are to be us'd internally such as those of Rupture-wort Mousear Knot-grass Comfrey-root Cyprus-Nuts Betony Tormentil c. to which Anise and Fennel-seeds and the four greater hot-seeds may be added Externally also Astringents must be us'd the place may be fumigated with their Smoak or their Decoction injected or the Privity fomented therewith or a Pessary of carded Wool may be dip'd in it and apply'd Such Astringents are Galls Oak-leaves and those of the Myrtle Sloe-tree Horse-tail Ladies-Mantle Milfoil Pomegranat-rind Sumac and the like which may be boil'd in Forge-water adding Allum if the Parts be not excoriated or exulcerat The Moss of the Oak-tree also and Nettles and Sun-flower are commended For a Palliative Cure you may use Wax or Cork white Wax or the Mass of a Plaister made of Wax Colophon Gum Elemi and the like shap'd into a round oblong or pear-like Form according as there is occasion with a hole in the middle and a thread fasten'd to 'em their bigness must exactly answer that of the Vagina But if it is only an Excrescence or one or two wrinkles of the Vagina or if the Vagina it self being fallen down is altered by the Air or corrupted or ulcerated it must be cut off by the Root a Ligature being first made with a Thread and then it must be cur'd as an Ulcer CHAP. II. Of the Inflammation of the Womb. THIS is caus'd by Blood stagnating in the Pores of the Womb which is occasion'd either by too frequent Coition or cold catch'd after Labour or the Terms or by hard labour The Signs are a Swelling Heat stretching Pain of the Genitals Groin and Navel which if the Finger is put up into the Genitals is exasperated extending to the Lips Back-bone and Shoulders the Vagina is red with swollen Veins the Terms suppress'd with a burning continual Fever Thirst driness of the Tongue Head-ach Delirium and Convulsions It is dangerous enough and is easily converted into a Gangrene Discussion is safer than Suppuration sometimes it degenerates into a Schirrus and is accompanied by a Dropsy The Patient must in the beginning be let Blood at the Arm and a Clyster being given next day at the Ancle afterward you may use temperat emollient and resolving Clysters of the Decoction of Lettuce Mallows Violet-leaves Flowers of Chamomil c. boil'd in Lime-water mix'd with Lenitive Electuary solutive Syrup of Roses and Nitre To loosen the Belly give Decoction of Tamarinds wherein Senna with Cream of Tartar has been infus'd Externally we foment the Groin or apply Cataplasms of Mallows Marsh-mallows Pennyroyal Mugwort Melilot c. boil'd in common or Lime-water or Wine CHAP. III. Of Vlcers of the Womb and Vagina THE Causes are either internal as retention of the Loches suppurated Inflammations Corruption of the Foetus or Mola a virulent Clap the Whites c. or external as frequent and excessive Venery fretting of the Vagina hard Labour c. The naked Eye or a Womb-glass discovers 'em or if they lie deep in the Womb it self the troublesom biting Pain of these Parts when tickl'd in Coition or by sharp Injections reveals the Mystery They degenerate frequently into Fistulas or end in a Dropsy and tho they be cicatriz'd infer Barrenness If they proceed from an external Cause they must be cur'd by consolidating Remedies if from the sharpness of Humours they must be corrected and evacuated but first of all the Pain must be mitigated Internally cleansing vulnerary Decoctions are useful such as those of the tops of St. John's-wort ground Ivy Plantane Sawicle Shavings of Hartshorn c. Externally the same Decoctions may be injected Or Take of Chalybeat Milk one pound Turpentin dissolv'd in the Yelk of an Egg half an Ounce Hony of Roses an Ounce to be often injected for cleasing and consolidating the Ulcer SECT V. Of the Disorders of Conception COnception is nothing else but the Impregnation of one of the little Eggs contain'd in the female Testes by a certain Air or Spirit exhal'd from the seminal Liquor of the Male received into the Womb. The Egg thus influenc'd falls off into one of the Womb-Trumpets which at that time embrace the Testes and thence passes unto the Womb. Being received there it straight begins to increase and then one little point begins to distinguish it self by its tremulous and leaping Motion being surrounded with subtil red Threads the Rudiments of the Blood-vessels round which some small time after is to be seen something more gross and white like a little Cloud distinguish'd into two parts whose greater part consisting of four little Bags represents a rude Draught of the Brain Cerebellum and two Eyes and the lesser part being strech'd out below like a Ship 's Keel is the Rudiment of the Back-bone from which the Limbs gradually extend themselves while the Bowels successively shoot out from the Blood Vessels till the perfect Foetus is form'd The matter of which it is form'd is partly a clear Liquor resembling the white of an Egg convey'd thither by the Arteries and squeez'd through the glandulous Substance of the Womb into its Cavity and partly Blood elaborat from the foresaid Chyle or nutritious Juice so that the Parts are rightly distinguish'd into sanguine and spermatic There are scarce any infallible Signs of Conception however ordinarily if a Woman hath conceived the internal Orifice of the Womb is close shut up the Terms are stopp'd In the first days after Coition a certain shivering or wandring Sense of Cold spreads it self over the Body or its extreme parts the Appetite is impair'd she vomits every Morning and is troubled with longings and loathing such Meats as formerly were grateful If the Woman is cacochymical and scorbutic she is troubled with hysteric Affections tho unacquainted with 'em before a gradual Swelling invades the Belly and points upwards In the third fourth or fifth Month the Child is felt to move in the Belly first more obscurely and afterwards more distinctly finally the first Months oftentimes discover a heavyness and giddiness of the Head and sometimes the Tooth-ach from which Signs concurring we may conclude the Woman is with Child With reference to Conceptions we shall treat of false Conceptions Barrenness and vitious Conceptions Conception is counterfeited by an Inflation or Swelling of the Belly caused by external Air received unto the Womb after Child-bearing or Abortion or Bathing or in the time of or after the Menstrual Flux attended sometimes with cruel pains girding the whole Belly This is distinguished from a true Conception by these Symptoms 1. The Belly is not always equally distended 2. There is no motion or at least none but what may easily be distinguish'd from that of a Child 3. The Swelling is greater and less weighty not pressing so much upon the Pubes This Distemper is seldom dangerous tho sometimes when the Flux of the Terms or Lochia is stopt 't is attended by grievous Pains in the Womb. In which case let the Vein Saphaena be opened let
Oil of Savin or a Pouder made of equal Parts of Borace Myrrh Castor and volatil Salt of Amber given to half a Dram in Cinnamom-water twice or thrice a Day for some time the Pouder also and Spirit of an After-birth is much commended Externally also we must use Clysters for irritating the Vagina and internal Orifice of the Womb and moving them to convulsive Motions such are the Decoctions of Pennyroal Fever-few Savine and Pulp of Coloquintida ty'd in a Bag. Pessaries and Fumigations from the same Ingredients are also proper but withal let the Patient use some violent Exercise such as leaping jumping c. to promote the Operation of the Remedies If all these Prescriptions prove successless we must have recourse to a skilful Surgeon who with a Speculum Vterinum must dilate the Vagina and internal Orifice of the Womb and by his Hand or Instruments draw out the whole Mola And if after the Extraction excessive Bleedings and Pains of the Womb insue exhibit the following Electuary Take Conserve of Roses an Ounce Conserve of Quinces without the Species half an Ounce Troches of Amber seal'd Earth and Spodium of each half a Dram Sorrel-seed and burnt Hartshorn prepar'd of each a Scruple With Syrup of Quinces and that of Mint make an Electuary SECT VI. Of the Conduct of Big-belly'd Women WHILE Women are with Child they ought to be very cautious of the use of the six Non-natural things for fear of incurring the dangers that the suppression of their Terms exposes 'em to and provoking the Child to an untimely Egress In their Diet let Custom be their Rule since things unwonted tho of themselves proper are offensive and eâ—contra Summer-fruits violent Aromatics and strong Smells whether sweet or foetid are pernicious Much Wine and acid Liquors are apt to cause Abortion Violent Motion is also dangerous especially during the first Months tho in the latter Months if it be moderate 't is not inconvenient Venery long Watchings Fear Anger and such-like Passions ought to be avoided Costiveness ought to be remov'd by the Pulp of Tamarinds or Oil of sweet Almonds Cream and Salt of Tartar or Rhubarb mix'd with Carminative-seeds Sometimes potch'd Eggs and Sugar are sufficient Proper Purgatives or strong Clysters are very dangerous Sometimes it will not be amiss to strengthen the Child by a moderat Draught of sweet Wine after eating by exhibiting Cinnamom-water impregnated with Borrage and Quinces or the Juice Syrup and Marmalade of Quinces mix'd with Cloves Mace and Nutmegs or at Bedtime to apply to the Belly a Bag quilted with Mint Baum Ginger Cloves Galangal c. sprinkl'd with the Oil of Citrons or that of Orange Peel If a Big-belly'd young and plethoric Woman be seiz'd with an acute Disease Blooding is not improper but 't is better to blood frequently than draw forth much at one time If her Stomach be disorder'd mild Vomits are allowable during the first four Months but Purgatives at least such as in violence surpass the Laxatives above-mention'd are always suspected Narcotics in general threaten the Relaxation of the Fibres of the Womb But in some Cases when the Animal Spirits are much irritated and such other Circumstances seem to demand it we may venture to allow a moderat Dose of Opium All the peculiar Symptoms of Big-belly'd Women are occasion'd by the Influence of the seminal Liquor the Suppression of the Terms and the Sympathy of the Stomac with the distended Womb. The first is Vomiting which in the first Months ought not to be stop'd for it facilitats Delivery In the last months it is dangerous and ought to be curb'd betimes Toward the middle of their Reckoning Blood-letting removes it unless they be Cacochymical in which Cases the absorbent Pouders and stomachical Ingredients are requir'd But Steel is hurtful Externally stomachical Plaisters are likewise useful To this Symptom we may add a Pica loathing of Meat griping of the Guts which we accounted for in the first Book A Looseness in the first Months is dangerous Towards the latter end it is of less consequence unless it exceed bounds upon which account we ought to be very cautious in stopping it If it be accompany'd by a prostration of Strength or signs of Malignity and threaten Miscarriage let astringent Acids and Venice Triacle or Diascordium dissolv'd in acid Vehicles be exhibited and proper Plaisters applied externally but all Purgation is pernicious The Pains of the Loins Hip-bones and Pubes caus'd by the various distention of the Ligaments of the Womb and the annex'd Membrans according as the Child is seated forwards or backwards are remov'd by anointing with the Oil of Earthworms mix'd with distill'd Oil of Juniper or applying the Spirit of Earthworms mix'd with Aqua Articularis The Toothach in Women with Child yields to the common Cure A Palpitation of the Heart happening to a lusty Woman about the middle of her Reckoning is cur'd by Blood-letting or else by the ordinary Method If a Cough molest a Woman with Child we must vary the Cure according to its nature as in the first Book Child-bearing Women are frequently subject to bleedings If the Blood flow from the Vagina of the Womb it runs gradually at set times without Pain and ought not to be stop'd If it proceed from within the Womb it runs continually causing Pains in the Loins and if the Woman or Child be not weak may be gently moderated by Blooding and the common Specifics But if the Child move weakly and the Woman's Appetite and Strength be dejected 't is necessary to promote Miscarriage by external Assistance If the Blood break forth only at other parts of the Body it argues a scorbutic Disposition of the Blood which is cured by Chalybeats A suppression of Urine is caus'd by the low Situation of the Child and its bearing down upon the Bladder and is cur'd by emollient Ingredients us'd both inwardly and outwardly and by heaving up the Belly upon occasion of making water Proper Diuretics are scarce safe A Strangury is cur'd by Laxatives such as the Syrup of Peach-flowers and Emulsions and Decoctions of Marshmallows with Raisins or of Jujubes and Peach-stones The Cramps that Child-bearing Women are subject to are cur'd after the ordinary Method especially by external Inunction and Fomentation The Pain and Chops that molest the skin of the Belly as being caus'd by its distention are remov'd by applying emollient Oils and Mucilages If the Waters break forth from the Womb especially from within the Amnios before the time of Delivery 't is a dangerous Case and their loss ought to be repair'd by anointing the Passage with emollient Oils and Ointments But if the Flux of Water proceed only from the outer Neck of the Womb and is not follow'd by the true Pains of Child-birth 't is of no great consequence Sometimes Cacochymical Big-belly'd Women are troubled with swellings of the Feet which disappear upon Child-birth as being remov'd by the Flux of the Loches If these Swellings be
very troublesom anoint the Legs and Feet with the Oils of Dill and St. John's-wort and apply a Cataplasm of Chamomil-flowers or foment 'em with Quick-lime water If hydropic Tumours invade the external Privity foment it with Quick-lime Water and apply a Carminative Cataplasm Or if these prove successless apply Leeches or scarify the Part. If the Veins of the Legs are much swell'd so as to threaten a Rupture anoint 'em with the Ointment of Bay-berries and tie 'em round with a broad Swathe dip'd into some aftringent Decoction If the Hemorrhoids swell anoint with the Oil of the Balsam-Apple or apply a Cataplasm of the Pulp of boil'd Apples and Oil of Hoglice SECT VII Of Disorders relating to Child-birth THE regular Season of Delivery happens about nine solar Months after Conception or after ten periodical Revolutions of the usual Interval of the Fluxes of the Terms If this time be anticipated 't is call'd miscarrying supposing still that the Child is form'd for if the Egg be evacuated before it be form'd 't is call'd Expulsion The Cause of miscarrying is either the Irritation and Contraction of the Womb occasion'd by irregular Passions violent Motion drinking Wine especially in the first Months ungrateful strong Smells external cold acid Food the weakness or preternatural Situation of the Child the Disorders of the Kidneys Intestines and adjacent Membrans the Redundancy and Exaltation of the Mass of Blood or the Relaxation and Flaggyness of the Womb arising from excessive Bleeding want of Spirits immoderat use of Opium sudden Grief or Fear a Chronical white Flux c. The Signs of imminent Abortion are a heavyness about the Loins and Hips and wandring shooting Pains moving downwards from the Navel To which we may add a Lazyness Inappetency the Womb 's gathering it self into the form of a Globe incumbent upon the Share-bone Shiverings Tremblings Palpitations of the Heart the Efflux of Matter from the Womb and an involuntary bearing downwards Hippocrates look'd upon the flagginess and Extenuation of the Breasts or their voiding of Milk or Blood as a sign of miscarrying It prognosticats Barrenness Bleedings of the Womb c. As for the Cure of Abortion if the Foetus be already separated we ought to assist Nature in the Expulsion and on the contrary if Abortion be only threaten'd we ought to prevent it by Blood-letting if the Women be plethoric or otherwise by exhibiting the Decoction or Water of Vervain the Pouder or Tincture of Chermes-berries the Pouder or Juice of River-Crabs or the Tincture of Coral If the Spirits be much iritated Opium is allowable If the Womb be flaggy let a Cataplasm of Bdellium and Mastic dissolv'd in Vinegar or a Plaister of Galbanum and Tacamahac be applied to the Pubes or bathe the Parts with an Infusion of Allum in the first Months or let the Woman make use of the natural Hot-baths before Impregnation A Cataplasm of Yest or Bread bak'd with Pepper Cloves Cinnamom Mace and Wine applied to the Pubes is of good use against all sorts of Abortions If Abortion be caus'd by the Passions of the Mind or acid sharp Food use absorbent Pouders mix'd with Aromatics Opium cautiously used and Fomentations with astringent Decoctions are very proper If it proceed from external