Another Betony Vervain each a handful Confection of Alkermes A scruple is twenty grains a scruple and half Sugar and Cinamon as much as will suffice to aromatize it the herbs being first boyled in posset-brink I shall give one general Cordial water which I shall not only commend to Midwives to have ever by them but also to other Gentlewomen it being a general Cordial water against most distempers Thus then Take Baulm Betony Pellitory of the wall A general Cordial-water sweet Marjoram Cowslip flowers of the flowers of Rosemary and Sage each a great handful of the seed of Annis sweet Fennel and Coriander Caraway and Gromel of each half an ounce of Cinamon Licoras and Nutmeg all bruised each one ounce of Juniper-berries one ounce and half let the herbs be shred and infused in a gallon of Brandy in an earthen pot well leaded for the space of a fortnight afterwards strein it and put in twelve ounces of Loaf-sugar Note that a gallon of Brandy added to the ingredients after streining makes as good water as the former if ordered so and of Musk and Ambergreece each two grains tyed up in silk and hang'd in the glass you may put in another gallon of Brandy after the first is streined Against immoderate flux of the Courses Take of the roots of Tormentill two drachms Bole-armeniack the best one drachm the species of Hyacinth Powder half a drachm all made into fine powder of which take half a drachm once in three hours in this following Julep The Julep Take of the a Res Aq. Scordii composit compound water of Scordium b Dracontii dragon-Dragon-water c Ulmariae Meadsweet of each three ounces of d Aceti Theriacalis treacle-Treacle-vinegar an ounce syrup of Coral two ounces burnt Harts-horn half a drachm make a Julep To facilitate the Birth drive out the Secundine false Conception and dead Child Take of the Trochischs of Myrrh one scruple of Borax half a scruple of Saffron three grains make a powder of these and take them in white-Wine or the decoction of Mugwort in Posset-ale after which drink a draught of the same Posset with some few drops of oyle of Amber or oyle of Juniper-berries infused in it Or this A Posset Take Mother of Time one handful of Pellitory of the wall and Chamomel-flowers of each half a handful of Fennel-seeds and Licoras each half an ounce Figs slit no. six boyl these in three pints of Posset-ale till one pint be consumed then sttein it and of this drink a good draught thrice in a day The next Receipt shall be directed to the false Conception and dead Child As thus Take Styrax Calamita Myrrh Cinamon Cassia lignea From the Apothecaries To provoke the flowers expell a dead child and false Conception of each half an ounce Mummy two drachms Saffron half a drachm make all these into fine powder this may be taken in white-Wine a drachm at a time for a week together or more To prevent Abortion Take Sanguis Draconis Red Coral both made into powder A powder to be taken in broth c. of each one drachm of Ambergreece three grains of Bezoar stone four grains of this powder a scruple at a time may be taken either in Mace-ale or Broth or Posset-drink wherein Plantane Comfrey Knot-grass Bramble-leaves Periwinckle with some Cinamon have boyled Or this A second powder Take Kermes-berries two drachms red Coral and white of each one drachm and half of Amber one scruple make these into powder and put them into a Poch'd-egg and sup it up do so till all be done Or this A third powder Take Mastich Frankincense Sang. Dracon Myrtill-berries Kermes-berries Bole-armeniack each half a scruple and take a drachm of the powder and fill the hole whence the stone is taken out in a Date moysten it in sack and wrap it up in a paper and put it under hot embers to be warmed and let those that fear Abortion eat it often A Caraplasme to the navil Take a hot manchet out of the oven cutting off the crust dip it in Muscadine and strew it with the powder of Nutmegs and Cinamon each as much as will suffice and apply this hot to the navil of the woman A plaister from the Apothecaries Take of Emplaster ad Herniam Caesaris each half an ounce Cocci Baphici one drachm made into powder Emplaster of Diacalcythios one ounce and with as much oyle of Myrtles as will suffice make a Plaister to be spread on leather and applyed between the hips Here may be used Unguentum Comitissae to the loins Unguent Of After-pains Causes of After-pains After-pains may proceed from the acrimony of the blood being thinn and sharp or from the grumous part of it being thick and clotted which nature endeavouring to discharge it self of as to the setling of the womb causeth these pains Inflations Ambient air As also Inflations by reason of the ambient air seems to imitate those pains with the Child-bearing which are not only Sympathetical but Symptomatical this being so usual few women are free from it And Cure because they often cease within two or three daies they seldome require a Physitians help Nevertheless that Julep