they apply to the privie parts Take unguentum de Althaea Vnguentum Resumptivum of each an ounce Oyle of white lillies Oyle of Dill Hensgrease of each halfe an ounce Saffron Dittany beaten to powder of each two drams With a sufficient quanty of wax make an oyntment But if nature be culpable in both namely in the weaknesse of the Mother and the expulsive faculty and also in the strength of the retentive then against one you must administer corroborating medicines as hath already been said and to rectifie the other fault you must adhibit loosening remedies such namely as are recited above CHAP. III. Of the Retained Secundine GAlen in his book de usu partium hath rekoned up three membranes which enwrap the childe in the wombe the first whereof is called Ammios this on every side is spread over the whole childe and receiveth the childs sweat that it may swim in it The second is named Allantoeides or Intestinalis or as others name it better Vrinaculum whose use 〈◊〉 to receive the urine the third is called Chorion our Midwives call it the Secundine which is nothing else but a multitude and connexion of vessells and membranes thorough which as by little springs or rivolets the child draweth bloud and ayre these membranes are burst when the childe begins to kick his way out into the world from whence that liquor distilleth as we have noted above which makes the passages slippery after the nativity of the childe these membranes are excerned but if they chance to be retained they introduce most outragious Symptomes and a disease of number in the excesse The Causes of the retention are diverse for many times the Matrix is confirmed after the childe is borne many times the immoderate passions of the minde make nature forget her selfe in his duty sometimes odoriferous things draw the Matrix upwards and so nature is disturbed in her purposes of exclusion an unseasonable drinking of cold water is a very frequent cause of it and so are grosse meats that stuffe the body and thicken the bloud You may know by the Midwives relation that the Secundine is retained unto whom if she be skillfull you ought at the command of Hippocrates yield up your beliefe or you may conjecture it if the woman be sad in minde subject to faint and swound full of tossing and unquietnesse if she feele a heavinesse in her wombe or a round substance like unto a fixt and immoveable ball This is a most lamentable disease for if the Secundine be retained for any considerable time it putrifies and communicates poisonous exhalations to the principall parts as the heart the brain the liver from whence arise swounding fits anxiety of minde giddinesse in the head and direfull torments Wherefore let it be the Midwives care with all speed to attempt the cure bringing down the Secundine with her fingers besmeared with oyle and let her hold fast the umbilicall vessells till the Secundine follow but what if it remaine behinde then according to the Oracle of Hippocrates delivered in the fortieth Aphorisme of his fifth book you may exhibit sneâ—zing medicines to the nostrills for these by that motion compresse the upper parts and the expulsive faculty being irritated out comes the Secundine Take black pepper Mustard seed Sagapenum of each a dram and a halfe Tobacco Castor White hellebore of each a dram A scruple of Euphorbium Make a fine powder of them and upon the point of a knife or thorow a quill let her sniffe up a little of it at a time or you may prescribe this Potion for two Doses it hath often done the Cure Take eight ounces of penniroyall water An ounce and a halfe of aqua Hysterica Two scruples of Castor in powder Mingle them for a Potion to be taken at twice or Take two scruples of the Trochischs de Carabre A scruple of Borace Halfe an ounce of the Syrup of juice of betony Three ounces of a decoction of Savine Mingle them for a Draught Suffumigations are also very profitable to bring away the Secundine Take Storax Benjamin Lign aloes of each two ounces Musk Civet of each a scruple Make a pessarie of them adding Vnguentum Agrippe and the juice of Mercury Liniments must not be omitted made with unguentum de Althaea de Agrippa oyle of Almonds and oyle of Dill fomentations and halfe tubs are equally necessary made of a decoction of camomile pellitory of the wall Motherwort Birthwort Origanum Sage Savine annise fennill and Line seeds unto all which may be added oyle of Almonds and oyle of Dill Glysters must also be injected and with good successe you may continually rub her hips and her thighes tye ligatures about her legs apply Cuppinglasses and cut a veine in her ankle When the Secundine is ejected or drawn out give the woman Cordialls as Bezoar stone Treacle Confect de hyacintha or Alkermes all which things are of undoubted vertue to restraine the malignity of the vapours sometimes a Mole remaineth in the Matrix after the birth which by reason of the congealed bloud and the fleshiâ— substance whereof it is compounded is as difficult to cure as the retention of the Secundine wherefore you must indeavour to expell that by the help of those remedies which we have prescribed above in the chapter of a Mola and here also a little above Note the difference betweene the Secundine and a Mole this is fixt and unmoveable but that is moveable from one place to another in a Mole or when a woman is troubled with that halfe conception so called a black and clotted bloud drops from the Matrix which upon the retention of the Secundine appeares not CHAP. IV. Of the Dead Childe CErtaine it is that the Childe dyes in the Mothers wombe for many causes the first of these is an inward cause as a defect of aliment or the corruption of it the second is a most vehement burning Fever which by the excessive heat thereof wastes the spirits and destroyes the naturall heat The third cause is an unseasonable evacuation of bloud at the nose the mouth the Matrix or by phlebotomy The fourth is an exuperance or an immoderate predominancy of humours in the body The fifth is a great quantity of moysture loosening the vessells The fixth is some vehement medicine The first outward cause is some blow the second a Cough the third vociferations or loud and clamorous yawlings the fourth sneezing the fifth sad tydings the fixth some horrible and dreadfull sights The Childe may be known to be dead by a coldnesse about the Mothers navell and by a kinde of fixt and immoveable weight in her belly by a bad taste in her mouth and by her stinking breath Use your utmost activity and cunning to bring away the dead childe both by inward administrations and by outward applications inwardly let her take this Potion Take a a dram of the Trochishs of myrrhe Castor Storax Borace of each ten graines Foure ounces of a decoction of
and the straight gut for saith he when that part is inflamed then the urine commeth away by drops and the Patient hath frequent desires and solicitations to goe to stoole but but without any performance Womens diseases are divided into foure Classes whereof the first containeth the diseases that are common to all women the second comprehendeth such as are peculiar to Widowes and Virgins The third specifieth those Affects that concern barren women and such as are fruitfull And the fourth treateth of such diseases as befall Women with Childe and Nurses of all which we shall now speak one after another in their order Those diseases that are common both to widowes and wives both to barren women and women that are fruitfull as also to your Maids and Virgins proceed from the retention or stoppage of their Courses as the most universall and most usuall cause when these come from them in a due and regular manner their bodies are preserved from most terrible diseases but otherwise they are immediately subject to the falling Sickness the Palsie the Consumption the Whites the Mother Melancholy Burning Fevers the Dropsey inward inflammations of all the principall parts the suppression of the urine nauseating vomiting loathing of meat yexing and a continuall paine in the Head arising from ill vapours communicated from the Matrix to the Braine Wives are more healthfull then Widowes or Virgins because they are refreshed with the mans seed and ejaculate their own which being excluded the cause of the evill is taken away This is evident from the words of Hippocrates who adviseth young Maids to marrie when they are thus troubled that women have stones and seed no true Anatomist will denie the womans seed I confess in regard of the small quantity of heat is more imperfect then the seed of the mans yet is it most absolute in it selfe and fit for Generation Another cause also may be added besides that which is alledged from Hippocrates namely that married women by lying with their husbands doe loosen the passages of the seed and so the Courses come down more easily thorow them Now in Virgins it falls out otherwise because the bloud is stopped by the constipation and obstruction of the veines and being stopped putrifies from which putrifaction grosse vapours doe arise and from thence heavinesse of minde and dulnesse of spirit a benummednesse of the parts timorousnesse and an aptness to be frighted with a sudden propensitie to fall into fits of the Mother by reason of much bloud oppressing and burthening the heart also continuall anxiety sadness aud want of sleep with idle talking and an alienation of the minde but that which most commonly afflicts them is a difficulty and paine to fetch their breath for the chest by a continuall dialatation and compression draweth the bloud from the Matrix to it selfe in a large proportion and sometimes produceth asthmaticall effects But what shall we say concerning Widowes who lye fallow and live sequestred from these Venereous Conjunctions we must conclude that if they be young of a black complexion and hairie and are likewise somewhat discoloured in their cheeks that they have a spirit of salacity and feele within themselves a frequent titillation their seed being hot and prurient doth irritate and inflame them to Venery neither is this concupiscence allaid and qualified but by provoking the ejaculation of the seed as Galen propounds the advice in the example of a widow who was afflicted with intolerable symptomes till the abundance of the spermatick humour was diminished by the hand of a skilfull Midwife and a convenient oyntment which passage will also furnish us with this argument that the use of Venery is exceeding wholsome if the woman will confine her selfe to the â—awes of moderation so that she feele no wearisomnesse nor weaknesse in her body after those pleasing conflicts Most certaine it is that barren women are more tormented with sicknesse then those that are fruitfull because they who have children live in a more healthfull condition by reason of the opening of the veines and the comming away of the superfluous bloud which being of an earthy and feculent substance must needs introduce prodigious symptomes in the bodies of other women who have no seasonable meanes to vent and purge it out and daily experience doth witnesse it to the private consideration of such women that very many obstructions breed in their Livers Mesenteries and Matrices That women in Child bed also and such as nurse their owne children are subject to most bitter and vehement affects Galen doth daily teach us by an undeniable reason for whereas the childe in the wombe is nourished by the sweetest fattest and most elaborate part of the menstruous Bloud in its own nature filthy and dreggish when the woman is delivered that bloud is forcibly evacuated by a criticall kinde of motion and violent ebullition whereupon the spirits are exhausted and the feeble creature is precipitated into mortall infirmities as fainting fits incredible torments and frequent soundings Many times also besides that perticular fulnesse of the womb through the swelling and strutting of the veines such women all the time that they be great with childe are oppressed with an abundance of ill humours contracted and heaped up together by a bad diet after which the upper parts of their bodies are many times most wofully inflamed After the same manner also Nurses are tormented with sore breasts painfull swellings Ulcers and Cancers and the like cruell diseases by reason that the Menstruum floweth in an unmeasurable quantitie to the breasts and there settles But now by the permission of Heaven we shall set down a particular Explanation of these Diseases CHAP. II. The suppression of the Courses THe suppression of the Courses is an interception or stoppage of that usuall evacuation of bloud which is wont to flow from the Matrix every month There is a twofold cause hereof one inward the other outward the inward cause is also manifold for sometimes it is one kinde of distemper sometimes another and sometimes againe a humour is the cause thereof the distemper is either hot or cold and concerning the former this is controverted among the Doctors how a hot distemper can stay the Courses for if we will credit the bâ—st Authors or submit our judgements to the generall Vote of Philosophy it is the property of heat to open to rarifie to make thin and to dilate as on the contrary it is the property of cold to obstruct to thicken to binde and to condensate the answer is easie and obvious wherefore we say that heat properly doth not stay the Courses but onely by accident as namely by attenuation dissipating and consuming the thinner parts of the Menstruum for any humour is reasonably conceived to become more drie and thick when the thinner part thereof is wasted away and againe the thicker and dryer it is it must needs be so much the more unapt to be expelled and this is the reason that sturdie
