves of Italian Orach three drams of Aniseed one scruple infuse these in four ounces of the foresaid waters Into this being strained infuse an ounce of Cassia and into the streining of this dissolve an ounce of solutive Roses of this make a potion and give it The fourth way of cure consists in Topicks such as may drive back and repress the humour though care must be had that they be not over strong lest you thereby do cool the heart too much and thereupon drive the humour upon the heart it self And therefore temperate medicines are chiefly to be chosen and such especially as are able to digest and dissolve the humour Wherefore it shall not be amiss to apply a linnen cloath dipt in white strong vineger and a little cold water which must be applied to the breasts and
root of Tamarinds Cypress Bugloss of each an ounce and a halfe flowers of Borage Epithymi Sen. of each halfe a handfull flowers of Balme one handful Raisins one ounce Prunes in number twelve boyle them in a sufficient quantity of vvater and then in a pint of the vvater dissolve foure ounces of the syrup of Violets make of this an Apozem clarified according to Art and sweeten it vvith a sufficient quantity of sugar giving four or five ounces at a time In the next place you may use Topicks to attenuate and resolve to vvhich purpose you may bathe or soment the breast vvith a sponge dipt in Lye and then lay upon it a linen cloth dipt and moistned in Aqua-vitae and dried in the shade or else dipt in fresh butter that hath boyled a good while or in oyle of Lillies or in oyle both of the root seed of Angelica or you may foment the breast vvith this Decoction Take Wheat-bran two handfuls leaves of Dill and Melilot of each halfe a handfull Anis-seed Fenell and Cumin-seed of each two drams Camomill flowers one halfe handfull boyl all these in a sufficient quantity of water and white wine and let them boyle to the consumption of the third part In this decoction you may wet a sponge and wash or foment the breast therewith After you have fomented the part you may put this ointment upon the part affected Take oyle of Lilies Elder of each an ounce and a halfe of the best Balsam halfe an ounce powder of burnt lead unwasht Anis-seed one dram and as much Wax as is sufficient Of the watry tumour of the Breast THe watry tumour is ingendred by a thick and watry flegme gathered together in great abundance in the breast and parts adjoyning and it happens many times that this watry and flegmy substance is not alwayes gathered to one particular place but also diffused through all the parts of the breast which causes a generall swelling in that part This swelling that we may define it is a loose and soft tumour without much pain yeelding to the touch and pressing of the fingers so that the hole which is made by the pressing of the fingers remains a pretty while after yet it soon becomes painful if there be any acrimony joyned with it or if there be any distention by reason of the press of vapours to that part This oftentimes happens by reason of the suppression of the courses sometimes it is occasioned by reason of a clear and watry flegme which discharges it selfe upon these parts This swelling is easily distinguished from other swellings by reason of the loosnesse and softnesse thereof and by the pain which is alwayes lesse then in other swellings and in this kinde of tumour the pain ascends up to the arms and shoulders and the whole breast is altogether swoln and raised and this pain comes at certain times chiefly when the flowers ought to come down which being once come down the pain diminishes by reason that the woman is then throughly purged Yet notwithstanding there doth remain some certain kind of swelling which happens not in the windy tumours by reason that the purgations of the flowers do totally dissipate the matter of those swellings These flegmy tumours do easily turn into Cankers and are therefore to be diligently looked after As to the cure of these tumours there is required first an orderly diet which must be drying her bread must bee well baked and leavened dried Raisins parched Almonds Asparagus rosted flesh and small birds Before meat she may take a little hony of Roses upon a wafer cake For her drink let it be the decoction of Anis-seeds China root Sassafras and Sarsaparil If the retention of the flowers be the cause of this evill let her then use rather boyled then rosted meats and then let her boyle them with Sage Betony and Hysop All meats made of milk are dangerous as also sleep after dinner and unleavened bread You may in the next place use things to divert the humor as frictions and baths if her flowers are suppressed let a vein be opened in the feet Next after you have prepared the humor by the use of syrups as those of Mint Worm-wood Hysop Licorass Maidenhaire hony of Roses with fenel water water of Hysop Marjoram Rosemary Betony Mint then may you use some purges with those pils called Sine quibus Agarick pils and Cochie-pils If the patient be strong and not to be worked upon by weak Physick you may then add two or three grains of Diagridion or Alandaal Trochisques these pils are to be used for eight days half a dram at a time Another way may be by topicks to attenuate and resolve for which purpose the fomentations specified in the foregoing chapters may be very fitly used being prepared with Vine ashes or figg-tree ashes whereto a little Vinegar may be put though the use of things that drive back the humour are not here to be used you may also rub and chafe the brest with this Ointment take of Oyl of sweet Almonds Oyl of Line seed of each one ounce ganders grease of each half an ounce with a little Diachylon instead of Wax a plaister of great Diachylon would not be amiss in this Disease if the Woman feel any paine or heat in her breasts let her anoint them with Oyl of Roses a little burnt lead and a little white wax or with a little Oleum Omphacinum and oyl of sweet Almonds tempered together in a mortar In the dispersing and resolving of the humor you may use baths of alum and sulphur prepared with the decoction of Hysop Mint and Sage and after that such ointments as are most approved for the same purpose alwaies taking heed of too boisterous Remedies if you would suppurate or mature the swelling you must use such Remedies as we have described in the following and fore-going Chapters the strongest of which you may here apply because the matter is more obstinate and tenacious mingling with them for that purpose other more effective Remedies as are the Roots of Mallows marsh mallows lillies figgs goose grease and the like when the sore is opened you must tend it after the same manner as is before rehearsed There are other Remedies either to be taken inwardly or to be outwardly applied which serve to fortifie and comfort the stomack as to take every morning a spoonful of conserve of Rosemary preserved Orange or trochisques of Aromaticum Rosatum Diagalanga or diacuminum Of the kernels in the Breast THe kernels of the breast are little round bodies soft and thin like a sponge which sometimes grow hard by reason of the phlegmie humor which is sometimes purely so and sometimes is mingled with other sharp acrimonious humors But sometimes it comes to passe that not only the kernels of the breast are swollen but also that there do grow others which ought not to be there which may not unfitly be termed a kind of the Kings-evil being a swelling
Of the Inflammation of the Almonds of the Ears IF the child be very smal you must wash the throat as neer the root of the tongue as may be with a linen cloth tied to a stick dipped in this gargarisme take of new extracted Cassia one dram syrup of dry Roses one dram and a half with six ounces of the decoction of Coriander Or you may anoint the neck with oyl of Violets and Camomil binding the neck with a little roller well anointed with the same when the child goes to bed you may give him in a spoon a little syrup of dry'd Roses of Pavot and Nenuphar mingled together Oxycroceum alone doth also make an excellent Gargarism If they come to a suppuration you must use this gargarisme Take of the decoction of Barley Plantain Agrimony Veronicae Honysuckle and herb Rob six ounces in which dissolve mel Rosatum and Sugar-candie of each half an ounce to make a gargarism Of Vomiting IF it proceed from abundance of milk which the child sucks you must take care that the child suck less and often If it come from any ill humor contained in the stomack besides that the Nurse must keep a very good dyet the Infant must be purged with a smal expression of Rheubarb giving it afterwards a little Codignac to comfort the stomack mingling with it a little tablet of Diarrhodium putting afterwards upon his stomack this plaister Take of the pulp of condited Quinces two ounces red Roses Wormwood and red Sanders of each two drams Oyl of Quinces as much as sufficeth make a plaister of this and lay it upon the stomack of the child Of the Hicquet IF it come from an over-much repletion it wil not be amiss to make him vomit of whatsoever age he be or if it be necessary that a greater force should be used you must try to make him vomit by putting down the throat a Fether dipt in oyl if from the badness of the Nurses milk she must be changed for a better if from the coldness of the stomack you must use remedies to comfort it as little tablets of Diarrhodium of which you must dissolve a scruple in the milk of the Nurse you must also chafe the stomack of the child with oyl of Wormwood Mastick and Quinces Of the pain of the Belly in Children IF the Disease come from indigestion and moistness the little Infant wil vomit and be troubled with a flux of the belly and the belly wil be hard In which cases you may give the infant an ounce of sweet Almonds drawn with out fire and mingled with a quantity of Sugar-candy or anoint the belly with this Ointment Take oyl of Camomil and oyl of sweet Almonds of each an ounce and a half mingle them and