before-mentioned in the 32th Section is very useful Or else The Julep in the 32th Section marked with this * Asterisk Take the inward bark of an Elm-tree and burn it to ashes to which adde Cinamon made into powder some 10 grains of Cinamon to one drachm of the ashes and drink it with white-Wine Or else Take of oyle of sweet Almonds two ounces syrup of Violets one ounce water of Penniroyal half an ounce for a draught Potion After-pains from windiness If the cause be from wind you may give a drachm of Barberries in powder in the water of Vervain or Baulm But most usually these pains are eased by Caudles made with half white-Wine Caudles and half water wherein Spermints Baulm Penniroyal or Mugwort have been boyled I will give you the form of a Caudle which is not only of great use in the sending forth of the secundine in case any piece of it should be left behind as sometimes it may happen but also to help nature in its work of throwing out this grumous blood which is the cause of the After-pains And this is it A Caudle in case any part of the Secundine be behind Take Oatmeal and Hempseed of each a sufficient quantity with a top of Baulm boyl these in a sufficient quantity of white-Wine and water of each a-like and with the yelk of one egg make a Caudle Of Convulsion-fits in infants newly born Take the best Sack and Sugar mull'd and give it the first thing it takes this will discharge the stomack of that viscuous flegm that ever accompanyeth infants Convulsions from viscuous phlegm possessing the stomack and nerves and not only warm the stomack
its overmuch moysture and an evil temperature of qualities and ventosities included in the womb as also Ulcers and Apostemations in the womb besides other distempers As are too many Courses too great a Flux of blood A caution to the Irish where these distempers are Epidemical and Sporadical too great a Looseness of the belly or too great Costiveness a Tenasmus called commonly a Needing a Cough a constant Sneezing and all things that shake the body too much and lastly any acute sickness which doth so afflict the womans body that by them the infant is deprived of its nourishment Quest The external causes of Abortion Answer Philadel Now then Mrs. pray inform me vvhat are the external causes of Abortion Eutrap Sir the external causes are many As first to fall to run to leap to ride to exercise too immoderately and to be smitten vvith strokes Again too much cold and too great heat for over-much cold killeth the child and too great heat intercepts the air from the infant and so suffocateth it in the womb and this may be done by hot baths if women use them in the first moneths after their conception Thirdly Stinking smells as the snuff of a candle or lamp newly extinguished Fourthly an absurd appetite and manner of eating and drinking as to cat salt coals dirt c. by which either ill humors or a dangerous thirst are procured Fifthly too great hunger for by overmuch fulness the infant is sooner suffocated the passages appointed for nourishment being the sooner obstructed Sixthly immoderate exercise and labours overmuch sleep and a continual laziness unseasonable and unreasonable watchings besides other accidents As sudden fury great wrath over-much fear and sorrow sudden joy and a dull appetite longing for that which is not to be had unsatiable copulation and lust Dr. Philadel Quest You have now discovered the causes of Abortion What I pray Mrs. Eutrapelia are the signs of Abortion Eutrap Answer Sings The signs of Abortion are twofold First before conception in those that use to miscarry as superfluous moysture sudden and unusual fatness against nature which was wont to be of slender and lean constitution or which are ever pained about the loyns and kidneys or fall suddenly into other dangerous diseases Signs of Abortion Secondly the signs of Abortion after conception are these viz. when the breasts that at first were turgid and hard are observed to grow flaccid and soft of a sudden if there be too great a flux and a continual flowing of the terms Moreover if there be horrors colds pains in the head or a swimming there be in the eyes these be sure signs of Abortion Dr. But Quest what are the signs of a dead child Answer Of a dead child Eutrap Where the child is dead Sir there is no motion perceived when the eyes of the woman sink when her colour is turned into a tawny whiteness when there are great pains about the navil and loyns when by reason of the lower parts being compressed there happeneth a Strangury a * A Needing â—enesmus Again when the ears the lips the top of the nostrils are taken with a pale coldness and the face swells and the belly though it sinketh not yet groweth soft so that lying to either side by the touch there may be perceived a hard mass Stinking breath a sign that the child beginneth to putrifie as also stinking breath an argument that the infant doth begin to putrifie These are manifest signs of a dead child The