THE MIDWIVES BOOK Or the whole ART of MIDWIFRY DISCOVERED Directing Childbearing Women how to behave themselves In their Conception Breeding Bearing and Nursing of CHILDREN In Six Books Viz. I. An Anatomical Description of the Parts of Men and Women II. What is requisite for Procreation Signes of a Womans being with Child and whether it be Male or Female and how the Child is formed in the womb III. The causes and hinderance of conception and Barrenness and of the paines and difficulties of Childbearing with their causes signes and cures IV. Rules to know when a woman is near her labour and when she is near conception and how to order the Child when born V. How to order women in Childbirth and of several diseases and cures for women in that condition VI. Of Diseases incident to women after conception Rules for the choice of a nurse her office with proper cures for all diseases Incident to young Children By Mrs. Jane Sharp Practitioner in the Art of MIDWIFRY above thirty years London Printed for Simon Miller at the Star at the West End of St. Pauls 1671. TO HER MUCH ESTEEMED AND EVER HONOVRED FRIEND THE LADY ELLENOUR TALBUTT BE THESE My Poor and Weak Endeavours Humbly Presented BY Madam An Admirer of Your Vertue and Piety Jane Sharp TO THE MIDWIVES OF ENGLAND Sisters I Have often sate down sad in the Consideration of the many Miseries Women endure in the Hands of unskilful Midwives many professing the Art without any skill in Anatomy which is the Principal part effectually necessary for a Midwife meerly for Lucres sake I have been at Great Cost in Translations for all Books either French Dutch or Italian of this kind All which I offer with my own Experience Humbly begging the assistance of Almighty God to aid you in this Great Work and am Your Affectionate Friend Jane Sharp THE CONTENTS Of the several CHAPTERS BOOK I. OF the necessity and usefulness of the Art of Midwifry Page 1. CHAP. I. A brief description of the Generative parts in both Sexes and first of the Vessels in Men appropriated to Generation p. 5. CHAP. II. Of the Seed-preparing Vessels p. 6. CHAP. III. Of the Vessels that make the Change of the Red Blood into a white substance like Seed p. 8. CHAP. IV. Of the Cods or rather the Stones contained therein p. 10. CHAP. V. Of the Carrying Vessels p. 14. CHAP. VI. Of the Vessels for Seed p. 16 CHAP. VII Of a Mans Yard p. 18. CHAP. VIII Of the Nut of the Yard p. 27. CHAP. IX Of the Muscles of the Yard p. 28. CHAP. X. Of the Generative parts in Women p. 33. CHAP. XI Of the Womb p. 38. CHAP. XII Of the likeness of the Privities in both Sexes p. 40. CHAP. XIII Of the Privy passage in the Secrets of the Female Sex p. 41. CHAP. XIV Of the Seed-preparing Vessels in Women p. 54. CHAP. XV. Of the Seed-carrying Vessels in Women p. 58. CHAP. XVI Of Womens Stones p. 60. CHAP. XVII Of the Womb or Matrix p. 63. CHAP. XVIII Of the fashion of the Womb and the parts of which it is made p. 73. BOOK II. CHAP. I. WHat things are required for the Procreation of Children p. 87. CHAP. II. Of true Conception p. 92. CHAP. III. Signes that a Women hath conceived and whether it be a boy or Girle p. 102. CHAP. IV. Of false Conception and of the Mole or Moon calf p. 106. CHAP. V. Of the Causes of Monstrous Conceptions p. 116. CHAP. VI. Of the resemblance or likeness of Children to Parents p. 120. CHAP. VII Of the sympathy between the Womb and other parts p. 125 CHAP. VIII How the Child grows in the Womb and how the parts of it are successively made p. 132. CHAP. IX Of the Posture the Child lieth in the Womb. p. 153. BOOK III. CHAP. I. WHat hinders Conception and the causes of Womens Barrenness p. 163. CHAP. II. Of the great pain and difficulty of Child-bearing with the signes cause and Cure p. 166. BOOK IV. CHAP. I. RVles for Women when near their labour p. 187. CHAP. II. To know the fit time when the child is ready to be born p. 205. CHAP. III. What must be done after the woman is delivered p. 210. CHAP. IV. When and how to cut off the Child's Navel-string and what is the consequent thereof p. 212. CHAP. V. What is best to bring away the Secundine or After-birth p. 217. CHAP. VI. Of the great pains and throws some Women suffer after they are delivered p. 219. CHAP. VII Of the Cholick some women are afflicted with in the time of their travel p. 220 CHAP. VIII Of Womens miscarrying or Abortment with the Signs thereof p. 221. BOOK V. CHAP. I. HOw Women in Childbirth must be governed p. 228. CHAP. II. Of the loosness of the Womb p. 236. CHAP. III. Of Feavers after Child-bearing p. 243. CHAP. IV. Of Womens Vomiting p. 248. CHAP. V. Of Womens diseases in general p. 250. CHAP. VI. Of the Green Sickness or white Feaver p. 266. CHAP. VII Of the straitness of the Womb o. 299. CHAP. VIII Of the largeness of the Womb p. 285. CHAI IX Of the Terms in Women p. 288. CHAP. X. Of the overflowing of the Courses and immoderate Flux thereof p. 296. CHAP. XI Of the Whites or Womans disease from corruption of Humours p. 302. CHAP. XII Of the swelling and puffing up fâ— the Body especially the Belly and Feet of Women after delivery p. 308. CHAP. XIII Of Cold Moist Hot Dry and all the several distempers of the Womb p. 313. BOOK VI. CHAP. I. OF the Strangling of the Womb and the effects of it with the Causes and Cure p. 317. CHAP. II. Of the Falling Sickness p 328. CHAP. III. Of Womens Breasts and Nipples the Diseases incident to the same with their Cures p. 336. CHAP. IV. Necessary Directions for Nurses p. 351. CHAP. V. Instructions in the choice of Nurses p. 360. CHAP. VI. Of the Child p. 372. CHAP. VII Discoveries of the several Diseases incident to Children with the Cure p. 377. THE MID-WIVES BOOK BOOK I. The Introduction Of the necessity and Vsefulness of the Art of Midwifry THe Art of Midwifry is doubtless one of the most useful and necessary of all Arts for the being and well-being of Mankind and therefore it is extremely requisite that a Midwife be both fearing God faithful and exceeding well experienced in that profession Her fidelity shall find not only a reward here from man but God hath given a special example of it Exod. 1. in the Midwives of Israel who were so faithful to their trust that the Command of a King could not make them depart from it viz. But the Midwives feared God and did not as the King of Egypt commanded them but saved the men children alive Therefore God dealt well with the Midwives and because they feared God he made them Houses As for their knowledge it must be two-fold Speculative and Practical she that wants the knowledge of
this opinion but none that ever saw the womb can think so for there is but one hollow place unless Men will say that those holes where the seed vessels come into the womb are places for Children to be conceived in They that maintain seven Cells in the womb say a woman may have seven Children at a birth three Boys three Girls and one Hermaphrodite others say a woman can have but two Children at once because nature hath given her but two breasts she may as well go but two Miles because she hath but two legs but it is usual for women to have three at one birth In Egypt the place is so fruitful they have sometimes five or six at a birth Aristotle tells us of one woman that at four births brought forth twenty perfect living Children but Albertus Magnus tells us of one woman who miscarryed of two and twenty perfect Children at once and of another that had one hundred and fifty at once and every one of them as big as a Mans little finger but believe him that will yet the story of Margeret Countess of Holsteed whose Tomb is said to be in a Monastery in Holland is much lowder to have had three hundred and sixty four living Infants born at a birth all living Christned But to let this pass and come to what we know How comes it to pass that Twins are conceived at the same time if the womb have no more but one Cell Empedocles saith the cause is plenty of seed that is sufficient to make more than one Child Asclepiades ascribes it to the strength of the seed ejected And Ptolomy to the position of the Starrs when Children are begot That twins are begot at the same act of Copulation is held by all Antient and modern Writers for the seed say they being not cast into the womb all at once divides in the womb and makes more Children another reason they give is that the womb when it hath received the Seed shuts so close that no more Seed can enter I answer to the first question That the beginning of conception is not so soon as the Seed is cast into the womb for then a woman would conceive every time she receives it But the perfect mixing of the seed of both sexes is the beginning of conception and it is hard to believe that the womb that is so small at first that it will hardly hold a Bean and having but one Cell can mingle the man and womans seed together exactly in two places at the same time and it is certain it shuts so close that no place is left for the air to enter in Second Answer The womb doth not shut so close presently but that superfluous seed may come forth and after conception the pleasures of Venus will open the womb at any time for it opens the Muscles willingly in such cases nor do all Authors agree that Twins are begotten at the same time for all the Stoick Philosophers hold that they are begotten at several times and if you read the Treatise of Hermes he will tell you that Twins are not conceived at the same minute of time for if they were conceived at once they must be born at once which is impossible Some may object that the Treatise of Hermes speaks not to a minute but if it be true to a Sign ascending it must be true to a Degree and to a minute and Second All Authors allow of a superfetation that is the woman may conceive again when she hath conceiv'd of one Child before she be delivered of that So Alcumena in Plautus Amphitrio is said to have brought forth Hercules at seven Moneths and Iphyclus three moneths after Hippocrates tells us of a woman of Larista who was delivered of two perfect-living Children at forty days distance one from the other Avicenna holds that all women that have their Terms after conception may conceive again before the first be born and if they can conceive so long after again before the first be delivered much rather sooner when the womb is not filled with the growth of the first But to end this dispute we read Gen. 4.2 That Eve conceived again and bare his brother Abel the Original signifies she conceived upon conception and bare his brother Abel And in the Treatise of Hermes you shall find a reason why two Children may be conceived a moneth asunder and yet born about the same time and a woman may miscarry of one of them and yet go her full time with the other as Hippocrates shews in his Book De natura Pueri Nay he relates of women that brought forth two Children at one birth and a third fifteen weeks after Let then Midwives take heed that they do not force the second Child before its time especially if there be no great flux of bloud nor signs of labour appearing Question Why do women desire Copulation when they have already conceived and beasts do not Pappea the Daughter of Agrippa a Roman a lustful lass answered because they are beasts Some say it is a vertue and prerogative given to women but they are those that call Vice Vertue The truth is that Adam's first sin lyeth heavy upon his posterity more than upon beasts for this the curse of God follows them and inordinate lust is a great part of this curse the propagation of many Children at once is an effect of this intemperance Hippocrates forbids women to use Copulation after conception but I may not wrong the Man so much But these are the fruits of Original sin for which we ought to humble our selves in the presence of God and pray earnestly for his assistance against the effects of it CHAP. XVIII Of the fashion and greatness of the Womb and of the parts it is made of THe womb is of the form of a Pear round toward the bottom and large but narrow by degrees to the neck the roundness of it makes it fit to contain much and it is therefore less subject to be hurt When women are w th Child the bottom is broad like a bladder the neck narrow but where they are not w th Child the bottom is no broader than the neck Some womens wombs are larger than others according to the age stature and burden that they bear Maids wombs are small and less than their bladders but womens are greater especially after they have once had a Child and so it will continue It stretcheth after they have conceived and the larger it extends the thicker it grows It hath parts of two kinds The simple parts it is made of are Membranes Veins Nerves and Arteries The compound parts are four the mouth the bottom the neck and the Lap or lips The membranes are two as I said one outward and the other inward that it may open and shut at pleasure the outward membrane is sinewy and the thickest of all the membranes that come from the Peritoneum it is strong and doubled and cloaths the womb
write now for their better instruction and reformation then will Men wonder no longer what becomes of so many Children as are born in the City one can hardly find as many living as are born in half a years time I am perswaded not so many can be found to have lived to seven years of age They that love their Children will take my advice and they and their Children will have good cause to thank me for it and besides the avoiding the mischiefs of intemperance to themselves and posterity they shall find the blessing of God upon them as a great reward of this vertue of moderation and the poor will have just cause to pray for me and them for what is wastfully spent by the riotous may be charitably bestowed upon their poor neighbours that stand in need of it CHAP. II. Of true conception TRue Conception is then when the seed of both sexes is good and duly prepared and cast into the womb as into fruitful ground and is there so fitly and equally mingled the Man's seed with the womans that a perfect Child is by degrees framed for first small threads as it were of the solid and substantial parts are formed out and the womans blood flowes to them to make the bowels and to supply all parts of the infant with food and nourishment Conception is the proper action of the womb after fruitful seed cast in by both sexes and this Conception is performed in less than seven hours after the seed is mingled for nature is not a minute idle in her work but acts to the utmost of her power it is not copulation but the mixture of both seeds is called conception when the heat of the womb fastens them if the woman conceives not the seed will fall out of the womb in seven daies and abortion and conception are reckoned upon the same time The Seeds of both must be first perfectly mixed and when that is done the Matrix contracts it self and so closely embraceth it being greedy to perfect this work that by succession of time she stirs up the formative faculty which lieth hid in the seed and brings it into act which was before but in possibilty this is the natural property of the womb to make prolifick Seed fruitful it is not all the art of man that setting the womb aside can form a living child To conceive with child is the earnest desire if not of all yet of most women Nature having put into all a will to effect and produce their like Some there are who hold conception to be a curse because God laid it upon Eve for tasting of the forbidden fruit I will greatly multiply thy conception but forasmuch as encrease and multiply was the blessing of God it is not the conception but the sorrow to bring forth that was laid as a curse We see that there is in women so great a longing to conceive with child that ofttimes for want of it the womb falls into convulsions and distracts the whole body The womb as I said is fast tied at the neck and about the middle but the bottom hangs lose so that it doth ofttimes fall into strange motions The natural motion of it comes from the moving faculty but the unnatural motions from some unhealthful and convulsive cause which is most commonly bred in it for want of conception and not bearing of children we see no women ordinarily that are better in health than those that often conceive with child and some are so fruitful that they conceive with many children about the same time so that considering his magnitude surely no creature multiplies more than man for he hath a priority in this blessing above the beasts Twins are frequent and sometimes two or three children at one birth are not the same thing with superfetation when children are got again before the first be delivered you must not think divers Cells in the womb to be the cause of this multiplicity of children for there is no such thing in the womb to be the cause of this multiplicity of children for there is no such thing in the womb but only one line that parts one side from the other but such women have larger wombs than others and so the seed divided finds place to form more children than one if their be sufficient strength in the several parts of the seed to do it Yet when Twins are begotten they have no more than one cake called Placenta that both their Navel vessels are received by though they have different Secundines or Coats that cover them It may be discerned but with some difficulty that a woman will have more than one child by their heavy burden and slow motion also by the unevenness of their bellies and that there is a kind of separation made by certain wrinkles and seams to shew the children are parted in the womb and if she be not very strong to go through with it in her Travel she is in danger both she and her children If the twins be both boys or both girls they will fare the better Yet one is found by frequent examples to be more lusty longer liv'd than the other be they both of one sex or one a boy the other a girl that which is strongest encreaseth but the weaker decayes or fails by reason of the prevailing force of the other Sometimes the woman conceives again a long time after her conception the womb opening it self by reason of great delight in the action though it were shut so close as no air could enter for the Matrix attracts and makes room for it And this may fall out not only for once but at a third Copulation that a woman may have one mischance and two children yet no twins It may be discerned by the several motions of the Infants but the mother is in great danger of her life by losing of so great a quantity of blood as she must needs lose at two births in so short a compass of time It is most dangerous to spurr nature to delivery before her period wherefore in such cases leave it to the work of nature using only Corroboratives and some such remedies as may facilitate her progress therein But women may avoid this mischief that often happens if they will rest themselves content when they have once conceived But that Story which I touched before seems to me to be but a meer Romance of Margaret Countess of Hennenberge and sister to William King of the Romans as some writers record that when she was forty years old she was delivered at one birth successively of as many children as there are daies in the year namely three hundred sixty five the one half boys and the other half girls and the odd child was divided to both sexes an Hermaphrodite partly male partly female and that the cause of this miracle was from a curse of her sister some say a poor beggar woman at her door laid upon her for her causeless jealousie and
farther it is constantly reported that these children were all baptized living at the Church of Lardune in Holland near the Hague and the boys were all called Johns the girls Elizabeths there were two Silver Basons that they were Christned in and Guido the Suffragan of Vtrecht keeps them for to shew to strangers and one of these Basons as it is reported was brought for a present to King Charles the second before he came from thence and they say farther that presently after they were baptized the mother and all her children died Some write of another Countess in Frederick the eleventh's daies who had five hundred boys at one birth But to leave this and to proceed to the causes of Conception Notwithstanding that God gave the blessing generally to our first Parent and so by consequent to all her succeeding generations yet we find that some women are exceeding fruitful to conceive and others barren that they conceive not at all God reserving to himself a prerogative of furthering and hindering Conception where he pleaseth that men and women may more earnestly pray unto God for his blessing of Procreation and be thankful unto him for it so Psal 127.3 the Psalmist tells us Loe Children and the fruit of the Womb are an heritage and gift that cometh from the Lord. So Hannah pray'd in the first of Samuel and gave thanks when God had heard her prayer Some women are by nature barren though both they themselves and their husbands are no way deficient to perform the acts of Generation and are in all parts as perfect as the most fruitful persons can be Some think the cause is too much likeness and similitude in their complexions for God having framed an Harmonious world by a due disposing of contraries they that are too like of constitution can never beget any thing this I confess is hard to find that they should agree in all respects no difference of complexion at all yet sometimes Physicians judge barrenness proceeds from too great similitude of persons but I should rather think from some disproportion of the Organs or some impediment not easily perceived else how comes it to pass that some that have continued barren many years at last have proved fruitful I remember a story that I heard of a Watch-maker who had an excellent Watch that was out of tune and he could never make it go true what the fault was he could not find at length he grew so angry that he threw the watch against the wall and took it up again and then he found it goe exceeding true and by that means he came also to know the cause of the former defect for indeed it proved to be nothing else but some inequality in the Case of the watch which by throwing it against the wall accidentally was amended wherefore a small matter sometimes will remove the impediment if we can but find what it is Some say again the cause of barrenness is want of love in man and wife whose Seed never mixeth as it should to Procreation of children their hatred is so great as it is recorded of Eleocles and Polynices two Theban Princes who killed each other and when their bodies were afterwards burn'd as the manner of burial was in their daies to preserve only their ashes in a pot as if the hatred still continued in their dead bodies the flames parted in the midst and ascended with two points and this extream hatred is the reason why women seldom or never conceive when they are ravished and it proves as ineffectual as Onan's Seed when he spilt it upon the ground The cause of this hatred in married people is commonly when they are contracted and married by unkind Parents for some sinister ends against their wills which makes some children complain of their Parents cruelty herein all the daies of their lives but as Parents do ill to compel their children in such cases so children should not be drawn away by their own foolish fansies but take their Parents counsel along with them when they go about such a great work as marriage is wherein consists their greatest woe or welfare so long as they live upon the earth Another cause that women prove barren is when they are let blood in the arm before their courses come down whereas to provoke the Terms when they flow not as they should Women or Maids ought rather to be let blood in the foot for that draws them down to the place nature hath provided but to let blood in the arm keeps them from falling down and is as great a mischief as can be to hinder them wherefore let the Terms first come naturally before you venture to draw blood in the arm unless the cause be so great that there is no help for it otherwise The time of the courses to appear for maids is fourteen or thirteen or the soonest at twelve years old yet I remember that in France I saw a child but of nine years old that was very sickly until such time as she was let blood in the arm and then she recovered immediately but this is no president for others especially in our climate blood-letting being the ordinary remedy in those parts when the Patient is charged with fulness of blood of what age almost soever they be There is besides this natural barrenness of women another barrenness by accident by the ill disposition of the body and generative parts when the courses are either more or fewer than stands with the state of the womans body when humours fall down to the womb and have found a passage that way and will hardly be brought to keep their natural rode or when the womb is disaffected either by any preternatural quality that exceeds the bounds of nature as heat or cold or dryness or moisture or windy vapours Lastly There is barrenness by inchantment when a man cannot lye with his wife by reason of some charm that hath disabled him the French in such a case advise a man to thred the needle Nouer C'eguilliette as much as to say to piss through his wives wedding ring and not to spill a drop and then he shall be perfectly cured Let him try it that pleaseth CHAP. III. Signs that a woman is conceived with Child and whether it be a Son or a Daughter YOung women especially of their first Child are so ignorant commonly that they cannot tell whether they have conceived or not and not one of twenty almost keeps a just account else they would be better provided against the time of their lying in and not so suddenly be surprised as many of them are Wherefore divers Physicians have laid down rules whereby to know when a woman hath conceived with Child and these rules are drawn from almost all parts of the body The rules are too general to be certainly proved in all women yet some of them seldom fail in any First if when the seed is cast into the womb she feel the womb shut close and a
shivering or trembling to run through every part of her body and that is by reason of the heat that draws inward to keep the conception and so leaves the outward parts cold chill Secondly The pleasure she takes at that time is extraordinary and the mans seed comes not forth again for the womb closely embraceth it and will shut as fast as possibly may be Thirdly The womb sinks down to cherish the seed and so the belly grows flatter than it was before Fourthly She finds pain that goes about her belly chiefly about her Navel and lower belly which some call the Water-course Fifthly Her stomach becomes very weak she hath no desire to eat her meat but is troubled with sowr belchings Sixthly Her monthly terms stop at some unseasonable time that she lookt not for Seventhly She hath a preternatural desire to something not fit to eat nor drink as some women with child have longed to bite off a piece of their Husbands Buttocks Eightly Her Brests swell and grow round and hard and painful Ninthly She hath no great desire to copulation for some time she will be merry or sad suddenly upon no manifest cause Tenthly She so much loatheth her victuals that let her but exercise her body a little in motion and she will cast off what lieth upon her stomack Eleventhly Her Nipples will look more red at the ends than they usually do Twelfthly the veins of her breasts will swell and shew themselves very plain to be seen Thirteenthly Likewise the veins about the eyes will be more apparent Fourteenthly The womb pressing the right gut it is painful for her to go to stool she is weaker than she was her visage discoloured These are the common rules that are laid down But if a womans courses be stopt and the Veins under her lowest Eylid swell and the colour be changed and she hath not broken her rest by watching the night before these signs seldom or never fail of Conception for the first two months If you keep her water three dayes close stopt in a glass and then strain it through a fine linnen cloth you will find live worms in the cloth Also a needle laid twenty four hours in her Urine will be full of red spots if she have conceived or otherwise it will be black or dark coloured To know whether the Infant conceived be male or female I refer you to Hippocrates Aphor 48. for it is a very hard thing to discover 1. If it be a boy she is better coloured her right Breast will swell more for males lye most on the right side and her belly especially on that side lieth rounder and more tumified and the Child will be first felt to move on that side the woman is more cheerful and in better health her pains are not so often nor so great the right breast is harder and more plump the nipple a more clear red and the whole visage clear not swarthy 2. If the marks before mentioned be more apparent on the left side it is a Girle that she goes with all 3. If when she riseth from the place she sits on she move her right foot first and is more ready to lean on her right hand when she reposeth all signifies a boy Lastly Drop some drops of breast Milk into a Bason of water if it swim on the top it is a Boy if it sink in round drops judge the contrary CHAP. IV. Of false Conception and of the Mole or Moon Calf MAny women themselves have thought that they had conceived with Child because their bellies were swoln so great and their courses were staid and came not down according to natures custome whereas this swelling of the belly more and more and stopping of the Termes proceeded from nothing else but an ill shaped lump of flesh which grows greater every day in the womb and is fed by the Terms that flow to it and this is that Midwives call a Mole or Moon-Calf and these are of two sorts one the true the other the false Mole The true Mole is a mishapen piece of flesh without figure or order it is full of Veins and Vessels with discoloured veins or membranes of almost all colours without any entrails or bones or motion it is bred in the wombs hollowness and cleaves fast to the sides of it but takes no substance from it sometimes it hath a skin to cover it and is empty within sometimes it is long or round and some women have cast forth three at a time like the Yard of a man sometimes these Moles are without sense sometimes they have an obscure feeling sometimes they are bred with the Child and then is the Child in great danger to be opprest by them sometimes they are voided when the Child is delivered or before or after Widows have been known to have had these Moles formed in their wombs by their own seed and blood that flows thither But ordinarily I think this comes not to pass but it proceeds from a fault in the forming faculty when the mans seed in Copulation is weak or defective and too little so that it is overcome by the much quantity of the womans blood the faculty begins to work but cannot perfect and so onely Veins and Membranes are made but the Child is not made yet this Mole is of so different kinds that it is not possible to set them down according to their several varieties but doubtless a Mole is sooner formed if Men and Women ly together when they have their courses and the blood is not fit for formation by reason of impurity so that neither heat nor cold are the chief cause of this error but the uncleanness of the matter that is not endued with a forming faculty from corrupt seed or menstruous blood bad humours are ingendred and nature works in vain Some are called false Moles and of those are four sorts as their causes are for either they proceed from wind and are called windy swellings or from water flowing to the womb and called watry swellings or else diverse humours cause this swelling and sometimes it is nothing but a bag full of blood If the Child be conceived with a Mole it draws the nourishment from the Child Both sexes doubtless contribute to the making of most Moles the seed of the Man being choakt with the blood of the woman and wrapt both in a caule Nature will make something of it though nothing to the purpose If it be true that some widdows have had them they were neither of the same shape nor substance but voided will consume into water and this can be supposed only of dead Moles for living Moles that have some sense or feeling or true motion in them can never be produced but mans seed must be a part of their beginning as for Maids they cannot breed any true Mole because a true Mole must be made of the greatest part of the womans blood coming into the womb but the vessels passages in
maids are too narrow so that there is no flux of blood thither to make this Mole of as it is in women that have had the use of man but without dispute the principal cause is womens carnally knowing their Husbands when their Terms are purging forth from whence Moles and Monsters distorted imperfect ill qualified Childred are begotten Let such as fear God or love themselves or their posterity beware of it The windy Mole proceeds from an over-cold womb Spleen and Liver which breeds wind that fastneth in the hollow of the part Sometimes the womb is weak and cannot transmute the blood for nourishment but it turns to water which cannot be all sent forth but part of it remains in the womb also the womb ofttimes receives a great confluence of water from the spleen or from some parts nigh unto it The Mole made of many humors flowing to the womb proceeds from the Whites or ill purgations coming from the menstruous Veins The fourth Mole is a skin full of blood with many white diaphanous vessels if you cast it into the water the skin coagulates like a clod of seed and the blood runs away It is very hard to know a false conception from a true until four moneths be past and then the motion of the body of the thing conceived will shew it for if it be a living Child that moves quick and lively but the false conception falls from one side to another like a stone as the woman turns her self in her bed if it stir at all it is but like a sponge trembling and beating and contracts and dilates it self like the beating of the pulse almost This false conception hath many signes whereby it personates and shews like a true Conception for the Terms stop their stomachs fail they loath their meat they vomit and belch sowrly their breasts and belly swell cunning Midwives and women themselves that have them are deceived taking one for the other There are many other things bred in the womb sometimes besides these Moles Two famous Physician of Senon tell us of a woman that had a Child in her womb that did not corrupt nor stink though it lay long dead there untill it was turned into a stone cold and heat and driness might keep the child from corrupting but there was also a petrifying humour mixt with the seed and blood or it could never have been turned into a stone there is but this single History that I ever read of this kind and Authors say the mother lived twenty eight years after she was delivered of it but it is no great wonder why it did not stink nor corrupt in the womb for many aged women live many years with a Mole in the body yet it never stinks nor corrupts though they keep it in them till they dye As for Monsters of all sorts to be formed in the womb all nations can bring some examples Worms Toades Mice Serpents Gordonius saith are common in Lumbardy and so are those they call Soole kints in the Low Countries which are certainly caused by the heat of their stones and menstrual blood to work upon in women that have had company with men and these are sometimes alive with the infant and when the Child is brought forth these stay behind and the woman is sometimes thought to be with Child again as I knew one there my self which was after her child-birth delivered of two like Serpents and both run away into the Burg wall as the women supposed but it was at least three moneths after she was delivered of a Child and they came forth without any loss of blood for there was no after burden Again in time of Copulation Imagination ofttimes also produceth Monstrous births when women look too much on strange objects To distinguish then false conceptions from true but if there be both true and false at once that is very hard to know False Conceptions cause the greatest pains in their Backs and Groins and Loyns and Head their Bellies swell sooner they faint more their Faces and Feet and Legs swell their Bellies grow hard like a Dropsie they have such pain in their Bellies that they cannot sleep because they carry such a dead weight within them and though their Faces and breasts swell they grow daily soft and lank and no milk in their Breasts but what is like water or very little whereas women with Child about the fourth moneth have their Breasts swoln with milk Some women look well with these false Conceptions but most of them look pale and wan and ill favoured If it be a boy that is conceived he will stir at the beginning of the third Moneth and a Girle at the beginning of the third or fourth moneth and so soon as the infant moves there is Milk bred in the Breasts as any one may prove that will The Child that is alive moves to all sides and upward and downward without any help but oftenest to the right flanck A false conception may have a motion from the expulsive faculty but not from it self and being not tied by ligaments as a living Child is it tumbles to one side or other and if she lye on her back and one press it down with his hand gently there it will stay and not remove up again of it self If she go with a Mole nine months compleat her belly will swell more and more but she will wax lean and wan and never offer to be delivered Yet a woman may go ten or eleven months with child before her time be perfect to bring forth but this depends upon the time when the child was begotten and some women ordinarily go longer or shorter before they come to bring forth Those that have Moles are usually barren or their Privities are ulcerated for it hurts the womb and the whole fabrick of their bodies The windy Mole will swell the belly like a Bladder and it will sound like a Drum but it is softer than the fleshy Mole or the watry it grows sooner and sooner disappears and she will feel her self lighter when it abates but sometimes it will heat the belly with such violence as if she were upon the rack The watry Mole is a fluctuation of water from one side to another as the woman turns her self when she lieth and then that lide will be higher where the water falls and the other side will sink down the more and grow flatter The Mole caused from many humours doth not make the belly swell so much as the watry Mole doth because the water comes more in quantity and is clear whereas the humours are reddish and stink when they come forth like water wherein flesh hath been washed There is one observation more concerning false conceptions that when they happen the Flowers stop presently and never come down whereas they do sometimes the first two months in true conceptions because they are superfluous in strong full fed persons before the child comes to want more nutriment also the Navel
of the woman doth not rise higher in false conceptions but in true it doth Some women have their Terms well and their wombs well disposed yet their bellies have swoln and the cause not discerned till they were dead for being opened one or both corners of the womb have had little bags of water or else clusters of kernels and strange flesh growing in them Some women have also a piece of flesh hanging within the inward neck of the womb fastned about a finger broad at the root and growing dayly downward in form like a bell and sometimes fills all the privy members orifice and may be seen hanging forth all these make the belly swell round but are not properly Moles as they are before spoken of Amongst false conceptions all monstrous births may be reckoned for a monster saith Aristotle is an error of nature failing of the end she works for by some corrupted principle sometimes this happens when the sex is imperfect that you cannot know a boy from a girl they call these Hermaphrodites there is but one kind of Women Hermaphrodites when a thing like a Yard stands in the place of the Clitoris above the top of the genital and bears out in the bottom of the share-bone sometimes in boys there is seen a small privy part of the woman above the root of the Yard and in girls a Yard is seen at the Lesk or in the Peritoneum But three ways a boy may be of doubtful sex 1. When there is seen a womans member between the Cods and the Fundament 2. When it is seen in the Cod but no excrement coming forth by it 3. When they piss through it But Monsters most ordinarily falling out are when the child born is of some strange feature or like a dog or any other creature as the Tartar lately captivated by the Germans in their last war against the Turks if the relation be true he had a head and neck like a horse some think he was begotten of a beast a custom too frequent amongst those miscreants Some are monsters in magnitude when one part as the head is too great for the body or a Gyant or a Pigmy is brought forth Sometimes in place when the parts are displaced as when the eyes stand in the forehead or the ears behind in the poll many such strange births have been in the world and sometime children have been born with six fingers on a hand and six toes like those Gyants the Scripture speaks of and others there are born with but one eye or one hand one ear and the like CHAP. V. Of the causes of Monstrous Conceptions WHat should be the causes of Monstrous Conceptions hath troubled many great Learned men Alcabitius saith if the Moon be in some Degrees when the child is conceived it will be a Monster Astrologers they seek the cause in the stars but Ministers refer it to the just judgements of God they do not condemn the Parent or the Child in such cases but take our blessed Saviours answer to his Disciples who askt him who sinned the Parent or the Child that he was born blind our Saviour replyed neither he nor his Parents but that the Judgments of God might be made manifest in him In all such cases we must not exclude the Divine vengeance nor his Instruments the stars influence yet all these errors of Nature as to the Instrumental causes are either from the material or efficient cause of procreation The matter is the seed which may fail three several wayes either when it is too much and then the members are larger or more than they should be or too little and then there will be some part or the whole too little or else the seed of both sexes is ill mixed as of men or women with beasts certainly it is likely that no such creatures are born but by unnatural mixtures yet God can punish the world with such grievous punishments and that justly for our sins Aristotle tells us that in Africa so many monsters are bred amongst beasts because going far together to water they that are of different kinds ingender there and so dayly new Monsters are begotten But the efficient cause of Monsters is either from the forming faculty in the Seed or else the strength of imagination joyned with it add to these the menstruous blood and the disposition of the Matrix sometimes the mother is frighted or conceives wonders or longs strangely for things not to be had and the child is markt accordingly by it The unfitness of the matter hinders formation for an agent cannot produce the effect where the patient is not fit to receive it Imagination can do much as a woman that lookt on a Black-more brought forth a child like to a Black-more and one I knew that seeing a boy with two thumbs on one hand brought forth such another but ordinarily the spirits and humours are disturbed by the passions of the mind and so the forming faculty is hindered and overcome with too great plenty of humours that flow to the matrix or the spirits are called off and gone another way But the imagination is so strong in some persons with child that they produce such real effects that can proceed from nothing else as that woman who brought forth a child all hairy like a Camel because she usually said prayers kneeling before the image of St. John Baptist who was clothed with camels hair How the imagination can work such wonders is hard to say but there must be some strength of mind that can convey the species from the external senses to the formative faculty for by this means there is a consent between the faculties superior and inferior The Soul is all in all and all in every part of the body yet it works in several parts as occasions serves The child in the Mothers womb hath a soul of its own yet it is a part of the mother untill she be delivered as a branch is part of a Tree while it grows there and so the mothers imagination makes an impression upon the child but it must be a strong imagination at that very time when the forming faculty is at work or else it will not do but since the child takes part of the mothers life whilst he is in the womb as the fruit doth of the tree whatsoever moves the faculties of the mothers soul may do the like in the child So the parts of the infant will be hairy where no hair should grow or Strawberries or Mulberries or the like be fashioned upon them or have lips or parts divided or joined together according as the imagination transported by violent passions may sometimes be the cause of it The Arabians say a strange imagination can do as much as the Heavens can to make plants and mettals in the earth The second cause is the heat or place of conception which molds the matter quickly into sundry forms But imagination holds the first place and thence it is that
stopt Hippocrates confirms this affirming that women are in danger to run mad when blood comes forth at their Nipples Brassavolus tells us of womens milk that came like blood but it was raw unconcocted blood and that might be for Nurses Courses are alwayes stopt because the blood runs to their breasts to make Milk By the colour of the nipples the state of the womb is perceived if the Paps look pale or yellow that should look red the womb is not well Also if you will stop the Terms that run too much set a great cupping glass under the Breasts for that will turn the course of the blood backward Farther you may know the Child if it be a Boy to be three moneths old and if a Girle to be about four moneths old if you find Milk in the Mothers breasts for at those times the Child first moves and then is there Milk found in the breasts of the Mother If the right breast swell and strut out the Boy is well if it flag it is a sign of miscarriage judge the same of the Girle by the left breast when it is sunk or round and hard the first signifies abortion to be near the other health and safety both of the Mother and the Child CHAP. VIII How the Child grows in the Womb and one part after the other successively made MEn are of several minds concerning the time when each part is made I think they are in the right who maintain that the membranes are first made which wrap the Child with the Navel-vessels by which the Child is fastned to the Mothers womb and draws nutriment from her and all parts are made sooner or later as dignity and necessity of the parts require but this is thought to be the hardest piece of Anatomy because it is seldome to be observed because if women dye in child-bed they first miscarry and dye afterward Some follow Galen herein who never saw a woman Anatomized others Columbus some Vesalius but few or none know the truth The stones of a woman for generation of seed are white thick and well concocted for I have seen one and but one and that is more by one than many Men have seen In the act of Copulation both eject their seed which is united in the womb and Boys or Girls are begotten as the seed is that prevails stronger or weaker so the greater light puts out the lesser the Sun the light of a Candle Nature desires to beget its like in all things a Man a Man-child a woman one of her own sex but we follow desire not nature when we with the contrary If the Horse or Mare trot it were strange that the Filly should amble The seed of both persons being joyn'd the Matrix presently shuts as close as may be to keep in and to fasten the seed by its native heat and so womens bellies seem lank at their first conception The first thing that works is the spirit of which the seed is full this is stir'd up to action by heat of the womb and though the seed seems to be homogeneous and all one substance yet it consists of very different parts some pure and some impure the spirit then in the seed divides between these parts and makes a separation of the earthy cold clammy grosser parts from the more aerial pure and noble parts The impure are cast to the outside to circle in and keep close the seed which is pure and of the outside are the Membranes made by which the seed inclosed is kept from danger of cold and other ill accidents just as it is in Trees so it is here the cold winter congeals the vital spirits of the Tree but the Suns heat revives it in the Spring and opens the pores of the Tree and separates the clean from the which is unclean making of the pure juyce flowers of the impure and gross juyce leaves and bark The first thing Nature makes for the child is the Amnios or inward skin that surrounds the Child in the womb as the Pia mater doth the brain next is the Chorion or outward skin made which compasseth the Child as the dura mater the brain this is soon done by nature for God and nature hate idleness and no sooner are these two coats made but presently the Navel-Vein is bred piercing both these skins whilest they are exceeding tender and conveighs a drop of blood from the mothers womb-veins to the seed of this one drop is formed the Childs Liver from the Liver is bred the hollow Vein and this Vein is the fountain of all other Veins of the body so this being done the seed hath blood sufficient to feed it and to form the rest of the parts by It is a vain fancy that some hold how that all the parts are formed together others that the heart is first framed it must receive a right construction what Aristotle saith that the Heart lives first and dyeth last for the Liver is made much before the Heart Nor is that if it be well understood to be found fault with that a Man lives successively first the life of a Plant then of a Beast and lastly of a Man For first the Child grows then it begins to move last of all it becomes a reasonable Soul Next to the hollow Vein of the Liver being made are the arteries of the navel made then the great Artery which is the Tree and all the small Arteries are but branches coming from it last of all the Heart is framed as Columbus proves upō very sufficient reason for all the arteries are made before it for the Body receives its life by Arteries and the Navel arteries are bred from the Mothers arteries and therefore are made next to the Veins to give vital blood to the Seed as the Liver feeds it with natural blood to build a frail house for poor mortals Next in order so far as reason and Anatomy can guide us the Liver sends blood to the Arteries to make the Heart for the arteries are made of seed but the heart and all fleshy parts are made of blood last of all the brain and then the Nerves to give feeling and motion are produced If the most noble parts were first framed as the Peripateticks suppose then the brain and heart should be first made which is not agreeing to reason and observation As for the forming of the bones in order I think Aristotle said true that the whirl bones and the skull are first made I confess all these things have been questioned by some but I love not impertinent disputes as it was the quality of the Grecians who have made a large dispute whether the Elephants Tusks be Horns or Teeth Hippocrates divides the forming of the infant into four divisions First the seed of both sexes mixed have not lost their own form but resemble curdled milk covered with a film or cream the next form is a rude draught of the parts or a chaos like a lump of