ebony and Salsapaâ—illa will mightily help and prepare the Matrix for they expell the windy humours strengthen the Matrix and dissipate the fuliginous and grosse vapours naturall Baths are excellent for the same purposes and so are Treacle Mithridate Alkermes Aromaticum rosatum Diarrhodon Abbatis Diamargarit calidum and Diacinnamomum and lastly if you desire any satisfaction from our opinion concerning Issues we answer that they evacuate those cold and thick juyces which daily flow unto and settle in the Matrix and therefore as we said almost every where we affirme the use of them to be very expedient and conducible CHAP. II. Of the shapeless lump of Flesh called a Mola A Mola is an unprofitable and shapelesse lump of flesh bred in the Matrix of the menstruous bloud as the Materiall cauâ—â— thereof according to the opinion of Galen in sundry places of his works He saith of the menstruous bloud that 〈◊〉 such as is very thick and much hardâ—â— in the Matrix but note thaâ— he doth noâ— here exclude the seed of the man for every Physitian knowes that a Mâ—la proceed from a mixture of the menstruum and a corrupted seed which indeed doth somewhat indeavour Conception but cannot perfect it neither is there any cause of wonder that such a lump of deformity should be fashioned in the wombe seeing that severall kindes of monsters are bred there according to the variety of the humour which floweth into the Matrix he that would acquaint himselfe with the knowledge of these things may read Skenkius his Observatns and the wonderfull stories related by Marcellus 〈◊〉 if also he would search into and examine the true cause of these things let him read Laurentius his book of Anatomy But why doth this breed in the Matrix onely of a woman and not in some other part I answer because although the bloud may congealâ— and become clotted in the other parts of the body yet it happâ—â—s so more frequently in the Matrix of a woman then in any other part of â—er body because the Matrix iâ— as the common shoore of the body where most of the excrements are exonerated But why doth a Mola breed in women onely I answer because women onely â—ave an abundance of this monstruum more â—hen other Creatures and that their boâ—ies are full of grosse thick and tenaciâ—us humours by reason that for the most â—art they use a moist diet and abandon â—hemselves to a reproveable and disorâ—â—erly course of life This Mola is of seâ—erall kindes for sometimes it is waterish â—ometimes windy and humorall and â—ometimes againe 't is â—â—innie and bloudy â—his last in the most ordinary and all Phyâ—itians have granted it this is that which is most usually presented to our observation and lastly this is that which so often hath deceived women who boasted themselves to be with childe and were not and their Physitians also who told them they were with child when they were not Wherefore to avoid these common couzenages let us be circumspect in the knowledge and right understanding of the signes which are a swelling with a drawing back of the Hypochondriacall parts the women grow leane are full of paine and very apt to long the belly is burthened her back aketh her breasts swell and her Courses are stopped and that at the beginning of her conception but afterwards in processe of time she seemes to have the Dropsey her belly is so immoderately swelled but you may know this from a Dropsey for in that the belly sounds like a Drum the woman feeles within a kinde of fluctuation or waving motion and if a finger be laid hard upon her belly the print of it remaines A Mola is distinguished from a perfect conception by three most certain signes that is by the motion by the milk and by the time that a woman beareth her childe in the motion because there is a great difference between the motion of a childe and the motion or stirring of a Mola because the childe kicks and turneth about to all the parts of the bottome of the belly but a Mola moveth like a Globe now on the right side and anon on the left this also if you presse down the womans belly with a gentle hand removeth from the place and returnes not suddenly into it againe and from the milke you may gather a never-failing signe because the breasts swell all the time a woman is with childe but in the other it happeneth otherwise the time likewise affords a never-failing signe for if the swelling of the belly continue beyond the eleventh moneth which is the most constant and certaine period of a womans Reckoning and no signes of a Dropsie at that time appeare you may warrant your owne confidence that she hath a Mola but no childe in her belly This is a most dangerous disease for many times a woman carries it in her wombe the space of two or three yeares and sometimes longer insomuch that the naturall heat is suffocated therewith moreover in the expulsion of it there is no small danger for many times it groweth to such a bignesse that it comes not away without extreame hazard of the womans life for a great Issue of bloud ensueth whereby the spirits being spent and exhausted she waxeth feeble wan and pale and many times perisheth in the very act of expelling it This evill hath a twofold manner of Cure one Preservative to prevent the Generation or breeding of the Mola and the other curative to destroy and bring it away when it is bred and this last is also twofold for the first designe must be to exclude it and the second to save the woman in the very act of excluding it The Preservation consists in a due observation of these things following the ayre she lives in must be hot and dry and the place healthfull being scituate towards the East let her keep a good diet feeding upon meats that yield a wholsome nourishment to the body and such as are soone concocted and distributed to all the parts let her choice also be rather of hot then cold meats avoiding such as are fat salt and hardned with smoak fish which breed thick windy and viscous juyces are unwholsome for her she cannot desire a more wholesome drink then Wormewood wine or excellent generous French wine her belly must be kept open and soluble exercise must be used and sleep refrained angry chidings and cares of the minde must be moderated and all such things forborne as dry the bloud and diminish the naturall heat In the next place prepare the thick and grosse humours with Rhodomel Syrupe of wormewood Syrupe of mint and the like mingled with some convenient water afterwards prescribe this Purge Take three drams of Sena A scruple of Agarick Trochischt A dram of the root Mechoaca A dram and a halfe of anniseeds Boile them a short space in a sufficient quantity of pure water to three ounces then straine and presse them and the â—maining liquor add
that is a woollen bag and give her now and then the quantity of a small wine glasse If these remedies overcome not the disease apply an exceeding great Cuppinglasse to the heart by the force whereof the windy vapour will evaporate for although Glysters doe draw back the humour from the affected part yet in reference to great bellied women you ought to suspect the event of them because they raise too great a disturbance by provoking nature downwards and many times cause abortivenesse yet if the paine be insupportable then inject carminative glysters and omit all bitter ingredients as Hiera benedicta Laxativa or Scammoniata but to prevent all errour prescribe this following Take a handfull of mallow leaves The flowers of melilot The tops of Dill of each halfe a handfull Two drams of fennill seeds Boile them in a sufficient quantity of barley water to nine pints to the strained liquor add two ounces of Syrup of roses Laxative An ounce of red Sugar Mingle them and make a glyster Or Take the flowers of melilot And mallowes of each a handfull Annise and Fennill seeds Of each two drams Boyle them in a sufficient quantity of broth made with an old Cock to nine ounces to the inward liquor add Calabrian Manna And red Roses of each an ounce and a halfe An ounce of oyle of rue Mingle them and make a glyster It might doe much good if you gave her a draught of balme water in the morning in which water you may steep lignum aloes the space of a night and afterwards put to the strained liquor a sufficient quantity of Syrup of mint for this expells the winde cleanseth away the phlegme and powerfully strenghthens the stomack You must frequently and laboriously rub her lower parts tye ligatures about them and apply Cuppinglasses to them if there be no imaginable cause to feare abortivenesse but if there be the least suspicion of that omit all such applications as may procure a revulsion of the bloud nay let me give you this caution absolutely to foâ—beare them unlesse she be taken with desperate trembling and fainting fits or swounding in the spring time too when her spirits require them You must cause her Basilick veine to be opened if she be young fleshy and strong for this Remedy besides that it letteth out the thick dreggish and black blood it refresheth the childe also and the heart is sweetly easily and safely delivered from that burthensome humour which did oppresse and almost overwhelme it CHAP. VI. Of a Cough in Women with Childe MOst certaine it is that great-bellied Women by reason of their being with childe have not sometimes a free vent for their crude and indigested aliments either by Stoole or by Urine or by any other Emunctories of the body these being unduly kept in the body putrifie wax hot and communicate noysome fumes and vapours to the spiritous parts which by their clamminesse thicknesse and sharpnesse together with the bad quality that is in them gripe and twitch the Woman and force her to cough Some perhaps may demand why doth this Coughing happen in the last months the answer is obvious namely because in those moneths a greater plenty of excrements are lodged in the body then were accumulated at the first The cause of the Cough according to Hippocrates is a viscous thick and tough humour impacted in the Pipes of the Lungs which humour sometimes also thorough that consent which is between the Matrix and the Chest invadeth that part and raiseth a Coughing and these are set down as the true signes of this evill As for the Prognosticks you must know that a Cough befalling a woman with childe is a bad Symptome seeing that by the least stretching and shrinking the Cotyledons or vessells of the wombe are many times loosned yea sometimes burst asunder and from thence comes abortivenesse The Cure is perfected with sweet wine mild beere and the frequent use of a Ptisan sharp sowre and cold things must be avoided meats also must be forborne which breed a thick nourishment and are hard to digest vehement evacuations likewise are not good wherefore having given order for the observation of a good Diet prescribe some gentle lenifying mediciâ—es to provoke her to spit as manna Syrup of roses laxative Diacnicu and the like These things being administred proceed to Electuaries and expectorating medicines and especially to this Apozem following Take an ounce of cleansed Barley The roots of Aristolochy Licoras scraped of each two drams The leaves of Asarabacca Nettles White Maidenhaire of each a handfull Two drams of raisins pickt The flesh of Dates Fat Figs of each three drams Boyle them in a sufficient quantity of water to two pints and to the strained liquor add Two ounces of Diacodium Mingle them and make an Apozem or You may prescribe Lozenges after this manner Take a dram of the species Diatragacanth frigid Diaireos Poppy seeds of each a scruple Two ounces and a halfe of Sugar dissolved in rose water according to art make them into Lozenges Then prescribe this Conserve Take Conserve of red Roses Elecampane candied of each an ounce Conserve of Violet flowers Rosemary flowers of each halfe an ounce Two drams of meale of beanes A dram of Diaireos Ten graines of Sulphur With Syrup of Coltsfoot make a Conserve Meale of beanes according to Galen doth cleanse and mundifie the Chest digests and crude spittle contained in the pipes and makes it easie to be excerned bean-flower water is exceeding good for the Lungs especially if she drinke it with Syrupe of Maydenhaire or Oxymel Scilliticum the same faculties hath the distilled waters of red Poppies The yolke of an egg taken in the morning with Sugar and the oyle of sweet Almonds is a most incomparable remedy and hath done good to thousands Anoynt her Breast with this Oyntment which is good to prepare the crude and thick matter which stops her pipes Take an ounce of the oyntment of marish mallowes The axungia of a hen Of a Duck of each halfe an ounce Oyle of sweet Almonds Oyle of Violets of each two drams Ten graines of Saffron Mingle them and according to art make an oyntment heat it when you use it and anoynt the whole region of her Chest therewith CHAP. VII Of the swelling of the Legs in Women with Childe FRom the same cause namely from abundance of phlegme and câ—ude humours especially in the last moneths proceed the swelling of the legs face and eye-browes and when I have told you that the flesh of the whole body groweth soft and that she looketh white and wan in the face I have discovered unto your consideration the signes of this disease Women in this condition cannot be restored to perfect health till she be delivered yet may we not delay our helps least a worse evill happen unto her for whereas the legs and feet are outward parts and at a great distance from the fountaine of heat they are quickly affected with cold and
