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A53913 The compleat midwife's practice enlarged in the most weighty and high concernments of the birth of man containing a perfect directory or rules for midwives and nurses : as also a guide for women in their conception, bearing and nursing of children from the experience of our English authors, viz., Sir Theodore Mayern, Dr. Chamberlain, Mr. Nich. Culpeper ... : with instructions of the Queen of France's midwife to her daughter ... / by John Pechey ... ; the whole illustrated with copper plates. Pechey, John, 1655-1716.; Chamberlen, Hugh.; Culpeper, Nicholas, 1616-1654.; Boursier, Louise Bourgeois, ca. 1563-1636.; Mayerne, Théodore Turquet de, Sir, 1573-1655. 1698 (1698) Wing P1022; ESTC R37452 221,991 373

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Sick has vomited a great while you must give Laudanum without delay and such a dose as is not only equal to the violence and duration of the symptom but such an one as is sufficient to vanquish it Of Barrenness BArrenness is an impotence to conceive coming from defect either of the Genitals or of the blood or of the menstruous blood First through the defect of the Genitals either by the closing up of the Orifice of the womb which may be cut and opened by Art or through the narrowness of the parts for so they will not admit the Yard or by reason of some Ulcers or Excrescencies in the neck of the womb Or by reason of some fault in the seed either the woman being too young or too old or through some distemper in the Vessels dedicated to generation and then the woman perceives very little or no pleasure in the act of Copulation The Cure of this is referred to the Chapter of the distempers of the womb Or when there is not that due proportion of seed which ought to be in both parties which chiefly arises from the use of those things that extinguish barrenness as Mint Rue Camphire Or from Inchantments and then the man cannot lye with his wife or though he should yet cannot emit the seed Against which it is affirmed that the drinking a draught of cold water that drops from the mouth of a young Stone-horse as he drinks and saved in a little vessel is very potent Or when the womb doth not draw the seed which is ejected and that by reason of some cold and moist distemper in which case all sorrow anger and much sleep are to be avoided as also the eating of Milk fresh Cheese and any thing that is made of dough Neither is she to eat Endive Spinage Beets Lettice Nuts Cherries Purslane Onions Garlick or such like nor much broth vinegar and fat flesh In the next place the womb must be cleansed from over-abundance of moisture with syrup of Wormwood with the decoction of Harts-tongue Fennel Cumin and Aniseed After this take once every 14 days a dram of blessed Pills fasting five hours after them Take also of these following Pills Take of Labdanum Agaric Wax and Sheep suet tryed of which you may make Pills to take two or three of them every morning or use this confection Take shaven Ivory Ash keys yellow and wild Rape-seed Siler mountain with red and white Behen of each one dram Cinamon Galingale long Pepper Cloves and Mace Balsam-wood Rosemary-flowers Blatrae Byzantiae Marjoram Penny-royal of each four scruples Baulm Bugloss Citron Pils of each two scruples Pearls one scruple Musk 2 grains white sugar twenty four ounces seeth this with Malmsey and make thereof a Confection Or because of some Diseases in the parts where note that too much fatness 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 looseness 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 that increases the seed doth 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 Medicines among which the chiefest are the fomentation of Lentisk and Myrtle or by reason of some sudden cough or sneezing immediately 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 air and to keep the part about the womb cold the eating of hot meats and spices must be avoided Purge after blood-letting in the Basilick vein of the right hand with Electurium de Epythymo and juyce of Roses of each two drams and a half whey four ounces mix them well together and take them in the morning sleeping on and fasting four hours upon Purge also with Triphera Saracenica and Rheubarb with potions prepared and mixed with syrup of Roses Violets and Endive Take Pistacia Eringo's of each half an ounce of Saffron a dram Lignum Aloes Galangal Avens Mace red and white Behen Baulm-flowers of each four scruple shavings of Ivory and Cassia rinds 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 at 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 hour before supper and an hour after dinner Or it proceeds from obstruction of the Flowers in which case first let blood in the Basilick vein then purge with Opoponax and Hiera Composita of each half a dram to be made up into seven Pills to be taken in the morning sleeping upon them an hour and a half with a draught of sugar'd water five hours after or with a potion of syrup of vinegar compounded syrup of Hemp agrimony of each three quarters of an ounce Feverfew Mugwort and Elecampane roots of each an ounce and mix them together Then she may put up into the Womb a pessary of Musk Amber Aloes-Wood and Ash keys 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 humour 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 humour may be driven forth by giving the Child some Syrup of Fumatory or Harts-horn burnt The Nurse is to be purged and the matter offending to be tempered with Syrup of Borage or Fumary If there be much corruption under the Crust of the Scab the Head of the Child is to bo bathed with some softning decoction and then to be anointed with some drying Ointments Sometimes they are troubled with an inflamation of
the good diet of the Nurse and partly by convenient Medicines among which a bath made of Sulphur Nitre and the leaves of Oak is exceeding good Of the Intertrigo WHen the little skin in the Hips is separated from the true skin it arises first from the sharpness of the Urine especially in Children that are more corpulent by reason of the dirt which frets the skin being gathered together in the wrinkles Bath the place and then sprinkle upon it either white Nihili or anoint it with Oyl of Litharge Of Leanness THis arises either from a subtle kind of Worms which are generated in the most musclely parts of the Back and Arms and consume the Body they break forth sometimes like to black hairs if you wash those parts with a Bath mixed with Bread and Honey they are taken away either with a Razor or with a crust of bread Secondly it arises from the small quantity of milk which is oftentimes remedied by changing the Nurse Of the difficulty which Children have to make water IF the Disease proceed from sharpness of the Urine the Nurse must use such a way of diet as is proper for the tempering and cooling of the blood she must be purged and let blood using afterwards cooling and refrigerating broths If it proceed from any gross humor ingendered in the Bladder the Nurse must abstain from all meats that do breed gross humors as milky meats Pease and Beans and such like If the Child be troubled with gravel which may be perceived by the whiteness and rawness of the Urine with a gravelly setling at the bottom and the continual pain in making water If the Child be any thing big let a potion be given him of an ounce and a half of sweet Almonds an ounce of Pellitory water and two drams of the juyce of Lemons use as much of this at a time as is convenient Or take of this powder of the blood of a Hare six ounces of the root of Saxifrage one ounce burn them in an earthen pot and if the Infant suck give him a scruple of this powder in a little milk Of the Inflammation of the Almonds of the Ears IF the Child be very small you must wash the throat as near the root of the Tongue as may be with a linnen cloth tied to a stick dipped in this Gargarism Take of new extracted Cassia one dram syrup of dry Roses one dram and a half six ounces of the decoction of Coriander Or you may anoint the Neck with Oyl of Violets and Camomile 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 dried Roses of Pavot and Nenuphar mingled together Oxycrate alone doth make an excellent Gargarism If they come to a Suppuration you must use this Gargarism Take of the decoction of Barley Plantain Agrimony Speedwell Honey-suckle and herb Rob six ounces in which dissolve Honey of Roses and Sugar-Candy 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 stomach besides that the Nurse must keep a very good diet the Infant must be purged with a small expression of Rheubarb giving it afterwards a little mint-Mint-water sweetned with syrup of Quinces to comfort the stomach putting afterwards upon his stomach this Plaister Take of the pulp of condited Quinces two ounces red Roses Wormwood and red Saunders of each two drams Oyl of Quinces as much as sufficeth make a plaister of this and lay it upon the stomach of the Child Of the Hicquet IF it come from an over much repletion it will 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 feather dipt in oyl If from the badness of the Nurses mi●k she must be changed for a better if from the coldness of the stomach you must use remedies to comfort it as little Tablets of Diarrhodon of which you must dissolve a scruple in the Milk of the Nurse you must also chafe the stomach 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 will Vomit and be troubled with a Flux of the Belly and the Belly will be hard In which case you may give the Infant one ounce of sweet Almonds drawn without fire and mingled with a quantity of Sugar-candy or anoint the Belly with this ointment Take Oyl of Camomile 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 Oyntment Of the Small Pox in Children THE signs of this disease are pains in the Head accompanied with a Fever redness about the Eyes a dry Cough and you shall mark in the skin up and down the body certain little spots upon the Face Back Breast and Thighs The small 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 diet she may eat broth of Hens with Endive Cichory Bugloss and Borage boiled therein Now to make the small Pox come forth the more quickly if the Child be little the Nurse must drink this following Potion Take of fat Figs one ounce peeled Lentils half an ounce Gum Lacca two drams Gum Tragacanth and Fennel-seed of each two drams and a half make of this a decoction in fountain-Fountain-water and strain it to the quantity of two pints sweeten this either with Sugar or syrup of Maiden-hair let her drink of this in the morning a good glass full Or you may give the Child if it be able to take it this Julep to be used very often Take of cordial-Cordial-waters two ounces and a half syrup of Lemons one ounce mingle it and use it often four or five hours after give him of powder of Unicorns-horn and Bezoar Now to keep this venomous humor from attacking the eyes temper a little Saffron in a small quantity of Plantain and Rose-water and rub the eye-lids or you may anoint them with Tutie For keeping them from the Nose take Rose-water and Betony-water of each an ounce Vinegar half an ounce juyce of Pomegranates six ounces in which steep two drams of Sanders and two drams of the powder of Citron-peel add to this six grains of Saffron and make a Medicine for the Child to smell often to the same Medicine will 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
Dittany of each two drams Cinamon four scruples Sugar the weight of the other ingredients Make them into pouder and let the Patient take one dram thereof in white-wine or Mugwort water An Oyntment for the Midwifes hands TAke Oyl of Hempseed one ounce and a half Oyl of Castor half an ounce Gall Moschate half a scruple Labdanum one scruple make of this an Oyntment with which let the Midwife often anoint the neck of the womb After Delivery WHen the Infant is well cleansed by the Midwife let her give unto it in the Winter nothing but a little Mithridate but in the Summer let her mingle therewith a little conserve of Roses and Bugloss If the Mother have not yet taken any thing let the Midwife give to her the juyce of a Capon pressed out in a press with a little Saffron and the yolk of an egg Then let her take this following powder against gripings of the belly or after throws which indeed she ought to take before any meat presently after Delivery Take of the greater Comfrey dryed one dram and a half kernels of Peaches Nutmegs of each two drams yellow Amber one dram Amber-greese two scruples or this Take kernels of Peaches and Dates of each one dram and a half Nutmegs four scruple Pulv. Elect. Diamargarit Calid two drams Aniseed condited one dram of the best Cinamon two scruples Saffron half a scruple Sugar as much as suffices drink two drams of this powder in white-wine twice or thrice a day if the pains be very great If the pains cease not with these remedies use that which follows TAke the whites of twelve eggs rosted under the embers Cummin-seed and Hempseed of each one ounce and a half flowers of Camomile and Melilot of each two drams boyl these in oyl of Dill 'till they come to the form of an oyntment apply it warm to the belly still changing it as it grows cold Or thus Take the flowers of Dill Rosemary Melilot and Camomil of each one handful Fennelseed Aniseed and Cummin-seed of each two drams boyl them in part wine and part water and make a Cataplasm for the whole belly To streighten the Womb. TAke of the leaves of Myrtle and Starwort of each three handfuls green Medlers green Prunes and the sharpest wild Pears of each one little handful and a half the Stomacks of three Cocks newly taken out distill all these together then take Cotton and dip therein and then put it into the womb and let it continue there a good while To streighten the Womb without the help of Swathe-bands TAke the white of an Egg and meal as much as is sufficient make thereof a Cataplasm to cover the lower part of the belly where it lies upon the belly there must be a hole made and that hole must be covered with moss You must cover the plaister also with powder of Frankincense This plaister profits more in a little while than a Swathe in many weeks A Fomentation to provoke the after-birth TAke the Birth-worts of each of them one ounce or a handful Carduus Feverfew and Mugwort each one handful Dwarf Elder half a handful ground Ivy one handful boyl them together in Wine or Water or Ale especially if there be any Fever for then you must by no means meddle with Wine adding to it one handfull of the leaves or half a handful of the roots of Master-wort For the same TAke Savine one scruple rind of Cassia half a scruple Saffron ten grains Assa-faetida two grains juyce of Wall-Ivy half an ounce Snakeweed one ounce Pulvis diagar five grains Syrup of Mugwort half an ounce mingle all these together and make a potion to drink at once Or else take four drops of the distilled oyl of Savin in white-wine A Pessary for the same TAke the leaves of red Coleworts and bruise them and put them into a