therewith anoint the belly if wind be the cause you may mingle a little oyl of rue in the foresaid Ointment Of the Smal-Pox in Children THe signes of this Disease are paine in the head accompanied with a Fever redness about the eyes a dry Cough and you shal mark in the skin up and down the body certain little spots upon the face back brest and thighs the Smal-pox is dangerous if they come forth with much pain if they be greenish blewish or blackish For the cure of this if the Infant suck the Nurse must keep a good order of dyet she may eat broth of Hens with Endive Cichorie Bugloss and Borage boyled therein Now to make the Smal-Pox come forth the more quickly if the Child be little the Nurse must drink this following Potion Take of Caricarum Pinguium one ounce peeled Lentils half an ounce Gum Lacca two drams Gum Tragacant and Fenel-seed of each two drams and a half make of this a decoction in fountain-Fountain-water and strein it to the quantity of two pints sweeten this either with sugar or syrup of Maidenhair let her drink of this in the morning a good glassful Or you may give the child if it be able to take it this Julep to be used very often take of Cordial waters two ounces and a half syrup of Limons one ounce mingle it and use it often 4. or five hours after give him of powder of Unicorns-horn and Bezoar Now to keep this venemous humor from attaching the eyes temper a little Saffron in a smal quantity of Plantain and Rose-water and rub the eyelids or you may anoint them with Tutie For keeping them from the nose take Rose-water and Betonie-water of each an ounce Vinegar half an ounce juice of Pomgranates six ounces in which steep two drams of Santalum and two drams of the powder of Citron peel adde to this six grains of Saffron and make a medecine for the child to smel often to the same Medecine wil serve for the ears by stopping them with a little cotton To preserve the mouth and throat and tongue take this gargarism take whole Barley one handful Plantain leaves leaves of Oxalis Arnogloss Agrimonie and Verbena of each one handful boyl this to the quantity of six ounces dissolving in it syrup of dry Roses and Pomgranates of each half an ounce Saffron half a scruple To preserve the Lungs use syrup of Jujubes Violets and Nenuphar when they are fully come out to make them dye the more quickly rub the face with oyl of sweet Almonds drawn without fire Or use this Ointment take old Lard cut it in smal pieces and melt it in a pot then strein then beat it and mingle it with water for your use When the Pox is totally dead take this Remedy to take away the marks Take Halke the weight of two Crowns clear cream 2. ounces mix them together and with a Fether dipt therein anoint the face of the child two or three daies this causeth the skin to grow smooth leaving not a pit in the face Certain other Instructions grounded upon practical Observations fit to be known by all Midwives and Child-bearing Women c. IN the yeare One Thousand six hundred and Ten a young Lady whom I was wont to bring to bed passing by my house came in to me and told me that she was four moneths gone and that she perceived the Infant to stir about a moneth after she came to see me and told me that she was in much pain for that she had not perceived the Infant to stir in two dayes and that therefore she believed that it was dead by reason of a certain very great fright which she had had for at the time that she was frighted she perceived the childe to move but after that never and her belly began by little and little to wax less and about three weeks after she had that reflux of milk that Women use to have that lye in when this was gone she had no grievance yet seeing her often and knowing her to be bigg with child she asked me my advice to know what she should do Whereupon I asked her if any ill vapours rose up into her mouth she told me no. If she had
say thus much that they ought to forbear as much as in them lies assuring them that such trash does not only endanger their own health but the health of the childe Yet if they cannot command that depraved appetite let them so provide though it be by giving some small satisfaction to their depraved longings that they do not hasten any further inconvenience for though those strange meats be very contrary to nature yet the strange desire that they have to them does not a little avail to the disgestion of them For her drink let it be small Ale though now and then a cup of pure wine does not amiss to comfort the stomach and the parts dedicated to generation Her time of sleep Her sleeping is best in the night for the concoction of those meates which she hath eate in the day time she must avoid by all meanes the sleeping after dinner she may sleep full out nine houres her sleeping beyond that time is prejudiciall She may exercise Her exercise her self moderately for violent exercise loosens the Cotyledons through which the Infant receives his nourishment the riding in coaches is forbid especially for the last three months She ought to avoyd great noises Other precepts as the noise of Guns or great bels Laughing crying if it be immoderate is extremely hurtfull as also immoderate anger In the first four moneths she ought not to lye with her husband for that shakes and moves the fruite of her womb and causes the flowers to descend she must also abstain in the sixth and eight but in the seventh and ninth it is not denyed and is thought to facilitate the delivery She ought also to keep her body soluble which if it should come of it self she must take loosing syrups to help nature Assoon as ever they perceive themselves to be with child they must lay a side their busks and not straighten themselves any way for feare of hurting the fruit of their womb by not giving it its full libertie of growth CHAP. VII How women ought to govern themselves in the time of their going with childe FIrst that her breasts Precepts concerning the breasts after her delivery may not grow bigge and swell over-much as also to a void the danger of two much blood which being converted into milke may chance to curd and breed some disease in the breast Therefore as soon as she perceives her selfe with child let her cary about her neck a small neck-lace of gold though some do more esteem of a neck-lace of steel or a little ingot of steel to hang between the two breasts you may also foment the breasts a quarter of an hour every morning with the distilled waters of sage perwincle or ground-Ivy making them first luke warme when the third or fourth moneth of her time is come Concerning the belly and that she perceives the Infant begin to move about which time the belly begins to swell and to grow big she may swathe it with a linen swath-band which she may anoint with some convenient pommatum this keeps the belly smooth and from wrinkles and from hanging down like a tripe She may use this liniment or Pommatum â„ž the gall of a kidd and of a sow of each â„¥ iij. capon greass and goose greass of each an ounce and an halfe cut these into little peices and melt them in an earthen dish putting therto as much water as will suffice to keep them from burning then straine it through a linen cloath and afterwards having washed it in faire water untill it be very white add to it of the marrow of a redd deare about an ounce then wash it againe in rose water or some other water of a good sent and anoint the swath-band therewith Or this â„ž of the grease of a dog and the fat of mutton which is about the kidnyes of each two ounces the fat of a whale about an ounce oyle of sweet Almonds about an ounce and a halfe prepare the greases as above-said then mingle them with the other things and wash them in rose water as before Some women that are loath to grease their bellyes with these oyntments doe carry the skin of a dog or else the outward and thin pilling of a sheeps skin take the skin of a dog ready drest for the making of gloves wash it a good many times in faire water first and afterward in rose water then drye it in the shade and moisten it in the foresaid oyles Take this one more Liniment â„ž a quarter of a pound of fresh butter well washed in faire Water of rose water and of oyle of sweet Almonds an ounce of the seed of a a Whale half an ounce melt these altogether and anoint the belly These oyntments are to be kept in a Galley-pot covered over with rose water The woman having attained the ninth moneth of her time and still continuing these oyntments she may now begin to use more exercise walking gently before dinner for the first twelve or fifteen dayes of that moneth afterwards she may use a more strong exercise that is for the eight or ten next dayes In the first days of this moneth it might not be unprofitable to be bathed in the following decoction for the space of a quarter of an houre and being afterwards put to bed to let her selfe be well rubbed and afterwards anoynted with some good oyntment all about the navill along the Os sacrum and the bone of the small guts and all about her hips and thighs You may use this Bath â„ž of Mallows marsh-mallows mother-wort of each two handfuls roots of Lillies three ounces of Camomil and Melilot flowers of each a good handful the seed of Line Quinces and Fenugreek of each an ounce boyl all these in fair water to make a decoction and for a half bath You may use this Oyntment â„ž Hens grease three ounces the grease of a Duck an ounce and an halfe oyle of Linseed an ounce and an half fresh butter two ounces melt all these together and then wash them well either in pellitorie water or in the water of mugwort adding thereto two ounces of the muscilage of Marsh-mallows If the woman all her time doe complaine that she feels little or no motion of the child let her carry upon her navel this following quilt which will give strength to the Infant â„ž powder of Roses red Corral Gillow-flowers of each three ounces and an half seed of Angelica two drams Mastick a dram and an half Ambergrease two grains Musk one grain put all these in a sack of fine Linen and quilt them together for the use aforesaid Thus much is to be observed by women with childe that are in health and have no other diseases hanging upon them but of the other diseases incident to women with childe we shall take a time hereafter to treat SECT IV. Of the formation of the childe in the womb CHAP. I. Of the mixture of the seed of both Sexes as