in the fifth sixth seventh or eigth moneth in which there is or may be a feare of miscarrying then may you properly and securely adadminister those things which we even now prescribed If you demand from whence that abundance of waterish humours doth come which floweth before she is in Labour I answer from the Membrane or skin called Ammion which is fastned to the Childe and from the other called Chorion in which two skins the urine of the Childe is so long reserved till the fulnesse of time be accomplished in which it should be borne at which time seeking by instinct of nature for a greater proportion of nourishment it kicks and teares these membranes out of which when a large plenty of waters have run it comes forth into the world CHAP. XI Of Acute Diseases befalling Women with Childe WOmen are preserved both from the threatnings and also from the Invasions of those Diseases whereunto they are subject by a threefold kinde of Remedies by Diet by Phlebotomy and by Purging or to speake more properly by being purged But the two latter are the more difficult according to the opinion of Galen who in this hath the concurrence of Avicens judgement also you must know saith he that every disease of repletion or the malice of a complexion is not cured by his contrary but sometimes by a good regiment of health wherefore if it be a slight disease it will be cured of its own accord for theâ—e is no kinde of disease so fierce saith Galen in his book of Diet which is not tamed by it but yet a moderation must be observed for they who are neere their time and looke every day to be in labour want a larger proportion of nourishment because the childe is big and should they be defrauded of this mediocrity they would perish by the cruelty of an acute disease wherefore here lies all the difficulty to prescribe a convenient and fit Diet for such women for should you allow them meat and drinke suitable to the condition of women who are not with childe you should destroy the childe and should you out of a regard to the preservation of the childe be more liberall and indulgent to their appetites this condescension would espouse you to another errour for hereby you might cherish the cause of the disease let her therefore be fed with meats that are of easie concoction and distribution and prohibit her the use of thick sharp sowre bitter and windy meats that are hard to digest Having prescribed a good Diet you must consider whether it be expedient she should be let bloud Valesius sets down the reasons on both sides and for the Negative he alleadgeth an Aphorisme in Hippocrates running to this sense if a woman with childe be let bloud she miscarries and the rather if the childe in her wombe be big because the childe is thereby defrauded of its aliment Secondly Galen saith Physitians ought not to be busie in offering helps or strong remedies to women with childe nor any exquisite manner of Diet here you must understand Phlebotomy say they therefore it must from Galens words be concluded inexpedient Thirdly if any evacuation be a cause of abortivenesse as a flux of the belly or a loosenesse as Hippocrates in another Aphorisme affirmeth how much more will the opening of a veine be a cause by meanes whereof the aliment is taken away from the childe Fourthly a Fever kills the childe by wasting the spirits and drying up the bloud with the vehement heat thereof therefore so also will phlebotomy kill the childe by exhausting the spirits and consuming the bloud But all these reasons to my understanding are of no weight no moment no validity seeing that it is most certaine that the very impregnation or being with child doth forbid phlebotomy in respect of it self yet not as one of those principall scopes which withstand it but of those which indicate and advise to a sober and due celebration of it wherefore when a woman sick of an acute disease must be let bloud yet must she bleed lesse then the affect and the plenitude require because of that indication which is taken from the childe in her wombe for her gravidation or being with childe ought to be reputed as a Symptome which wasts the spirits because her bringing forth the childe is a kinde of evacuation To the second I answer that Galen in that place meanes nothing else but that Physitians should counsell their Patients to avoid intemperance because women with childe admit not of the least degree beyond a medioicity To the third I answer that it is not alwayes true that abortivenesse followeth upon any large evacuation and therefore it should not onely have beene said but proved by the Interpreters of Hippocrates for wee see that it followes not upon hunger or emptinesse unlesse it be diuturnall nor from a loosenesse unlesse it be immoderate nor lastly from phlebotomy if a veine be opened in the arme wherefore that I may conclude I conceive Hippocrates did intend only to prohibit the cutting of a veine in the ankle but not in the arme for I confesse if a veine in the ankle be cut the bloud is drawn in abundance to the Matrix and so may strangle or choake the childe and cause abortivenesse the like also doth any vehement and exorbitant Purge Wherefore if an inflammation be present we affirme that a woman with childe may be let bloud without any danger of abortion yet with this condition that she be first well nourished with meats of good concoction and quick distribution and that a small quantity onely be taken away least the spirits should be empaired either for the present or the future Moreover I like not the cutting of the Basilick veine because it much exhausts the bloud and may cheat the childe of his nourishment Lastly I counsell you to apply strengthning and nourishing things to the navell before you cut the veine as unguentum Comitissae or Emplastrum stomachichum or fomentations made of wormewood roses mastick lignum aloes quince seeds and Claret wine and whilest she is bleeding let her hold cold water in her mouth or cold beer that if perhaps she begin to faint she may swallow it and preserve her selfe from swounding But what shall be said concerning Purges which consist of hot ingredients and as Galen and Averroes contend disturb and hurt the childe I answer all purging medicines are not of that quality wherefore we may safely prescribe manna sena tamarinds rubarb and cassia omitting such simples as have any participation of vehemence and we confidently aver that Hippocrates must be understood in this sense where he saith women with childe must be physickt or purged if the matter be turgid in the fourth moneth unto the seventh because the childe in the wombe is likened to the fruit upon a tree which as at first they fall down by any slight motion and afterwards stick faster to the tree but when they are full ripe
Oyle of Lillies Oyle of camomile of each two drams A dram of Opium dissolved in burnt wine Mingle them for a Liniment Between the suppression of the Courses and the staying of the menstruum after a womans delivery there is little or no difference for there is one cause of both and that accompanied with the same signes and therefore we shall not diversifie the Cure but direct the Reader to the second chapter of our first book where she may furnish her selfe with convenient remedies CHAP. VI. Of the immoderate coming down of the Courses after the birth VVE have sufficiently handled the Causes of the immoderate flowing of the Gourses in our first book we have also related unto the signes wherefore now we shall tell you further from an Aphorism in Hippocrates that if Fainting and Convulsion fits befall a woman in Child-bed 't is a bad signe because they argue a great weaknesse after which follow inexpressible tortures with paine in the Hypochondriacall parts by reason of the clotted bloud a small frequent and swift pulse yea and death it selfe sometimes the woman is surprized with dotage a quinsey or a Lethargie wherefore you must labour to stop the Courses with all your best premeditation and caution and the most expedite meanes you can use are a thickning bindiug and cold diet as broth made with trotters in which you may also boilâ— rise quinces or pease but abstaine from wine for it opens the parts thins the humours and provokes the Courses as on the contrary cold things bind thicken and stop up Rub her hands and tie Ligatures about her upper parts and according to the injunction of Hippocrates in his Aphorismes lay Cuppinglasses to her Breasts Finally if the womans strength will bear it there is not a surer remedie then letting bloud and you must open the Basilick vein twice or thrice Thickning things are very necessary and of great moment in this cure Take true bolearmenick The species Diatragacanth frig 1. of each a scruple Halfe an ounce of Syrupe of Quinces Halfe an ounce of plantane water Mingle them for a Draught or Take terra sigillata Red corall prepared Troch de carabe of each a scruple Halfe an ounce of Syrup of pomegranets Three ounces of a decoction of red rose leaves Mingle them for a Draught or Take the leaves of plantane Knotgrasse of each a handfull Red roses Pomegranet flowers of each half a handfull Myrtle seeds Sumach seeds of each two drams A dram of the juice of hypocystis Boile them to six pints in a sufficient quantity of water wherein steele hath been quenched give the strained liquor for a fomentation or Take the powder of Cyprus nuts The roots of Tormentill Dragons bloud of each a dram and a half A dram of mastick Halfe a dram of right bolearmenick Two ounces of unguentum Comitissae Oyle of mastick Oyle of myrtles of each two drams With a sufficient quantity of wax make an oyntment If these get not the victory Take a scruple of the masse of pills de Cynoglossa Make five pills and guild them or Take halfe a dram of new Treacle Halfe a scruple of Requies Nicholai Two drams of Syrup of poppy Three ounces of plantane water Mingle them for a Draught If any fault in the Liver as sometimes it hapneth is the cause of this evill apply cooling Epithems unto it or instead thereof you may adhibit Ceratum Santalinum mixt with the powders of Corall Roses and Camphire CHAP. VII Cures of such Diseases as usually befall a woman after she is delivered VVE are taught by Hippocrates that those Diseases which happen after the Birth are more dangerous and venomous then the rest because they are produced by a grosse impure thick and feculent bloud for the Childe in the wombe sucketh away the sweetest part of the bloud for its own nourishment which it purifies and reserves the melancholy and thicker portion thereof being separated and forsaken which if the providence of Nature doe not duly evacuate and purge away the woman in Childe-bed will without all doubt be invaded by strong and vehement Fevers by reason of the boyling and putrifying of the bloud in the veines of the Matrix which according to Galen are very large in the first place therefore let the