little piece of linnen cloth in the shape of a finger then bruise them again that the juyce may come through and dip the cloth in a mixture of oyl of Lillies Camomil and sweet Almonds For the same TAke long and round Birthwort Assa-Faetida of each half an ounce Myrrh one dram Spike two drams make them up with the decoction of Parsley and Apple-tree leaves For the same TAke of Borax one dram Cinamon one scruple Saffron three grains make a powder and let the woman drink it in four ounces of water of Mugwort To expell the Child and after-birth in time of great necessity TAke of the water of Mugwort Agrimony and Penny-royal of each one ounce Syrup of Mugwort one ounce and a half powder of Castor round Birth-wort Myrrh Asarabacca of each one scruple mingle them together make a potion Or else take Origanum Calaminth and Hysop of each two drams roots of Orrice Asarabacca Savin each one dram Myrrh Olibanum Galbanum Sagapenum one scruple dissolve them and make a Pessary To expell the after-birth another TAke one stone of a Castor and distill it with strong Vinegar when you have so done let the Patient take four ounces of this distilled liquor Or you may take of the Oyl drawn out of the stone of a Castor with a soft fire mingle it with a sufficient quantity of this Oyl a little of the waters of Penny-royal and Dittany and a little strong Vinegar To expell the Birth whether alive or dead TAke the milk of a woman that nurses a male child and dissolve it with a little Saffron that it may not be known then boyl an egg rear and take out the white and in the place of that put in the milk and let the patient sup it up if it prevail not in a quarter of an hour prepare another egg and fill it with milk as aforesaid Or take of the juyce of Bugloss four ounces sweetned with Sugar Against pains of the heart TAke of the roots of Fennel Bugloss and Cicory each two ounces boyl them in three pints of white-wine to the consumption of two parts then add Fennel-water and Cicory-water each six ounces then boyl them again till there remain but a pint and a half take one spoonful morning and evening To dry up the Milk TAke Honey newly drawn out of the Hive and dissolve it in water and wash the breasts therewith For the same TAke of the juyce of Mint and Shepherds-purse of each half an ounce mix them together and drink them a mornings with the broth of a hen or chicken A Fomentation for the same TAke of the juyce of Parsley and the strongest wild Turnep equal parts and moisten therein a linnen cloth and apply the said Cloth to the Breasts Another TAke Oyl of Violets three ounces juyce of Mint and Parsley three ounces white Vinegar one ounce rose-Rose-water two ounces boyl all these over a gentle fire to the consumption of the juyces then add a little wax and make an oyntment Or Take of the tops of Elder Sage and Mint one little handful boyl them in common water and make thereof a Cataplasm
usual in Dropsies In this case the natural heat is not able to concoct the nourishment and to drive out that which is superfluous for this sort of swelling make a bath of Camomile Melilot and Lavender and the Ashes of Vines afterwards foment with Aromatic Wine and in it dip compresses to be laid on and to be repeated three or four times a day But usually these swellings go off of themselves when the Woman is delivered the whole Body being cleansed by the Child-bed purgations Many big bellied Women are subject to the piles because the courses that were wont to be evacuated monthly are collected in a great quantity and flow back upon the Body They are also occasioned by the Costivness of the body they are painful Swellings and Inflamations occasioned by a Flux of humours to the Fundament Some are internal some external some small and with little or no pain and some very big and painful It is easy enough to prevent their further growth by remedies which hinder and turn the Flux from those parts when they are small and without pain but the greatest care is to be taken when they are large and painful First therefore you must endeavour to ease the pain for as long as that remains the Flux is ever increased and if Bloud abounds she may be blooded in the Arm-once and again if the case require it to divert the humours and to lessen them If Costiveness be the cause an emollient Glister must be injected made of the decoction of Mallows Marshmallows Violets and sweet Butter or Oyl of Almonds but you must be sure to add nothing that may fret or provoke the parts least the disease should be increased thereby especially when the piles are within Some put the small end of a pullets gut upon the end of the Glister-pipe that it may be the easier injected You may else anoint the swellings with Galen's cooling Oyntment mixed with an equal part of Populeon or you may use the hot stroakings of a Cow or you may foment with a Decoction of Marshmallows and linseed Oyls of sweet Almonds Poppies and water Lillies well beaten together with the Yolk of an Egg and ground in a leaden Mortar give great ease A cooling Diet must be ordered and the woman must keep her Bed till the Flux of the Humours is gone If the Swelling do not abate upon the use of these things Leeches must be apply'd But it is to be noted that in Women with Child the bleeding of the Piles may be beneficial if the Bleeding be moderate and without pain But if it flow in too great quantity the Mother and Child will be weakened thereby therefore if so it will be necessary to apply an astringent Fomentation made of a Decoction of Pomgranate Peel Province Roses Granat Flowers and a little Allom and to turn the Blood bleeding in the Arm is requisite Women with Child are subject to several Fluxes viz. a Looseness the Flux of the Courses and Floodings There are three sorts of Loosenesses a Lientery wherein the meat passes through raw and undigested a frequent Ejection of Excrement and Humours Lastly the Bloody Flux which together with the Evacuation of Humours and Excrements voids Blood with violent pains But whatever sort of Flux it is if it be much and of long continuance the Woman is in danger of miscarrying for in a Lientary the Mother and Child are much weakened that being cast out by Stool which should be the Nourishment and the Strength and Spirits are much weakened by a common Looseness but the bloody Flux is most dangerous because the frequent endeavours to go to Stool greatly disturb the Womb. As to the Cure of these Fluxes whereof great Care ought to be had in time for they occasion Miscarriages the Woman afflicted with a Lientery ought to use meat of easie digestion and little at a time that so her Stomach may be able to concoct it and she ought to drink Claret mixed with water wherein Iron hath been quenched and before and after Meals a little burnt Wine or good Canary may be drank or a little Marmalade of Quinces may be eat If it be only a loosness and is gentle and is not of long continuance it needs not be much regarded and therefore ought to be left to Nature but if it continues five or six days some gentle purging Medicine ought to be used as Syrup of Succory with Rhubarb or the like But great care ought to be taken in the bloody flux lest by its continuance it should cause miscarriage In this case the ill humours must be first purged off with Syrup of Succory and Rhubarb or the like and Broaths made of Veal and Chicken with cooling herbs in them must be used to qualifie the Acrimony of the humours and she must drink Claret wine and Water wherein Iron has been quenched or half a Spoonful of Syrup of Quinces may be mixed with Water and every other Night at Bed time after purging she may take fifteen or 20 Drops of liquid Laudanum and Glisters may be injected made of Calves Head or Sheeps head Broath and to prevent the frequent Endeavours of going to Stool a Glister made of Milk and the Yolk of an Egg mixed may be now and then injected When a Woman is with Child generally speaking she ought not to have her Courses because their ordinary passage is stopt and also because the Blood is then employ'd for the Nourishment of the Child yet some big bellied Women have their monthly purgations till the fifth Month and yet go out their time and do very well A Woman having her courses thought she was not with Child and because she found her self indisposed she advised with a Physician who by Bleeding and purging her made her miscarry after she had bin three Months gone with Child It is to be noted that when Women with Child have a Flux of Blood you must carefully consider whither it be the ordinary Courses or a real Flooding if if it be the ordinary Courses the Blood comes at the accustomed times and flows by degrees from the Neck near the inward Orifice of the Womb and not from the Bottom of it as may be perceived if trying with a Finger you find the inward Orifice quite closed which could not be if the Blood issued from the Bottom It must be likewise considered whether the Courses flow by reason of the Superfluity of the Blood the Acrimomony of it or the weakness of the Vessels If abundance of Blood be alone the Cause there being more than enough for the Nourishment of the Child it injures neither Mother nor Child but is a Benefit to both provided it be moderate But if there be not abundance of Blood and if the Woman use to have but a small quantity of her Courses before she was with Child it is a sign that the Flux proceeds from the Heat and Acrimony of the Blood or the Weakness of the Vessels To prevent this Flux when
it ought to be stopt the Woman must keep in Bed and forbear all things that may heat her blood and must observe a cooling and strengthening Diet and feed on Meat that breeds good Blood and thickens it as Broths made of Chicken Knuckels of Veal and the like wherein may be boiled cooling Herbs Rice Milk and Barley Broth is also very good and in all her Drink quench Iron She must forbear Conversation with her Husband And to comfort the Child which in this case is usually very weak Linnen dipt in strong Wine wherein Cinamon and Pomgranat Peel has bin infused must be applyed to the Mothers Belly Flooding is much more dangerous than a Flux of the Courses for the Blood comes from the bottom of the Womb with pain and in great Abundance and continues flooding daily without Intermission only sometimes Clods of Blood stop it for a while but afterwards it flows more violently and destroys both Mother and Child if not seasonably stop'd by the delivery of the Woman A false Conception or a Mole which the Womb endeavours to expel is usually the Cause when the flooding happens when young with Child whereby some Vessels at the bottom of the Womb continually cast forth Blood until the strange Body is ejected But when a flooding comes upon a woman that has truly conceived at whatsoever time it be it proceeds likewise from the opening of the Vessels of the bottom of the womb occasioned by some blow slip or other hurt and especially because the after-birth separating in part if not wholly from the in side of the womb opens all the Orifices of the Vessels where it was joined and for this reason a great flux of blood follows and never stops 'till after the delivery of the woman for if but part of the after-birth only be once loosened it never joins again to the womb and therefore the opening of the Vessels cannot be stopt 'till all that is in the womb is expelled and afterwards the womb like a spunge squeezed contracts it self and stops the Vessels But tho' it be necessary to deliver the Woman presently to stop a great flooding which manifestly endangers the womans life yet it is to be noted that when the flooding is small other things are to be first tryed for some small floodings have for sometimes bin suppressed by keeping quietly in bed by bleeding in the arm and proper remedies and perh●ps it may in a short time be found to be only an ordinary flux of the Courses if therefore the strength of the woman keeps up and the flux be not attended with ill symptoms it is best to leave the whole business to Nature but if the flux be very much and the woman is afflicted with Convulsions and Fainting she must be instantly delivered whether she has pains and throws or no. Sometimes women with child are oppressed with a great weight at the bottom of their bellies by reason the womb bears down and sometimes she cannot walk without pain and difficulty In this case the large ligaments of the womb are much relaxed either by the burthen upon them or by a fall shaking or great pains or bad labour in a former delivery Sometimes also a great many humours are the cause for they moisten and relax the ligaments This bearing down of the womb hinders coition and causes numness in the Hips and Thighs and difficulty of Urine and costiveness The best remedy in this case whatsoever is the cause of the bearing down is keeping the Bed for the ligaments are continually more and more relaxed by the weight when she is up but if her condition or circumstances are such as will not admit of continual rest in the bed she ought at least to keep up her belly with a swaith and if the weight causes a difficulty of rendring her water she must lift up her belly as oft as she has occasion to make water if humours be the cause of the relaxation of the ligaments of the womb a drying dyet must be constantly used and her meat must be roasted and the woman must be very careful when there is such a weight and relaxation of the womb from whatsoever cause it proceeds that she be not strait laced because thereby the womb is forced down but above all when she is in labour care must be taken that neither by means of the throws which strongly force down the womb nor by the birth of the Child nor the violent extraction of the Burthen she gets a precipitation instead of a bearing down as is seen often If a woman chance to be infected with the Venereal Disease during her pregnancy the case is very difficult for those Methods and Medicines that are proper for the Cure of it are apt to occasion a miscarriage and yet notwithstanding if she be infected at her first being with Child or if the symptoms are violent and dangerous when she is ●ear her time something must be done for should the disease lie unregarded upon her seven or eight Months her mass of blood would be corrupted and the venom imparted to the Child in her Belly and tho' she be near her time if the symptoms are violent she will be in great danger of being ruined if Medicines be not presently used to mitigate them If it be only a Gonorrhea or running of the Reins ten grains of Mercurius dulcis more or less according to her strength must be given at Bed time in form of a Bolus in conserve of Roses or the like and some gentle purge the next Morning and at Bed-time after the purge you must be sure to give some Anodyne to appease the commotion raised by the Purge The Bolus and Purge must be repeated twice a Week or oftner if the strength will permit and if no ill accident intervene If the Urine be very hot and sharp it will be convenient to use an emulsion to mitigate the pain and heat the following is of good use Take of blanched Almonds number 12 of the four greater cold Seeds each one dram and an half of the Seeds of Lettice and white Poppies each half a dram beat them in a marble Mortar and pour on them a sufficient quantity of barly Water make an emulsion for two Doses add an Ounce of Syrrup of Violets and half a dram of Sal Prunella If the privy parts are excoriated or swelled you must foment them with a decoction of Mallows and Fenugreek-seeds and afterwards anoint the excoriated parts with the white Ointment with Camphor but if the Disease arise to a confirm'd Pox a gentle Salivation must unavoidably be ordered Some venture to raise it with a Mercurial Ointment but I think it is much safer to do it by Mercurius dulcis inwardly taken and great care must be taken to prevent sickness of the stomach gripes and stools therefore as soon as ever you perceive any sickness of the Stomach faintness or gripes you must leave off the use of Mercury for a while 'till the