let her be brought to the bed and anointed with this oyntment Take oyle of sweet Almonds Hens fatt Oyle of Lillies Muscilage of Althoea of each halfe an ounce Mingle all these with as much wax as is sufficient and make an oyntment This being done give her this little doss Take two yolkes of egges and boyle them in ould wine then mix with them these spices Cinamon half an ounce rind of Cassia two drams or you may leave out the Cassia and instead thereof put in the more Cinnamon saffron halfe ascruple Savine Betonie Venus-haire Dittanie Fenugreeke Lawrel berries Mint of each one dram The bone of the heart of a Hart Pearles prepared Mingle all these with sugar and make a thick pouder and give it If the secondine come before the child and hinder the egress of the child it is to be cut of and this following pessarie to be put up Take Marsh-mallows with the rootes two hand fulls Mother wort one handfull Rue one ounce and a half Fenugreek Line-seed of each an ounce ten figgs make of these a decoction with as much water as is sufficient and when you have streined it add this to it Oyle of Lillies oyle of Line of each two ounces Musk one graine In this decoction let the pessary be dipt and put up she may afterwards use this electuarie ℞ Take Myrrh Castor Calamum Arom of each two dramms Cinamon one ounce saffron halfe a scruple Mace Savin of eace a scruple clarified hony halfe a pound you may also make an electuary with the water of Thyme and mother worte wherein have bin boyled Fenu-greek Line-seed Graines of Iuniper of each one spoonful Now after that the woman hath bin weakned with these impediments you may give her in broth species Loetificans or Manus Christi or Diamargaritont CHAP. XXVII How the secondines are to be hastened out THe secondines afore that the Infant is born may be many ways hindred first by the debilitie or weaknes of the Matrix which happens by the frequent motion and endeavouring of the Infant as also by reason of the difficultie of the birth or by reason that the womb doth not continue distended or because it is many times streightened by which the womb is so weakned that by its own force it is not able to expell the secondines Besides the secondines may inwardly stick close to the womb which happens many times through the abundance of superfluous humors that are retained in the matrix by reason of which Glutinous humors the secondines stick to the Matrix These are noe way else to be pulled away but by the hand of the midwife Thirdly the secondines are hard to come away if all the waters come away with the Infant for then the secondines being left without moisture cannot come away by reason of the drines of the womb besides that the Matrix and the neck of the womb are rougher by reason of the driness therof for these waters render the way slipperie and easie both for the infant and for the secondines which being slipped away the womb is to be anoynted with juices and oyles Fourthly when the mouth of the Matrix by reason of the paines of child-bearing swells as often happens unless there be a provident care taken to prevent it Fiftly when the neck of the Matrix is streighter and more close and for that reason fat women travaile with much more difficultie Therefore when the secondines doe make any extraordinary stay the Midwife is to use all her endeavour to make way for them for that retention causes suffocation and divers other evils for being long detained they putrifie and cause an evil smell which ascending up to the heart liver stomach diaphragma and so to the brain cause pains in the head and lungs shortness of breath faintness cold sweats so that there is great danger and also Apoplexies and Epilepsies are not a little to be feared Now in all the time of their stay the women are to be refreshed with convenient food to add strength to them giving them sometimes the yolks of eggs boyled in old wine with Sugar and sprinkled over with Saffron and Cinamon or some broth made of Capon or Hen seasoned with Cinamon and Saffron It may not be amiss to make certain perfumes for the woman to receive up into her womb made of Saffron Castor Myrrh annd Cinamon of each the quantity of a bean and care must be had that the fume pass no further then the Matrix and this may be done till the fume of these spices shall cease After this a little sneezing-pouder is to be put into her nostrils composed of Hellebore or such like the woman shutting her mouth hard and keeping her breath If these things prevail not give her this following potion ℞ Trochisch of Myrrh ʒ j ten grains of Saffron one scruple of Cinamon Peny-royal two ounces make of this one draught and give her after she hath taken this and rested a little while let a pessary of Hellebore and Opoponax wrapt up in pure wool be thrust up into the neck of the womb This will certainly bring down the seconds for it is of so great vertue that it is efficacious in expelling the child which is dead together with the seconds Take Mallows Hollihock Wormwood Mugwort Calamint Origanum an M. j. make a bath and let her sit therein up to the navel and stroke ever downwards with her hands and give her inwardly Myrrh ℈ i j. Cinamon pouder'd in Nutmeg-water or wine or drink Calamint or Penyroyal in wine Neither will it be amiss to anoint the Matrix with the oyntment called Basilicon if this doth nothing avail toward the bringing down of the seconds and that the woman is in great danger of her life then with the consent of her husband and kinred give her seven of the following Pils which being taken let her lie still till the vertue of them do provoke new pains for they are of so great vertue also that they do expel the dead child together with the secondines yet herein it will not be amiss to consult the skilful Physician The Pills are these ℞ Of Castor Myrrh Liquid storax of each a scruple the bark of Cinamon or Cassia and Birthwort of each half a scruple Agaric half an ounce Diagridion six grains Saffron Siler of the mountain Savin of each three graines Thebaic Opium Assa faetida of each one grain mingle all these with as much extracted Cassia as is sufficient and make of them certain Pils as big as pease and give them to the woman in a small quantity of Peny-royal-water It may be also expedient to apply this ensuing plaster ℞ one part of Coloquintida boyled in water and as much of the juce of Rue with these mingle Line-seed Fenugreek Barley of meal of each a spoonful let them all boyl together and the plaster made of these must be laid upon all that part from the navel to the privities CHAP. XXVIII Of Cases of Extremity
often changed Or else you may dip linnen cloaths also in a decoction of Camomil flowers and Violet flowers with a small quantity of oyl of Roses and a drop of vineger or two or you may use this fomentation Take of the juyce of Nightshade oyl of Roses of each an ounce and a half of the decoction of Fenugreek Camomil and Lineseed two ounces vineger one ounce This medicine you may use by dipping a spunge therein and so washing and fomenting the breast therewith Or you may apply this Cataplasme take of the leaves of Nightshade and Melilot half a handful of each let them be boyled extracted through a course cloth then add to them bean meal two ounces Oxymel and oyle of sweet Almonds of each one ounce of this make a Cataplasm and apply it If the disease be more prevalent you must use more forcible remedies and among the rest this fomentation Take of the leaves of Mallows Violets Dill of each one handful flowers of Camomil and Melilot of each a small handful and a halfe boyl these together adding to them a little wine and oyl of Dill or Mustard first let the breast be fomented with this and afterwards with an oyntment composed of equal parts of new butter oyl of violets and Hens fat But if these things avail not to dissipate the humour you must observe whether the inflamation tend either to a suppuration or induration If you find that it tends to a hardness you must try all means to hinder it by the way of mollifying plaisters among which this is not a little experimented Take the marrow of a Calves leg two ounces Sheeps grease one ounce Saffron four scruples Cumminseed bruised two scruples mingle all these and make a plaister If the inflamation doth not harden but doth altogether tend to a suppuration which may be known by these signs that is to say the increasing of the tumour the beating and excessive heat pain which rages about those parts so vehemently that do not admit them to be touch'd But now the suppuration is to be hastened with hot and moist medicines which have an Emplastick faculty for which purpose this is much commended Take the leaves of Mallows one handful roots of Althea one ounce boyl these together and when they are mashed draw them out and add to them bean meal and Fenugreek of each one ounce the whites of two eggs myrrh and Assa faetida of each one dram Saffron one scruple mingle all these together and make a Cataplasm for your use to this you may either add Capons grease Hogs grease or fresh butter If these remedies do not suddenly bring the inflammation to a suppuration you must then take of the shells of snails bruised and lay them upon the Cataplasm in such a manner that the snail shell may come to touch that part of the tumour which is most elevated and pointed whence it appears that the matter will first issue If these remedies avail not it will be necessary to open the said Apostem with a Lancet and this must be done when you are sure that the matter is ready to come forth which may be known by these signs when the