Patient be carefully attended and begin the Cure by opening a veine by Cuppinglasses applyed to the calfes of her legs with Scarification and laying Leeches to the Hemorrhoids But the Controversie will be what vein must be cut for if she bleed from the arme you draw the bloud upwards if from the ancle you weaken the body and contribute no ease but if you will follow my direction tie strong Ligatures about her thighes and legs having first well rubbed them and then open the Cubit veine without any discouragement for this cleanseth the very Minerall sinke and puddle of the putrified Humours Galen indeed affirmeth that if a veine be opened in any part of the body it will exhaust and emptie all the Vessâ—ll4 but not equally and in all respects alike for we deliver it for an undoubted truth that the whole masse of bloud will soonest flow away if the Basilick veine be opened which is greater then any of the rest and of the same Judgement is Fernelius who saith if the menstruum flow away from women in Childe-bed thorough the vehemence of a Fever you must cut the Cubit veine At the beginning you must refraine the use of purging medicines for although you should make choice of such as are most gentle in their operation yet they stir the humours and doe not expell them from convenient places Againe should you prescribe strong purges they would draw back the menstruum from the Matrix to the stomack and disturb Nature when she is labouring to expell it and that this were no rationall and well-grounded meanes of Cure but rather a rash and preposterous adventure any sober judgement will acknowledge because the expedition the Art and the Mystery of the whole Cure consisteth in the provocation of the Menstruum If it be a violent burning Fever prescribe such things as will qualifie and temper the heat of the bloud but avoide cold Simples because they keep in the menstruum by binding up the parts neither may you be too bold with hot things for they inflame the bloud These Glysters following will be of excellent use for the purpose aforesaid Take nine ounces of some softning Decoction An ounce and a halfe of the Electuary called Diacatholicon An ounce of hony of roses Butter and oyle of sweet Almonds of each halfe an ounce A dram of salt mingle them and make a Glyster or Take nine ounces of mutton broth well boiled The leaves of Motherwort Violets and Pellitory of the wall of each a handfull Two ounces of honey of roses The yolkes of two eggs An ounce of oyle of Violets mingle them and make a Glyster You may make a Ptisan of Raisins Barley and Licorish which will be very profitable
The Womans DOCTOUR OR An exact and distinct Explanation of all such Diseases as are peculiar to that Sex With Choise and Experimentall Remedies against the same Being Safe in the Composition Pleasant in the Vse Effectuall in the Operation Cheap in the Price Faithfully Translated out of the Works of that learned Philosopher And Eminent Physitian NICHOLAS FONTANUS LONDON Printed for John Blague and Samuel Howes and are to be sold at their shop in Popes Head-Alley 1652. THE FIRST BOOK OF Womens Diseases The Proem by the Author IT is acknowledged by the most able Physitians that it requires great diligeuce and Judgement to contrive an exact Partition or Explanation of Womens Diseases and to oblige the World with a right Method and Meanes to cure them because sometimes a part is diseased by consent and sometimes primarily by it selfe or without any communication of distemper either with or without matter from any other part The Ancients whose studious endeavours conspired the subduing of these Diseases have left behinde them most honourable testimonies of their labours in favour of that Sex Modern men also have been stirred up to their defence as Mercurialis and Mercatus the former indeed with sufficient elegance but the latter with so much tediousness and confusion that you may sooner finde your Patient dead then a remedy in his writings for her recovery to correct this inconvenience Rodericus a Castro engaged his pen in their quarrell but with no great successe for if my Judgement be any thing considerable his writings are more learned then usefull When I had noted these deficiencies I thought with my selfe that if I culled out the choicest Medicines omitting the superfluous and digested them into a little worke by themselves it might prove an undertaking worthy of a generall acceptation This was the birth and growth of my designe warrantable enough as I conceive if not praise worthy and if I flatter not my selfe in an opinion of my own paines I have proceeded with so much perspicuity and tender circumspection as will make the event answerable AN INDEX OF THE CHAPTERS The first Chapter OF the consent of the Diseases of the Matrix with the other Parts The second Chapter Of the suppression or staying of the Courses The third Chapter Of the immoderate running of the Courses The fourth Chapter Of the coming away of the Courses by Drops the vehement Symptomes thereof and of the Whites The fifth Chapter Of the Complication of the Courses with other Diseases The sixth Chapter Of hard swellings in the Breasts The second Book The first Chapter Of the Mother The second Chapter Of the Epilepsy in the Matrix And the severall kindes thereof The third Chapter Of Melancholy proceeding from the Matrix The fourth Chapter Of a cold Distemper and windy humours in the Matrix The fifth Chapter Of a hard swelling in the Matrix The sixth Chapter Of the Dropsey in the Matrix The seventh Chapter Of the falling down of the Matrix The eighth Chapter Of an Itch Chaps and an Inflammation in the Matrix The ninth Chapter Of a Cancer and an Vlcer in the Matrix The tenth Chapter Of Wormes and the Stone in the Matrix and of the Piles The third Book The first Chapter OF Barrennesse both Absolute and Respective The second Chapter Of a Mola or shapeless lump of Flesh The third Chapter Of Womens longings The fourth Chapter Of a bad stomach proceeding from vomiting The fifth Chapter Of a Pain in the belly the Passion of the Heart and of sounding Fits The sixth Chapter Of a Cough in great bellied Women The seventh Chapter Of the swelling of womens legs when they are with Childe The eighth Chapter Of Costiveness in Women with Childe The ninth Chapter Of the bloud which commeth away from the Matrix of a woman with Childe The tenth Chapter Of the water which cometh away from the Matrix of a woman with Childe The eleventh Chapter Of acute Diseases which happen to women with Childe The fourth Book The first Chapter OF a Naturall â—irth and of Abortivenesse The second Chapter Of a hard Labour The third Chapter Of the After-Birth The fourth Chapter Of the Dead Childe The fifth Chapter Of the Paines and the suppression of the Courses after the woman is delivered The sixth Chapter Of the immoderate flowing of the Courses after the woman is delivered The seventh Chapter Of the Diseases which commonly befall a woman after her delivery The eighth Chapter Of an inflammation in the Matrix after her delivery The ninth Chapter Of too little and too much milke The tenth Chapter Of sore Breasts The eleventh Chapter Of wrinckles remaining in the Matrix after a womans delivery and of the meanes to contract the Matrix FINIS Womens DISEASES The first Chapter Of the consent between the Diseases of the Matrix and those of the other parts WOMEN were made to stay at home and to looke after Houshold employments and because such business is accompanied with much ease without any vehement stirrings of the body therefore hath provident Nature assigned them their monethly Courses that by the benefit of those evacuations the feculent and corrupt bloud might be purified which otherwise as being the purest part of the bloud would turne to ranke poyson should it remaine in the body and putrifie like the seed ejaculated out of its proper vessells Hippocrates had a perfect understanding of these things as may appeare by those words in his booke de locis in homine where he saith that the Matrix is the cause of all those diseases which happen to women and it is no strange thing which he speaketh for the Matrix hath a Sympathie with all the parts of the body as with the Braine by the Nerves and Membranes of the parts about the spine from whence sometimes ariseth the paines in the fore part and the hinder part of the head with Heart also both by the Spermatick and the Epigastrick arteries or those that lie about the Abdomen at the bottome of the bellie from hence cometh the paine of the heart fainting and swounding fits the passion of the Heart anxietie of minde dissolution of the spirits insomuch as you cannot discerne whither a woman breaths or not or that she hath any pulse it hath likewise a consent with the breasts and from hence proceed those swellings that hardness and those terrible Cancers that afflict those tender parts that a humour doth flow upwards from the Matrix to the Breasts and downwards again from the Breasts to the Matrix is the unanimous assertion of Galen Hippocrates Laurentius Duretus and others moreover it hath a sympathie with the Liver and thus the sanguification is perverted and the body inclines to a Dropsie and with the stomach and the Kidneys also as those paines which great bellied women doe feele and the torments which some Virgins undergoe when they have their Courses sufficiently witnesse And lastly Hippocrates hath taught us that this consent holdeth with the bladder
throughout the whole progresse of the Cure Take nine ounces of some emollient decoction Diacatholicon Benedicta Laxativa of each an ounce Oyle of Dill. Oyle of bitter Almonds of each six drams A dram of Sal gemme Mingle them and make your glyster or Take the roots of restharrow Marish mallowes of each halfe an ounce The leaves of mallowes Violets Pellitory of the wall Mercury of each a handfull The tops of Dill Camomile flowers of each half a handfull Line seed Fenugreek of each three drams Two drams of nettle seeds Boile them in a sufficient quantity of water to nine ounces to the strained liquor add Diaphenicon Benedicta laxativa of each an ounce Oyle of Lillies Unsalted butter of each an ounce and a halfe Mingle them and make a glyster When these things are done let the Midwife put her finger up into the Patients Fundament and artificially presse downe the belly upon the bones that joyne neer the privie parts that the place where the stone lies may be raised up this being dryed put in a hooked instrument and draw it out as we have sometimes seen it done but afterwards let issues made in her body be kept open THE THIRD BOOK OF Barrennesse and such Diseases as befall Women with Childe The first Chapter OF Barrennesse both Absolute and Respective PRovident Nature that she might contrive the continuation of Mankinde for a long time if not in the Individuall yet at least in the Species hath imprinted in those parts dedicated to generation a vehement continuall and inexpressible appetite to propagation and thus by a due commixture of the womans bloud with the seed of the man she formeth and fashioneth a Creature in the Matrix which at a certaine and appointed time she sends forth into the world compleat and perfect in its Conformation Wherefore in my Judgement Conception is nothing else then a receiving of the mans seed in the Matrix being exquisitely and proportionably intermingled aptly retained and fully perfected and therefore by the rule of Contraries we may affiâ—me Barrennesse to be a Depravation or defect of these operations Barrennesse is either naturall and acquired from the first Elements of the Conformation or introduced by sicknesse or lastly Respective namely in reference to the Man or the Woman the first is incurable for no Physitian can correct those errours which Nature commits in the mysterious purpose of our generation one of these errours is the straightnesse of those passages which lead to the Matrix being sometimes so narrow that they hinder the right transmission of the seed into the vessells of Generation or if it be injected yet is it received with so much paine and labour that the Matrix doth neither concoct nor perfect it another errour is the widenesse of those parts into which although the seed be duely ejaculated yet it presently slips out againe because the capacity of the Matrix is too wide the crookednesse of the vessells also may be another impediment for we may many times meet with jesting errours as I may call them in the workmanships of Nature thus in one body a double Matrix hath been seen in another two hearts in a third the Spleen placed where the Liver should stand and many other such like recreations of Nature as Realdus Columbus hath discoursed of them