upon them and upon those another handful of Herbs covering the platter with a close cloth that the woman may receive the smoak this is a remedy which hath been much approved and experimented To remedy the fall of the Fundament in Infants TAke of the green shrub whereof they make ●rooms and cut it small and lay it upon the Coals and set the Child over the smoak thereof and it will certainly cure it Of the diseases of Women and first of the inflammation of the breast THe Inflammation of the Breasts is a hard swelling together with a beating pain redness and shooting The chief cause of this is the abundance of blood drawn up together in that place though there be sometime other causes also as the suppression of the courses the Haemorrhoids or a blow received upon the Breasts The signs of it are easie to be known that is to say a certain redness and burning heat oft-times joined with a Fever For the cure of this there are four sorts of remedies First the order of diet which must be comforting and moistning as Broth of Pullets where Endive Borage Lettice and Purslain may be boyled also she may drink the Juyce of Pomgranates or Barley water with Anniseeds boyled in it the use of Wine and all sorts of Spices are very dangerous and if the Woman go not freely to the stool there is nothing better than a Lenitive Clyste● she may sleep much and must not disturb her self with any passion The next way of Remedy is by diverting the humours which is done by frictions letting blood in the foot scarrification of the legs or veficatories applied to those places especially if the flowers are stopped or ready to come down if not it will be expedient to open a vein in the arm 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 as occasion serves after blood-letting purge but let this be done with gentle Medicines such are Cassia Manna Tamarind Syrup of Roses or Violets Solutive having a little before used certain Syrups which may asswage and temper the humours Take syrup of Roses and Purslain of each one ounce Endive water and plantain-Plantain-water of each an ounce give this to the Patient neither will it be amiss to give her Syrup of Succory or Endive or such like for these Syrups 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 it to the Patient or with this Potion Take of the Leaves of Italian Orach three drams of Aniseed one scruple infuse these into 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 Syrup of 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 to digest and dissolve the humour Wherefore it shall not be amiss to apply a linnen cloth dipt in white strong vinegar and a little cold water which must be applied to the Breasts and often changed Or else you may dip linnen cloaths also in a decoction of Camomile-flowers and Violet-flowers with a small quantity of Oyl of Roses and a drop of vinegar or two or you may use this Fomentation Take of the juyce of Night-shade and Oyl of Roses of each an ounce and a half of the decoction of Fenugreek Camomile and Line-seed two ounces vinegar 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 Cataplasm take of the leaves of Night-shade and Mellilot half a handful of each let them be boyled and extracted through a course cloth then add to them Bean-meal two ounces Oxymel and Oyl of sweet Almonds of each one ounce of this make a Cataplasm and apply it If the Disease be 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 Camomile and Mellilot of each a small handful and a half 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 inflammation 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 Cumin-seed bruised two Scruples mingle all these and make a Plaister If the inflammation 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 and pain which rages about those parts so vehemently that they do not admit them to be touched But now the suppuration is to be hastned 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 Marsh-mallows 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 shels of Snails bruised and lay them upon the Cataplasm in such a manner that the Snail-shells 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 Aposthume 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
Precipitat and the Eschar was dressed with Basilicon and the other openings with Diapompholigos and the Cerate of Marsh-mallows over all After a more full-separation of the Eschar observing the Fungus to rise more large a Stupe was applied wrung out of a decoction of the tops of Worm wood Rue Mint the Flowers of red Roses and Balaustines made in Wine and Water and Chalcanthum was applyed upon the Fungus and pledgets of the Ointment of Tutty over the Ulcerated parts The second day after the Dressings were took off and the Eschar was found to be made by the Catheretick which was thrust off and it was dressed again with the same and the use of the Escharoticks was continued during these applicationss a Plaister of Bole was applied over the Breast to restrain the fluxion yet notwithstanding the fungus encreased and raised the swelling between that and the other Orifices and therefore a large Caustick was applied upon the swelling which laid some of the Orifices into this the Eschar was divided and dressed up with lenients and the Fungus was cover'd with escharoticks wherever it began to thrust out by which it was kept down But after the separation of this latter Eschar the Fingus appeared great and the way of extirpating it by Escharoticks being slow the Surgeon thrust his Finger under it and at once broke it and pulled it out in pieces and then filled up the place with Par●celsus's mundificative upon Pledgits sprinkled with red Precipitat and the foresaid Plaister being applied over the whole Breast it was bound up The second day after it was opened again and by this method often repeated the remainder of the Fungus was subdued and a firm basis raised on which to incarn with an addition of powders of the roots of orris myrrh and Sarcacoll to the fore-mentioned Mundificative and Agripa's Cerate was applied over the breast and in a few days it was cicatrized with a smooth Cicatrix the lips falling in by the benefit of Nature which was assisted the while by traumatick decoctions and the like When one of the Breasts has been Cured it happens often that the other swells from the abundance of Milk and grows hard and apostuntats sometimes both Breasts are thus diseased at one time A Gentlewoman had both her Breasts swelled a long time and afterwards they apostumated by reason of the pain several abscesses were made and the matter discharged by such openings In process of time the Ulcers became sinuous and callous with hardness of the glands the Cure was begun by Fomentations and discussing and resolving Pultesses made of the roots and leaves of Marsh-mallows henbane the tops of hemlock mint rue the flowers of elder the seeds of fenugreek flax and the like and with the meal of lentiles barly hogs-lard ducks and goose grease and the like and dilating the orifices and cleansing with paracelsuses mundificative red precipitat and allom while the Surgeon was endeavouring by the methods abovesaid new troubles arose within which forced him to lay such places open by caustick as might best serve for the discharge of matter after separation of the Eschar he again cleansed and healed them Of windy Tumours in the Breasts THE flatuous Tumour of the Breasts is caused by a thick vapour which rises from the menstrual 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 ingendered divers bad fumes and vapours for this being received into the Breasts causes a distention much like a true swelling The sign by which it is known is the pain which it brings along with it which is sharp and prickling causing a distention of the part The heart is not a little out of order by reason of the windinesses which lye so near it and commonly the left Breast is mow swoln communicating its pain to the arm shoulder and ribs of the same side And the signs differ from those of a Cancer 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 press it with your hands you will find that it is swelled in all parts alike and not in one more than 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 windiness For which cause she must also drink little and that water boyled with Cinamon Aniseed and rind of Citrons The next remedy is by using things which are good to provoke the Courses among which use this Receit strain Celandine stampt into posset-ale and drink it four days before the new-moon and four days after And it will not be amiss 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 and hinder the increase either of a Scirrhus or of a Cancer to which purpose baths and frictions are not a little to be used In the next place you must prepare the humours that foment this windiness both in the Matrix and in the Veins and that by Syrups which do expell flegm and melancholly after which you must purge your Patient for which purpose you may use this gentle Apozem Take of the root of Tamarinds Cypress Bugloss of each an ounce and a half flowers of Borage Epithymum Sena of each half a handful flowers of Balm one handful Raisins one ounce Prunes in number twelve boyl them in a sufficient quantity of water and then in a pint of the water dissolve four ounces of the syrup of Violets make of this an Apozem clarified according to Art and sweeten it with 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 which purpose you may bathe or foment the Breast with a Sponge dipt in Lye and then lay upon it a linnen cloth dipt and moystned in Aqua-vitae and dryed in the shade or else dipt in fresh butter that hath boyled a good while or in oyl of Lillies or in oyl both of the root and seed of Angelica or you may foment the Breast with this Decoction Take wheat-bran two handfuls leaves of Dill and Melilot of each half a handful Aniseed Fennel and Cumin-seed of each two drams Camomile-flowers one handful boyl all these in a sufficient quantity of water and white-wine and let them boyl 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 Oyntment upon the part affected Take oyl of Lillies and Elder of each an ounce and a half of the best Balsom half an ounce powder
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 flower of brass the quantity of half a Pea powder these and mingle them in an ounce of white-wine Plantain-water and Rose-water of each an ounce which is to be kept in a glass vessel Condyloma's are certain swelling wrinckles in the neck of the Womb with pain and heat There is no need to tell the signs of these for they are apparent to the eye the wrinkles are like those which appear in the hand when you close the first but are much bigger when the courses flow they are caused by adust and thick humours some of these are with an inflamation which have more pain and heat and the swelling is hard In the cure of which you must use insessions and fomentations that ease pain sometimes they come without any inflammation which if they be new come are to be dried up if they be old they are first to be softned afterwards to be digested and dried up for which purpose you may use powder of Egg-shels burnt or this Oyntment Take of the Trochisques of Steel one dram powdered mixt with a little Oyl of Roses and Wax with half an ounce of the juyce of Mullein if this profit not the Warts are to be shaved away with a knife and an astringent powder laid upon them Hemorrhoids of the Womb are little protuberancies like those of the Fundament produced in the neck of the Womb through the abundance of feculent blood the subject is the neck of the Womb for where the Veins end there do grow these extuberancies just as in the Hemorrhoids The signs are evident and easily seen by the help of the Speculum Matricis The women who are thus affected look pale and are troubled with a weariness The cause is a feculent blood which flowing to these Veins before its season and setling there grows thicker so that it cannot pierce the orifice of the Veins They are cured by a revulsion of the humour First by letting blood in the Arm. Secondly by drawing it to another part as by letting blood in the heel Sometimes these Hemorrhoids are very painful and are distinguished from that menstruous effluxion by the pain which they bring they are cured by mittigating and asswaging in●e●●ions ●s also by Opiates carefully applied Others are without pain to which the foresaid remedies may be applied Others are open and do sometim●s run moderately and then Nature is to be ●et alon● or violent●y so that thereby the strength of the person is impaired in which case a Vein must be opened in the arm two or three times purgation is also to be used by Myrobolans Tamarind and Rheubarb and at length you must apply those things which cease the blood Others are termed blind out of which there issues no blood they are cured by blood-letting the part is to be also softned and fomented with things that soften and open the orifices of the Veins and dispel the humour such are an Oyntment made of the pith of Coloquintida and Oyl of sweet Almonds or the juyce of Capers mixt with Aloes neither is the applying of Horseleaches amiss The Cure of these Excrescences at their first budding forth may be attempted by drying and astringent Medicines as with the tops of Brambles and Horse-tail with the Leaves and Berries of Myrtles and Sumach with the rind of Pomgranats Balaustins scales of Brass wash'd Lime Allom and the like made into fomentations or powder'd and mixed with Oyntments and applied upon Tow. If these do not check their growth you may cut them off with a Knife or Scizers and consume the remaining roots by Escharoticks or actual Cautery and then proceed in the cure by digestion and Epuloticks accordingly To prevent their growing again Authors commend the ashes of Vine and Bean-stalks mix'd with Vinegar to apply upon the part The Cure of Chaps or Fissures consists in removing the Callosity and Cicatrizing them smooth if moisture abound things that are dry must be used To which purpose Take of the flowers of Red-Roses of Myrtle-Berries of the tops of Brambles each