not so pure as the first riseth to the breasts to make milk and the grossest part of the three stays in the womb and comes away with the birth and after-birth But this is a long dispute how the child comes to be fed in the womb Alcmeon thought the childs body being soft like a sponge did draw nourishment by all parts of its body as a sponge sucks water not only drinking from the mothers veins but from the womb also Hippocrates as well as Democritus or Epicurus seems to say that the child sucks both nourishment and breath at the mouth from the mother when she breaths for these two causes 1. Because it could not suck so soon as it is born were it not used to it before 2. There are excrements found in the Guts of a new born child but all creatures that suck will do it presently by instinct of nature as Chickins that never fed before will presently pick up their food and as for the excrements found in the Guts they are not excrements of the first concoction for they stink not but are gross blood that came from the Vessels of the spleen to the Guts and are dried there but now it is agreed by all since the truth is found out that the child in the womb is fed by its Navel only they differ about the food it lives on the Peripateticks say it is fed by menstrual blood which is the excrement of the last nutriment of the fleshy parts which at certain times is purged forth by the womb in a moderate quantity but primarily ordained for the generation and nutriment of the child But Fernelius Pliny Columella and Columbus deny this because such blood is impure and will where it falls destroy Plants and Trees Dogs will run mad that eat it and ofttimes hurts the women themselves causing swimmings of the head pains swellings and suffocations this then were ill food for a tender infant But to answer all If the woman be in good health her monthly courses are no bad blood for quality though they hurt in quantity being more than she can concoct and therefore she sends forth what is too much but if her body be ill affected the blood that stays in the womb is naught as well as that she voids by her terms but when the courses are not duly voided but stay in being stopt beyond their time of evacuation then they cause those ill effects formerly mentioned else not but women have not these courses the greatest part of the time they are with child nor yet when they give suck for the most part if the child be not fed with this blood what becomes of this blood when women are with child certain it is it turns into milk when time serves to suckle the infant with Yet Hippocrates was mistaken who says that the last part of the time the child lieth in the womb after it is quick it s fed partly by the mother milk but this is certain that the infant in the womb is fed with pure blood conveyed in the Liver by the Navel-vein which is a branch of the great vein and spreads to the small veins of the Liver And here this blood is more refined the thick gross crude part goes to the Spleen and Kidneys and the gross excrement of it to the Guts and that is it is found in the Guts as soon as they are born The most pure part goes into the hollow vein and from thence through the whole body by small branches this blood hath a watry substance with it as all blood hath to make it run and keep it from clodding and this water in men and women breaths forth by sweat so it doth in a child and is contain'd in the Lamb-skin as I told you This watry substance that is joined with the blood when the blood comes to the kidneys parts from the blood and is sent by the kidneys that make their separation by the Ureters to the bladder nor doth the infant piss as he lieth in the womb by the Yard but the Urine is carryed by the Vrachos a vessel to carry it which is long and without blood to the Allantois â—or skin that is made to hold the childs water in so long as it remains in the womb this Vrachos or passage goeth from the bottom of the bladder to the Allantois and hath no muscle belongs unto it that the child may void the Urine when nature requires but when the child is born it hath muscles at the root of the bladder to shut and open that we may make it not a meer natural but partly a mixed action to follow our business and make water not alwayes but when we please but this is not the course with the child continually for the first month the childs Urine comes out through the passage of the Navel but in the last month by the Yard but it never goes to stool in the womb because it takes no nutriment by the mouth After forty five days the child lives but moves not commonly he moves in double the time he was formed and is born in thrice the time after he began to move If the child be fully formed in forty days her will move in ninety days and be born in the ninth month but he receives daily more food after the third and fourth month to the day of his birth A child born in six months is not perfect and must die but one born in seven months is perfect but one born in the eight month cannot live because in the seventh month the child useth all its force to come out and if it cannot it must stay two months longer to recover the strength lost upon the former attempt that had made it too feeble to get forth in the eighth month for if it come not forth at the seventh month it removes its station and changeth it self to some other place in the womb these two motions have so weakened it that it must stay behind a month longer for if it come forth before it is almost impossible for it to live But Astrologers determine this business another way for they affirm that children born in the seventh month do live by reason of the compleating of the motion of the seven planets allowing one month to each of them beginning with Saturn thus Saturn Jupiter Mars Sol Venus Mercury Luna Now if the child come not forth at the seventh month but stay till the eighth month the Planets having ruled every one his month Saturn begins to rule again who is an enemy to conception in all his qualities and so the child born in the eighth month will be born dead or live a very short time yet other Philosophers maintain that Saturn is no enemy to conception but ruling in the first month by his influence and retentive faculty the child is fixed in the womb but as the celestial bodies have their influence upon the terrestial and upon all the elements they cause all the changes
reason of ill conformity of the generative parts or but one of them for if both be not perfect to all respects as to that work of copulation they shall never have any children and such marriages are not lawful by the Laws of God or man because that procreating and bearing children is one of the chief ends of marriage but accidental barrenness may happen to them by reason of some curable infirmity and when that is removed they may be as fruitful as others that are naturally so Physicians and Midwives have tried many ways to discover when man and wife cannot fructifie where the fault lieth whether the hinderance be from the man or from his wife or from both the best experiment that ever I could find was to take some small quantity of Barley or any other Corn that will soon grow and soak part of it in the mans Urine and part in the womans Urine for a whole day and a night then take the Corn out of both their Urines and lay them apart upon some floor or in parts where it may dry and in every morning water them both with their own Urine and so continue that Corn that grow first is the most fruitful and so is the person whose Urine was the cause of it if one or neither part of these grains grow they are one or both of them barren almost all men and women desire to be fruitful naturally and it is a kind of self-destroying not to be willing to leave some succession after us nay it seems to be more general and to tend to the ruine of the world which cannot be continued without fruitfulness in copulation Virginity and single life in some cases is preferred before Matrimony because it is a singular blessing and gift of God which all people are not capable of But for men or women to mutilate themselves on purpose or use destructive means to cause barrenness besides the means prescribed of Prayer and fasting I cannot think to be justifiable though some persons have presumptuously ventured upon it Let the Votaries of the Roman Church look to it when they make vows of chastity which the greatest part of them doubtless are never able to keep but by using unlawful means I much doubt whether they pray and fast so much as they pretend to The principal cause of barrenness in man or woman lieth in the generative parts and if children be born defective it is not we that are Midwives can cure it what Nature wants Art can hardly make perfect It is not my design so much to speak of unfruitfulness in men but of women in relation to their Conception and Child-bearing and I conceive the chiefest cause of womens barrenness to be from the womb of them that is ill formed or ill disposed and not as naturally it should be in those that may have children There are many infirmities that we women especially are made unfruitful by but God hath appointed several remedies for most accidents that none need to despair of help true it is that the Scripture relates of a woman that had an issue of blood twelve years and could find no cure but had spent all upon Physicians yet at last she was cured by touching the hem of Christ's Garment it is probable God would not have her cured by man that her faith might be confirmed by the surpassing vertue she found in Christ But before I come to speak of this I shall speak of the things that are most proper to follow in order namely concerning delivery of women with child CHAP. II. Of great pain and difficulty in Child-bearing with the Signs and causes and cures I Have done with that part of Anatomy that concerns principally us Midwives to know that we may be able to help and give directions to such women as send for us in their extremities and had we not some competent insight into the Theory we could never know how to proceed to practice that we may be able to give a handsome account of what we come for The accidents and hazards that women lye under when they bring their Children into the world are not few hard labour attends most of them it was that curse that God laid upon our sex to bring forth in sorrow that is the general cause and common to all as we descended from the same great Mother Eve who first tasted the forbidden fruit but the particular causes are diverse according to several ages and constitutions and conformations or infirmities For sometimes Maids are married very young at twelve or fourteen years of age and prove so soon with Child when the passage is very little dilated but is very strait and narrow in such a case the labour in Child-bearing must needs be great for the infant to find passage and for the Mother to endure it and it must of necessity be much greater if some diseases go along with it which happens oft in those parts as Pushes and Pyles and Aposthumes that Nature can hardly give way for the Child to be born Sometimes the Bladder or near parts are offended and the womb is a sufferer by consent and this will hinder delivery And so if her body be bound that she cannot go to stool the belly stopt with excrement will make the pain in travel the greater because the womb hath not room to enlarge it self So if women be too old as well as too young or if they be weak by accident or naturally of feeble constitutions if they be fearful cannot well endure pain be they too lean or too spare bodies too gross or too fat or if they be unruly will not be governed they will suffer the greater pain in Child-birth and it is not without reason maintained also that a Boy is sooner and easier brought forth than a Girle the reasons are many but they serve also for the whole time she goes with Child for women are lustier that are with Child with Boys and therefore they will be better able to run through with it the weaker they are the greater the pain because they are less able to endure it and the strength of the Child is much for it will sooner break forth than when it is weak though it be of the same sex if the Child be large and the passage strait as it is alwayes though not alike in all she must look for a great deal of pain when the time of delivery comes but none more painful and dangerous than Monstrous births Sometimes the Child doth not come at the time appointed by Nature or it offers not it self in such a posture as that it may find a passage forth as when the feet first present themselves to the neck of the womb either both feet together or else but one foot and both hands upwards or both knees together or else more dangerous yet lying all upon one side thwart the womb or else backward or arselong or two Children offer themselves at once with their feet first
true place also if the woman have blackish courses chiefly if she be far gone with child she is in danger to lose the Child many women have their Terms in the first moneths but they are but watry pale coloured not fitting for the nourishment of the infant and they are also superfluous so that nature at first sends them out as being useful neither for nutriment for the Mother nor the Child I said before that the breasts will shew danger and of Twins which is most likely to suffer if the right breast flag she will miscarry of a Boy if the left of a Girle and the head shaking as with a Palsie the body trembling the face flushing with red the eyes painâ—d inwardly if the body be afflicted with wind there is fear of miscariage in child birth but if she travel when she is sick of a sharp Feaver or some such dangerous disease seldom doth either Mother or the child escape death but the ordinary causes of Abortion are when the womb is too weak or corrupted by phlegmatick slippery slimy or watry humours so that it cannot retain the Child the pains of inflammation and Imposthumes hinder delivery extream Costiveness of the body by straining to go to stool forceth the child downwards and the dung staying in the right gut when the woman is bound oppresseth the child if she fall into a Tenesmus which is a great desire to go to stool and can do nothing Hippocrates saith Abortion is like to follow Piles and Hemorrhoids cause pain and miscarriage fat women have slippery wombs and lean women have as dry and want nourishment for the child neither are fit for child-bearing Bleeding is bad for childing women unless there be great need purging especially in the first or second or about the last months and vomiting is far worse too much fasting starves the child too much eating and drinking will stifle it great heats or baths or stoves force the child to press for a more free air and great cold is not good for it all immoderate exercises passions desires longings falls strokes and all violent running leaping coughing lifting and such like will bring on this misfortune There being then so many causes and accidents whereby women usually fall into such mishaps 't will be profitable for women with child to observe some good rules beforehand that when her time of delivery is at hand she may more easily undergo it and not so soon miscarry But as there are diverse causes of miscarriage so the times are diverse that we are to provide for either before or after conception And before she be conceived with child let her use means both by diet and physick to strengthen her womb and to further conception Drink wine that is first well boyled with the mother of Tyme for it is a pretious thing If the womb be too windy eat ten Juniper berries every morning if too moist the woman must exercise or sweat in a Stove or Hot-house or else take half a dram of Galingal and as much Cinnamon mingled in powder and drink it in Muskadel every morning but if she use moderate labour perhaps she may have no need of this but the most frequent cause of barrenness in young lusty women that are of a cholerick complexion is driness of the Matrix and this is easily known by their great desire of copulation It is to be corrected by cooling drinks and emulsions made of barley-water blanched Almonds white poppy seeds Cucumbers Citrons Melons and Gours and to drink frequently of this all violent exercise drinking of wine or strong waters must be forborn The Oyl of Nightshade is good to annoint the Reins some report that the seeds of Mandrakes are very useful to cool and purge a hot and foul womb such diseases are common to salt complexions and the dose of half a dram of Mandrake seed bruised and drunk at once in a cup of white wine cannot be dangerous for though the leaves be cold yet the seeds have a vital spirit in them to beget their like cold begets nothing but heat is an active quality for production There are many conjectures concerning those Mandrakes that Reuben found and that Rachel so much desired because she was then barren Gen. 30. it may be she knew that they were fit to cure her barrenness I grant that sometimes God is the cause of barrenness who shuts up the womb and will not suffer some women to conceive we have multitudes of examples in Scripture for it Rachel doubtless was not barren of her self and she was angry with Jacob that she said unto him Give me Children or else I die but he acknowledgeth God to be the chief cause of it And he said unto her Am I God who hath withheld the fruit of the womb from thee And again he makes the barren women to keep house and be a joyful mother of Children Prayer is then the chief remedy of their barrenness not neglecting such natural means to further conception and to remove impediments that God hath appointed and those means are chiefly either by a well ordering of the body and mind or else when need requires by taking of Physick The good order of the body consists in seasonable moderate eating and drinking of wholsome meats and drinks moderate exercise for idleness is a great enemy to conception and that may be the reason that so many City Dames have so few children if they have any they are commonly sickly and short lived it is not so with Country women who are always working they usually have many children and they are lusty and strong for moderate labour raiseth natural heat revives the spirits helps digestion opens the pores and wasts excrements comforts all the parts and strengtheneth the senses and spirits help nature in all her faculties and that is the way to have strong and many children As for working too much it wasts and destroys nature but I think few women are guilty of this fault Moderate rest refresheth nature as well as moderate work but there is a large difference between moderate rest and extreme idleness which dulls both mind and body and hastens old age and therefore Lycurgus commanded all the Spartans to work at least four hours in a day If women will be fair let them work as it is with the body so it is with the mind the mind must alwayes be intent upon something that is good yet this also admits of some relaxation and rest or else we are never able to endure but above all we must take heed of discontent for that wonderfully hinders conception whereas content of mind dilates the Heart and Arteries and distributes the vital blood and spirits through the body which exceedingly recreates nature in all her operations Much might be said in Divinity against discontent sullenness and murmuring which many women especially are too much guilty of for it troubles the imagination which should be pure in the act of conception it stirs up ill
affections and draws away vital heat from the Circumference to the Center consuming the vital spirits Discontent hinders People from what they desire denies God's Providence and shews that our spirits are too much fastened to the World yet sometimes the best woman of us all cannot avoid it But it is the Physical part that I pretend to And therefore let such as desire to have children look to it that their courses come down orderly and be well coloured for then there is no fear but such women will be easie to conceive but they must be sparing in the act of Copulation else one act will destroy another like Penelopes web what she spun in the day she unreathed at night too frequent use makes the womb slippery and therefore whores have but few children and some honest women conceive presently when their Husbands return after a long absence women will soonest conceive two or three dayes after their Terms be staid she must avoid all meats and drinks that hinder conception as drinking of sweet Wine the Hollanders call Stum that keeps women from conceiving or eating Ivy berries wearing Saphyre or Emerald stones about them but a Laodstone carryed causeth concord and fruitfulness and so doth the heart of a male Quale for a man of a female for a woman to eat Eringo root or Ctyrions take Castorium half a dram in Malmsey spread a plaister of Landanum and lay to the womb take a scruple of Galingal in White Wine every morning or a dram of Fox or Boars stones in Sheeps Milk or a dram of a Bulls pisle eat the brains of Sparrows and Pidgeons and the flesh too if you please But to leave this which is concerning means before women have conceived that they may more easily prove with child and retain it their full time and be afterwards in due time happily delivered of it I come in the next place to shew what the woman must do that is gone with child and first let her drink every morning a good draught of Sage Ale for though Sage do provoke the courses yet it will not do so here but it strengthens the womb many things by sundry qualities they abound with will cause contrary effects so Cinnamon a great binder for a loosness will stop the courses when they flow too much and make them come down when they are stopt I have proved that Aurum Potabile will stay the bloody flux yet if a body be full of ill humours it wil purge sufficiently Garden Tansie Ale made and drank like Sage Ale is good if the woman fear to miscarry if you bruise the Tansie and spriâ—â—le it with Muskadel and apply it to her Navel it is more effectual than a toast of bread that some dip in the said wine and apply the same way Let women that are in the said danger alwayes keep the sirrup of this Tansie by them it is made with the juice of the herb clarified and boiled up with a double weight of sugar give a spoonful or two to the labouring woman it may save many a womans life and her childs Let her abstain from all binding diet let her boyl Mallows when she comes near the time of her delivery or Holyhocks in fair spring water and with Honey or Sugar enough to sweeten it and add half a spoonful of white salt for a Glister Let her eat meats and drink such things as nourish well but take heed of surfeiting or excess and let her keep her body loose roasted Apples eat with Sugar in the morning will do it or let her take a bolus of Cassia Fistula called Pudding pipe about an hour or less before dinner there is no danger in it and it opens gently she may make a Glister with Chicken or tender flesh broth adding course Sugar or Honey and half a spoonful of white salt or let her boyl Mercury in her broth to make a suppository with Castle sope or Lard The Eagle stone I have seen abundance of them every day to be sold in Humburgh and they are to be had in London but they are of four kinds the best is brought from Africa and is taken out of an Eagles nest for the Eagle some write cannot lay her eggs if she want these stones by her it hath the name from hence and it is called from the likeness it hath with it a stone with child it is but a small stone with another stone that shakes and sounds within it it is but of a small body and easily beaten to powder some say there is a male Eagle stone and this is a female I think there is both male and female in stones and Plants There is a second and that is called the male Eagle stone and it comes from Arabia it is as hard as a gall of a dark red colour and hard to be powdered the third is brought from Cyprus not unlike that of Africa but it is much bigger The fourth brought from a place called Taphimsius is so denominated also it is round and white and another stone within it it is found in Rivers this is held to be the worst but in some respects very good and the best of all the four as it is used for some occasions but herein must we needs admire the works of God for I have proved it to be true that this stone hanged about a womans neck and so as touch her skin when she is with child will preserve her safe from Abortion and will cause her to be safe delivered when the time comes but since the fall of our first Parents it is hard to find the vertues and secret qualities of the creatures But when I give these and the like rules I know poor women are not able to provide in such cases but their rich neighbours should do it for them for I do not question but that all women will be glad to eat and drink well and to take all things that may do them good if they knew but what and can procure them A Bath for a woman great with child and near her time to be delivered is very good for her to sit in and it may be thus made Holyhocks leaves and roots two handfuls Betony Mallows of each one handful Mugwort Marjerome Mints Camomile of each half a handful Linseed Pursly Pursly bruised two handful put all in Bags together and boil all in well-water sufficient for the woman to sit up to the Navel in when it is warm to sit in hold one bag to her Navel and let her sit upon another after this done warm this Ointment following and annoint her back her belly and secrets Take Oil of sweet Almonds of Lillies of Violets of each half an ounce Ducks grease and Hens grease of each 3 drams Wax a little to make the Ointment you may add if you please to this Ointment in compounding it Holyhock roots Fenugreekseed Butter of each a quarter of an ounce Quince kernels Gum traganth of each an ounce stamp the seeds
which the womb hangs and so it passeth to the sides and belly The causes are the cold air that is got in by her sore travel in child-birth or sharp or clotted blood sticking in the womb and pricking for expulsion these pains make the woman weak and very troublesome wherefore you must strive to abate them Some women are so hardy that to hinder this they will drink cold water so soon as they are delivered if the woman be cholerick she may do it with a crust of tosted bread otherwise it is dangerous CHAP. VII Of the Chollick some women are afflicted within the time of their travel SOme women have the Chollick at the time they should bring forth a child which hinders the delivery and the pains surpass the pain of their travel you can scarce distinguish one of these pains from the other but whilst the chollick lasts the birth comes not forward at all the causes of this disease are great crudities and indigestions of the stomach Let her take Cinnamon water one ounce with two ounces of Oyl of sweet Almonds newly drawn if this do it not then give her a Glister against wind or use fomentations against wind both are good in this cases More remedies there are against wind for Child-bed Women but these may suffice CHAP. VIII Of Womens Miscarriage or Abortment with the Signs thereof THere are abundance of causes whereby women are driven to abort or miscarry and I have spoken somewhat of this before I shall add a little more to it the better to know the signs causes and remedies against it it is the bringing forth an untimely birth or fruit before it be ripe if it happen in seven daies after conception it is but an effluxion but if in fourteen daies after it is an untimely birth sometimes an untimely birth may be alive but it is very seldom that it continues the elder and stronger it is the more hopes for life some women have such large wombs or slippery full of slimy humours that the Seed cannot be contain'd but slips away sometimes it is an imposhumation causing pain that hinders retention but this is rather Effluxion than abortment But sometimes the Cups or Veins whereby the conception is tied to the womb through which also nourishment passeth to it as we said before are stopt with viscous ill humours and so swollen with wind or inflamed that the Cups break and the fruit is lost for want of food this happens commonly in the second or third month so Hippocrates tells us that this is the certain cause if the woman that miscarries be of a good state of body not too fat nor too lean Sometimes the right Gut or the womb may have an Ulcer or Piles or the Bladder or Ureters swollen with the Stone or Strangury and the pains thereof may break the Cups or if she have a Tenasmus great provocation to stool and can do nothing she brings forth her birth by straining downward and that before she should Also great coughs make the woman feeble and consumptive and the child consumes within her great bleeding at the nose or any great loss of blood or too great flux of her courses after conception cause miscarriage if they flow in in the third month else not Also opening of a vein may cause it if the woman want blood but such as are sanguine may let blood after the fourth month and before the seventh month but it is good to see there be cause for it else not Violent purging before the fourth month or after the seventh causes abortment But gentle purging between the fourth and the seventh month are safe Violent fluxing or vomiting make women strain too much especially lean folks and may perish the child and break the Cups If the woman hunger much for want of food Nature hath nothing to spare to keep the child alive it is the same thing with Beasts and Plants that want nutriment and too much will choak it Sharp diseases or Pestilential Feavers Imposthumes in the breast Palsies falling-sicknes kill the child and sometimes the child is sick in the womb Also change of weather may cause miscarriage saith Hippocrates when the winter is hot and moist and the Spring cold and dry that follows it the women that conceive in that Spring will easily abort and if they do not they will suffer hard labour in child-birth and the child will be weak and short liv'd the reason may be because the body is opened and made more tender by the foregoing heat and moist weather and then the succeeding cold makes it more dangerous Great labour as dancing leaping falls or bruises great passions suddenly coming not lookt for may make a woman miscarry let all women beware of it for it is more painful than a true delivery because one is natural and the other against nature nature helps the one but not the other Signs of Abortment I have spoken of in part but commonly about the third and fourth month womens bodies that will swell and puff up with hardness and stiffness stitches and windiness running about her yet she feels no more weight in her body this is a sign of miscarriage if it be not prevented There is nothing better after conception to prevent abortment than good natural food moderately taken and to use all things with moderation to avoid violent passions as care and anger joy fear or whatsoever may too much stir the blood use not Phlebotomy without great cause nor yet violent purgatives If the Matrix be too much dilated use things that contract and fasten as Baths prepared Unguents Ointments Fumes Odours Plaisters Some remedies are specifical against miscarriage and if the woman be in danger she may use them and that in divers ways that she may take them as thus take red Coral in powder two drams shavings of Ivory one dram and a half Mastick half a dram and one Nutmeg in powder give half a dram in a rear egg c. A Powder to hinder Abortion Take Bistort-roots one scruple Kermes berries Plantane and Purslain seeds of each one dram Coriander prepared two scruples Sugar all their weight take every day one scruple with a little Maligo Wine if the body be not costive For an Ague Sometimes women with Child fall into an Ague then take Barley meal juice of Sloes and of Housleek a sufficient quantity and with Vinegar make a Cataplasme and lay it upon a double cloth and lay it often upon the womans belly and this will preserve the child from it For the wind Some are much troubled with wind that will cause them to miscarry then take Cumminseed and boyl it in water give her four spoonful of it twice a week with a dram of Methridate Against sudden frights Take Mastick Frankincence of each one dram Dragons blood Myrtles Bolearmoniak Hermes berries of each half a scruple make them into powder and give half a dram at once with White Wine or Chicken broth To strengthen the Child in
sex that is the weaker and most subject to infirmities in some respects above the other The Female sex then that it may be more nearly provided for wheresoever it is deficient must be considered under three several considerations that is as maids as wives as widows and their several distempers that befall them almost commonly respect either the womb or their breasts or both and many of these diseases and distempers are common to all the Female sex I mean they sometimes happen to them in any of the foresaid three estates of life but Virgins or Maids diseases that are more peculiar to them though not essential because many of them are incident to the rest the causes may be the same they are that wich is called the white Feaver or green Sickness fits of the Mother strangling of the Womb Rage of the Matrix extreme Melancholly Falling-sickness Head-ach beating of the arteries in the back and sides great palpitations of the heart Hypochondriacal diseases from the Spleen stoppings of the Liver and ill affections of the stomach by consent from the womb But that I may make as perfect an enumeration as may be of all diseases incident to our sex give you some of the best remedies that are prescribed by the most Authentick authors or what I my self have proved by long experience Know then that there are some diseases that happen about the secrets of women as when the mouth of the Matrix is too narrow or too great when there is a Yard in the womb like a mans Yard when the secrets are full of Pimples or very rugged when there are swellings or small excrescenses in the Womb or else Warts in the neck of it or the Piles or Chaps Ulcers or Fistulaes or Cancers or Gangreens and Sphacelus or Mortification all these and more that may be reduced to these heads are found in the entrance or mouth of the womb 2. As to the womb it self it is frequently offended with ill distempers being either too hot or too cold too dry or too moist and of these are many more compounded as too hot and too dry too moist and too cold these are all to be cured by their contraries cold by heat moist by driers Or the womb is sometimes ill shaped and strange things are found in it some women have two wombs and some again have none at all Again the vessels of the womb sometimes will open preternaturally and blood run forth in abundance sometimes the womb swells and grows bigger than it should be It may be troubled with a Dropsie with swelling of its veins from too much blood also it may be inflamed displaced broken and it may fall out of the body It may be rotten or else cancerated and sometimes womens stones and vessels for generation are diseased Further the womb may be troubled with an itch it may be weak or painful or suffer by sympathy and antipathy from sweet or stinking smells Moreover the terms sometimes flow too soon sometimes too late they are too many or too few or are quite stopt that they flow not at all Sometimes they fall by drops and again sometimes they overflow sometimes they cause pain sometimes they are of an evil colour and not according to nature sometimes they are voided not by the womb but some other way sometimes strange things are sent forth by the womb and sometimes they are troubled with flux of seed or the whites As for women with child they are subject to miscarry to hard labour to disorderly births of their children sometimes the child is dead in the womb sometimes alive but must be taken forth by cutting or the woman cannot be delivered sometimes she is troubled with false conceptions with ill formations of the child with superfetations another child begot before she is delivered of her first with monsters or Moles and many more such like infirmities And as for women in child-bed sometimes the Secundine or after-birth will not follow their purgations are too few or too many they are in great pains in their belly their privities are rended by hard delivery as far as their Fundament also they are inflamed many times and ulcerated and cannot go to stool but their fundament will fall forth They have swoonding and epileptick fits watching and dotings their whole body swels especially their belly legs and feet they are subject to hot sharp Feavers and acute diseases to vomiting and costiveness to fluxes to incontinence of Urine that they cannot hold their water As for their breasts that hold the greatest consent with the womb of all the parts of the body they are sometimes exceeding great or swelled with milk or increased in number more breasts than there should be by nature sometimes the breasts are inflamed and trouble with an Erisipelas or hard swellings or Scirrhus or full of kernels or tumors called the Kings evil or strange things may be bred in the breasts besides this some breasts are diseased with Ulcers and Fustulaes or Cankers and some have no nipples or are chopt or Ulcerated and sometimes women have breasts will breed no milk to suckle the child with To speak then particularly to all these diseases that belong to our sex might be thought to be over tedious however I shall so handle the matter that I may not troubled the Reader with impertinences that I shall apply my self to what is most needful for the knowledge and cure of them all but because many diseases may be refered to the chief in that kind and the remedies that will cure one may be sufficient to cure the rest the judicious Reader may according as he shall have occasion make a more special application For it is in vain for any one to make use of what is written if they have no Judgement in the things they use in such cases it will be best for them to ask counsel of others first till they may attain to some farther insight themselves and then no doubt but when they shall meet with sufficient remedies to cure the greatest distempers they will be able to make use of the same without farther direction in the cure of those diseases that are lesse not that I intend to omit any thing that is material in the whole but that I may not trouble the Reader with needless repetitions of the same things as too many authours doe which breeds tediousness and can give little or no satisfaction at all CHAP. VI. Of the Green-sickness some call it Leucophlegmatia or Cachexia an ill habit or white Feaver THough both wives and widows are sometimes troubled with this disease yet it is more common to maids of ripe years when they are in love and desirous to keep company with a man It comes from obstruction of the vessels of the womb when the humours corrupt the whole mass of blood and over cool it running back into the great veins For so soon as Maids are ripe their courses begin to flow Nature sending the menstrual blood
this straitness as I said But the straitness of the womb it self and its vessels are sometimes natural by ill conformation and such women will miscarry in the fourth or fifth month because the womb that naturally stretcheth as the child grows in bigness will after the woman is delivered shrink as small as it was before in some women will not be extended But if the straitness be in the vessels or neck of the womb Conception is hindered because the terms cannot flow gross humours especially when the womb is cold and weak stop the mouths of the veins and arteries Inflammations or Swellings or Scars or Schirrhus or the like may be the causes sometimes thick Flegm abounds if there were a wound or the after-burden were forcibly pulled out If the terms be stopt from an old obstruction of grown humors the cure is hard a Schirrhus or humour that shuts up the vessels cannot be cured what is to be cured must first be done by general evacuations of purging and bleeding then use means to provoke the terms if the straitness come from diseases first cure them Sometimes the Secrets of women are full of pushes and scurf with itching and pain wheals rising in the neck of the womb They are of two sorts some are gentle but most commonly they are venemous and come from the foul disease and will impart it unto men They proceed from burnt sharp cholerick malignant humours hard to be cured Sirrup of Fumitory is very good in such cases it is also profitable to wash the parts with wine and Salt-Peter Draw blood if it abound first in the arm then in the ancle but first if be the disease drink the decoction of Sarsa and Guaicum for it Avoid sharp sowr meats it is good to purge with Confectio Hamech or Fumitory Pills You may see the cause of this great itching and scurf if you search with Speculum Matricis an instrument Chirurgeons use Sometimes Tubercles grow in the neck of the womb with heat and pain you may see them them for they are a kind of swelling wrinkles like the wrinkles you see when you close your Fist but they are much larger and when they swell they make these Tubercles they are usual in the secrets or Fundament and come from the same malignant causes with the former and some are more enflamed and painful than others are The swellings are hard proceeding from thick burnt humours Powder of egg-shels burnt is good to strew upon them to dry them up if they be new and there be no inflammation but if they be old and dry they must first be softened These wrinkled skins when they are many resemble a bunch of Grapes Cure the Pox first for usually that is the cause and then they will vanish of themselves If Medicaments prevail not some old authors bid us to use an actual Cautery and to burn them away Likewise Warts in the secrets are bred by a gross dreggy ill humour and is of kind with the forementioned Nature sends it forth to the outward skin and there it becomes Warts if they be hard or blew and painful you may know what they are the Pox is in them and hard to be got out and they lie where medicines can scarce be applied to them to remain if you apply sharp Topicals use a defensative of Bole and Vinegar that you hurt not the parts and so you may touch them with Aqua fortis or Spirit of Vitriol or of Brimstone There are several sorts of these Excrescences there are those that are called Myrmeciae leave an Ulcer if you cut them off Thymi Clavi will grow again but Acrocordanes leave no root if they be once cut away The powder of Mulberries is good to cure Warts and swellings upon the privities of men and I recommend it to women in the same cases Sometimes women have the piles of the womb like those in the Fundament they proceed from gross blood that staies about the ends of these veins in the neck of the womb Women that are thus troubled look pale and are very faint and weary this may come from too long flowing of the courses and grow thick and cannot get forth they are painful and bleed disorderly you may see them by the help of Speculum Matricis and touch them The cure is by revulsion of the humour by letting blood in the arm or heel and by gentle applications if the pains be great if nature open them and they bleed moderately you may give way to nature but if they run violently open a vein in the arm two or three times Purge with Rhubarb Tamarinds and Mirobolans mingled and use Topicals to stay the blood The blind Piles bleed not at all they are cured by letting young women bleed freely and by softening the parts with emollient Fomentations to open the veins and to dispel the humour made with mallows Marshmallows Cammomile Melilot Maâ—lius Linseed Fenugreek Anoint where the pain is with butter Populeon and Opium if the pain be gone and they bleed not use Driers of Bole Ceruss Allum burnt Lead wash'd if the veins swell with blood rub them with Fig leaves or with Horse Leeches applied draw blood from them This disease of the Piles of the womb differs from the flowing of the courses because this is with great pain and moreover the courses run from the veins of the womb and the neck of it but the Piles are caused when the blood runs too much to the veins that force the secrets and either stops there or comes forth sometimes by them but some say they differ from the courses namely by their great pain but that they make the body lean if they last long and the blood comes not forth so orderly nor at certain periods and set times as the courses use to do Sometimes the womb hath Ulcers bred there some are cleaner and some again are sordid and malignant all hard to be cured They proceed generally from a virulent Gonorrhoea or the Pox but they may rise from inflammation by abundance of sharp corroding humors from abortion or hard labour or sharp medicines or when the after-birth is pulled out by force and rends the womb The pain of Ulcers is biting and increased by sharp injections of Wine or Honey and Water All Ulcers are hard to heal there because of the sensibility and moistness of the part and a light Excoriation or rawness will not easily be healed but eating Ulcers never are cured there almost but by Death Ulcers by Venery if they be cured you must first cure the Pox. All Ulcers in the secrets of Wombs may be cured if they be not Cankered and the way to cure them is by Purging and bleeding to cleanse and carry away and divert the ill Humours and moisture from the Womb if there be great pain abait that with Mucilage of Fleabane and whites of Eggs or an Emulsion of Poppey Seeds Warm Injections into the Womb will help forward the Cure made of