Cold Aqua Vitae and spirituous Liquors are requir'd If Swoonings usher it in the Tincture of Coral prepar'd with Spirit of Stag's Heart and the Confection of Hyacinth are useful A serous Cachexy is accounted for by the Decoction of Guajacum and the white Flux remov'd by cutting Issues in the Legs If Abortion cannot be prevented let the Woman after Miscarrying beware of the least degree of Cold and let the After-birth be cautiously drawn forth by the Midwife without giving any internal Medicines for that purpose for fear of occasioning a Flux of Blood which in this Condition Women are very liable to So much for Abortion If the Woman is come to her full time the first thing to be consider'd is if the Child presents in a right Posture viz. the Head first if not the Midwife must endeavour to set it right or else to pull it out by the Feet If the Posture be regular the next Task is to distinguish between the true and spurious Pains of Child-birth the spurious Pains are either Colic hysteric or nephritic which assume the form of the true ones and impose upon the Midwives under that cover They are cur'd by exhibiting the Spirit of Zedoary or Decoction of Cumin-seeds in Ale and rubbing the Belly and Back with hot Napkins or fomenting 'em with the Decoction of Carminative and Anodyn Ingredients whereas the true ones are rather irritated by that Method and besides are attended by these Signs viz. the down-falling of the Belly towards the Pubes the Progress of the Pains from the Loins downwards the opening of the internal Orifice of the Womb and the distention of the Membrans enwrapping the Child Now 't is highly pernicious for a Woman to bear down or endeavour the Expulsion of the Child before the appearance of these Signs Supposing then that the true Pains are come upon her we must endeavour to facilitat her Labour Now the Causes of hard Labour are the weakness and sickliness of the Mother her Spirits being exhausted by sweating or spurious Pains either antecedent or concomitant her being liable to the Passions of Fear Shame or whatever cramps her due Efforts or interrupts or inverts the Motion of her Pains the weakness of the Child its being intangl'd in the Navel-string or disturb'd by a fellow Twin the hardness and thickness of the Membrans enwrapping it the straitness or dryness of the Passages the former incident to stale Maids converted into Wives the latter following the untimely Efflux of the Waters the stiffness and resistence of the Share-bone and that of the Back call'd Coccyx the repletion of the Bladder and Intestins Excrescences in the Womb or neighbouring parts extreme Laxity of the Neck of the Womb disabling it for Contraction and Expulsion and a hydropic Tumour in the Child's Head or its leaning on the Share-bone In which last Case the Head ought to be put back by the Midwives hand otherwise all expelling Medicines do but augment the Evil. Now in order to prevent such Inconveniencies a few days before the hour of Delivery let the Woman bathe in the Decoction of Marsh-mallows Melilot Chamomil Pennyroyal Mug-wort Wild Thyme Baum Fever-few Seeds of Lint Fenugrec and Dill or apply Bags of the same Ingredients to her Belly anointing afterwards her Back Belly and privy Passages with an Ointment of Mucilages and emollient Oils When her Pains are just at hand 't will not be improper to inject a softning Carminative Clyster or exhibit Oil of Olives inwardly and anoint the Parts frequently If the Pains are discontinu'd the Woman must not be forc'd to bear down She ought rather to walk a little about and when the Orifice of the Womb is open and the Waters broke then let
her be plac'd on the Stool and incourag'd to a speedy Delivery If the Mother or Child be weak let her take a Glass of Cinnamom Baum Pennyroyal or the Compound hysteric Water mix'd with the Syrup of Orange-peel or of Mugwort c. When the Pains relent if the Child presents naturally and the Waters are broke and the Orifice of the Womb open'd we may exhibit aromatic and expelling Medicines but not otherwise The Aromatics are Dittany of Candy Sage Mugwort Saffron and especially Cinnamom which ought never to be omitted The expelling Specifics are a Draught of the Husband's Urine or of the Juice of Horse Dung mix'd with Wine Castor Oil of Amber given from ten to thirty drops in Pennyroyal Water with a few drops of the Oil of Cinnamom the volatil Salt of Amber given to fifteen Grains The Oil of Hazelwood given from fifteen to twenty five drops Troches of Myrrh or Pilulae Foetidae given to a Dram Borace given to a Dram the Pouder of the Liver of an Eel dry'd together with the Gall-bladder given to a Dram the Pouder of the Livers of Vipers or of Horses Stones given to a Dram Crude Mercury Fulminatory Gold and above all the Pouder of a dry'd human After-birth given to a Dram or its Spirit drawn from it when it has stood for a Month in a close Vessel in a Balneum Mariae given to forty Drops in the room of which we sometimes make use of the Spirit of Soot If the Pains recur frequently and the Woman be much fatigu'd we may add Laudanum Opiatum Take of the Pouders of an Eel's Liver and a human After-birth of each a Dram Myrrh or Borace two Scruples Make a Pouder for three Doses Take of the Water of white Lillies two Ounces Cinnamom Water half an Ounce Baum and Pennyroal Waters of each an Ounce Pouder of Horse Stones four Scruples Borace two Scruples Essence of Castor and that of Amber of each twenty Drops distill'd Oil of Nutmegs six Drops white Sugar two Drams Mix and give a Spoonful now and then Externally apply a Girdle of Snakes Cast-Coats or anoint the Belly with an Ointment made of them with Earthworms and the Juice of River-Crabs and the fat of a Fox or Hare Or Take of the Oil of Wall-flowers six Drams distill'd Oil of Amber a Dram. Make an Ointment for the same purpose Or Take of the fat of Vipers six Drams Oil of the Balsam-Apple three Drams distill'd Oil of Spike a Dram. Mix and anoint the Belly but be sure to wipe it off after Delivery Or Take of Galbanum dissolv'd in Vinegar an Ounce Myrrh two Drams Saffron half a Dram with Oil of Orris make a Pessary Some choose to apply a Cataplasm of the Decoction of Coloquintida Rue Myrrh and Meal of Barley If all these means prove succesless we must have recourse to sneezing Medicines made of Hellebor Marjoram Tobacco Pepper Castor c. and if these be ineffectual to Mercurius Vitae for a Vomit Sometimes Lusty Women accustom'd to drink Wine or that live in hot Climats are reliev'd by Blood-letting If the Mother be seiz'd by Convulsions or bleeding from within the Womb she ought to be immediately laid by a skilful hand If the Mother be dead and the Child alive in the Womb it ought to be cut out Ofttimes Child-birth is render'd difficult by the Death of the Child in the Womb in which case the same expelling Medicines are to be us'd but in larger Doses Besides the external Applications already injoin'd some recommend a Fumigation of the Womb with the Smoak of rotten Berries thrown into boiling Water or with the Smoak of Troches made of Myrrh Castor Snakes Cast-Coats Pigeon's Dung Madder-roots and Ox Gall thrown upon burning Coals If all the means above-mention'd fall short of expelling the dead Child it must be pull'd out either all in one piece by hooks or cut into several Pieces This Symptom of a dead Child ought to be carefully minded not only about the time of Delivery but during the whole Course of the Woman's being with Child for fear of Mistakes in giving Astringents to prevent miscarrying when 't is actually dead or of indeavouring its Expulsion as being dead while 't is yet alive Now to prevent such Mistakes the following Signs will be of use When the Child is quite dead neither the Mother nor Midwife are sensible of the least Motion The Mother's Share-bone Lips Face and extreme Parts are cold her Breasts that were turgid are now become flaccid and their Milk serous she is seiz'd with a violent Shivering and Yauning Swooning and sometimes a Feaver pain of the Head and Stomac and dismal Convulsions her pains intermit of a sudden the Membran of the Child's Head is flaccid and oft-times the Excrements come forth before the Child In process of time her Breath becomes fetid and Water or corrupt Matter drops from the Womb. If the Child be alive it will move when the Womb is fomented with volatil Liquors when the Mother holds her hand in hot Water for some time when a green Leaf of Marjoram bruis'd or ones hand wet with cold Water or Bread soak'd in Spanish Wine is applied to the Belly and a Vein open'd in the Leg. If it do not you may conclude that 't is dead SECT VIII Of the Management of Women in Childbed AFTER the Woman is laid let her be wrap'd up with a Swathe of Linen about the Ribs and carefully arm'd against Cold Anger Fear and strong Smells Let her abstain from sleep for some hours and take a Glass of warm Wine with a Toste for strengthening quenching Thirst and preventing the Symptoms that ofttimes insue After some hours she may take a potch'd Egg with Cinnamom or Zedoary or some Drops of the Tincture of Coral prepar'd with the Spirit of a Stag's Heart After three or four days if she be very Costive her Belly may be open'd with Balls of Civet or Clysters or Elixir Proprietatis taken inwardly The most material Circumstance relating to a Woman in Childbed is the separation of the Secundine for if any part of it remain it putrifies and produces tragical Effects The Causes of its retention are the Influence of cold Air the Tumour and straitness of the internal Neck of the Womb the Corruption or breaking of the Navel-string by which 't is generally pull'd out and the firm adhesion of the Secundine to the Womb. Sometimes indeed if it be united with the Womb and receive nourishment directly from it without the Foetus it may remain unputrify'd in the Body But for the most part its Nutrition is receiv'd from the Foetus and its Adhesion is occasion'd by the early Egress of the Child or want of due Motion in the Mother or by external Violence The Symptoms that attend it are an acute Feaver Pain and swelling of the Belly Gripings about the Region of the Womb a stinking Breath difficult Respiration and voiding of corrupt matter or Blood from the Womb. If
a Continuation of its Contraction and expulsive Endeavours occasion'd by the irritation of the Womb from cold Wind clotted Blood the Remainders of the After-birth c. or its being wounded by sharp humours or a violent tearing of the Secundine They are styl'd spurious when they 'r lodg'd in the Guts and assume the form of Colic Pains The genuin ones are confin'd to the lower Belly and move downward whereas the others are more floating and direct their Course upward especially towards the left Hypochondrium If these Pains proceed from Cold we order a Fumigation of the Womb with Nutmegs if from clotted Blood we administer the Decoction of Chervil and Sperma Caeti inwardly If they occasion a Suppression of the Lochia â—â—ro the Irritation and Constriction of the Neck of the Womb let the Tincture of Tartar and Essence of Myrrh be exhibited If the Excoriation of the Womb gave root to 'em the Oil of Sweet Almonds and vulnerary Decoctions mix'd with Chalybeats give relief In general the Decoction Spirit and distill'd Oil of Chamomil is universally approv'd as an admirable Specific against all after-Pains To which we add ofttimes Elixir Proprietatis Zedoary Mug-wort Castor the Pouder of a human After-birth and the Carminative-seeds are likewise proper Ingredients In the last Extremity we are oblig'd to have recourse to Laudanum Opiatum Externally we foment the Womb with the Decoction of Mugwort and anoint it with the Oils of Chamomil Wall-flowers Cumin Dill Earth-worms c. and apply the Plaister of Galbanum call'd Matricale or carminative Cataplasms As for spurious Pains we treat 'em as Colics Sometimes Women in Child-bed are seiz'd with a Drousyness Swooning and Anxiety about the Stomac and Hypocondria which in effect are the Symptoms of a hysteric Passion and are remov'd by volatil Salts as Castor Spirit of Sal Armoniac c. and Antihysteric Clysters But if these Symptoms are attended by a Difficulty of Breathing they threaten an acute Feaver which forbids Clysters and requires a much different Cure of which more anon The Convulsions of Women in Childbed are generally retainers to this hysteric Passion or the Suppression of the Lochia and are cur'd by Myrrh and Castor join'd to succinat Spirit of Hartshorn and absorbent Pouders Sometimes hard Labour causes Excoriations Tumors or Rents on the Privity The first and last are cur'd by applying a Liniment of the Oil of St. John's-wort Balsam of Peru and Yelks of Eggs the second by fomenting with the Decoction of Chamomil and Elder-flowers in Wine and Water and applying a warm Cataplasm of fresh Brook-lime and Chamomil-flowers beaten together If the Capacity of the Vulva be so inlarg'd that the Rent passes through the Perinaeum let the Woman avoid all motion of coughing and apply the following Glue to the Lips of the Wound Take of Comfry-roots two Drams Bole Armenic Mastic Dragon's Blood Sarcocol fine Flower and Pompholix of each a Dram. With Rosin of the Pine-tree and the Whites of Eggs make a gluy Substance If the Lips of the Wound are already cover'd with Scars we treat it the same way as a Hair Lip If it be inflam'd and tend to a Gangrene we cut off the corrupt part wash the sound Flesh with Lime-water and cover it with the Balsam of Sulphur If the Woman in Child-bed be Costive or troubled with the dry Piles exhibit a very gentle Laxative and foment the Anus with emollient Decoctions If a Looseness seize her while the Lochia are suppress'd it ought not to be stopp'd any other way than by administring Specifics for retrieving the Flux of the Lochia But if their Flux continues or if an acute Feaver attend the Loosness it ought to be curb'd betimes by exhibiting Sudorifics and proper Specifics against Loosnesses and applying to the Navel or Stomac the Oil of Amber mix'd with the distill'd Oil of Mace If the Sphincter of the Bladder be so relaxated by the distention of Childbirth or the roughness of the Midwife's Hands that the Woman cannot retain her Urine she must foment the Parts with aromatic and astringent Decoctions and hang the Pouder of Toads in a Bag over her Breast or have recourse to the natural Hot-baths If Clots of Blood collected in the Passage for Urine occasion its Suppression let the Pubes be anointed with Oil of Scorpions and the Decoction of Chervil Chamomil and Sperma Ceti be us'd both inwardly and outwardly If hard Labour occasion wrinkles in the Belly let it be anointed with a Liniment of the Oil of Nutmegs Sperma Ceti Saffron and Wax The remaining Disorders incident to Women in Child-bed are the Milk-feaver and acute Diseases The occasion of the former is this The nutritious Juice that was wont to be measur'd out for the Child in the Womb stagnats in the Blood after Delivery and about the fourth day raises a feaverish Thirst and Fermentation by virtue of which 't is precipitated into the Breasts and converted into Milk while the remaining Recrements are voided by a natural Sweat about the seventh day If this Feaver be troublesome 't is alleviated by promoting the Flux of the Lochia especially if the Woman do not design to suckle her Child as the fix'd Salts with Diaphoretic Antimony and Myrrh or gentle Sudorifics will answer those who make account to suckle In general there 's nothing more friendly to Women in Childbed than continued breathing Sweats If anxiety and difficulty of breathing attend this Feaver we must have recourse to the expelling Emulsions of the Seeds of Turneps Columbines c. If the Breasts be hard and molested with pain foment 'em with the Spirit of Sal Armoniac and the Essence of Saffron and apply a Plaister of Saffron and Galbanum The acute Diseases of Women in Childbed are for the most part malignant and usher'd in by malign Symptoms If a Feaver is occasion'd by a Suppression of the Lochia we must endeavour to recover their Flux If the Lochia continue to run we must be cautious of exhibiting strong Sudorifics against the Feaver for fear of occasioning an untimely Suppression But withal remember to keep it within bounds and restrain it if there be occasion lest the Malignity should gain force by the excessive loss of Blood In general the Cure is perform'd by avoiding the least degree of cold and taking Sudorifics such as Mineral Bezoar Diâ—phoretic Antimony Cinnabar of Antimony the â—olatil Salt of Hartshorn and the fixed Salts mix'd with Myrrh and Amber in case of a Supprestion of the Lochia or with Astringents when they exceed measure exhibited in the Water of Swallows with Castor for a Vehicle Purging Clysters Blooding and sweet Syrups are generally noxious especially if the Feaver be very malignant attended by a tingling of the Ears heavyness of the Head difficulty of Breathing c. Tho the Person be molested with Thirst Acids ought to be cautiously us'd by reason that they may provoke the Womb or stop the Childbed Flux The Gelly of Hartshorn and Juice