one handful of the roots of Tormentil and Bistort each one ounce of Allom one dram boyl them in a pint and an half of steel-Steel-water towards the end of boyling add four ounces of red wine wherewith foment the part then apply what follows Take of Litharge and Ceruse each three drams of Sarcocoal Mastick and Frankincense each one Scruple of Sealed-earth two Scruples of Oyl of Roses four ounces of Wax a sufficient quantity mingle them over the fire then beat them in a leaden Mortar for use If dryness be the fault you must dress them with Medicines that are moistening as Take of Calves fat of Ducks and Hens-grease each two drams of Litharge of Gold one dram mingle them in a leaden Mortar according to art The material cause of all these sorts of Excrescences is flegmatic or gross clammy blood thrust forth by the strength of the expulsive faculty out of the Pores of the skin and dry'd up into these forms in which you see them All these species of Excrescences are for the most part Symptoms of the French Pox. Of the Ulcers of the neck of the Womb. THE signs of these Ulcers is a pain and perpetual twinging which increases if any thing that hath an abstersive quality be cast in the issuing out of putrid humours and matter with blood if the Ulcer be great or the Flowers come down often making water and the water hot as also a pain in the fore-part of the head toward the roots of the eyes as also some kind of gentle Fever The Cure of this is hard because of its being in a place of so exquisite sense and moist and having such a sympathy with other parts of the Body For the easing of the pain Chalybeated milk is very much conducing and to the drying of them up drying baths are the best and most prevalent remedy These differ much coming either from external causes as rash Physick hard labours and violent coiture or from internal causes as the corruption of the Secondines the Courses retained and the Urine flux a virulent Gonorrhea the Pox inflammations turned into Apostems humors flowing from other parts of the body and there setling all which must be duly considered in the Cure Others are in the outward part and may be easily come at with Medicines others deep and must be come at only with injection for which purpose use this following Take whites of four Eggs beat them well and put to them an equal quantity of Rose water and Plantain-water as much in quantity as they come to C●mphire Ceruse Litharge of Gold and Bole-Armoni●ck of each a like quantity green Copperas half as much as of any of them beat all to powder mix it and strain it through a cloth and make your injection 'till the part infected be whole and if there be
the Head with which is joined a hollowness in the forepart of the Head and in the Eyes it may arise from the milk if the Nurse be subject to drink overmuch 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 stomach 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 Elk put into the left Ear are very profitable and take good effect vomiting also and this Emplaister of white Amber Frankincense and Mastick of each a dram and a half Galbanum Opopanax of each a scruple Misleto of an Oak two drams Ambergreece six grains Musk three grains seed of Male Peonie half a dram Labdanum one dram and a half a little Oil of Nutmeg and sprinkled with the dust of Cubebs the forepart of the head may be also anointed with Oil of white Amber Fears and starting in the Child's sleep are occasioned from the putrid Vapours which are carried up with the animal Spirits and arise from the Stomach therefore they happen to Infants that suck greedily In the Cure care must be taken that the Child do not fill it self too unreasonably and provide that good and sound Milk may be generated and that the Children be not put to sleep upon a full stomach The stomach of the Child anointed near the orifice with Oil of Quinces and Mastick and Oil of Nutmegs Before sleep dissolve a little roll of Diamosch in Milk and give the Child unless the Child be over-much troubled with heat you may give it a little Treacle once in a week over-much watching or weakness is occasioned by sharp Vapours which arise out of the stomach by reason of the badness of the Milk sometimes it is occasioned by Feavers and pain of some peculiar parts there is nothing better than to anoint the soles of the Childs feet with Marrow which hath no danger in it rather than to give the Child stronger Opiates A looking asquint 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 gathers quantity of humours 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 come to pass either by reason of abundance of water contained in the same which water is contained either between the skin and the Pericraneum 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 oftentimes 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 giddiness and Epilepsy 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 Betony Agrimony sweet smelling flag and wild Margerom of each a handful Aniseed and Fennel seed of each two drams Camomile flowers Melilot and red Roses of each one handful boil 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 Oil of Aniseeds and bitter Almonds of each one Ounce Oil of Camomile an Ounce and a half Laurel and Juniper Berries of each two drams Aniseeds and Fennel-seeds of each one dram and a half of the best Wine a pint boyl them to the consumption 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 this Humour Take Wormwood Betony creeping Time Pennyroyal leaves of each a handful red Rose leaves and leaves of Stoechas a little handful Cypress Nuts Orange-flowers and Florentine Orrice of each two drams boil them all in a Lye made of Vine-twigs and stalks after which you may use this Plaister Take the powder of Bettony Sage and Wormwood of each two drams Oil of Camomile and Roses of each two Ounces Unguenti 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 inflamation 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 milk or else with a little Plantain and Rose-water 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 linnen Cloath 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 ears both within and without afterwards let her drop into them a little oyl of bitter Almonds and Honey of Roses mixt together Of certain Ulcers in Childrens mouths THere do many times grow a certain kind 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 Honey of Roses 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-Plantain-water in which put half a dram of Vitriol if they be very red and inflamed take Brambles flowers of Pomgranates Roses Sanders of each two drams Allum half a dram boyl them in water afterwards strain them to the quantity of three ounces in which dissolve half an ounce of syrup of Mulberries If they be white take Amber Frankincense-wood Cypress-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 four ounces wherein dissolve an ounce and a half of Honey of Roses Of certain other Tumours called
Paroulis and Espoulis PAroulis is a little swelling red and inflamed and is ingendered commonly of a hot cholerick blood or else from a salt flegm that falls down upon the gums causing not only the gums but the neck and chaps to be swelled For the cure you may anoint the gums with this oyntment Take of fine Flower eleven drams powder of Tragachanth one dram burnt Allum one scruple rose-Rose-water 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 Figs Raisins Jujubes Liquorish and French Barley well boyled when it is opened and launced cleanse and dry it with hony of Roses syrup of Roses and Cherries The Espoulis is a little excrescence of Flesh hapning between the teeth but most commonly the great teeth Take the root of Bugloss an ounce and a half Plantain Agrimony a handful whole Barly a small handful red Roses half a handful Pomgranate flowers 2 drams 4 Dates a dram and a half of Liquorish make a decoction and strain 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 Barberies and Lettice of each two drams 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 rub'd with a 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 humor distilling from the brain If the humor be cold the Child is also troubled with a viscous and slimy Flegm which lies in the passages of respiration If the humor flowing down be hot the face of the Infant will be red if it come of a cold humor the Child must be kept indifferently warm giving it a little oyl of sweet Almonds and Sugar-candy it will not be amiss also to wash the feet of the Child in Ale wherein certain Cephalick herbs have been boiled and after that to anoint the plants or soles of his feet with Gooses fat The breast of the Child may be also rubbed with oyl of sweet Almonds and fresh-butter and upon this put little linnen cloaths something warm If it be accompanied with any viscous matter or flegm you may give the Infant a little syrup of Maiden-hair or syrup of Liquorish and Hysop mingled together or give the Infant this water to drink Take of Rain-water and Fountain-water of each a pint white Sugar one ounce Honey an ounce Vinegar two drams boyl them altogether and clarifie them and let the Infant drink it Of breeding Teeth IN breeding Teeth the difficulty and pain that the Child endures is easily perceived and whether that be the thing which the Child is afflicted with may be easily guessed at by the time of breeding teeth which is about the seventh month beside the Infant is perceived to be often putting his fingers in his mouth and the Nurse perceives the Infant to gripe her breasts hard c. the place where the teeth are about to break out looks white there are also watchings and the sense of a very great pain The swelling gums are to be anointed with Hares brains boyled or the fat of it If they be inflamed wash them with oyl of Roses and white Wax and the juyce of Night-shade if they be exulcerated anoint them with butter that hath no Salt in it with a little Honey and powder of Frankincense Of the inflammation of the Navel-string in Infants SOmetimes after the binding of the Navel-string it happens to exulcerate for the cure use an emplaister of Pompholyx or anoint it with oyl of Roses and a little Populeon Of the Worms OFtentimes Children are extreamly troubled with Worms they are generated of a viscous and flegmy humor are sometimes round and then Children are commonly troubled with a Feaver and grow lean their appetite fails them they start in their sleep they have a dry cough joyned with it with a stinking breath and an ill colour in their faces the eyes hollow and dark with a kind of irregular Feaver which comes three or four times a night and they often rub their noses if they be little worms they have always a desire to go to stool and their excrements are very purous If the Infant be young the Nurse must be sure to keep a good diet abstaining from all raw fruits Pease and Beans and all milky things and any thing that shall be of a hard concoction Next you may lay a plaister of the Mass of Pills Sine quibus half a dram pouder of Wormwood one dram Myrrh and Aloes of each two scruples meal of Lupines a dram and a half the Gall of an Ox as much as sufficeth if the Infant be any thing grown you may give him in a little broth a small quantity of Harts-horn Of the Convulsion in Infants THe Signs of Convulsion are the hanging backward of the head insomuch that the hinder part of the head seemeth to touch the shoulders sometimes the head and the neck hang so far forward that the Chin touches the Breast The Cure of this If it come of too great abundance of humours let the Air wherein the Child is nursed be hot and dry and exercise much let the Nurse not sleep long especially after dinner and let her diet be rather drying than any way moist If the Child do not suck he must avoid Meats that do trouble the head and fill it up with Vapors or slimy meats that may stop the passages of the Veins Sweet things are very hurtful but Honey and Water wherein a little Sage and Betony have been boiled it will not be amiss to give him If purgation be needful let the Nurse rather than the Child purge which may be performed with Cassia or Manna If the Child be any thing big let his Belly be kept loose by giving him a little water wherein Sena hath been steeped 24 hours tempering it with a very small quantity of the juice of Citron or you may give him a little of the pouder of Diacarthamum in the pap of an Apple If the Convulsion comes of driness or emptiness or by reason of some great evacuation flux of the Belly vomiting hunger or the like the Child must be nursed in an
ever it be spreading it upon soft leather such as Childrens gloves are made of About fifteen days or three weeks before she lyes down she must begin to use mollifying oyntments anointing therewith the lower part of the belly her thighs and genitals The Oyntment of Sheeps trotters will serve for fifteen days but some eight days before she lyes down let her use one which is more mollifying such as this which follows Take of roots of Lillies two ounces Marsh-mallow-roots two ounces leaves of Marsh-mallows Mallows and March-Violets of each one handfull of Hemp-seed and seed of Fenugreek of each one ounce two Sheeps trotters with their Wooll on cut and bruised boyl all these together in a great quantity of water till all be boyled to a mash then strein them hot then set the streined liquor over a soft fire let it consume and evaporate 'till there be nothing left but the fat and something of a viscous matter beside To this add eight ounces of oyl of Hempseed drawn by expression like Oyl of Almonds and eight ounces of Hogs-Seam This Oyntment mollifies very much and renders the passages very slippery and easie to extend upon any occasion While the party is with Child if she happen to be bound in body let her use this following Clyster Take one Sheeps trotter Hempseed and Fenugreek-seed of each one ounce Melilot-flowers two handfuls boyl these in Cows milk then strein it and take six ounces thereof and put thereto four ounces of Oyl of Hempseed if she be near the time of her Labour but if not Oyl of Roses and if the excrements be very hard you may add thereto one ounce of Catholicon At the time of Child-bearing it is good to take the above-said Clyster if it may be done possibly for that after the Woman is delivered she is to be four or five days without a stool as well because of the great evacuations which she hath so lately had as also that being to be kept continually hot in her bed the excrements do thereupon harden and afterwards putrifie and then generate putrid vapours and many times a feaver There happens also another inconvenience from the said excrements being kept in the body and not emptied before delivery and that is this that when the Patient endeavours to deliver her self of the Infant the excrements do also forthwith come out which many ways give annoyance as well to the Child the Midwife as to the other Assistants by reason of the change of linnen and the troublesome smells Beside the foresaid inconveniencies the Child will not come forth so easily