at large in his Anatomy The second kinde of barrennesse is that which is contracted by some disease for whereas the seed is a certaine spirituall substance generated of the purest part of the bloud it is necessary that it should be concocted in a temperate wombe but if the Matrix be too hot it consumes the seed as a little water thrown into a fire is presently dryed up and on the contrary if it bee too moist and cold the actions that are ordained for conception are weakned and disabled because cold is unprofitable and uselesse for any function it shuts up the mouthes of the veines in the Matrix it renders a woman averse from and indisposed to the pleasure of the Lawfull sheets for a waterish seed cooles the Testicles and makes them unapt to elaborate the seed and make it fit to unite and mix with the mans seed unto these impediments Hippocrates hath also added another which in his Aphorisms he calls a thick Matrix From all which it is manifest that the temperate Matrix is most fruitfull namely that which obtaines a mediocrity approaching to no excesse either of an active or passive quality by the universall Constitution of the whole body you may best discerne the temperature of the wombe which is most fit for conception for such women are fresh coloured and of a rosie complexion gentle of behaviour affable in their cariage merry and pleasant in their conversation not dull and drowsie and full of pensivenesse The third cause of barrennesse proceeds neither from the Nativity of the Patient nor from any sicknes but relates to the man as for example one and the same woman may have had Children by a former husband and yet no children by a second husband not because she is now barren or unfruitfull but she is so called because of her husband by whom she hath now no children the case is likewise the same on the mans part respectively to the woman but perhaps you will demand a reason hereof I answer because the proportion and temperature of both the seeds which ought to concur to generation are contrary the one to the other for the seed both of the man and the woman if it be prolificall and fruitfull will be of a white and shineing colour not thin and waterish but of a thick and compacted substance in sent like unto the flowers of the Dwarfelder tree and being put into water it will sinke to the bottome but that which is unfit for generation will swim upon the â—op of the water and is in all respects conâ—rary to the former the man ought to be of a strong constitution well set full of â—uscles and neither too slender nor too â—hick for those that are slender are usualâ—y too weak to get childreu at least such as are healthfull strong and lively and those who are to grosse are commonly of a cold temper have a thin and slippery seed and are more desirous of Venery then able to performe it Barren men are commonly beardless slow in imagination and dull in practise because their seed is cold and containes not any spirit to tickle and warme their Phantasies but they sit like images and are sad and insociable on the contrary hairy men that have Testicles of an indifferent size and a well concocted seed are cheerefull affable ever frequenting the young company of Maids and Virgins being excited by the flagrancy of their eyes to Venereous dalliances and lustfull speculations After the same manner we must give judgement concerning women which besides the signes aforesaide if they be bald and harelesse in the privie parts they are suspected to be barren but if they
be rough and full of haire it is a signe that they are fruitfull the wiser sort of Physitians know that much haire is an undeniable argument of much heat and of the strength of that heat which driveth out those fuliginous humours whereof those haires are generated Those women that have black haire are more apt for Venery then any other complexion because they are hotter and have their Courses in a more plentifull manner which Courses how conducible they are to make her fruitfull is manifest to any ordinary capacity because the menstruous blood is one of the Principles of our generation Other sorts of barren women must be referred to this Catalogue as those that are luxuriant and the whorish crew the former because by frequent coition their bodies become empty of seed and if any at that time be ejaculated it is not fit for generation because Nature is not allowed time enough to elaborate and concoct it and the latter sort conceive not partly by reason that many and various seeds are mingled together and partly also by reason of their frequent cohabitation with men whereby the neck of the Matrix is made so slippery that it cannot retaine the mans seed It will not be impertinent to enquire at what time women begin to have their Courses I answer that for the most part they begin when the Virgin is twelve years of age and end when she hath attained to forty five and in all that intercourse of time women are held capable of children but if any Auhors will affirme that women may conceive before and after those forenamed periods of time we also affirme that this is not ordinary but very rare and 〈◊〉 de menstruâ— sanguine in the chapter de ita 〈◊〉 Conceptione admiranda and he will straight demand whither a woman can conceive without the Menstruum I answer negatively for when either Principle of Generation is defective there can be no conception if you still obtrude upon me that many women have conceived without the Menstruum I grant it to be true if you speak of the outward Menstruum namely that which we call their monethly Courses but if you meane it of the inward that is of that which runneth out of the vessells into the Matrix for conception sake you are deceived for no woman can conceive without this inward menstruum you will ask againe peradventure can a woman conceive without pleasure and whither it be absolutely necessary that the seeds should be intermingled and that the man and the woman should both spend at one and the same point of time to the first I answer that they enjoy an unspeakable pleasure although that conduceth little or nothing to conception and to the second I affirme that it is not necessary that they both spend at one time although I confesse that may facilitate and much help conception but that it is sufficient if the seed be received into the Matrix and rightly concocted for there is in the womans seed such an earnest covetous and greedie desire to embrace and be united with the seed of the man that although the man spend after the woman yet she sucks it in and the conception is nevertâ—â—lessâ— perfect Thus we have declared unto you with all possible observation of modest expressions the Causes of barrennesse in generarall and the signes of such men and womâ—â— that are unâ—ruitfull by which 〈◊〉 you may discerne the particular constitution of either sex It would be needlesse to set down any prognostick signes because from a true consideration of the precedent notes you may raise an unerring determination whither the fault be in the man or the woman Let us now advance to the cure we have said that there is a threefold kinde of barrennesse Naturall Respeâ—tive and that which is contracted by force disease that which comes from the Nativity of the Patient is incurable but that which is comparative in relation to the woman or the man may have help from artificiall administrations for if the man or the woman be unfruitfull through an excesse of the first qualities that intemperance must be corrected how to bring this to passe now heare and understand if any man thoroughly knoweth how to cure that barrennesse which comes by sicknesse the same man will be able to particularize every cause that introduceth unfruitfulnesse Now this barrennesse that happens by reason of some disease must be cured by a distinct observation of the cause whereupon it hath dependance if it proceed from an Vlcer that Vlcer must be cured if it arise from frequent coition the incontinent person must curb her or his appetite if the Ayre be a suspected cause remove to another place if any poyson hath got into the body by the power and malignity whereof the spirit which is in the seed is weakned and dulled you must prescribe remedies of Bezar stone and apply such medicines to the privities as have a faculty to resist poyson If the party be bewitched as it often comes to passe even by the malicious art of the Devill or his instruments besides the ordinary helpâ— you must indeavour to subdue the evill with other meanes as the learned Fernelius hath taught us in his booke de abditis rerum causis for some diseases and remedies exceed the limits and boundaries of Nature If slendernesse be the cause of unfruitfullnesse you must nourish and fatten the body with meats that yeild good juyce and with moistning baths and you must be carefull to avoid evacuations and all other things which weaken the strength and exhaust the spirits If fatnesse hinder fruitfulnesse the body must be extenuated made lean dried and rub'd and all other meanes must be used to dissolve and evacuate the thick juycâ—s the Patient must accustome her selfe to much exercise refraine from anger and all passions of the minde and content her selfe with little spleen for these things introduce leannesse bring down the body and take away all grossenesse and corpulency for the same purpose also you may frequent the Bath and hot houses for sweating doth much extenuate a fat body If the Affect be produced by an excesse of the first foure qualities as we have already intimated that hot distemper must be corrected by a various administration of remedies in contrariety to that excesse first with a cold and moist ayre for in such cases a hot ayre weakens our strength and drawes 〈◊〉 the naturall heat to the circumference inflames dissolves and enervates the faculties of the Matrix and because a hot distemper cannot long continue sâ—mple and uncompounded but in a short space associâ—â—â—s to it selfe a dry distemper therefore the aliments must be moyst to resist the increase of that drought which is not cured without much trouble and difficulty if it be once introduced into the Matrix which by Nature iâ— a dry and nervous part wherefore let her drinke be potentially moist as small beer or a decoction of burley but enjoyn her an abstinence
three drams of Diaâ—henicon Mingle them and let her drink it in the morning early If her Courses be stopped cut a veine in her ankle Leeches also may be applyed to the Hemorrhoids but with caution and warinesse least thereby you more and more weaken such women whose bodies â—re full of raw and indigested humours afterwards you must purge her body again with a scruple of extract Catholic and as much of mass pillul faetidar and lastly prescribe an Apozem or Decoction to cut aâ—under and evacuare the grosse and tough humours to provoke urine to open the obstructions of the Matrix and to bring down the Courses all which vertues meet together in this Composition following Take the roots of smallage Eryngos And Fennill of each halfe an ounce The baâ—ke of the root of the Caper And Tamarisk tree of each two dramâ— The leaves of penniroyall and birthwort of each a handfull Germander Maidenhaire Balm of each halfe a handfull Ten drams of Sâ—na Three drams of agarick trochischt A dram and a halfe or two drams of Epythymum Boile them all according to art in a sufficient quantity of water wherein steeâ— hath bâ—en infused to a quart when yoâ— have strainâ—d and with a strong hand preâ— out the liquor add Three ounees of â—yrup of roses Mingle them and make an Apozem oâ— Take the roots of Butchers broome Aparagus Polypody of the oak And fennill of each halfe an ounce The leaves of Penniroyall And motherwort of each a handfull A dram and a halfe of annise seeds The flowers of Violets Rosemary and Borage of each as many as you can take up between your thumb and two fingers An ounce of raisins of the Sun Boyle them in a sufficient quantity of â—arley water to a quart In the strained liquor infuse for a night Ten ounces of Sena Three drams of the whitest agarick Two drams of the best rubarb A dram of Epithymum In the morning let them buble once or twice and then to the liquor which â—ou presse out add Syr. Byzantin And Syr. de eupatorio of each an ounce Mingle them and make an Apozem Of this or of the former let her take â—wice in a day the quantity of three ounces or a week together once in the morning and the second time at foure a clock 〈◊〉 the afternoon Excellent Lozenges may be made of the species Diamosch and Diacinnamomum or youâ— may compound them with Treacle Mithridate and Bezoar stone When the Mola hath obtained some growth if it be waterish it must be brought