cure whereof I leave to the care of the expert Physitians and Chirurgeons SECT XXIX Rules for Child-bearing Women EUtrap According to your promise I beseech you Doctor lay me down some Rules to be observed by Child-bearing women Dr. Philadel Good Midwife I shall and that very necessary ones too that she may know how to go on safely through by Gods blessing to the last hour or by neglecting them may make her delivery the harder and I shall reduce them under ten heads First let her be chearful not breaking her self with mourning and careful anxiety for this doth exhilarate the infant Res sex non naturales and stirs up all the faculties and confirms it in its parts and members Secondly let her avoid all violent motion and abstain from all hard labours not rising up too hastily not leaping running dancing riding not lacing her self too streight or carrying too heavy a burden but surely sleep is very fit for her Thirdly let her beware of sharp and cold winds of excessive hear anger perturbations of the mind affrights terrors over-much venery and of intemperancy of eating and drinking Fourthly let the diet of breeding women be frugal and moderate abstaining from gross meats hard of digestion let her eat eggs chickens land-fowl birds of the mountains c. variety of broths grewels panadoes mutton veal lamb kid rabbets she may use in her meats nutmeg and cinamon she may drink wine moderately Fifthly in the first four moneths let her open no vein use no cupping or scarrifications fontanells nor use any pills or other Physick without the advice of a prudent Physitian for in these moneths the ligaments of the child are very tender soft and feeble and therefore the easier destroyed and the nourishment kept from him Sixthly if it shall happen that the woman be too costive by which many miscarry let her boyl spinage Against Costiveness and lettuce well buttered with salt and vinegar or wine which if they will not move the belly Suppositories let her use suppositories with honey and the yelk of an egg or of Castile-soap and if these common things will not do let her advise with an expert Physitian Seventhly if it happen that she conceive with grievous symptoms Symptoms and after conception is troubled with faintings let her take this Cordial following Take of Sorrel-water and red-Rose-water of each one ounce of Cinamon-water one ounce Against fainting of Manus Christi pearled called in the Shops Saccharum tabulatum perlatum simplex half an ounce or as much Diamargariton this may be taken as need requires Eighthly if she fear that she may come too soon that is before her time as in the seventh moneth or some other unscasonable time and feels throws as of child-bearing occasioned by immoderate exercise too great costiveness from a Fever or some other disease A suffumigation Let her sit over a suffumigation of Frankincense for that contributes no small strength both to the matrix and to the infant also Ninthly if she nauseate her meat she may use a plaister of Mastich to her stomack and take this following Cordial every morning fasting to strengthen her stomack The Cordial Take syrup of Pomegranates one ounce and half of Mosch and Amber-greece of each two grains of Lignum Aloes finely powdered one scruple of Cinamon half a scruple the water of Sorrel three ounces let these be mingled and drank off
blood-warm Against terms it Child-bearing Lastly if whilst she goeth with child she perceiveth her terms let her eat milk made boyle with red-hot steel and in that let Plantain and Comfrey be boyled But in all these cases let her advise with learned Physitians which will direct them with medicines and advice from time to time I shall now treat of some few distempers incident to child-bed and leave you some choice Remedies in the following Sections and then wind up all SECT XXX Of the Retention of the Lochia in Child-bed known by the name of Courses though improperly so called and of their immoderate Flux THE retention or suppression of the Lochia in Child-bed Hippoc. lib. de natura pueri by the consent of Hippocrates as well as other Learned Doctors to which daily experience may be added brings the greatest inconveniences to women Purgations of women in Child-bed Hippo. ibid. and often death it self I shall therefore in this Section treat of the purgations of women in Child-bed which Hippocrates determines to be at the most but 40 daies By the Levitical Law 33 daies was in case of a male Levit. cha 12. verse 4. and for a female 66 daies ve 5. if the women bring forth a female and 30 daies to a male But withal saith that a woman is passed all danger after 20 daies purgation Now if women be not sufficiently purged in Child-bed either it causeth a great * A swelling hot and red Phlegmon in the womb by reason of the inflammation of the blood or else those lochia being carried to some higher part bring dangerous affects to the part that receiveth them as Squinancies Pleurisies Fevers Frenzie