because the Intestines being full do compress the Matrix and by consequence cause the passages to be more close and difficult In the mean time that is to say when the woman is in pain and that all the signs of Child-bearing do appear then let her take about two ounces of Cinamon-water this will fortifie her spirits and hasten the coming forth of the Infant If the water alone do not suffice you may give it her the second time adding thereunto the weight of a half crown of counterfeit Borax made of Roach-Allum such as the Goldsmiths use it is neither offensive to the taste nor any way dangerous as some Physicians think mistaking it for Chrysocoll of the Greeks for it is a soveraign medicament both to cause the Child to come forth and to expell the Secondines if they come not forth in their due time If you cannot have the said Borax then take two scruples or forty grains of Date-stones powdered very fine and drink it in Cinamon-water or for want of that in a draught of good Hypocrass The weight of a Crown of the powder of the leaves of Cretan Dittany drank in Cinamon-water worketh the same effect Or else take of Venetian Borax one dram Saffron three grains drink this in one spoonful of water of white Lillies Or else take this following powder Take Cretan Dittany half a dram Savin yellow Amber of each two scruples make it into powder and drink it in water of Cinamon Hysop or Rue Or else Take of the powder of leaves of Cretan Dittany half a dram of Penny-royal half a scruple a little Cinamon Myrrh one scruple mingle these powders well and drink them in Hypocrass Or take this following water Take Water of Cinamon four ounces of Hysop and Thyme of each two ounces of Rosewater one dram in these waters dissolve half an ounce of Confectio Alchermes let them stand a whole night then distill them in Balneo the dose to be taken at a time is two drams you may add if there be necessity a drop or two of Oil of Savin Or you may use this powder Take of Myrrh of Cinamon and Saffron of each the weight of the third part of a Crown mix them well together and put them into a raw egg and cause the party to sup it up and let her drink after it a draught of Hypocrass Or else take this potion Take of the juyce of Savin two ounces Cinamon-powdered two drams Saffron half a Scruple water of Radishes four ounces and a little Sugar of this make a potion for the woman to drink in time of travail There be many other Remedies but these are the most certain and easie to take where the danger nor the pain is excessive but in cases of urgent necessity you may use these following remedies Take of Mugwort one handful Butchers Broom and Fennel of each one handful of salt three drams of Assa foetida two drams of bran one handful of water and white-wine of each eight pints boil them to the consumption of the third part Or take this which never failed Take of the root of Gentian powdered one or two drams take this in white-wine or honey it never hurts the Infant To accelerate and hasten the labour before the time of Child bearing use this following ointment Take of the muscilage of the seed of Fenugreek and the root of Marshmallows with water of Mugwort two ounces oil of Lillies and sweet Almonds and Hens-gerase of each one ounce and a half of Saffron half a scruple of Wax as much as suffices Of this make an ointment to anoint the back belly and privy parts for fourteen days together before the birth Or else take this following Ointment Take oil of white Lillies with hens grease of each an ounce and a half of Saffron half a scruple of these make an Ointment with as much Wax as suffices to anoint the Back Navel and privy Parts for fourteen days together Note that all those things which we have said to be good to be given at the time of delivery must never be given before for that otherwise they will be of little use they serving only to facilitate the Birth without endangering the Child or Mother The Woman ought also to walk about the Chamber as much as she can being held by other Women Neither let any person whether Man or Woman against whom she
may have any ill will or whose presence may breed any thing of shame in her be at that time in the room because any such accident as that retards Nature but let them be such as she loves sociable merry and helpful towards her It is also necessary for a Woman in Travel to sneeze and cough which are great means to force down the Infant to the lower parts And as to the Midwifes duty she ought to anoint the lower parts with oyl of Hemp-seed or Nuts if the waters which should precede the Birth do not come forth or if they be come down a good while before the Birth to the intent to make the said parts slippery to ease the coming forth of the Child If the Child descend not easily the Midwife may with her hand gently press the top of the belly to the intent to make the Child descend with more hast As soon as the Woman is delivered and that the Secondines are likewise come away it shall be convenient to wrap her in a warm sheep-skin which must be flead near the Chamber for that purpose which must be done with as much expedition and as near a great fire as may be that there may be nothing of coldness when the Woman is wrapt therein In this the Patient must continue twelve hours This will much help the Matrix in its natural purgation when you take it away you must apply warm Cloths in the stead and above all things take great care that no air do enter into the Matrix which often-times is the cause of very great evils Or you may apply warm to the belly of the Patient Tow dipt in the whites of Eggs wherein the pouders of Cloves Pepper and Nutmegs shall be mingled which must be bound close to the body with swath-bands Great care is to be taken how you apply astringent things to the Womb presently after delivery unless after perfect purgation of the Secondines for fear of very great mischiefs Now if you use the said sheep skin and that you find the woman notwithstanding tormented with very great pains and that the said skin doth not at all appease them let her take an ounce and a half more or less according to the height of the distemper of oil of sweet Almonds drawn without fire the same day and two hours after let her take the weight of half a crown of this following powder either in white-Wine or Capon broth Take of the root of great Comfrey dryed two drams kernels of Peaches Nutmegs each one dram yellow Amber and Saffron of each one scruple Amber greese half a dram make a powder of all this For besides that it asswages the Throws it corroborates and fortifies the body weakened by reason of those great evacuations After you have taken away the sheep-skin if there be any excoriation in the privy parts by reason either of the bigness of the Child or the streining of the woman you must anoint the said parts with this following oyntment which is infallible Take of Oil of St. John's wort well made one ounce Sperma Coeti half an ounce balsom of India two drams white Wax two drams This ointment doth consolidate all the parts But if together with this excoriation any thing of the Secondines remain in the Womb Oil of St. Johns-wort only will suffice or for want of that oil of Nuts If the evacuations after the Secondines be too much so that they cause too great a weakness you must apply to the Navel this following plaister Take of Treacle one dram and a half Bean-meal one dram Venice-Turpentine one dram and thereof make an emplaister to be spread upon thin Leather If all be well and that only the lower parts be prejudiced after you have anointed them with Balsom of the Indies together with oil of St. Johns-wort you must foment the said places with the following fomentation Take of Sage four little handfuls wild Pomgranate flowers Myrtle berries Acorns Cypress nuts of each two ounces let them be well bruised together red Roses four handfuls Roche-allum one ounce put all these into two little bags and let them boil in Smiths water or in water where iron hath been often quenched when one bag is cold apply another The Sheep-skin being taken away if the patient be afraid of any wrinckles in the skin which now is as much relaxed as it was before extended let her anoint the belly with this following ointment Take of Sperma Caeti two ounces oil of Myrtles of Mastick and St. John's-wort of each one ounce white wax an ounce and a half Turpentine of Venice washt in Vinegar of Roses one ounce of these make an ointment over a gentle Fire with which you must anoint the belly once a day continuing so to do for ten or twelve days laying when you have done upon the place so anointed a linnen cloth dipt in the following ointment Take oil of sweet Almonds oil of Nuts Sperma Coeti each four ounces white Wax four ounces melt these together and dip therein a good large towel big enough to wrap about the belly when you do these things great care is to be taken that the patient do not take any cold If the patient have no mind to nurse her Child and desires to dry up her milk then do as follows some six or seven hours after the Delivery Tak a linnen cloth cut round about the bigness of the breasts making a little hole in the middle for the Teat to come through then dip the clothes in the following ointment and lay them upon the breast not taking them off again 'till the end of ten or twelve days Take Venice Turpentine four ounces washed in one half part of Rose-water and one half part of Vinegar Populeon one ounce mix them together and apply them as is before said If the milk doth not dry up for all this make the Cataplasm as follows Take Bean-meal four ounces Bole-amoniack one ounce juyce of Plantain three ounces Vinegar of Roses two ounces Fountain water half a pint let them boil 'till they come to the thickness of a Cataplasm adding toward the end two ounces of Populeon spread this on a linnen cloth and apply them to the breasts without washing them changing the Cataplasm twice a day The juice of Chervile boiled with Bean-meal and a little Populeon worketh the same effect Because the difficulty of Child bearing proceedeth from the loss of those waters that break forth before the Child therefore to supply that defect and to render the places slippery let her use these following remedies Take Marsh-mallows with the roots one handful Mugwort Savine of each half a handful Hempseed and Fenugreek seed of each four ounces Cummin seed one ounce and a half boil all these in water then take four ounces of this decoction and add thereto oil of Hempseed two ounces Mosch gr 2. and inject it into the neck of the womb Then take this following pouder Take of the bark of Cassia
to be applied to the breasts If you would increase the milk foment the breasts with the decoction of Fennel or else give her the decoction of Mint and lay the Mint boyled upon her breasts Or if these things prevail not use this following Powder Take of Anise Fennel Cummin-seed two drams Ginger half an ounce Carui of both sorts of Pepper Coral each one dram Cinamon three drams seed of Daucus one dram Siler montan half an ounce Cardamom Long pepper each three drams Seselos half an ounce seed of Sesamum one ounce white Poppy half an ounce mingle them and make a powder thereof and take one dram at pleasure in broth made of red Coleworts Or you may use this following oyntment Take of Venice-Turpentine oyl of Roses Vinegar of Roses equal parts add to this a little new wax and therewith anoint the breasts But if the Milk do curdle and harden in the breasts First chafe the breasts well with raw honey then take of new wax two ounces new oyl of nuts and vinegar two or three spoonfuls melt them together and dip that in little round linnen clothes with holes in the middle to lay upon the breasts Now if there be any tumour or hardness caused by the coagulation of the milk then Take of the leaves of Parsley Hemlock Uinca pervinca Box and Chervile and let them boyl in the strongest Vinegar and then strain them then take oyl of Roses Lillies and sweet Almonds each one ounce of the foresaid Vinegar four ounces mingle them in a marble mortar for an oyntment adding one scruple of Camphire dissolved in part of the oyl and toward the latter end of your stirring it add the white refrigerating Ceratum of Galen Unguent of Roses of Messu one ounce and a half mingle them all well together and apply them to the hard swelling part it asswages the tumour and causes the milk to flow through the Teats If the Tumor be painful and enflamed you must not use the Camphire for it encreases the pain till that the pain be asswaged An Oyntment against the curdling of the Milk in the Breast TAke of the roots of Marsh-mallows half a pound boyl them well in Vinegar and strain them thro' a hair sieve add to this Bean-meal one ounce powder of Rue and dried Mint one dram Oyl of Mastick as much as suffices Against Fissures in the Breasts TAke Gum-Arabick most finely powdered one ounce Rose water and Aqua-vitae a sufficient quantity prepare them together till they come to a just thickness make thereof an oyntment and apply it to the said Fissures Or else anoint the said Fissures with Ointment of Roses then apply the inside of the leaf of Ground-Ivy changing often this cures within six or eight days Another of the same TAke Lytharge of Silver Myrrh Ginger and oyl-Olive as much as suffices mix them to the thickness of an oyntment before you apply this moisten the Fissures themselves with spittle but no part of the breast beside Pain in the Breasts after Delivery TAke new Wax two ounces oyl of Nuts half an ounce oyl of Rape-seeed or Turnep seed half an ounce first melt the Wax then add the Oyls dip therein the clothes cut fit to the breasts if there be any pain after delivery the application of these cloaths will with great success asswage the same An Opiate to be given to Childern newly born TAke Mithridate of Alexandria three drams Conserve of Bugloss and Roses of each one dram mingle them well together and keep them in a glass Vessel well stopt an hour or half an hour after the Child is born before it hath suckt give to it of the foresaid opiate to the quantity of a Filberd let it not suck till five hours after continue thus doing for a month giving the Child this opiate once in a week and then it will be sufficient that the Child abstain but an hours space from the Teat It will not be amiss to anoint the Navel of the Child with an ointment made of Ambergreece and Suet equal parts with a little oil of sweet-Almonds This will preserve the child from Epilepsies and Convulsions Against Barrenness TAKE of Pine-nuts first well washt in Rosewater six ounces sweet Almonds washed in like manner and bruised each two ounces Citron pill condited root of Satyrion Erythranion one ounce Pulp of Sebesten Prunes of Damascus fat boiled in Sugared water each one ounce and a half Coriander prepared three drams Pulveris Diambre one dram Penidium one ounce and a half the inner rind of Cinamon half an ounce true Amber of an Ash-colour one dram Moso one Scruple refined Sugar boiled in Rose-water one pound and a half take all these things and beat them and powder them well and make thereof a Paste so dried at a gentle fire Let the woman take this at pleasure after dinner and three hours before at pleasure abstaining from liquid meats The man also may eat of this paste but let him not use copulation at the time of the Womans Purgations nor when she bathes her self but presently after Those mornings that he abstains let him take one spoonful of the water of Cocks-blood with three or four spoonfuls of the best Broth. For the same A Syrup Take Syrup of Hempagrimony Simple Oxymel Syrup de rad each one ounce and a half waters of Nipp Betony and Mugwort of each three ounces make thereof a syrup perfectly boiled strein it and let it he aromatized with Cinamon for three doses morning and evening A Potion Take Agarick infused in Honey of Roses and a little white-Wine for a whole night one ounce Diacatholicon half an ounce Diaphenicon Elect. Ind. major each one dram and a half Syrup of Roses Solutive with Agorick one ounce with a decoction of red Chiches make a Potion thereof and give it after the Syrup is all taken for ten days and ten days before the coming of the monthly purgations Three days after the operation of the said potion let blood in Vena Saphena of the right foot and take away three ounces of blood at evening An Opiate Take of the great Triphera without Opium two ounces Methridate three ounces mix these well together and let her take thereof the quantity of a Walnut after she is let blood drinking upon the said Bolus a spoonful of Aromatick Wine white or Claret let the Patient take this when she is clean from her Purgations only in the morning while she hath them upon her only at night and then let her also make use of this Pessary Take of Spike Myrrh and Agarick and Colocynth each three drams Benedict one ounce and a half mix them well together with the juyce of French Mercury and wrapt in fine red silk make thereof little Pessaries and put one of them into the Womb in the day and another at night But from the time that she is let blood until her Purgations let her use but one in the day but from the time that they