to Ulcers yet sometimes the substance of the womb hath been Ulcerated and rotted away A dead child in the womb may cause an Ulcer but all these Ulcers and Rottenness are to be dealt withal as I have shewed before Sometimes there may be a Rupture of the womb I never saw but one and that was exceeding rare it happens so seldome The womb is so fenced by the adjacent parts that it is seldom wounded unless the Chirurgeon chance to do it in cutting the Child forth of the womb There is more pain in the neck of the womb than in the bottom of it but this cutting may be cured by Injections and Glisters for the womb made with Decoctions of round Birthwort Cypress Nuts boiled in Steel water and Astringent Wine and a little Honyed water and Agrimony Mugwort Plantane Roses Camels Hay Horehound If the pain be great use Anodynes or Pessaries made with a wax candle dipt in Vulnerary Oyntments as take Turpentine Goose Grease wax and Butter of each a dram Bulls Grease Deers Marrow Honey Oyl of Roses of each two drams I have refer'd all the foresaid Diseases to a natural or Accidental straitness of the mouth or neck or Middle of the womb all of them being a hinderance to Copulation and making compression upon the parts CHAP. VIII Of the Largeness of the womb THe opposite to straitness of the womb is the largeness of the Orifice and sometimes more Cuts than nature makes which may proceed from Copulation or bearing of Children By the largeness of the Orifice women are often barren and sometimes the womb falls out as Hippocrates saith Nor do men desire to keep company with such women The cure after Child-birth is with Astringent Fomentations and Bathes of Allum water binding things of Bole Dragons blood Comfrey Roots Pomegranat Flowers Mastick Allum Galls of each half a dram powder all and make a Pessary to thrust into the Orifice dipt in this Mixture made fit with steel'd water Hard Labour doth sometimes cleave the Privy parts as low as the Fundament whereby the rent is made so wide that it goeth from one to the other hole a long piece of Allum put into the cleft may do good to help it but if there be many passages in the secret parts it comes from an error in nature there being a passage open from the womb to the straight gut There are some diseases whereby Physicians are much deceived thinking the cause to lye in the womb when it doth not for womens stones and Vessels of procreation may be sorely distempered and their womb be no wayes affected with it Gasper Bauhin and John Scenkius tell us of a Maid whose belly was swoln as though she had been with child but when she died she desired to be opened to let the World know her innocency and it did so appear for her stones were swelled as big as a white penny Loafe they were blew and spungy and full of water The womb is sometimes subject to great paines besides what proceed from the former Diseases for there is that which is called the Cholick of the womb it is usual to women with child as the Inflammation of the womb is it binds the belly and stops the veins all women are subject to it either from sharp humours or from clotted blood that sticks to the hollow of the womb Drinking of cold drink may cause it sometimes it comes from retention and corruption of the seed that is cured as fits of the Mother If it come from ill humours that lye there purge them forth if from windy vapours that rise from the heat of ill humours these must be discussed give a Glister of Maligo wine and Nut oyl of each three ounces Aquavitae one ounce oyl of Juniper and Rue distiled of each two drams apply it warm lay on a plaister to the Navel of Tacamahac and Gum Caranna CHAP. IX Of the Termes THe Monthly courses of women are called Termes in Latin Menstrua quasi Monstrua for it is a Monstrous thing that no creature but a women hath them or else Menstrua because they should flow every Moneth and they are named Flowers because Fruit follows and so would theirs if they came down orderly they are then a sign that such people are capable of Children it preserves health to have them naturally but if they be stopt there must be danger when the woman is conceived then they stop they begin commonly at fourteen years old and stop at fifty or in some at sixty years old they are of no ill quality naturally but are onely superfluous moisture and blood the Female sex abounds withal for when they stop the Child in the womb is supplied by them The Termes run longer two or three dayes with some women than with others for they differ as women do according to plenty or less plenty of good diet and labour or idleness or the like Hippocrates saith They should bleed in all but two pints at most or a pint and a half the colour of the blood and substance differs according to divers tempers it should not be too thick nor too thin without any ill scent and of a red or reddish colour and the veins of the womb are the passages which are double from the Spermatick and Hypogastrick double branch on both sides to send forth superfluous menstrual blood from all parts of the body some say this blood is venomous and will poison plants it falls upon discolour a fair looking glass by the breath of her that hath her courses and comes but near to breath upon the Glass that Ivory will be obscured by it It hath strong qualities indeed when it is mixed with ill humours But were the blood venomous it self it could not remain a full month in the womans body and not hurt her nor yet the Infant after conceprion for then it flows not forth but serves for the childs nutriment We read of a child but five years old that had her monthly purgations and John Fernelius writes of one that was but eight years old that had them but certainly it must be a sign of a lascivious disposition and of a short life Some womens courses stop not only by conception but from other causes that have come again very well seven or eight months after but if the terms fail there is either want of blood or the blood is stopt but some refer the causes of stopping the courses to four heads viz. 1. Corruption of the blood 2. The Womb ill disposed 3. An ill habit of the body 4. An ill Custome of the faculties of the Body 1. If the Womb be diseased as it is subject to many the Terms will increase or diminish wherefore the womb must be first healed 2. If the blood be corrupt it will be too thick or too thin by reason of ill humours and ill diet 3. If the body be ill disposed it sends not blood as it should do some laborious Country Women become so hot and
foreskins within the neck a little toward the share bone there is a short entrance whose orifice is shut with certain fleshy and skinny additions whereby and by the aforesaid foreskin the air coming between they make a hissing noise when they make water The figure of the concavity of the Womb is four-quare with some roundness and hollow below like a bladder There is towards the neck of the Womb on both sides a strong ligament near the hanches binding the womb to the back they are like a Snails horns and therefore are called the horns of the womb About these horns there is one Stone on each side harder and smaller than Mens stones and not perfectly round but flat like an Almond Seed is bred in them not thick and hot as in Men but cold Watry seed These Stones have not one purse to hold them both as Mens stones have but each of them hath a covering of its own that springs from the Peritoneum binding them about the horns and each of them hath a small muscle to move them by The foresaid Seed-Vessels are plainted in these Stones and are called preparing Vessels descending from the Liver Vein the great Artery and the Emulgent Veins then there are other Vessels called carriers that continually dilate themselves and proceed as far as the concavity of the womb where it is joyned to the neck and they carry the Seed to the hollow of the Womb. The many Orifices of these Vessels are called Cups the menstruous blood runs forth by them and the Infant suck's its nutriment from them by the Veins and Arteries of the Navel that are joyned to these Cups A Woman hath no forestanders for a womans Vessels are soft and do not hurt the stones as they would do in Men because they are so hard The whole Matrix considered with the stones and Seed Vessels is like to a mans Yard and privities but Mens parts for Generation are compleat and appear outwardly by reason of heat but womens are not so compleat and are made within by reason of their small heat The Matrix is like the Yard turned inside outward for the neck of the womb is as the Yard and the hollow of it with its receivers and Vessels and Stones are like the Cods for the Cods turned in have a hollowness and within the womb lye the Stones and seed Vessels but Mens stones and Vessels are larger The place of the cut of the Matrix is between the Fundament and the share-hone and the place between both Arteries is called the Peritoneum The neck from the cut by the belly goeth upward as far as the womb and the place of it is between the right Gut and the bladder all these are placed at length in the cavity of the belly The womb is small in Maids and less than their bladder neither is the hollow compleat but groweth bigger as the body doth In Maids of ripe years it is not much bigger than you can comprehend in your hand unless when they come to be with Child yet it grows by reason of their courses The sides of it are fleshy hard and thick but when a Woman is with Child it is stretched out and made thin and seems more sinewy and then it riseth toward the Navel more or less accordding as the Child is in bigness It hath but one hollow Cell yet this at the bottom is in some manner divided into two as if there were two wombs fastened to one neck For the most part Boys are bred in the right side of it and Girles in the left It joyns to the Brain by Nerves to the Heart by Arteries to the Liver and Lightes by Veins to the right Gut by Pannicles to the bladder by the neck of it which neck is short and comes not forth as Mens do it is joyned to the hanches by the hornes the concavity of it is loose every way and therefore it will fall to the sides and sometimes it will come all forth of the body by the neck of it Perhaps it is no error to say the Wombs are two because there are two cavities like two hollow hands touching one the other both covered with one Pannicle and both end in one channel No Man that sees a womb can well discern it unless he be well skiled in the Aspects concerning limbs and shadows whereby Physicians are much helped in many practices as well as other Artificers The womb by reason of that which flows to it is hot and moist It is of great use to cleanse the body from superfluous blood but chiefly to preserve the Child It is subject to all diseases and the whole womb may be taken forth when it is corrupted as I have seen and yet the woman may live in good health when it is all cut away In the year of our Lord 1520 upon the 5th of October Domianus a Chirurgion cut out a whole womb from one called Gentil the wife of Christopher Briant of Millan in the presence of many Learned Doctors and other Students and that woman did afterwards follow her ordinary business and as she and her Husband confest and reported she kept company with her husband and cast-forth Seed in Copulation and had her monthly courses as she was wont to have before CHAP. XII Of the likeness of the Privities of both sexes BUt to handle these things more particularly Galen saith that women have all the parts of Generation that Men have but Mens are outwardly womens inwardly The womb is like to a mans Cod turned the inside outward and thrust inward between the bladder and the right Gut for then the stones which were in the Cod will stick on the outsides of it so that what was a Cod before will be a Matrix so the neck of the womb which is the passage for the Yard to enter resembleth a Yard turned inwards for they are both one length onely they differ like a pipe and the case for it so then it is plain that when the woman conceives the same members are made in both sexes but the Child proves to be a Boy or a Girle as the Seed is in temper and the parts are either thrust forth by heat or kept in for want of heat so a woman is not so perfect as a Man because her heat is weaker but the Man can do nothing without the woman to beget Children though some idle Coxcombs will needs undertake to shew how Children may be had without use of the woman CHAP. XIII Of the secrets of the Female sex and first of the privy passage SEven things are here to be observed 1. The Lips 2. The Wings 3. The Clitoris 4. The passage for Urine 5. The four fleshy Knobs 6. The membrane or sinewy skin that joynes these four fleshy knobs together 7. The neck of the womb The Lips or Laps of the Privities are outwardly seen and they are made of the common coverings of the body having some spongy fat both are to keep the inward parts
a passage within the passage of the Peritoneum called the Bason or Laver placed between the right Gut and the bladder and it is whiter than the superficies of the bottom the cavity is deep but the mouth or entrance is much narrower it reacheth from the inward mouth of the womb to the outward mouth or lips of the Privities It is a fit sheath to receive the Yard and is long that by it the mans Seed may be carried to the orifice of the Womb it grows longer or shorter in time of Copulation and wider and narrower as the mans Yard is so it swells more or less is more open and more shut the length and wideness cannot be limited because it is fit for any Yard yet I have heard a French man complain sadly that when he first married his Wife it was no bigger nor wider than would fit his turn but now it was grown as a Sack Perhaps the fault was not the womans but his own his weapon shrunk and was grown too little for the scabbard The neck of the womb is continued with the bottom of it yet it hath a diverse substance from it for it is sinewy and skinny that it may with more care be enlarged or contracted not become too hard nor too soft The substance of it is spongy and fungous like that of a mans Yard that when there is Copulation it may close about the Yard which it doth by reason of many small Arteries which fill up the passage with spirits and make it become narrower Wherefore in women that are lustfull it swels in that time of desire and the caruncles strut out and the hole grows very strait In young maids it is more soft and delicate but it grows every day harder as they grow elder after many Children and in old women it becomes hard like a gristle by reason it is so often worn and by the Courses flowing forth It is smooth when you stretch it and slippery but otherwise full of wrinkles unless it be where it ends in the Lap. In the entrance of the passage and in the fore part there are many round folds and plaights which cause the more pleasure in Venus action by the attraction of the Nut of the Yard In young women these folds are smoother and narrower and the passage straiter that it will scarce admit a finger to go in yet through this do pass not onely the Menstruous blood but also corrupt humours in those that have that disease is called the Whites CHAP. XIV Of the Vessels preparing Seed in Women AS in Men so in Women the Seed vessels are either preparing or carrying Vessels The Preparing vessels are neither more nor less than they are in Men for they are just four two Veins and two Arteries and they arise as they do in men for the right Vein is derived from the pipe of the great Liver vein under the Emulgent but the left comes from the Emulgent on the left side both the Arteries come from the trunk of the great Artery yet I do not say that there is no difference between these in men and women for then it had been needless to go over this subject any more The differences are chiefly two 1. Because womens passages are shorter these vessels are shorter in women than they are in men for womens stones lye in their bellies but mens hang without in their Cods but womens Vessels have by far more windings and turnings hither and thither out and in than mens have that the matter they bring may be better prepared their windings up and down prove that they are not shorter if they had room to go any farther as they have in Men. It is worth observing that you may know that the Vessels of the womb have union and communion one with the other both the Veins the Arteries for the vital and natural blood are mingled to perform this great work and it is thus brought to pass The spermatick Veins passing by the side of the womb joyn with the foresaid Arteries and then they make this mixture and this is easily proved for if you blow up the Seed Vein with a hollow pipe or quill you shall see all the Vessels of the womb to swell at the same time and to be blown up with it which is enough to confirm that they are all mingled and united These four Vessels bring the Seed from all parts of the body that they may fit it make it ready for Natures use The right vein comes from the trunk of the hollow Liver vein below the Emulgent vein nigh unto the great hollow bone but the left vein comes from the left Emulgent vein for the great Artery is seated on this side by the hollow vein and that Artery beats throbs continually and if the left Seed vein had come from the Trunk of the hollow vein as the right doth it must have past over the great Artery and then the never ceasing beating of the Artery would have broken this thin Vein if nature had not provided the foresaid remedy against it The Arteries both of them have the same beginning as they have in men for they come from the Trunk of the great Artery near the great bone under the Emulgent vein and they are filled with vital blood as the two Veins are with natural blood Yet they do not fall out of the Peritoneum as the Arteries of men do nor do they reach the share-bone because women have no reason to cast their Seed out of themselvs but onely into their own womb which is but a short way nor do these Arteries interweave or grow together till they come into their stones but with some variation again they are divided for in women they are supported with fat membranes so brought to the Stones yet by the way as they come they inoculate the Veins with the Arteries and after that they branch into two parts and the one part makes the Seed vessels and that which is called Corpus varicosum affording to the Cods and stones some small twigs for to feed them but the other part is carried to the skin that cleaves to the bottom of the Matrix and supplieth the higher part of its bottom with nourishment and feeds the Infant in the womb also with blood and moreover by these Vessels the monthly Terms are voided forth especially of such women that are not with Child but in Men they are all wrought up into one body which is called Corpus varicosum The difference that they make in shortness from the same Vessels in men may be for this reason also because the womans Seed doth not need so strong and great preparing as mens Seed doth nor could their Vessels have been kept within the womans belly had they not been made shorter than mens But it is admirable to consider how strangely these Vessels are infolded and wrapt up one within the other to prepare the Seed Yet because womens stones are but small their
Seed vessels needed not to be great so that if they have any Prostates saith Galen to keep the Seed in they are so small they can hardly be discerned CHAP. XV. Of the Seed-carrying Vessels in Women THese vessels that carry the Seed come from the lower part of the stones they are on each side one and are propt up by the ligaments of the womb they are white and sinewy they do not go directly to the womb but with many windings and turnings because the way is short they are broad near the stones then they grow less and again when they come to the womb they are enlarged they go to the horns of the womb and there they end and by those horns they pass into the womb this may be plainly seen in other Female creatures as well as in women though with much difference These vessels in their twistings are like to the Seed bladders as are in men full of wrinkles in the midst they have a hole or mouth like to a Trumpets mouth and it is curled up like Vine tendrils they are more folded together than in Men because they are not to pass through the Peritoneum for womens stones do not hang forth as mens do Also they do not come from the stones presently to the neck of the bladder as with men but they go from the stones to the womb and when they come to the sides of it called the horns there they part and one part which is larger and shorter enters into the middle of the horns of his own side or very near it and there it delivers in and so into the cavity of the womb Seed perfectly concocted but the other part which is longer though it be narrower passeth along by the sides of the womb to the neck of it on both sides and below the innermost mouth of the womb they are implanted under the neck of it into the forestanders which are not so plain to be seen as they are with men yet these hold the Seed there till it is the time of Copulation and then they cast it forth for thus women great with Child do spend their Seed and not by opening the innermost mouth of the womb as some falsely think for so soon as a woman conceives the mouth of the womb is most exactly shut close yet they can lye with men all that while and some women before others will take more pleasure and are more desirous of their Husbands company than before which is scarce seen in any other female creatures besides most of them being fully satisfied after they have conceived but it was needful for man that it should be so because polygamy is forbidden by the Laws of God CHAP. XVI Of Women stones WOmen have need of stones to concoct and digest their Seed as well as men the use of stones in both sexes is to make Seed fruitful for if either the stones of the man or woman be out of temper they must needs be barren and unfruitful nor is there any greater sign of health than when the stones are well and of this Jugement was that great Physician Hippocrates There are many differences betwixt the stones of both sexes 1. In place because women are colder than men their stones are kept within their lower belly to keep them warm and to make them fruitful and they lye on either side of the womb above the bottom when women are not with Child but when they are with Child these stones lye near the place where the hanch-bone and the holy-bone join and they are contained in loose skins coming from the Peritoneum which skins cover also half the Stones and they lie upon the Muscles of the Loins within the Abdomen 2. Womans Stones have no Cod to hold them as Mens have they have but one skin to cover them for lying within the body they need no more but mens Stones have four several skins to keep them warm because they hang without their bellies Also the Cod or rather coat for the Stones is softer and thinner than the mans and cleaves fast to them that it seems to be the same body with them this coat also receives the Vessels of blood and wrapping them fast keeps the blood from shedding forth 3. Womens Stones are not so thick nor great nor round nor smooth nor hard as mens are but they are small and uneven and broad and flat both before and behind whereas mens are oval smooth large round and equall the upper side of womens Stones are so unequal that they resemble small kernels of the Kall joined together and they are long and hollow with small textures in them and they are full of a watry humour like very thick Whey when Women are in good health but when they are sickly they seem like bladders full of a clear watry humour and sometimes of a yellow colour like Saffron and will stink so that it oftentimes causeth the strangling of the Mother which Midwives call fits of the Mother 4. Their Stones are also colder and moister and so is their Seed and therefore women have no Beards on their faces because of the coldness of their Stones 5. They have no forestanders Mans Seed is the agent and womans Seed the patient or at least not so active as the mans Aristotle denyed that women had any seed at all and Jovianus Pontanus would prove this by the Moon which Aristotle likeneth to women in act of Procreation who held that the Moon doth nothing but bring moist matter for the Sun to work upon in things below but Hermetick Philosophy will prove that the moisture the Moon brings hath an active principle as well as the Sun and so doubtless women are not only passive in Procreation but active also as well as the man though not in so high a degree of action her seed is more watry and mans seed full of vital spirits more condensed thick and glutinous for had the womans seed been as thick as the mans they could never have been so perfectly mingled together CHAP. XVII Of the Womb it self or Matrix THe Womb is that Field of Nature into which the Seed of man and woman is cast and it hath also an attractive faculty to draw in a magnetique quality as the Load-stone draweth Iron or Fire the light of the Candle and to this seed runs the Womans blood also to beget nourish encrease and preserve the Infant till it is time for it to be born for the natural and vegetable Soul is virtually in the Seed and runs through the whole mass and is brought into act by the Virtue and heat of the Woman that receives the Seed and by the forming faculty which lies hid in the Seed of both Sexes and in the disposition of the womb both Seeds are well mingled together at the same time in all parts of the body I mean as to the parts made of Seed but as for the parts made with blood they are made at several times as they
can sooner or later procure nourishment and spirits The parts therefore next the Liver are sooner made than those that are far from it and those are first made that the mothers blood first runs to that is first the Navel Vein and that being first made by that the blood is carried to other parts The Womb is like a Bottle or Bladder blown when the Infant is in it and it lieth in the lower belly and in the last place amongst the entrails by the water course because this is easily enlarged as the child grows in the Womb and the child is by this means more easily begot and the Woman delivered of it nor is it any hindrance to the parts of nutrition while the woman continues with Child but had the Womb where the Infant lieth been seated in the middle or upper belly the child would have been soon stifled for the womb could not have stretched wider according to the growth of the Child because the bones that compass the upper belly would have hindered it The hollow part of the belly where the Womb lieth is called the Bason and it is placed between the Bladder and the right Gut the bladder stands before it and is a strong membrane to defend it and the right Gut lieth behind it as a pillow to keep off the hardness of the backbone so that the womb lieth in the middle of the lowest belly to ballance the body equally and to contain the Womb the Bason is larger in women than in men as you may see by their larger buttocks As the child grows the bottom of the womb which lieth uppermost lying at liberty and not tyed grows upward towards the Navel and so leans upon the small Guts and so fills all the hollow of the flancks when women are near the time to bring forth The Womb is fastened and tied partly by the substance of it and also by four ligaments two above and two beneath but the bottom is not tied neither before nor behind nor above but is free and at liberty that it can stretch as need requires in Copulation or Child-bearing and it hath a kind of animal motion to satisfie its desire Galen saith that the sides are fastened to the hanch-bone by membranes ligaments coming from the muscles of the Loyns and interwoven oft-times with fleshy fibres and carried to other parts of the womb to hold it fast The neck of the womb is tied but not every side to the parts that lie near it at the sides it is loosely tied to the Peritoneum by certain membranes that grow to it and on the back part it is fastened with thin fibres and a little fat to the right Gut and the holy-bone it lieth upon that fat all along that passage and it grows into one with the Fundament above the Lap to which it is joined before if the Fundament chance to be ulcerated within the dung hath been seen to fall out at the Lap. The fore part is knit to the neck of the bladder and because the wombs neck is broader than the neck of the bladder some part of it is fastened by membranes coming from the Peritoneum to the share-bone from hence it happens that when the womb is inflamed the Woman hath a great desire to go to stool and to make water but cannot The lower strings that fasten the Womb are two also called the horns of the womb they are sinewy round reddish and hollow chiefly at their ends like to the husky membrane and sometimes this hollowness is full of fat these horns come from the sides of the Womb and at their first coming forth they touch the Seed-carrying Vessels When these productions are stretched too much as they are ofttimes in hard labour in Child-birth there happens to women a rupture as well as to men but they may be cured by cutting and strong ligatures Fleshy fibres are joined to these productions after they come forth of the Abdomen and they are small Muscles called holders up in Women they belong not to the Stones as they do in men because they join in men to the Seed Vessels When these ligaments come at the share-bone they change into a broad sinewy slenderness mingled with a membrane which toucheth and covers the forepart of the share-bone and upon this the Clitoris cleaveth and is tied which being nervous and of pure feeling when it is rubbed and stirred it causeth lustful thoughts which being communicated to these ligaments is passeth to the Vessels that carry the seed Yet these holders up serve for other uses for as they are Muscles that hold up the Stones in men so they hold up the womb in women that it may be kept fom falling out at the Lap. The parts then of the womb are two The neck or mouth and the bottom The neck is the entrance into it which will open and shut like a purse for in the act of Copulation it receives the Yard into it but after conception the point of a Bodkin cannot pass yet when the time comes for the Child to come forth it will open and make room enough for the greatest child that is conceived This made Galen wonder and so should we all to consider how fearfully and wonderfully God hath made us as the Psalmist saith The Works of the Lord are wonderful to be sought out of all those that take Pleasure therein The form of the womb is exactly round and in maids it is no bigger than a walnut yet it will stretch so after conception that it will easily contain the child and all that belongs to it it is small at first to embrace the Seed that is but little cast into it It is made of two skins an outward and an inward skin the outward is thick smooth and slippery excepting those parts where the Seed Vessels come into the womb the inward skin is full of small holes It is far different from the Matrix of beasts which Galen knew not for the Grecians in those daies held it an abomination to dissect any man or woman though they were dead all the knowledge of Anatomy they learned was by dissecting Apes and such Creatures that were the most like to mankind but the inside of men or women they saw not and so were ignorant of the difference between them Whence it is confirmed that they knew not the seat of some diseases so well as we do and therefore must need fall short of the cure nor would they use the means to find out what disease they died of which true Anatomy would have made known to them and would have been a great furtherance to preserve others that were sick of the same diseases that others died of before It hath been much and long disputed how many Cells are in the womb Mundinus and Galen say there are seven several Cells and that a woman may by reason of so many places distinct one from the other have seven Children at a birth and many midwives are of
to make it more strong and grows to it on both sides The inward membrane is double also but can scarce be seen but in exulcerations of the womb When the woman conceives it is thick and soft but it grows thicker daily and is thickest when the time of birth is Fibres of all kinds run between these membranes to draw and keep the Seed and to thrust forth the burthen and the flesh of the womb is chiefly made up of fleshy Fibres The three sorts of Fibres for Seed do plainly appear after women have gone long with Child those that draw the seed are inward and are not many because the Seed is most cast into the womb by the Yard the thwart Fibres are strongest and most and they are in the middle but the Fibres that lye transverse are strong also and lye outward because it is great force that is required in time of delivery The Veins Arteries that pass through the membranes of the womb come from divers places for two Veins and two Arteries come from the Seed Vessels and two veins and two Arteries from the vessels in the lower belly and run upward that from all the body both from above and under blood of all sorts might be conveighed to bring nourishment for the womb and for the infant in it also they serve as Scavengers to purge out the Terms every moneth The twigs of the Vein that is in the lower belly mingle in the womb with the branches of the Seed veins and the mouths of them reach into the hollow of the womb and they are called cups through these comes more blood alwaies than the infants needs that the Child may never want nutriment in the womb and there may be some to spare when the time comes for the Child to be born but after the birth this blood comes not hither but goes to the Breasts to make Milk but at all other times it is cast out monethly what is superfluous and if it be not it corrupts and causeth fits of the Mother yet they come oftner from the Seed corrupted and staying there than they do from blood It is not onely blood is voided by the Terms but multitude of humours and excrements and these purgations last sometimes three or four days sometimes a week and young folk have them when the Moon changeth but women in years at the full of the Moon which is to be observed that we may know when to give remedies to Maids whose Terms come not down for we must do it in the time when the Moon is new or ready to change and to elder women about the time that Nature useth to send them forth because a Physician is but a helper to nature and if he observe not natures rules he will sooner kill than cure The sinews of the womb are small but many and interwoven like Net-work which makes it quick of feeling they come to the upper part of the bottom from the branches of the Nerves of the sixth Conjugation which go to the root of the ribs and to the lower part of the bottom and to the neck of the Womb from the marrow of the Loins and the great bone Thus they by their quick feeling cause pleasure in Copulation and Expulsion of what offends the part they are most plentiful at the bottom of the Womb to quicken and strengthen it in attracting and embracing the seed of man There is but one continued passage from the top or Lap to the bottom of the Womb yet some divide it into four parts namely into the upper part or bottom for that lieth uppermost in the body 2. The mouth or inward orifice of the neck 3. The neck 4. The outward Lap Lips or Privity The chief part of these which is properly the Womb or Matrix is the bottom here is the Infant conceived kept formed and fed until the rational Soul be infused from above and the Child born The broader part or bottom is set above the share-bone that it may be dilated as the Child grows the outside is smooth and overlaid with a watry moisture there is a corner on each side above and when Women are not with Child the seed is poured out into these for the carrying Vessels for seed are planted into them They are to make more room for the Child and at first it is so small that the Parents seed fills it full for it embraceth it be it never so little as close as 't is possible the bottom is full of pores but they are but the mouths of the Cups by which the blood in Child-bearing comes out of the Veins of the womb into the cavity The corners of the wombs bottom are wrinkled the bottom is softer than the neck of it yet harder than the Lap and more thick From the lower part of the bottom comes a piece an inch long like the Nut of the mans Yard but small as ones little finger and a Pins point will but enter into it but it is rough to keep the Seed from recoiling after it is once attracted for when the parts are overslippery the humours are peccant and those women are barren Hippocrates saith that sometimes part of the kall falls between the bladder and the womb and makes women fruitless This part may well be reckoned for another part of the womb for it lieth between the beginning of the bottom and the mouth there is a clear passage in it The womb hath two mouths the inward mouth and the outward by the inward mouth the bottom opens directly into the neck this mouth lyeth overthwart like the mouth of a Place or the passage of the Nut of the Yard the whole Orifice with the slit transverse is like the Greek Letter Theta Θ it is so little and narrow that the Seed once in can scarce come back nor any offensive thing enter into the hollow of the womb The mouth lies directly against the bottom for the Seed goeth in a streight line from the neck to the bottom The womb is alwayes shut but in time of generation and then the bottom draws in the Seed and it presently shuts so close that no needle as I said can find an entrance and thus it continues till the time of delivery unless some ill accident or disease force it to open for when women with child are in Copulation with men they do give seed forth but that seed comes not from the bottom as some think but by the neck of the womb It must open when a child is born so wide as to give passage for it by degrees because the neck of the womb is of a compact thick substance and thicker when the birth is nigh wherefore there cleaves to it a body like glew and by that means the mouth opens safely without danger of being torn or broken and as often as the passage is open it comes away like a round crown and Midwives call it the Rose the Garland or the Crown If this mouth be too
for the womb consents or dissents by sympathy and antipathy and sweet things applied to the privities profit in such cases and stinking things to the nose as burnt leather feathers or the like There is a great agreement between the womb and the brain as Hippocrates proves by a smoke to try barrenness by and there is the like between the womb and the Heart by Nerves and Arteries Sweet scents are pleasing to all womens wombs and ill savours offend but not in all women alike for where the Matrix is well disposed and not disaffected by reason of ill humours that it is charged with those Women are much delighted with sweet smels but it is not so with others who are unclean for they cannot away with sweet smels for no sooner do they begin to scent them but they fall into those fits for while the womb resents those sweet swels the ill humours that lye hid in the womb especially where the seed is corrupted fly up with the spirits and carry the bad humours with them to the Heart and to the brain and so cause these stiflings of the womb This is general for all sweet things that the Matrix is pleased with them rightly applied for apply any sweet thing to the Privities the womb is quiet and well refresht by them and so the humours are still or else they move downward but contrarily stinking things by Antipathy with the womb are thrust out by the spirits when we apply such stinks to the nose for the spirits fly downwards and often there is an abortion thereby The womb cannot smell scents no more than it can hear sounds or see objects for scents belong to the nose which is the Organ of smelling as colours to the eyes that are the instruments of seeing the ears of hearing but the womb partakes with these scents by reason of a thin vapour or spirit that comes from any strong smell for the womb is affected as our senses are very suddenly as it feels exactly which is in some kind a general sense and is common to every part of the body our spirits are refresht with sweet vapours not discerning them but as they are placed and strengthened by them But how doth the womb chuse sweet smels and refuse the contrary if she cannot discern I know not why it is so unless the reason be because of the impurity of those vapours that arise from stinking things for all such things are noynoysome and not well concocted and defile the spirts contained in the parts of Generation and so cause faintings and swoundings whereas sweet smels are pleasant and refresh the spirits But why then doth Ambergreece and Musk cause suffocations being so extreamely sweet scented and Assafetida and Castoreum two stinking cure it The Answer is that all women are not so affected but onely they whose wombs as I said are charged with ill humours and then quick spirits arising from sweet smels presently move the brain and the membranes of it and so the membranous womb is soon drawn into consent the bad vapours that lay still before being stirred and raised by the Arteries flee to the heart and the brain and by secret passages cause such fits but noysome smels being raw and ill tempered stop the pores of the brain and come not to the inward membranes to prevent them Also Nature being offended with destructive ill qualified scents raiseth up all her forces as against an open enemy to oppose them and so casts out of the womb with the ill vapours the ill humours also from which these vapours rise so comes a crisis in acute diseases if Nature be strong she casts them forth and when a man takes a purge Nature helps her self against the ill qualities of the Medicament which she can no way conquer but by casting it forth and so what humours were peccant are cast forth with it It was the judgment of Hippocrates that womens wombs are the cause of all their diseases for let the womb be offended all the faculties Animal Vital and natural all the parts the Brain Heart Liver Kidneys Bladder Entrails and bones especially the share-bone partake with it but no part is so much of consent with the womb as the Breasts are The agreement between the womb and the Brain comes from the Nerves and membranes of the marrow of the back some fee great pains in the hinder part of the head some are frantick others so silent they cannot speak Some have dimness of sight dulness of hearing noyse in their ears strange passions and Convulsions It agrees with the Heart by the Arteries of the Seed and lower belly and if these be stopt or choked by a venemous air the hearts natural heat is dissolved faintings and swoondings and intermission of pulse follow with stopping of their breath so that you cannot perceive them to breath unless you apply a clear looking-glass to their mouth and if they breath at all there will be left a dewy vapor upon the Glass if not they are dead for some of these women draw in no more air than what comes in by the pores of the skin into the Arteries and so goes to the Heart and such persons sometimes lye in such fits twenty four hours at least and many of them have lain so long that their Friends have thought them to be dead and have caused them to be unhappily buried when they were alive and would no doubt have revived when the fit had been over I speak this for a warning to others to beware what they do upon such occasions and to give at least two or three dayes time before they put them into the ground some have been taken alive out of their Coffins long after they were thought to be dead The womb and Liver agree by Veins running from the Liver to the womb which is the cause of Jaundies Dropsies and Green-sickness if the blood be naught that comes to it And that the Kidnies by the Seed-veins consents with the womb is manifest by the pains of the loins women suffer when they have their Courses for the left Seed-Vein comes from the left emulgent or kidney-vein on the same side So the womb the bladder and the right gut agree for if the womb be inflamed presently follows a desire to go to stool and to make water by reason of the nearness and communion these parts have one with the other by the membranes of the Peritoneum that tye the womb and these parts together and by common Vessels running betwixt for from the same branch of the vein of the under belly run small Fibres to these three parts but the consent of the womb with the breasts is most observable the humours passing ordinarily from one to the other whereby we may know the affections of the womb and how to cure them and of the state of the Child contained in it Lufitanus tells us that he saw two women that voided monethly blood by their Nipples when their Courses were
flesh And next in order there is a more curious draught wherein the three chief parts the Brain the Heart and the Liver may be seen together with the first three and as it were the warp of all the seed parts and this is called Embrion But fourthly To perfect the whole work all the parts are set in order and perfected so that Nature hath nothing to do but to hasten to delivery that this work of hers may be brought forth into the world When the spirit in the seed begins to work it parts the more noble from the base and the pure from the impure so that the thick cold clammy parts are kept out to cover the more thin and pure parts and to defend and preserve them Nature begins her conformation with the cold clammy parts of the seed and makes skins and membranes of them to cover the rest and stretcheth them out as need requires Men have only two membranes the outward or Chorion which is strong and nervous and wraps the infant round and this membrane is like a soft pillow for the Veins and Navel-arteries of the Child to lean upon for it had been dangerous for the Childs Vessels coming from its Navel to pass far unguarded but the inward Coat which is wonderful soft and thin called the Amnios or Lamb-skin is loose on each side except it be at the cake where it growes so fast to the skin that it cannot easily be parted this skin receives the sweat and Urine and from thence the Child is much helped for it swims in these waters like as in a bath and time is for delivery it moistneth the orifice of the Matrix makes it glib and slippery whereby the woman is more easily and more speedily delivered These two Coats grow so close together that they seem to be but one garment and it is called the Secundine or after-burthen because it comes forth after the Child is born for the Child first breaks through it sometimes brings along with it a piece of the said Lamb-skin upon the face and head which is called by Midwives the Caule and strange reports they give of it Some think it ridiculous and fabulous but as all extraordinary things signifie something more than is usual so I am subject to believe that this Caule doth foreshew something notable which is like to befall them in the course of their lives But notwithstanding all that hath been said some Anatomists do a little vary from it for they maintain that within the first seven days wherein the generative seed is mingled and curdled in the Mothers womb by the heats motion many small fibres are bred in which shortly the Liver and his principal Organs are formed first and through these Organs the vital spirits coming to the seed in ten days makes all the distinction of parts and through some small Veins in the Secundine the blood runs and of that is the Navel made and there appears at the same time three clods of seed or white lumps like curdled Milk these are the foundation of three principal parts viz. the Brain the Liver and the Heart But the Liver is confest to be first made of a blood gathered by one branch of this Vein for the Liver it self is nothing else but a lump of clotted blood full of Veins which serve to attract and to expell but immediately before the Liver is made there is a two-forked Vein formed through the navel to suck away the grosser part of the blood that rests in the seed In the other branch of this vein more veins are made for the spleen and lower belly and all of them coming to one root meet in the upper part of the Liver in the hollow Vein from hence other Veins are sent out of the Midriff to the thighs below to the upper part of the back-bone next this the heart is made with its veins for these veins draw the hottest part of the blood that which is most subtil so make the heart within the membrane called the Pericardium or skin that covers the heart the hollow Vein runs through the inward part of the right side of the heart carrying blood to it to feed it from the same branch of this vein and the same part of the heart is there another vein that beats but faintly therefore called the still Vein amongst the pulsative Veins and this is provided to send the more pure blood by from the heart to the Lungs they are covered with a double Coat as the Arteries are The Artery called Aorta that conveighs the vital spirits through the whole body from the heart by the beating Veins or arteries is bred in the hollow of the left Vein of the heart and under this artery in the same hollow place of the heart is another Vein bred which is called the vein-artery that brings the cold air from the Lungs to cool the heart for the Lungs are made by many Veins that run from the hollow of the heart and come thither to frame the Lungs and they have their substance from a very thin subtil blood that is brought thither from the right hollow of the heart The breast is first framed by the great Veins of the Liver and after that the outmost parts the legs and arms But last of all the Brain is made in the third little skin I speak of for the seed being full of vital spirits the vital spirits draw much of the natural moisture into one hollow place where the brain is made and covered with a Coat which heat drieth and bakes into a skull The Veins come all from the Liver Arteries from the Heart Nerves from the brain of a soft gentle nature yet not hollow as Veins are but solid the Brain retains and changes the vital spirits from hence are the beginnings of sense and reason After the Nerves the pith of the back-bone is bred which cannot be called Marrow for Marrow is a superfluous substance made of blood to moisten and strengthen the bones but the pith of the back and brain are made of seed not to serve other parts but to be also parts of themselves for sense and motion that all the Nerves might grow originally from thence also Bones Gristles Coats and Membranes are bred from the seed Veins for the Liver Arteries for the Heart Nerves for the Brain besides all other pannicles and coverings the child is wrapped in But all fleshy substance as the Heart it self Liver and Lungs are made of the proper blood of the birth this is all ended in eighteen days of the first month and all that time it carrieth the name of seed and afterwards is called the birth and this birth so long as it is in the womb is fed with blood received through the Navel and therefore when women are with child the courses cease for after conception this blood is severed into three parts the best and finest serves for the childs nourishment the next in pureness though