beating ceases when the fever the pain and the heat of the part do begin to diminish when you perceive the place pointed and raised and enclining to a blackish colour When the wound is open you must first apply to it a digestive composed of an ounce of turpentine half an ounce of oyl of Roses and the yolk of an egge After this you must cleanse it with honey of roses Turpentine and barly meal or with the oyntment of the Apostles or the oyntment called Aegyptiacum then you may put on the top of the place the oyntment called Basilicon or Paracelsus plaister which doth digest cleanse carnifie cicatrize after a very extraordinary manner This is furthermore to be observed that an ulcer in the breast is not easily cured if the milk be not dried out of the other breast and therefore the milke is to be dried up by keeping the child from sucking and by putting upon the breasts of the woman cloaths dipped in cold water together with bean barly and vineger and such like remedies THE COMPLEAT MIDWIVES Practice Of windy Tumours in the Breasts THe flatuous tumor of the breasts is caused by a thick vapour which rises from the menstruall blood which is retained or corrupted in the Matrix The causes of which are first the suppression of the flowers or when the flowers are not discharged into their proper place and in their proper time as also from the corruption of the humours by which are ingendred divers bad fumes and vapours for this being received into the breasts cause a distention much like a true swelling The signes by which it is known is the pain which it brings along with it which is sharp and pricking causing a distention of the part The heart is not a little out of order by reason of the windinesses which lie so neer it and commonly the left breast is most swoln communicating its pain to the arm shoulder and ribs of the same side And these signes differ from those of a Canker for in this distemper the breast is white and shining by reason of the distention and if you touch it it sounds like a Drum And if you presse it with your hands you wil finde that it is sweld in all parts alike and not in one more then another This is cured first by a good order of diet taking little victuals whereby crudities may be avoided that do afford matter to the obstructions and increase windinesse for which cause she must also drink little that water boyld with Cinamom Anis-seed and rinde of Citrons The next remedy is by using things which are good to provoke the courses among which use this receit strein Selandine stampt into posset-ale and drink it four dayes before the new moon and four dayes after And it will not be amisse to let blood three or four times in the year about the time that the courses ought to begin For by this means you may provoke the flowers hinder the increase either of a Scirrhus or of a Canker to which purpose bathes frictions and infections are not a little to be used In the next place you must prepare the humours that foment this windinesse both in the Matrix and in the veins and that by syrups which do expell flegme and melancholy after which you must purge your patient for which purpose you may take of the leaves of Sene three ounces Anis-seed one scruple let them boyle in foure ounces of Borage water vvhen it is streined infuse into it Confection Hamech vvithout Scammony Colloquint and Cathol Dupl Rheo of each an ounce and a halfe when it is streined dissolve in it one ounce of syrup of Roses solutive this potion must be given two hours before eating You may also use this gentle Apozem Take of the
times is the cause of tumors kernels and Apostems In this case the infant is not to suck the part affected though that breast is also to be suckt for fear lest the milk which is newly generated should be curdled and knotted by that which is there already and so that part of the coagulated milk may be hindered from putrifying To the dissolving of the milk it much conduceth to wash the breast with water wine and vinegar mixt together as also a Fomentation made of the decoction of Marsh-mallows Fenugreek and melilote and then anointing them with a liniment of Oyl of Roses Oyl of sweet Almonds juice of Parsley and Vinegar wherein let the gall of a Hare be first dissolved Hemlock water in this case also is not a little commended Of the Diseases of the neck of the Womb and first of the Disease called Tentigo TEntigo is a Disease in Women when the Clitoris increases to an over-great measure the subject of this disease is the Clitoris or nervous peece of flesh which the lips or wings of the privities do imbrace and which suffers erection in the act of venery the signes of it are evident for it hangs below the orifice of the privity as bigg as the neck of a Goose the causes hereof are a great concourse of humours or nutriment by reason of the laxity of it which happens by often handling The cure is performed by the diminution of the bloud and drawing out of the other humors A slender and refrigerating dyet is also necessary and such things as have a discussive faculty as the leaves of Mastick tree and the leaves of Olive tree In the next place by taking away the excrescence to which purpose gentle causticks may be first applyed as Alum and the Aegyptiac oyntment and that lye whereof sope is made being boyled with Roman Vitriol to which at last you may add some opium and form the composition into Trochisques which being afterwards made into a powder is to be sprinkled upon the fleshieexcrescence at length the flesh is to be cut away either by binding hard or by section care being taken that you avoid an inflammation There is another disease which is called Cauda which is a carnous substance proceeding from the mouth of the womb which sometimes fils up the privy parts and sometimes thrusts it self outwards like a tayl The cure of this is the same with the former onely if it come to section it may be done either with a horse-hair or a silken thread wound about it being first dipt in sublimate water or else with a knife Of the narrowness of the neck of the Womb. THis narrowness is either of the Womb it self or of the orifice of the Womb the signes are the stoppage of the Courses followed with a depressing and weighty paine The cause is partly natural from the nativity and partly varies according to the differences of the disease the difference is in this it hapning sometimes that this streightness consists in the exterior orifice whereby neither the flowers have free passage neither can she enjoy coition or conceive with child because she cannot receive either the man or the seed Sometimes the narrowness is in the interior orifice of the Womb into which the flowing retires back again to the absolute hindrance of conception sometimes it is occasioned by way of compression when the Caul being fatter then ordinary lies upon the neck of the Womb. Sometimes the splaying of the thighs stone in the bladder or some tumor in the streight gut Sometimes it happens by the clinging of other parts together which happens either from the birth and then either the flesh which appears red and is soft to the touch intercepts the passage or else the membrane which seems white feels hard being touched In the cure of this the use of moist fomentations is very prevalent and an insection is to be made perpendicularly great care being taken for feare of hurting the neck of the bladder The humour is next to be provoked forth and a Tent dipt in some suppurating plaister is to be put up the next day it is to be washed with water and honey and cicatrizing plaisters to be applied if it come after the birth it is either occasioned by an ulcer and then either the sides of the neck cling together in which case either incision or cauterization is to be used or else there is a brawnie substance which is to be cut away with a penknife or else some spungie luxuriant flesh in which case drying and discussing Medecines are to be used as Birthwort Frankincense Myrrh and Mastick afterwards you may apply things to eat it away and last of all to cut it away by incision Of Wheals condylomas of the Womb and of the Hemorrhoids THe Wheals of the VVomb are certaine risings in the neck of the womb which by their acrimony excite both paine and itching The signes of them are an itching paine and fall of scurf from that part for the better searching of which the instrument called speculum Matricis is to be used The cause of this are certain cholerick sharp and adust humors and thick which falling upon these moist and loose places do there easily make their way The cure depends upon the consideration of the causes Among the preparing Medecines syrup of Fumitory is much commended and Cichorie with a decoction of Lupines Topicks also are useful that discuss and mitigate the humor as baths and insessions and the washing of the place with wine and Nitre which is often to be used These wheals are divided into gentle and venemous which are said to be contagious they are to be washed in a water thus made Take of Aloes the quantity of a pea of the flowr of brass the quantity of half a pea powder these and mingle them in an ounce of white wine plantain-Plantain-water and rose-Rose-water of each an ounce which is to be kept in a glass vessel Condylomas are certaine swelling wrinkles in the neck of the Womb with pain and heat There is no need to tel the signes of these for they are apparent to the eye the wrinkles are like those which appear in the hand when you close the fist but are much bigger when the courses flow they are caused by adust and thick humors some of these are with an inflamation which have more paine and heat and the swelling is hard In the cure of which you must use insessions and fomentations that ease paine sometimes they come without any inflammatiō which if they be new come are to be dryed up if they be old they are first to be softned afterwards to be digested and dryed up for which purpose you may use powder of Egg-shels burnt or this Ointment Take of the Trochisques of steel one dram powderd mixt with a little Oyl of Roses and wax with half an ounce of the juice of Mullein if this profit not the warts are to be shaved away with a knife and an astringent