so make the first Bath out of which let her come out as soon as she feels any pain When she comes out let her take as follows Of the rind of Pome-citron and Conserve of Bugloss of each two scruples let her take this going into her bed then let her sweat and the sweat being wiped off let her eat some good and wholsome meat Take the water of the first bath and add thereto Bean-meal and Oat-meal of each two pound and a half meal of Tares one pound and a half of Lupines one pound Roach-allum and Salt of each four ounces Cloves and Nutmegs of each one dram let them be aromatized with Benjamin and Storax then put them all together in a bag and let them boil in the foresaid water When she comes forth let her take the aforesaid Bolus The third part FILL the Tub emptied of the Wine with River water then add thereto a quantity of white-wine then take of Rosemary Mint Marjoram Mugwort Savin Ground Ivy of each two handfuls Scarlet grains four ounces flowers of Rosemary Camomile Mint of each two ounces Bean-meal Oat-meal of each one handful and a half meal of Lupines and Tares of each one pound Cloves Nutmegs and Cinamon of each half an ounce bruise all these things together and let them boil in a little bag adding thereto a pint and a half of Aqua vitae and let burning Iron be often quenched therein This is the third Bath wherein she is to stay as long as she can When she comes forth let her take the same Bolus as before After she hath bathed let her foment for one or two days the lower parts of her Belly TAKE of red Roses two handful and a half Shoenanth half a handful Myrtle-berries two drams and a half Allum one dram and a half Mastick three drams let them be bruised and then boil together in sower red wine Add also two drams of Nutmegs with this being taken lukewarm let fomentation be made for eight days together The fomentation ended let her receive this following Fume in a Chair with a hole in it Take Lignum Aloes raw half an ounce Nutmegs and Cypress nuts of each two drams and a half yellow Amber one dram and a half make all these into powder and let her sit over the Fume A Fomentation for the Womb the second day after the Bath TAKE Galbanum and Cypress-nuts of each half an ounce rind of Granates two ounces red Roses dryed one ounce Marjoram a handful Schoenanth one handful Allum a dram and a half Thyme half a handful let them be boiled in sharp wine for a Fomentation To cause the swelling of the Belly to fall SOme women have their bellies as much swelled after Delivery as it was before when any such thing happens do as followeth Take half a pound of Figgs Barley-meal and Bean-meal of each four ounces powder of Brick two ounces Cypress nuts one ounce let them boil all together in Smith's water 'till it come to a thickness then spread it upon a linnen cloth and apply it warm to the Belly re-iterate this often and the belly will fall to its wonted shape Or else Take meal of Beans Rice and Almonds of each two ounces powder of Brick one ounce and a half Bole-Armoniac two ounces and a half Dragons blood one ounce and a half of Cypress-nuts ten drams Scarlet grains three ounces Galls half an ounce oil of Myrtles six ounces wild Prunes Rosewater each a pint and a half boil them to the thickness of a Pultess and apply them as aforesaid to the belly Pain after Delivery TAke heed that when you find the Patient in pain after Child-bearing especially on the right side that the redness or high colour of the Urine do not deceive you whereby you may be induced to give refrigerating medicines finding the whole body to be hot for such urine proceeds from the greatness of the pain and commotion in the body and the hot lying in bed Therefore if you find the Patient to be full of pain in her belly and sides and likewise perceive a retention of humours that should be voided more fluently Take of Sweet-smelling Flag one ounce and a half Zedoaory half an ounce Mace eight scruples Cinamon four scruples make thereof a powder and give her one dram at a time in powder Now though there be a Fever which seems burning yet refrain not at all to give this powder for it doth not for all that augment the Fever but causes the Womb which was so lately and violently moved to return to its former estate and the pain of the Matrix being ceased the Fever will cease of it self Or else take sweet-smelling-Flag one dram Dittany half a dram make thereof a powder Or take root of Dittany one dram Seed of Hartwort and leaves of Rue one scruple and a half make them into powder and give it as is before said Against the swelling of the belly after Delivery TAke Origanum Night-shade Mastick of each one scruple Sagapenum as much as suffices make of this seven Pills let her take them all at once and let her drink upon them four ounces of the water of the flowers of white Lillies Against wrinckles in the skin after Child bearing TAke oyl of sweet-Almonds two ounces Capons-grease half an ounce liquid Storax half a dram Muscilage of Tragacanth extracted with Rose-water two drams Wax as much as suffices make thereof a Cerecloath and apply it to the belly Oyl of sweet-Almonds with the marrow of a Hart is good also for this purpose This following oyntment may be used before a Woman lyes down TAke the marrow of the fore foot of a weather in the full of the Moon set it on the fire and let it melt in Rose-water by degrees you may conveniently add to this Hens-grease or oyl of Lillies Another TAke the Seam of a Goat a Kid and a Weather of each three ounces wash them diligently in Rose-water adding Sperma Caeti Rose-water as much as is sufficient and as you beat them and mix them together add powder of Mastick with the white of an egg and so make an oyntment A Pomatum for the same TAke Oyl of sweet-Almonds eight ounces Sperma Coeti Capons-grease marrow of a Hart and the bone of a Weather four ounces melt them all together between two dishes in water of Lillies then in rose-Rose-water An Oyntment for the same TAke of the Muscilage of the Seed of Fenugreek and Hempseed extracted in water of Lillies one ounce oyl of sweet Almonds and Lillies of each half an ounce the blood of a Hog fryed the fat of a Capon and a wild Duck of each six drams with a little new wax make thereof an oyntment and keep it in a glass covered with wax Another TAke white Wax four ounces melt it and add thereto the marrow of fifty feet of black weathers gathered in the full of the moon when they are melted add thereto oyl of sweet Almonds six ounces wash them
Swathes pretty hard bringing them also round the Hips then take whites of Eggs beaten and a dram of Pepper in Powder which being spread upon Tow is to be applied warm to the Navel then let the Belly be well swathed This is the only remedy to ease the Pain CHAP. X. Against the extreme loss of blood which happens to women immediately after their delivery THere are many women which immediately after their Delivery do suffer great loss of blood which proceeds from a great plentitude or fulness or by reason that in their travel they took too many hot and corrosive medecines or by straining themselves too hard over-heated the blood so that after Travel it runs from them in great quantity To remedy this the woman ought to take a small quantity of wine in a spoon and if the weakness be much let her mix half a dram of Alkermes with a draught of wine and take care that she be well swaithed upward for that presses down and streightens the vessels and hinders the violent flux Give her also the yolk of an Egg to take for that recalls the natural heat to the stomach which was dispersed through the whole It would be necessary also to spread along the reins of the woman and all along the back-bone by reason of the hollow vein a napkin dipt in Oxicrate or Water mingled with Vinegar You may also lay upon each groin a Skein of raw Silk moistned in cold Water Take also of that well tempered Earth of which they make the Floor of an Oven and steep it in strong Vinegar then spread it upon a linnen Cloath and lay it upon the Reins this moderates the heat of the Blood and stops the violent flux of it Great care must be also had that all the while the blood comes from her she do not sleep for many times they are taken away in that weakness when the people think they do but take their Rest But when you see this great Flux moderated you may take away the astringent Medicines by little and little so that the Blood may cease running by degrees lest any blood should be retained that may chance to do mischief CHAP. XI What is to be done to a woman presently after her Delivery PResently after a woman is delivered if she have had a sore Travel they ought to cast her into the skin of a Sheep flead alive and put about her Reins as hot as may be upon her Belly also lay the Skin of a Hare flead alive having cut the Throat of it afterwards and rubbed the Skin with the Blood which is to be clapt as warm as may be to her Belly This closes up the dilatations made by the Birth and chases from those parts the ill and melancholy Blood These remedies are to be kept on two hours in Winter and one hour in Summer After this swathe the Woman with a Napkin about a quarter of a yard large having before chafed the belly with Oyl of St. John's-wort Then raise up the Matrix with a linnen Cloath many times folded then with a little pillow about a quarter of a yard long cover her Flanks then use the Swathe beginning a little above the Hanches yet rather higher than lower winding it pretty tite Lay also warm Cloaths upon the nipples letting alone those remedies which are proper for the driving back of the Milk which are not so soon to be applied for the body is now all in a commotion and there is neither vein nor artery which doth not beat Wherefore those Remedies that chase away the Milk being all dissolving therefore it is not proper to put such Medicines upon the Breast during that commotion for fear that those medecines should make a stop of any thing hurtful in those parts and therefore it is better to give ten or twelve hours for the Blood to settle in as also for that which was cast upon the Lungs by the agitation of Travel to distil down again into its place You may also make a restrictive of the white and yellow of an Egg beaten together with an Ounce af Oyl of St. John's wort and an ounce of Oyl of Roses an ounce of Rose-water and an ounce of Plantain-water beat all these together very well in this you may dip a linnen cloath folded double and apply it without warming of it to the Breasts This comforts and eases the pains of that part She must not sleep presently but a matter of four hours after her delivery you may give her some nourishing Broth or Caudle and then if she will she may sleep CHAP. XII Of women that have a great deal of Blood and purge not neither in their travel nor after SOme women have great Superfluity of Blood and yet purge not at all neither in their Travel nor afterwards to which if remedies be not applied the Women do run great Hazards and Dangers in their lying in great Suffocations of the Matrix and continual Feavers this may be remedied being first informed of their natural disposition before they were with Child knowing that when they had their purgations they had them in great quantity and for a good while together as also when they came being a gross and thick Blood and therefore seeing that now they do not purge in great quantity and that they have divers unquietnesses weaknesses of the Stomach and pains of the head wherefore you may give her in the Morning a little Syrup of Maiden-hair and hysop-Hysop-water mingled together and Syrup of Wormwood with White-wine in their broths you may boyl Jacines and opening Herbs keeping the belly soluble with Clysters she must eat no solid Meat she must be well chafed from the Groins down to the very Ankle-bone always strokeing and carrying the hand down-ward Blood-letting also in the Foot in the morning is not amiss as also fome Fumigation that cleanses the Matrix and draws down the Blood Yet care must be had that these last Remedies be not used before the Matrix be put into its place for fear that these remedies should draw it down too low but about eight or ten Days after the Matrix was put into its place For cleansing the Matrix you may use this Receipt Take Pellitory Sanicle Camomile Melilot Greenbalm Red-balm white Mullein Mallows Marsh-mallow Betony Margeram Nipp March-violets Mugwort take of each a like quantity and cut them small and let them boyl in a new pot with three pints of good White-wine let the Woman take the fume of this Receipt three times in a day if she have any gross Blood in the Matrix it will undoubtedly bring it down You may also chafe the Womans Belly with Oyl of Violets this helps the Purgations being once dissolved The reason why this thick Blood stays in these parts is because the Woman having it before she was with Child the heat of the Womb when she is with Child redoubling thickens it more so that when she comes to lie down it cannot flow so that it is