when it is passed the navel it brancheth into two branches and these again divide and subdivide the skin called Chorion supporting the branches of it and these are joined to the Veins of the mothers womb and serve to suck and to carry the mothers blood from thence to feed the infant with whilest it stays there This Vein is for that end that the infant may be fed from the first time of conception untill it be born and then its use is over as to the first intention when the child comes to feed it self for then it hath no need to suck blood from the mother as it did before The Arteries are two on each side and these spring from the branches of the great artery of the mother that comes from the small Guts and these serve to carry vital blood to feed the Infant with when it is first well prepared and concocted by the mother The next part for servile use is a Nervous production called Vrachos and it comes from the bottom of the bladder of the child to its Navel and it serves as the name also implies to carry the childs Urine to the Allantois or skin that must retain it But Anatomists are not all of one mind about it for some say there is no such thing to be found in the after-burden of women but in beasts it is Let their ignorance or disputes be what they will to no purpose I shall satisfie all by true experience which cannot be contradicted he that reads the Anatomy Lecture of Montpelion in France Bartholomew Cabrolius a skilful Chirurgion professeth that he saw a maid whose Urine came forth at her Navel the ordinary passage of her water being obstructed and Dr. John Fernelius tells the same story of a man who was thirty years old who had a stopping in the neck of his bladder so that for many months continually his water came forth by his Navel yet he found no hurt at all by it but was very well in health and Fernelius saith the reason was because his Navel-string was not well tied and the passage of the Vrachos gave way because it was not well dried And there is another example that Valchier Coiler lays down of a German maid of Noremberge she was thirty four years of age These distempers are not frequent because she must be a very unskilful Midwife that knows not how to tie and cut the Navel string yet these accidents are sufficient in such a dark matter to prove that there is such a thing as a Vrachos or Urine-carrier from the Navel in both sexes men as well as women These four vessels as I said namely one Vein two Arteries and the Vrachos join together near the Navel and they are tyed by a skin they have from the Chorion or outward coat of the Secundine and so they seem to be a Chord or Gut without any feeling this is that that all People call the Navel-string if woman or man doubt of the truth of this relation let him only take the childs Navel-string when it is cut off and untwist it and open it and so they shall be able to satisfie themselves These Vessels are so joined for to strengthen them that they will not be broken nor yet are they entangled together when the child is born into the world then these Vessels as they hang without from the Navel serve for no other use but to be knit fast and to make a strong band to cover the Navel-hole Yet experience hath found a way to make a Physical use of them that what is spar'd from tying and to be cut off may not be thrown away as for the Secundine and the parts of it the parts of it are held to be four I shall shew you a little more concerning the description and use of them The first part is that which is commonly called a Sugar cake in Latine Placenta and indeed it is very like a cake in the form of it it is tied both to the Navel and to the strong outward sinewy Coat of the Child in the womb called Chorion and this is that which makes the greater part of the after burden or Secundine the flesh hereof is soft and of a red colour much like the spleen or milt tending somewhat to black there are abundance of small Veins and Arteries in it and it should be probable that the chief use it serves for is to cloath and keep the infant in the womb Columbus a very good Anatomist yet was much deceived when he affirms the Chorion or strongest and outward membrane that wraps the Child in the womb to be no skin It is undoubtedly known that the Chorion and Amnios do compass the child round above beneath and on all sides but the Allantois that contains the childs Urine doth not so Columbus he mistook this skin for the Placenta or cake but Hippocrates gives this name Secundine as general to the whole in that book he hath written of womens diseases for the Chorion is a skin very white and thick light and slippery and it is laced and adorned and branched with a great many small Veins and Arteries and we must not think that it serves only for a covering of the child in the womb for it serves farther to receive and to bind fast the roots of the Veins and Arteries or Navel-Vessels which I spake of before The Allantois or skin to contain the childs Urine in the womb is denied by many that there is any such Vessel to be found in mans body I must confess reason must help us to discern it for we can hardly see it or find it It is said that in Holland men are wont to be present at their wives labours as well as women and that few of the women use stools but they sit in their Husbands laps when they are delivered and they say there is such a a thing Galen maintains that there is as much reason and experience for it in men as in beasts good women as well as my self have done may look for it and find it too if they please a very fine white soft exceeding thin skin and it lieth just under the cake or Placenta and there it is tied to the Vrachos from which it takes in the Urine and its office is to keep the Urine apart from the sweat that the saltness of the Urine may not hurt the tender Infant which it must needs do were it not kept up in a place by its self The Amnios is the last and inmost skin and it is wonderful fine soft white transparent fed and interwoven with many Veins and Arteries this skin not only infolds the Infant but also holds the sweat that comes from it whilest it lieth in the womb BOOK III. CHAP. I. What it is that hinders Conception and may be the causes that some women are barren BArrenness as I said is either by Nature and that may be when two persons are joined in marriage that either both are deficient by
or one foot and one head the postures are so many and strange that no woman Midwife nor man whatsoever hath seen them all We have an example in Scripture of two Children that Judah got incestuously upon his Daughter in Law Tamar who offered themselves to the Birth at the same time Gen. 38.26 And it came to pass in the time of her travel that behold Twins were in her womb and when she travelled one of them put forth his hand the Midwife took and bâ—und upon his hand a scarlet thred saying this came out first and it came to pass that as he drew his hand again back his brother came out and she said how hast thou broken forth this breach be upon thee therefore his name was called Pharez And after him came his brother that had the Scarlet thred upon his hand and his name was called Zerah We do not read but that she was safely delivered of them both and neither Mother nor Child died in the Birth But we find an example that will serve to our purpose concerning hard labor and that of Rachel a good woman wife to the Patriark Jacob Gen. 35.17 18. Rachel travelled and she had hard labor and when she was in travel the Midwife said to her fear not thou shalt have this Son also but her soul was departing for she died c. A single birth and a Boy which is easier labour as I said than of a Girle and a young woman who had born one child before yet Child-bearing is so dangerous that the pain must needs be great and if any feel but a little pain it is commonly harlots who are so used to it that they make little reckoning of it and are wont to fare better at present than vertuous persons do but they will one day give an account for it if they continue impenitent and be condemned to a torment of hell which far surpasses all pains in Child birth yet these doubtless are the greatest of all pains women usually undergo upon Earth There are many more causes of great pains in travel than have been yet spoken of for if a woman miscarry before the due time of Child birth if she come in three or four or five Moneths after she hath conceived the womb at that time is close shut by the course of nature and must be forced to open which if the Child come at the just time it should come opens it self but Abortion makes the woman that she ofttimes never can conceive again for she can hardly ever retain the mans Seed any more there is such a weakness caused in the retentive faculty or else she will hardly ever conceive again And I have heard some women complain that have miscarryed of the great pains they have endured at such a time and to profess that they have found less pain in bearing ten Children than when they have miscarryed with one But there is yet something worse than all this when a Child comes to be dead in the womb and is of full age to be born for then it cannot help the woman because it stirs not nor can it be turned that it may be brought forth but with great difficulty and if the woman have been long sick her self the infant cannot be strong in her womb if she have by some accident had her courses come down much after she is conceived with Child or had some extraordinary flux or looseness and if the Child do not stir as a living and healthful Child will these are signes of imbecillity Moreover the Secundine which covers the Child in the womb of which I gave you the description before that it is the Membranes and Coats Chorion and Amnios and these are ofttimes so strong that they will not break to make passage for the Child to come forth it may cause hard labour also if the Secundine be too thin and weak so that it cleaves asunder before the child be turned or fitted to come to the birth for by this means all the moisture and humours run forth of the womb and leave the after-birth dry and the Birth can hardly pass because the womb is not slippery wanting due moisture Cold also shuts the womb closer and heat causeth the woman to faint if either of them exceed so that she must be kept in a due temper or her delivery will not be so easy as it might be otherwise Besides these Diet is to be taken into consideration for sower and binding things will straiten the Orifice of the Matrix as Quinces and Chesnuts and Services and Medlars and Pears all these and such like cause dolour by contracting the womb sweet scents cause hard delivery because they draw the matrix upward too much hunger or thirst weariness or watching extraordinarily and to use cold baths after the fifth moneth or astringent mineral baths of Alum Salts or Iron or of vegetables that bind much will produce the like painful effects The woman may be assured also by the pains she feels before travel if they be above the Navel and in the back only and not below as they should be in time of delivery that all is not so well as not to put her to more than ordinary pain the signes of easie Birth are contrary to these for then the pains bear downwards and not upwards and so they are not so violent if she have usually been delivered with ease if the woman have cold fainting sweats and she swoon away and her Pulse beat out of measure there is much danger but if she be strong and lusty and the Child tumbles and strives much to come forth and the pains fall to the bottom of the belly there is no fear but know this all women are most in danger to miscarry in the first and second moneth after they have conceived for then the ligaments and all parts of it are weak and easily spoiled and torn in sunder and about the end of her going with Child the Child is heavy and the womb begins to open and so causeth danger of abortion but in about four five or six moneths there is least danger in taking Physick or letting blood if the women be oppressed with it for then she will not easily miscarry I told you before that women are all ready to be brought a bed at seven moneths end for that number of seven is the perfection of all numbers Pythagoras saith that seven is the knot that binds Mans life and Hippocrates lib. de Principiis saith that the time of all men is determined by seven every climatericall or seven years breeding a new alteration in the body of Man Children cast their Teeth at seven and Maids courses begin to flow at fourteen Seven times seven is of great danger to Mans life and the great Climaterical which few escape is seven times nine which makes sixty three But the signes of miscarriage in Childbirth are if the Child be faln lower toward the wombs mouth and so out of its
slice the roots boil all in Rain water take out the mucilage and mix it with the foresaid Oyles then let the pounded Gum traganth and hens grease boil so long till the mucilage come to a Salve Use this annoynting every day for five or six weeks before she lye in But before I come to her time of delivery I shall speak a word of one frequent cause of womens miscarriage and that is their longings and sometimes of their unnatural and unreasonable desires after they have conceived with Child You must know that to exceed in the things not natural as Philosopers call eating and drinking fullness emptiness sleep and watchings exercise and rest and too great intention of the mind may hasten the birth and cause abortion Those women that use moderation in the foresaid things are not so often longing for what they can not easily attain to Nay sometimes you have Ladies at Court and Citizens Wives and Country women too will long to eat sand and dirt but their Children seldome live long that are begun thus That some women with child will desire to steal things from others this is no small argument that the Child she goes withal will be a Thief wherefore she must take care to give it good education and to bring it up in the fear of God When nature is thus perverted in what she desires she is forced to leave the conception because she cannot attain what she looks for This may be prevented by a decoction of vine leaves frequently taken it may be provided by preparing a decoction strong of it at time of the year and to boil that into a sirrup to use when need requires for it is said to be very proper for this distemper though I cannot call it a disease There is another cause not far unlike in the effects to womens longings and that is suddain fears for many a woman brings forth a Child with a hare lip being suddenly frighted when she conceived by the starting of a Hare or by longing after a piece of a Hare Miraldus thought so and many women cannot deny it to be true but he was a notable conceited old Philosopher and he bethought himself how he might find but a remedy to do poor women good and it is this which is easily proved let a woman slit her smock like her husbands shirt and that he saith upon his knowledge will do it BOOK IV. CHAP. I. Rules for Women that are come to their Labour ALl Women Midwives especially should be well seen against this time of necessity and all things provided that may cause them to be easily delivered and Childbed linnen at hand having first invoked the Divine assistance by whom we live and move and have our being When the Patient feels her Throws coming she should walk easily in her Chamber and then again lye down keep her self warm rest her self and then stir again till she feels the waters coming down and the womb to open let her not lye long a bed yet she may lye sometimes and sleep to strengthen her and to abate pain the Child will be the stronger Sometimes the Child is dead in the womb before and you may know it to be dead when the Breasts suddenly hang down slack Nature makes no Milk or provision for them for there is no reason she should Secondly she is cold all the belly over chiefly the Navel Thirdly Her water is thick and hath a stinking substance that falls to the bottom Fourthly The Child moves not though you wet your hand in warm water and rub it over her belly which is a true trial and it will stir if it be alive Fifthly She dreams of dead people and is frightned with it Sixthly Her breath smels filthily Seventhly She longs to eat strange things unfit for to eat Eightly She looks ill favouredly and sorrowfully Ninethly The Child falls to the side she lyeth on like a lump of lead But Garden Tansey or the Eagle stone will bring the Child to its right place if it be weak onely but if it be dead there is no way to help that but to hasten delivery as fast as may be for it is a misery beyond expression for a woman to go with a dead child in her womb as for two Twins to be born that grow together and one of them dead the living Child cannot long endure Virgil tells us of Mezenius a Tyrant Dead bodies to the living he did place Joyning them hand to hand and face to face Tenthty Corrupt stinking humours run from the womb chiefly if she have had some ill disease Eleventhly Her eyes look hollow and her nose strangely her lips wan and pale Twelfthly Her breath stinks if the Child have been dead two or three dayes The more of these signs appear at once the more certainty of the death of the Child Wherefore presently use medicines to expel it forth or Manual and Chirurgical operations with all care to save the Mothers life for she is in great danger of death also The signs of greater danger to her are 1. If she swoond in labor or be in a trance and memory be gone 2. If she be extream weak 3. If she will not answer when you call or very hardly 4. If she hath Convulsion fits or shrinking together in travel 5. If she loath meat 6. If her pulse beat high and quick But if none of these signes appear there is not so great danger wherefore presently hasten by medicaments to provoke the expulsive faculty to cast it forth but the physick must be stronger than for a live Child for a dead Child makes no way wanting motion but a living Child doth The vertue of the Eagle stone in such cases some commend but I fear it is but a fansie of Miraldus for I never saw it tried There must be no delay at such times especially to drive the dead Child forth before it be corrupted for then the Mother can scarcely escape Nature is sometimes strong and able to call forth a dead Birth without helps but then the danger is the more when help wants The causes that some Children dye in the womb are 1. Want of nutriment 2. Corrupt diet 3. Gluttony and surfeiting that choke the Infant 4. The Cups are sometimes broken by strokes sudden fears much sneesing coughing violent motion extream joy sorrow or trouble of mind or by medicaments that corrode or bitter drinks the infant loaths or things that provoke the courses or by acute diseases or lasty by hard labor or difficulty in bearing of Children These following Medicaments will God willing cause her to be delivered of the dead Child and her self escape death by them make her sneeze with powder of Pepper and white Hellebore snuft up into her nostrils drink a dram of Basil powdered with white wine it makes the delivery easy c. But if it fall out that these medicaments prevail not as sometimes they do not that disease is beyond the power of medicine
or ordinary Midwifry then we must come to chirurgery and the method how to perform it is thus 1. Lay the woman along upright the middle of her body lying highest and let sufficient help keep her down that when the Child is drawn forth she rise not with it 2. The midwife must first annoint her hands with Oyl of white Lillies Butter or Ducks grease then holding down her fingers let her shut her hand and thrust it up into the womb to feel how the Child lyeth for sometimes it may be drawn forth with the hand but if it cannot be done so then use Chirurgeons Instruments having first found with your hand the posture of the Child 1. If the head come forward fasten a hook to one eye of it or under the chin or to the roof of the mouth or upon one of the shoulders which of these you find best and then draw the Child out gently that you do the woman no hurt 2. If the feet come first fasten the hook upon the bone above the privy parts called os pubis or by some rib or back bones or breast bones then draw it not forth but hold the Instrument in your left hand and then fasten another hook upon some other part of the Child right against the first and draw gently both together that the Child may come equally moving it from one side to another until you have drawn it forth altogether but often guide it with your fore-finger well annointed if it stick or stop any where take higher hold still with your hooks upon the dead child 3. If but one arm come forth and you cannot well put it back again the passage being too narrow or for some other reason then tye it with a linnen cloth that it slip not up again and draw it down gently till the whoâ—e arm come forth and then cut it off with a sharp knife from the body do so also if both hands appear together or one leg or both if you cannot easily put them back or take them forth with the body as you cut the arms from the shoulders so you must cut the legs from the thighs your instruments being very sharp for quick dispatch when some parts are cut off from the body then turn the rest to draw it out the better 4. If the childs head be swollen with watry humours that it be too great to come forth at so narrow a passage then put in your hand holding a sharp incision knife between your fingers and so cut open the head that the humours contained in it may come forth and the head abate but if it be too great of it self and not by disease you must divide the skull and take it out by pieces with instruments for that purpose if when the head is come out the breast be too large to follow then cut that asunder also and bring it forth in pieces and so must you do with the whole body or any parts that are swollen too great 5. If the child come sidelong then annoint your hand and her secrets and turn the child to the best posture you can the womb and all the Privities must also be perfumed with such things as may dilate the place and make it slippery there are many medicaments prescribed in this book will be very proper for it but when all fails you must cut the child asunder and draw it out by pieces 6. If the womb be diseased or hurt so that it be ulcerated ' whereby the parts are made dryer and narrower it must be dilated by oyls unguents baths and fumes such you will find set down to help delivery for a living child and you must use them for a child that is dead You must observe in this work that if by violent drawing forth the child the Privy parts and Genitals of the mother be so torn that her Urine and excrements come out against her will which often happens in such cases the cure will be the same as for the Palsie and wounds of these parts with a general evacuation of her body also make a Bath of all these herbs and roots following or as many as you can get viz. of the decoction of Bay-leaves Sage Betony Brank or some Hogs-Fennel Origanum Penni-Royal Tannicle Tormentil Plantane Rupture-wort Mugwort Mouseeare Lady-Mantle St. Johns-wort Cammomile flowers Oaken leaves Camphire-roots The woman must sit in this Bath and presently after her bathing she must annoint her Privities and Fundament with this following Unguent Take Oyl of worms of Foxes and of the Lillies of the Vallies each alike boyl a young blind Puppey in them so long that his flesh part from the bones then press forth all strongly and add to the straining Styrax Calamint Benzoin Opopanax Frankincense Mastick of each one dram a little Aqua Vitae a little wax mix them and make of them an Ointment then let her drink often of this Potion following Take Penniroyal Balm Motherwort Mousear Ladies Mantle of each one handful Mace one dram boyl all in a Pottle of the best wine strain it and drink a little draught morning and evening or boil nothing but Ladies Mantle in her broth drink a pint of it every morning fasting or if her stomach will not bear it take but four or five Ounces at a draught The Cesarian Birth is the drawing forth of the child either dead or alive by cutting open the Mothers womb it was so called because Julius Caesar the first Roman Emperor was so brought into the world Physicians and Chirurgeons say it may be safely done without killing the Mother by cutting in the Abdomen to take out the child but I shall wish no man to do it whilest the Mother is alive but if the Mother dye in child-bearing and the child be alive then you must keep the womans Mouth and Privities open that the child may receive air to breath or it will be presently stifled then turn the woman on her left side and there cut her open and take out the Infant This is also a Cesarian Birth but it is not like that which is used whilest the Mother is alive It is used three ways 1. The Mother living and the Child dead 2. The Child living and the Mother dead 3. When both are living Mathias Cornax relates of a woman that carried a dead Child in her womb four years it was cut out of the belly and womb and the Mother lived and conceived with child again she fainted not when her belly and womb were cut and they grew well again without stitching but she had hard labour the second child and the Chirurgeon offered to cut her again but the women would not suffer it so she fainted but the Chirurgeon delivered her of a second boy but this last was dead Roderigo de Carstro saith th 〈…〉 child cannot live in the womb when 〈◊〉 Mother is dead if it be not presently taken forth so soon as her breath is gone or vital spirits last because when the Mothers
life and motion cease the childs must needs cease that depends upon it but it is an error for the child hath a Soul and life of its own and may live a while without the Mother but the Midwife must keep the womb open that it be not stifled till the Chirurgeon cuts it out you shall feel the Child leap when the Mother is dead Charles Stephen shews how to cut out a dead Child And Francis Ruset saith a live Child may be cut out of the womb both child Mother do well it is possible and sometimes necessary to be done and it stands by reason for women receive sometimes wounds in the Peritoneum and the Muscles of the lower belly more dangerous than the Cesarian cut and yet escape well enough A Child may be sometimes very weak yet not dead take heed you do not force delivery in such occasions till you be sure it is time for children may be sick and faint in their Mothers bellies But to prevent danger burn half a pint of white-wine adding no Spice to it but half an ounce of Cinnamon and drink it off if your Travel and throws come upon you be sure it is dead but if it be but sick and weak it will refresh it and strengthen it If the Child be dead in the womb the juyce of Garden Tansey annointed on the secrets or an oyl made in Summer with the herbs before it run to flower and boil'd in oyl till the juyce be wasted and set in the Sun a moneth before you boil it is an especial oyl for Midwives The Eagle-stone held near the privy parts will draw forth the Child as the Loadstone draws Iron but be sure so soon as the Child and after burthen are come away that you hold the stone no longer for fear of danger Any of these herbs half a dram in powder drunk in white-wine will do much viz of Bettony or Sage or Penny-Royal Fetherfew or Centory Ivy-berries and leaves or drink a strong decoction of Master-wort or of Hysop in hot water it soon will bring the dead Child forth because the afterbirth is corrupted in such cases and comes forth by pieces it is fit to drink of the same drink till all be come away or the roots of Polipody stamped and warm'd laid to the soles of her feet presently works the effect The same things almost all are proper when the Child is living and comes to be born but if her Travel be long the Midwife must refresh her with some Chickens broth of the Yolk of a potched Egg with a little bread or some wine or strong water but moderately taken and withal to cheer her up with good words stroaking down her belly above her Navel gently with her hand for that makes the Child move downwards She must bid her hold in her breath as much as she can for that will cause more force to bring out the Child Place here the Picture of all sorts of postures of Children Take notice that all women do not keep the same posture in their delivery some lye in their beds being very weak some sit in a stool or chair or rest upon the side of the bed held by other women that come to the Labor If the Woman that lyeth in be very fat fleshly or gross let her ly groveling on the place for that opens the womb and thrusts it downwards The Midwife must annoint her hands with Oyl of Lillies and the Womans Secrets or with Oyl of Almonds and so with her hands handle and unloose the parts and observe how the Child lyeth and stirreth and so help as time and occasion direct But above all take heed you force not the birth till the time be come and the Child come forward and appears ready to come forth Now the danger were much to force delivery because when the woman hath laboured sore if she rest not a while she will not be able presently to endure it her strength being spent before Also when you see the after-buthen then be sure the Birth is at hand but if the coats be so strong that they will not break to make way for the Child to come forth the Midwife must gently and prudently break and rend it with her nails if she can raise it she may cut a piece of it with a knife or pair of Sciffers but beware of the infant Then follows presently a flux of humours and the Child after that but if all the humours that should make the place slippery chance to run forth by this means before the child come the parts within and without must be annointed with Oyl of Almonds or Lillies and a whole Egg Yelk and white beaten and poured into the privy passage to to make it glib instead of the waters that are run forth too soon If the child have a great head and stick by the way the Midwife must annoint the place with Oyl as before and enlarge the part as much as may be the like must be done when Twins offer themselves if the head comes first the birth is natural but if it come any other way the Midwife must do what she can to bring it to this posture Sometimes the infant comes with the legs forwards and both arms downwards close to the sides this way the Midwife may endeavour to take it forth if it continue the same posture by annointing and gently handling the place but it is safer if she can to turn the Legs upward again by the Belly that the head may first come down by the back of the womb for that is the natural way If the child come forth with both legs and feet first and the Childs hands both lifted above the head this is the worst for danger of all the rest she must strive to turn the Child and if she cannot she must try to bring the hands down to the sides and to keep the legs close that it may come forth or else to bind the feet as they come out with some linnen Cloath and tenderly to help delivery but it will be hard to it Sometimes the Child will come forth with one foot and the other lifted upward Then let the woman in Child-bed be laid upright on her back hold up her thighs and belly that her head be lower than her body then let the Midwife with her hand gently put back the leg that is come forth into the womb again and bid the labouring woman to stir and move her self that by her stirring the birth may offer it self the head downward and if so you may then set her in a Chair as she was at first that she may have a natural delivery but if this cannot be done then the Midwife with her hand must discreetly bring forth that leg that is not yet come forth but beware she put not the Childs hands that lye close down by its sides out of their place if the side of the child come towards the passage she must turn the child
to its natural posture but if it come the feet forward and the legs abroad she must joyn the legs and feet together taking care that she remove not the hands from the place they should hang down close by the side If the infant with one or both the knees first strive to come forth she must put them back that both feet may first come down to the passage If the child come headlong with one hand thrust out then she must put the Child back with her hand upon the shoulders that the hand may goe to its natural place if this will not prevail lay the woman upright with her thighs and belly upwards that it may pass forth as it should do If both hands come out first she must thrust the Child back by the shoulders as formerly till the hands hang down by the sides of the Child If it would come forth arsewards the buttocks first she must return it back with her hands till the legs and feet may present themselves or the head first if it be possible which is most natural If the infant present both hands and both feet together to come forth so all at once she must take the Child carefully by the head and put the legs upward to take it forth If the shoulders come first she must put it back by the shoulders that the head may come first If it come the breast forward the legs and hands lying behind she must take it by the feet or by the head as she finds it to be most easy putting the other part upward that it may come forth right If a Woman have two Children at once that come together headlong she must take forth one after the other but beware the other retreat not back in the mean time so also must she receive them both that come together with the feet forward taking them out one after the other If they come one with his feet the other with the head forward at the same time she must receive that first which is most likely and next the passage and that which cometh with the feet first if she can receive last taking heed that they do not hurt one the other But let this general rule be observed still to annoint the passage with Ducks grease or Oyle of Lillies or sweet Almonds or such things as may smooth the passage and ease womans labour and Iikewise when she toucheth any part of the infant this will help much if there should be any aposthume in the place Particular helps to delivery are to lay the woman first all along on her back her head a little raised with a Pillow and a pillow under her back and another pillow larger than the other to raise her buttocks and rump lay her thighs and knees wide open asunder her legs must be bowed backwards toward her buttocks and drawn upwards her heels and soles of her feet must be fixed against a board to that purpose laid cross her bed Some woman must have a swathe-band above a foot broad four double this must be put under her Reins and two women standing on each side of her must hold it up straight and these two persons must lift up the swathe-band equally just when her throws come or else they may do her hurt and two more of the standers by must lay hold on the upper part of her shoulders that she may with more ease force the child forth The woman must hold her breath in and strive to be delivered and the Midwife must stroke down the birth from above the Navel easily with her hand for that will as I said before make the Infant move downwards CHAP. II. To know the fit time when the Child is ready to be born I Shall desire all Midwives to take heed how they give any thing inwardly to hasten the Birth unless they are sure the Birth is at hand many a child hath been lost for want of this knowledge and the mother put to more pain than she would have been Let not therefore the child be forced out unless there fall down an extreme flux of blood for in such cases it is best to save the Mothers life to drive forth the Child but there is great skill and care to be used or the woman were as good be set upon the Rack It is hard to know when the true time of her travel is near because many women have great pains many weeks before the time of delivery comes But I think the heat of their Reins is the cause of these pains but you may know whether the heat of their reins be the cause of it or not for if their legs swell their reins are too hot and the cure will be to annoint their backs to cool the reins with Oyl of Poppies water Lillies or Violets women whose reins are hot have alwaies hard labour A strong decoction of Plantane leaves and roots in water then strained and clarified with the white of an egg boil'd then to a sirrup with its weight in Sugar is excellent take a spoonful or two when you please or drink often the water and sirrups of Violets and water Lillies But if the birth be at hand you shall know when the skins Amnios and Allantois which as I told you serve to hold the sweat and urine of the child in the womb and by the means of which skins the infant is also supported in the Matrix do break by the violent motion of the child so that these excrements fall down to the neck of the womb Midwives call it the water and when that runs forth then the Birth is near this is the truest sign that is for when those skins are broken the Infant can no longer stay there than a naked man in a heap of snow These waters make the parts slippery and the birth easie if the child come presently with them but if it stay longer till the parts grow dry it will be hard therefore Midwives do ill to rend these skins open with their nails to make way for the water to come nature will make it come forth only when she needs it and not before but if the water breakaway long before the birth it is safe to give medicaments to drive the birth after the water But there are other signs of the birth approaching let the Midwife look well on the womans belly for if the upper part of it be sunk and hollow and the lower part big and full it is certain the child is sunk down again if the womans Throws be quick and strong coming from the reins downward all along the belly and not staying at the Navel but falling still lower to the groins and inwardly to the bottom of the belly where lieth the inmost neck of the womb this is another sure sign Then let the Midwife her hand annointed with fresh butter or with oyl of sweet Almonds put up her hand and if she feel the inward neck of the womb open or any substance to push
forward the child is coming but if the skin break and the waters come down that is the last and surest sign as I said when the waters precede and the child doth not follow presently in some reasonable time these things following hasten and ease delivery Featherfew or Mugwort boil'd in white wine let her drink a draught of the decoction the sirrups of either may be made in summer with their juice clarified and boyled to a sirrup with twice as much Sugar a spoonful at a time to be taken or drink a dram of the powder of Cinnamon in wine or the distill'd water of Mugwort Betony Dittander Peniroyal or Featherfew Tansie bruised and applyed or the Oyl of it as I said will do it but the Eagle stone held to the secrets draws out both Child and Secundine hold it to no longer for it will draw forth Womb and all Miraldus tells of many more pretty ways But for more assurance take this powder made of Dittany of Crele Penni-royal Roundbirthwort of each ten grains Cinnamon and Saffron of each twelve grains beat them to fine powder and let her drink it in wine or some fit liquor in the decoction or distill'd waters of red Pease Penniroyal Parsly c. Outward means is good applied to the secrets take Agrimony leaves and roots but after cast it away lest it draw forth the Matrix Henbane Polypody or Bistort roots are commended for the same use But let all hot and violent remedies be avoided for many times they bring the woman into a dangerous Feaver Also too much fasting or too much eating breed peril to women in travel a woman that is with child cannot so well digest her meat as they can that are not with child Midwives therefore must ask how long it was since that the woman did eat and what and how much that vpon occasion she may give her something to strengthen her in her labour if need be as warm broth or a potched egg and if her delivery be long in doing give her an ounce of Cinnamon water to comfort her or else a dram of Confectio Alkermes at twice in two spoonfuls of Claret wine but give her but one of these three things for you may soon cast her into a feaver by too much hot administrations and that may stop her purgations and breed many mischiefs CHAP. III. What must be done after the woman is delivered IT will be profitable when a woman hath had sore travel to wrap her back with a sheep-skin newly flead off and let her ly in it and to lay a Hare-skin rub'd over with Hares blood newly prepared to her belly let these things be worn two hours in winter and but one hour in Summer for these will close up the parts too much dilated by the childs birth and will expel all ill melancholly blood from those parts This being done swathe the woman with a Napkin about nine inches broad but annoint her belly with Oyl of St. Johns wort and then raise up the womb with a linnen cloth many times folded cover her flanks with a little pillow about a quarter of a Yard long then swathe her beginning a little a-above the hanches rather higher than lower winding it even lay warm cloths to her breasts forbearing those that repulse the milk till longer time and the body be setled lest repercussives should do her hurt let then her blood be first setled ten or twelve hours and that the blood which was cast upon the lungs by violent labour may return to its own place but you may ease the pains of her breasts and comfort them laying a linnen cloth doubled and not warm'd dipt in Oil of St. Johns wort and of Roses with the yolk and white of an egg beat together of each an ounce with an ounce of Rose-water and as much of Plantan-water Let her not sleep till about four hours after she is delivered but first give her some nourishing broth or Cawdle to comfort her let her eat no flesh till two dayes at least be over for she may not use a full diet after so great loss of blood suddenly as she grows stronger she may begin with meats of easie digestion as Chickens or Pullets she may drink small wines with a little Saffron Mace and Cloves infused equal parts all tied in a piece of linnen and let them lie in the wine so close stopt she may drink a small draught of it at dinner and supper for the whole month and besides her ordinary food she may if she will take nourishing broths and Aleberries with bread butter and Sugar Let her drink her Beer or Ale with a tost she may drink a decoction of Liquorish Raisins of the Sun and a little Cinnamon if the child be a boy she must lye in thirty dayes if a girl forty daies and remember that it is the time of her purification that her husband must abstain from her CHAP. IV. When and how to cut off the Childs navel-string and what is the Consequent thereof THe Navel-string is twisted that it might be the stronger and that the blood by that delay might be better prepared had the Vein in the Navel or the Arteries or Vrachos that carrye the piss being single the different postures of the child in the womb or the difference of the womans standing sitting or lying might press a single vessel and stop the passage of the blood in the Vein spirit in the Arteries or water in the Vrachos but the twisting hath prevented that The cutting of the Navel-string helps much for it keeps the blood and spirits in after the Child is born A Midwives skill is seen much if she can perform this rightly The time to do it is so soon as ever the Child is born whether he bring a part of the Secundine out with him or not for sometimes the infant brings a piece of the Coat Amnios upon his head and that they name the caule I know no wonders this Caule will work but if you find this Caule on the childs head you shall miss it in the after-birth if it be in the after-birth it will not be on his head The reason why some Children bring it with them on their head into the world is weakness and it signifies a short life and proves seldome otherwise But if it come with it or without it so soon as it is come forth consider whether the Child be strong or weak for by the Navel-string the Mother gives both vital and natural blood to the Child wherefore if the Child be weak you must gently put back part of the vital and natural blood into the childs body by the Navel for that will refresh a weak child if the child be strong you need not do it Many children seem to be born dead that recover by this meanes as very weak children often do but you must crush out six or seven drops of blood out of the navel-string I mean that part which is cut off give
it the child by the mouth to drink But in what place this string must be cut Midwives and Physicians can scarce agree Elias lib. 4. c. 3. saith it must be cut four fingers breadth from the body but what is this Midwives fingers are not equal I suppose he means four inches for that was the opinion of the Antients Miraldus was critical in this point and from him some errors were begotten about it in late writers and Midwives Hence it is if Spigelius speak truth that Midwives cut the Females Navel-string shorter than they doe the Males for Boys privy parts must be longer than womens but it Females are cut short they say it will make them modest and their secrets narrower Spigelius and others laugh at this conceit for if Midwives by cutting their Navel-strings can make their secrets wider all women that have hard labour have good reason to complain of their Midwives for cutting their Navel-string so short Miraldus bids cut the navel-string long in both sexes for that the Instruments of Generation in both follow this proportion if womens Navel-strings be cut too short it will hinder their Childbearing Taisner an excellent Astrologer was of this mind If Nature framed the child by the Navel-string in the womb there is no small use of it afterward Miraldus saith that if a childs Navel-string be cut off and let fall to touch the ground that child shall never hold its water sleeping nor waking Also if you carry a piece of a Childs Navel-string about you you may saith Miraldus wear it for a foil in a Ring you shall never be troubled with convulsion fits nor the Falling sickness I have known all this tried but he saith farther that it will defend those that carry it from Devils and Witch-crafts and one may try this if they please If the Child be very weak when it is born put back gently the natural blood by the Navel vein and the vital by the Navel arteries and you shall see the child almost dead before to revive like one awak'd out of sleep if the child seem full of life and spirits then stop the navel-string near the Navel that no blood nor vital spirits go back and that will keep the child strong as it is having done this bind the Navel-string with a strong ligature and cut it not off too near to the string least it unloose you need not fear to bind the Navel-string very hard because it feels not and that piece of the Navel-string you leave on will fall off in a very few days for the whole course of Nature is soon changed in the Child and another way ordain'd to feed it It is no matter what you cut it off with so it be sharp to do it neatly The reason of so many nodes or knots in the childs Navel-string is that the blood and vital spirits might not come in too fast to choke the child Nature is a careful Nurse but Midwives say these knots in number signifie so many Children the reddish boys the whitish Girls and the long distance between knot and knot long time between child and child but all false for all women almost have equal knots and more knots with their last Children than with the first When the Navel-string is cut off apply a little Cotten or lint to the place to keep it warm least the cold get in and that it will do if it be not hard enough bound and if it do you cannot think of a greater mischief for the Child when part of the Navel-string left is fallen off Midwives use to burn a rag to tinder and to apply to the place a little powder of Bolearmoniack were better because it drieth Beasts can lick the Navel-string round enough to keep out the air but the curse lyeth heavier on women for our Grand-Mothers first sin than it doth upon beasts CHAP. V. What is best to bring away the Secundine or after-burden WOmen are in as great danger if not more after the young is born but Beasts are not the Caule or inward chamber of the womb the child did lye in stayeth oft-times long after the child is born which should presently follow it when it so happens if it begins especially to corrupt as it will soon do it causeth grievous pains and ofttimes death wherefore make hast to drive it forth but be sure the means you use be very gentle for the woman is now grown weak and her womb is quick of feeling but the Secundine is dead let the quick then cast forth the dead Midwives long nails may do mischief I grant delays are dangerous for if it be retain'd till it corrupt it will cause Feavers Imposthumes Convulsions and such like know this that what brings away the birth will also do good to call forth the after-birth then comfort the woman let her snuff up a little white Hellebore in powder to make her sneefe but put the woman to as little trouble as you can for she hath endured pain enough already The herb Vervain boil'd in wine or a sirrup made with the clarified juice as I told you of Tansie Featherfew and mugwort do the same but hardly so forcibly Alexanders boiled in wine and the wine drunk is excellent Sweet-Cecely Angelica roots or Master-wort doe the same so used The smoke of Mary-Gold flowers taken in by a Tunnel at the secrets will easily bring forth the Secundine though the Midwife have let go her hold Mugwort boil'd soft in water applied like a Poultess to the Navel brings birth and after-birth away but then remove it least it bring the womb after all Women suffer great pains in Child-birth because the womb that hath many Nerves and Sinews by which the body feels is strait till time of delivery and then it is stretched which causeth great pain and some women have more pain in bearing than others have because some womens passages are narrower and their wombs more full of Nerves as Anatomy will shew and some think the reason of the great soreness of some women is because the share-bone and os sacrum or holy-bone do part or give way in hard travel it was that excellent Anatomist Doctor Reads opinion and I believe it to be true for nature strives to the utmost in such times Crook and Columbus deny this but the bones are joyned with Cartilages and Ligaments which being wet with much moisture may give way though the bones open not but in all labour the Nerves that carrry feeling through the whole body are then stretcht and cause soreness till they have rest and be settled again CHAP. VI. Of the great pains and throws some Women suffer after they are delivered SOmetimes a woman delivered shall for two of three days after and now and then longer feel such bitter pains in her belly and above the Groin as if she should be delivered again these pains are not in the body and bottom of the womb but in the Vessels and Ligatures by