Take shaven Ivory Ash keyes yellow and wild Rape-seed Siler mountain with red and white Behen of each one dram Cinamom Galangall long pepper Cloves and Mace Balsam wood Rosâ—mary flowers Blattae Byzantiae gentle Marjoram penyroyal of each four scruples Baulme Buglosse Citron pils of each two scruples Pearls one scruple Musk two grains white sugar four and twenty ounces seeth this with Malmesey and make thereof a confection Or because of some diseases in the parts where note that too much fatnesse of the Call doth close the mouth of the womb such women must not sleep much especially in the day time they must use strong Clysters that are warm and dry and purge often Or when the womb doth not attract the seed when it is cast in which proceeds from a moist intemperance which is by the loosness of the fibres of the womb so that the womb cannot contract it self which is cured as in the moist distemper Or by reason of the thickness of the womb for then the blood which increases the seed does not slide down to that place The cure hereof requires a thin diet purging and sweating or by reason of the slipperiness thereof which happens by reason of the running of the whites in women The cure whereof consists in the stopping of the whites which hath been already treated of or by reason of the gaping of the Orifice which hath been occasioned either by difficult birth or by some abortion The cure is performed by astringent medecines among which the chiefest are the fomentation of Lentisk and Myrtle or by reason of some sudden cough or sneezing immediatly after copulation by which the seed is shaken forth Or when the womb doth not alter the seed that is cast in through an immoderate cold distemper Sometimes through heat and then it would be requisite to avoid hot aire and keeping the parts about the womb compleat or the eating of hot meats and spices purge after blood-letting in the Basilick vein of the right hand with Electuary hom de Epithymo juice of roses of each two drams and a half whey four ounces mix them wel together and take them in the morning sleeping one and fasting four hours upon it Purge also with Triphera Saracenica and Rheubarb with potions prepared and mixed with syrup of Roses Violets and Endive Take Pistacia Pingles Eringus of each half an ounce of Saffron a dram Lignum Aloes Galangall Garyophyllata Mace red and white Behen Baulme-flowers of each four scruples shavings of Ivory and Cassia rindes of each two scruples syrup of Ginger confected twelve ounces white sugar six ounces seeth these together with the syrup in 12 ounces of Baulm-water untill it be all boyled away when it is cold put some more water to it and stir them together and last of all mix with it a scruple and a half of Musk and Amber of this conserve let the woman take thrice a day to wit in the Morning an houre before supper and an hour after dinner Or it proceeds from obstruction of the flowers in which case first let blood in the Basilic vein then purge with Opoponax and Hiera Composita of each half a dram to be made up in seven pils to be taken in the morning sleeping upon them an houâ— and a half with a draught of sugard water five hours after Or with a potion of syrup of Vinegar compounded syrup of Eupatorie of each thrâ—e quarters of an ounce Fever Mugwort and Elecampane roots of each an ounce and mix them together then she may put up into the womb a pessary of muâ—k Amber Aloes Wood and Ash keyes of each three grains Saffron half a scruple Hares-rennet as much as suffices which being made up like a good big Tent she must keep a whole day in her body Of the bringing up of Children and of their Diseases Of the Diseases of the Head THe Diseases common to Children are first certain little ulcerous risings chiefly in the Head sometimes in the whole body they arise from some vitious humor either collected in the womb or out of the womb by reason of the badness of the milk containing a serous salt and nitrous quality if there be no ill to be suspected the humor may be driven forth by giving the Child some syrup of Fumarie or Harts-horn burnt the Nurse is to be purged and the matter offending to be tempered with syrup of Borage or Fumarie if there be much corruption under the crust of the scab the head of the Child is to be bathed with some softning decoction then to be anointed with some drying Ointments Sometimes they are troubled with an inflammation of the head with which is joyned a hollowness in the fore-part of the head and in the eyes it may arise from the milk if the Nurse be subject to drink over-much strong drink in the Cure you must beware of applying things which are too refrigerating They are also many times affected with a kind of Epilepsie which proceeds sometimes from extraordinary frights from milk that lies corrupted in the stomack and sometimes from worms moving themselves in the guts and sometimes it is the consequent of other Diseases The cure is to be observed partly in the fit and partly after the fit the Smaragd-stone and the hoof of a wild Alx put into the lâ—fâ— ear are very profitable and take good effect Vomiting also and this Emplaster of white Amber Frankincense and Mastick of each a dram and a half Galbanum Opoponax of each a scruple Visci of an Oak two drams Ambergreize six grains Musk three grains seed of male Peonie half a dram Ladanum one dram and a half a little Oile of Nutmeg and sprinkled with the dust of Cubebs the fore-part of the head may be also anointed with Oyl of white Amber Fears and startings in the Childs sleep which being occasioned from the putrid vapours which are carried up with the animal spirits and arise from the stomack therefore they happen to Infants that suck greedily in the cure care must be taken that the Child do not fil it self too unreasonably and provide that good sound milk may be generated and that the Children be not put to sleep upon a ful stomack the stomack of the Child anointed neer the orifice with Oyl of Quinces and mastick and Oyl of Nutmeggs Before sleep dissolve a little roll of Diamoschus in milk and give the Child and unless the child be over much troubled with heat you may give it a little Treacle once in a week overmuch watching or wakefulness which is occasioned by sharp vapours which arise out of the stomack by reason of the badness of the milk sometimes it is occasioned by Fevers and pain of some peculiar parts there is nothing better then to anoint the soles of the Childs feet with marrow which hath no danger in it rather then to give the child stronger Opiates A looking a squint which in new-born children is cured by putting a candle opposite to
the place where the Child casts its eyes Moistness of the ears by reason of the moistness of the head which gather quantity of humors together the cure of this must not be over hasty yet the urine of children distilled and dropt into the ear is a very approved Remedy Bigness and swelling of the Head in little Children SOmetimes in children that are newly born the head grows to an extraordinary bigness which comes to pass either by reason of abundance of water contained in the same which water is contained either between the skin and the Pericranium or between the bone and the pericranium or between the bone and the membranes called the dura Mater and the Pia Mater Or by reason of abundance of vapours gathered together between the bones and the skin of the head which cause the head to grow to such an extraordinary bigness that it causes often times the death of the child If water be gathered together between the bone of the head and the membranes of the brain it causes a giddeness and Epilepsie to the Infant without being able to take any rest For the cure of the windy affection you may use fomentations in case the wind be contained only between the skin and the Pericranium for which purpose you may take of the leaves of Sage Betonie Egrimony Calamus and Origan of each a handful Anis-seed and Fenel-seed of each two drams Camomil Flowers Melilot and Red Roses of each one handful boyl all these in common water adding to it a little wine and thereof make a Fomentation for the part affected which may be assisted with a plaister made of Oyl of Anis-seeds and bitter Almonds of each one ounce Oyl of Camomil an ounce and a half Laurel and Juniper-berries of each two drams Anis-seeds and Fennel-seeds of each one dram and a half of the best Wine a pint boyl them to the comsumption of the wine adding to the rest half an ounce of Venice Turpentine and as much wax as is sufficient As for the watry distemper though it be difficult to cure yet you must try this Fomentation to digest the humor Take Wormwood Betony creeping Time Penyroyal leaves of each a handful red Rose leaves and leaves of Stoechas a little handful Cypres Nut Orange flowers and Florentine orrice of each two drams boyl them all in a lye made of Vine twiggs and stalks after which you may use this plaister Take the powder of Betony Sage and Wormwood of each two drams Oyl of Camomil and Roses of each 2 ounces Vnguenti comitissae one ounce as much wax as is sufficient but if these Remedies profit nothing the only means left is to open the head Of the diseases of the Eyes Ears and Noses in Children MAny times children are troubled with a light inflammation in their eyes with a certain gum and thickness which hinders them from opening the eye-lid the most present remedies are either for the Nurse to wash the eyes with a little of her breast milke or else with a little Plantain and Rosewater mixt together Sometimes the nostrils are so stopt that they are not able to draw their breath but with much pain For the cure of which the Nurse must moisten a linen cloth in a little ointment of Roses or a little very good Pomatum till the hard matter