away with such simples as have a faculty to purge out waterish humours or if it be windy you must prescribe such medicines as are of a known and approved vertue to strengthen the Matrix and to expell winde and Carminative glysters in such cases will be very convenient so also will plaisters and fomentations applyed to her privie parts but that which is humorall skinny and bloudy may be overcome with the same remedies as are set down at the beginning against the stoppage of the Courses When Nature indeavours to expell this unprofitable burthen and an issue of bloud ensueth thereupon with fainting and swounding fits then you must be diligent to strengthen the Patient with broths made of the flesh of Capons and Partridges and with such things as will stay the bloud and refresh the exhausted spirits such as are Chalybeated wine Sugar of Pearle Corall c. You will object that wine cannot be seasonable because by the heat thereof it makes the bloud thin and makes it more apt to flow away in greater measure by opening the passages rather then it can any way help to stay it I answer it is not guilty of this mischiefe if it hath a reddish Tincture for if good Claret wine be chalybeated as hath bin said besides that it nourisheth the body it is also a binder for it comforteth the spirits and refresheth the whole body which vertues must needs be profitable for and welcome unto a Creature who is hourely subject to faint and swound and although it might provoke the bloud to flow yet a greater good must be preferred before a small inconvenience and therefore give her wine to refresh her spirits which will be more to her advantage then the issue of bloud can be to her prejudice for she may perish suddenly in one of those sits but the flux of bloud may be restrained by degrees Note that foure things require an abstinence from wine First an inflammation of the bowells Secondly a vehement paine in the head Thirdly a Phrensie And fourthly a burning Fever in a crude disease and of this opinion was Galen as appeares in his first book ad Glauconem and the 14. chapter Moreover the Patient should be refreshed with the choicest meats and then the Mola should be disposed to come forth by softning and loosâ—ning fomentations made of a decoction of marishmallowes mallowes motherwort Mercury Birthwort Sage Hyssope Calamint the seeds of line marishmallowes fenugreek camomile melilot and rosemary in this you may dip a clout and bath her privie parts But if the bloud come not away rub her legs and apply drie Cuppinglasses to the calfes of her legs and binde most painfull ligatures about them and in a word make tryall of all such remedies as will draw down Nature the humours and the Mola to the lower parts CHAP. III. Of Womens Longings WOmen are sometimes so extravagant and preposterous in their appetite that they refuse wholsome meat and long after coales chalke a piece of an old wall starch earth and the like trash which they devoure as ravenously as a hungry Plowman will winde downe a good bag-pudding Now perhaps you may also long to know the cause hereof which is no other then the menstruous bloud especially if it be retained about the middle of their time and grow corrupt for the child in the wombe is nourished with the sweetest part of the bloud and the other part remaining which is vitious filthy and dreggish noisome exhalations especially in the middle moneths arise from it and in such a manner contaminate all the upper partts that the worst things are vehemently desired and the most wholsome refused the signes are apparent from the depravation and irregular temper of their stomack This Disease is hard to cure yet not so much in respect of the disease it selfe as of the subject wherein it is generated which is a woman with childe now we know that such women must be warily and religiously dealt withall and unlesse it be in extreame necessity their bodies ought not to be purged By this unavoidable abstinence the disease is increased and the bad humour being long retained in the body becomes daily more and more corrupt by the tetrous exhalations which ascend up from the pollutions of the Matrix therefore having first appointed a strengthning and drying dyet you must indeavour to rid away that humour with Syrup of roses solutive and afterwards when the body is cleansed
mortified through the abundance of crude humours which many times settle in them You may securely speedily and gently accomplish the cure by strengthning and disâ—olving remedies In the first place therefore provide a bath with chalybeated water Saltpeter Sulphur Wormewood Stechaz Rosemary and Camomile in this liquor let her wash her lips her thighes her legs and her feet and when she washeth them let her also rub them soundly If her flesh grow very soft and lank so that you feare a mortification apply this Poultis following which will exceedingly comfort her Take two handfulls of Wormewood Meale of Vetches Meale of beanes Meale of barley of each an ounce and a halfe An ounce of Bran. With a sufficient quantity of oxymel and a brine made with lemon pills according to art make your Poultis If the coldnesse of the part be such that you feare a gangreen there is nothing will more certainly prevent it then Scarification for by this meanes the part is ventilated and preserved from putrifaction Strengthning remedies must sometimes be exhibited to expell the winde yet you must administer them with a good diet consisting of drying and corroborating things as Treacle Mithridate and other drying confections and powders Diacinnamonium aromaticum rosatum Diarrhodon Abba t is unto which we may well adjoyne a decoction of China and Salsaparilla with a little stick of cinamon and a few annise seeds Note that these remedies may properly be accommodated to the cure of the disease called the Vterine Flux which happens sometimes to women when they are ready to lye down by reason that there is an excessive abundance of humour in their bodies or else because the childe in their bellies is very large and great CHAP. VIII Of Costiveness in Women with Childe THe inner part of the humour being spent upon the nourishment of the childe in the womans belly the dregs grow hard and when Nature striveth to cast them out by a strong and vehement indeavour the Matrix suffers a compression by which compression the childe is offended the Cotyledons are loosened and many times the woman miscarrieth and the child proves abortive The belly must be sollicited but not with glysters because they hurt the childe especially if it be grown to some bignesse but with Suppositaries made with hogsgrease and five or â—xgraines of Diagryâ—ium for these will irritate Her meat should be of a moistening and mollifying quality as mallow and borage leaves eaten with butter and Sugar fat pottage also is good for her in which if she complaine of no torments you may boyle polypoda sena and prunes Manna above all other things is in present case to be preferred and next to it we commend Syrup of roses laxative and Syrupe of Violets made with a frequently iterated infusion Sometimes you may prescribe this Julep Take the waters of borage Fumitary of each eight ounces Three ounces of Syrup of Violets Mingle them and make a Julep Forbeare the use of sharp medicines for they worke with an unnecessary vehemence and not seldome cause Abortivenesse Unto this disease we adjoyne a loosenes which hapneth when women are of a cold constitution and full of crudities or when they have a weake belly Sometimes also it happens by their inordinate Longings when they wish for a greater variety of dishes then they are able to concoct for then many times what they have so greedily devoured passeth down into the guts without digestion and causeth a loosnesse through the weaknesse of the retentive facultie We have learnt from Hippocrates to accouâ—t this among the dangerous diseases for in the fifth brok of his Aphorismes he hath these words If a woman with childe be troubled with a great loosnesse 't is to be feared that she will miscarry and note well the reason hereof for when she is thus afflicted the good and the bad goe away together the childe is defrauded of its due nourishment and so perisheth You must presently strive to stay the loosnesse with binding and thickning meats as quinces rubarb beer wherein steele hath been often infused or else you may prescribe this Potion following Take a handfull of plantane leaves The seeds of flux wort The seeds of Sumach of each a dram Boyle them in a sufficient quantity of red wine to a pint and a halfe to the strained liquor add Srrupe of Comphrey Syrupe of Quinces of each an ounce Make a Potion Boile or steep annise seeds in her drinkes and apply the same fomentations oyntments and plaisters as we have already commended unto against Vomiting But if the excrements be slimy putrified and stinke you must not neglect the use of Rubarb gently rosted and of myrobalans slightly rosted for these doe not onely purge but they binde withall and strengthen the parts Sometimes you may exhibit Philonium Persicum Requiem Nicholai or Pill de Cynoglossa but with a sober caution the quantity is a scruple or at the most but two scruples and that when the other things have proved unsuccessefull and also when the strength of the Patient will allow the taking of them CHAP. IX Of the flowing away of Bloud from the Matrices of women with Childe ALthough we made mention of this disease in the first booke where we treated of the immoderate flowing of the Courses yet we conceive it may be worth our labour and the Readers thanks to add a few things which in the Chapter aforesaid were purposely omitted by us Bloud then floweth immoderately from the Matrix either when the lips thereof are unlockt or when the vessells are open or lastly by transcolation The inward cause of these symptomes is an extreame heat or thinnesse in the bloud which either eats asunder the vessells or rarefies the tunicles thereof the outward causes are all those things which have a power to make thin to heat to open to rarefie and to subtilize the bloud as immoderate cares of the minde long watchings a continuall use of hot meats as dishes pepperd and spiced also drinking too much wine yet you may exhibit a glasse of Claret wine in a moderate quantity to refresh her spirits provided that no Fever be suspected and that her Matrix be not inflamed The signes of this evill are manifest for the spirits are deficient the heat is diminished the face groweth pale the feet swell the strength decayes the meat is forsaken and no sleep can be obtained The danger of this Flux is unknown I suppose to few women for seeing that our naturall heat hath its chiefe and sole perseverance in the bloud the losse of that bloud in an immoderate quantity must needs exhaust the spirits weaken the body and at length when the naturall heat is almost extinguisht and the sanguification is depraved there will undoubtedly supervene either a Dropsey or a Consumption When you begin the Cure keep the Patient in a darke roome and let the ayre be cold and dry or if naturally it be not so make it so by art her meat should