Drams With a sufficient quantity of the Syrup of Curl'd Mint make an Electuar Or Take of the Conserve of Curl'd Mint Conserve of Roman Wormwood of each an Ounce and a half Conserve of Roses or of Rosemary-Flowers an Ounce candy'd Cichory-roots half a Dram Roots of Aromatic Calamus candy'd three Drams Powder of Zedoary six Drams the Magistery of Coral prepar'd with the Juice of Citrons Powder of Cinnamom of each two Drams Ginger Cloves and Tincture of Coral of each a Dram with a sufficient quantity of the Syrup of curl'd Mint make an Electuary upon which pour some drops of the dulcify'd Spirit of Salt Or Take of Conserve of red Roses two Ounces Conserve of Mint one Ounce Ginger candy'd in the Indies six Drams aromatic Calamus candy'd three Drams the Powder of Diatrion Pipereon with Mosch three or four Drams with a sufficient quantity of the Syrup of Clove-gilliflowers make an Electuary When a redundancy of fat and bilious Humours weaken the Appetite Elixir Proprietatis mix'd with bitter Ingredients is a proper Medicine If Narcotics have stupify'd the Stomac we exhibit acid Remedies If at any time the use of Acids disorder the Appetit as it happens frequently in Hypochondriac cases the absorbent Powders of Crabs-Eyes Chalk c. and Elixir proprietatis prepar'd without an acid or with the Spirit of Sal-armoniac may supply their room As for external Topic's Liniments Cataplasms and Fomentations may be us'd and made of Wine and Elixir of Mint Bread and the Aromatic Powders Crato's Oyl and Plaister are not amiss Or Take of express'd Oyl of Mace a Dram and a half distill'd Oyl of Cloves a Scruple the distill'd Oyls of Wormwood Mint and Juniper of each half a Dram. Mix for a Liniment Hartman's Stomachical Plaister or Plaister of Tacamahac mix'd with Balsam of Peru is proper to be laid upon the Stomac I have also seen many good Effects produc'd by the application of a Vultur's Skin to the Stomac CHAP. II. Of the Depravation of the Appetite THE Appetite is deprav'd when it avoids the proper and craves improper Food In the former Case it avoids some particular Object thro' the prevalency of prejudice the Memory of a preceding Surfeit or the confluence of vicious Humours in the Stomac Those who are troubled with a bitter Taste in their Mouth either through the use of Opium or the height of a Fever are averse to Hopp'd Drink by reason of the near resemblance between the taste of the Beer and that which then annoys ' em As the exhibiting of bitter Resinous Purgatives will occasion an Antipathy to Ale Upon this account we take it for a good sign in acute Distempers if the Patient be able to drink Ale Meat also is formidable to feaverish Constitutions by reason that when eaten it is not digested and so melts into a bitter musty Crudity These are the Causes of an acquir'd Aversion to particular Meats or Liquors The Cure is perform'd by the use of Elixir proprietatis Womrwood Mint Quinces Wine and their various Productions together with some Acid Spirits The most remarkable Instances of deprav'd Appetites are what we call Pica and Malacia The former is a Longing for such things as are not fit to be eat as raw Meat Coals Leather Lime c. The latter is a violent and infatiable longing for usual Food as Herrins and such like The Part affected is partly the Orifice of the Stomach where the appetising ferment is naturally seated and partly the Fancy and Animal Spirits For tho the Vellication of the Stomac constitute a general Appetit 't is the Fancy that directs it to a particular Object Besides such things are oft times long'd for as are not Objects of the Stomach as the crackling noise of Cinders the smell of Leather c. which makes it to appear that the Animal Spirits and the Organs of Sense are deprav'd as well as the Stomach That the Sense of Smelling is vitiated is evident from the Pleasure such Persons take in smelling to stinking unsavory Objects That the Sense of Tasting is likewise corrupted may be infer'd from the Depravation of the Spittle occasion'd by its Affinity to the Stomachical ferment and is sufficiently exemplified by their relishing and coveting the taste of such things as at other times they abhor The like may be said of all the Senses The Cause is the Alteration and Depravation of the ferment of the Stomac We see that the various Modification of this ferment in several Animals creates in 'em contrary and distinct Appetites by vertue of this diversity of ferments Men Dogs Cats Geese c. are prompted to covet their peculiar Food The ferment is deprav'd by the corruption of Matter in the Stomac which renders it saltish sharp and in some measure corrosive and consequently apt to overact its part by vellicating the Mouth of the Stomach in an unwonted manner and prompting the fancy to pursue and entertain unusual Objects after the method of Melancholic Hypocondriac Fits to which this Distemper is near ally'd The occasional remote Causes are the Suppression of the Terms which occasion the Stagnation and Corruption of the Blood and by consequence of the Lymph which waters the Coats of the Stomach Ulcers in the Throat distilling corrupt Matter into the Stomac The suppression of the Genital Liquor or any wonted Evacuation and an hereditary Conveyance from Mothers liable to this Disease which is equally compatible to Men and Women Maids and Mothers The things coveted and Long'd for in a Pica are such as are agreeable to the vicious ferment which is so fierce and keen that it digests without any trouble or harm a great many noxious and offensive Objects providing their quantity taken down do not exceed the extent of the Appetit 'T is true indeed that if absurd and uncommon things are frequently eat tho' in the mean time they occasion no visible disturbance yet they amass deprav'd Humours in the Body and so cause Dropsies Cachexies and many dismal Symptoms As for Child-bearing Women who are frequently obnoxious to irregular Appetites if they cannot be dissuaded by rational Motives they must be furnish'd with what they Long for for fear of bad consequences happening to the Child in the Belly The Cure is perform'd by evacuating the Stomach and tempering the ferment Vomits and particularly Mercurius Vitae are very proper if occasional Circumstances do not forbid 'em such as a natural difficulty of Vomiting the first and last Months of a Womans being with Child c. in which case let Purges of Aloe Extract of Hellebor Coloquintida and sweet Mercury be exhibited It will not be improper to mix both the Vomiting and Purging Medicines with the things Long'd for that so the ferment eagerly joyning them may be carried off If the whole Mass of Humours be deprav'd Antimonial Sudorifics are very convenient After Evacuation let the vicious ferment be temper'd by moderat Acids and palatable Stomachics such as the Juices of
Mesentery Arthritic melancholy and cholic Fits Pains of Childbirth c. When a Convulsion proceeds from any inferior part it resembles the Motion of a cold Vapor rising from the part towards the Brain But there is neither space for that Vapor to move in nor a sufficient force to put it in Motion Therefore 't is a false Imagination and ought to be rectified The plain case stands thus The Part being irritated by the offending Cause the Spirits repair in a disorderly manner into it and contract the Fibres these Spirits are follow'd by large Numbers of others that not finding room in the contracted part rebound this Convulsion is continued to the Original of the Nerve and creates a Disorder in the Brain which affects all the other Nerves and produces the universal Epilepsy So the gradual Contraction of the Part and the disorderly Incursions of the Spirits create a Sense not unlike to that of ascending Vapors and occasion the vulgar Error These imaginary Vapors are generally attended by a sense of Cold by reason that the Spirits have not a free admission into the contracted part Convulsions differ from Trembling in this that the former invade the part when resting whereas the other follows only upon attempting some voluntary motion In a Palsy the Part affected may be mov'd or extended without Pain but in a Convulsion it cannot In Swoonings or sleepy Diseases the Pulse is weak and low and the Fits observe no regular Periods nor are they easily carried off but in the first degree of an Epilepsy tho it resemble swooning the Pulse is strong and frequent and the Fit returning at set times is easily cured In acute burning Feavers Convulsions are foretold from a tingling in the Ears heaviness of the Head dulness of the Senses panting of the Heart Flashings of Light and strange Colors appearing before the Eyes If in the beginning of the Disease the Balls of the Eyes are seiz'd with Pain without any Inflammation or if the sick Person attempt as it were to catch Flies it betokens a Delirium and Convulsions But if he begin to pick at the Bedclothes or be sensible of the Contraction or twitching of any Member or of the seeming Ascent of Vapors to the Head the Convulsion is just at hand If the Patient dote and be uncapable to give an account of these Symptoms the Physician may put his hand to the Wrists or tendinous Parts and if he observe that the Tendons start or quaver 't is a sign of fatal Convulsions An Epilepsy may be also prophesy'd in other cases from frequent Swimmings of the Head and Nightmares If an Epilepsy proceed from Convulsions of the internal Membrans it discovers it self by a murmuring Noise in the Guts Swellings or Contractions or Hardness of the Belly drawing the Navel inwards violent throws in the Guts Pains in the Loins a Distention and Contraction of the Breast difficulty of Breathing an apprehension of being stifled c. If it be essential it surprises the Person without any preceding signs or sense of Pain but a symptomatical Epilepsy is usher'd in by the aching of some affected part and the apprehension of Vapors transmitted from thence to the Brain The Prognostics are variable according to the Circumstances of the Patient If an Epilepsy commence after the twenty fifth year of the Persons Age if it succeed Iliac Pains acute Feavers immoderat Watchings excessive loss of Blood over-violent Purging or the use of Hellebor if the Fits return frequently and the Lips Tongue Eyelids or Breast be much affected if the Disease be hereditary essential and inveterat if the Patient do's not sneeze after using Medicines for that purpose In all these cases there 's a great deal of danger If a Woman with Child be seiz'd with Convulsions they threaten Miscarriage If it commence from the Infancy or before the state of Manhood 't is curable If it return frequently it renders the Person stupid or delirious If a Chronical Epilepsy be follow'd by an unmalignant Feaver 't is a good Omen The Cure of Convulsions and the Falling Sickness of Children is accounted for elsewhere As for adult Persons the Physician must heedfully inform himself if the Cause be external or internal if the Disease be essential or symptomatical and if symptomatical in what particular Member the source of the Distemper lies And withal let him carefully observe the following Remarks which do not relate to the Paroxysm but the general method of Cure 1. That Chronical Convulsions arising from internal Causes do generally invade Hypochrondiac and Scorbutic Persons and are owing to a vicious Acid which for the most part is bred in the first Passages Therefore Evacuations and the use of testaceous Alcalin Pouders Spanish Soap boil'd in Milk and Chalybeat Medicines are recommended 2. That if the Disease arise from any particular Member the Medicines which properly regard that part ought to be join'd with Specifics but not exhibited till after the general Evacuations 3. That Antimonial Vomits are sovereign Medicines if the Disease proceed from the internal Parts They ought to be given every Month four days before the Full-moon 4. That all purging Medicines ought to be of the milder sort and mix'd with sweet Mercury thrice sublimated and exhibited before the Changes of the Moon 5. That if the source of the Disease be lodg'd in the Humors of the Body the Decoctions of the sudorific Woods together with proper Specifics are given with good Success after the first Passages are sufficiently cleans'd 6. That in a desperat case a Salivation with Mercury may be attempted 7. That sneezing Medicines ought to be us'd every Morning As for example Take of the Leaves of Marjoram and Rue of each two Drams Flowers of the Lilly Convally a Dram white Hellebor and Castor of each half a Dram. Make a Pouder 8. That if the Distemper proceed from the Disorders of any external part 't is proper to place a Ligature betwixt it and the Brain just before the Invasion of the Paroxysm Issues Caustics applied to the part especially in the puncture of a Nerve and opening the Scull with a Trepandiron are of good use 9. That if the Falling Sickness be attended by a Suppression of any wonted Evacuation of Blood 't is fit to open the Hemorrhoid Vein or a Vein in the Arm or in the Ancle of Women with Child or apply Leeches to the inside of the Womb when an Epilepsy follows Delivery 10. That Opiats ought not to be given before the general Evacuations nor too frequently repeated left they promote a Stupidity which generally insues Chronical Epilepsies They may serve to prevent and mitigate a fierce Paroxysm They ought to be mix'd with Specifics and Camphyr and given before the Invasion of the Fit The Temples Nostrils and Wrists may be anointed at the same time with Oil of Boxwood which has a peculiar Anodyn Virtue 11. That the Disorders of the Brain and Animal Spirits ought to be redress'd by the use of
a Pissing of Blood p. 416 Chap. II. Of Diseases relating to the Expulsion of Vrine from the Bladder p. 418 Art I. Of a total suppression of Vrine arising from its stay in the Bladder Ibid. Art II. Of the Stone in the Bladder p. 421 Art III. Of the Incontinence of Vrine p. 422 Art IV. Of a Strangury p. 424 Art V. Of a Dysuria or Heat of Vrine p. 425 Sect. XX. Of Diseases relating to the separation of Lymph in the Glandules and its regular motion p. 427 Art I. Of Catarrhs p. 428 Art II. Of a Coryza p. 431 The Contents of the Second Book SECT I. Of the Diseases which disturb the Generation and Distribution of the Animal Spirits and Consequently the due performance of sense and motion p. 433 Chap. I. Of Immoderat Watchings p. 435 Chap. II. Of Excessive sleep p. 438 Sect. II. Of the External Senses p. 444 Chap. I. Of Diseases relating to the Eyes Ibid. Chap. II. Of the Disorders of the Ears p. 455 Chap. III. Of the sense of feeling and the disorders 't is obnoxious to p. 460 Art I. Of Pain in General p. 461 Art II. Of sharp tearing Pains in the Joynts p. 463 Art III. Of the Tooth-Ach p. 465 Art IV. Of the Aches of the Eyes p. 467 Art V. Of Pains in the Ears p. 468 Art VI. Of Head-Achs p. 469 Art VII Of Arthritic Pains p. 476 Chap. IV. Of the Disorders of the Sense of Tasting p. 481 Chap. V. Of the disorders of the sense of smelling p. 484 Sect. III. Of the disorders of the Internal Senses and Animal Functions p. 487 Chap. I. Of a swimming in the Head and Preter-natural Commotion of the Spirits in the Brain p. 488 Chap. II. Of the Irregular Incursions of the Spirits into the External Parts p. 492 Art I. Of Alternat Convulsions and the Epilepsy or Falling Sickness p. 493 Art II. Of a Cramp or continu'd Contraction p. 503 Art III. Of Trembling Chap. III. Of the Diseases in which the Animal Spirits cease to move p. 507 Art I. Of an Apoplexy Ibid Art II. Of Particular Apoplexies p. 520 Art III. Of a Palsy p. 523 Chap. IV. Of the Deficiency of Rational Operations p. 532 Art I. Of the Defect of Memory and Stupidity Ibid. Art II. Of Doating or Deliriums in General p. 536 Art III. Of Deliriums arising from Internal Causes viz. Phrensies Melancholly and Madness p. 537 Art IV. Of Deliriums from External Causes p. 553 The Contents of the Third Book Of the Diseases Peculiar to the Male Sex SECT I. Of the Disorders of the Genital Liquor in Mens Bodies p. 557 Chap. I. Of the Defect or Insufficiency of the Genital Liquor in Men. p. 558 Art I. Of the Inflammation of the Testicles p. 561 Art II. Of a Pueumatocele or Distention of the Stones by Wind. p. 562 Art III. Of a Hydrocele or Collection of Water within the Membrans of the Stones p. 563 Art IV. Of the Schirrous swellings of the Stones p. 564 Art V. Of a Sarcocele or fleshy swelling of the Stones p. 565 Art VI. Of the Distention of the Spermatic Veins or Hernia Varicosa p. 566 Chap. II. Of the Irregular Ejaculation of the Seed Ibid. Art I. Of a Running or Involuntary Emission of the Genital Liquor Ibid. Art II. Of the Over-hasty Ejaculation of the seminal matter p. 571 Art III. Of the Over-slow Ejaculation of the seminal matter Ibid. Art IV. Of Caruneles in the Yard hindring the Ejection of Seed p. 572 Sect. II. Of disorders relating to the Erection of the Yard Ibid. Chap. I. Of Impotency or