vein Cut a great hole in an onion fill the hole with Oyl roast it and stamp it and lay it warm to the Fundament Also take snails without or with shells I mean either kind and bruise them with some Oyl warm it and lay it to the place Sows or wood-lice called Hog-lice so bruised with Oyl are as effectual The Menstrual blood stopt We read Levit. 12. that a woman delivered of a Boy must continue in her purification thirty three dayes and for a girl sixty six days Hippocrates de Natura pueri saith a woman must continue purging her blood forth so long as the child was forming in the womb that is thirty dayes for a Male and forty two dayes for a Female Hippocrates rules may be calculated chiefly for his own Country of Greece and the Levitical Law most concerns the seed of Abraham but this is to be observed though not so precisely to a day by all women after delivery for women that give their own children suck have their purgations not so long as those that do not It is not good for a woman presently to suckle her child because those unclean purgations cannot make good milk the first milk is naught for even the first Milk of a Cow is salt and brackish and will turn to curds and whey You shall know if a woman be well cleansed by her health for if she be not she cannot be well and lusty I shewed you before what herbs will bring her purgations down She may if she please take every morning two or three spoonfuls of Briony water to be had at the Apothecaries or a dram of the powder of Gentian roots every morning in a cup of Wine the roots of Birth-wort are as good or take twelve Peony seeds powdered in a little Carduus posset drink to sweat and if it cures not do it again three hours after Against the too great running down of the Menstrual blood This disease seldom troubles women after delivery if it should Comfrey and Knot-grass are good remedies or else take Shepherds-pouch boyled in drink and powdered or bramble leaves a dram of either every morning in a little wine or a decoction made of the same Women when they ly in use to be cost ive because they keep their bed and some foolish Nurses are so bold as to purge them with Sena before nature be setled whereby many sad accidents have followed but neither loosning broths nor Prune broths nor bak'd Apples are then good but rather gentle Glisters and suppositories taken twice a week will prevent mischief and make the breasts abound with good milk CHAP. II. Of looseness of the Womb. THis may proceed from sundry causes as when great fluxes of humours take the ligaments and relax them falls or great burdens carried in the womb will unloosen them or chiefly when women travel before their time they overstrein themselves because the passage is then shut but unskilful Midwives often make it so when they thrust in their hand to pull forth the Secundine they tear part of the womb a way with it for the Secundine is fastened to its bottom sometimes they cause the woman to cast out the Secundine by strong vomit or by holding Bay salt in her mouth All causes except those that come from strong defluxions which must first be removed will be cured by the same remedies Take Nuts of Cypress and Galls and flowers of Pomegranates and Roch Allum two ounces of each Province Roses four ounces Scarlet Grains Rinds of Pomegranates and Cassia Rinds of each three ounces waters of Myrtles of Sloes an ounce and half Smiths water wine of each 4 ounces and a half then boil two little bags each a quarter of a yard long in the said waters in a new pot then hold the womans head and Reins low and apply these bags first one and then the other upon the os pubis and chafe her often Let her take in the morning a little Mastick in an egg or some Plantan seed but if the disease be long confirmed then make a Pessary half round and half oval of a thick Cork with a great hole in the middle for her Terms and ill vapours to come out by tye a pack threed to the end of it to pull it out by cover it over with white wax that it may not be offensive dip it in sallet Oyl to make it go in it must be strait that it may not quickly fall out when she doth her need let her hold it with her hand take it not away till her purgations be over the thickness of the Cork makes the Matrix mount higher if she be in Child-bed the Midwife or Nurse must not suffer the woman to strain but must keep her with her hand or finger to keep back the Matrix laying her head low and her Reins high with a pillow under her hips Women that are troubled with this disease must not lace themselves too strait for that thrusts down the womb makes the woman gor-bellied makes her carry her Child upon her hips hinders it from lying as it should in the womb and though the womans wast may be made slender by it her belly is as great and ill favoured But somtimes there happens a relaxation of the skin that covers the right gut when the head of the child when the woman begins to travel falls downward and draws it low lacing Childing women too hard is a frequent cause of it also for this makes so much wind fly to those parts that some are deceived and think it is the head of the child and the women can hardly stand or go let her then be kept soluble and eat Annis Coriander seed to dispell wind a fume of Sage Agrimony Balm Motherwort wormwood Rue Marjoram a little Time and Cammomile pick out the stalks cut the herbs small mingled put them into a maple platter put hot cinders upon them and another handful of herbs upon them cover the platter close with a cloth and let her take the fume beneath The womb falls out of its place when the ligaments by which it is bound to other parts of the body are by any means relaxed it is bound with four ligaments two broad membraces and above that spring from the Peritoneum and two round hollow nervous productions below also it is tied to the great vessels by veins and Arteries and to the back by Sinews but the Bottom of the womb is not tied the ligaments being onely upon the sides of it sometimes it falls forward quite out of the Privities but whether it can ascend and go upward is doubted by some Physicians say it will if sweet things be held to the nose if to the secrets it will fall downward if stinking things be put to them it flyes from them it may be discerned by their breathing and by some meats the womb greedily accepts But Galen saith it is very little that the womb can go upward it cannot reach the stomach the
ligaments are so strong that tye it down and the falling of it down is onely by reason of moisture that relax the ligaments but that will not make it ascend and though it be enlarged in conception that is not presently but by degrees nor are the ligaments always much relaxed in Childbearing but what is that if it be not the womb that may sometimes be felt to move above the womans navel as round as a Ball that round ball is the womans stones together with that blind Vessel Fallopius found out like to the great end of a Trumpet and is therefore called Fallopius hiâ— Trumpet the stones they hang and the body of the Trumpet is like a pipe that is loose and moving and when they are full swoln with vapours and corrupt seed they stir to and fro and come up to the navel and Riolanus saith this Trumpet and the stones make this great round Ball. Whasoever fills them with corrupt seed and venemous windy vapours causeth this moving and from thence suffocation of the womb when these poysonous vapours are freely carried by the Nerves veins and arteries to all the principal parts the Brain the Heart the Liver and the rest it is not extream dangerous yet it may turn to the strangling of the womb if means be not used such as are good against suffocations of the womb when they seem to be strangled but of that afterwards Sometimes it falls as low as the middle of the thighs and sometimes near the knees when the ligaments are loose it falls by its own weight when the Terms are stopt and the Veins and arteries are full that go to the womb it is drawn on one side if there be a Mole on one side the Liver veins too full on the right side or the spleen on the left are the cause of it But how it comes to be loose is questioned Hâ—ppocrates saith great heat or cold of the feet or loyns violent causes external leaping or dancing may do it for these moisten and soke the ligaments if the woman take cold after she is delivered and the Terms flow Platerus ascribes it to the loosening of the fibrous neck the adjacent parts by the weight of the Matrix falling down but then the ligatures must be loose or broken but when a woman is so in a dropsie it is the salt water that causeth it and that drieth more than it moisteneth The signs to know it are that the womb is only fallen down if there be a little swelling within or without the privities like a skin stretched but if the swelling be like a Goose egg and a hole at the bottom there is then a great pain in the Os sacrum the bottom of the belly the loyns and secrets to which the womb is tied because the ligaments are relaxed or broken but the pain will abate soon and the woman can hardly go sometimes the vessels breaking blood comes forth the woman falls into Convulsions and a Feaver and cannot void her excrements by stool nor Urine at first it may be easily helpt but hardly afterwards yet it is not mortal though it be filthy and troublesome if it come with a Feaver or convulsion it is mortal in women with child if the ligaments be corroded the danger is the more The cure is thrust it up gently before the air change it or it swell and inflame first administer a gentle Glister to void the excrements then lay the woman on her back her head downwards her legs abroad and thighs lifted up and with your hand thrust it in gently remove the humours with a decoction of Mallows Marsh-mallows Cammomile flowers Bay berries Linseed and Fenugreek and annoint it with Oil of Lillies and Hens-greafe if it be inflamed stay a while before you put it up you may fright it in with a hot Iron presented near it as if you would burn it sprinkle on it the powder of Mastick Frankincense and the like when it is put up let her ly stretcht out with her legs and one leg upon the other for eight or ten dayes and a Pessary with a Sponge or Cork dipt in astringent wine with powder of Dragons-blood Bole or the ointment called the Caunlesses at the Apothecaries apply a large cupping glass to the Navel or breasts or both kidneys use astringent Plaisters to her back fomentations baths injections if evil humors cause it to fall out purge them first away because they sob the ligaments and then use drying drinks of Guaicum China Forta use Pessaries and ligaments as for the Rupture to keep it in its place of which see Francis Rauset you may use circles or balls in place of Pessaries made of Briony roots cut round or of Virgins wax with white Rosin and Turpentine when they are dried if it gangrene cut it off or bind it fast that it may fall of it self Rauset shews when you may ty it or cut it off without danger her diet must be drying and astringent and astringent red wine to drink If it encline to either side apply Cupping Glasses to the other side and the Midwife may annoint her finger with the oyl of sweet Almonds and by degrees draw it to its place CHAP. III. Of Feavers after Child-bearing THis disease frequently follows when she is not well purged of her burden or the purgations are corrupt that stay behind about the third or fourth day they will be Feaverish also by the turning of the blood from the womb to the breasts to make milk but this lasts not long nor is it any danger but you may mistake a putrid Feaver for a Feaver that comes from the milk for the humours may be inflamed from her labour in travel and corrupt though they appear not presently to be so the next day after she is delivered but from thence you must reckon the beginning of the Feaver it is probable then that this Feaver comes from some other cause especially if her purgings be stopt it may proceed from ill humours gathered in her body whilst she went with child and are only stirred by her labour if she be not well purged after travel the blood and ill humours retreat to the Liver by the great veins and cause a putrid Feaver but if they flow too much the Feaver may come long after A feaver from milk will come on the fourth day with pains in the shoulders and the back and the terms may flow well if she kept an ill diet when she was big with child the Feaver comes from ill humours if it come not from milk if it do it will end about eight or ten dayes after but if it come from stoppage of purgations if she have not a loosness it is very dangerous if black and ill savouring matter purge by the womb it is safe But if the Feaver come from ill humours and the body be Cacochymical it is worse for that shews the ill humours are many which nature cannot send forth by the after-purgings and
dry like Men that they have hardly any courses at all as the Indian women have none but they are barren if they abound with no more blood than will nourish their body Blood is wanting either because it is not made or not dispersed where it should but turned to other uses Old age cold constitutions diseased bodies will not make blood also often bleeding of the great vessels and much loss of blood or from Issues to make diversions the womb is not supplied with it Nature spends the blood in Nurses that give suck for an other end and fat women wear it on their backs sadness and fear not only wast but cool and corrupt the blood 4. The weakness of the woman hinders the courses and so long as she continues weak she will have noâ— But all these things must be judged of by the relation of the party whether the whole body be diseased or the defect be in the womb or vessels or the mouth of the womb turned aside If the cause be from heat that her courses are stopt her Pulses are swift and strong she is very thirsty and her head aketh and such like signs of heat If from cold the woman is drowsie and sleepy her Pulse beats slow and she is not thirsty the Veins are ill coloured if the woman be fat or lean that will discover the inward cause of it The usual cause of obstruction of the courses is thick slimy humours or from thick gross melancholly blood proceeding from a cold distemper of the Spleen and Liver by drinking cold Water or eating gross Food The Roman women drank snow water and that was the reason said Galen that they had few or no courses but in such cases they could not be very fruitful It will seem strange that some women are so hot of constitution that they have conceived yet never had their courses at all Courses stopt in maids are not the same as they are in women for the effects are very different Maids they prâ—â—â—ntly fall into the Green sickness by it the blood going to and fro all the body over and is corrupted but in women it runs to the womb commonly and causes them to vomit and to loath their meat or to desire unnatural things You shall know a woman with child when her courses are stopt from a maid that hath hers stopt for the one looks wan and pale the other lively and well the one is sad the other merry the womans pains daily decrease and the others increase This obstruction causeth not only barrenness but strange distempers Suffocations Swellings Imposthumes Coffing Dropsies difficulty of breathings urine supprest Costiveness Heaviness Megrims Vertigoes Head ach and many more fearful distempers Hippocrates tells us that when the terms are long stopt the Womb is diseased with humours imposthumes ulcers barrenness Leucophlegmacy vomiting of blood heart-ach and head-ach if the symptomes be great there is danger of death The best way to move the courses in weak women is to forbear Physick and to feed them high with nourishing meats and drinks this is where the Woman is lean her Liver weak and blood is wanting but if blood abound then give a gentle purge or Glister then open a vein to draw down the blood to the womb open a vein in the foot or ancle one day one leg and another day the other four or five daies before the time the courses should come down use Frictions and binding of the parts below but Issues and opening of the Emrods do hurt and draw from the womb you may first loosen the belly with Hiera Picra or Pills de tribus For Phlegmatick bodies use the Decoction of Guaicum or Sarsa and Sassafras and Dittany fifteen drops without sweating purge with Agarick Mechoachan Turbith and Scamony or drink wine of their infusions if the stomach be foul give a vomit lest it get into the Reins Things that provoke the terms are hot and thin take sirrup of Mugwort and of the Fierwort of each one ounce and a half Oximel simple one ounce Water of Motherwort and Mugwort of each two ounces Pennyroyal and Nip of each one ounce sweeten it with a spoonful or two of Cinnamon water make a Julip to drink at thrice Pessaries are not fit for maids but Fumes may be used if she be no maid bruise Mercury with Centaury Flowers put in a bag for a pessary begin with the mildest remedies if it be from a humour provoke not the Terms but cure the swelling Some say that the blood going to other parts cause the Terms to stop but that is contrary for the blood goes to other parts because the Terms are stopt Authors agree not what veins must be opened to move the Terms Galen thinks the Ancle Vein and most men conclude the same because it opens obstructions and brings down the blood open the ancle twice or thrice rather than the arm once but in other diseases of the womb it is best to open a vein in the arm as when the Terms are too many or drop or the womb is inflamed The Saphaena is opened by putting the foot into warm water few terms flowing if the blood be but little there is no harm Diseases grow when they are stopt by thick blood as the Cancer Schirrhus and Erisipelas when the time is near then use the stronger remedies the weaker having made a way for them Tender natures as maids must have but gentle remedies as Aloes one dram and a half Agarick and Rhubarb of each one dram Myrrh Gum Ammoniack dissolved in Vinegar Gentian Root Asarum of each half a dram Cinnamon Mastich Spikenard of each one scruple five grains of Saffron make a mass of the fine powder with sirrup of Mugwort the Dose is one dram To urge the terms in strong Country people take pills Aureae and Aggregativae of each two drams pill Felid and Hiera of each four scruples at the Apothecaries Diagrid one scruple Trochischi Alhandal half a scruple with a hot pestle mix them well in a Mortar adding sirrup of Damask Roses one dram oil of Anniseed olympical half a scruple dissolve Gum Dragant in Cinnamon water and make your pills and let the woman take two scruples every morning before the time of their terms at least three or four drops Ointments and Plaisters are good also and pessaries made of Aromatical things and sweet smells and Fumes as take Benzoin Storax Calamita Bdellium Myrrh what you please mingle them and strew some on a pan of Coles the woman so placed that she may receive the Fume by a Tunnel broad at the lower end to keep the smoke in but lest these Fumes cause the head-ach keep the Fumes down with clothes about the woman that they come not to her head But do none of these things to women with child for that will be Murder give your remedy a little before the Full Moon or between the New and the full for then blood increaseth but never in the Wane of the Moon
than the child could retain or her purgations discharge wherefore it grows crude being superfluous and makes the parts swell so much that a man would think she were with child again but it commonly ceaseth if the woman be once largely purged either by the womb or the belly Hysterical or Mother fomentations are sufficient oftentimes to cure it or take a Sheeps skin of a Sheep new killed and wet it with sharp Wine and lay it on If in travel they keep ill diet the humours turn to Wind and they fall down to the legs and make them swell take heed of drink and when the purgations are over use things that expel wind take worm wood Betony Southernwood Origanum Cammomile Flowers Calamint Annis-seed Rue Carroway seeds boil them and make a fomentation for the feet If too much drinking be the cause let her abstain from that Medicaments that heat and resolve and are good for Dropsies are very good in this distemper the infusion of Rhubarb is much commended especially if the humour proceed from ill habit and course of life Hippocrates prescribes a Goats or Sheeps Liver made into powder and taken with wine of the infusion of Elecampane also Treacle taken with Fumitory and Fennel waters and to abate the swelling of the Feet make a decoction of Rose stalks and Cammomile Flowers excellent to bath them in and for her belly swelled lay on a Plaister of Bay berries or of Melilot or take Bay berries and Juniper berries of each one handful Goats Dung four ounces Cammomile Flowers powdered half a handful Cummin seed two drams pour spirit of wine upon them as you bruise them in a Mortar make a Plaister with a little oil of Spike added and lay it over the womans belly For the swellings of the Bellies of maids if it come not by a masculine blow take Dittany root and Cubebs bruise them and Cummin seeds and Cow Dung and lay it to their bellies as hot as can be endured Women after Delivery are also subject to have their Wombs inflamed when the birth is very great and their labour hard and the mouth of their Womb narrow so that great violence stretcheth it wider than they can suffer and sometimes there is great loss of blood and the womb is torn by putting forth of the child it must be cured by such things as ease pains as Baths and Fomentations and such softening things as are proper for the belly This following Anodyne is very effectual take Flowers of Mallows Marshmallows Vervain and Rue of each a handful Self heal Agrimony Cammomile Flowers Melilot tops red Roses of each a handful cut them very small sew them up in fine linnen bags boil them in Goats milk or equal parts of Plantane water and Wine press them well between two Trenchers and make application of one after the other hot to the place affected but first anoint the part with Poplar ointments or with oil of Roses after this cleanse all the secret parts with a spunge dipt in water of Oaken Leaves Self Heal and of Plantane made luke warm and injections put up with a Syring are effectual also of Mel Passarum and Plantane water mingled and cast in warm or take Galls Lentils Flowers of Pomegranates Seeds of Kneeholm Saunders and Roses of each a like quantity boil all in water and strain it and with a Syring inject the decoction and it will cleanse the Womb. When the Mother is cleansed it will be proper to make the flesh incarnate if it be corroded as take Centaury six ounces Orris Comfrey Roots Agrimony of each three handfuls Gum Tragant Sarcocolla Dragons Blood Frankincence Hypocistis Mummy of each a dram boil all in a sufficient quantity of water to the consumption of half then put to it Iron refuse prepared one ounce and a quarter boil it a while longer and bath the part with it If the womb be too hard and she feel pain between the Navel and the Matrix then take Ducks grease Deers or Ox marrow Neats Foot oil Yolks of eggs Bdellium of each a like proportion two drams of Saffron dissolve all in wine and mix oil of Lillies with them and dip a tent of Linnen or Cotten in this and thrust it up into the place use this often for this will ease it and take away the pain And if the womb be foul with Ulcers or the like take half an ounce of Oxymel of Squils sirrup of Vinegar and Bizantine of each three quarters of an ounce Agrimony and Lovage Waters of each one ounce water of Cichory two ounces let her drink this every morning early and sleep upon it and fast four hour after it the Urine will in a weeks time or somewhat longer become clean and well cleansed and the party cured Womens bellies use to be mightily stretched in Child-bearing in so much that they will be plaighted and full of wrinkles ever after that were plain and smooth before growing lank when they are delivered but if it be but four months past it may be helped by laying a linnen cloth over the belly dipt in oils of sweet Almonds Lillies Jessamine and if the belly be already wrinkled then take Goats and Sheeps Suet and oil of sweet Almonds of each one ounce Sperma Ceti two drams and with a little wax make an ointment when the Flux is past you may lay on the Cataplasie of Aetius or anoint with oils of Mastich and of Roses CHAP. XIII Of Cold Moist Hot Dry and of all the several Distempers of the Womb. THe wombs of Women should be alwaies kept temperate that they exceed not in any preternatural quality if they do the mans Seed will be like corn sowed upon sand and will prove unfruitful if the womb be too hot or cold or moist or dry Those that have hot wombs have but few courses and those are either yellow or black or burnt and fiery that come disorderly and such persons will fall into Hypochondriacal Melancholly and rage of the womb if this be from their birth it will be hard to cure yet it may by good Diet and proper means be much mended by Medicaments that cool and asswage Choler but take heed you do not cool too fast and stop the courses you may safely use conserve of Succory Violets Water Lillies Borage of each one Ounce Conserve of Roses half an ounce Diamargariton Frigidum and Diatrion Santalon of each half a dram with sirrup of Lemmons or Oranges or juice of Citrons take a Nutmeg in quantity at once twice or thrice in a day and anoint the back and loins with Poplar Unguent or oyl of water Lillies Roses Venus Navel wort Let her wear thin cloaths and use the cold Air let her avoid hot and salt meats Wine and strong drink eat Lettice and Endive and cooling herbs that she may sleep well The contrary to this is a cold womb and these are not fruitful they are too cold to nourish the seed of Man it is from the birth in
Legs and arms and is the cause of strange symptomes in them all For Galen saith well the strangling of the Mother or Hysterical Passion is but one by name but the symptomes are scarce to be numbered It alters womens complexions they grow sandy or pale and yellow or swarthy and now and then their eyes and faces shew red and very sanguine When this strange affection falls upon them they will gnash theit teeth and become speechless for their breath is stopt and it hath been often observed that they have been supposed to be dead neither breath nor Pulse nor Life to be found for that time and sometimes their breath is stopt so close and it holds so long that they have died of it The causes of this disease are very many for a sudden fear a bad news related hath cast divers women into these fits for by this Melancholly gets the mastery of them it were but reason therefore for men to forbear relating any sad accident to them but with great proviso When the womb is strangled no one disease can determine it for that seldome comes alone sometimes only the breath is stopt sometimes the speech and animal actions of the brain fail and the whole body is chill and almost dead by ill vapors that choke it rising from the womb The Malignant Vapors then sent from thence by the Nerves Veins and arteries are the immediate causes of all the hurt that is done and these vapors are much like the wind very powerful and almost unperceived they are so subtil and thin that they pass in a moment of time through the whole body it will choke the Patient when they flie to the Throat as people are that eat White Hellebore or venomous mushromes Ofttimes you shall see the woman to loth and vomit and draw her breath short and her heart akes if the vapour strike the heart first it will cease from moving and she falls into a swound but if it flie to the brain she is void of all sense and motion There is nothing worse than corrupt seed to offend the Body Women with Child are not free from this disease when corrupt humours rise from an unclean womb The chief seat of this ill humour lieth in the Trumpet of the womb and in her stones for the substance of it is loose and hollow and the Stones lie in bladders full of water and women that have strangling of the womb have this water of a yellow colour and grosser than it should be Many Physicians have mistook the stones and the Trumpet for the womb it self when putrified rotten seed makes them swell and windy humours cause them to rise as far as the Navel but I spoke of this before when I shewed the reason how the womb is thought to ascend higher than nature hath placed it It hath sometimes a long time to breed in and sometimes it comes suddenly according as the corruption of the humours is which sometimes also lie still and so soon as they are but moved they evacuate and send a poisonous fume into other parts of the body And nothing will sooner stir these vapours and humours in women who are subject to this disease than anger or fear or such like passions or sweet scents and smells applied to their noses which is an argument that the womb is delighted with sweet scents but cannot away with stinking things for let Musk or Civet be held to such womens noses they are presently sick till they be taken away What Distemper this strangling of the womb is Physicians agree not some say it is a cold distemper but coldness is not the chief symptome though cold be great others say it is a convulsion or Syncope or breathing stopt but it cannot be set forth by any one symptome for though the venomous vapor be small that breeds it it goes many waies and spreads through all the body But the true causes of this Disease are the poisonous vapours that rise from the womb it is not an apparent quality that this vapour works by but a secret quality as the Torpedo or Scorpion small creatures prevail with to do great mischief as they are enemies to the natural heat and vital spirits and when the heart suffers there can be no good animal spirits bred because the vital are corrupted but blood and seed whilest they are in their own proper vessels hurt not unless they are mingled with ill humors Fernelius saith that the womb and seed the place and matter of life are the breeding of the most deadly poisons Hippâ—crates in these fits bids give them wine to refresh their weakness Avicenna bids give them no wine but water and forbids eating flesh because they ingender more seed and blood but when she is in the fit wine is best for a little wine will not presently get to the womb Sometimes both maids and widdows from such like causes are troubled with the rage of the womb that they will grow even mad with carnal desire and entice men to lie with them they are hot but not feaverish and they are inclined to madness Modest women will die of consumptions when they have this rage of the womb rather than declare their desire but some women are shameless The cause is great store of sharp hot seed that is not natural but the next degree to it that bites and swells and provokes nature to expulsion the brain suffers by consent the womb in the Nymphe is most affected which swells with heat but the Clitoris and not the Nymphe is the seat of lust hot blood and humours in the womb breed this and they are increased by hot spiced meats and drinks idleneness and bawdy acts and objects at first it may be cured but the end of it is frenzy and madness if it be neglected Maids must marry that cannot live chast or draw blood to abate the heat and sharpness of it let them purge these humours gently and use cooling and moistening meats and drinks and all with moderation Lettice Violets and water-Lillies and Purslain are good coolers and take away the windiness of the parts the seed leaves and flowers of Agnus Castus strewed in their beds or Camphire smelt unto are very good in such cases Let them use this Electuary take conserve of water Lillies Violets tops of Agnus Castus of each one ounce of red Roses half an ounce of red Coral and emralds in powder of each half a dram of Coleworts and Lettice candid of each one ounce with sirrup of Violets and water-Lillies make an Electuary lay a plate of lead to their backs Nuns and such as cannot marry may use tâ—ings â—hat by a hidden quality diminish seed but they cause barrenness let them eat no eggs nor much nourishing meats and sleep little Camphire that is so much commended against this preternatural desire is hot and sharp and bitter it will burn and flame and being of thin parts penetrates deep but it hath cold operations for it will cure
in the Veins is too hot and over-heats the Artery but if this heat of the Artery affect the Brain the Patient will be mad if it go over the whole body she falls into a Consumption lay your hand on the left side and you shall feel the Arteries beat much So then this Disease hath several considerations and must be cured partly as hypochondriacal Melancholy partly as in the cure for stopping of the Courses and partly as Melancholy arising from the womb Physitians can hardly tell which way to proceed oftentimes in these Distempers because it is hard to say what Disease the woman is sick of when the Spleen and left Hypochondry are afflicted from the womb The womb hath two Arteries the one from the Hypogastrick Artery and another from the preparing Arteries that which comes from the Hypogastrick runs almost through the whole Abdomen when the foul corrupt blood in the womb runs backward to the Hypogastrick Artery it passeth to the Caeliac Artery and so to the Spleen and the parts near it and it is Natures present way to thrust ill humors to the ignoble parts When the courses are stopt these ill humors are thought to be onely in the Veins but the veins and Arteries mouthes are so joyned that they pass from the Veins to the Arteries and that is the reason that elderly women whose courses were stopt when they were young are troubled oftentimes with the Spleen hypochondriack Melancholy These cannot endure to smell to sweet Scents they are short breathed Costive and Belch often they have pain in the left side and are very sad when the thin part of the blood is inflamed they grow very hot and red in the Face but that lasts not long the disease it will produce if not cured is chiefly a Schirrhus of the Spleen open a Vein if the blood be hot and the Courses stopt use Leeches to the haemorroids and Purge often but very gently with Quercetan's Pill of Tartar or Fernelius his Cum Ammoniaco and Birth-wort or prepared Steel to open the Courses and to cure Melancholy that ariseth from the womb When the liver is hurt by the gross blood running back to the holow vein from the womb as it often doth if the courses be stopt blood abound it breeds raw flegmatick blood and causeth the Green-sickness for there are many more great veins in the womb than in any other part of the body and they are often obstructed and sometimes by this stopping not onely sundry Diseases but Hair will grow over the whole body for hairs grow from the Excrementitious part of the blood and if that Excrement be sent over the body it will produce hair So Hippocrates tells us of a woman with a great beard and it is not long since there was a woman to be seen here in England which had not onely a long beard but her whole Body covered with hair It is also by reason of the womb or by consent from it that many women have no stomach others have a very large Appetite and sometimes a desire to eat strange things not fit for Food they Vomit and have the Hiccough many such ill symptomes as the vapors are so are the Diseases if Cold then they breed cold diseases if hot such diseases as proceed of heat For these filthy vapors when the way is large easily ascend from the Arteries of the womb and get into the Hypogastrick and Caeliac Arteries hot vapors cause Thirst cold vapors destroy concoction and are the cause of many cruel diseases by their Malignity When the stomach is hurt by the womb it is easily perceived for the signes of it go away sometimes and come again onely when the Fumes fly to the stomach There is no cure for this but by first curing the womb for this disease is worse than if the stomach were originally the cause of the distemper Cure the womb and if there be no other cause the stomach is cured first give a vomit to cleanse the stomach and use often to take pills of Aloes and Mastick for these fortifie the stomach If one womb in a woman be the cause of so many strong and violent diseases she may be thought a happy woman of our sex that was born without a womb Columbus reports that he saw such a woman and that her secrets were as the secrets of other women and part of the neck out It will be needless to tell you what some have written that it hath been often seen that worms and Hair and Fat and Stones and many other strange things have been found in womens wombs but what a miserable case is she in that was born with two wombs Such a woman Julius Obsequeus related that he saw and Bauhinus speaks of a maid who had a Matrix like that of a Bitch divided in two parts But some perhaps may think these things fabulous I confess they are monstrous and out of the ordinary course of nature and I know no cure for them if such things should happen I forbear therefore to speak any more of them and shall proceed to some things more material to be known and such things as few women living but have frequent occasion to be provided with remedies for CHAP. III. Of Womens Breasts and Nipples NAture within some convenient time after the Child is conceived in the womb begins to provide nourishment for it so soon as it shall be born The breasts are two in number lest by accident one Breast should fail and sometimes women have Twins and more children than one to give suck to Some women saith Gardan have been seen with more than two breasts for they have had two breasts on each side but that is very rare The form of the breast is round and sharp at the Nipple yet these differ in many women for some have breasts no bigger than men and some have huge overgrown swoln breasts by reason of much blood abounding and strong heat to draw and to concoct it The breasts should be of a moderate size neither too great nor too small not too soft nor too hard it is not necessary to have them over-big though they can hold but little milk thee may hold sufficient but large breasts are in danger to be cancerated and inflamed besides that the milk is not so good because their wants a moderate heat The immediate causes of great Breasts is partly natural by birth the passages being loose and large and sleep and idleness furthers it and much handling of them heats and draws the blood thither their causes are not many It is best to prevent their growing too big at first for it is not easily done afterward Cooling Diet and drying and astringent repercussive Topical means are the best Binding things help loose breasts and make them hard all cold Narcotick stupefying Medicaments are forbidden they will bind the Vessels but they abate Natural heat and will let no milk breed When children are weaned Discussers and Driers
change it often and lay on another all such things as being eaten breed milk will do the like if you lay them on outwardly or foment the breasts with this decoction as Fennel Smallage Mints pound them and lay them on with Barley meal half an ounce the seeds of Gith one dram and with two drams of Storax Calamita and two ounces of the oil of Lillies to make a Poultis Some say that by sympathy a Cows Udder dried in an oven first cut into pieces and then powdered half a pound of this powder to an ounce of Anniseed and as much of sweet Fennel-seed with two ounces of Cummin seed and four ounces of Sugar will make milk increase exceedingly or boil a handful of Green Parsly and a handful of Fennel with a small handful of Barley and half an ounce of red Pease in chicken broth or sweeten the former decoction with fine Sugar and so drink it Dill and Basil and Rochet and Chrystal also but this must be warily taken not too often nor too much are good to cause milk in the breasts some prescribe the hoofs of a Cows forefeet dried and powdered and a dram taken every morning in Ale I think it should be the hoofs of the hinder feet for they stand nearest the Udder where milk is bred I mislike not the experiment but our Ladies thistle is by Signature and the white milky veins it hath well known to be a very good help to women that want milk A woman may be of a good complexion and yet want milk in her breasts and there is a Royal Person now living that I will not be so bold to name here that when his Nurse wanted milk the Physicians Doctor Mayhern and others were desirous to put her off from being nurse because they said she had not milk sufficient to supply the child with but his Sacred Majesty of Blessed and Glorious Memory spoke in the womans behalf when the Physicians confest That the milk she had was very good What saith his Majesty is not a pint of Cream as good as a quart of Milk Some women there are that are full of blood lusty and strong and so well tempered to increase milk that they can suckle a child of their own and another for a friend and it will not be amiss for them when they have too great plenty to do so if they be poor for it will help them with food and not hurt their own child for if a child suck too much milk it will soon fall into Convulsion fits if the children be full bodied and if milk be too much in the breasts it will clodder and corrupt and inflame the blood if it be not drawn forth When blood first comes to the breasts to make milk though it come in great plenty we may not stop it but afterwards labour to diminish it by a slender diet and eating things that breed small nourishment or else lay repercussive medicaments to the veins under the arms and above the breasts to drive the blood back you may also open a vein Calamints and Agnus Castus Coriander seed and Hemlock are enemies to breeding of milk When you suspect that the blood will be inflamed by too great plenty of milk then make a Poultiss of Housleek Lettice Poppies and Water Lillies this will drive it back They that are desirous to put forth their Children to Nurse may use this decoction of Bays Mallows Fennel Smallage Parsley Mints half a handful of each to foment the breasts and afterwards they must anoint them with oyl Omphacine made of sowr grapes then take Turpentine washt with Wine and Rose-water three ounces and two or three Eggs with one scruple of Saffron and a sufficient quantity of wax to make a Plaister lay this on upon the breasts fresh every day before Supper but leave a hole in the middle of the Plaister for the Nipple to come forth If the milk be much and stay long in the breasts it does curdle when the thinner part evaporates and the thick stayes behind and turns into kernels and hard swellings which being the Cheesy part of the milk will soon grow hard and this will easily inflame and impostumate besides the plenty it may be salt or sharp or exceed in many other ill qualities when milk is too much it will cause pain in the breasts and clefts but to hinder it from clotting and congealing make a pap of grated white bread new milk and oyl of Roses seethe them all together and lay it warm over the breasts let her use to eat Saffron Cinnamon and Mints with her Meats and observe a moderate Diet with moist Meats which breed but thin milk but if the milk be clodded and inflamed pound Chickweed and lay it warm over the breasts or annoint them with the mucilage of Fleawort Purslane seeds and Fenugreek made up with wax to an ointment But sometimes the woman takes cold and falls into an Ague then lay on a Poultis to the breasts made with Melilot Camomile Fennel seeds Anniseeds Dill seeds Linseeds Fenugreek Southernwood Basil and Ginger with oyl of Camomile to hinder the curdling take two ounces of Coriander seed and as much of Mints and one ounce of oyl of Dill made to a Livint with a little wax and to dissolve what is already curdled take an ounce of each of these roots Fennel and Eringos and half a handful of green Fennel tops and one dram of Anniseeds boil all to a pint add Oxymel Simple two ounces and as much of the sirrup of the two opening roots at the Apothecaries It is a thing to be wondered at how Nature sometimes will find strange conveniences passages that are not ordinary in some women for some have voided their breasts milk by their Urine and sometimes by the womb and it hath been a great Dispute by which of the two the milk came forth the shortest way for the milk to return is the way the blood came to the breasts to make the milk not from the veins of the breasts to the hypogastrick Veins and next to the womb but from the breast veins to the epigastrick veins and from them to the hypogastrick and so to the womb but this is seldome seen or heard of but strange things have come forth of the breasts and sometimes the menstrual blood unchanged runs forth this way at certain seasons Hippocrates Writes that when the blood comes out of the Nipples those women are Mad yet Amaâ—us Lusitanus tells us of his own experience that he saw two women at whose Paps their Monthly Terms came forth and yet neither of them was Mad. But we must rightly understand Hippocrates meaning for he doth mean of her fiery blood that flies up and enflames the party whereof part goes to the breasts and much to the the brain causing pain and inflammations and that is a forerunner of Madness but it is not menstrual blood will do this unless it be endued with some extraordinary malignant quality
the motion is natural in the Heart and Arteries true it is that in these motion is alwayes necessary but the Yard moves only at some times and riseth sometimes to small purpose It stands in the sharebone in the middle as all know being of a round and long fashion with a hollow passage within it through which passe both the Urine and Seed the top of it is called the Head or Nut of the Yard and there it is compact and hard not very quick of feeling lest it should suffer pain in Copulation there is a soft loose skin called the foreskin which covers the head of it and will move forward and backward as it is moved this foreskin in the lower part only in the middle is fastned or tyed long ways to the greater part of the Head of the Yard by a certain skinny part called the string or bridle It is of temperament hot and moist it is joined to the middle of the share bone and with the Bladder by the Conduit pipe that carrieth the Urine with the brain by Nerves and Muscles that come to the skin of it to the Heart and Liver by Veins and Arteries that come from them The Yard hath three holes or Pipes in it one broad one and that is common to the Urine and Seed and two small ones by which the Seed comes into the common long Conduit pipe these two Arteries or Vessels enter into this pipe in the place called the Perinaeum which in men is the place between the root of the Yard and the Arse-hole or Fundament but in a woman it is the place between that and the cut of the neck of the womb from those holes to the Bladder that passage is called the neck of the Bladder and from thence to the head of the Yard is the common pipe or channel of the Yard The Yard hath four Muscles two towards the lower part on both sides one of them near the channel or pipe of the Yard and these are extended in length and they dilate the Yard and raise it up that the Seed may with ease pass through it two other muscles there are that come from the root of it near the share bone that comes slanting toward the top of the Yard in the upper part of it when these are stretched the Yard riseth and when they slacken then it falls again and if one of these be bent and the other be not the Yard bends to that muscle that is stretched or bent If the Yard be of a moderate size not too long nor too short it is good as the Tongue is but if the Yard be too long the spirits in the seed flee away if it be too short it cannot carry the Seed home to the place it should do The Yard also serveth to empty the Bladder of the water in it and that is easily proved by a Louse put into the pipe of the Yard which by biting will cause one to make water when the Urine is supprest The foreskin was made to defend the Yard that is tender and to cause delight in Copulation the Jews were commanded to cut it off Many diseases are incident to the Yard but a priapisme or standing of the Yard continually by reason of a windy matter is a disease that properly belongs to this part and is very dangerous sometimes The Yard of a man is not bony as in Dogs and Wolves and Foxes nor gristly for then it could not stand and fall as need is it is make of Skins Brawns Tendons Veins Arteries Sinews and great Ligaments yet not so full of Veins but it may be emptyed and filled again nor so full of Arteries as to beat alwayes yet you shall find it beat sometimes it consists not of Nerves for they are not hollow enough for the passages but it is compounded of a peculiar substance that is not found in any other part of the body the place of it as I said begins at the share-bone and it is fast knit to the Yard between the Cods and the Fundament so that there is a seam that comes up along the Cods and parts them in the midst between the Stones The Yard is not perfectly round but is somewhat broad on the back or upperside it differs a little in some from others the situation of it is so peculiar to Men that they have herein a preeminence above all other creatures Some men but chiefly fools have Yards so long that they are useless for generation It is generally held that the length or proportion of the Yard depends upon cutting the Navel string if you cut it too short and knit it too close in Infants it will be too short because of the string that comes from the Navel to the bottom of the bladder which draws up the Bladder and shortnes the Yard and this beside the general opinion stands with so much reason that all Midwives have cause to be careful to cut the Navel string long enough that when they tye it the Yard may have free liberty to move and extend it self alwayes remembring that moderation is best that it be not left too long which may be as bad as too short There are six parts to be observed of which the Yard consists 1. Two sinewy bodies 2. A sinewy substance to hold up the two side Ligaments and the urinary passage 3. The Urinary passage it self 4. The Nut of the Yard 5. The four Muscles and 6. The Vessels The two sinewy bodies are really two though they are joined together they are long and hard within they are spongy and full of black blood the spongy substance within seems to be woven network and is made of numberless Veins and Arteries and the black blood that is contained in them is full of spirits Motion and leisure in Copulation heats them and makes the Yard to stand and so will imagination the hollow weaving of them together was to hold the spirits as long as may be that the Yard fall not down before it hath performed the work of nature These side ligaments of the Yard where they are thick and round spring from the lower part of the share-bone and not the upper part as Galen supposed At the beginning they are parted and resemble a pair of Horns or the Letter Y where the common pipe for Urine and Seed goes between them It is thus manifest that the greatest part of the Yard is made of two sinewy parts one of them of each side and they both end at the top of the head of the Yard they come from two beginnings and lean upon the hip under the share-bone and so run on to the Nut of the Yard Also their substance is double the outside is sinewy hard and thick the inside black soft loose spongy and thin they are joined by a thin and sinewy skin which is strengthened by some slanting small Veins placed there like to a Weavers Shuttle they are parted at their first rising to make way