draw it forth as quick as may be The second form of unnatural Birth is very dangerous and therefore requires the greater care of the Midwife First therefore let her well anoint the Womb of the Woman that the passage may be more slippery 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 Arms she must bring the Woman again to her Bed and try by the aforesaid Agitation of her body if the Infants may be brought to a more convenient form of delivery CHAP. XXIX Of ordering the Woman after she is delivered IN the first place she must keep a temperate diet having a great care not to over fill her self after so great an evacuation and indeed her diet must be like that of wounded persons neither are the tales of nurses to be believed who exhort them to fill after so great an emptiness telling them that the loss of blood 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 void is much conducing to her Health Besides their nourishment for the first days must be but slender for fear of falling into a Fever besides the abundance of milk which it would bring into the breast where it might be in danger of curding or Apostematizing and therefore for the first five days let her use Broths Panada's potched Eggs Gellies abstaining from Flesh or French Barley In the morning Broth will be expedient at dinner Broth or Eggs or Panada and at supper the same with some Gellies for the second course If she intend to nurse her Child she may feed more plentifully and drink some Barl● water wherein some Corianders or Fennel● 〈…〉 be put In Italy the persons of 〈…〉 account do use this water Take two 〈…〉 the Feathers being well pulled off 〈…〉 ●he bowels wholly taken out which you led off boyl in a glaz'd earthen pot in a sufficient quantity of water till they be half boyled then must they be taken out of the pot together with the Broth and being cut to peices are to be put into a Lembick in manner following Take Bugloss Borage and Time two good handfuls and with that cover the bottom of the shell then lay upon that a row of flesh then upon that a rank of leaf-Gold with a dram of powder of Pearls and upon that pour the broth let all this be distilled in Balneo Mariae drawing forth a pint at a time which you shall re-iterate as often as you have any thing left to give to the Woman in Child-bed for the space of ten or twelve days 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 drink a little white Wine or Claret with twice as much hot Water If she have a mind to drink between Meals or at night it may be convenient to give her some syrup of Maiden-hair or any other Syrup that is not astringent with a little boyled water After the suspition of a Fever or heat of her breasts is over she may be nourished more plentifully and you may give her together with her Broth some other meat as Pullet Capon Pidgeon Mutton or Veal boyled After the eight day is past at what time the Womb is well purged and discharged it will be expedient to give her good meat in greater quantity that she may be enabled to gain strength during all this time she must rest very quiet and be 〈◊〉 from all manner of disturbance she must sleep as 〈…〉 the day time as may be If she go not well to stool 〈…〉 some such kind of Clyster as this Take of Mallows 〈…〉 mallows and Pellitory of the wall each one handful 〈…〉 ●f Camomile and Melliot of each a small handful A● 〈…〉 and Fennel-seeds of each two ounces boyl these in 〈…〉 ●●coction of a Weathers-head take of this three quarters of a pint and dissolve in them of course Sugar and common Hony of each two ounces new fresh butter three ounces of this make a Clyster and if occasion serve add to this an ounce of Catholicon What is to be done to the Breast Belly and lower parts of the Woman in Child-bed IN the first place you may lay the skin of a Hare or Sheep for the space of four or five hours which being taken away you may then anoint it with this following Oyntment and then lay a linnen Towel all over her belly and hips which must be continued on for the first seven days looking after it and turning every Morning The Oyntment may be this Take the Oyl of sweet-Almonds Camomile and St. John's wort each one ounce and a half Sperma ceti two Ounces Goats fat one Ounce Oyl of Miriles half an Ounce melt all these and make an Oyntment to anoint the Belly Now before the Cerecloth be put on you must apply a little Plaister of Galbanum about the bigness of 2 or 3 fingers to the Navel in the middle of which may be put two or three grains of Civet yet so as that the Woman may not perceive the sent of it The Cerecloth may be this Take White Wax four ounces Pomatum without Musk Calfs-grease of each one ounce Sperma ceti an ounce and a half Oyl of St. John's wort and Sweet Almonds of each one ounce Venice-Turpentine washed in Pellitory-water half an ounce melt these in Balneo Mariae and spread them upon a cloath about the bigness of the belly and when it is cool apply it The next care is to be had of the Breasts upon these some put round Cerecloth made thus Take six ounces of new Wax Oyl of Myrtle Roses and Honey of Narbon of each two ounces melt these altogether and make a Cerecloth let them have holes in the middle for the Nipples to go through This Oyntment is also very good to keep the Milk from clotting Take Oyntment of Populeon one ounce Galen's refrigerating Oyntment half an ounce Oyl of Roses six drams Vinegar a small quantity melt them together and make an Oyntment This fomentation is also much commended Take Fennel Parsly Mallows Marsh-mallows of each a small handful Laurel and Camomile-flowers of each half a handful boyl these according to Art and make a Fomentation for the Nipples After this Fomentation anoint them with Oleum Rosatum Omphacium and then apply this following Plaister Take Venice-Turpentine four ounces well washed in strong wine and Rose-water adding to it two whole Eggs and a scruple of Saffron with as much wax as is sufficient spread this upon a linnen cloath and apply it As for the lower parts for the three first days they are to
within side with Oil of Henbane-seed Of the defect abundance and coagulation of the Milk THE defect of Milk arises from a double cause for either it is a defect in the blood which is dried up by reason of some hot maladies of the body either through intemperancy of the Liver through fasting or too much evacuation If the deficiency of milk come from these causes it may be increased again either by prepared Crystal The leaves also root and seed of Fennel do avail much in this particular and the powder of Earth-Worms prepared and drunk in Wine as also the Electuary called Electuarium Zacuthi There is another cause which proceeds from the Lactifying quality which is many times so weak that it can neither attract nor concoct the Blood by reason of some outward refrigerating and astringent qualities or by reason of some other Diseases The Cure of which being looked after in their respective places much conduceth to the restoring of that defect The redundance of milk proceeds from too great a plenty of blood and a strong lactifying quality In the cure of which the increase of blood is to be impeded which is done by drying up that humour and diversion to which blood-letting conduceth much Medicines also that drive it back are to be put upon the Breasts towards the Arms to which purpose Hemlock boiled in Chervil-water and Vinegar avails Curdling of the milk is when the thinner part of the milk exhales and the more gross and heavy part stays behind which many times is the cause of tumours kernels and Aposthumes 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 hindred 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 Oil of Roses Oil 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 Clytoris or nervous piece of flesh which the lips or wings of the privities do embrace and which suffers erection in the act of Venery The signs of it are evident for it hangs below the orifice of the Privities as big 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 blood and drawing out of the other humours A slender and refrigerating diet 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 applied as Allum and the Aegyptiack Ointment and that Lie whereof Sope is made being boiled 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 fleshy excrescence At length the flesh is to be out 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 fills up the privy parts and sometimes thrusts it self outwards like a tail The Cure of this is the same with the former only 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 Sublimat 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 signs are the stoppage of the Courses followed with a depressing and weighty pain 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 than ordinary lies upon the neck of the Womb. Sometimes the splaying of the thighs stone in the Bladder or some tumour in the straight 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 fear 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 occasion●d 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 brawny substance which is to be cut away with a Pen-knife or else some spongy and luxuriant flesh in which case drying and d●●cu●●ng Medicines ●re to be used as Birthwort Frankincens● Myrrh and Mastick afterwards you may apply things to eat it away and last of all to cut it away by incision Of Wheals Condyloma's of the Womb and of the Hemorrhoids THE Wheals of the Womb are certain risings in the neck of the womb which by their acrimony excite both pain and itching The signs of them are an itching pain and full of scurf from that part for the better searching of which the Instrument called speculum Matricis is to be used The Causes of this are certain cholerick sharp and adust humours and thick Among the preparing Medicines Syrup of Fumitory is much commended and Chichory with a decoction of Lupines Topicks also are useful that discuss and mitigate the humour 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
any pain sometimes inject a little new warm milk Others are more gentle with a little stinking matter flowing from them For the cure of which gentle abstersives are profitable as Honey of Roses with Barly-water Whey with Sugar and the decoction of Lentiles after these gentle astringents must be applied Others are sordid with much matter slowing from them In which case stronger Medicines must be applied Others do eat into the Flesh having a coloured green and stinking matter flowing from them For the cleansing of which Aloes and Wormwood are very much commended or the foresaid injection There are another sort of Ulcers little and long which eat the skin of the neck of the Womb they are known by the pain and blood which they produce immediately after congression they are seen also by looking into the neck of the Womb being much like chilblains that come upon the hands in Winter time They are caused divers ways either by a difficult Lying in or by a violent coiture and cured by an astringent Clyster or they are produced by some Inflammation or Flux of sharp humours Purgations are here needful before Topicks be applied among which is much commended the grease that fries out of wooden ladles much used in Kitchens being held to the fire as also the Oyntment called Pomatum The Cure of the Ulcer must be perform●d by stopping the defluction of acrid humours and by cleansing and conglutinating the Ulcer And first if the body be Plethorick or if the Ulcer be accompanied with an inflammation a vein must be open'd in the arm and bleeding must be repeated as often as there is danger of a new Fluxion especially at the time of the Courses to lessen them which are wont to increase the matter of the Ulcer and to promote the Flux of other humors to the Womb. Purging is also very necessary to cleanse the body from ill humors but it ought to consist of gentle Catharticks as of Sena Rhubarb Tamarinds Myrobalans and the like it must be often repeated that the vitious humors may be diverted and this is of so great moment that a Noble Matron was cur'd of an Ulcer of the Womb by taking every day five ounces of a decoction of Sena dodder of Thyme red Roses Indian Myrobalans sweetned with Sugar and by injecting a cleansing decoction into the Womb. If the Sick vomits easily a Vomit is most useful for it m●kes a revulsion of the humors from the Womb and the days the sick does not purge a vulnerarary decoction must be used a long while made in the following manner Take of the leaves of Agrimony Knot-grass Burnet and Plaintain each half an handful of the roots of China three drams of Coriander-seed one dram of Raisins half an ounce of red Sanders one Scruple boyl them in Chicken Broth strain it let the sick take of it Morning and Evening If the Fever be violent and if a great quantity of Sanies be evacuated Whey is very proper half a pint or more being taken in a morning with a little honey of Roses If the Body begins to w●ste and there is a Hectick Fever Asses milk must be taken with Sugar of Roses for a whole Month Sudor●●●ks may also do good to dry the Ulcer and to drive the serous humour towards the habit of the body if the●e be no inflammation or hot intemperies Turpen●ine washed in some proper water for the Womb as in Mugwort or Feverfew-water or in some water proper for the Ulcer taken with Sugar of Roses by intervals cleanses and heals the Ulcer Pills of Bdellium taken dayly or every other day are also very good Take of Bdellium three drams of Myrrh and Frankincense each one dram of Sarc●coal Amber S●orax and Myrobalans call'd Chebule each one dr●m of red Coral two Scruples with Syrup of Poppi●● make a mass for Pills to which when the pain is violent may be added a little Opium Troches of Al●●kengy with Opium may be also used when the pain is violent The following powder is also very e●●ectual to dry the Ulcer Take of Acatia and Hypocistis each one dram of Dragons-blood white Starch the roots of Pl●ntai● and of round Birthwort each half a dram of Bole Armoniack one dram of Mastich and Sarcacoal each half a dram of these make a fine Powder The Dose is one dram in Plantain● or Rose-water or in some Chalybe●● Water To cleanse heal and dry the Ulcer various In●ections are prepared but they must not be used 'till the inflammation is taken off and 'till the pain is e●sed and therefore upon account of the inflammation and acrimony Emulsions of the cold seeds the whey of Goats Milk or the Milk it self or mixed with the juyce of Plantain or Shepherd's-Purse may be injected first If necessity requires a decoction of Poppy heads and tops of Mallows may be injected Some Practitioners say the Sick may be much relieved by injecting frequently warm water The hot intemperies and the pain being quieted at least diminish'd such things must be used as cleanse beginning with the gentle as Whey with Sugar a d●coction of B●rly with Sugar or hony of Roses but simple Hydr●mel cleanses more A decoction will be a little stronger made with Barly Lentils Beans not excorticated of the leaves of Smallage Plantain and Pellitory a little hony of Roses may be added When the Ulcer is very sordid the following decoction may be used Take of the roots of Gentian Rhaponticum Zedoary and round Birthwort each one ounce of white Wine three pints boyl them to the consumption of a third part in the strain'd Liquor dissolve half a pound of Sugar and keep it for use If the Ulcer be very faetid a little Aegyptiac Oyntment may be added to the decoction when the Ulcer is well cleansed you must use such things as dry and consolidate Take of the Roots of Comfry and Bistort each one ounce of the leaves of Plantain Horse-tail Shepherds-purse Sanicle Mouse-ear Milfoil each one handful of red Roses half an handful boil them in a measure of Water for an injection The following sarcotic powder may be added to it Take of the Roots of Orris Birthwort and Comfry each half an Ounce of Myrrh one ounce of Aloes three drams make a Powder whereof let half an ounce be mingled with every injection Take of Turpentine washed in Plantain-water two Drams dissolve it with Honey and the Yolk of an Egg and mingle it with the injection This is very effectual and is more so if the Sarcotic Powder be also added Fumes must be used for deep Ulcers for they penetrate to the bottom of the Womb and dry the Ulcers Take of Frankincense Myrrh Mastick Gum of Juniper Labdanum each one ounce with a sufficient quantity of Turpentine make troches for a fume When the Ulcer is very obstinate Cinnabar must be added which is of excellent use The Bath-waters have cured some Women when all other Medicines have bin ineffectual After you have sufficiently cleansed the