within be dissolved Many times there flows a moist humor from their heads which happens to those who have moist brains In the cure of this it must be the care of the Nurse to cleanse the eares both within and without afterwards let her drop into them a little oyle of bi ter Almonds and hony of Roses mixt together Of certain Vlcers in childrens mouths THere do many times grow a certain kinde of ulcers in childrens mouths For the cure of which the Nurse in the first place must use a good and sound diet then must the ulcers themselves be rub'd with a little Mel Rosatum and syrup of violets with a drop or two of Plantain water or you may wash them with half an ounce of Rose-water or Plantain water in which put half a dram Dâ—aigret of vitriol if they be very red and inflamed take Brambles flowers of Pomegranates Roses Santall of each two drams Alum half a dram boyle them in water afterwards strain them to the quantity of three ounces in which dissolve halfe an ounce of syrup of Mulberries If they be white take Amber Frankincense wood Cypresse nuts Pomegranate flowers of each two drams flowers of Roses and Myrtles of each half a handful boyl them in water to the consumption of foure ounces wherein dissolve an ounce and a half of hony of Roses Of certain other Tumours called Paroulis and Espoulis PAroulis is a little swelling red and inflamed and is ingendred commonly of a hot cholerick blood or else from a salt flegme that fals down upon the gums causing not only the gums but the neck and chaps to be swelled For the cure hereof you may anoint the gums with this Ointment Take of Amili 11 drams powder of Tragacant one dram burnt Alum one scruple Rosewater one ounce if there be any inflammation rub the gums with a muscilage made of the seed of Quinces made with rose-Rose-water and plantain-Plantain-water adding to it a little syrup of Jujubes If the swelling be obstinate bring it to a suppuration with figgs Raisins Jujubes Licorass and French barley wel boyled when it is opened and lanced cleanse and dry it with mel Rosatum syrup of Roses and Cherries The Espoulis is a little excrescence of flesh hapning in the lungs between the teeth but most commonly the great teeth R. The root of Bugloss an ounce and half Plantain Agrimony a handful whole Barley a smal handful red Roses half a handful Pomgranate flowers two drams four Dates a dram and a half of Liquoriss make a decoction and straine it and then add to it an ounce of syrup of Roses and Pomgranates to wash the place affected you also may wash it with this Remedy Take of the juice of Pomgranates and Quinces of each half an ounce juice of Berberies and Lettice of each two drams with a little of the decoction of Lentils and red Roses Of the two strings under the Tongue of a Child THere is one of these strings or ligaments which appears reaching from the bottom of the tongue and extending it self to the top of the tongue this must be cut off first with a pair of cizers and the place rubbed with a lit-little Mosche salt There is another Ligament which rises from the root and extendeth it self to the middle of the tongue which is more hard and large which hinders the tongue either from being stretched out or to be moved in the mouth The cure hereof belongs wholly to the Chirurgeon Of the Cough in Children THe Cough in Children comes either from the distillation of some cold and sharp humour distilling from the brain if the humor be cold the child is also troubled
that meanes be delayed to the damage of the woman in childbed The fourteenth form If there be twins in the womb and one of them endeavour to come forth with the head formost and the other with the feet First of all the Midwife must consider which of the two the woman may be delivered of with most expedition if the head of the one be less forward then the feet of the second it will be most convenient to draw that forth by the feet turning the head of the other a little to the other side and that being delivered she must presently lay hold of the head of that which is within and direct it just to the passage of the womb which may be done with more ease by reason of the gap which the formost hath made If it happen that in drawing forth the first by the feet that the other chang its situation the midwife may then draw forth the other by the feet as she did the first and if the head of the first be more forward then must she put back the feet of the first and receive that which comes with the head formost If both of them press together to the passage of the womb the midwife must take great care and therfore she must put up her hand to see which of them is most forward as also to try whether it be not some monstrous conception as two heads upon one body or two bodies joyned in one either at the shoulders or at the sides which may be known if she put up her hand gently between the two heads as high as she can and if she find that they are twins she may gently put the one to one side to make way for the passage of the other which is most advanced which must be directed just to the orifice of the womb having a great care that she do not change the situation of the second and as she feeles the pains of the mother coming on her she must by all means bring forward the childe that she would receive still keeping the other back with two or three fingers of the left hand and thus having delivered the first if the second be not well situated she must bring the head to the neck of the womb where it will find the passage open to it by the delivery of the first Now lest the first childe should be in danger of its life you must take it from the mother and carefully tie up the navel string as is formerly mentioned also bind again with a large and long fillet that part of the navel which is fast to the secondines that they may be the more easily found Then the second child being born the Midwife must see if there be not two secondines for by reason of the shortness of the ligature it may have happened to retire back againe to the damage of the woman and therfore the secondines must be hastened forth as soon as may be least the womb should close If the two Infants have but one body the better way is to turn the head upwards and to draw it forth by the feet then by the head taking care when you come to the hipps to draw it forth as quick as may be The fifteenth form The second forme of the unnaturall birth is very dangerous and therfore requires the greater care of the midwife First therfore let her well anoynt the womb of the woman that the passage may be more slipperie which being done let her take hold of the hands of one of the Infants and keeping them close to the sides direct the head to the orifice of the womb that being born let her proceed in the same manner toward the other If she cannot come to take hold of either of the Infants armes she must bring the woman againe to her bed and trye if by the foresaid Agitation of her body the infants may be Brought to a more convenient forme of delivery CHAP. XXIX Of ordering the woman after she is delivered IN the first place she must keep a temperate dyet having a great care not to over fill her selfe after so great an evacuation and indeed her dyet must be like that of wounded persons neither are the tales of Nurses to be beleived who exhort them to fill after so great an emptines telling them that the loss of bloud must be restored for these are meer fooleries for as for that blood which she hath lost it is but unnecessary blood such as is usually kept for the space of nine months which to voyd is much conducing to her health besides their nourishment for the first days must be but slender for feare of falling into a fever besides the abundance of milke which it would bring into the brest where it might be in danger of curdling or apostematizing and therfore for the first five days let her use broths Panadas potched eggs Gellies abstaining from flesh or french Barly In the Morning broth will be expedient at dinner broth or eggs or Panada and at supper the same with some Gellies for her second courses If she intend to nourse her childe she may feed more plentifully and drinke some Barly-water where in some corianders or fennell seed may be put In Italie the persons of most account doe use this water Take two Capons the fethers being well pulled of and the bowels wholly taken out which you shall boyl in a glaz'd earthen pot in a sufficient quantitie of water till they be halfe boyled then must they be taken out of the pot together with the broth and being cutt to peices are to be put into a Lembick in manner following â„ž Bugloss Borache and Time two good handfulls and with that cover the bottome of the shell then lay upon that a row of flesh then upon that a ranck of leaf gold with a dram of powder of pearles and upon that pover the broth let all this be distilled in Balneo Mariae drawing forth a pint at a time which you shall reiterate as often as you have any thing left to give to the woman in child-bed for the space of ten or twelve dayes This water must be drawn six weeks or two months before it be used If the woman be not troubled with a fever let her drinke a little white wine or Claret with twice as much hot water If she haue a mind to drink between meales or at night it may be convenient to give her some syrrup of maidenhaire or any other syrrup that is not astringent with a little boyled water After the suspition of fever or heat of her brests is over she may be nourished more plentifully and you may give her together with her broth some other meat as Pullet Capon Pigeon Mutton or Veale boyled After the eight day is past at what time the Womb is well purged and discharged it will be expedient to give her cold meat in greater quantitie that she may be enabled to gaine strength during all this time