to the right side the veins that appear on the outside of it and on the foreskin come from the under belly and these Veins do swell with a frothy blood when the Yard begins to stand It hath also two sinews the lesser of the two goes upon the skin the greater upon the muscles and body of the Yard These sinews scatter themselves from the marrow of that bone which is called the holy bone and they pass quite through the Yard and cause exceeding great delight when the Yard stands and they prick forward in the action of Venery The Yard is stretched and made to swell by reason of fulness of Seed and plenty of wind and therefore all windy meats as Pulse Beans and Pease and the like will make the Yard stand and sometimes they cause a priapisme or continual standing of the Yard which will be more troublesome than if it should never stand at all It is not to be imagined what pains some have undergone who by indiscreet taking of Cantharides have fallen into this grievous distemper wherefore I would wish men to take heed lest they pay for it at last for the Proverb is commonly true sweet meat must have sour sawce Sometimes the bladder is full of Urine and the veins are very hot which make the Yard to rise The Yard is placed betwixt the thighs that it may stand the stronger to perform its work with all the force a man is able and at the lower end of it to add more strength it is more fleshy and that flesh is musculous and besides that it hath two muscles as I said on both sides to poise it equally when it stands they are indeed but small muscles yet they are exceeding strong The skin of the Yard is long and loose that it may swell or slack as the Yard doth and the foreskin of that skin sometimes covers the head of the Yard and sometimes goes so far back that it will not come forward again This skin in time of the Venerious action keeps the mouth of the womb close that no cold air get in yet some think the action migh be better performed without it the Jews indeed were commanded to be Circumcised but now Circumcision a vails not is forbidden by the Apostle I hope no man will be so void of reason and Religion as to be Circumcised to make trial which of these two opinions is the best but the world was never without some mad men who will do any thing to be singular were the foreskin any hindrance to procreation or pleasure nature had never made it who made all things for these very ends and purposes The top of the Nut hath a hole for the Urine and Seed to come forth by and nature hath made a little round circle at the bottom of the Nut with a fit jetting out from the body of the Yard and when the Yard casts the Seed into the Womb the neck of the womb with her own slanting fibres lays hold of it and embraceth it and by this circle the Seed is kept in the womb that it cannot fly out again The Nut of the Yard when it is half covered with the foreskin looks like an Acorn in the Cup and therefore some call it Glans which in Latin signifies an Acorn in this Acorn or Nut of the Yard lyeth all the pleasure of Copulation so that if the Nut were gone many think there could be no more tickling or moving in the Seed but all fruitful Copulation would be lost or at least there would be no pleasure in the act of Generation though the Stones might move a desire to it by transmitting of the Seed which is made by them Let men be careful then how they enter too far for it will be hard to say which were the greater loss of the Stones or the Nut. CHAP. X. Of the Generation or Privy parts in Women MAn in the act of procreation is the agent and tiller and sower of the Ground Woman is the Patient or Ground to be tilled who brings Seed also as well as the Man to sow the ground with I am now to proceed to speak of this ground or Field which is the Womans womb and the parts that serve to this work we women have no more cause to be angry or be ashamed of what Nature hath given us than men have we cannot be without ours no more than they can want theirs The things most considerable to be spoken to are 1. The neck of the womb or privy entrance 2. The womb it self 3. The Stones 4. The Vessels of Seed At the bottom of the womans belly is a little bank called a mountain of pleasure near the well-spring and the place where the hair coming forth shews Virgins to be ready for procreation in some far younger than others some are more forward at twelve years than some at sixteen years of age as they are hotter and riper in constitution Under this hill is the spring-head which is a passage having two lips set about with hair as the upper part is I shall give you a brief account of the parts of it both within and without and of the likeness and proportion between the Generative parts in both sexes CHAP. XI Of the Womb. THe Matrix or Womb hath two parts the great hollow part within and the neck that leads to it and it is a member made by Nature for propagation of children The substance of the concavity of it is sinewy mingled with flesh so that it is not very quick of feeling it is covered with a sinewy Coat that it may stretch in time of Copulation and may give way when the Child is to be born when it takes in the Seed from Man the whole concavity moves towards the Center and embraceth it and toucheth it with both its sides The substance of the neck of it is musculous and gristly with some fat and it hath one wrinkle upon another and these cause pleasure in the time of Copulation this part is very quick of feeling The concavity or hollow of it is called the Womb or house for the infant to lie in Between the neck and the Womb there is a skinny fleshy substance within quick of feeling hollow in the middle that will open and shut called the Mouth of the Womb and it is like the head of a Tench or of a young Kitten it opens naturally in Copulation in voiding menstrous blood and in child-birth but at other times especially when a woman is with Child it shuts so close that the smallest needle cannot get in but by force The neck is long round hollow at first it is no wider than a mans Yard makes it but in maids much less About the middle of it is a Pannicle called the Virgin Pannicle made like a net with many fine ligaments and Veins but a woman loseth it in the first act for it is then broken At the end of the neck there are small skins which are called
from cold and that nothing get in to offend the womb some call this the womans modesty for they are a double door like Flood-gates to shut and open the neck of the womb ends in this and it is as it were a skinny addition for covering of the neck answering to the foreskin of a Mans yard These Lips which make the fissure of the outward orifice are long soft of a skinny and fleshy substance in some kind spongy and like kernels with a hard brawny fat under them and they are covered with a thin skin but in those women that are married they lye lower and smoother than in maids when maids are ripe they are full of hair that grows upon them but they are more curled in women than the hair of Maids They that have much hair and very young are much given to venery The wings appear when the Lips are parted and they are made of soft spongy flesh and the doubling of the skin placed at the sides of the neck these compass the Clitoris and are like a Cocks Comb. These wings besides the great pleasure they give women in Copulation are to defend the Matrix from outward violence and serve to the orifice of the neck of the womb as the foreskin doth to a mans Yard for they shut the cleft with lips as it were and preserve the womb from cold air and all injuries and they direct the Urine through the large passage as between two walls receiving it from the bottom of the cleft like a Tunnel and so it runs forth in a broad stream and a hissing noise not so much as wetting the wings of the Lap as it goes along and therefore these wings are called Nymphs because they joyn to the passage of the Urine and the neck of the womb out of which as out of Fountains whereof the Nymphs were called Goddesses water and humours do flow besides in them is all the joy and delight of Venus Those parts that are seen without are the Lips the slit and the groin but so soon as the Lips are divided there are three slits to be seen the greatest is the outmost and is first seen and there are two less slits between the wings which serve to close up the parts the more firmly But that which is the great and long slit is made by the Lips and bends backward toward the Fundament from the share-bone downward toward the slit of of the buttocks and the more backward it goes the deeper and broader it is and so it makes a trench like a Boat and ends in the welt of the orifice of the neck of the womb The Clitoris is a sinewy hard body full of spongy and black matter within it as it is in the side ligaments of a mans Yard and this Clitoris will stand and fall as the Yard doth makes women lustfull and take delight in Copulation and were it not for this they would have no desire nor delight nor would they ever conceive Some think that Hermaphrodites are only women that have their Clitoris greater and hanging out more than others have and so shew like a Mans Yard and it is so called for it is a small exuberation in the upper forward and middle part of the share in the top of the greater slit where the wings end It differs from the Yard in length the common pipe and the want of one pair of the muscles which the Yard hath but is the same in place and substance for it hath two sinewy bodies round without thick and hard but inwardly spongy and full of holes or pores that when the spirits come into it it may stretch and when the spirits are dissipated it grows loose again these sinews as in a Mans Yard are full of gross black vital blood they come from both the share-bones and join with the bones of the Hip they part at first but join about the joining of the share-bones and so they make a solid hard body of the Yard and the end is like the Nut to which is joined a small muscle on each side The head of this counterfeit Yard is called Tertigo and the Wings joining cover it with a fine skin like the foreskin it hath a hole but it goes not through and Vessels run along the back of it as upon a Mans Yard commonly it is but a small sprout lying close hid under the Wings and not easily felt yet sometimes it grows so long that it hangs forth at the slit like a Yard and will swell and stand stiff if it be provoked and some lewd women have endeavoured to use it as men do theirs In the Indies and Egypt they are frequent but I never heard but of one in this Country if there be any they will do what they can for shame to keep it close The Clitoris in Women as it is very small in most serves for the same purpose as the bridle of the Yard doth for the womans stones lying far distant from the Mans Yard the imagination passeth to the spermatical Vessels by the Clitoris moving and the lower ligatures of the Womb which are joyned to the carrying Vessels of the Seed so by the stirring of the Clitoris the imagination causeth the Vessels to cast out that Seed that lyeth deep in the body for in this and the ligaments that are fastened in it lies the chief pleasure of loves delight in Copulation and indeed were not the pleasure transcendently ravishing us a man or woman would hardly ever die for love I told you the Clitoris is so long in some women that it is seen to hang forth at their Privities and not only the Clitoris that lyeth behind the wings but the Wings also for the Wings being two skinny Caruncles on each side one joyn almost at first arising from a welt or gard of the skin of a ligamental substance in the back part the slit of the neck and they ly hid betwixt the two Lips of the Lap they alwayes almost touch one the other and they go up to the end where the share-bone meets and when they joyn they make a fleshy rising and cover the Clitoris with a foreskin and so they rise to the top of the great cleft They are longer from the middle upward and sometimes they will hang forth a little at the great slit without the lips with a blunt corner yet they are threesquare like that part of a Cocks Comb that hangs down under his throat both for form and colour they are soft and spongy partly fleshy and partly skinny In some Countries they grow so long that the Chirurgion cuts them off to avoid trouble and shame chiefly in Egypt they will bleed much when they are cut and the blood is hardly stopt wherefore maids have them cut off betimes and before they marry for it is a flux of humours to them and much motion that makes them grow so long Some Sea-mem say that they have seen Negro Women go stark naked and these wings
hanging out Besides these under the Clitoris and above the neck is the passage of the womans water for the Woman makes not water through the neck of the womb nor is it a common passage for Urine and Seed as in men but it is only for Urine therefore they that will cast an injection into the womans cleft to stop their water from coming forth too much upon any occasion concerns their bladder must take heed they thrust not the spring into the mouth of the Matrix instead of the passage of the bladder Near this are four Caruncles or fleshy knobs in form like to Mirtle berries they are round in maids but they flag and hang down as soon as their maidenhead is lost the uppermost of them is forked and largest that it may admit the neck of the urinary passage the other three are below this on the sides they all serve to keep off air or any thing may offend the neck of the womb Maids have these fleshy knobs joyned together by a sinewy skin interwoven with many small veins and with a hole in the middle and through that their Courses pass it is about the bigness of a mans little finger in such as are grown up this is that skin so much talked of and is the token of Virginity wheresoever it is for the first act of Copulation breaks it some think that it is not found in all maids but doubtless that is false else it could have been no proof of Virginity to the Israelites Yet certain it is that it may be broken before Copulation either by defluxion of sharp humours especially in young maids or by thrusting in of Pessaries unskilfully to provoke the Terms and many other ways The four fleshy knobs with this are like a Rose half blown when the bearded leaves are taken away or this production with the Lap or privity is like a great Clove-gilleflower new blown thence came the word deflowred The Arabians thought this skin called Hymen was the joining of five Veins together as they are placed on both sides but that is rejected Termelius thought the sides of the womb stuck together and were parted by Copulation there are many other opinions needless to trouble the Reader with Whatsoever it is there are certain Veins in it which bleed in the breaking of it and the Hebrew maids were more careful to keep it unbroken than the French and Italian are or else Columbus would not say it is seldom found and Laurentius professeth he never could find it It lieth alwayes hid in the middle of the great cleft and is peculiar no doubt to all maids it is as long as the little finger and is broad in the middle and is compassed about with a round hollowness the fashion of it is round but it ends in a point that hath a hole in it so long as the top of the little finger may be put into it it is partly fleshy and partly skinny there are also four skins like Mirtle berries as I said at every corner of the bosome one and there are also four membranes or skins that tie these together and they go not slanting but they run all right downward from the inside of the said bosome and are each of them placed in the distance between the foresaid fleshy skins and with them they are almost equally stretched out but both these and they are in several bodies shorter or larger and the orifice at the end of them wider or smaller the hole is then straitest when the fleshy skins are nearest joined together for this cause some maids suffer not so much pain to lose their Maidenhead as others do for when the Yard first enters the neck of the womb the fleshy membranes and caruncles are torn up and the caruncles are so stretched that a man would think they were never join'd together some Vessels are opened by this means by reason of the pain puts maids to a squeek or two but it is soon over the younger the maids are the greater the pain because of the dryness of the part but they lose less blood in the act because of the smalness of the Vessels the elder they are by reason of their courses that have often flowed the moisture is more and the pain less by reason of the wetness and looseness of the Hymen but the Flux of blood is greater because the Vessels are greater and the blood hath gotten a fuller passage thither some pain there will be for all this but not much yet if they have their Courses then running or have had them some three or four daies before the membranes are so dilated by the moisture of those parts that the pain is far less which hath been a reason why some persons have been jealous of their new married Wives without a cause thinking they had lost their Maidenheads before It is best therefore for maids new married to keep their honour and not to suffer any man to touch them during the time they have their monthly Terms Besides that it is forbidden severely by the Law of God and Physicians know that those Children that are begotten during the time of separation will be Leprous and troubled with an incurable Itch and Scabs as long as they live Also next to their caruncles lieth the outward cleft of the neck and is placed as it were in the Trench of the great cleft and is full of wrinkles and like a narrow valley leads the way by a round cavity into the inmost parts and causeth the outward orifice of the neck of the womb by which the Yard enters to provoke the womans parts to give forth their Seed and to cast in his own There is a skinny ligament also in the back parts of the outward orifice of the neck which is strait in Maids and is covered by the Trench but in women that have born Children it is large and loose and a certain sign as well as the former that Virginity is lost The neck of the womb is the distance between the Privy passage and the mouth of the womb into this the mans Yard enters in time of Copulation It is eight inches long if the Woman be of a reasonable stature The substance of the Matrix is fleshy without but skinny and all wrinkled within that it may be able to retain the Seed that it may stretch exceedingly in Childbirth The neck of it stands directly betwixt the Urinary passage and the right Gut which are the two great sinks of the body that vain Man should not be over proud of his beginning It hath two membranes and if you cut them you shall see a spongy flesh between them such as is found in the five ligaments of the Yard and it contains vital spirits and causeth it to swell in the time of Copulation and is full of numberless twigs of small Veins and Arteries The neck of the womb is the third part of it and into it as I said the mans yard passeth it is
often and unreasonably opened by too frequent coition or in over moist bodies or by the whites it makes women barren and therefore Whores have seldom any Children it is the same reason if it grow too hard or thick or fat also the Cancer and the Schirrhus two diseases incurable which happen but seldom till the courses fail are bred here Thus I have as briefly and as plainly as I could laid down a description of the parts of generation of both sexes purposely omitting hard names that I might have no cause to enlarge my work by giving you the meaning of them where there is no need unless it be for such persons who desire rather to know Words than Things BOOK II. CHAP. I. What things are required for the procreation of Children I Have in the former part made a short explanation of the parts of both sexes that are needful for this use but yet some think that there is no need of describing the parts of them both because some have written that the Generative parts in men differ not from those in women but in respect of place and situation in the body and that a woman may become a man and that one Tyesias was a man for many years and after that was strangely metamorphos'd into a woman and again from a woman to a man and that in regard he had been of both sexes he was chosen as the most fit Judge to determine that great question which of the two Male or Female find most pleasure in time of Copulation Some again hold that man may be changed into a woman but a woman can never become a man but let every man abound in his own opinion certain it is that neither of these opinions is true for the parts in men and women are different in number and likeness substance and proportion the Cod of a man turned inside outward is like the womb yet the difference is so great that they can never be the same for the Cod is a thin wrinkled skin but the womb at the bottom is a thick membrane all fleshy within and woven with many small fibres and the Seed-Vessels are implanted so that they can never change their place and moreover their Stones are for shape magnitude and composition too different to suffer a change of the sex so that of necessity there must be a conjunction of Male and Female for the begetting of children Insects and imperfect creatures are bred sundry wayes without conjunction but it is not so with mankind but both sexes must concur by mutual embracements and there must be a perfect mixture of Seed issueing from them both which vertually contain the Infant that must be formed from them God made all things of nothing but man must have some matter to work upon or he can produce nothing The two principles then that are necessary in this case are the seed of both sexes and the mothers blood the seed of the Male is more active than that of the Female in forming the creature though both be fruitful but the female adds blood as well as seed out of which the fleshy parts are made both the fleshy and spermatick parts are maintain'd and preserv'd What Hippocrates speaks of two sorts of Seed in both kinds strong and weak seed hot and cold is to be understood only of strong and weak people and as the seed is mingled so are Boys and Girls begotten The Mothers blood is another principle of Children to be made but the blood hath no active quality in this great work but the seed works upon it and of this blood are the chief parts of the bowels and the flesh of the muscles formed and with this both the spermatical and fleshy parts are fed this blood and the menstrual blood or monthly Terms are the same which is a blood ordained by Nature for the procreation and feeding of the Infant in the Womb and is at set times purged forth what is superfluous and it is an excrement of the last nutriment of the fleshy parts for what is too much for natures use she casts it forth for women have soft loose flesh and small heat and cannot concoct all the blood she provides nor discuss it but by this way of purgation The efficient cause of this purging are the Veins that are burdened with this superfluity of the remaining blood and desire to be discharged of it Yet nature keeps an exact method and order in all her works and therefore she doth not send this blood out but at certain periods of time viz. once every month and that only in some persons generally maids have their terms at fourteen years old and they cease at about fifty years for they want heat and cannot breed much good blood nor expel what is too much yet those that are weak sometimes have no courses till eighteen or twenty some that are strong have them till almost sixty years old fulness of blood and plenty of nutriment in diet brings them down sometimes at twelve years old but commonly in Climacterical or twice seven years they break forth heat and strength making way for them and then maids will not be easily ruled for their passages grow larger the humours flow and they find a way by their own thinness of parts being helped by the expulsive faculty Men about the same age begin to change their faces and to grow downy with hair and to change their notes and voices Maids breasts swell lustful thoughts draw away their minds and some fall into Consumptions others rage and grow almost mad with love The time of the courses is not so exact that it can be certainly determined by us who are not of Natures Cabinet counsel Sometimes sharp corroding humours force the passage before it is time and sometimes the blood is so thick that it cannot break forth Lusty and Menlike women send them forth in three days but idle persons and such as are always feeding will be seven or eight days about it but there is a mean between them both that proportions the time accordingly four dayes will be sufficient but the quantity of blood that is cast out is more or less considering the circumstance of age temperament diet and nature of the blood and that different according to the seasons of the year the places by which it comes forth are the Veins and the bottom of the womb for the veins come from under the belly and seed branches to the bottom and to the neck of the womb and when women are with Child the superfluous blood runs out by the veins of the neck but maids and such as are not with Child send this blood forth by the womb it self by this blood the seed conceived increaseth and when the Child is delivered then it returns to the breasts for to make Milk as we hinted at before Though the blood be a necessary cause and nothing will be done without it that comes to perfection yet the seed is the Principal cause
children are so like their Parents CHAP. VI. Of the resemblance or likeness of Children and Parents THere are according to Philosophers and Physicians three forms or likenesses in every living creature First Likeness of kind as when a creature of the same kind is produced a man from a man a horse from a horse and herein the likeness proceeds commonly from the matter and because the female usually brings more matter than the male more children are like the Mother than the Father So a she-Goat with a Ram breed a Kid but a he-Goat and a Sheep beget a Lamb. Secondly there is a likeness of sex and the cause why the child is a boy or a girl is the heat of the seed if the mans seed prevail in mixing above the womans it will be a boy else a girl Thirdly there is a likeness of forms and figures and other accidents that the child by them more resembles the father or the mother as these accidents are found in it more like to either of the two this saith Galen comes from the difference of parts and conformation of the members Hence one is black another white one with a high forehead or a Roman nose the other not Sometimes the child is very like the father sometimes the mother and oft-times like them both in many respects sometimes like neither but the grandfather or grandmother and there are many examples where children have been like to those who have had no part in the work but a strong fansie of the mother hath been the reason of it Authors and Travellers say that the Chineses children are like their Sires in many limbs and parts of their faces as the forehead nose beard and eyes In some Countries where they have Wives in common as a people called Cammate have Men make choice of their children by the likeness to themselves There are also childrens marks proper to some Families that are visible upon their bodies Thyestes had the likeness of a Crab some of a star The Thebans and Spartans a Lance Delemus and his offspring had their thighs crooked and like to an anchor and that lascivious strumpet Julia Augustus's daughter had no children but resembled her self for she was so cunning that she would admit of none besides her husband till she had conceived Some are of that opinion that all this proceeds from the strength of imagination so Empedocles so Paracelsus determine it and the last thought the Plague to be infectious only to those that phansie made it so But the Arabians ascribe so much power to imagination that it can change the very works of nature heal diseases work wonders command all kind of matter and they impute as much or more to that than Divines do to having Faith to which nothing is impossible but I cannot be altogether of their opinion Imagination is powerful in all living creatures for by it Jacob's Ewes conceived spotted and grisled the peeled rods being set before them when they were in conjunction Galen taught an Aethiopian to get a white child setting a picture before him for his wife to look on Their opinions also are not wide who say the cause of this likeness lieth much in the motion of the Seed and the forming faculty this was Aristotles's judgment We deny not but both may be true for imagination can do nothing without it and by the forming faculty Imagination works this similitude yet so that they both concur to the business The Soul lyeth in the Seed which makes its own house for all confess a forming faculty and this faculty must come from some substance that lyeth close in the seed though it appear not in the first act for want of fit organs to work with Three things are requisite to form a child 1. Fruitful seed from both sexes wherein the Soul rests with its forming faculty 2. The mothers blood to nourish it 3. A good constitution of the matrix to work it to perfection if any of these be wanting you must not expect a perfect child But as for the marks or likeness to the Parents sometimes this vertue lyeth hid some ages in the seed and appears not and then the child comes to be like those from whom it was descended by many succeeding generations for Hâ—lin had a white daughter by a Black but that daughter had a black son born of her the forming faculty still continuing in the seed when it hath been stirred up by new imagination Plants being grafted experience shews will bear fruit of the nature of the graft but the kernels of that fruit sowed will bring fruit like the stock it was grafted on Graft an Apricock on a Pear stock you shall have Apricocks but a stone of those Apricocks set grows a Pear stock If the forming faculty be free children will be like their Parents but if it be overpowred or wrested by imagination the form will follow the stronger faculty if the mother long for figs or roses or such things the child is sometimes markt with them Avicen gives this reason for it that the aery spirits that are nimble of themselves are soon moved by the phansie and these mingle with the nutrimental blood of the child and imprint this likeness from imagination This is a deep speculation but it may be compared and represented to our understanding by those equivocal generations made in the air of frogs and flies and the like by the forming faculties of the Heavens so are the forms imagination sends forth engraven on the light spirits for the quick spirits receive all forms from the imagination and the seed that passeth through all parts and is derived from the whole body retains the images of them all CHAP. VII Of the sympathy between the womb and other parts and how it is wrought upon by them IT is strange to consider that the womb should discern between sweet and stinking scents and to be so diversly affected with these smels that some have miscarryed by smelling the snuff of a Candle insomuch that some have thought the womb to be a creature of a discerning quality and it receives this judgement from every part of the body it is delighted with sweet scents and displeased with the contrary Wise Men have been at a stand to give a reason for it Some refer it to a hidden quality but that is still the last refuge for ignorance There are indeed many things in nature secret to us of which we can give no certain reason as for the Loadstone to draw Iron we see it is so but we cannot say how it comes to pass In fits of the Mother sweet smels are good for they disperse the ill qualities and venenosities of the Air and so by a peculiar quality strengthen the womb by drawing down the spirits and humours but the different way of applying them will do good or harm For the sweetest things that are as Musk or Civet will cause fits of the Mother if you apply them to the womans nose
here below and are not changed themselves for that the Heavenâ— and the fixed Stars and the Planets are still the same they were in the first creation and that the twelve Signs and Planets do rule over the bodies of men and women and how that Scorpio which is the house of Mars rules over the womb and makes it fruitful and that Leo is a barren Sign because Lions seldom bring forth young and so is Virgo for they are no maids that conceive with child But then why should not Taurus be a barren but a fruitful Sign when Bulls never bring forth any But not to trouble the reader with Astrological dreams I think it is not the seven Planets that by this complement of seven make the child to live but I should rather impute it to the perfection of the number seven which is easily proved by Scripture to be the most perfect number and will appear so to be by the Sabbath the seventh day of the week commanded for rest also the Sabbatical or every seventh year and the year of Jubilee seven times seven So that Hippocrates was out in three books where he endeavours to prove that a child born in the eighth month cannot live Aristotle Plutarch Galen and others were of the same judgement But to oppose them the writers of Spain Egypt and of Nanas prove the contrary by divers examples Hippocrates might be also misunderstood whether he meant Solar months that consist of thirty one days a piece or very near being the time the Sun is passing through the Zodiack or Lunar months the time the moon is in any Sign of the twelve and her stay there which is but twenty seven days with some few hours and minutes besides all this the woman Hippocrates mentions might not make her reckoning right for if you trust to womens account you can be at no certainty scarce one of a hundred can tell you true And as for Saturn who is so much blamed for playing the ill Midwife in the eighth month he is as much commended for his good office in the first month but there is no man or Planet that can alwayes have every mans good word yet I am of opinion they do him wrong but Astrologers may say what they please without reason for they never prove any thing but one dream by another Aries forsooth is not fruitful because it is the House of Mars and is not Scorpio which they praise for fructifying the house of Mars too Every Planet is maintained by them to rule the severai parts of mans body and that by degrees according to their signs and several Houses they are in I have found no Table concerning this business to have any truth in it wherefore I have drawn forth one exactly which you may safely rely upon if upon any Table at all and by this Table you shall find that every Planet when he is in Scorpio which signifies fruitfulness of the womb rules those parts of the body which are under the same Sign the two great Luminaries I mean the Sun and Moon excepted which do it by reception a clear proof that they have a great influence in framing the child in the womb and that the two Luminaries in that work mingle their influence one with the other The Table The first month Authors give to Saturn to retain the conception for he say they fixes the seed The Second month to Jupiter and upon him they lay the foundation of encreasing of sense and reason but the true foundation is then laid when the Seed of both man and woman are well mingled Mars rules the third month to give heat and motion to the infant Any Tooth good Barber The Sun governs the fourth month to give the child vital spirits yet Mars gave it motion a month before without any spirits at all I cannot understand there can be voluntary motion and no vital spirits Venus in the fifth month adds beauty the body we all know is fashioned in thirty or forty days but beauty must not come till three months after As for the sixth month that is Mercuries part to distinguish the parts of the child which Venus it seems could never do with all her beauty as if the child were but a Chaos and a rude mass till the sixth month yet it was very beautiful a month before As for the seventh and last month in the Planetary revolution that is the Moons part to make the child complete Here is much ado to small purpose It is no error I confess to impute much to the operation of the Planets But they are much mistaken about the times that such and such Planets do work for doubtless the Planets do not operate by succession as some would have it so that when one rules all the rest are idle and lie still but they cooperate and work altogether and that continually Their motion causes mutation for the motion of the Sun saith Potolomy of the Earth saith Copernicus distinguisheth night from day The Sun gives heat to all things here below the Moon moisture and our life consists in heat and moisture The Sun is the Sire of all living creatures and is first active in the seed of both sexes in the very middle of the seed and so he enlivens and moves every part to its proper action That which Aristotle speaks of the Heart the Microcosmical Sun in man's production is partly true both in and after conception to frame vital spirits and cause motion action For as the earth is preserved by the element of water from being scorched and burnt up by the beams of the Sun so the Microcosmical Sun the Heart but which is the Moon the brain or the Liver is hard to say adds moisture to this conception from first to last I mean as long as the child lives and thus the radical moisture is preserved Aristotle thought the brain by its coldness tempered the heat of the heart and for my part I think he said very true I see no man give a sufficient reason to the contrary There must yet be something to ballance the heat and moisture of the Sun and Moon and that they say is Saturn by his coldness for he fixeth them both in the work of conception and the dry bones are his work which are the Pillars and supports of this frail building But because there is no Generation but first there must be corruption for the corruption of one is the generation of another whereby it comes to pass that there is not a total decay in the world the beams of the Sun Moon working upon the seed of both sexes fixed by Saturn are purified and concocted by the equal temperament of heat and moisture that the Planet Jupiter le ts fall amongst them but then comes Mars with his heat and dryness and what is overplus in the conception as there must needs be some superfluities that Mars draws forth and turns to excrements and hardens into Coverings and Coats for
the child by his calcining heat what is bred by moisture and heat is fixed by cold and dryness Mars heats with a fiery calcination but Venus she tempers the heat of Mars by her moisture for she is a cold moist Planet and fitly added to abate the courage and violent heat of warlike Mars there is a great sympathy between Mars and Venus and therefore surely the Poets speak so much of their conjunction for they are eminent in this of mans generation You may by this find out the causes of sympathy and antipathy in natural things and seeing all things are made up of such contrary qualities what is generated must in time be corrupted nothing is eternal in this world but a perpetual motion breeds mutation and not man nor any thing else can continue in the same stay Mars and Venus do here play their parts in mans production for they are the nearest of the five Planets to the earth but next to them is Mercury of a changeable disposition and applieth himself to the rest of the Planets with several aspects and he causeth the desire of knowledge in man sense and reason also some maintain to be the work of Mercury by his influence upon the child in the womb It is not denied but a piercing acute humour proceeds from him which is most likely to effect not alone the sensible but the rational part in man CHAP. IX Of the Posture the child holdeth in the Womb and after what fashion it lieth there HEre Physicians are at a stand and are never like to agree about it not two in twenty that can set their horses together the speculation is very curious insomuch that the Prophet David ascribes this knowledge as more peculiar to God Psalm 139. My reins are thine thou hast covered me in my mothers womb I will give thanks unto thee for I am fearfully and wonderfully made marvellous are thy works and that my soul knoweth right well my bones are not hid from thee though I be made secretly and fashioned beneath in the earth thine eyes did see my substance yet being unperfect and in thy Book were all my members written which day by day were fashioned whenas yet there was none of them Yet Anatomists have narrowly enquired into this secret Cabinet of nature and Hippocrates that great Physician tells us in his Book De natura Pueri that the infant lieth in the womb with his head his hands and his knees bending downward towards his feet so that he is bended round together his hands lying upon both his knees the thumbs of his hands his eyes meeting each with other so saith Bartholinus the younger of the two Likewise Columbus's opinion is that the child lieth round in the womb with the right arm bended and the fingers of the right hand lying under the ear of it above the neck the head bowed so low that the chin meets and toucheth the breast and the left arm bowed lying above the breast and the face and the right elbow bended serves to underprop the left arm lying upon it the legs are lying upwards and the right leg is lifted so high that the infants thigh toucheth its belly the knees touch the Navel and the heel toucheth the left buttock and the foot is turned backward and hides the privy members as for the left thigh that toucheth the belly and the left leg is lifted up to the breast the stomach lyeth inward But the expert Spigelius hath the fashion of a child near the birth whose figure I have here laid down and I believe it is very proper for as well as I am able to judge by the figure it is the very same with that of a child that I had once the chance to see when I was performing my office of Midwifry Here insert the Figure of the Child near its Birth The Figure Explained Being a Dissection of the WOMB with the usual manner how the CHILD lies therein near the time of its Birth BB. The inner parts of the Chorion extended and branched out C. The Amnios extended DD. The Membrane of the Womb extended and branched E. The Fleshy substance call'd the Cake or Placenta which nourishes the Infant it is full of Vessels F. The Vessels appointâ—d for th◠〈…〉 This is a general observation that the Male Child most commonly lyeth on the right side in the womb and the Female on the left side but Hippocrates layeth it down as the most universal way to have his hands knees and head bending down toward the feet his nose betwixt his knees his hands upon both knees and his face between them each eye touching each thumb but he is wrapt as he lieth in two mantles or garments as I said for a boy hath no more that which immediately covers him and lieth next to his skin is called Amnios the skirt or Lamb-skin it is wonderful soft and thin and is loose on all sides only it grows so fast to the Cake that it can hardly be parted from it the use of it farther is to receive the Childs sweat and Urine which moisteneth the mouth of the Matrix also and makes the birth more easie but the outward coat called Chorion is very strong and sinewy and encloseth the child round about and like a soft pillow or bed bears up all the veins and Arteries of the Navel which would have been in danger to have been carried so far without some soft bolster to sustain them These coats growing fast together seem to be but one coat or one to be the beginning of the other and this altogether taken is called the after-burden or Secundine for when the Child is grown strong enough to come out of the womb and the time of his birth is at hand he breaks through these coverings and the coverings come forth after the child is born yet sometimes a piece of the Amnios covers the childs face and head when he is born and women call it the caule and hold it to be a Sign of some great happiness that will befall the child in the following part of his life but some think it is neither here nor there one born without this caule may be as happy as he that is born with it There belong to the child whilest it lieth in the womb some things that are proper for it some to cloath it and are only for that time that it lieth in that place and afterwards of no known use though some have tried to make use of them in Physick and Chirurgery but commonly they cast it away Some things again serve to nourish and feed it in the womb and those are the Navel-vessels which are four in number two arteries one vein and that vessel which is called Vrachos which carrieth away the childs water in the womb to that skin that is prepared to hold that water so long as the child staies in the womb and it is called Allantois The vein I speak of comes from the Infants Liver and
the Womb. Take two pound of the crumbs of the inward part of white Bread Cammomile flowers one handful Mastick two drams Cloves half a dram bruise them and mingle them well with some Maligo Wine and two ounces of rose Vinegar boil them to a Pultiss and lay it on a double Cloth to the Os pubis Purgations may not be used unless the belly be bound and then a gentle Glister or some Manna or Cassia about half an ounce is safe to give by Potion Slipperiness of the womb is cured by an injection made of Pomegranate pills boil'd in Oyl of Lillies Or take Mastick Myrtle Gallia moscala of each half a dram mix them with Goose-grease and Sheeps-Wool and sew them in a linnen cloth and make a pastry and tye a string to it to pull it out again when you have put it up into the place To strengthen the Matrix Take four ounces of the Oyl of Nuts Barrows-grease one ounce and half Cypress-nuts Mastich of each one dram and half boyl them all about five hours and with this annoint her belly womb and reins of her back BOOK V. CHAP. I. How women after Child-birth must be governed THere is great differences in Womens constitutions and education you may kill one with that which will preserve the other tender women that are bred delicately must not be governed after the same manner that hardy Country women must for one is commonly weak stomach'd but the other is strong if you should give the weak woman presently after delivery strong broth or Eggs or milk it will cast her into a Feaver but the other that is strong will bear it but tender women must be tenderly fed and nothing given them that is of hard digestion nor yet what they have no mind to provided that what she desires be not offensive but for the first week she lies in let her have boil'd and not roast Jellies and Juice of Veal or Capon but no mutton Broth for that may make her Feaverish let her drink barley water or boyl one dram of Cinnamon in a pint of water dissolving two ounces of fine Sugar in it if she will drink wine mingle twice as much water or two third parts with it but let it be white wine in the morning and Claret in the after-noon she may sometimes drink Almond-milk but beware of crudities Some women when they lie in are still sleeping some cannot sleep if she cannot sleep let her drink barley water well boyled not straining it at all but let her forbear it after the first week lest it nourish too much and stop the Liver Baths for Child-bed Women For the first week let her Womb and Privities be bathed with a decoction of Chervil a good handful boiled in a good quantity of water adding to it after it is boiled one ounce of Honey of Roses this will draw away the purgations and cleanse and heal the parts and it will take away all inflammations For the second week boil Province Roses put in Bays Wine and water and with this decoction bath her secrets Keep her not too hot for that weakens nature and dissolves her strength nor too cold for cold getting in will cause torments hurt the Nerves and make the womb swell Let her diet be hot and eat but little at once some Nurses perswade them to eat apace because they have lost much blood but they are simple that say so for the blood voided doth not weaken but unburden nature for if it had not come away long diseases or death would have succeeded some say Oat-meal Candles are good for them but oat-meal makes people troubled with the green sickness by its binding quality boyling will never make a binding thing to purge ill humours as they say it doth Child-bed Women but purging things by boyling may sometimes be made to bind Let her for three daies keep the room dark for her eyes are weak and light offends them let all great noises be forborn and all unquietness remembering to be praising God for her safe delivery First then so soon as she is laid give her a draught of white wine burnt with a dram of Spermaâ—cety melted in it Vervain is an herb that fortifies the womb it is fit to gather in May and June you may dry it in the Sun and keep it to boil with her meat and drinks you shall profit more in two daies with it than in two weeks without it If the woman be Feaverish boil Plantane leaves and roots with it and if she be not yet they will do well together for the heat of the one is tempered by the coldness of the other But if her purgations stop for Plantane take Mother of tyme. If her purgations be clotted and smell filthily or the after-burden be not quite come away boyl Featherfew Mugwort Penniroyal Mother of time in white wine sweetened with Sugar let her drink that new laid eggs and Sugar Penides are best for her to eat often of moderately and boyl Cinnamon in all her meats and drinks Let her talk little nor stir much especially if she be weak for six or seven dayes after she is delivered is a decoction of Mallows with a little red Sugar is a good Glister if she be too costive Crato prescribes Coleworts and Chrysippus makes them to be a universal remedy for all diseases but they are too windy for women in Child-bed After the first week if she be near clean of her purgations she may use Comfry and knot-grass in broths to close the womb that hath been so much opened you may use a little purging with them Therefore put in some Poâ—ypody of the Oak that is best leaves and roots both being bruised the quantities are almost at your discretion Sometimes pains encrease after delivery Hippocrates saith women are most subject to them after the birth of their first child some Physicians think it is by reason of the thinness and sharpness others from the thickness and sliminess of the blood but if you use the former directions these pains may be prevented What I said of Vervain before is a good remedy or else boil an egg soft and mingle the yelk with a spoonful of water of Cinnamon and let her drink it also a fume of the powder of bay-berries cast on a chafing dish of coals received at her secrets is a great help And for present ease boyl an equal quantity of tar and barrows grease together when it boyls put in a little pidgeons dung to it spread it on a linnen cloth and lay it hot to her reins she may drink half a dram of Bay-berries in powder in a quarter of a pint of Muskadel you may see by this that cold and wind cause these pains For Excoriation of the Privities Annoint them with Oyl of sweet Almonds or Oyl of St. John's wort which is better Against the Piles or Hemorrhoids Take Polypody bruised and boyl it with your drinks or meats Let her be let blood in the Saphena