the Defect of Erection of the Yard p. 573 Chap. II. Of the Immoderat Erection of the Yard p. 574 Chap. III. Of the Depravation of the Erection of the Yard p. 576 The Contents of the Fourth Book Of Diseases Peculiar to Women SECT I. Of the Disorders of the Menstrual Flux p. 578 Chap. I. Of the Deficiency of the Terms p. 579 Chap. II. Of the Immoderat Flux of the Terms p. 584 Chap. III. Of the Depravation of the Menstrual Flux p. 587 Art I. Of Vneasyness attending the Menstrual Flux Ibid. Art II. Of the lesser Quantity of the Monthly Flux p. 589 Art III. Of the Flux of the Terms by Drops Ibid. Art IV. Of several other defaults of the Terms p. 590 Chap. IV. Of the Whites or White Flux p. 591 Sect. II. Of the Disorders of Women relating to the Venereal Appetit p. 594 Chap. I. Of the Loss of Virginity Ibid. Chap. II. Of the Depravation of the Venereal Appetit p. 595 Sect. III. Of the disorders of the whole Body suppos'd to proceed from the Womb. p. 597 Chap. I. Of the Green Sickness Ibid. Chap. II. Of a Cachexy in Women p. 598 Chap. III. Of the Hysteric Passion p. 600 Sect. IV. Of the disorders of Women denying Admission to Men. p. 604 Chap. I. Of the Downfalling of the Womb. Ibid. Chap. II. Of the Inflammation of the Womb. p. 606 Chap. III. Of Vlcers in the Womb and Vagina p. 607 Sect. V. Of Disorders relating to Conception Ibid. Sect. VI. Of the Conduct of Bigbelly'd Women p. 612 Sect. VII Of Disorders relating to Child-Birth p. 615 Sect. VIII Of the Management of Women in Child-Bed p. 620 Sect. IX Of Disorders relating to Suckling p. 627 The Contents of the Fifth Book Of the Diseases of Children p. 630 The Contents of the Sixth Book Of Surgery 644 CHAP. I. Of Tumors p. 645 Chap. II. Of Wounds p. 658 Chap. III. Of Vlcers p. 666 Chap. IV. Of Dislocations p. 671 Chap. V. Of Fractures p. 673 Chap. VI. Of a Gangrene or Sphacelus p. 675 AN ABRIDGMENT OF ETMULLERUS's Practice of Physic c. THE INTRODVCTION HAving undertaken to compile a System of Physic I am oblig'd in the first place to distinguish the Common and Ordinary Practice from that which is Vncommon and Extraordinary The former is as yet very Lame by reason of the Scarcity of Chymical and Anatomical Experiments which occasions our Ignorance of the Radical Causes of Diseases and leaves only some occasional Symptoms to build the Theory upon Nor is it less deficient in Generous and Proper Remedies which might effectually accomplish the Design with less Violence and Torture to the Stomach Such as Paracelsus Helmont and other Noted Chymists have distinguish'd themselves by The Extraordinary Practice differs from the former both in the Nature of its Remedies which are all Arcana's tho otherwise never so common And in the manner of their Operation which is generally perform'd by Sympathy Inchantment or some such Secret way This I reserve to the Latter End and shall now confine my self to the Ordinary Practice which I endeavour to make as perfect and compleat as possible both in its conformity to Chymical and Anatomical Observations and in the choice of Genuin and Proper Remedies I propose to discourse of All Diseases incident to Human Bodies And in Tracing every Disease shall observe the following method First To give the History of the
vomiting in the beginning or height is good If it follow Wounds or Bruises of the Head 't is frequently mortal The Periodical Vomitings of Hypochondriac Scorbutic and Splenetic Persons are of a good Character If the Matter vomited be a mixture of Choler and Pituita 't is a Friendly Symptom but either of them apart is more noxious The vomiting of Worms Excrements of the Belly Clysters c. is much suspected Before we launch into the method of Cure 't will not be improper to take Notice of the following Cautions 1. That Critical Vomits or those which happen in the beginning of Benign Diseases or those of Women with Child in their first Months ought not to be stopp'd unless they exceed measure 2. That in Scorbutic Cases absorbent mitigating Ingredients are more proper than hot sharp Aromatics 3. That a Vomiting of Blood ought to be curb'd betimes for fear of exhausting the Spirits 4. In case of Worms it ought to be incourag'd and the Body kept soluble 5. That in all Vomitings 't is convenient to keep the belly open by gentle Purges and Clysters But withal the quantity of the Liquor for Clysters must be small lest the Colon being distended it should press or irritate the incumbent bottom of the Stomac 6. By all means let Sleep be promoted 7. All Vomitings occasion'd by assumption of Poyson ought to be encourag'd and continu'd till the Poyson be rooted out For which end fat and tempering Liquors are very Proper for that all Vegetable and Mineral Poysons are endu'd with an excessive Acrimony As touching Animal Poysons indeed the case is alter'd 8. That Inappetency Loathing and such like Infirmities of the Stomac ought to be obviated betimes by Vomits lest delay remove the opportunity The General Indications of Cure are these The Remote Causes must be remov'd the exquisite sense of the Stomac and fierceness of the Spirits abated by Opiats the Stomac gratify'd with agreeable Aromatics and fortify'd by Astringents The first Indication must be satisfied according to the variety of the Causes Gentle Vomits and Purges are convenient if vicious Humors in the Stomach or Poyson are blam'd as the Cause For the second Indication Laudanum Opiatum is an incomparable and universal Remedy Mithridat Venice Treacle and especially Diascordium are entitled to the same Character As for Example Take of Treacle half a Dram Laudanum Opiatum a Grain distill'd Oyl of Mace two Drops with Juice of Quinces make a Bolus The third Indication is answer'd by sweet-scented Aromatic Stomachic Remedies Such as are Quinces Mint Wormwood Baum Zedoary Orange Peel Mastic Camphir Cloves Nutmegs and especially Cinamom their Waters Spirits Essences Extracts and distill'd Oyls The Astringent Ingredients are Quercetanus's Syrup of Coral Syrup of dry Roses Juice of Pomgranats Vinegar with Zedoary infus'd Elixir of Vitriol and especially the Spirit of Vitriol of Steel and Juice of Quinces Seal'd Earth beat into a Pultise with Spirit of Vitriol or of Nitre hardens into a Stone which if powder'd and put into a moist place melts into a Styptic Liquor of admirable use for all Astringent Indications Take of Mint-Water two or three Ounces Cinnamom-Water six Drams Juice of Quinces an Ounce rectify'd Spirit of Vitriol five or six Drops Distill'd Oyl of Cinnamom three Drops mix Take a spoonful now and then adding sometimes one two or three Grains of Laudanum Opiatum or if the Person be very weak a Scruple of the Essence of Ambergrise or in a case of Extremity four or five Grains of Allum Venice Treacle mixt with Vinegar or form'd into a Bolus with Spirit of Vitriol is much approv'd In malignant Feavers Salt of Wormwood with Juice of Limons when the Stomach is stuff'd with thick Humors Spirit of Salt or of Nitre with Treacle and when the Stomach is inflam'd or corroded the Muciâ—age of Fleawort and Quince-seeds with solutive Syrup of Roses are very convenient Externally Let Aromatic and Corroborating Ingredients be boyl'd in Vinegar and the warm Decoction applied with a Spunge to the Stomach or let toasted bread soak'd in Vinegar and cover'd with Aromatic Pouders be applied to the Region of the Stomach Spirit of Wine Camphoris'd is very effectual in Fomentations A Bag may be quilted with Mint Nutmegs Cloves Mace and Cinnamom sprinkl'd with Triacl'd Spirit of Wine and Distill'd Oyl of Mint and applied Some commend the application of a bag of Saffron Liniments are compos'd of Venice Treacle Balsam of Peru or Oyls of Mastic Wormwood Quinces c. Or Take of Express'd Oyl of Nutmegs two Drams Distill'd Oyls of Mint Cloves and Mace of each half a Scruple Distill'd Oyl of Cinnamom five Drops make a Liniment and anoint the Stomach and Breast Plaisters may be made of Tacamahac and Gum Caran with Aromatic Oyls after the Example of Crato's Cataplasms are likewise proper as Take of the sharpest Yest four Ounces Pouder of Mint an Ounce of Zedoary six Drams Nutmegs three in number Mace Cloves and Cinnamom of each two Drams Aniseeds Cuminseeds and Fennelseeds of each three Drams With a little vinegar of Roses make a Cataplasm to be applied to the Stomach When the Irritating Cause is transfer'd from other parts to the Stomach Purging Bleeding and such like Diversions are very proper As Women with Child are sometimes cur'd of vomiting by Blood-letting When we are oblig'd to stop an Artificial vomiting 't is convenient to exhibit Milk boyled with Bread or Bread soak'd in Generous Wine Inject Clysters of Milk with Treacle administer Opiats and apply outwardly as above If the Assumption of an harsh Purge dispose one to vomit there 's nothing better than to chew fresh Citron Peel or smell to toasted Bread dipp'd in vinegar and cover it with Pouder of Cloves CHAP. II. Of a Vomiting of Blood THis Symptom may be caus'd by the suppression of the Piles or Terms in Maids or Women with Child Opening of a Vein or Artery as that of the Vas breve thro the Obstruction of the Spleen which emptys its Blood into the Stomac or any of the Pancreatic Veins occasion'd by the sharpness of its Juice which Veins deposit their Blood into the Duodenum and then it is voided both upwards and downwards Sometimes the healing up of a sordid Ulcer may occasion it by reason partly that the Blood was formerly evacuated in the form of corrupt Matter and partly that the Ferment of the Ulcer may have corroded the Vessels in the Lungs It succeeds frequently to Amputations the Blood being then crouded into Fewer Channels The Signs are these Arterious Blood is fluid and reddish If the vomited matter be of an obscure colour and clotted resembling the Liver it comes from the Veins If it incline to a black colour be voided with a biting pain and tended by an austere taste 't is not Blood but an acid corrupt humor or Atra Bilis If it proceed from the rupture of the Vas breve 't is usher'd in by a beating pain in the left side of the
weak the Urine crude pale and watery and towards the height of the Disease becomes thick and deposits a white Sediment and finally the Person is seiz'd with a slow Feaver scarce perceivable by himself and is oft-times thirsty and costive Thus far the Disease is only denominated a Cachexy But afterwards the whole Body becomes very turgid especially the Feet and Belly the Skin thick and pale and when press'd by one's Finger receives durable Pits which intitle it to the Character of a Leucophlegmacy Whereas an Anasarca requires that these Pits should quickly disappear and that a shining Colour cover the swelling Cachexies are apt to invade Women or those who confine themselves to a sedentary Life and if the Woman be past the season of her Terms they prove very tedious If they succeed to acute or intermitting Feavers or mismanag'd chronical Diseases they are not easily cur'd The Cure consists in attenuating correcting and evacuating the Crudities of the first Passages whetting the Bile vanquishing the vicious acid and strengthning the Stomac For these Ends we ought to be cautious of giving strong Purgatives or forcing the Cure too violently The better way is to proceed by degrees first to prepare the Crudities of the first Passages by digestive Salts such as the Hypochondriac digestive Salt given to half a dram twice a day Tartar vitriolated Sal-Armoniac and the Tincture of Tartar mix'd with absorbent Powders viz. Coral seal'd Earth Bezoardicum martiale and Poterius's Antihectic made of the Regulus of Antimony Tin and Nitre Then to exhibit a Vomit such as the Conserve of Hedge-Hyssop given from a dram to two drams or the Decoction of Hedge-Hyssop in Wine c. Or if a Vomit be improper to order a gentle Purge of the Extract of Esula or Juice of common Orris mix'd with sweet Mercury and Preparations from Gum Ammoniac The first Passages being thus cleans'd we advance to Chalybeats which ought to be continu'd for several Weeks a gentle Laxative being interlac'd every Week and the Patient remembring always to stir and move after taking ' em If the peccant Acid be very rank and the Stomac strong we may give the filings of Steel in Substance or the natural and artificial Waters otherwise chalybear Rhenish Wine impregnated with Aromatic Herbs or rather the Extract of Steel prepar'd with Juice of Apples or that ascrib'd to Mynsichtius or the Tincture of the Vitriol of Steel and Bezoardicum Martiale will answer the Design After the use of Steel is the proper Season for exhibiting the Infusions or Decoctions of the sharp bitter Aromatic Herbs and Spices to which we add some gentle Laxative especially Rhubarb which retrieves the Choler and subdues the Acid The Ingredients of this Nature are Wormwood Agrimony Turmeric lesser Centory Carduus Benedictus Elecampane and Cuckow-pint Roots Rosemary Hyssop Mint Horse-Radishes Cresses Scurvy-grass Cinnamon Galangal Zedoary Cloves Ginger c. The Rob of Juniper and Pulp of Raisins are much approv'd for the same effect and if we add to them Extract of Steel they prove more effectual And after all towards the end of the Cure we order the Patient to take every Morning and Evening some drops of volatil saline Spirits till he become perfectly well such are the Spirit of Sal-Armoniac or Elixyr Proprietatis prepar'd with it the Essence of Wormwood the carminative Spirit de tribus the Nephritic Tincture the Spirit of Harts-horn succinated c. In a perfect Anasarca the same Remedies are convenient To which we may add the Lye made of Wine and the Ashes of Wormwood and Broom sudorific Decoctions of Woods and Juniper Berries and that of Swallow-wort and Elecampane the Seed of St. John's Wort given to a dram in Wine or diuretic Infusions and Decoctions of Asarabecca Briony red Chiches c. mix'd with Emmenagoga in a Suppression of the Terms which frequently follows a Cachexy or Anasarca In scorbutic cases let Earth-Worms be added to the Aromatic Decoctions Externally Burdock Leaves bruis'd and applied to the Joynts and soles of the Feet are very useful The natural sulphureous Baths are of known Efficacy as also the dry Bagnios or in the beginning and declination of the Disease the way of procuring Sweat by kindling Spirit of Wine Some order the cachectic Body to be put into hot Sand. As for the Forms of prescribing they are as follows Take of Tartar vitriolated two scruples salt of Wormwood and prepar'd Crabs Eyes of each a Scruple distill'd Oyl of Turpentin six drops Make a digestive Powder for three Doses to be exhibited before vomiting Take of Quercetanus's Pills of Ammoniac and sweet Mercury of each fifteen grains Extract of Troches Alhandal a grain and a half Make Pills for a gentle Purge 'T is also very proper to add the Extract of Steel to all purging Pills Take of the Filings of Steel one part Cinnamon in Powder two parts Sugar three parts Make a chalybeat Powder Dose a dram Take of the Pulp of Raisins six ounces Extract of Steel prepar'd with Juice of Apples three ounces choice Rhubarb three drams with the Syrup of Apples make an Electuary The solar Liquor of Steel may also be taken from twelve to thirty drops or the solution of Steel in Juice of Apples mix'd with spirit of Scurvy-grass to fifty drops Take of Fumitory Worm-wood and Rosemary of each a handful Elecampane and Fennel roots of each six drams pick'd Senna an ounce black Hellebor roots six drams choice Rhubarb three drams the four greater hot Seeds of each a dram and a half Orange and Citron Peel of each three drams Galangal and Ginger of each a dram salt of Tartar two drams Make a Bag to be infus'd in Wine of which let the Patient take a draught twice or thrice a day after having finish'd the course of Steel Take of the Species Diacurcumae four scruples choice Rhubarb two drams Powder Diarrhodon Abbatis and Diagalangae of each a scruple with Syrup of Worm-wood make Pills Dose a dram Take of Elixyr Proprietatis without the acid an ounce Essence of Wormwood and that of lesser Centory of each two Drams Mix them to be us'd in the Declination of the Disease to fifty drops every Morning in a warm Vehicle and follow'd by fifty drops of Spirit of Sal-Armoniac mix'd with double its quantity of the carminative Spirit de tribus taken after dinner and at bed time ART 2. Of an universal Dropsie A Dropsie is a Collection and Extravasation of Serum causing a Distention Tumor and Softness in the external parts Sometimes a viscous Humor accompanies the Serum and then 't is a spurious sort of Dropsie complicated with an Anasarca A Tympany goes generally by the name of a Dropsie but for so much as it proceeds from Wind we refer it to the Chapter of Wind in the Stomac A Dropsie is call'd universal when it proceeds from the general Infirmity of the Body A particular Dropsie is owing to the infirmity of that Part from which it receives its Denomination