be potentially cold thick and binding as the flesh of Partridges and sheeps-feet or sheeps-heads or broths made of them pease beanes quinces Services and the like are not unwholsome for her and for her drinke let it bee beere or water wherein steele hath often been quenched Let her bloud immediately to divert the humour but in what part there is indeed a great controversie among the Physitians about it but to promote the Revulsion of the humour if the Patient be strong enough we tye ligatures about her legs and boldly open a vein in her arme or if she be very strong we apply â—uppinglasses wiâ—h scarification to her shoulders When the veine is opened give her thickning Syrups as Syrup of poppies Myrtles quinces or Syrupe of restharrow Juleps also made with the distiâ—led waters of plantane and roses and mixt with the Syrups aforesaid will be convenient for her or you may mingle Conserve of roses or Conserve of acacia with Bolearmenick and the Trochisch de Carabe which will be an excellent mixture to thicken and stay the bloud but however forget not to prescribe this Purge Take two scruples of Rubarb gently boyled Ten grains of the myrabolans called chebule Syrup of dried roses or Syrupe of sowre Pomegranets halfe an ounce Three ounces of plantane water or a decoction of tormentill rootâ— Mingle them and make a Potion Procure some sleepe for her with Opiates as Athenasia Requies Nicholai Philonium Persicum new Treacle or Philonium Romanum yea with pills de Cynoglossa or foure or five graines of Opium all these things doe wonderfully thicken the bloud straighten the passages fatten the body concoct the bloud provoke sleep and therefore are very proper for women thus affected Note that the Opium restraines and stops all superfluous evacuations sweat excepted which it provokes besides by inviting sleepe it refresheth the body for by sleep the aliment is soonest concocted the naturall heat retiring to the inward parts whereas when the Patient waketh the heat is distributed and diffused all over the outward parts Lay this plaister which followes the oyntment to the reines of her back and with the oyntment anoynt her privie parts and the region of her Kidnies Take the powder of Cyprus Nuts The roots of Comphrey Bistort of each two drams Red Sanders Red Corall Bolearmenick Mastick of each a dram With foure ounces of Vnguentum Comitissae make an oyntment After the oyntment apply this Plaister as was said above Take a pound of loom and beat it to powder with ten drams of gum-arabick tosted by the fire and the whites of foure Egs incorporate them and make a plaister CHAP. X. Of water flowing away from the Matrices of women with Childe MOst certaine it is that Women with Childe by reason of their depraved appetites and continuall intemperance in their diet abound with crude and unconcocted juices which nature not knowing how to digest nor being able to expell them by her monethly Courses are accumulated in a large measure pollute the body and introduce a cold distemper from whence that water comes which is the intended subject of our present discourse they who live a sedentary and an idle life are very obnoxious to this disease in such women this waterish humour comes away at the Matrix cold to the touch slow in motion slimy in substance and white to the eye and voide of all manner of sharpnesse these women look pale their skin is lanke or loose they are lazy and loath to use any exercise they are troubled with winde and loud rumblings in their bellies Account this is a difficult Cure especially when it happens in the last moneths when we dare not administer convenient remedies fearing to destroy or hurt the childe because such kinde of remedies dissolve and exhaust the spirits and when the body is extreamely weakned they precipitate the Patient into a Dropsey which is scarce curable or else she miscarries by reason that the retentive faculty is too much weakned by excesse of moysture You must therefore indeavour the cure by a drying Diet as Bisket made with annise seeds and with flesh meat rather rosted then boiled forbid windy meats salt meats such as breed a thick juice and yield too much moisture almonds chesnuts pine kernells and boyled rise are very wholsome all hearbs and fruit beside quinces and medlars are unwholsome For her drinke give her binding red wine or wine wherein steele hath been quenched for this comforts the spirits a decoction of china and Salsaparilla may be profitable because it dries up the descending moisture and cleanseth the body from it this potion following will doe her much good Take two drams of Cyprus nuts The leaves of wormewood Mint Red roses of each halfe a handfull The seeds of quinces Services of each two drams Parcht rise Mastick of each a dram Halfe a dram of gum dragon Boile them in a sufficient quantity of water wherein steele hath been quenched to two pints to the strained liquor add Syrup of dried roses Syrup of the juyce of quinces of each an ounce Halfe an ounce of honey of roses Mingle them and make a Potion Let her take three ounces of it early in the morning it evacuates the waterish humour and not onely strengthens but also bindes the parts dryeth the Cotyledons and retaineth the childe in the Matrix that it come not into the world before its due time after the Potion the next day lay this Plaister to her privie parts Take two drams of Loadstone beaten to powder Spikenard Mastick Red corall of each a dram Two ounces of oyle of quinces Six drams of white wax Mingle them and make a Plaister A gentle laxative Decoction cannot be inconvenient and therefore we shall here set down that which hath often purchased sweet ease to the Patient and credit to our selves Take a handfull of plantane leaves A pugill of red roses Foure drams of rubarb Two drams of agarick trochischated Mastick Spikenard of each a scruple Macerate them together in two pints of water wherein steele hath been infused upon hot coales the space of six houres afterwards set them upon the fire and when they begin to bubble presse out the liquor with a strong hand and add to it Two ounces of Syrup of Fumitary Mingle them according to Art Give her every other morning fasting three ounces of this decoction for it gently strengthens the parts diverts the waterish humour from the Matrix and with much benignity evacuates it When the woman is almost ready to be in labour a wheyish or waterish humour floweth leasurely and by degrees from the Matrix either because of some dilatation of the Membranes in which the childe is enwrapped or else because those membranes are burst asunder and although it descend leasurely yet a large quantity comes from her if this happen when she is in labour suspend all helps of art for it is a good omen that she will be safely delivered but if it should fall out
fall of their own accord so the childe wherefore if you will prescribe any physick follow the directions of Hippocrates and exhibit it between the fourth and the seventh moneth because then there is a firme connexion between the Membranes and the Cotyledons If you desire exactly to know these middle moneths I answer they are the fifth the sixth and part of the seventh If you object the words of Galen who saith that a child three months old is strong and able to resist the injuries of physick I answer that he reckons the end of the third to be compleat not till the fourth moneth be begun concerning which argument the learned may consult the Epistles of Mainendus THE FOURTH BOOK OF VVomens Diseases The first Chapter OF a Naturall Birth and of Abortion PRovident Nature at all times hath not a greater care of any thing then of the propagation of mankinde and this although it appeare not so much in the species yet it is cleare and manifest in the individuall and thus she hath framed women to a delight in Venereous conjunctions that they might with greedinesse suck in the mans seed and dispose and cherish it to Generation So soone as the woman hath conceived Nature hath an especiall care to fashion augment nourish adorne and perfect the childe and at a determined time to send it out into the world in all respects compleat and absolute This sending forth of the childe is twofold either naturall or preternaturall the first is when Nature at a time prefixed sends out into the Province of the world a perfect Citizen with an exact dearticulation of all the parts with a little paine without any fever or passions of the minde this sometimes comes forth before its time with great paine to the woman in her back and belly as in the fifth seventh or eighth moneth or else it stayes beyond the ordinary date of time There are severall opinions among the Physitians why a childe that is borne in the eighth moneth should be weake and not healthfull whereas a childe borne in the seventh moneth is held to be both strong and healthfull Laurentius in his book de re Anatom handles these things with much elegance and thither we refer the Reader and for our own opinion we shall most readily declare it to be this that I hold it impossible that the childe should be able to undergoe two afflictions the one immediately following the other namely one in the seventh and the other in the eighth moneth in which it is very obnoxious to sufferance and danger and therefore most commonly perisheth in the eighth moneth for it comes to passe that the childe is doubly or consequently afflicted first with that affliction which befalls it in the wombe and afterwards with that which happeneth in the birth but this befalleth not the childe which comes forth in the seventh moneth because it comes into the world perfect strong and without the labour of the seventh and eighth moneth Galen describes Abortion to be an imperfect Emission of the Childe or a violent Excretion of the Childe The Causes hereof are many and various some inward some outward the outward cause which for the most part is subjected to the arbitrement of sense is a vehement fever which kills the childe especially if it continue long for it is destructive both to the Mother and the Childe the fiery heat thereof devoures the whole substance of the moisture wastes the spirits consumes the flesh and so weakens the body and destroyes the childe by exhausting the spirits and dissipating the aliment to this we have already adjoyned an excessive or lasting loosenesse because as we have said it looseneth the Cotyledons and by the sharpnesse of the humours irritates the Matrix shaking agitating and assaulting it till provoked Nature excern the Childe dancing leaping loud crying long fasting doe all presage that the woman will miscarry so also are the relations of some unexpected events anger chiding thunder the sudden noise of some pistoll or musket a fall the denyall of some ardent request and an innumerable company of other such things The inward are reduced to three Causes namely to the weight or heavinesse of the humour whereby the suffocated childe is overwhelmed and perisheth the second is the great bulke of the Matrix by reason whereof the childe is scarce held fast but slides away and slips out or the small and narrow capacity of the Matrix wherein it neither groweth to any bignesse or perfection but perisheth for want of roome the third is a skirrosity or hard swelling which is an impediment to the childe that it cannot lye stretcht out to its full dimensions but endures a compression and dieth Galen reckons up those signes which goe before abortion the first whereof is an extenuation of the nipples the second a diminution of the milke the third when the child is not perceived to stir in the belly the fourth the slendernesse of the woman the fifth the loosenesse or lanknesse of the whole belly the sixth the depravation of the appetite the seventh which is a true signe that she is now ready to miscarry is a paine in her back in her privie parts and torments all over her belly with a thin humour distilling from her Matrix This is far more dangerous then a lawfull and naturall birth in regard of the perturbations and violence which is offered to nature As for the Cure the woman having already miscarried that consists in the point of preservation namely to prevent the supervening of a Fever or the Whites this may be done by the help of those things which we have noted above sleep must be procured then the belly and the Matrix must be strengthned with fomentations litle bags and such like administrations as are good to expell winde To prevent obortion and to preserve the woman from miscarrying we approve if the danger be threatned from an extreame fulnesse of humours the cuâ—â—ing of the Basilick or the middle veine for this counsell we have the Authority of Fernelius who in his second book de Meth. Med. saith unlesse many veines be unlockt about the mouth in which the woman looketh she will miscarry for the childe is overwhelmed and choak't with too much bloud but if it proceed from the amplitude and large capacity of the Matrix apply astringent decoctions if from the narrownesse of the part mollifying medicines will be most proper yea and such as resolve and consume away hard swellings may be convenient for this cure CHAP. II. Of a hard Labour VVE call a womans Labour hard and difficult for five conditions or five reasons the first whereof is an Anticipation of or as we use to say when she comes before her due time in the fourth fifth or sixth moneth which because it is excerned by nature before the naturall time it is imperfect precipitating the woman into many straights and bitter pangs the second is a transversall or preposterous Egresse as when one