courses from abortion c. The cure is performed after the same way that other cures are remedied among those things that purge Species Hierae and Diaphaenicon with Castor are most commended for Fumes Nutmeg is counted the best for potions Nutmegs bruised and boiled with the roots of Mather and drunk in six ounces of wine and two drams of sugar Sometimes this winde gets into the cavity of the womb and then the neck and orifice of the womb is closed so that nothing can go forth when the woman is moved or when the Midriffe is pressed down with her hand and then a kinde of noyse and sound is perceived Sometimes the winde gets into the tunicles of the womb and then the mouth of the womb may be open by reason of the shutting up of the windy vapours in a narrow place there goes a noyse forth and the pain grows greater and extends farther This is more hard and difficult to be cured then that which is in the concavity of the womb Of the inflammation of the Womb. THe inflammation of the womb is a swelling of the same through the putrefaction of blood which is fallen down into its substance having many symptoms now tending to a Scirrhus now toward an Apostem The signes are various There is a swelling in the womb with heat and pain and a retraction of the womb to the more inward parts the neck of the womb appears red with little veins scattered up and down in it like the web of a spider There is sometimes a difficulty of breathing with some kinde of pleurisie because the interior tunicle of the womb being extended which rises from and is joyned to the Peritoneum the parts also to which that coheres are stretched The excrements of the belly and bladder are detained by reason of the heat and drinesse of the belly and the compression of the passages Sometimes the whole body of the belly seemeth empty and filled with water and the navell hangs forward and the mouth of the womb is made very slender and close and upon a sudden a few depraved courses come down then happens a burning Fever by reason of the great sympathy with the womb and the heart occasioned through the Arteries and great vessels There is a pain in the breastâ— with a swelling in them by reason of the consent and agreement between the groyns the hips the septum transversum clavicularum and the fore-part of the head which is extended to the roots of the eyes as also from the vapours which rise from the putrified blood to the head through the arteries that run along through the neck passing by both parts of the infundibulum into the fore-part of the head The cause of this consists in the blood which is sometimes mixed with choler and sometimes with melancholy The cure is difficult if the blood in that part be wholly putrified for that causeth a sordid humor vvhich consumes the patient vvith a continual Fever If it be an Erisypelas or St. Anthonies fire there is no cure at all because the Birth dies by reason of the excessive heat which causes abortion to follow which kils the woman if it turn to a gangreen it is deadly it is cured as other inflammations which may be observed in the following Chapters Only observe that for revulsion you must not let blood in the veinâ—s of the thighs for that draws down the blood to the womb but in the arm the blood flowing from the liver and the parts adjoyning For deriving of the matter you may cut a vein in the hamm unlesse the woman be with child for that wil cause abortion Refrigerating and moistning topicks without any binding faculty may be wel applyed to which purpose the decoction of Serpillus prepared with Chalybeat water and outwardly applyed with a sponge is an excellent Remedy These inflammations sometimes affect the whole womb and sometimes either side of the womb which causes the heat to descend into the hip because of the ligaments of the womb which are carried thither the thigh is difficultly moved and the groins are inflamed sometimes the inflammation possesseth the posterior part which causes the Belly to be bound and a pain in the loines and back bone sometimes it possesseth the forepart which because it coheres to the Bladder the urine is suppressed or made very difficultly and the paine is extended above the privities sometimes it possesses the bottom of the womb which causes such a pain in the lower part of the Belly that it is hardly to be touched and the pain extends to the navel There is another inflammation which degenerates into a Scitrhus where all the symptoms are not so dangerous yet there is a great heaviness perceived in the parts adjoyning This evil is diuturnal and commonly ends in the Dropsie sometimes it turns to an Apostem swelling til it break In this case the body is troubled with a shivering especially towards the evening when the Apostem is broken sometimes it empties it self into the concavity of the womb wherein there is lesse danger and sometimes into other parts of the body which causes sometimes a stoppage in the Urine and sometimes in the belly with a swelling of the hairy parts and the feeling of something floating up and down Of the Scirrhus of the Womb. THe Scirrhus of the Womb is a hard swelling of the said part without paine begot by some thick earthy and feculent humor the signes â—esides others that are general are these in particular The flowers at the beginning are either wholly stopt or flow very sparingly the evil increasing there is a great Flux of blood by intervals the mouths of the veines being opened more then ordinary or because the Womb is not able to receive or to retaine its wonted proportion of blood it is distinguished from the Mole because in that distemper the Flowers if they flow flow inordinately the breasts swel with milk which in the Scirrhus grow very lank The cause of this is a gross feculent humor being a thick blood sometimes Flegmy sometimes Melancholy which happens to those who decline in their age or to those who have been troubled with a squeamishand naught stomach often it arises from an ill cured inflammation through the use of medecines that cool too much The cure is difficult either because having been dryed for a long time they cannot be softned or because the natural heat in those places where the Scirrhus is is for the most part extinct and then because while the humour is mollifying if it have conceived any putrefaction it easily turns to the Canker for the cure it is the same as of the Breasts It differs either as being in and possessing the substance of the womb which causes the womb to lean downward upon the hip and back and there begets pain sometimes possessing the neck of the womb which is discerned by touching it and is cured more easily then the former if it be in the upper part
toward the womb if necessity requires that it should be done more then once one day a vein must be opened in one thigh and another day in the other and that which is opened for evacuation must be first opened that which is opened in the hamm or heel must be done after purgation 3 or 4 or five dayes before the time that the accustomed evacuations of the Woman ought to come down Cupping-glasses also are to be applyed first to the more remote places as to the thighs and then to the neerer parts as to the hips ligatures or bindings and frictions at the time of the coming down of the flowers after purgation of the whole Body are not to be omitted In the second place the matter is to be prepared for which purpose in bodies troubled with flegme the decoction of Guaiacum with Cretan Dittany doth much avail without provoking sweat In the third place evacuation is to be made at several times Among evacuating Medecines are commended Agaric Aloes with the juice of Sabina and these pilâ— Take Aloes Succotrine three drams the best myrrh one scruple extract of Calamus Aromaticus Carduus Benedictus Saffron of each three drams roots of Gentian and Dittany of each five grains make them up with syrup of Laurel berries taking the quantity of one scruple at evening before supper In the fourth-place by an obstructing the humour by those things which provoke the flowers of which these are most to be commended the decoction of Rosemary with flowers of Cheiri Peny-royal water twice distilled and mingled with Cinamom water Extract of Zedoar Angelica and Castor and the earth which is found in iron mines prepared in the same manner as steel spirit of Tartar the fat of an Eele Colubrina with the distilled water of Savine and in the fift place by the discussion of the dreggs and relicks that remaine by sudorificks or things that provoke sweat with a potion made of a Chalybeat decoction with spirit of Tartar c. The differences of this disease arise partly from the obstruction of the veins of the womb caused by a cold and thick blood and thick slimy humors mixed with the blood and coming either from some hot distemper of the womb which dissipates the sharp and subtile humors and leaves behinde the gross and earthy parts or from the cold constitution of the liver and spleen especially if at the time of the menstrual flux at what time the flux of blood is more violent those subtile humors happen to be dissipated then at the time of the monthly purgation the party affected feeleth a great pain in the loyns and parts adjoyning and if any thing come down it is slimy whitish and blackish the whole Body is possessed with a numness the colour pale a slow pulse and raw urines The cure is the same with the former great care being taken of a gross and ill dyet There is another difference of this disease when it happens by compression which arises from external causes as the Northern wind and long standing in cold water which may be knwn from the relation of the sick person The blood in this case is to be drawn to the lower parts by Frictions and Baths or from internal causes as fatnes or swelling of the womb or of the lower parts in which case Medecines must be applyed that asswage the swelling There is another difference which is in the hardness of the skin which happens either from the first nativity and then the disease is not easily taken away or long after from some cold dry distemper concerning which look the former Chapters Another