The most common sort of Dropsie is that call'd Ascites which begins at the Feet and in a short time reaches the Belly and Scrotum This Serum whose Extravasation causes a Dropsie for the most part is deposited into the respective Cavities by the Blood circulating in the Arteries 'T is true the Rupture and Obstruction of the lymphatic and milky Vessels may cause a Stagnation or Extravasation but that happens by accident Whereas the standing and direct source of Dropsies is the vicious Crasis of the Blood as being unqualified for digesting and assimilating its Serum and its languid Motion giving the Serum an opportunity of squeezing through the Vessels especially about the Capillary Arteries where the influence of the Heart the primum mobile is but very small and more easily communicable to the thick resisting Blood than to the weak yielding Serum Now that the slow motion of the Blood will occasion a Transmission of the Serum is plainly made out by Dr. Louer 's Experiment of tying a Ligature about the Vena Cava under the Heart and that the vicious Crasis or Crudity of the Blood occasions an imperfect Turgescence and a weak Propulsion from the Heart is too evident to need a proof I grant that there are some melting Dropsies that proceed from the Colliquation of the Humours originally contain'd in the part without the assistance of foreign Serum as in Hectic Feavers and after hot acute Diseases but these are not proper Dropsies as being only Symptoms of a Colliquation According to this Hypothesis we need not be at a loss to scan the Influence of remote Causes 'T is an obvious Conjecture that whatever weakens Digestion accumulats Crudities enfeebles the natural Functions and in a word all Chachectic Disorders are apt to degenerat into Dropsies The suppression of Urine and that of insensible transpiration are either the Causes or inseparable Companions of a Dropsie Nay I doubt much if an universal Ascites can ever take place unless the Kidneys be disorder'd And 't is a notorious observation to this purpose that whoever drinks much and does not piss proportionably may justly make account to encounter a Dropsie e're he dies and that whoever attempts the Cure of a Dropsie without Diuretic Medicines is but lamely equip'd for his Office The drinking of Brandy and Sulphureous Liquors that melt down the Humors sharpen the Lymph and relaxat the Stomac the inconsiderat use of cold Water immediatly after violent Heat the suppression of any wonted Evacuation and excess of any Flux whether of Blood or other Humors the attenuation of the Serum by the use of Mercury the Jaundice and inactivity of the Bile Chronical Agues mismanag'd Asthma's Phthisics and Spitting of Blood and in fine whatever weakens Nature renders the Blood uncapable to assimilat the Chyle or retards its circular Motion and disturbs its due Targescence these I say are the natural Authors of a Dtopsie The tumors of the Mesentery Liver and other Bowels do generally accompany this Disease but oft-times are rather effects than Causes The Symptoms of a Dropsie display themselves after this method The Feet at first begin to swell and receive Pits by the pressing of one's Finger in the Night time the swelling abates but regains new force the succeeding Day By degrees it reaches to the Abdomen and Scrotum and frequently affects the Prepuce and Testicles The Water thus inclos'd in the Belly sometimes possesses one side sometimes both and as the Person turns in his Bed it rolls with a noise and sometimes visibly from one side to the other in the mean while the Breast Neck and upper Parts waste and decay The Face and Hands sometimes swell An itching and oft-times a scab molests the Skin and spots or wheals beset the Legs A slow Feaver pursues him and increases towards the Evening The Pulse is small frequent and a little hard An unquenchable Thirst loss of Appetit straitness of the Breast shortness of Breath especially in the Night time and a dry Cough oft-times usher in a Dropsie Big belly'd Women are oft-times apt to suspect a Dropsie without occasion The signs which serve to undeceive 'em are these In a Dropsie the Face is pale and Livid the Eyes are rob'd of their sparkling Vigor the Water contain'd in the Belly Floats to and again falls as the Woman turns her self and is very weighty The swelling is soft equal and bends downward it do's not impair the Flux of the Terms but diminishes the quantity of Urine and gives it a high Tincture and causes a violent Thirst all which Symptoms are contrary to those of Being with Child The Hydroâ—ic Water is not always of the same Colour as being either Green Yellow or Blackish c. But 't is generally salin and sharp apt to corrode the Bowels and to cause Ulcers on the Legs or to cast a Froth like Lather when mix'd with other Water nay the distention and stiffness of the Membrans inwrapping it seems to argue that it ferments within and provokes them to Contractions As for Prognostics If a Dropsie follow Chronical Diseases or indiscreet Purgation or invade those whose strength is decay'd if it be attended by unspeakable Thirst Coughing Schirrus of the Bowels difficult Respiration scarcity and redness of Urine hardness of the Belly extreme inappetency or a melting Feaver Ulcers or livid Spots in the Legs Black Excrements when the Person do's not use Steel These I say are dismal Circumstances whereas the Reverse of 'em are look'd upon as hopeful Signs Convulsions and Apoplexies succeeding a Dropsie are very fatal The Cure turns upon two indications 1. To remove the stagnating Serum 2. To prevent its further increase by retrieving the due Crasis of the Blood and fortifying the Stomac in order to a regular Chylification The first is answer'd by Evacuations and abstaining from Drink Of evacuating Medicines Purgatives are the first especially the Roots of the Common Flower-de-luce and Elaterium or the Juice of the wild Cucumber The former do's not only evacuat but enjoys also an alterative Vertue and is given to three drams in Infusion or its Juice express'd to half an ounce with a scruple of the Powder of Soldanella Elaterium or its Extract prepar'd with Spirit of Wine Tartaris'd given to fifteen grains is fitly joyn'd with sweet Mercury The Infusion or Decoction of half an ounce of Bryony with Salt of Tartar is of excellent use against Dropsies of the Womb. When the Serum is mix'd with viscous Humors Coloquintida or the extract of Troches Alhandal ought to be added The lunar Pills made of the Crystals of well refin'd Silver prepar'd with Spirit of Nitre or Aquafortis or Mercurius Vitae render'd Laxative by mixing it with sweet Mercury are also noted Purges against Dropsies To which we may add the Rosin of Jalap the Infusion of a handful of the Flowers of Acacia in Whey the Syrup and Conserve of Peach Flowers Gutta Gamba given in Powder to sixteen grains or its Rosin given to twelve
of Spirits From whence ensues the variety of the animal or sensitive Phaenomena's 2. That the Brain and Spirits have a peculiar dependance upon the Moon and upon that account the Diseases of the Head encrease or diminish in proportion to its Age. The Spirits when disorder'd are more sensible of this Influence than in their natural State 'T is true the Sun has some Ascendant over our Bodies but that properly relates to the vegetable and vital Functions the Animal Province being more peculiarly allotted to the Moon 3. That there is an admirable Sympathy betwixt the Brain and the Bowels especially the Stomac An ungrateful Imagination disturbs the Stomac and Vomiting and Giddiness do equally give rise to one another The Disorders of the Stomac and lower Belly have a visible Influence upon the Fancy as in the case of Hysteric or Hypocondriac Fits and the ridiculous Appetites of Women Helmont was very happy in this Observation and the practical Inferences he deduc'd from it but his Theoretic Conjectures are frivolous The reason why the Spirits and the Stomac do so sensibly affect one another seems to be this That the Mouth of the Stomac is the first part of all the Body that receives any sensible Impression in the Womb for so much as all Alterations in the Embryo must be produc'd by the Nourishment convey'd to the Stomac This establishes an early Correspondence betwixt it and the Spirits and lays the lasting Foundation of their future Intimacy 4. That the Spirits are liable to the same material Alterations with the Blood CHAP. I. Of immoderate Watchings WE are said to wake when the Spirits are distributed through the Organs of Sense and extend their Fibres On the contrary Sleep unbends the Fibres and imprisons the Spirits The Privation of which causes Disorders in the Body The immediate Cause of Watchfulness is a continued or violent Incursion of Spirits into the Organs of Sense The remote Cause barring some external Object must either be the Disorder of the animal Spirits or some defect in the Brain The Spirits are oft-times too nimble and moveable as in young People and such as feed high and drink generous Liquors The Heat of Summer or travelling in a hot Climat eating of Venison immoderat Care Study and the Passions of the Mind the accession of foreign heterogeneous Particles from malignant Distempers or drinking Tee and Cossee are the natural Causes of the Mobility and Disorder of the Spirits and consequently of Watchfulness As for the Brain Watchings will insue upon the Openness of its Pores occasion'd by a Dryness or want of Moisture to fill up the Intervals This may happen through Fasting or eating of sharp volatil Meats immoderat Venery Sweating smoaking Tobacco which tho it be an Opiat exhausts the Moisture of the Brain an unseasonable Use of purging Medicines or a Deficiency in the first Digestion which not only affects the Spirits by Consent but robs the Brain of its wonted Recruits in neglecting the regular distribution of the Chyle This Disease is manifest of it self As for Prognostics It infers a Weakness and Feebleness 'T is more sufferable in Youth than in a State of Manhood and among Men than among the Female Sex It portends ill in acute Distempers But in Chronical Diseases may be longer endur'd tho 't is oft-times follow'd by Phrensies Folly or Stupidity The Cure is perform'd by taking off the remote Causes If it be caus'd by the Inflammation and Impetuosity of the Blood a Vein must be open'd If the Blood be sharp and oppress'd with heterogeneous Particles Purgation and Sweating take place If it spring from the Disorder of the animal Spirits they must be reduc'd to Order by the use of pacific Medicines such as Opium or Laudanum opiatum or their Compounds Bartholetus commends the Essence of Opium prepar'd with Spirit of Vitriol or Spirit of Cockle Ens Veneris which consists of Vitriol and Salt Armoniac and likewise the Anodvn Sulphur of Vitriol are proper in this case But in using Opium we ought to observe these Causions Not to exhibit it when the Watchings are owing to the Efforts of Nature endeavouring a Solution of a Disease or when attended with a straitness in the Breast or difficulty of Breathing or when they proceed from the deficiency and want of Spirits as in old Men c. The mildest Opiats are the safest Let them be given in small Quantities and repeated often As Take of the Conserve of wild Poppy Flowers one Dram Venice Treacle or Diascordium half a Dram Laudanum Opiatum one Grain Make a Bolus Or Take of native Cinnabar fifteen Grains Saccharum Saturni eight Grains Laudanum Opiatum one or two Grains with the Extract of Saffron make Pills to be taken in the Evening about an hour before Supper The Seed of Thorn Apple is of excellent use in this case As for the Watchings which arise from the Dryness and Openness of the Brain moist and cooling Medicines are most proper such as Emulsions and other oily temperat Compositions Take of the four greater cold Seeds of each half an Ounce Garden Poppy Seeds two Drams sweet Almonds from two Drams to half an Ounce with a sufficient quantity of the Water of Water Lillies make an Emulsion Add of Cinnamom Water half an Ounce and sweeten it with Syrup of Poppies Or the Emulsion may be accommodated to whatever acute Distemper accompanies the Watchings as in a malignant Fever Take of sweet Almonds and Garden Poppy Seeds of each two Drams of the four greater cold Seeds of each a Dram With Viper Grass Water make an Emulsion sweeten it with pearl'd Sugar and add half an Ounce of Ciâ—namom Water and a Scruple of Bezoar Mineral It pacifies the Spirits and obviats the Malignity of the Distemper The Decoction of Barley with Poppies and Liquorice is much applauded And in general all moist nourishing milky chilous Medicines are very conducive in this caseâ— especially the Seed of Thorn Apple of the Fruit we make Pills thus Take of Thorn Apples six Pound bruise and boil them in twelve Pints of Lettice Water to eight Pints express the Decoction and digest it in the Sun sprinkle it with Spirit of Wine and set it to dry To an Ounce of the Juice thus thicken'd and dry'd add half an Ounce of Saffron and two Scruples of the Oil of Citron Peel Make a Mass for Pills Dose a Grain or two It procures Sleep and stops all Fluxes In the Watchings of old Men or such as proceed from a scarcity of Spirits or a frigid Crudity in the Stomac Opiats are inconvenient Comforting and aromatic Medicines are only proper Some give Opiat Clysters or Suppositories to procure Sleep but 't is a dangerous Method unless the Watchings be accompany'd with a Loosness or Pains in the Guts Besides the internal Use of moistening and quieting Medicines some apply them outwardly to the Forehead Temples Feet and Hands They foment and bathe the extreme Parts with the Decoctions of Anodyn and
and Caraway-seeds of each three Drams Bay-berries and Juniper-berries of each half an Ounce the Rinds of Pomgranats six Drams Roots of black Hellebor of round rooted Cyperus of Radishes and Sow-bread of each one Ounce bitter Almonds two Drams with seven pretty large Onions Infuse them in a sufficient quantity of Wine and draw it off from a Balneum Mariae Use as above Sometimes ye may add a small quantity of Opium If the Pain be occasion'd by Worms they ought to be entic'd to come forth by pouring in sweet Milk or applying a sweet Apple rosted to the Ear. If they refuse to come forth they must be kill'd by bitter Oils and Juices As Take of the express'd Oil of Peach-seeds one Dram Quercetanus's Oil of Coloquintida half a Dram sweet Mercury from six Grains to half a Scruple Mix and pour it in by Drops or apply it with Cotton Or Take of Aloe two Drams Myrrh from a Dram to two Drams Coloquintida half a Dram tops of Wormwood half a handful Boil them in a sufficient quantity of Wine or Water and use the strain'd Liquor as above If an Ointment be more acceptable take of Salt of Lead Earwax and express'd Oil of Filberds of each an equal quantity Mix c. Fumigations by the bitter Herbs and Antimonial Ingredients are proper both for the Ear and Mouth If a Flie creep into the Ear put a little Turpentin into it If a Flea put a little Ball of Dogs-hair If a Leech inject the Solution of common Salt or the warm Blood of any Animal ART VI. Of Headachs SOmetimes the whole Head is seiz'd with an universal Pain at other times only a particular part as the hinder part of the Head in Women which generally slows from the Disorders of the Womb the external Membranes surrounding the Scull in venereal Cases and the internal Membran call'd dura Mater from the Indisposition of the Blood which it receives by an infinit number of capillary Veins If the Headach be not originally caus'd by some Disorder in the Head it oft-times proceeds from those of the Stomac the Spleen the Kidneys the Womb c. by reason of the mutual Commerce establish'd betwixt them and the Head by virtue of their Membrans and Nerves If it proceed immediatly from some defailance in the Head it may be caus'd accidentally by external Wounds use of Mercury immoderat Drinking c. and disappears upon their removal If it become habitual and inveterat it proceeds either from an Inflammation of the Blood in the Vessels of the Brain or the Depravation of the Lympha separated by its Glandules or a collection of some heterogeneous Humor which oft-times settles into a viscid Consistency and creates particular Pains confin'd to narrow Bounds as the breadth of an Egg the head of a Nail c. The only use of Signs in this case is to distinguish the Causes If 't is inconstant and apt to relent or be accompany'd by Disorders in the lower Region of the Body without any visible defect in the Head it is owing to the influence of these other affected Parts If it be habitual or observe set Periods in returning and be influenc'd by the Sun and Moon 't is an essential Headach And if it cause a Sense of beating like to that of an Artery and a burning Heat it proceeds from the Blood If it increase after eating or vanish after Sleep it arises from the Depravation of the Chyle If attended by a Drousiness a sense of Weight and a seeming Distention of the Brain it proceeds from some serous or viscid Matter lodg'd in the Head If follow'd by scorbutic or venereal Symptoms they discover the Cause As for Prognostics If in Feavers it suddenly vanish without any Evacuation 't is an ill Omen If attended by grievous Symptoms as Giddiness Convulsions Vomiting c. 