foot onely or an arme appeareth or when the breech cometh before the head or when both the feet joyned together come out first and afterwards the head the third is when the childe which comes forth of the wombe is mishapen nature having erred in the conformation the fourth is intolerable paine fainting swounding fits and bitter torments about the bottome of her belly and the secret parts the fifth is an effusion or running out of water many dayes before the birth which being run out the passages which before were slippery to assist the emission of the childe now remaine hard and dry and become an impediment to the birth this humour is of no small advantage nay it is of admirall concernment to facilitate the birth if we may without procuring envie to the man beleeve Galen who saith in his book de usâ— partium that that humour serves not onely to moisten the childe and to make the wayes slippery but it likewise subdues the callosity and hardnesse of the matrix almost to an incredible dilatation to these we may adjoyne the weaknesse of the mother and the imbecillity of the expulsive faculty as also the strength of the Retentive The signes of an illegitimate birth succeeding are vehement but vaine indeavours and strivings seeing that the childe for the reasons aforesaid is hindred from coming forth No man of understanding can deny but this must be terrible to behold and painefull to endure for if the childe chance to dye and lye dead in the Matrix some dayes it is most certaine that it will putrifie infest the principall parts with noysome vapours and poysonous exhalations weaken their strength and bring an unavoided death upon the woman We have often and with the saddest apprehensions beheld how much diligence was necessary both to the reliefe of the Moâ—â—â— and the preservation of the childe â—â—erefore having provided a skilfull Midwife you must lay the woman in a darke place least her minde should be distracted with too much light all passions of the minde must be diverted by a pleasant and cheerefull conversation and provide such meat for her as is easie of concoction Let her drinke be small beere or barley water boiled with Maidenhaire and cinamon unto which add a small quantity of Rhenish wine for this brings down the urine moves the Courses and facilitates the birth boiled meats are most wholsome for her as mutton boiled with Rosemary chicken broth also is good for her and so are the chickens Binding and sharp things must be avoided gentle and moderate exercise is commendable and afterwards the Midwife may rub her legs and her feet We have acquainted you with the Conditions of an ill birth and now we shall furnish you with remedies to prevent or oppose those conditions When the childe goeth out in a depraved figure the Midwife must gently dilate the parts with her hand or with some convenient instrument certaine it is that this happens very often if a monster be borne in regard of the bad conformation of the body if a foot or an arme or the shouâ—â—â—ders or the buttocks come out first 〈◊〉 the Midwife by the activity of her hand anoynted with oyle of sweet almonds must thrust back the childe and dispose it to a more regular egresse but if this cannot be done the childs life is in danger and if the child perish it must either be expelled with medicines or drawn out with an hooked instrument as we shall shew you in the chapter next following If vehement Symptomes arise from hence all which are wont to proceed from the weaknesse of the Mother or else from clotted bloud destilling from the Maâ—rix before the birth and that you feare a greater inquination in regard of that putrified bloud then comfort the feeble and decayed spirits of the woman with the Rhâ—nish wine and broths aforesaid when this is done provoke the clotted bloud and feculent humour by strong ligatures by rubbing her body with a course cloath and applying Cuppinglasses to her legs and if the woman be fallen into an agony if she be young of a good habit full of bloud or of a sanguine complexion and if it be also the Spring time if those about her have strong feares that she will dye open a veine in her ankle for thus Nature is disburthened and the womb which was opprest with the weight of the bloud feeles ease and many times the woman recoverâ— who was at deaths doore To witnesse the truth hereof we have an authentick warrant from the writings of Hippocrates who in his booke de morbis mulier hath these words if a woman with childe be a long time restrained and cannot bring forth if she be likewise in the vigour of her age and full of bloud you mâ—st open a veine in her ankles and draw away the bloud respect being had to the strength of her body Note that he saith out of her ankles that is at one time from both ankles as Cordaeus his Commentatour hath observed unto us but yet in our Climates we conceive it sufficient to cut a veine in the left ankle onely because our opinion is that somewhat must be left to Nature who is somewhat wearied but yet able to make a further resistance After the phlebotomy curb the malice of the humours with Bezoar stone Treaâ—le Mithridate Alkermes Hyacyntha with Lozenges made of Manus Christi Diamargariton frigidum Aromaticum rosatum and the like If great plenty of waters come away before the birth if the Matrix and the Scabard thereof remaine dry if the Cotyledous be contracted and straightned so that no roome is left for the egresse of the childe then must it be your indeavour to soften to moisten and make wide the passages with oyle of sweet almonds or with a warm cloath dipped in the oyle or else fill a bladder full of this oyle and lay it upon her privities or lastly you may mingle it with a decoction of onyons garlick rue and birthwort Half Tubs are in this case very profitable being made after this manner following Take the leaves of mallowes Marish mallowes of each foure handfulls Motherwort Rue Birthwort Penniroyall of each three handfulls Camomile Melilot flowers The tops of Dill of each two handfulls and a halfe The seeds of Fenugreek Marish mallowes Line of each an ounce and a halfe An ounce and a halfe of Laurell berries Boyle them all in thirty pints of water put them into a tub and let the woman sit covered in it till all things correspond with her expectations You cannot scandalize your judgement by an errour if you present her with an opening dilating and provoking draught as she is seated in the Tub the forme whereof may be this Take two scruples of the Trochischâ— of Myrrhe Ten graines of Borace Eight graines of Saffron Halfe an ounce of Syrup of Motherwort Three ounces of a decoction of madder roots and rosemary Mingle them for a draught Many commend this oyntment following which
Savine Mingle them for a draught or Take the powder of assa faetida Trochishs of myrrhe of each a scruple Troch Alhandal Borace of each ten graines Nutmeg Saffron of each five graines Two ounces of a decoction of Savine Two ounces of muscadine Mingle them for a Draught or Take the powder of Euphorbium Dittany of Creet of each a scruple Ten graines of borace Five graines of Cantharides prepared Three ounces of a decoction of Savine Mingle them for a Draught Glystars and Suppositaries are of great concernment and thus make you them Take a dram of rest-harrow roots The leaves of Savine Pennyroyall Birthwort Motherwort of each a handfull Origanum Sage Dittany of Creet of each halfe a handfull Fennill seeds Nettle seeds The pulp of Coloquintida of each two drams Boile them in a sufficient quantity of water to nine ounces to the strained liquor add Two ounces of benedicta laxativa Halfe an ounce of hiera picra Mingle them and make a Glyster or Take Troch Allhandall Scammony of each a scruple A dram of common salt With a sufficient quantity of white honey boiled according to Art make your Suppository Outwardly you may apply oyntments made of oyle of Castor oyle of Foxes oyle of Euphorbium with unguentum Agrippe unto which may be added a little coloquintida powder of dittany scammony the gall of an Oxe Take two ounces of Vnguentum Agrippae Oyle of Castor Foxes Euphorbium of each halfe an ounce The pulp of coloquintida Dittany of Creet Scammony of each two drams The gall of an Oxe Euphoribium of each a dram Mingle them and make an oyntment Suffumigations may be prepared by this forme following Take halfe an ounce of live Sulphur Opoponax Galbanum Assa faetida of each two drams The powder of rue Savine of each a dram and a halfe The gall of an Oxe The juice of an onyon of each a sufficient quantity Make them into Trochischs for your use Pessaries must not be forgotten therefore Take three drams of Hiera piera in the species A dram and a halfe of myrrhe A sufficient quantity of unguentum Agrippae With a piece of cotton according to Art Make a Pessary Or Take Ammoniack Assa faetida Black â—ellebore of each two drams Troch Alhandall Scammony of each a dram The juice of rue Soldanella The gall of an Oxe of each halfe a dram Two drams of Turpentine With wooll and cotton according to Art make a long Pessary If these things will not bring away the childe and if the Mother be sadly fallen into an agony the safest method will be to draw out the childe with instruments if no contraindications appeare as a bad pulse and a difficulty of breathing with anxiety and unchearfulnesse of disposition in the woman CHAP. V. Of the Torments and the suppression of the Courses after the Birth WOmen in labour must be gently handled and carefully lookt unto both in respect of the roome where she is laid and also in regard of the Diet which is most proper for her in that condition As for the place it must be darke far and free from noise or any other disturbance that way least she should be offended by any accidents of feare or sadnesse or by any sudden surprizalls of anger or griese The Diet consists in meats of good juice and easie concoction and such as are not slow in their distribution to the severall parts because they thicken the bloud and obstruct the passages Let her drinke be small beer cleare and well setled from dregs Barley water in which birthwort and borage leaves have been boiled is incomparably the best drinke you can device for her and next to it we prefer Rhenish wine conditionally that the presence of a Fever doth not forbid it The whole hope of preserving the Woman yea of curing the Diseases which happen after the birth is placed in the evacuation of the feculent menstruous bloud and therefore 't is the duty of our skill to provoke and urge down that bloud least that evill befall her which Physitians call Torment This is a paine in the whole lower region of the belly felt upon the privie parts neere the small guts the inward cause thereof is a multitude of thick menstruous bloud retained in the body The outward cause is the inclemency of the outward ayre in regard of the coldnesse and the passions of the minde thick meats as creame custards and the like coarse bread salt flesh hard fish and many other things which are hard to digest and not kindely distributed to all the regions of the body You may most easily discover this affect by the signes for the Courses are retained at least they come downe not so freely nor in such plenty as at other times they were wont a wandring and unquiet paine is perceived beneath the navell with gurgulations and rumbling in the guts the woman breaks winde both upwards and downwards and this winde is bread of a thick and feculent bloud This affect must not be despised by neglect for the matter making way by degrees to the affected part augmenteth the paine yea and introduceth inflammations with a Fever wherefore when you have duely conâ—idered the age of the woman the Climate in which she liveth the time of the yeare and the menstruum you mâ—st without delay open a veine in the ankle and not once onely but twice or thrice as it shall seeme expedient for by this administration the thick and feculent bloud iâ— drawn out rub her legs till by her complaints you know she feeles paine and apply Cuppinglasses to the inward part neither may you forget to lay Leeches to the Fundament by reason of its neernesse to the Matrix and the spleen A Purge be it strong or be it gentle must be exhibited the first dayes because the belly is not sufficiently open and inclined to evacuate the menstruum for should you afterwards purge her body it would take off Nature and interrupt her in her duty as Avicen sheweth in his fourth Fen. and and first chapter Therefore let the bloud be made fluid and the passages kept open and then mitigate the paines with mollifying fomentations mixt with Anodynalls Take the Caul of a weather newly killed and clap it upon the part for by the actuall and asswaging heat thereof it takes away the paine and the same vertue hath the bladder of an Oxe if it be filled halfe full of this decoction following Take the leaves of mallowes Violets Pellitory of the wall Pennyroyall of each a handfull and a half The flowers of Camomile The flowers of melilot of each a handfull Line seeds Fennill seeds of each halfe an ounce Boile them in a sufficient quantity of water to three pints unto which add Three ounces of oyle of sweet almonds Oyle of Dill Oyle of poppies of each an ounce and a halfe use it as was said above Anoynt her belly with this oyntment following Take unguentum de Althâ—ea Vnguentum Agrippe of each an ounce