the woman is weak already by her travel Good diet and gentle sweating cure a Milk-Feaver but there must be purging and many remedies used for the other as bleeding in the foot cupping of the thighs to provoke the after purgations but if the time of after-purging be over if she be strong then open a vein in the Arm. It is dangerous to purge the woman after the seventh day as some do when she hath a Pleurisie because of her weakness after travel and because purges hinder the after-flux but you may if the flux of blood cease if need be give a gentle purge with Cassia or Manna sirrup of roses or Sena or Rhubarb Too cold and sharp things are naught take heed of cold drink or too much drink let her diet by degrees increase from thin to thicker If the Feaver came from too much milk or terms stopt open a vein in her foot then purge a way the gross humours with sirrup of Maidenhair Endive of each one ounce waters of Succory and Fennel an ounce and half a piece Sharp and putrified humours must be purged away with proper medicaments as water of Succory and violets of each two ounces sirrup of the same of each one ounce cooling Glisters are good here if there be need you may purge stronger but this is not usual I shall give you one example take two drams of Rhubarb in powder Diagridium four grains let them infuse all night in Succory and Anniseed water two ounces and half of each and one ounce of Borrage flower water warm them gently in the morning and strain them well through a linnen cloth add to the strained liquor one ounce of sirrup of Succory Cinnnamon water two spoonfuls drink it warm Then after you have well purged away the ill humours you may gently sweat her to open the passages of the body and womb you will find examples of them in the Treatise of the Courses stopt CHAP. IV. Of the looseness of the belly in child-bed Women THis may be thought a small matter in respect of other infirmities yet this is one of the most dangerous distempers and hardest to help in child-bed women for stop the flux you will stop her purgations if you stop it not she will perish by weakness nothing almost is safely given Physicians are at a stand in such a case but it is good be wary and moderate in what is done and it may be helpt God willing It is not safe to stop it presently and if it continue it may cause a Tenesmus or a dysentury if it come from ill diet let her mend that and strengthen her stomach outwardly if yet it continue use inward remedies that corroborate the stomach yet hurt not the womb as Barley water Honey and sirrup of roses cleansing Glisters are good and to temper sharp cholerick humours But the best way is to observe what loosenes of the belly she is molested with for if it be that they call Diarrhoea that will only discharge her body of ill humours therefore do nothing in that case but let her take strengthening food for when nature hath eased her self sufficiently she will stay both the looseness of the belly and her purgations from the womb and so no ill accidents will come but if the flux be Lienteria that the food comes away with the stools undigested annoint her belly with Oil of Mastick and of Myrtles and give her some sirrup of dried Roses pulp of Tamarinds or some torrified Rhubarb to purge the belly and not hurt the womb But if it rise to a Dysentery called the bloody flux then so soon as her Terms are purged away try to stay it 1. By purging as take half a dram of bark of yellow Mirobolans of rosted Rubarb as much finely powdered sirrup of Roses or of Quinces one ounce pulp of Cassia or of Tamarinds with Sugar half an ounce Plantane or Oaken water four ounces let her drink this at once 2. Abstersives are good as of whey or barley water or Glisters of Mallows Mellilot Wheat-bran and Oyl of sweet Almonds 3. Narcoticks to ease great pains Philonium Romanum two scruples Rose-water two ounces Maligo wine one ounce give it when she goes to sleep this is excellent In this case astringents are to be used but not in the former distempers here they profit there they are dangerous Of Womens vomiting in Child-Bed Women both before they fall in labour and at the time of their travel and also afterwards will sometimes fall to vomiting and it may proceed from ill diet or raw humors or from weakness of their stomach or consent of the womb when the after flux is stopt and sometimes they will vomit blood for the blood that is stopped below runs back to the great veins and liver and being much and sharp finds a way into the stomach and so comes forth at the mouth It is ill after child-birth especially the food being vomited there will be nothing to make milk for the child and sometimes in hard labour a Vein is broken and this may cause a dropsie if ill diet cause vomit rectifie that if ill humours stop it not presently but purge gently if blood come pull back by rubbing or cupping or bleeding opening a Vein in the foot ham or ankle and urging the after flux Sometimes the woman is costive then give her a suppository with Castle sope or Honey and then stay four or five days till you may give a Glister with Manna or Cassia If her Urine run away against her will bath her parts with a decoction of Betony Bays Sage Rosemary Origanum Stoechas and Penni-royal for her vomiting give her three spoonfuls of Cinnamon water one ounce and half of juice of Quinces about a spoonful at a time The leaves of Rosemary dried and brought into powder and so drank about a scruple or half a dram at a time in a cup of wine will stay vomiting preserve or Marmalade of Quinces or Medlars eaten or Pears or sowr Apples do strengthen the stomach juice of Barberries or of Pomegranates or sowr Cherries with Mint water There are many topical applications to be made to the pit of the stomach which being laid on and so continued prevail much as thus take the crum of the inside of a white loaf and tost it and steep it in good Maligo Wine and strew it lightly over with the powder of Cloves and Nutmegs or sirrup of Roses Rhubarb or pulp of Tamarinds and astringents of Roses Plantane Coral Tormentil if the Terms flow not at all the belly must be kept loose but vomiting is so perillous that it ought to be stopt alwaies provided it be done no sooner than it is needful and with good provisoes CHAP. V. Of Womens diseases in general WHosoever rightly considers it will presently find that the Female sex are subject to more diseases by odds than the Male kind are and therefore it is reason that great care should be had for the cure of that
their brests True it is that it is a certain sign of a living child in the womb when there is milk in the Breasts and of a mole or false conception when there is no milk But that milk that maids sometimes have in their breasts is only a watry humour when their courses are stopt and cannot get forth of the womb then the Breasts by their faculty make whey but cannot make milk without there be first carnal copulation it is white as milk is but not so white nor so thick neither comes it to the breasts by the same veins that that blood that makes Milk comes into them by for this breeds in the veins of maids from the superfluous nutriment of their breasts But to enlarge a little more concerning that distinction of Maids from Wives by the straitness of the Orifice of the womb There are three diseases in this part of the secrets either the mouth is too strait or too wide or sometimes there hangs forth the Yard of a woman The Privity is too strait when there is not room for the Fore-man to enter Such persons seldom child and are delivered with great danger and difficulty and if this come from ill conformation that nature hath made them so it will be hard to cure them by any thing but copulation and bringing forth of Children to enlarge the place yet sometimes this straitness comes from the use of astringent Medicaments when whores desire to appear to be maids sometimes the passage is so close shut up on the outside that nothing can come forth but water and the courses and sometimes neither of them because they are attracted not bored nor pierced by nature This disease is threefold it is either in the mouth neck or middle body of the womb it is never good for copulation conception or for the courses to be voided by I remember I saw a woman that had the Orifice of the matrix so little that nothing but the Urine and her courses could pass through yet she conceived with child no man can suppose how she received the mans seed but by attraction of the Matrix the midwives when she was to be delivered discovered the difficulty and a Chirurgeon made the Orifice wider and she was by that means happily brought a bed of a Son The cleft may be also close stopt by reason of some wound or Ulcer cured in that part I saw a woman which by the French disease had been much eaten off yet when it was healed it grew close together that there was no passage left but for her Urine to come forth by either proud flesh in foul diseases or else some membrane by evil conformation may stop the passage if it be in the mouth of the secrets it is visible but if in the neck it lieth concealed Unless it be when the courses are flowing or Copulation is used it is not painful and maids are supposed to be with child for the belly tumifies and the body is discoloured The terms cannot well come forth of the neck or the Veins of the womb if there be an Ulcer or inflammation you may know almost whence it came but if a membrane stop it the place is white if the flesh be red and you touch it the touch will discover it for a membrane is harder than the Flesh the hazards are great for childing women CHAP. VII Of the Straitness of the womb SOmetimes there are superfluous Excrescences that fill up the Privites and are like a tail I spoke something before of a Clitoris but these are not that for a Clitoris if it be rubbed increases pleasure in copulation but these fleshy excrescensces are painful to be touched and hinder copulation you may safely cut them off if you can come at them because they are redundant There are a kind of wings in a womans secrets much like to the comb of a cock for colour and shape it swells like a Yard sometimes in lust it is full of spirits and is hard and Nervous at the top of it sometimes it is no less than the Yard of a man and some women by it have been suspected to be men it proceeds from much nutriment and frequent handling of the part that is loose To cure it you must first discuss and dry it with easie astringents then you may go on to Causticks that are not dangerous as burnt Allum or Egyptiac if these cure it not then you may at last cut it off or tie it with a horse hair or piece of Silk till it fall off but cut it not at first for fear of pain and inflammation The way to cut it off is taught by Aetius to cut it neatly between both the wings causing as little pain as possible may be and after that foment the place with an astringent Decoction of wine with Pomegranate Flowers Cypress nuts Bay Berries Roses and Myrtles Some call this disease Tentigro when the Clitoris grows bigger by odds than it should be it is a nervous piece of flesh which is lapt in by the lips of the Privitie and it riseth in the act of Copulation it hangs below the Privy parts outwardly like a Gooses Neck in bigness and it comes from a great Flux of humours to the part being loose and often handled The way to cure it is to purge superfluous humours forth and to draw blood and use a spare diet and very cooling and to discuss with the leaves of Mastich tree or of the Olive You may take away the excrescence by Sope being boiled with Roman Vitriol and last of all add a little Opium make some Troches and sprinkle the powder upon the superfluous part and after that cut it off or cure it by ligature as I said before There is another fleshy substance that sometimes fills up the privy parts coming from the mouth of the womb and hangs oftentimes out like a Tail it may be easier taken a way than the former by the same means of cutting or binding with a thread or silk dipt in sublimate water There are many other infirmities that stop up the secrets of the womb of which I shall briefly speak but the straitness of the neck of the womb it self is not so usual as too much wideness is you may know when it is too strait by the stopping of the Courses and a weighty pain bearing down It proceeds partly from ill conformation by nature and partly from Diseases sometimes it is so shut up outwardly that neither the courses can come forth nor the mans Yard enter in that it is not possible for her to be with child if the straitness be in the inward Orifice the courses run back again for want of passage and hinder conception It may happen when the caule lieth to that and presseth upon the neck of the womb the stone in the bladder or swelling in the straight Gut may cause it also if the parts cling together naturally either soft red flesh or a white hard skin causes
Barley Lentils Beanes Lupines of each one Ounce and two drams of Orris Roots and of Horehound Wormwood and a little Centry of each half a handful boil all in Whey strain it and put some Honey of Roses or Hydromel to it Turpentine washed and with Liquorish swallowed is good Drink Sheeps milk sweetened with Sugar Fumes made with Frankincence Myrrh Mastich Storax Calamita Juniper Gum received by a Tunnel do good if there be a jealousie of the Pox add a little Cinnabar but Pessariers with Opium must not be held in above half an hour for it will hurt the Nervous part of the womb a scruple of the Pills of Bdellium taken thrice a week may be profitable Vulnerary Potions drunk and astringent powders cast upon the Ulcers must not be neglected Sometimes there are long Ulcers in the neck of the womb like to those that eat the skin and are seen upon some mens hands and feet in Winter sometimes they are bleeding and sometimes very dry and have hard lips much labour and sharp humours to the parts may cause them when they are new they are easier cured use a good moistening diet if sharp humours cause them purge them forth and anoint the Ulcers with Oil of Linseed and Roses mingle them in a Leaden Mortar with juice of Plantane and the Yolk of an egg when they are hard anoint them with deers Marrow Turpentine wax and oil of Lillies when they are malignant they are cured as Fistulaes are if they itch or cause pain make an unguent of Populeum and Diapompholix of either one ounce Camphire Sugar of Lead of each a scruple when there is a great itching of the womb it is somewhat like the rage of it then eat Sallets of cooling herbs Purslain and Lettice with a few Spearmints oil and vinegar or take conserve of Mints and of Water-Lilly-Flowers of each an ounce Lettice candied six drams Agnus Castus seeds one dram and a half Coral one dram Rue feeds half a dram Camphire a scruple with sirrup of Purslain make an Electuary annoint the Reins and secrets with Galen's cold ointment with a little Camphire As for the womb it is soon ulcerated because the parts are soft and easily corroded and hard to be healed and these ulcers are of many kinds hollow crooked or strait if the sharp humors be retained it makes furrows and divides the parts which growing hard with a callous cannot join again thus it degenerates into a Fistula it may be without pain with hard Lips and an ill matter may be pressed forth of it sometimes it corrodes the bladder and then the water passeth forth by the Fistula and sometimes to the Fundament and the Dung is voided by it An old Fistula is harder to cure than a new and a crooked than a streight General remedies and a good Diet may do much and so leave the rest to nature to evacuate the excrements but use a palliative cure by often Sweating and purging twice a year and by Injections and Corroboratives laying on a Plaister of Diapalma After general meanes if it be not past hopes Vulnerary Decoctions may help made with Centaury Bettony Agrimony Ladies mantle and roots of male Fern. Topicks are useful first dilating the Orifice with Gentian Roots or with a Sponge then make soft the Callous with Turpentine wax Deers Marrow and Oyl of Lillies then consume the Callous which may be effected For a new narrow Fistula use black Hellebore Egyptiac or Vigo 's powder carried to it with a Pencil or Aqua Falopii or take Rose and Plantane water of each six ounces put to it Sublimate half a scruple set it on the Embers in a Glass but if the Fistula be toward the womb beware of violent means if it be foul and a hard Callous withall a Potential Caustick may do good but a Horrion is best all these are safe in the outward part of the Neck of the womb but in the inward there is greater danger A Cancer in the womb is seldome seen nor can it be ever cured but that which is in the Neck of the womb I shall instance in which is either with an Ulcer or without an Ulcer First It comes without an Ulcer but when long Applications are used to them hard schirrhus Tumours which spring from burnt black humours and Terms that flow to those parts chang to an Ulcerated Cancer Secondly It may be in the part not Ulcerated a long time and not be known because it is without pain but at length there will be a pain felt in the Loins and bottom of the belly the swelling looks blew and loathsome when it becomes Ulcerated it is worse and a thin black stinking matter comes from it If much blood flow from it that is dangerous there will be a soft Feaver red cheeks and loathing by reason of the vapours that rise from it Mild Remedies are not felt and strong meanes make it worse it growes harder daily keep it from being Ulcerated and you may live long with it Prepare and Purge Melancholy from whence it proceeds Use no sharp biting applications at first but onely Diapompholyx or juice of night shade Plantane or Purslane Give every day three or four Grains of a Powder made of Oriental Bezoar stone Saphyrs and Emeralds of each one dram in waters of Scabius or Carduus take also juice of Nightshade six ounces burnt Lead washt and Tutty of each two drams Camphire half a dram put Cray-fish powder to them and stir them well in a leaden Mortar An Injection made with a Decoction of Cray-fish is held to be very good and make a Cataplasm and a Fomentation with milk Saffron water Lillies Mallowes Marsh-mallowes Coriander Dill and Fleabane seed Arsenick and Antimony may be good in some remote parts but are dangerous here There was a Noble woman who had a Cancer Ulcerated upon her Face and sought for help from all Countries at last a Barber cut a Chicken in the midst and often applyed that and it drew forth the Ulciome and the Lady was cured The womb is very soon corrupted by the many ill humours that flow thither and it will quickly Gangreen and the parts mortifie the natural heat being extinguished by reason of some preceding Ulcer the neck of the womb will feel an unusual heat and a Feaver runs through the body the part is discoloured and neither beats nor feels any thing prick it or cut it it stinks The Party that hath it faints and decayes wherefore strengthen the heart with cordials and the principal parts least the Spirits be infected cut off the dead flesh stop the corruption by scrarifying it if you can come at it then wash the part with a decoction of wormwood and Lupines and Egyptiac apply Epithems to the heart it is worse when it goes to the womb than when it comes outward Some have had their womb fall out and yet recovered as to life which was before endangered The Neck of the womb is onely subject
for it doth no good Sometimes but seldome the courses stop with Fulness such must saith Riolanus be let blood in the arm but with great care CAHP. X. Of the overflowing of the Courses or immoderate flux thereof THis distemper is contrary to the former and Women are often subject to it and it brings many diseases great weakness loss of appetite ill digestion dropsies consumptions pains in the back and stomach Their ordinary continuance should be two or three daies or four or five daies in large People but if they stay longer it is not good or if they come oftener than once a month I mean the Moons Month passing through the twelve Signs that is twenty seven daies and odd minutes The causes may be falls or blows or strains or hard labour over-heating the body which makes the blood thin or from weakness of the retentive faculty and too much strength of the expulsive faculty or from crude raw blood and weakness or too much moisture and this is the cause that some women have their terms by drops and it lasts long and there is pain and the secrets are alwaies wet if this be not remedied it may cause Ulcers and inflammations if the blood be superfluous open the arm not the ancle vein if it be Cacochymical correct it if too thin and sharp correct and amend it by coolers and thickeners and strengthen the wombs retentive faculty by astringents and convenient driers Many think that the overflowing of the Terms and Issues in women are the same diseases but that is not so as Galen shews for by superfluous Flux of the courses only blood is voided but in too great a measure But women continual Issues send forth not only blood at certain periods but various humours that cause the disease The Terms exceed when they flow in too great abundance in a short time or continue longer than is needful the one resembles violent rain the other flow rain but lasts long If too much blood be the cause of this superfluity the blood will be whitish and pale if choller the terms will be yellow if melancholly they will be dark coloured black or blew it weakeneth all the body and the Liver and Bowels dip a clout in the blood and dry it in the shade and then the colour of the blood will shew the humour that offendeth and accordingly prepare your remedies Sometimes it causeth swounding paleness the whites or the dropsie If fulness be the cause abate blood opening the Liver vein of the right arm repel cool bind bleed little but often use cuppings to the back and breast against the Liver below the paps to draw the blood back but scarifie not under the breasts upon the Salvatella bind and rub the arms and shoulders Waters of Plantane Purslain Shepherds Purse Sorrel sirrup of Pomegranates or dried Roses will cool and thicken the blood and so will Bole or Sealed Earth sirrup of Poppeys Philonium Laudanum are good If it proceed from choller purge with sirrup of Roses of Rhubarb or with Senna or Manna if watry blood be the cause the Reins and Liver are out of temper sweat with China and strengthen those parts Do not force veins but use astringents take the juice of ass dung sirrup of Myrtles of each half an ounce with an ounce of Plantane water let the woman drink it and not know what she takes lest it offend her or give every day a dram of the powder of Mulberry tree roots When you use cold astringents temper them so that you stop not the Veins use no Pessaries except the Veins of the neck of the womb be open Cold and binding fomentations are better than baths for baths make the humours to flow more wash the legs and hips in cold water If choller persist Rhubarb powder in conserve of Roses is very good The principal causes of this overflowing are but four viz. 1. Some of the Vessels broken or much dilated 2. Violent Purgation 3. Corroding humours 4. Hard travel in Childbed or the Midwives unkind handling First if the Vessels be broken the blood gusheth forth in heaps if flowing of humors they come with much pain though the quantity be small Secondly All Physicians almost wish to stop the Courses first that are too many before you strengthen the woman But I think it more reasonable to strengthen nature first and nature will help her self with less means but strengthen the womb and annoint the reins and back with oils of roses Myrtles Quinces do this every night lay a piece of white bays then next your reins upon the bare skin and keep it there constantly inject the juice of Plantane into the Matrix it seldome fails You may drink of the decoctions of Sage Bistort Tormentil Knotgrass Sannicle Ladies-mantle Golden Rod Loos-strife Meadow Sweet Archangel Solomons Seal Purslane Shepherds Purse red Beets Bark and Cups of Oak and Acorns But I commend this medicine take of Comfry leaves or roots of either a handful and of Clowns all-heal the same bruise them and boil them well in Ale drink a good draught when you please and it will help you though the mouths of the Vessels be open Too much blood is lost in the overflowing of the courses when the faculty is hurt by it otherwise the quantity cannot be defined The immediate causes are the opening of the Vessels but the mediate cause is the blood offending in quantity or quality Vessels are opened three or four wayes by Anastomosis when the mouthes lye open by reason of a moist distemper or use of Aloes or hot and moist bathes or from Diapedesis when the blood sweats through the Coats this is not often or from Diaeresis when the sharpness of the blood eates the Vessels in sunder if a Vein be broken Coral Bole Myrtles Comfrey are good to bind or a Poultis with astringent powders and the White of an Egg. Thirdly If a vessel be Corroded a dram of the roots of Dropwort in a new Egg will glutinate Sleep long use little Exercise nor Venery but eat little if it come from Plethory use thin Nutriment beware of hot things alwayes purge the humour that offends vomits are good to stay and turn the course of the humours Take Conserve of Roses two ounces of water Lillies one ounce prepared Pearls and burnt Harts-horn of each half an ounce Bole Armoniac and Terra Lemnia of each half a scruple make an Electuary with sirrup of Plantane this is cooling thickning and binding or in case of great necessity take a Bolus made with old conserve of Roses half anounce Philonium or Requies Nicolai two scruples or but a scruple of each let them drink Red Wine or quench steel in their drink or bloil Plantane Seeds Leaves and Roots in their drink CHAP. XI Of the whites or Womens Disease from corruption of humors WHen the body grows Cacochymical womens Courses stop or run very slowly and sometimes they abound sometimes all humours run thither to a general vent
and the whole body is purged by it but the womb is not affected it is a filthy disorderly Evacuation either before or after Terms or when they are wholly stopt the colour of the matter is blew or green or reddish few maids have this Disease women with child may it is not the running of the Reins for that is in less quantity whiter and thicker nor from nightly Pollutions which come onely in sleep The cause is some excrementitious humor sometimes like watry blood a cold and moist womb breeds this Disease or when ill humors are gathered in the whole body or Liver Spleen or stomach they are sometimes thus voided nature that useth to send forth good blood by the Veins casts forth these ill humours by them they are of divers colours and stink If it be from a Phlegmatick humor the Ligaments of womb grow loose and the womb falls out in time they make thick veins and they are discoloured in their Faces short breathed if the humor be not bred in the womb it comes from a Cacochymy of the whole body if it comes from the whole it is more in quantity if onely from the womb it is but little Many have had this Disease long and found no great hurt but if it be not timely looked to it will do mischief causing Consumptions Faintings and Convulsions when the matter is sent to the nerves and brain You must not stop it suddenly for so it will find a way to the nobler parts Bleeding is naught in this case general Evacuations are good and after particulars according to the part diseased The whites and over-flowing of the Terms I say are a disease and although it resemble the Gonorrhaea it is not the same it is also like the matter that flows from an Ulcer of the womb but it is not that neither The running of the Reins in Men women is not the same disease with this the running of the Reins is peculiar to unchast women but this flux of whites may proceed from too much cold or too much heat and hath many differences as will appear by the colour of the matter sent forth the colour shews the peccant humor it is necessary for the cure to search whether it be a Gonorrhaea or involuntary flux of seed which both women and Men are subject to and the remedies are the same as the causes are in both Women commonly call the whites the running of the Reins but the running of the Reins comes most commonly by unlawful Venery or excess in that Act but the proper cause of the whites is too much superfluity of Excrement but where those Excrements are bred is doubted Some say these corrupt humours are daily bred in the principal parts others say they come onely from the womb and seed Vessels others say from the Reins onely and the womb is unaffected But Galen plainly shews that the whole body is affected that dischargeth it self by the womb and therefore weak and flegmatick women are most subject to have the whites To cure it first observe a strict Diet cleanse the whole body by purging letting blood Sweating and Diureticks in very moist bodies prepare the humours three or four dayes before purging or take Cassia new drawn one ounce powder of Rhubarb one dram with sirrup of water Lillies or Violets take it in the morning dissolve it if you please in Posset drink and about two hours after take some broth You may take every day a dram of Trochisci de Carabe in Plantane water or give every second or third day a dram of the filings of Ivory in Plantane water a very laudable remedy To sweat also is very laudable in this case take Barley water three ounces strong wine two ounces drink it warm and lie and sweat Conserve of Roses and Marmalade are excellent for this disease drink the decoction of Comfrey Roots with Sugar to sweeten it take three or four ounces at a draught Whites of eggs well beaten with red Rose water and made with Cotton or Linnen into a Pessary and put into the Matrix with a string tied to it to pull it out again is commended Diureticks are not good till the body be well purged and then they will help to drive the ill humour forth by Urine Lest the womb be hurt with ill humours inject a decoction of Barley Honey of Roses and Whey with sirrup of dried Roses Take red Saunders two drams and a half yellow Saunders one dram and a halfe red Roses three drams fine Bole a quarter of an ounce burnt Ivory one dram Camphire half a dram white wax one ounce oil of Roses three ounces make an ointment This is not only good to anoint the secrets but also to cool the inflammation of the kidneys stomach liver and other parts If the Whites flow from abundance of superfluous humours you may evacuate much through the skin by often rubbing of the body but first rub easily and by degrees rub harder Of these fluxes there are three sorts White Red and Yellow and there are three kinds of Archangel or dead nettles to cure them First The White Flowers helps the Whites Secondly The Red are to cure the Reds Thirdly And the Yellow flux is cured by the Yellow Half a dram of Myrrh taken every morning is commended or a scruple of the Pills of Amber at night often taken they will not work till the day following Many strange things are oftentimes voided by the Womb as Stones and Gravel And Peter Diversas relates that a Nun voided a rugged Stone as large as a Ducks Egg and it gave her some ease but there followed a foule flux of the Womb that killed her Garcias Lopius saw a Woman that voided many Ascarides or small Worms by the Womb. When stinking humors are cast forth this way it is not properly the Running of the reins for both sexes have sometimes the running of the reins and most commonly it comes from a foul course whereas the whites come from a corruption of humours if it run white and little and thick it is a true flux of seed if it last and be not cured it brings a wasting of body and barrenness if this flux grow from fulness of Seed the buds of willow steept in wine will cure it if it proceed from a weak retention give half a scruple of Castor and use astringents to the reins and belly or a bath of willow leaves Myrtles Quinces each two handfuls red Roses Rosemary each a handful Cypress Nuts three ounces let her sit up to the Navel apply bags of the same to the Loins and Privities and anoint the said parts with oil of Mastich and Myrtles CHAP. XII Of the Swelling and Puffing up of the Body especially the Belly and the Feet of Women after Delivery THe Swellings of these parts in Childbed women come either from a depraved diet used whilest they were with child or else drinking immoderately after delivery or it may be they abound with more blood
some but in others by accident from cold Air cold Diet and Medicaments or from too much idleness the signs are quite contrary to the former for the other are extreme desirous of Venery and these abhor it and take no pleasure in it they have few or no hairs about their Secrets and their seed is watry and Slimy their wombs are windy and they are subject to Gonorrhaeas and the Whites The Cure is long and hard to be done but they must use such things as warm the womb with drinking good wine and sometimes Cordial Waters and good warm nourishing Meats and of easie digestion with Anniseed Fennel seed and Time And Fumigations are good of Myrrh Frankincence Mastick Bay berries of each a dram Labdanum two drams Storax and Cloves of each a dram Gum Arabick and wine make Troches put one or two upon a Pan of coles and let her receive the Fume at the Matrix Then take Labdanum two ounces Frankincence Mastick Liquid Storax of each half an ounce oyl of Cloves and of Nutmegs of each half a scruple oyl of Lillies and Rue of each one ounce Wax sufficient make a Plaister and lay it over the Region of the womb But if the womb be moist and this is commonly joyned with a cold distemper it drowns the seed like as if a Man should sow Corn in a quagmire The causes are almost the same as of cold for it is Idleness that is the cause in most women that are troubled with it and such women have abundance of Courses but they are thin and waterish and the whites also their Secrets are alwayes wet they cannot retain the mans seed but it slips out again This must be cured as the cold distemper by a heating and drying Diet and Medicaments Baths Injections Fomentations wherein Brimstone is mingled but take heed of Astringents for they will make the Disease worse by stopping the ill humours in The fourth is a dry Distemper of the womb this is natural to some but to most it comes when they are old and past childing when the womb grows hard if it be from any other drying causes such women will be barren before they be old It may proceed from diseases as Feavers Inflammations Obstructions when the blood goes not to the Matrix to moisten it so that if they void any blood it comes from the Veins in the neck of the womb and not from the bottom they have but few courses little seed they are of a lean dry Constitution their lower Lip is of a blackish red and commonly chapt This Distemper if it be long is seldom cured moistning things must do it as Borage Bugloss Almonds Dates Figs Raisins Moistning and nourishing Diet is good and to forbear salt and dry meats avoid anger sadness fasting and use to sleep long and labour but little rub the parts with oyl of sweet Almonds Lillies Linseed sweet Butter Jesamine Hens or Ducks Grease Besides these four there are compound distempers as cold and moist wombs and hot and dry but I presume I need not in particular speak of them because I have given sufficient remedies in the several qualitis already which will be easie to apply I confess a compound distemper is harder to be cured than a simple therefore I shall add one or two remedies more First If then the Womb be cold and moist cure this with surrup of Mugwort Bettony Mints or Hyssop then purge the cold humor with Agarick Mechoachan Turbith and Sena Sudorificks of Guaicum Sarfa and China are very good Secondly If the womb be subject to a hot and dry distemper you must put away choler from the Liver and from the whole body those things that will do it are Manna and Tamarinds sirrup of Roses Rhubarb Senna Cassia and the like which are very safe gentle and effectual Remedies BOOK VI. CHAP. I. Of the Strangling of the womb and the effects of it with the Causes and Cure THe womb by its consent with other parts of the Body as well as by its own nature is subject to multitudes of diseases and it is not to be uttered almost what Miseries women in general by meanes thereof be they Maids Wives or widowes are affected with But amongst all diseases those that are called Hysterical Passions or strangling of the womb are held to be the most grievous Swounding and Falling Sickness are from hence by the consent the womb hath with the heart and brain and sometimes this comes to pass by stopping of the Terms which load the heart the brain and Womb with evil humors and sometimes it ariseth from the stopping in of the seed of Generation as is seen in Antient Maids and widowes for by reason hereof ill vapors and wind rise up from the womb to the Midriff and so stops their breath it is most commonly the widowes disease who were wont to use Copulation and are now constrained to live without it when the seed is thus retained it corrupts and sends up filthy vapours to the brain whereby the Animal Spirits are clouded and many ill consequents proceed from it as Falling Sicknesses Megrims Dulness Giddiness Drowsiness Shortness of breath Head-ache beating of the Heart Frenzy and Madness and indeed what not The same woman may be tormented with several of these at the same time when the seed and the Courses are mingled with ill humours being once corrupted The Menstrual blood and seed are noble parts but the best things once corrupted become the worst and degenerate into a venemous nature and are little better than Poyson When the Vessils of the womb lye near the Vessels of other parts of the body or there is near affinity of one part with the womb then by consent are many grievous Diseases produced The womb is of a membranous nature and for that reason it consents exceedingly with the nerves and membranes and so the parts that are near are soon offended by it and it conveys its ill qualities to the whole body by Nerves Veins and Arteries the Brain hath it by the membranes of the marrow of the Back and by Nerves the arteries they carry it to the Heart and the veins to the Liver and these are large in the womb and by them all the noxious blood and poisonous vapours return The Veins of the Mesentery give it a consent with the stomach and so do the arteries carry all to the Spleen which is the cause that some women in age grow hypochondriacal by heat of their blood because their courses did not flow sufficient when they were young It will be hard to distinguish these two diseases in women or to cure the one and not cure the other The Breasts they consent with the womb by Nerves and Veins that go from it to them so then it is clear that it holds a correspondence with the heart the Midriff the Brain and Head and all the instruments of motion and sense likewise with the Stomach Liver Spleen Bladder Belly Mesentery Hips Back straight Gut
burns and hot swellings and head-ach that comes of heat by a likeness and affinity it hath to draw hot vapours to it so Linseed oil is good against burnings Scaliger affirms that Camphire increaseth Venery it may do so if it be used seldome but often used it is certain that it will destroy it There is moreover from ill tempered seed and melancholly blood in the vessels near the Heart which contaminates the Vital and Animal Spirits a melancholy distemper that especially Maids and Widows are often troubled with and they grow exceeding pensive and sad for melancholy black blood abounding in the Vessels of the Matrix runs sometimes back by the great arteries to the heart and infects all the spirits when this blood lieth still they are well but if it be stirred or urged then presently they fall into this distemper they know not why and the arteries of the spleen and back beat strongly and melancholly vapours fly up They are sorely troubled and weary of all things they can take no rest their pain lieth most on their left side and sometimes on the left breast in time they will grow mad and their former great silence turns to prating exceedingly crying out that they see fearful spirits and dead men when it is gone so far it is hard to cure it is vain then to try to make them merry they despair and wish to die and when they find an opportunity they will kill or drown or hang themselves At first when the blood is hot and fiery open a vein in the arm if they have their courses if not in the foot or ancle to bring the courses down Cooling moistening cordials and such things as revive the spirits and conquer melancholy wil do much driers are naught for melancholly is dry Confectio Alkermes is commended for those that can away with it but Confectio de Hyacintho is better use a moistening diet To breed mirth give her waters of Balm and Borage of each three ounces sirrup of the juices of Borage and Bugloss of each one ounce and a half take this at twice and use it often To purge melancholly take six drams of Senna Agarick one dram and a half Borage and violet flowers of each a small handful two drams of Citron peels infuse all six hours in good Rhenish wine strain them and put to them sirrup of Violets one ounce CHAP. II. Of the Falling Sickness WHen Women by reason of the ill affections of the womb fall into Epilepsies and Falling sickness it is worse than any other cause as the symptomes prove for the poisonous vapor is not only in the Nerves as when it is from the brain but also in the membranes veins and arteries The same foul vapour that causeth strangling of the womb produceth this for it causeth divers diseases according to the parts it takes hold on but when it lights forcibly on the Nerves then it causeth the Falling-sickness Sometimes there is a convulsion of the whole body and sometimes but of some parts as of the head or tongue hands or legs eyes or ears some cannot hear others cannot see all lose the sense of feeling some cry out but know not wherefore They that fall if the vapour be not too strong when they rise they go to their work again as if they had no harm but here is not only convulsions as in those that have the Falling-sickness from other parts but stopping the breath as in the strangling of the womb but these seldome some at the mouth as those do for the brain is entire or not much offended nor is their hearing taken away quite by the vapour fastening upon the roots of the Nerves of the ears Rue and Castor that cure fits of the Mother are good here the cure is almost the same only you must add some things that respect the nerves and the Brain Use these Pills twice in a week before supper one hour and take a scruple or half a dram Take Senna and Peony root of each half an ounce Mugwort Rue Betony Yarrow half a handful of each boil them then clarifie the decoction put to it Aloes one ounce and a half of juice of the herb Mercury one ounce let it stand and settle pour off the clear liquor then add two drams of Rhubarb sprinkled with water of Cinnamon Agarick half an ounce Mastick and Epileptick powder of each half a dram make the pills with sirrup of Mugwort To mend the distemper of the head and Womb take conserve of Rosemary flowers and of the Tile tree of Balm and Lillies of the valley of the root Scorzonera Candied of each one ounce Diamoschu dulce one dram with two drams of the roots of Peony and seeds of Agnus Castus and sirrup of Stoechas make an Electuary to take at your pleasure Nor are these all the ill consequences of the wombs distempers but sometimes violent head-ach springs from it which is the greatest pain of all the rest and sometimes it is all over the head or but upon one side or in the eyes the ill vapours rising by the veins and arteries of the Womb to the membranes and films of the brain when the vessels are full of a thin sharp blood that is carried from the womb to the membranes it stretcheth and rends them and corrodes and bites so that the pain is intollerable the cure is to purge away the peccant humour that lieth in the Womb for this is not as other head-ach is that comes from other causes the pain runs also to the Loins and the Membranes there by some capillary veins from the womb The pain of the head by affection with the womb is in all the head commonly but is chiefly iâ— the hinder part of the head because the womb being Nervous consents with the membranes of the brain by the membrane of the Marrow of the back hence it is that women are more subject to the head-ach than men are because of the womb that holds such affinity with the Nerves of the head The violent beating of the heart and Arteries both in the Sides and Back is by consent from the womb when evil humors therein contained pass by the Arteries and Poysonous vapours arise to those parts Cordials are good as Cinnamon Water and Aqua Monefardi or Mathiolas his water the Disease seems small but it is not safe because the cause of it is very ill In this Disease the Artery that beats in the Back beats strongly because it is part of the great Artery but the Arteries that beat in the Hypochondrion beat not so strongly for they are smaller branches from the Spleen and Mesentery but the cause is the same The Arteries are inflamed by the ill vapours and humours sent from the womb and the heart is exceedingly heated by them but this hot humor sometimes beats by reason of the great Artery quite over the whole body but it lasts not long for there is little corruption of the humors Some say the blood