't is not easily cur'd If a drouzy Headach seize a Child-bearing Woman it is dangerous If accompany'd by a Coldness of the external Parts it betokens an inward Inflammation 'T is more suspected in acute than in chronical Diseases In order to a regular Cure 't is needful to observe the following Cautions 1. If it arise by consent with other Parts it yields to Vomiting Purging and the Restoration of the disorder'd Part. But if it be essential and inveterat frequent Evacuations are not so proper as corroborating cephalic Medicines 2. Opiats are not very proper in essential Headaches At least they must be given in sinall Doses and if externally us'd must not be applied to the Sutures but to the Temples and Forehead 3. 'T is always conducive excepting the case of a malignant Feaver to keep the Belly open 4. The scorbutic Pains of the Head are the most obstinat The Decoctions of sudorific Woods volatil Salts and Spirits Milk Opiats blistering Plaisters and external Anodyn Applications are proper in such cases 5. In all Headachs the Decoctions of the sudorific Woods ought to succeed to the general Evacuations 6. Chirurgical Operations are of great use If it proceed from the Blood open a Vein in the Arm or the Vein of the Forehead or the Vein betwixt the Thumb and first Finger or apply Leeches to the Temples or open the Artery that runs along the temporal Muscle towards the Forehead which gives present Relief and is a very innocent Operation if cautiously perform'd If it arise from a Depravation of the Serum apply blistering Plaisters behind the Ears or over the whole Head or cut Issues in the Arm Neck or Head it self Trepanations are sometimes but very seldom convenient Cupping Glasses are not amiss But the universal Evacuations ought to precede all chirurgical Attempts 7. If the Headach arises by Consent Vomits are proper But if it be essential Purges are more convenient As Take of the Pills of Mastic a Scruple extract of black Hellebor extract of Castor of each five Grains Troches Alhandal two Grains with a sufficient quantity of Elixir Proprietatis make Pills They are likewise proper against the Disorders of the Stomac and lower Belly which oft-times cause a Head-ach Take of Crollius his Extractum Panchymagogum or extract of black Hellebor fifteen Grains Extract of Vervain seven Grains sweet Mercury from half a Scruple to fifteen Grains Laudanum Opiatum two Drams Scammony Sulphurated two or three Grains with a sufficient quantity of the Essence of Saffron make Pills Or Take of Extract of Agaric half a Scruple Extract of black Hellebor six Grains Aloe prepar'd with Juice of Roses Rosin of Scammony of each three Grains distill'd Oil of Rosemary Flowers or of Origanum one drop Mix and make Pills In a pituitous Headach Take of the Pills Aloephanginae with Diagrydium one Scruple Rosin of Jalap six Grains with Essence of Amber make Pills Or Take of the Conserve of Rosemary Flowers one Dram Cream of Tartar half a Scruple Golden Sulphur of Antimony five Grains Rosin of Jalap four Grains Make a Bolus 8. Rosemary always ought to be added
in the following Mixture Take of Chervil-water three Ounces Sage-water an Ounce and a half Cinnamon-water six Drams Spirit of Lilly Convally and of Sage of each three Drams mix for the use above-mentioned Or Take of Chervil-water three Ounces Spirit of Hartshorn with Amber a Dram mix Amber may be given inwardly and its Oil applied to the Crown of the Head Rock Oil may supply the want of Oil of Boxwood As Take of Conserve of Mint an Ounce Conserve of Rosemary Flowers half an Ounce white Rock Oil a Dram with Syrup of Mint make an Electuary If you please you may add fifteen Grains of Salt of Amber I have cur'd some with a Vomit and this Electuary alone In the last Extremity we have recourse to Laudanum Opiatum mix'd with Amber or volatil Medicines which oft-times proves more effectual than any other thing As Take of Sage-water an Ounce and a half Mint-water an Ounce Spirit of Lilly Convally three Drams Spirit of Sal Armoniac a Dram and a half Laudanum Opiatum two or three Grains Syrup of Orange Flowers three Drams Mix. Or Take of Black-cherry Water Mint-water and Lilly Convally Water prepar'd with Wine of each an Ounce Spirit of black Cherries three Drams Essence of Castor a Dram and a half Volatil Salt of Hartshorn a Scruple Volatil Salt of Amber half a Scruple Syrup of Clove Gilly-flowers half an Ounce Mix and give a spoonful or two in the Fit If the Disease be caus'd by the Disorders of the Womb Take of Swallow-water an Ounce and a half Baum-water prepar'd with Wine an Ounce Spirit of Lilly Convally Spirit of black Cherries of each a Dram Spirit of Sal Armoniac half a Dram Volatil Salt of Amber fifteen Grains Laudanum Opiatum two or three Grains Syrup of Orange Peel half an Ounce Mix and use as above Essence of Castor Spirit of Sal Armoniac distill'd Oil of Amber and in a word whatever is used in Epileptic Fits may be applied to the Head Temples Nostrils Breast c. CHAP. II. Of the irregular Incursions of the Spirits into the external Parts THE Instruments of all Motion are the Fibres whether gathered into a Muscie or dispers'd in a Membran The Muscles for the most part receive Spirits from the Cerebrum and their regular Motions depend upon the Will The other Fibres are supplied with Spirits from the Cerebellum and perform involuntary Motions If either the musculary or membranous Fibres are preternaturally mov'd the former without the direction of the Will or the latter with Violence and Pain we call them Convulsive Motions If the Part be contracted and remain immovable in the same posture 't is call'd Convulsio tonica and divided into several sorts If the Head be drawn forwards towards the Breast 't is call'd Emprosthotonos Vid. Hipoc Sect. 4. Aph. 35. If backwards Opisthotonos If it be stiff and immovable to either side Tetanos The Convulsions of the Yard in a Priapismus of the Jaws in a Dog Cramp of the Knees Arms c. are all included under this general If the Contraction of the Part cease and return alternatly 't is call'd a Concussion or Convulsio Clonica ART I. Of alternat Convulsions and the Epilepsy or Falling-Sickness THE Epilepsy is an alternat Concussion of several Members of the Body attended for the most part by a Cessation of Sense It admits of three degrees The first is not different from the third degree of a Vertigo of which above The second is when the whole Body is toss'd with convulsive Motions and the Senses both internal and external either remain in their wonted State or become delirious The Person is taken with Laughter Crying Screeking Singing beats his Breast talks ridiculously skips up and down the room and performs a great many antic Actions And when the Fit is over is perfectly ignorant of all that pass'd Melancholy Persons are obnoxious to it and for them the Spirit of Hartshorn prepar'd with Amber is a proper Cure This kind of Epilepsies is very unfrequent But the third sort is very common that is when the Body is thrown upon the Ground all Reason and Sense abolished the Thumbs shut close within the Hands the Feet tremble the Arms toss'd about the Teeth gnash against one another and bite the Tongue and Lips Froth is cast forth at the Mouth and the whole Body is successively lifted up and depressed And when these Symptoms remit the Person slumbers and groans and when he comes to himself complains of a Heaviness of the Head and a Weariness of the Joints but remembers nothing that pass'd The Part immediatly affected is the Fibres If the external musculary Fibres are only affected 't is call'd an external Convulsion If the Internal are seiz'd 't is call'd Internal As in Nephritic Colic Hypochondriac and Hysteric Fits and the Pains of Women after Delivery These Convulsions of the internal Membrans are apt to cause Convulsions in the external Muscles by communicating their Disorder to the Brain and so produce an universal Epilepsy The immediat Cause is the rapid unequal and disorderly Motion of the Spirits for the Spirits are equally the Cause both of natural and preternatural Motions If the Sickness be inveterat or hereditary perhaps the Animal Spirits are degenerat from their natural Constitution and become more elastic and moveable The remote Causes are the Irritation of any sensible part as the puncture of a Nerve the Collection of heterogeneous Particles in the Brain or their mixture with the Spirits as in Wounds of the Head malignant Feavers and the Cessation of any wonted Evacuation of Blood Sometimes the vicious Recrements of the Blood are convey'd to the Brain with the Lympha and infect the Spirits or mix with them and sometimes are lodg'd in other parts These noxious Particles are nitrosulphureous and in some measure Elastic according to Willis and the nature of the Remedies used against them sufficiently proves them to be acid Upon which account 't is that Scorbutic Hypochondriac and Hysteric Persons are most liable to Convulsions for the peccant Acid infinuats it self into the fibrous and tendinous Parts of the Muscles and renders them stiff and unwieldy And besides supposing it did not lodg in the Muscle it affects the Nerves where-ever 't is and depraves the chylous Juice of the Glandules especially those of the Mesentery where it often lurks This Acid is for the most part bred in the Stomac or first ways and frequently produces Convulsions in gouty and arthritic Constitutions If the Brain or what it contains be immediatly affected without the intervening of any other part 't is call'd an essential Convulsion But if another part be first affected 't is Sympathical as when Convulsions are caus'd by Worms by the Disorders of the lower Belly Ulcers or Aches of external Parts by the suppression of the Terms or Piles neglect of Venery causing a Corruption of the seminal Liquor in Women the Indisposition of the Stomac the Disorders of the Kidneys Bladder and
and outlives the latter Date This Flux is call'd the Terms or Courses and returns duly once a Month in some a few days sooner and in others so much later only Child-bearing Women and sometimes such as give suck are not liable to it It is caus'd by an extraordinary Fermentation and Rarefaction of the Mass of Blood occasion'd by a peculiar fermentative Power of the Glands of the Womb whence being incapable to be contain'd within its ordinary bounds it breaks forth at the Arteries of the Vagina till by lessening the quantity the Fermentation ceases in the space of three or four days till the next period This monthly Purgation is disorder'd in the way of desiciency increase or depravation CHAP. I. Of the Deficiency of the Terms THis is commonly but improperly call'd a Suppression of the Terms and is occasion'd either by a Default of the Blood or of the Womb and Vessels through which it flows The Default of the Blood is its grosness toughness and fix'd acidity proceeding from the Disorder of the Stomac whereby it becomes unfit for a due fermentative Expansion Sometimes the Vessels of the Vagina are obstructed by a viscid Phlegm and sometimes the sides of the Vagina being exulcerated or otherwise hurt grow together in which cases the wonted Flux is deficient The remoter Causes are Cold whereby the Blood is coagulated Food of difficult Digestion use of Acids and finally such Affections of the Mind as naturally cool and thicken the Blood such as sudden Frights Sadness Grief and the like If this Disease is from the Blood the stretching Pains of the Loins beating of the Arteries of the Loins and of these about the Os sacrum the ordinary Forerunners of this Flux are not found the Urine is crude the Belly Costive hypochondiac Symptoms prevail and in time no stated periodical Alteration of Body is to be perceiv'd But if from the Womb and its obstructed Vessels the Symptoms absent in the former case are present here and that in a higher degree with weariness of the Joints pricking Pains of the Loins Blood issuing from other parts of the Body and that at such times as the Courses used to flow But the greatest Difficulty is to distinguish this preternatural State from the natural Suppression of the Terms by impregnation which are accompanied with almost the same Symptoms However we may conclude that the Suppression is preternatural if the Patient grows still worse and worse with an universal Paleness covering the whole Body and decay of Appetite continuing beyond the third Month if there are continu'd Pains of the head unusual beatings of the Arteries especially in the Loins frequent Vicissitudes of heat and cold all over the Body difficulty of breathing especially on every slight Motion of the Body a frequent unequal obscure Pulse and finally if the Urine is either thinner Paler or higher colour'd than ordinary If this Suppression happens in the very time of the Flux the Cure is easy if timely and speedy but if the Suppression be of an earlier date it is more slowly and difficultly cured and oftentimes brings on divers other Diseases such as Cachexies Dropsies various Ulcers of the Parts Asthmas Disorders of the Stomac Melancoly c. and at length Death it self Black Urine in this Disease is a good sign In the cure of this Distemper we must endeavour 1. To rectify the Chylification of the Ventricle by Vomits and aromatic volatil Medicines 2. To amend the Crudity of the Blood by Chaly beat Medicines and volatil oily Aromatics 3. To remove that viscidity of the Humours which obstructs the Vessels of the Womb with Gums and in particular Gum Ammoniac as also Mercurials and chiefly Mercurius Dulcis and above all such Specifics as are known to excite the monthly Fermentation of the Blood But to be more particular 1. Specifics are never to be given when the Distemper is confirm'd before the Universal Evacuations 2. Before we provoke the Courses we ought to consider whether it be expedient for in such as are emaciated newly recovered from sickness or who have never had them it is not to be attempted 3. At such time only the Terms are to be mov'd as otherwise naturally they would have flowed of their own accord 4. Of universal Remedies the chief are such as evacuate whether upward or downward and next opening a Vein Vomits whether prepar'd from Antimony or Asarabecca given in the beginning of the Cure yea sometimes repeated are of excellent Virtue but Digestives must be premis'd As Take of Mynsicht's Arcanum Duplicatum half a Dram Chachectic Crocus of Steel two Scruples with half a Scruple of Salt of Tartar Mix 'em and make a Pouder to be divided into two equal parts In the next place strong Purgatives may be given such as Coloquintida and black Hellebor of which together with Alteratives divers Compositions may be made up As Take Gum Ammoniac dissolv'd in Vinegar and thicken'd Extract of back Hellebor of each fifteen Grains of Castor and Extract of Saffron of each three Grains Troches Alhandal two or three Grains Make Pills with Oil of Turpentine or Amber Or Take of the Mass of Pills of Hiera with Agaric and Mercurius dulcis rightly prepar'd of each fifteen Grains of the Extract of Troches Alhandal two or three Grains and make Pills with Essence of Castor Of these and such like let the Patient take a Dose every four or five days and in the Intervals let Bags of Alterative Aromatics be infus'd in Wine As Take Roots of Angelica and Lovage or Spignel of each an Ounce of Galangal half an Ounce Leaves of Rosemary Fever-few Savin of each a handful Bay-berries or fresh Juniper-berries an Ounce and a half Cinnamom three Drams Mace a Dram Saffron as much Salt of Tartar three Drams cut bruise and tie them in a Bag to be infus'd in Wine of which take a draught in the Morning fasting and two hours before Supper Or Take Leaves of Mugwort Pennyroyal and Rosemary of each a handful Roots of Angelica six Drams Cinnamon two Drams Saffron a Dram Cut bruise and tye them in a Bag to be infus'd in two Measures of Rhenish Wine wherein red hot Steel has been several times quench'd 5. The Body being thus prepared Bleeding will be very expedient unless the Patient have never yet had her Courses in which Case Bathings will suffice If the Terms do already flow but sparingly you may open the Saphaena in the Leg as also if there is reason to fear they will not come at their wonted time but if the Flux is at hand and you desire to facilitate it then you may open a Vein in the Arm. These Universals being premis'd we must proceed to correct the complexion of the Blood to which purpose Steel and Chalybeat Medicines are of great force such as all cachectic Pouders Earths Infusions and Extracts prepar'd from Steel yea crude Filings of Steel if the Stomach be strong Or Take Filings of Steel two Ounces with one