Nauseousness Unquietness Dropsies and what not Cause The cause of their retention is generally cold by reason of the ambient air which the woman receiveth in her delivery Ambient air perhaps through the improvidency of Midwives who most commonly take more care of the child than of the woman or else by reason that the woman may be delivered in some cold moist room which cold suddenly rushing into the inward parts of the womb suddenly stoppeth them See Sect. the fifth Therefore Midwives must not only be very wary in this case as hath been already hinted in the latter end of the fifth Section to which I refer you but also proceed to the Cure The Cure A Glyster First then this Clyster may be given Take of the roots of Marshmallows * Aristolchia â—…ga 〈◊〉 long round Birthwort of white Lillies of each half an ounce of the leaves of Mallows Pellitory of the wall Mercury and Violets of each half a handful of Chamomel flowers Melilot flowers Elder flowers each two * A pugill is as much as may be held betwixt the thumb and two fingers pugills of the seeds of Dill Foenugreek and Seseli of each two drachms let these be boyled in spring-water till a third part be consumed strain it and to ten ounces of the straining dissolve the yelk of two eggs of Sal-Gemm and unguent de Arthanita each one drachm oyle of Dill and of Bayes each half an ounce of these make a Glyster A bagg You may also make a bagg triangular whereof you see a description with its use in the xxvth Section in which you may quilt these herbs following being grosly bruised and pounded Take of the roots of long and round Birth-wort of Gentian Angelica Bryonie * Cyclamine Sowbread of the herbs of Mugwort Balm Savin Orgamint and Calamint of each one handful of the flowers of Chamemile Ingredients for the bagg Tansy and Elder each half a handful of the seeds of Dill Caraway Anniseeds and Seseleos each one drachm These being mash'd and pounded and quilted into a bagg big enough to cover the lower part of her belly and privities and well secured with strings must be boyled in spring-spring-water and applyed warm Two baggs best to be applyed the one hot whilst the other groweth cold but it were better to have two bags to apply as they grow cold The belly hips and thighs which by reason of the consent of parts must consequently sympathize with great pains may be anointed with this ointment Take of the oyle of Chamomile The ointment Lumbricorum Catellorum Hipericonis Dill and of the oyle of Eggs oyle of Worms whelps St. John's-wort with these mixed anoint the parts abovesaid warm At night you may let this Julep be given take of the waters of Balm A Julep and Mugwort of each one ounce of the water of Cinamon distilled without wine one ounce Confection of Alkermes half a drachm of Laudanum two grains of syrup of Poppy half an ounce the bagg may be renewed as need shall require warming it in the liquor in which it was first boyled the next day you may repeat both the Glyster and the bagg and expect good success After which if the woman be plethorick A Purge you may purge her with Manna and syrup of Roses in broth and this may be given after seven daies lying in I come now to speak somewhat of the immoderate flowing of them Immoderate flowing of the Lochia which must be considered as well as being stop'd there being danger in either for 't is well observed by Hippocrates 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Hipp. Aph. 51. Lib. 2. Omne nimium vertitur in vitium The Causes that every thing wherein is excess is an enemie to nature Therefore let us endeavour to stop them in their over-much flowing with a very great caution lest by stopping them all together there follow worse effects It happens many times that both after the birth and miscarrying that there floweth out such a quantity of blood by reason of the eruption or apertion of the vessels immoderately or by reason of the great fervor of the blood proceeding from the use of over-hot Remedies in laborious births To remedy them Then First use such alimentary food as may incrassate and thicken the blood Cure by Diet. as Panadoes Gellies Rice in the broth of Calves-feet Pears boyled Quince and Roast-meats whereon the juice of Pomegranates have been sprinkled yelks of eggs Drink Their drink may be red Wine mix'd with water wherein steel hath been quenched then the blood may be drawn by revulsion to the upper parts either by Phlebotomy or Cupping-glasses under the papps c. Stupps dipp'd in vinegar water applyed to the loynes with an ointment The whole belly must be swathed there may be stupps dipp'd in Oxycrat and applied to the loyns after which take of Unguentum Comitissae two ounces of juice of Plantane one ounce beaten well together these things being not hard to be gotten I tender to you but when they will not be stop'd by these means 't were best to have recourse to Learned Physitians for advice SECT XXXI Of the Fever of Milk EUtrap Quest You have already