will do well to consume the Moisture that is superfluous Take the Meal of Beans and Orobus of each two ounces and a half Powder of Comfrey roots half an ounce Mints three drams Wormwood Cammomile Flowers Roses of each two drams when they are boiled with two ounces of oil of Mastick make a Cataplasme or take red Roses Myrtle leaves Horstail Mints Plantain a handful of each Flowers of sowr Pomegranates two Pugils boil all in Vinegar and red wine and with a spunge lay it warm to the breasts and let it dry on If Milk be too much in the breasts after the child is born and the child be not able to suck it all the breasts will very frequently inflame or Imposthumes breed in them they swell and grow red and are painful being over-stretched whence hard tumours grow too much blood is the cause of it or the child is too weak and cannot draw it forth Sometimes it goeth away without any remedies but if you need help then hinder the breeding of more milk and try to consume that which is bred if the child cannot draw it forth Glasses are made to suck it forth The woman must eat and drink with moderation and use a drying diet if she nurse not the child her self or if the child be weaned to dry up the milk take a good quantity of Rozin mingle it with Cream and being luke-warm lay it all over the breasts or make a plaister to dry up the Milk with Bean meal red Vinegar and oil of Roses lay it on warm If the Breasts be inflamed keep a good reasonable cooling Diet moistening and comfortable it is blood and not milk that causeth inflamation for milk when it grows hot makes pain and thereby the blood that staies in the small capillar veins being out of the vessels is inflamed and corrupt it may also come from Falls or bruises or strait lacing of the breasts if there be a Feaver and a throbbing pain and a red hard swelling the breasts are inflamed Inflammations may be without danger but the breasts that are loose and full of Kernels will soon turn to a Schirrhus or a Cancer If the body then be full of blood open a vein but if the Courses be stopt open a vein in the Ancle and after that in the arm You may purge bad humors easily with Manna or Senna if the blood be over hot eat Endive Lettice Water-Lillies Plantane Purslain use repercussives and moderate cooling things Apply a cloth dipt in oil of Roses with Honey and Water when the strength of the inflammation is past use Discussers as well as repercussives as take white-bread Crumbs Barley-flour of each one ounce and a half Flour of Beans and Fenugreek of each half an ounce Powder of Cammomile Flowers and red Roses of each tow drams boil them then mingle Rose Vinegar one ounce and as much of oyle of Roses and Camomil lay it over the breasts then use onely Discutients as take Bean Meal Lupines Fenugreek Linseed and Powder of Camomil Flowers each an ounce make a Cataplasme if the Matter begin to grow hard use things that soften and attenuate as take a handful of Mallowes and boil them soft Powder of Linseed Marshmallows and Camomil Flowers each one ounce boil all again and with an ounce of oyl of Jessamine make a Cataplasme If you find that it will come to suppuration lay on a Plaister of Diachylon if it turn to Matter and the Impostume break otherwise open it with a Lancet and let out the Matter then câ—eanse it thus Take Turpentine and Honey of Roses of each one ounce Myrrh a scruple it will be hard to cure the Ulcer unless you dry the Milk in the other breast because much blood will run thither to breed Milk An Erisipelas of the breasts comes from great Anger or some Fright which turns to an inflammation and is cured as the former apply no fat things nor cold repercussives to discuss the thin blood that makes the inflammation lay on a clout dipt in Elder-water and give her Harts-horn Terra Sigillata and Carduus with Elder-water to make her sweat Some womens breasts are too small when the blood cannot find a way to the breasts but is repelled and forced some other way or when the Liver is dry and the woman Feaverish toils over much or watcheth or from some cause that wasts the body Therefore feed well and foment the breasts with Warm water and white-wine wherein softning things have been boiled then anoint them with oyl of sweet Almonds and rub the Breasts often to attract the blood Sometimes hard cold swellings will breed in womens breasts and Phlegmatick swellings as we see in persons that have the Green-sickness their breasts will pill for the part is loose and spungy it is larger when the terms are like to flow and when they are gone it abateth for a while If it come from an ill habit of the body derived from the womb it is to be feared otherwise it may be discust or dissolved dry and hot meats and means are best If the Courses be stopt open them and cure the ill habit then use Topicks to discuss and strengthen the part they must be temperately hot otherwise you will cause a Schirrhus by resolving the thin parts and leave the thick to grow harder Make a ly of Colewort and vine Ashes and brimstone or a decoction with Hyssop Sage Origanum and Camomile Flowers then anoint with oyl of Lillies Bays and Camomile or take four ounces of Barley Meal and half an ounce of Linseed and of Fenugreek Dill and Camomile Flowers as much one ounce of Marshmallow Roots with oyl of Dill and Camomile make an application These Phlegmatick swellings must be discust at first or they may turn into Cancers She must eat Bread well baked parched Almonds dryed Raisins let her drink a decoction of China Roots Sassafras and Sarsa forbear Milk-meats unleavened Bread and Sleeping presently after meat Besides watry and Hydropick humours there are Kernels growing in the breasts which are small round spungy bodies and sometimes swell by humors flowing thither there grow sometimes other hard swellings caused by that they call the Kings-evil it is engendred of gross Phlegm or thick mattery blood and grows hard under the skin the stopping of the Courses is the ordinary cause when the Menstrual blood runs back to the breasts this will soon become a Cancer if it be not prevented by softning means and a moderate thin Diet keeping her self warm and using good exercise before Meats avoid idleness and meats of hard digestion Baths of Brimstone are good to be prescribed against windy and watry swellings But Celsus saith That the Scrofula of the Breasts is seldome seen for that must proceed from a thick Phlegmatick humor mixt with a melancholy humors it is sometimes painful and somewhat like a Cancer or will soon be turned to one but stands often times at the same pass for many years It comes from disorder or stopping
of the Terms there being so great consent betwixt the breasts and the womb you may feel the small kernels of the breast but that I speak of now is one unmoveable humor but the other are small If it lye near the skin it is soon dissolved but if it lye deep it will hardly be dissolved because the substance of it is so earthy first Purge then bleed after that apply softning and discussing remedies that are strong as you must do for a Schirrhus humor Take Orris Roots and boil them in Oxynel and stamp them mix them with Oyntment of Marshmallowes and Turpentine of each three ounces and one ounce of Mucilage of the seed of Fenugreek If you cannot discuss it ripen it or cut it open but take heed how you do it for this is troublesome and dangerous All these humors if they be unskilfully handled will soon turn to a Schirrhus from melancholy in the veins flowing to the breasts and it is thick flegm dried there are two kinds of it one is bred of Melancholy blood which is gross feculent or thick flegm mixed with it and this feels no pain but the other is not so hard for it is not yet fully come to its perfection and it is probable that it is mingled with other humors A perfect Schirrhus grows from the stoppings of the Spleen whereby the Melancholy blood is retained and being in great quantity falls upon the Breasts or else the courses stopt fly thither There is a double intention for the cure First Use emollient means to soften all that is hard and knotty in the breasts then keep a good Diet and beware of salt Meats and such as are smoak'd and hard of digestion and moreover all things of a sharp corroding faculty use moderate Exercise and Mirth provoke the courses if they be stopt and set on Leeches or bleed in the foot Sena and Rhubarb are good to purge the body well and when you have purged do so no more till you have used some Cordials as Conserve of Bugloss and Orange Flowers Confectio Alkermes Electuarium Degemus and Triosantules Sometimes flegm and melancholy are mingled to cause this Schirrhus but then it is but a bastard Schirrhus if burnt humors abound most it will be a Schrrhus if Melancholy a cancer Secondly The perfect signs of a Schirrhus are that it is very hard and feels no pain if it feel any it is not yet fixed it is coloured according to the humor white or black or blew a bastard Schirrhus is hot and painful if it go on it will be a Cancer and the Veins will swell and look blew if hairs once grow upon it there is no hopes of cure and the bigger and harder it is the more incurable Let general medicaments proceed and cure the cause from the Matrix and from the whole body soften attenuate and discuss the hardness but take heed of hot things that will discuss the thin parts and leave the thick behind neither use too many moistning softning means for that will ferment the matter and change the Schirrhus to a Cancer that is far worse but either soften and moisten and digest together or by turns A Fomentation of Mallows Marshmallows brank Ursine Camomile Flowers Linseed and Fenugreek are good anoint afterwards with oyl of sweet Almonds Hens grease Marrow of a Calf oyntment of Marshmallowes lay on the great Diachylon or the Plaister of Frogs take the Fume of a hot stone sprinkling wine upon it lay on a Plaister of Gum Ammoniacum dissolved in Vinegar of Squills a bastard Schirrhus will soon Cancerate Bleed purge away the humor that breeds black blood to hinder humors from flowing to it anoint with oyl of Roses and juyce of Plantane if it be hot beat them well in a mortar of Lead till they shew another colour then mix Ceruss and Litharge of silver one ounce with wax make an oyntment or take one ounce of Mallow Roots boil bruise them let Sheeps Suet and Capons greese of each two ounces be added to it with wax sufficient to make an Oyntment But the disease worse than a Schirrhus is a Cancer of the breasts and William Fabricius saith that if it be not an Ulcerated Cancer the woman may live above forty years with it and no pain molest her but if you lay on any thing to soften and ripen these swellings she will dye in half a year Many orderly women have lived long with Cancers as if they ailed nothing Hippocrates bids not to cure an occult Cancer if you do the person will dye of the cure because the breasts are loose and spungy Cancers are soon bred there Burnt blood flowing from the womb of one who is of a hot and dry Constitution and the Terms stopping after a Tumor they make an Internal or External Cancer A Cancer that comes naturally undiscerned is hardly known at first being no greater than a Pease and daily increaseth with roots spreading and Veins about it when the skin is eaten through it becomes a loathsome Ulcer the Matter is black and the lips are hard it is scarce curable because it is bred of black burnt blood that is malign and the Vessels are loosned and relapsed by softners and ripeners misapplyed to it so that the passage is made for the humors to pass to and fro and serve to infect the rest Purge melancholy and draw blood but use no Topicks to ripen or rot the part onely Anodynes that will take away pain as oyl of Frogs and Snails with Frogs ashes made to an oyntment with Nightshade water Ashâ—â— of Crayfish or of the herb Robert or the iâ—ward Rind of an Ash-Tree Arceas shewes the way to cut them for 〈◊〉 and to burn the part if the Ulcer be deep â—…bricius bids burn the roots first and afteâ—wards to consume the Reliques and to stoâ— the blood when the root is cut up You must often Purge away melanchoâ—â—â— humors and provoke the Courses or thâ— Cancer will return Mithridate and Treacle with juyces of Sorrel and Borrage and Cray-fish Broth and Asses milk are approved good to palliate the Cure and to keep it from going farther and ease pain This water is commended Take Scrofularia roots and herb Robert of each one handful Lambs Tongue Nightshade Bugloss Borage Purslane Bettony Eybright of each half a handful one Frog two whites of Eggs with Quince seeds and Fenugreeck each one ounce a pint of rose water as much of Eybright water distil them in a Leaden still Cancers must not be handled like other Ulcers for softners Drawers and healers exasperate and kill the woman with great dolour Fichsius his blessed powder against a Cancer is this take white arsenick that shineth like Glass one ounce pour on Aquavitae on the powder of it pour it off again and put on â—â—â—sh Aquavitae every third day for fifteen â—yes together then take roots of great Draâ—on gathered in August or July slice them â—â—d dry them in the wind
two ounces and â—ake three drams of clear Chimney Soot make a powder keep it close stopt in a glass to use â—fter one year and not before For the cure of any other Ulcers or Fistulaes of the breasts first try to dry up the milk and when the breasts hang down bind them up that the humours fall not down to them cleanse them with a decoction of Rhapontick Agrimony and Zedoary to heal take six quarts of strong wine and boil in it Rhus Obsoniox Cypress Nuts of each four ounces and two ounces of Green Galls to the thickness of Honey If the Fistula be Callous and hard about the edges open the Orifice with a Gentian root and take the redness away then cleanse and heal as ordinary Ulcers Sometimes stones hair or worms are bred in the breasts from corrupt blood or milk and so they may breed in the back or Navel Sometimes the Veins and Arteries of the breasts are so streight that they can contain no blood to make milk it is either gross humors that stop them as they do the Vessels of the womb or they are made so by the wombs vessels being stopt or from hard humors bred there Sometimes the Nipple hath no hold for the child to draw forth the milk by and it was so made at first or else it is from a wound or ulcer that leaves a scar that stops it The breasts then must needs pine away but if the milk cannot be suck'd forth the breasts are swoln the reason is that the Paps or veins for the milk are not as they should be When gross humours only obstruct that may be cured but a Nipple naturally without a hole or the hole stopt by a Schirrhus or Scar after an ulcer is cured cannot be healed often rubbing of the breasts will open the veins for milk but the Nipples for the child to suck by are oftentimes deficient or lie tied either one or both that women can hardly give suck if an ulcer have eaten away the Nipple or it was not made at her birth it will never be otherwise if the hole be never so small so there be a hole often sucking will make it larger especially by a sucking instrument Clefts and Chaps of the breasts are troublesome and usual to Nurses and in time those Chaps grow to foul Ulcers and hinder giving of suck You may prevent this mischief if in the two last months they go with child you lay two cups of wax made up with a little Rozin to cover the Nipples To cure the Nipples take oil of Myrtles of wax ointment of Lead and Tutty or take Tutty prepared one scruple and half a dram of Allum Camphire six grains with ointment of Roses and Capons grease make it up or take Pomatum one ounce and a half Mastick a scruple Powder of red roses and Gum Traganth of each half a scruple before the child sucks wash the breasts with Rose water and White-wine and that it may suck without pain cover the sore pap with a silver Nipple covered with the pap of a Cow new killed You may take what quantity you please of Mutton Suet or Lambs Suet and wash it in Rose water when it is melted and clarified and annoint the paps with it CHAP. IV. Directions for Nurses BUt there is one consideration more for the Nurse before I leave this and that is that she may not want good milk in her breasts for if she do the child will suffer more than the Nurse because he draws it from her to feed him Those that are fretful lean or sickly have bad Livers and Stomachs and ill digestion that they can have neither much nor yet good milk and bad diet hinders much Such as want milk should drink milk wherein Fennel Seed hath been soked and feed on good nourishment and drink good drink Barley Water and Almond milk are good for hot cholerick people let her eat Lettice Borrage Spuriache and Lamb sodden and eaten with Vervine Calves or Goats milk nourish and breed milk in the breasts the eating of Anniseeds Cummin seeds Carraway seeds or their decoction drank will help well all things that increase seed ripen milk when you go to bed drink two drams and a half of bruised Anniseeds in the decoction of Coleworts Use this Plaister take Deers suet half an ounce Parsley herb and root the like quantity barley meal one ounce and a half red Storax three drams boil the roots and herbs well and beat them to Pap and incorporate all with three ounces of oyl of sweet Almonds and lay them to the breasts and nipple There are many things hinder milk either little blood to breed it or the faculty of the breasts is deficient and cannot do it or the Organs are not right as they should be also much watching fasting labour sweating and great evacuations by stool or Urine strong passions or great pains sorrows cares or strong Feavers and other discussers may destroy or hinder milk in the breasts so may also the childs great weakness who cannot draw it thither it is easily known by any of these causes when the breasts swell not but flag and lie wrinkled you know there is no great store of milk in them if the fault be in the Liver that it breeds not good blood you must rectify the Liver yet she may be in good health sufficient as to other things but then the infant will be ruined by it and it is for that end that nature provides milk that the child may be fed The usual way for rich people is to put forth their children to nurse but that is a remedy that needs a remedy if it might be had because it changeth the natural disposition of the child and oftentimes exposeth the infant to many hazards if great care be not taken in the choice of the nurse There are not many Women that want milk to suckle their own children so there are some that may well be excused because of their weakness that they cannot give suck to their own children but multitudes pretend weakness when they have no cause for it because they have not so much love for their own as Dumb creatures have Nature indeed hath provided some helps where milk is wanting for the child but those are not many to shew women that nature commonly doth her part with most mothers to furnish them with milk without farther means than by good wholesome meats and drinks but there are abundance of things that will hinder milk or destroy it For all things that are cold or else hot and dry are enemies to womens milk but none will breed it but such things as are hot and moist or not very dry and of such things there are no great plenty Also they must be of easie digestion and that will breed good blood that the milk that is bred may have no strong qualities with it to offend the infant You may lay a plaister of Mustard all over the breasts and
for that is ordained to go to the breasts to make milk which is the reason that Nurses have few or no Courses because the blood goes to the breasts to make milk as I said But if this accident fall out that the blood runs forth at the breasts undigested not changed by the faculty of the breasts into Milk as it ought to be then open the Saphaena vein in the Foot and that will pull it back again and cure this Distemper There is so near agreement between the breasts and the womb that any distemper of the womb will change the very colour of the Nipples and therefore it is not well to prejudicate and to think they are not Maids when their Nipples change colour when it is onely a sign that their wombs are distempered The Nipples are red after Copulation red I say as a Strawberry that is their natural colour but Nurses Nipples when they give Suck are blew and they grow black when they are old If there be pain in the breasts from abundance of milk onely the pain is not very great it is onely by overstretching them but if the milk be sowr or sharp or salt or corroding the pain is more and will be greater if there be inflammation but when there is an Ulcer or a Cancer the pains are out of measure great you may know the câ—use of the pain by the greatness of it and you have sufficient directions before how to cure them But having made way for it I shall now proceed to speak a few words of Nurses and Nursing of Children CHAP. V. How to Chuse a Nurse THis dispute about Nurses who are fit for it and who are not is much handled by Physicians and some there be that will tye every woman to Nurse her own Child because Sarah the wife to so great a Man as Abraham was nursed Isaac And indeed if there be no other obstacle the Argument may carry some weight with it for doubtless the mothers milk is commonly best agreeing with the child and if the mother do not Nurse her own Child it is a question whether she will ever love it so well as she doth that proves the Nurse to it as well as Mother and without doubt the child will be much alienated in his affections by sucking of strange Milk and that may be one great cause of Childrens proving so undutiful to their Parents The Lacedemonians chose the youngest son after his Father to succeed in the Kingdom rejected all the rest because the mother gave suck onely to the youngest Tacitus gives a reason why the Germans are so exceeding strong because saith he they are commonly sucked by their own Mothers Yet Alcibiades a strong and valiant Captain was thought to have come to his great strength by sucking the breasts of a Spartan woman for they are great vigorous and usually very strong women I cannot think it alwayes necessary for the mother to give her own Child suck she may have sore breasts and many infirmities that she cannot do it Moreover a Nurse ought to be of a good Complexion and Constitution and if the Mother be not so it will be good to change the milk by chosing a good wholesome nurse that may correct the natural humors of the Child drawn from the ill complexion of the Mother Many children dye whilest they are sucking the breasts or else get such Diseases if the milk be naught that they can hardly ever be cured and the chief cause is the Nurses milk If a Nurse be well complexioned her milk cannot be ill for a Fig-Tree bears not Thistles a good Tree will bring forth good Fruit. But few can tell when they see a Nurse whether her complexion be good or not wherefore I shall give you such Rules whereby you may be able to know that and I have gained most of it by my own experience Many Physicians have troubled themselves and others with unnecessary directions but the chifest is to choose a nurse of a sanguine complexion for that is most predominant in children and therefore that is most agreeing to their age but beware you choose not a woman that is crooked or squint-eyed nor with a mishapen Nose or body or with black ill-favoured Teeth or with stinking breath or with any notable depravation for these are signs of ill manners that the child will partake of by sucking such ill qualified milk as such people yield and the child will soon be squint-eyed by imitation for that age is subject to represent and take impression upon every occasion but a sanguine complexioned woman is commonly free from all these distempers unless by accident it fall out otherwise and her milk will be good and her breasts and nipples handsome and well proportioned she is of a mean stature not too tall nor too low not fat but well flesht of a ruddy merry cheerful delightsome countenance and clear skin'd that her Veins appear through it her hair is in a mean between black and white and red neither in the extream but a light brown that partakes somewhat of them all Such a woman is sociable not subject to melancholy nor to be angry and fretful nor peevish and passionate but jovial and will Sing and Dance taking great delight in children and therefore is the most fit to Nurse them whereas all the other tempers except sanguine as Flegm or Choler or melancholy breed milk that will agree well with no child and their own constitutions are not agreeable to the nursing of children though her complexion then be not exactly sanguine for that is seldom found let it suffice if blood be predominant above the rest Moreover be her temper naturally never so good yet if she be diseased she is not for your turn or if she be above fourty years old or under eighteen years she must be of ability to live well that there be no want and one that hath had good Education to instruct her for if she be not well bred she will never breed the child well she must have prudence and care to see to it But there is one rule from the Sex That a female Child must suck the breasts of a Nurse that had a Girl the last child she had and a Boy must suck her that lately had a boy But the Nurse must not company with Man so long as she gives suck to the child for if she conceive the child will suffer by it she must live in a well-tempered pure Air she must sleep well when she is sleepy that she may soon wake if the child cry She must use moderate exercise and indeed the Dancing and Rocking of the child will hardly suffer her to be idle and therefore all such as put their children to Nurse should do well to consider the great care and pains of the Nurse by well rewarding them when they have made a good choice for if the Nurse be not good they had better be without them Nor is it onely
a present Gratification from the Parents that is answerable to the Nurses pains But children should remember when they come to years to be thankful to their Nurses that bred them up and to requite their great care and pains having them in little less esteem than their own Mothers that bore them The Nurse on the other side must not neglect her Duty and doubtless some nurses are as fond of their nurse Children as if they were their own If the nurse use good Diet and Exercise it will breed good blood and good blood makes good milk but let her forbear all sharp sowr fiery melancholy meats or Mustard and Onyons or Leeks and Garlick and let her not drink much strong drink for that will enflame the Child and make it cholerick all Cheese breeds melancholy and Fish is Flegmatick Gross and thick air make gross blood and heavy bodies and dull wits Places that are near the Sea side and Bogs are very sickly and unwholsome but a clear air that is pure is as needful as Meat and Drink it makes the body sprightful and the reason and understanding ready good vital and animal spirits are bred by it whereby all things to reason become more subservient opinion fancy judgement resolution apprehension imagination memory knowledge mirth hope trust joy urbanity and what can be said almost are produced Meats and Drinks feed the body but the air guides the mind in almost all its actions and life and health sickness and death depend most upon it If the nurses milk be too hot Succory Purslain are good herbs for her to eat and if it be too cold then Vervain and Mother of time Cinnamon Borrage and Bugloss and all wholesome Herbs and Meats and Drinks that a little exceed in heat mend her milk If the child be ill the Nurses milk is commonly the cause of it if wind oppress the child let the Nurse but put Fennel seed and Anniseed into her meats or broths and the child will be well but of that more by and by as I pass on to speak of the diseases and infirmities of children but before I part with the Nurse it will be but reason to enquire when the Nurse should part with her child and wean it from the breasts I know there can be no general rule for all because some children are weak and must stay longer before they be weaned Avicenna saith two years is the time children should suck I have seen some in England that have kept their children sucking near four years who would carry their stool after their Nurses to sit down on to give them suck but a year old is sufficient to most children yet they are loth to leave the Dug till they be driven from it Breast milk is very sweet of good digestion and therefore some that are fallen into consumptions in their riper years are cured by sucking a wholesome womans breasts but sucking is not proper for children so soon as they can concoct other nutriment Milk is for Babes but strong meat for men I have known some women so fond of their children that they would never wean them by their good will But when children suck so over-long as three or four years I seldome hear of any of them that ever come to good insomuch that many women have repented of their folly when it was too late Their children by overcockering growing so stuborn and unnatural that they have proved a great grief to their parents It seems God sometimes thus punishes women for their folly and the children thus tenderly bred for want of stronger meat than breast milk in their child-hood grow lame and weak and sick of the Rickets Some women will not be contented with such children as God sends them but they will be mending the feature of their noses and their bodies till they make them very ill favoured that would have grown in good shape and some though they have Daughters will not be contented unless they may have a son God sometimes hears their prayers and sends them a Boy it may be a Fool that will be a boy as long as he lives I have shewed you that children be they Boys or Girls unless they be weak should not suck the breast above a year and if it be a nurses breasts and not the own mother that they suck it is the same thing for time yet the Nurse should be chosen as near to the constitution of the mother as possibly you can for then there will not be so great alteration in the constitution and manners of the child a Nurse is best after her second child if she be but between twenty and thirty years of age her milk must not be above ten months old when you chuse her nor under two months old for that will be too new If the nurses milk prove ill she must take a gentle purgation but if it be to purge the child it must be very gentle indeed for that purging quality of the Medicament passeth to the milk and will operate upon the Child which cannot otherwise be purged by Physick It hath been much argued whether the mother or some other women be best to nurse the child surely I should think the mother in all respects if she be sound and well because it agrees better with the childs temper for the milk of the mother is the same with that nutriment the child drew in in the Womb. But yet it will do good sometimes to change the nurse if the mothers milk contract any ill qualities or be too sharp or salt or otherwise offensive to the child for if the child do not take rest well or cry and complain doubtless the milk it feeds on is distempered Good milk is neither too thick nor too thin too thin is raw and breeds crudities too thick is hardly concocted by the infant it must be white and sweet scented if it smell sowr or burnt it will corrupt in the stomach and so it will if it taste salt or sowr or bitter or have any ill tast drop a drop of breast milk on your nail or upon a Glass and if it shew very white and neither stick like glew nor run off like water but be off a middle nature you may conclude that it is good When the blood is too full of Whey it breeds thin milk which gives little nourishment and the children by sucking of it fall into Fluxes and looseness of the belly and sharp milk makes them scabby purge away the whey of the blood if it be too hot cholerick with Rhubarb otherwise with Mechoachan or sirrup of Roses cold and moist breasts are mended by the contraries that is by hot and dry things If wheyish humours come from the Liver that must be mended hot and dry things that profit are bread well baked with Anniseed and Fennel seed Roast-meat Rice sweet Almonds but broth and Fish and Sallets and Summer fruits must be avoided good exercise breeds good blood gross diet makes
thick and gross milk and sometimes a hot and dry distemper of the breasts will burn up the thin part of the milk purge away thick humours from the blood eat meats of good digestion as Veal Chickens Kids flesh and use a moistening and attenuating Diet Fryed Onions and all sowr spiced meats will communicate their qualities to the milk that you may find both by smell and tast Strong passions of anger or fear will cause chollerick and melancholly milk which makes the child lean that it cannnot thrive Hence come gripings and wringing pains in the belly Thrush in the mouth and Falling-sickness good wine moderately drank sometimes will help the ill smell and taste of the milk Let the Nurse be sure to observe a Diet that is most proper for her milk and may not corrupt it and also to avoid all passions and venereous actions during the time she is a nurse and if for all this the milk prove ill she must purge away evil qualities according to my former prescriptions CAAP. VI. Of the Child CHildren that look white and pale when they are born are weak and sickly and seldome live long but if it be of a reddish colour all over the body when it is first born and this colour change by degrees to a Rose colour there is no doubt of the child but it may do well if it cry strongly and clear it argues a great strength of the breast Take notice of all the parts of it and see all be right and the Midwife must handle it very tenderly and wash the body with warm wine then when it is dry roul it up with soft cloths and lay it into the Cradle but in the swadling of it be sure that all parts be bound up in their due place and order gently without any crookedness or rugged foldings for infants are tender twigs and as you use them so they will grow straight or crooked wipe the childs eyes often to make them clean with a piece of soft linnen or silk and lay the arms right down by the sides that they may grow right and sometimes with your hand stroke down the belly of the child toward the neck of the bladder to provoke it to make water But the first work to be done so soon as it is born is to cut the Navel-string and to bind that up right I shewed you how to do it before when the Navel-string is cut off strew upon it a powder of Bole Sarcocolla Dragons blood Cummin and Myrrh of each the same quantity and bind a piece of Cotton or Wool over it to keep it from falling off again and if the child be weak after this anoint the childs body over with oil of Acorns for that will comfort and strengthen it and keep away the cold wash the child next with warm water pare your nails and pick out the filth from the childs nostrils open the Fundament that it may encline to go to stool and keep it neither too hot nor too cold nor in a place that is too light let not the beams of the Sun or Moon dart upon it as it lieth in the Cradle especially but let the cradle stand in a darkish and shadowy place and let the head lie a little higher than the body for a child that is very young to look upon the light of a candle will make them pore blind or squint-eyed so will the light of the Sun set not a candle behind the head of it for the child will turn its eyes to the light Take heed the child be not frighted for it will soon be fearful if you let it sleep alone so soon as it awakes and misseth the Nurse keep it not waking longer than it will but use means to provoke it to sleep by rocking it in the cradle and singing Lullabies to it carry it often in the arms and dance it to keep it from the Rickets and other diseases let it not suck too much at once but often suckle it as it can digest it After four months let loose the arms but still roul the breast and belly and feet to keep out cold air for a year till the child have gained more strength Shift the childs clouts often for the Piss and Dung if they lie long in it will fetch on the skin and put the child to great pain you may suffer the child to cry a little for it is better for the brain and lungs that are thus opened and discharged of superfluous humours and natural heat is raised by it it doth most good before they suck and when the former suck is digested but too much crying will cause rheums to fall and oftentimes the child will be broken bellied by its overstraining change the breasts as you give suck sometimes let it draw one sometimes another and for the first month let it suck as much as it can so the stomach be not too full Give it some pap of barley bread steeped a while in water and then boiled in milk children that are lusty may be fed with this betimes but they must not suck till it be a full hour after it and thus they should be dieted till they breed teeth So soon as the teeth come forth let it eat more substantial meat that is easily chewed and of quick digestion also give it Cows milk and broths let not the child rest too soon upon its legs for if the legs be weak they will grow crooked by reason of the weight of their bodies When the child is seven months old you may if you please wash the body of it twice a week with warm water till it be weaned Let the teeth come forth most part especially the eye-teeth before the child be weaned for those teeth cause great pains when they are breeding and Feavers and grievous a king of their Gums proceed from them the stronger the child is the sooner he is ready to be weaned some at twelve months old and some not till fifteen or eighteen months old you may stay two years if you please but use the child to other Food by degrees till it be acquainted with it Let the child drink but little wine that it do not over-heat the blood the best time to wean the child is either the Spring or the Fall of the Leaf the Moon increasing For seven years give the child nourishing meats and an indifferent plentiful diet to make it grow cocker them not over much nor provoke them to passions I cannot tell which may do most hurt Too much play as children are prone to will over-heat the blood and want of play and idleness will make them dull Some Parents are too fond of their children and leave them to their own wills some are too froward and dishearten their children the mean is best for them both and so they shall be sure to find it I have as briefly as I could touched upon all occasions for women and their children and some things may seem to be needless
preserve the Lungs When the Pox are fully out then to make them die quickly rub the face with fresh hogs-grease old Lard melted and strained and mingled with water or with oil of sweet Almonds When the Pox are dead and begin to fall away to keep them from Pock-holes anoint the face with a feather dipt in an Ointment made of Chalk and Cream use this two or three daies it will smooth the skin handsomely and take away the spots XXVIII Children are exceedingly prone to breed Lice more than men of age though all people are troubled with them They breed from the Excrements of the head and body it is not only filth that breeds Lice but a certain matter fit for them for fleas will not breed of the same that lice are bred of Children and women that are hot and moist have many excrements to breed such things withall Some meats breed Lice as figs by their gross juice which naturally tends to the skin and variety of meat Lice breed most in Childrens heads and stick fast to the skin and roots of the hair some have died of Lice and Lice will leave some when they are dying To prevent Lice comb and keep childrens heads clean let them eat no rigs but meats of good juice and purge them with hot drying thin medicaments Use â—o Mercury nor Arsenick to childrens heads but use this Lotion take parts alike of round Birthwort Lupines Pine and Cypress leaves boil them in water then anoint the head with powder of Staves-acre three drams of Lupines half an ounce of Agarick two drams quick brimstone one dram and half Ox Gall half an ounce all made up wirh oil of Wormwood XXIX If the child fright in the sleep give it good breast milk but not too much let it not sleep presently but carry it about till the milk descend to the bottom of the stomack give it sometimes the oil of sweet Almonds or honey of Roses two spoonfuls To cleanse the stomack strengthen it with magistery of Coral or Confection of Jacinths with milk anoint the stomach with oil of Worm-wood Nard Mints Mastick Nutmegs if it be from worms you have the remedies before It is for the most part ill vapours that ascend by the Weasand and veins to the head when children cannot concoct what they have in their stomachs XXX Sometimes children cannot sleep it is by reason of corrupt milk that disturbs the animal spirits hence arise Catarrhs Convulsions Feavers driness let better milk be given it the Nurse must eat Lettice sweet Almonds Poppey seeds but sleeping medicaments are not good for infants Wash the feet with a decoction of Dill tops Cammomile flowers Sage Osiers Vine leaves Poppy heads to the Temples use oil of Dill or oil of Roses with oil of Nutmegs with Poppey seeds Breast milk Rose or Nightshade water with Saffron If the Childs brain be very dry moisten the covering of the Cradle XXXI Bad and sharp milk hurts the childs stomach for it cannot endure it for it breeds bad humours all these diseases spring from it the Thrush Bladders in the Gums and inflammation of the Tonsils Bladders in the Gums are cured with powder of Lentils husked and strewed upon them or with a Liviment of the flour of Milian and oil of Roses The inflammation of the Tonsils I suppose it is that disease in children called the Mumps that commonly comes between eleven and thirteen years old the parts being then so hard that the humour cannot breath forth alwaies keep the belly loose and anoint outwardly with oil of sweet Almonds or Cammomile or St. John's wort inwardly first repel secondly mix resolvers with repellers and lastly only resolvers but not too hot in age Gargarismes are best Infants may take Diamoron Honey of Roses sirrup of Myrtles and Pomegranates XXXII Sometimes childrens string of the tongue is so short that they cannot suck a skilful Chirurgeon must help it or use this Liviment boil clarified honey till you can powder it then dry yolks of eggs in a Glass in an Oven powder them take a dram weight Mastick and Frankincense of each one scruple burnt Allum six grains make it up with honey of roses The Frog is when the veins under the tongue swell with gross black blood and if the flegm sweat forth and stick in the passages the swelling is like Mushromes and make them stammer take Cuttlebone Salgem Pepper of each one dram burnt Spunge three drams make a powder or of Honey of Besome rub it under the tongue and lay a plaister of Goose dung and Honey boiled in Wine till the Wine be consumed under the Chin. XXXIII Some children grow lean and pine away and the cause is not known if it be from Witchcraft good prayers to God are the best remedy yet some hang Amber and Coral about the childs neck as a Soveraign Amulet But leanness may proceed from a dry distemper of the whole body then it is best to bath it in a decoction of Mallows Marshmallows Branc-Ursine Sheeps heads and anoint with oil of sweet Almonds if it be hot and dry add Roses Violets Lettice Poppey-heads and afterwards anoint with oils of Violets and Roses The child may be lean from want of milk or bad milk from the nurse remedy that or change the nurse for little or bad milk will breed no good blood and the children cannot thrive by it sometimes worms in the body draw away the nourishment sometimes very small worms breed without the body all over and in the Musculous parts and stick in the skin and will not come quite forth but after you rub the child in a Bath they will put forth their heads like black hairs and run in again when they feel the cold air they breed of slimy humours shut up in the Capillary veins which turn to worms for want of transpiration if you rub the child with Yarhound on the back and especially with Honey and Bread you shall see their black heads when you see the heads come forth run over them with a Rasor do it often XXXIV Children used to be galled with lying in piss'd clouts and the scarf skin comes from the true skin the skin looks red change the clouts often and keep the child clean by washing it then anoint the sore with Diapompholix or cast on this powder finely sprinkled of burnt Allum Frankincense Litharge of Silver and seeds and leaves of Roses XXXV Some children cannot hold their water but piss the bed when they sleep the bladder-closing muscle being weak so when piss pricks it it comes forth The stone in the bladder may hurt the Muscle the cause of weakness is a cold moist humour from superfluity or from tough and gross meats in Age it will be hard to be cured but in infants it easily may The nurse must use a hot drying diet with Sage Hyssop Marjoram the child must drink little anoint the region of the bladder outwardly with oil of Costus or Flower de luce and other
like driers use Sulphur and Allum Baths with oaken leaves And give it this powder take burnt Hogs-bladders Stones of a Hare roasted and Cocks throats roasted of each half a dram and two scruples of Acorns Mace and Nip of each a scruple give half a dram with Oaken leave Water XXXVI Childrens Urine is sometimes stopt either by gross matter or the stone you may try with the Catheter you must purge the humours with honey of Roses Cassia Turpentine with a decoction of red Pease also Grass-water and Restharrow and Dropwort water are good take Hares blood one ounce Saxifrage roots six drams calcine them the Dose is a scruple or half a dram with White-Wine and Saxifrage Water The Stone in the bladder is as common with children as the Stone of the Kidneys with men and women crude gross meats and unclean milk breed it there is also a weakness in the Liver and stomach when they do not well part gross blood from the pure but much earthy juice remains in the child sometimes it is natural from the Parents they piss by drops and what comes forth is like clear water or whey or milk and sometimes blood comes forth it grows daily and at last they must be cut if they be not cured in time Let then the belly be alwaies kept loose and the nurse eat no slimy gross meats anoint the bladder-with oil of Lillies and of Scorpions and lay on a Cataplasme of Pellitory of the Wall boild in oil of Lillies or give two drops of Spirit of Vitriol with half a drain of Cypress Turpentine Take Magistery or Crabs eyes white Amber prepared Goats blood of each a scruple give it frequently with water of Parsley XXXVII There is one disease more I shall end with and that is called Siriasis an inflammation of the membranes of the brain it is from phlegmatick blood putrified and grows hot and cholerick hot weather windy milk and nurses ill diet may cause it The forehead grows hot hollow the face is red they are dry Feaverish want an appetite The fore part of the head is hollow where the sagittal and Coronal Sutures meet for there the bones are membranons and harden in time it is dangerous and some say deadly When this bone or membrane falls there is a pit and the brain falls down they commonly die in three daies Give a glister of sirrup of Roses or Violets lay on coolers of the juice of Lettice Gourd Melons or split a Pompion in two pieces and lay it on but cool not the brain too much anoint it with oil of Roses let the Nurses diet be cooling or change her for a better Take oil of Roses half an ounce Populeon one ounce the white of an egg and an emulsion of the cold seeds drawn with Rose water two drams after the inflammation is abated and the flux stopt lay on oil of Cammomile one ounce and a half of Dill hal half an ounce with the yolk of an egg Thus by the blessing of Almighty God I have with great pains and endeavour run through all the parts of the Midwives Duty and what is required both for the Mother the Nurse and the Infant desiring that it may be as useful for the end I have written it to profit others as I have found it beneficial to Me in my long Practice of Midwifery To God alone be all Praise and Glory Amen FINIS Books Printed for or Sold by Simon Miller at the Star at the West-end of S. Pauls Quarto PHysical Experiments being a plain description of the causes signs and cures of most diseases incident to the body of man with a discourse of Witch-craft by William Drage Practitioner of Physick at Hitchin in Hartfordhire Bishop White upon the Sabbath The Artificial Changeling The Life of Tamerlane the Great The Pragmatical Jesuit a play by Richard Carpenter The Life and Death of the Valiant and Renowned Sir Francis Drake His Voyages and Discoveries in the West-Indies and aboue the World with his Noble and Heroick Acts. By Samuel Clark late Minister of Bennet Finck London Large Octavo Master Shepherd on the Sabbath The Rights of the Crown of England as it is Established by Law by E. Bagshaw of the Inner Temple An Enchiridion of Fortification or a handful of knowledge in Martial affairs demonstrating both by Rule and Figure as well Mathematically by exact Calculations as Practically to fortifie any body either Regular or Irregular How to run approaches to pierce through a Counter-scarf to make a Gallery over a Mote to spring a Myne c. With many other notable matters belonging to War useful and necessary for all Officers to enrich their knowledge and Practice The Life and Adventures of Buscon the witty Spaniard Epicurus's Morals Small Octavo Daphnis and Chloe a Romance Merry Drollery complete or a Collection of Jovial Poems Merry Songs Witty Drolleries intermixed with Pleasant Catches Collected By W.N. C.B. R.S. J.G. Lovers of Wit The Midwives Book or the whole art of Midwifry discoverd directing child-bearing women how to behave themselves in their Conception Bearing Breeding and Nursing of Children in six Books Butler of War Tractatus de Venenis or a Treatise of poisons Their sundry sorts names natures and virtues with their symptoms signs diagnostick and prognostick and antidotes Wherein are divers necessary questions discussed The truth by the most Learned confirmed by many instances examples and stories Illustrated And both Philosophically and Medicinally handled By William Ramesey The Urinal of Physick By Robert Record Doctor of Physick Whereunto is added an ingenious treatise concerning Physicians Apothecaries and Chirurgeons set forth by a Doctor in Queen Elizabeths daies with a Translation of Papius Ahalsossa concerning Apothecaries Confecting their Medicines worthy perusing and following Large Twelves The Moral Practice of the Jesuites Demonstrated by many Remarkable Histories of their Actions in all parts of the World Collected either from Books of the Greatest Authority or most certain and unquestionable Records and Memorials by the Doctors of the Sorbonne Artimedorus of Dreams Oxford Jeasts Refined now in the Press The third part of the Bible and New Testament A Complete Practice of Physick Wherein is plainly pescribed the Nature Causes differences and signs of all diseases in the body of man With the choicest cures for the same By John Smith Doctor in Physick The Duty of every one that will be saved being Rules Precepts Promises and Examples directing all persons of what degree soever how to govern their passions and to live vertuously and soberly in the world The Spiritual Chymist or six Decads of Divine Meditations on several Subjects with a short account of the Authors Life By William Spurstow D. D. Sometime Minister of the Gospel at Hackney near London Small Twelves The Understanding Christans Duty A Help to prayer A new method of preserving and restoring health by the vertue of Coral and Steel Davids sling