half Carminative-water an Ounce Water of Pennyroyal half an Ounce Spcrima Ceti a Dram Crabs-eyes prepar'd a Scruple Diaphoretic Antimony half a Scruple volatil Salt of Amber eight Grains Syrup of Cinnamom six Drams Mix them If the Symptoms are grievous we must have recourse to Laudanum Opiatum but always remember to mix it with such Ingredients as provoke the Courses If the Courses are at hand or begin to flow a Vein may be open'd in the foot if they are not look'd for till after some days Blood may be taken from the Arm. Externally such things as are prescrib'd in the convulsive Cholic and hysteric Passion may be us'd Also this Fomentation Take of Bay-leaves Wormwood of each two handfuls Pennyroyal a handful Flowers of Roman Chamomil and Flder of each half a handful Roots of Angelica and Lovage of each two Ounces Bay-berries an Ounce Juniper-berries half an Ounce the four greater cold Seeds of each two Drams cut bruise and boil them with a sufficient quantity of Wine in a close stopp'd Vessel ART II. Of the lesser quantity of the monthly Flux SOmetimes the viscous toughness of the Blood proceeding from a default in Chylification is such that the Terms flow too sparingly upon which insues a Palpitation of the Heart difficulty of Breathing and a beating Pain about the Loins In curing this we must strive to provoke the Courses by all such specific Remedies as were order'd for the cure of their Suppression such as half a Dram of Venetian Borace with some drops of Essence of Saffron given in Pennyroyal or Cinamon-water also the Decoction of Savine its Extract and Oil Myrrh Castor volatil Salt of Amber and such like Blood may be drawn forth from the Foot Cupping-glasses with Scarification may be applied to the Legs or Thighs Fomentations of emollient Ingredients mix'd with such as provoke the Terms may be used if need be ART III. Of the Flux of the Terms by drops IF there 's an Acrimony in the Blood with toughness and thickness or if the Passages and Vessels be narrow there follows a dropping Flux of the Terms which is either continual or lasts every Period much longer than it ought ending sometimes in an exulceration of the Womb. If the Blood is gross and thick 't is a stubborn Evil. This is cured in like manner as the immoderat Flux Steel and Chalybeat Medicines are the top Medicines for compassing the Cure also loosning and alterative Bags with hysteric Ingredients may be used with good success If the Vagina is excoriated vulnerary Injections will be convenient ART IV. Of several other defaults of the Courses SOmetimes the Courses have not their due Colour but are either watry-colour'd whitish livid yellowish black or ting'd with divers ugly Colours all which proceed from the ill Disposition of the Blood and Chyle to cure which after a Vomit let Chalybeat Remedies Aloe Myrrh and Saffron or compound Tincture of Tartar be given If the smell of the Menstrual Blood offend by reason of the Putrefaction begun in the Womb-Vessels occasion'd by its sluggish Motion there We must endeavour to restore its usual swiftness Myrrh Saffron Elixir Proprietatis compound Tincture of Tartar Essence of Myrrh Amber and its Essence Balsam of Sulphur with Turpentine Preparations of Aloe with Mercurius dulcis do notably answer this Design If the Courses come sooner or later than ordinary or observe no certain period the default is in the Crasis of the Blood perverted and the Genitals notably infeebled This Distemper is ever a Forerunner of a Cachexy and ends either in a total suppression or a Dropsy Steel and Coral and the noble Medicines prepar'd from them accomplish the Cure But we must continue for some time in the use of them joining such things as either promote or retard the Flux as occasion shall require Of Steel we have its Crocus's and Essences artificial Spaws artificial Vitriol of Mars Poterius's Pills c. From Coral we have its Sublimation with Sal Armoniac and its Precipitat and Tincture To all which we may aâ—d sometimes stimulating Aromatics as Cinnamom Myrrh Saffron c. sometimes retarding Opiats and sometimes Purifyers of the Blood such as Fumitory Germander Monks Rhubarb lesser Centory black Hellebor and such like If the hypogastric Vessels terminating in the outer Neck of the Womb be naturally mishapen or misplac'd or deprav'd by any supervening Obstruction and accordingly deny egress to the fermenting boiling Blood it forces its Passage through other parts of the Body such as the Eyes Mouth Nose Breast Navel c. and that either with or without order of time In curing this Dilsorder regard being had to the sound or cachectic Disposition of Body we must endeavour not to suppress the Flux but bring it to the natural place Internals are of little use in the Paroxysm but out of it volatil Aromatics may be us'd to open the obstructed Vessels When the Flux is at hand the Saphaena may be opened also Cupping-glassies may be apply'd to the Groin to the Calfs of the Legs and insides of the Thighs sometimes with and sometimes without Scarification in order to turn the force of the Blood to the lower Parts bathing of the Feet is also useful To open the Vessels of the Womb external Fomentations may be apply'd to it Fumigations of Coloquintida Pessaries with Hellebor Aloe and such like may be us'd sharp Clysters are likewise not to be omitted Or the Decoction of Pennyroyal Camomil Savine with Coloquintida may be injected into the Womb. And thus much shall suffice for the Disorders of the Terms CHAP. II. Of the white Flux in Women THIS Disease being ally'd to the former shall have place in this Chapter The external Neck or Vagina of the Womb is a glandulous Membran whose confus'd Glandules every where open into its Cavity especially two glandulous Prominences encompassing the Urinary Passage which in time of Coition emit a whitish Liquor somewhat thick and glutinous If the matter of this genital Liquor is too copious spirituous or sharp or if the foresaid Orifices are somewhat loose and flaccid there ensues a Flux of that seminal Liquor that disappears and returns by intervals This Flux is sometimes inoffensive to the Patient as being but little and seldom but if it continue long it must be cured by diminishing or tempering the seminal Liquor or by straitning the over-loose parts Two or three Ounces of the Juice of Citrons or Lemmons may be taken every Morning for a long time to moderat the heat and acrimony of the matter also Turpentine taken in an Egg or with the Yelk of an Egg mix'd with Willow-flower-water but especially the Decoction and Extract of the Flowers of the white flower'd dead Nettle or the Infusion of Clary in Ale Externally we use astringent Baths and Fomentations But if through default of the Blood and Chyle the Liquor separated and collected by these Glandules becomes too sharp and either simply Salt or tinctur'd with acidity and
if withal the Texture of this glandulous Membran is by frequent runnings rendred loose and flaccid in this Case I say there follows a continual and much more copious Flux of a serous Liquor of various Colours as yellow black or green and sometimes of a noisom smell This Flux is accompany'd with Cachexies loss of Appetite swelling of the Feet Belchings Weakness dulness of the venereal Appetite c. and ofttimes occasions Barrenness If it is of long continuance the Cure is hard especially in old Women if the matter is sharp it causes Itchings Burning Exulcerations of the Genitals Gangreens and at length Death In curing this Distemper we must first retrieve the Chylification of the Stomach by vomiting and stomachical Medicines 2. Correct the cachectic Crudity of the Blood partly by Steel and partly by volatil Salts and Aromatics 3. In particular we must resist the Disease with Specifics And 4. Repair the injury done to the solid parts with astringent and nervous Remedies Two Scruples of the Pouder of Asarum-root given after the use of Digestives is the choicest Vomit Purgatives are of no use but Sudorifics as Guaiacum Sassafras Juniper-wood c. and Diuretics as Turpentin c. may fitly supply their room Take Turpentin wash'd in Rose-water half an Ounce Pouders of red Coral and Bole Armenic of each half a Dram. Mix and take it twice a week fasting 't is an excellent Diuretic Rosemary is of noted efficacy to which some add leaves of Mint and Baum also the Roots of Galangal Cyperus Avens Marjoram Clove Gilly-flowers and their distill'd Oils also vulnerary Herbs as Ladies Mantle Agrimony c. Of Steel Medicines the chief are Liquor Martis Solaris Tincture of Steel with Tartar its Solution in Juice of Quinces c. Internal Specifics for this Flux are such as allay the saltish Acid dry up watry Humours and leave some astriction behind such are Misletoe of the Oak in Substance and Decoction the Decoction of the Pine-nut with the Wood of this Misletoe is an admirable Remedy drop Fern Tormentil Solomon's Seal Angelica and the like Garden and wild Clary us'd any way for internal or external Use dead Nettle with the white Flower its Water Conserve or Decoction Walnut-shells white flower'd Millfoil Fern-root Melilot with the white Flower Plantane Horse-tail white Daisy Woods of Mastic Guaiacum and Sassafras Chalybeat Milk mix'd with Bole Armenic shells of hatch'd Eggs either crude or calcin'd given to half a Dram the Bone of the Cuttle-fish Jaw-bone of a Pike River-Crabs Capons head powder'd burnt Cork given to a Dram Amber and its Preparations prepar'd Crystal Pumice-stone crude or calcin'd Diaphoretic Antimony feathered Allum Osteocolla the Pizzle of a Hart or Whale Of these Ingredients various Receipts may be prescrib'd As Take Ostoocolla prepar'd half an Ounce prepar'd Crystal and Jaw of a Pike of each a Dram with the Conserve of Rosemary-flowers make an Electuary to be taken twice or thrice a day Take Walnut-shells two Drams Aniseed a Dram. Mix and make a Pouder for four or five Doses Among external Remedies the Ointment of Clary is famous viz. Take Clary and beat it up with Butter let it stand sometime to putrify then boil and strain it with this anoint from the Navel to the Groin using it also by way of a Pessary Natural Baths are useful as also artificial ones made with Quick-lime Allum Sage Clary Mugwort Feverfew c. or Injections of the Ashes of Walnut-kernels with Wine Some use Fumigations with Mastic Frankincense Nutmeg Amber c. Or convey the Smoak of Sage by a Pipe Issues in the Thighs Legs and Shoulders are of use to divert the Humours SECT II. Of the Disorders of Women relating to the venereal Appetite CHAP. I. Of the loss of Virginity IN the outer Neck of the Womb behind the Urinary Passage there is a transverse Membrane plac'd which if the Lips of the Privity be drawn aside resembles a Crescent with a hole in the upper side but when the Lips fall together it has the appearance of three small fleshy Prominences like Myrtle-berries In the Integrity of this Membrane together with the straitness of the Vagina does Virgin-Innocence consist and Virginity is said to be lost when by the admission of the human Yard the former is violently broken or loosened and distended and the latter widened tho yet in the mean while it may be violated by other means Tho Virginity once lost can never be properly restor'd yet an artificial one aping the true may be obtain'd by straitning the Genitals and retrieving their natural Tone which is effected by Baths and Fomentations prepar'd of Astringents such as the Root of the greater Comfrey Plantane Ladies Mantle Rob of Acacia c. to which Allum must still be added As Take of Oak and Plantane-leaves of each a handful Root of the greater Comfrey three Ounces Galls an Ounce Allum half an Ounce boil them in water This Decoction may be injected by a Syringe or apply'd externally with a Spunge Moreover if we frequently foment the great soft and flagging Breasts of Women that have conceiv'd with the distill'd water of green Pine and wash them with the same at night letting them dry of themselves they will become little round and hard Ladies Mantle Feaverfew and Clary are also of use for this purpose That which provokes Virgins to forfeit their Title to the Angelical Character is Lust which they begin to entertain about the age of fourteen when the menstrual Flux commences CHAP. II. Of the Depravation of the venereal Appetite THE venereal Appetite or Lust is nothing else but a tender sense and tickling of the extended Clitoris caus'd by the influence of seminal matter abounding in the two glandâ—ous Prominences and other Glandules of the Vagina This according to nature ought to be moderat however it is sometimes deficient and sometimes it exceeds The languishing of the venereal Appetite is frequently occasion'd by the paucity of Genital Liquor and its want of Spirits proceeding sometimes from another Disease as the Scurvy Whites c. But if this Appetite is altogether wanting I am of opinion it is a default in the Structure or Conformation of the parts and admits of no cure As to the former it is an Evil of little danger save that it is ordinarily accompanied with barrenness The want of Genital Liquor may be supplied by the use of juicy Food and volatil Aromatics such as Musk Civet and Amber But if it is only the effect of other Causes 't is cur'd by their removal Externally foment with the Infusion of Ants together with their Nest and anoint the Groin and Privities with the Oil of Ants or with Aromatic Oils or Apoplectic Balsam mix'd with Civet and Musk. If the seminal humor contain'd in the glandulous Substance of the Vagina either by too long retention or otherwise become sharp saltish or somewhat acid it excites sometimes in the places through which it passes such an itching as disturbs Sleep
in the Vessels of the Womb where it waits for Passage and acquires a certain corrosive Acrimony or aluminous Tincture Now from these Causes spring innumerable Mischiefs such as Pleurisies Quinsies Inflammations of the Womb Epilepsies unusual Longings Melancoly Tumours and hard Swellings of the Womb and Spleen stubborn Headaches Palpitations and Beatings as well of the Heart as in the Back and Loins and under the Short-ribs till at length the digestive Ferment of the Stomach the Bile and pancreatic Juice being spoiled evil Dispositions of Body Jaundice Dropsies and Consumptions and finally Death creep in Now to obviat these Evils we must jointly carry on two Designs 1. We must correct the vitious Crasis of the Blood and other Juices particularly its austere Acidity And 2. Revive the monthly Fermentation of the Blood that the Terms may flow as they ought These in general we may compass by Steel and aromatic volatil Medicines But we must first of all give a Vomit and repeat it if occasion require for this end we use Preparations of Antimony which are best Asarum Hellebor c. as for example two Drams of Oxymel Helleboratum Gesneri for a Dose It is likewise convenient to purge with Quercetanus's Pills of Tartar and Gum Ammoniac or those of Hiera with Agaric or by adding to alterative Bags the Roots of Bryony black Hellebor and Colocynth As for Calybeats we may use Zwelfer's Tincture of Vitriol of Mars Tincture of Steel prepar'd with Spirit of Sal Armoniac and Spirit of Wine Aperitive Crocus's of Mars prepar'd with fix'd Salts and such like also Wine or Decoctions of Rosemary impregnated with Steel Quercetâ—â—us's Cachectic Pouder c. To these we join Aromatics and aperient Ingredients especially Sassafras Galangal the greater hot Seeds Juniper and Bay-berries also the volatil Spirit of Tartar and Elixir Proprietatis prepar'd without an Acid. The Specifics must be calculated according to the variety of Symptoms An Epilepsy and convulsive Motions require Remedies from Cinnabar Castor and Amber The Headach calls for the volatil Salts and Antiscorbutics as volatil Salt of Amber both internally and externally For Palpitations of the Heart we choose Remedies from Coral chiefly its Tincture or the Pouder of Zedoary mix'd with prepar'd red Coral If a stopping of the Terms is followed by a melancoly Delirium let Antimonial Emetics be repeated and the Spirit and Pouder of a human Secundine added to the incident Prescriptions CHAP. III. Of the Hysteric Passion THO this Disease is accounted peculiar to Women and to proceed from the Womb yet it is found by experience to be common also to Men and to be of the same Nature with their hypocondriac and scorbutical Distempers Its Symptoms are as follows The Paroxysm is usher'd in with noise and murmurings in the Belly and sometimes the apprehension as it were of a Ball violently mov'd and toss'd hither and thither and rising up gradually It is always attended by a stretching or tearing Pain under the short Ribs a plentiful breaking of Wind upwards or downwards frequent Yaunings and Stretchings various and violent Pains in the Belly either fix'd or floating prostration of Appetite and Costiveness a Vomiting sometimes of a greenish or yellowish matter of an acid or strange Taste Palpitation of the Heart with a small weak and sometimes intermitting Pulse Swooning difficulty of Breathing and danger of Suffocation giddiness of the Head dimness of the Eyes sometimes frequent Laughter various kinds of Deliriums