difference there is when there happens a closing up of the skin which is caused after cicatrising of an Ulcer or by reason of some skin or membrane growing to the vessels of the womb or by reason of frequent abortion after which these veins to which the secundines adhere do grow together so close that they cannot be afterwards opened Another difference of this disease there is when it happens through want of blood which is not generated either by reason of external causes as famine over much evacuation issues and such like or through internal causes as a frigid constitution of the principall parts old age and fevers or when it is converted to other uses as before full growth to the nourishment of the body in women with child to the nourishment of the birth in those that give suck to the increase of milk and in fat people to the augmentation of the fat or when it is consumed either by externall causes as overmuch exercise affrights terrors sadnesse bathes overmuch sweating which do consume the serous quality of the blood or through internall causes as are hot and dry diseases or over great evacuations in other parts of the body Sometimes another difference of this disease proceeds from the drynesse of the blood which happens to women who in the winter time do too much heat their lower parts by putting coals under their coats For the cure thereof you must use refrigerating and moistning medecines Of the dropping of the Flowers and the difficulty of their coming down THe dropping of the flowers is when they are coming down for many dayes together drop by drop This happens both from externall causes as over-hard labour c. And sometimes from the drossinesse of the blood the passage not being wide enough For the cure of this it is convenient to open a vein in the arm with gentle purging as in the former chapter Sometimes from the weaknesse of the retentive faculty there being at that time great plenty thinnesse and serosity of the blood In this case there is no pain Medecines that binde and corroborate the stomack here must have place The difficulty of the Flowers is when they come down with pain and trouble either through defect in the veins or in the blood The signes of this are gathered from the relation of the sick person who is then much troubled with pain in the head stomack and loyns and lower parts of the body And they do either flow altogether or drop by drop as in the former disease it is a disease more incident to maids then married women because the veins of the womb are lesse open in them then in those who have brought forth children It happens sometimes from a corruption of the blood that is from the drossiness and thickness thereof and then the blood clots together and there is great pain long before the flowers begin to come down The cure of this is performed by attenuating medecines Sometimes from the sharpnesse and acrimony of the blood which proceeds from a mixture of sharp humours with the body and then the genital parts do itch It is cured by those medecines that temper the sharpnesse of the humour as the four greater seeds violets and flowers of Nenuphar Sometimes from windy vapours and then the pain comes by intervals and is suddenly exasperated rumbling up and down
when the Woman is troubled with difficulty of breathing In the third place ligatures and frictions of the arms are to be used Another difference of this disease arises from a sharp blood which is known by the gnawing of the humor upon the vessels In the cure you must purge with syrup of Roses solutive or with leaves of Sene a pessary of sows dung and Asses dung which is made up with Plantain water and the muscilage of the seed of Quinces is here of use if need require Another difference arises from a serous and watry blood for either the liver is weakned or the veins so debilitated that it cannot attract the serous or wheyie humor in the blood in this case the blood flows not forth in such a quantity nor is easily curdled if a cloth be dipped in it and then dryed in the shade it presently discolours In the cure hereof you must look to the rectifying of the weaknes of the reins and liver with convenient remedies for which purpose the livers of Foxes Calves Hens c. are very good Sometimes from a rupture of the veins which proceeds either from a fulness of blood or from causes that do vehemently stir up the blood especially from hard labour if it be needful you must let blood and apply conglutinating medecines Or from a gnawing of the vessels which is known by this that sometimes there flows forth little blood and that purulent and full of the wheyie or serous humour It arises from a sharp and corrupt blood and sometimes from the use of sharp medecines Among the astringent medecines the root of Filipendula is much to be commended or a decoction of the same root Of the Whites Gonorrhea in women THe Whites is an inordinate eruption of an excrementitious humour collected together through some vitiousnesse of the blood It affects women chiefly and sometimes also Virgins of which there are examples yet it is more often in women especially if they be of a moist constitution and live an idle and delicate life eating such things as are cold and moist Old women also are affected herewith through the abundance of flegme and the weakness of the concoctive faculty If differs from the Gonorrhea because in that the seminal matter is white and thicker and flows by longer intervals and issues forth in a lesser quantity from a nocturnal pollution for that is joyned with venereal imaginations and onely happens in the time of sleep It differs from the discolouring of the flowers for they though not exactly do always observe their times of flowing Besides they happen not to women with childe or such whose courses are stopped It differs from the putrid humour that issues from the ulcers of the womb because that is joyned with the signes of an ulcer and the putrefaction is thicker and whiter if it be mattrie it is coloured with blood and issues forth with pain The cure of this must be hastened because in a short time it endangers the making of women barren causing them to be lean to fall into a consumption melancholy the dropsie fall of the womb swoonings and convulsions which is the cause that though it be not hard to be cured in the beginning yet it is afterwards very difficult for by this means the whole body accustoms it self to send forth its excrements this way and the womb being now weakned gathers excrements apace Sometimes it proceeds from the whole body and then you may perceive the signes of an ill humour through the whole body In the cure of this you must avoid blood-letting for that the bad humours must not be recalled to defile the blood besides that the disease is a sufficient weakning and consuming of the body The humour is discussed by the decoction of Guaiacum and China and Lentisk wood For the drying up of the humour the root of Filipendula doth very much conduce For astringent medecines you may use chiefly the powder of dead mens bones the ashes of Capons dung in rain-rain-water The patient must avoid sleeping upon her back lest the heat of the Lungs should carry the humours towards the womb Frictions also of the upper parts for the diversion of the humour Sometimes it is caused by the womb it self and then there will appear signes of the affection of the womb and the flux is not so great For the cure of this suffumigations of Frankincense Ladanum Mastick and Santalum are very requisite Of the Green-sicknesse THe Green-sicknesse is a changing of the colour of the face into a green and pale colour proceeding from the rawnesse of the humors The signes of this appear in the face to which may be added a great pain in the head difficulty of breathing with a palpitation of the heart a small and thick beating of the arteries in the neck back and temples sometimes inordinate Fevers through the vitiousnesse of the humours loathing of meat vomiting distention of the Hypochondriack parts by reason of the reflux of the menstruous blood to the greater vessels a swelling of the whole body by reason of the abundance of humours or of the thighs and legs above the heels by reason of the abundance of serous humours The cause is the crudity and rawnesse of the humour and quantity withall arising from the suppression of the courses through the natural narrownesse of the vessels or through an acquired narrownesse of the vessels by the eating of oatmeal chalk earth nutmegs and drinking of vinegar or from the obstruction of the other bowels Hence arises an ill concoction in the bowels and the humours are carried into the habit of the body or become habitual thereto The cure is performed by the letting of blood especially in the heel if the disease be of any continuance by purgation preparation of the humour being first considered which is performed by the decoction of Guaiacum with Cretan Dittany purging of the humour is performed with Agarick Aloes Succotrin with the juice of Savine for the unobstructing of the humour prepared steel the root of Scorzonera Bezoar stone and oyle of Chrystall in diet vinegar is utterly to be avoided Of the Suffocation of the Matrix THe signes of the suffocation of the womb are a wearines of the whole body with a weakness of the thighs a palenes and sadness of the face a nauseousness though seldom vomiting oftentimes a loathing and distast of meat and that sometimes with a grumbling and noise in the belly and sometimes without The signs of the present disease are that when the vapours are carried up to the heart and do there stop the vital spirits a light swooning follows the pulse changes is little the body grows cold all the spirits flying up into the heart the vapour being thrust up to the head and chaps the chaps are many times set fast the Patient seeming to be stifled the motion of the breast and Diaphragme is disturbed and hindred so that the breath is almost stopt the Patient living only by transpiration