the hand to take away the root of the disease but this is not to be done 'till you have used all other means to soften and dispell the humour which may perhaps be done by the use of Diachylon or by a plaister of melilot to which you may add half an ounce of Ammoniach an ounce of Oly of Lillies and an ounce and an half of the root of Flower-deluce of Florence Neither may this following Plaister be amiss Take of the roots of Marsh-mallows two ounces boil them and strain them and add to that Oyl of Lillies Ganders-grease of each an ounce burnt Lead and roots of Orrice of each an ounce and an half mingle all these together and make of them an Emplaister If this avail not the operation of the Hand must be used in which the skill of the Surgeon must be very able and ready Of the Scirrhus of the Breasts THE Scirrhus of the Breasts is a hard swelling without pain Of this there are two kinds the one ingendred of a Melancholy and produced by a feculent and gross blood or else from a thick Flegm now this exquisite Scirrhus is without pain in which it differs from the other The other is not so exquisite an hardness perhaps because it is not yet come to its full maturity or else because it hath certain other humours mixt with it This exquisite kind of Scirrhus is ingendred either because the Spleen is obstructed and cannot purge away the melancholy Blood which for that reason abounding in the Body discharges and empties it self upon the Breasts or by reason of the supression of the Courses which causes the feculent and gross humour to disgorge it self upon the Breast gathering together in the Veins and Flesh of the same Many times the ignorance of the Surgeon is the cause of it when they apply an unreasonable company of refrigerating Medicines to the inflammations of the Breast or too many resolving and heating Medicines to it in case the Breasts be over-hard This Scirrhus is known by its hardness without pain from the unevenness of the Body and the colour of the part either inclining to black or brown Now though the cure of these hardnesses be something difficult yet is there great hopes that they may be overcome which is to be done two ways by mollifying diligently that which is hard and by taking that away which remains hard and knotty in the Breast And first of all care is to be had to keep good order of diet to which purpose she must use Wheaten bread rear Eggs Pullets Capons Partridge Veal and Mutton which must be boiled with Spinage Bugloss and Borage she must abstain from Beef Venison Hares-flesh and Brawn from Pease and Beans and unlevened Bread from all Salt and Smoaked Meats as also from all things that have a sharp biting quality also she must abstain from all care and sadness immoderate exercise and going in the Winds If the monthly Courses be stopt you must seek to provoke them gently which may be done by letting Blood in the Foot or to let blood with Horse-leeches In the next place it will not be amiss to purge well with Sena and Rheubarb to which you may add Catholicon or Triphera Persica if you find that the Disease needs a more strong purgation Between every purge it will not be amiss to take good Cordial and Comfortable things as Confection of Alkermes Triasantalon Electuarium de gemmis conserve of the Roots of Borage Conserve of Orange-flowers You may after all this use Topicks that is to say such Medicines as heat and dry moderately being hot in the second degree and dry in the first such are Sheeps grease especially that greasie substance that grows upon the flank of a Sheep Wax Oyl of sweet Almonds Oyl of Camomile Oyl of Dill Capons-grease Goose-grease Hogs-grease Bears-grease c. Veal-marrow Deers-marrow Emulsions of Mallows Lillies and other things of more force As liquid-pitch Liquid Storax Galbanum Cummin-seed Rue-seed Broom-flowers and Dill-seed If this swelling come of a hard Flegm which is known because it yields not so much to the touch as the other you must use the same Topicks to this as to the watry tumour before rehearsed If melancholy be the cause of it you may use a Fomentation of the leaves of Mallows and Marsh-mallows of each a handful and a half of Fenugreek and Lineseed of each two drams Cucumbers Bears-foot of each two ounces boil them in as much water as is sufficient and Foment the breast with this twice or thrice a day After that take this Oyntment Take of the root of Mallows one ounce when it is boiled and bruised take it out and add to it Sheeps grease and Capons-grease of each two ounces and with a little Wax make an Ointment This you may use for some few days after which you may if need require use this Ointment Take Hysop-leaves Dill-leaves and Thyme-leaves of each half a handful roots of Mallows and Fenugreek-seed of each half an ounce boil them in as much Wine and Vinegar as is sufficient 'till half be boiled away then take of the aforesaid Vinegar Goose-grease Ducks-grease and the marrow of the leg of a Hart of each two ounces boil it to the Consumption of half the Vinegar You may add to this two drams of Diachylon and make it into the form of a Plaister You may also use for this purpose plaisters of Melilot or Oxycroceum At length if all remedies fail the operation of the hand must be the last succour which we leave to the Surgeon In the Cure of a Scirrhus three intentions are required the first is the regulation of Diet and manner of living the second is the preparing and evacuating the antecedent or peccant Humour the third is the application of external Medicines in order to the first the Air ought to be clear and temperately hot and moist their Food such as may breed good blood as new laid Eggs Chicken Pullets Mutton Veal Lamb Kid and these boyled with Spinage Borrage Endive Succory Lettice Sorrel and the like their Bread ought to be of good Wheat and well baked their Drink a well boi●ed small Ale or small white Wine Rhenish or the like their exercise and sleep must be moderate their minds must be chearful and their bodies soluble by Glisters or otherwise The second intention is the evacuation of the Humour which abounds in the Body whether flegm or Melancholy be the cause of the Scirrhus or whether it proceeds from obstructions of the Courses or a suppression of the Hemorrhoids if from any of these causes blood abounds and be feculent bleeding is allowed but if Bloud do not abound forbear bleeding and proceed in preparing and evacuating the humours the Antients used for preparatives the Syrrups of the juice of Borrage Bugloss of Hops of Apples and the Bizantine Syrup and the like and also the destill'd waters of the same Plants or Whey The following are also used Gerion's decoction of
Senna the decoction of Dodder of Time also the decoctions of Cassia Tamarinds and the like with the purging Syrup of Apples These Humours being tough require frequent purging but the Purges must not be strong After evacuations you must endeavour revulsion to contrary parts by Frictions Cupping Issues and the like for obstructions of the Hemorrhoid Leeches may be applyed and in a suppression of the Courses a Vein may be opened in the Leg or Arm. The third intention is performed in treating the Humour it self in doing which these directions are to be followed First you must not use repe●●ents for cold and tough Humours whereof these Swellings consist cannot return back as hot humours but do increase thereby In the next place you ought to be cautious in the use of Emollients alone for thereby they are frequently exasperated and end in Cancers You ought also to forbear the use of strong Discutients lest thereby you resolve the serous thin humours and convert the thicker part into a more solid substance therefore you are to consider well the habit of the body and whether the Scirrhus be old or new As to the habit of the Body young People and such as live effeminately must be treated with milder resolvents than those who live a laborious life So also a new Scirrhus whilst it is increasing requires milder applications than the confirmed and inveterate one the milder resolvents are fresh Butter Hens-grease oyl of sweet Almonds and Lillies Ducks and Goose-grease the Suet of a Calf a Goat Cow old Lard the roots of Marsh-mallows Lillies and the like the stronger are the roots of wild Cucumber Briony Solamons seal Orris Ship-pitch Liquid-pitch Turpentine Galbanum Ammoniacum Bdellium Opoponax and the like Vinegar by reason of its penetrative quality is properly mixed with other Medicines to dissolve thick humours For Fomentations use the following Take of the roots of Marsh-mallows and Lillies each four ounces of the roots of wild Cucumber two ounces of the tops of Hemlock two handfuls of the tops of Marjoram one handful of the flowers of Melilot and Elder each one Pugil of the seeds of Flax Fenugreek and Marsh-mallows each one ounce boyl them in a sufficient quantity of Fountain-water to the strained liquor add a little Vinegar In soft Bodies when the Scirrhous is new Take of the roots of Marsh-mallows half a pound of the roots of Lillies three ounces of the seeds of Flax and Fenugreek each one ounce boyl them in Broth made of the feet and head of a Sheep then beat them and pulp them thro' a Sive and add to them of the oyl of Camomile and Lillies each two ounces of Oesypus one ounce and an half of simple Diachylon Plaister dissolved in oyl of Lillies three ounces with a sufficient quantity of white wax make a Cerate In dry bodies where the Scirrhous is more confirmed a fume of Vinegar or of Spirit of Wine sprinkled upon a hot stone are of excellent use for resolving these tumours afterwards you must chafe the part and apply the following Take of Galbanum Ammoniacum and Bdellium dissolved in Vinegar and of liquid Storax each one ounce of great Diachylon two ounces of oyl of Lillies and Goose grease each one ounce of the cerate of Oesypus two ounces melt them all together and with white wax make a soft Cerate If by the use of these Medicines the Scirrhus tend to suppuration it must be treated accordingly but be careful you be not deceived and the suppuration prove false and end in a Cancer A Gentlewoman of a full body having been long diseased by an immoderate flux of the Courses and subject to a Cough and shortness of breath and the like at length recovered her Health by the prescriptions of her Physician and enjoyed it the space of a year but was afterwards seiz'd with a straitness and pain in her right Breast which encreased much with inflamation At first sight it seemed to be a confirmed Cancer fixed to the ribs but upon more mature deliberation and handling of it the Surgeon found the Disease was in the skin and that the Glands and Musculous flesh underneath were not hard or otherwise affected than as they were bound in by the intense hardness of the skin which kept them immoveable from that uneasiness an Erisypelas was raised which overspread the skin of the Breast and parts about with great heat The Surgeon supposed the hardness proceeded from a concretion of the nutritious juices he applied over the parts affected Galen's Cerate to repress the heat and supplied her with Medicines to dress her self that she might according to her desire return to her house in the Country where she was let blood and purged with Manna and Cream of Tartar dissolved in Whey and she was afterwards purged with Epsom waters But after all growing more indisposed she returned to London at which time her Breast was inflamed and excoriated and several hard Tubercles were upon the skin that gleeted much the Scirrhus was also spread up that side of the neck by the Mastoide Muscle to the bone of the shoulder and Scapula and so under that arm-pit and down that side some of the excoriations were dressed with Vigo's Oyntment of Tutty and others with Pledgets dipt in this following Lotion Take of Frog spawn-water one pint of the seeds of Quinces two drams of the seeds of Plantain one dr●m infuse them hot twenty four hours to the strained liquor add of the white Troches of Rhasis powdered one dram of Sugar of Saturn half a Scruple Over all was applied some of the following Cerate Take of the Muscilage of the seeds of Quinces and Fleabane extracted in Night-shade-water each four ounces Unguentum-nutritum three ounces Populeon Oyntment six ounces with a sufficient quantity of white wax make a Cerate Thus the Inflamation remitted and the Excoriations were heal'd in some places and checkt in others Many inward Remedies were also prescribed viz. Emulsions Cordials and the like according to the accidents which hapened but the Scirrhus still spreading over-ran the other Breast and side of the neck and in a few weeks made her neck stiff and immoveable and by reason of the compression which was made in the arm-pit and about the shoulder there was a stagnation of the humours and the arm swell'd to the fingers ends The arm was fomented with a decoction of the leaves and roots of Marsh mallows of the leaves of Violets Plantain Night-shade Willow Ducks-meat of the flowers of Camomile and Melilot of the seeds of Flax and Fenugreek and Embrocations Cerates Emollients and Resolvents were used to succour the parts but all this while she was afflicted either with the Collick a Looseness or Vomiting Mercurius dulcis was also used inwardly to carry off the matter and Mercurial Oyntments outwardly and the Surgeon would have Salivated her if she would have permitted The Scirrhus seized on both sides of her neck her shoulders arms breasts and sides and began to invade the skin of her