Convulsions strange Motions of the Joints and whole Body sometimes a total Cessation of all the Senses internal and external for the most part the beginning and increase of the Fit is accompanied with coldness succeeded in the declension with heat ending in a large Sweat This Disease proceeds from a vitious Effervescence in the Guts of a preternatural Acid bred in the Stomach Pancreaâ— or other Glandules with the bilious Juice whence the mesenteric Nerves being irritated give rise to the various Symptoms of the Abdomen And the vitious Acid being carried into the Blood occasions also its Coagulation and Stagnation To which we may join a disorderly and disturb'd Motion of the animal Spirits especially in the intercostal Nerve and those of the Par vagum which spread the Disorder all over the Body The Paroxysms of this Disease are reviv'd sometimes by violent Passions of the Mind as Anger a Fright Grief sometimes by strong Smells whether from sweet smelling things as Musk Civet Amber Roses c. as it frequently happens or from fetid things according to the peculiar temperament of the Patient To which we may add as a confirming Circumstance the use of sweet things which easily turn acid When the hysteric Woman lies destitute of Sense and Motion you may know if there is life by using a Looking-glass or Feathers or blowing Snush up the Nose This Disease is seldom mortal in Maids but disappears for the most part in time of Child-bearing or if it seize Women with Child 't is dangerous in old Women 't is seldom cured In delivering the Cure of this Disease we shall order what is to be done in the Fit and what out of it The Violence and Fury of Hysteric Paroxysms suffer us not to stand idle Spectators but require a speedy help both with external and internal Remedies As for Externals first we must apply to the Nostrils such things as yield a strong and stinking Smell regarding still the temperament of the Patient Above all I esteem volatil penetrating Salts as Spirit of Sal Armoniac Spirit of Hartshorn or any other urinous volatil Spirit In great Swoonings Castor infus'd in strong Wine and the Smoak of things burnt may be useful as that of Amber Nutmegs Feathers and Quills of Birds chiefly of Partridges Hairs and Horns of Beasts Lignum Aloes c. In the mean while to allay the Contraction of the Intestines apply to the Region of the Navel and Pit of the Stomac aromatic Oils such as that of Rue Anise Laurel Castor Amber fetid Oil of Tartar Guajacum Spike c. or an Ointment made of Clary boil'd in Butter or Camphyr dissolv'd in Oil of Sweet Almonds Or Take distill'd Oils of Amber Spike of each half a Dram of Cumin half a Scruple of Mace nine Drops Mix and anoint the Back-bone Region of the Navel and Pit of the Stomac Some apply beaten Garlic After anointing it will be fit to apply a Plaister of Galbanum to which some add Tacamahac Castor Pitch c. A girdle strongly ty'd about the short Ribs is helpful as also sweet-smelling things apply'd to the Genitals as a Pessary anointed with Peruvian Balsam or Oil of Nutmeg wherein some Civet is dissolv'd c. It will likewise be proper to inject Clysters of Carminative Aromatic and penetrating Ingredients to which volatil Salts sometimes may be added As Take Chamomil with the Flowers Leaves of Sage and Fever-few of each a handful Roots of Angelica and Lovage of each six Drams the four lesser hot Seeds
Salt of Tartar of each a Dram boil them in a sufficient quantity of common Water to nine Ounces of the strain'd Decoction add Electuary of Bay-berries an Ounce distill'd Oil of Amber volatil Salt of Hartshorn or Urine of each a Scruple the Yelk of one Egg Mix them and make a Clyster To such Decoctions you may also add Electuary of Hiera Picra Castor distill'd Oils of Cumin Caraways Amber Juniper-berries Turpentine c. Or instead of distill'd Oils volatil Salts from a Scruple to half a Dram as that of Urine Hartshorn Amber c. Clysters of the Smoak of Tobacco are also approv'd If the Patient is plethorick a Vein may be opened but with due caution Internally in the time of the Fit volatil and oily Salts are to be us'd and in particular such as readily cause sweat to which Opiats may be added Bitter things therefore are in common use such as Set-wall Southernwood Wormwood Lovage Angelica Gentian-root Mint Galangal Penny-royal Fever-few Clary its Decoction and Spirit Roman and common Chamomil Orange Peel wild Carrot-seed Juniper-berries Garlic taken in Wine its Electuary Saffron Rosemary Myrrh Elder and dwarf Elder-berries c. all which by virtue of an oily volatil Salt destroy the vitious Acid. To these we may add Castor Assa foetida the volatil Salts themselves as Spirit of Sal Armoniac Hartshorn volatil Salt of Amber given from five Grains to twelve in Swallow-water with Castor distill'd Oil of Amber volatil Salt of Soot the Tincture of Tartar Tincture of the Dross of the Regulus of Antimony Tincture of Castor prepar'd with Spirit of Wine or otherwise all the several Preparations of the fore-mention'd Simples Crollius's Elixir for the Womb Camphyr the Spirit of human Secundine chiefly that of the first Child the Juice of Courser's Dung express'd with Wine or Ale or its Decoction to all which we join Opium Hysteric Laudanum Mithridate and Triacle of which innumerable Prescriptions might be made up As Take of the Waters of Mint Elder-flowers and Fever-few of each an Ounce Essence of Castor three Drams volatil Salt of Hartshorn twelve Grains that of Amber eight Grains Hysteric Laudanum nine Grains Syrup of Orange Peel six Drams Mix and make a Potion Or Take prepar'd Amber prepar'd Pearls or Crabs-eyes Castor of each a Scruple distill'd Oils of Rue and Amber of each five Drops Mix and make a Pouder 'T is to be noted that Preparations with Castor and such like fat volatil Salts yielding a strong smell agree not with some Patients for whom meagre Salts are more proper as dulcify'd Salt of Nitre c. If sweet Smells or Tasts be offensive we choose Medicines of contrary qualities After the Fit is over if a Relapse is feared it may be prevented by the use of Medicines partaking of Steel As Take Antiscorbutic and Hyssop-water of each an Ounce and a half Solution of Steel in Juice of Apples three Drams Spirit of Scurvy Grass a Dram and a half fermented Laudanum two Grains Syrup for the Scurvy three Drams Mix and make a Potion But if what is above prescrib'd prove ineffectual we may try a strong Snuff and if that has no effect give a Vomit yea Blood-letting has been found sometimes to avail in desperat Cases Hitherto we have prescrib'd what is to be done during the Paroxysm when 't is over we first give Digestives then Vomits and afterwards Anti-hypocondriac and Antiscorbutic Remedies for Digestives I refer you to the hypocondriac and scorbutic Diseases Or Take red Coral prepar'd or Mother of Pearl or Crabs-eyes prepar'd half a Dram Arcanum Duplicatum a Scruple Salt of Wormwood half a Scruple Mix for three Doses For a Vomit take Arcanum Duplicatum or Tachenius's vitriolated Tartar nine Grains Mynsicht's Emetic Tartar two or three Grains Mix and make a Pouder Next to these Aromatics mix'd with mild Laxatives are to be us'd and these almost the same as the internal Specifics prescrib'd in the Fit In short the Method of Cure is the same with that of hypocondriac and scorbutic Disorders So that alterative Bags of carminative Ingredients such as are friendly to the Nerves and Womb infus'd in Wine are of very good use Or whatever partakes of a volatil Alcali or a volatil oily aromatic Salt more or less bitter which destroys Acids or has an anodine Quality as the Roots of Angelica Butter-burr Set-wall Lovage Gentian and the like also Orange-peel and all Aromatics especially Clary and its Decoction also Baum Rosemary Mugwort Sage c. the Carminative Seeds or those call'd hot to which wild Laxatives such as black Hellebor and Briony may be added As for example Take of the Leaves of Baum Fever-few Pennyroyal of each a handful Leaves of Senna Roots of Gentian and black Hellebor of each a Dram prepar'd Spurge and true aromatic Costus of each three Drams Set-wall Salt of Tartar of each half an Ounce Cut bruise and tie them in a Bag to be infus'd in Wine Medicines of Steel are wonderfully helpful as also succinated Spirit of Salt Ammoniac given to thirty Drops at night and mild Laxatives mix'd with Opiats Take Gum Ammoniac dissolv'd in Vinegar half a Scruple Vitriol of Mars five Grains Extract of Castor three or four Grains Extract of Troches Alhandal a Grain or of the Troches themselves three Grains Make Pills with the distill'd Oil of Amber SECT IV. Of the Disorders of Women denying admission to Men. CHAP. I. Of the down-falling of the Womb. SOmetimes the outer Neck of the Womb especially its internal wrinkled Membrane either by hard Labour or the unskilful hand of a Midwife or by an immoderate red or white Flux is so relaxated and extended that it hangs out in form of a Ball having a hole in the middle two Fingers breadth without the Privity and sometimes some part of the internal Membrane is relaxated and hangs out like a blind round Ball by a small Neck In this Case both the Antients and some of the Moderns fancy that the Womb falls down Whereas that Symptom never happens but when an unskilful Midwife pulls it down by force and so kills the Patient outright This Distemper is usher'd in by a stretching Pain of the Parts to which the Womb is fastened sometimes a Feaver and Convulsions supervene and sometimes the prominent Substance becomes the Seat of an Ulcer or Gangrene and must be cut out by the hand of the Surgeon All that Art can do is 1. To restore the Part fallen down to its natural Place 2. To confirm it there either truly by Astringents or palliatively by other means 3. If that can't be compass'd Amputation is the only relief The Patient being conveniently plac'd on her Back let the part be gently put up with ones Fingers cover'd with a soft Cloth wet with the Decoction of mild discussive Aromatics such as Rosemary Sage Wormwood c. boil'd in equal parts of Wine and common Water or Water from the Forge This done Decoctions prepar'd of vulnerary Astringents
it continue long it may occasion Ulcers and Gangrens In order to prevent this Inconvenience the Midwife ought to tie the Navel-string to the Woman's Thigh till she be ready to draw forth the Afterbirth And then the Mother ought to be incourag'd to promote its Egress by Sneezing Coughing and in Case of Extremity Vomiting If all prove ineffectual let the expelling Medicines abovemention'd be administred especially the Spirit and Pouder of a human Secundine Myrrh Saffron Amber Castor and Borace If the After-birth be already corrupted in the Womb exhibit Elixir Proprietatis extracted with the Spirit of Venice Triacle camphoris'd In the interim let sharp irritating Clysters be injected and Pessaries of expelling Ingredients put up into the Womb. Glauberus orders a Mixture of Sal Armoniac and Salt of Tartar to be put into a Glass with a long Neck thrust into the Womb. Some anoint the parts with the Oils of Coloquintida Wall-flowers Savine Amber c. and order Fumigations of Myrrh Cinnamom Galbanum Castor Opoponax and Black Hellebor form'd into Troches with Cow's Gall. If these Prescriptions are still successless the Midwife must put her hand into the Womb and draw it out or if that cannot be done its Putrification must be promoted by injecting emollient Decoctions of Marshmallows Pellitory of the Wall Chamomil c. mix'd with Aloes Myrrh Oil of Roses and Vinegar of Wine to which we may add Lime-water Vnguentum Basilicon and a small quantity of that call'd Aegyptiacum After the Expulsion of the After-birth the next step is to regulate the Flux of the Lochia or the Child-bed Purgation If they are deficient we ought to consider if they are not voided some other way as by the Nostrils Stool c. In which Case we ought not to disturb Nature unless grievous Symptoms oblige us Besides if the Woman was wont to void but a small quantity of her monthly Courses or if she suckle the Child we are not to expect so large an Evacuation as otherwise The natural Method of this Flux is such that Blood is voided four days after Delivery from thence a watry Liquor like the washing of Flesh till the seventh day after that a viscous and serous Humour untainted with Blood continues to flow till the fourteenth or twentieth day Now the Causes of the Suppression of this Flux are external Cold drinking cold Liquors Anger Fear Grief Shame and the Collection of clotted Blood or viscid Humours in the Womb. The Symptoms of a Suppression are the Distention Hardness and Pain of the Belly a beating Heat about the Loins and Groin a shivering Feaver Headach difficult Respiration Swooning cold Sweats Doating and frequently Death If the Womb be inflam'd if a Pleurisy Dropsy or spitting of Blood insue 't is a dangerous Case As for the Cure of a Suppression of the Lochia if the Blood and Feaver boil high if Headachs difficult Respiration and such like Symptoms of the upper Region molest the Person let a Vein be open'd in the Arm and after the use of some internal Expellent open the Saphaena or apply Leeches to the Vagina or scarifying Cupping-glasses to the inside of the Thighs The internal Medicines are those of an expelling Virtue recommended above especially Myrrh Saffron Borace Amber Zedoary and Elixir Proprietatis If the Blood be clotted Castor and Sperma Caeti with Crabs-eyes and Wine are proper to which we may add some Grains of Laudanum Opiatum in case of violent Headachs and other Pains Externally let the Abdomen be fomented with the Decoctions of Chamomil Savine and wild Thyme and anointed with a Mixture of the Oil of Wall-flowers and the distill'd Oils of Cumin Juniper-berries and Amber applying afterwards a hot Brick or a Bag either dry or boil'd in Wine of Wormwood Chamomil Fever-few Angelica-roots the four great hot Seeds and Juniper-berries If the Urine be also stop'd apply to the lower Belly a Cataplasm of Chervil Pellitory of the Wall and Oil of Scorpions In the mean while it will not be improper to inject Clysters of the Decoctions of Specifics for the Womb and stimulating Ingredients and to order Fumigations from Coloquintida the Dross of the Regulus of Antimony Troches of Myrrh Bdellium c. Some put into the Vagina a little Bag of black Hellebor In a word this Symptom and that of a Suppression of the Terms require the same Cure Instead of a Suppression of the Lochia sometimes we meet with an immoderat Flux of Blood attended by a Prostration of Strength dimness of Sight tingling of the Ears and Swooning If the Blood be of an obscure and blackish Colour it proceeds from the Veins if its Colour be florid and a yellowish scarlet it comes from the Arteries and portends Danger The Causes are 1. The Redundancy and watry thinness of the Blood 2. It s Turgescence and accelerated Motion occasion'd by the abuse of spirituous Liquors in time of Labour or the administration of expelling Medicines 3. The Wounds of the Womb caus'd by the violent pulling of the After-birth in case of miscarrying or of its firm Adhesion to the Womb. 4. The Irritation of the Womb occasion'd by a Mola or Clots of Blood or pieces of the After-birth remaining The Cure is vary'd according to the respective Cause If the Blood be thin Sudorifics and Incrassating Ingredients are proper If it be overturgid Purslain Plantane Tormentil Loostrife and Acids take place If the Womb be wounded the Decoctions of Chervil and vulnerary Ingredients are recommended If a Mola or Pieces of the After-birth remaining cause an immoderat Flux we must be cautious of using strong Expellents because they promote the Flux But Aromatic Ingredients mix'd with Astringents may be safely administred Such are Tormentil Bistort Marjoram Pennyroyal Mugwort Troches of Amber c. In general all Preparations from Quinces the Pouder of Sea-horse Teeth given to a Dram the Preparations of Steel Blood-stone seal'd Earth burnt Hartshorn the solar Tincture of Steel given to fifteen Drops and the Tincture of the Sulphur of Vitriol given to thirty Conserve of Roses and that of Comfry-roots with Laudanum Opiatum and in case of extremity Allum given to half a Dram These I say are generally approv'd in all Cases Externally apply Cupping-glasses under the Breasts or foment the Breasts and Genitals with a cold Mixture of Vinegar Juice of Housleek Nitre and Water of Frogs Spawn or apply a Cataplasm of Soot Vinegar of Roses and the Whites of Eggs to the Loins Some order Decoctions of astringent Ingredients and Hogs Dung in Smith's Water to be injected into the Womb. Others recommend a Girdle of black Hellebor-leaves ty'd round the Body The Redundancy and Turgescence of the Blood admits of bleeding in the Arm but no other Cause With reference to the Extraction of the After-birth and Regulation of the Child-bed Flux we ought to take notice of the After-pains that ofttimes succeed to Delivery These After-pains are call'd genuin when they 'r seated in the Womb as being only