Culpeper's DIRECTORY FOR MID WIVES: OR, A Guide for Women. THE SECOND PART. Discovering, 1. The Diseases in the Privities of Women. 2. The Diseases of the Privy Part. 3. The Diseases of the Womb. 4. The Symptoms of the Womb. 5. The Symptoms in the Terms. 6. The Symptoms that befall all Virgins and Women in their Wombs, after they are Ripe of Age. 7. The Symptoms which are in Conception. 8. The Government of Women with Child. 9 The Symptoms that happen in Childbearing. 10. The Government of Women in Childbed, and the Diseases that come after Travel. 11. The Diseases of the Breasts. 12. The Symptoms of the Breasts. 13. The Diet and Government of Infants. 14. The Diseases and Symptoms in Children. Lond●n: Printed by Peter Cole, Printer and Bookseller, at the Sign of the Printing-press in Cornhill, near the Royal Exchange. 1662. Books Printed by Peter Cole and Edward Cole, Printers and Booksellers of London, at the Exchange. Mr. Burroughs WORKS viz. on Matth. 11. 1 Christ's call to all those that are weary and heavy laden, to come to him for rest. 2 Christ the great Teacher of Souls that come to him. 3 Christ the Humble Teacher of those that come to him. 4 The only easy way to Heaven. 5 The Excellency of holy Courage in evil times. 6 Gospel Reconciliation. 7 The Rare Jewel of Christian Contentment. 8 Gospel-Worship. 9 Gospel-Conversation. 10 A Treatise of Earthly Mindedness, and of Heavenly Mindedness, and Walking with God. 11 Ex position of the Prophecy of Hosea. 12 The Evil of Evils, or the exceeding sinfulness of Sin. 13 Of Precious Faith. 14 Of Hope. 15 Of Walking by Faith, and not by Sight. 16 The Christians living to Christ upon 2 Cor. 5. 15. 17 A Catechism. 18 Moses Choice. Twenty one several Books of Mr. William Bridge, Collected into two Volumes, Viz. 1 Scripture light, the most sure Light. 2 Christ in Travel. 3 A lifting up for the cast down. 4 Sin against the Holy Ghost. 5 Sins of Infirmity. 6 The false Apostle tried and discovered. 7 The good and means of Establishment. 8 The great things Faith can do. 9 The great things Faith can suffer. 10 The great Gospel Mystery of the Saints Comfort and Holiness, opened and applied from Christ's Priestly Office. 11 Satan's power to tempt and Christ's Love to, and Cure of his People under Temptation. 12 Thankfulness required in every Condition. 13 Grace for Grace. 14 The Spiritual Actings of Faith through Natural Impossibilities. 15 Evangelical Repentance 16 The Spiritual Life, and In-being of Christ in all Believers. 17 The Woman of Canaan. 18 The Saints Hiding place, etc. 19 Christ coming, etc. 20 A Vindication of Gospel Ordinances. 21 Grace and Love beyond Gifts. New Books of Mr. Sydrach Sympson. VIZ. 1 Of Unbelief, or the want of readiness to lay hold on the comfort given by Christ. 2 Not going to Christ for Life and Salvation, is an exceeding great sin, yet pardonable. 3 Of Faith, Or, That believing is receiving Christ; and receiving Christ, is believing. 4 Of Covetousness. Mr. hooker's New Books in three Volumes: One in Octavo, and two in Quarto. These Eleven New Books of Mr. Thomas Hooker made in New-England, are attested in an Epistle by Mr. Thomas Goodwin and Mr. Philip Nye, to be written with the Authors own hand: None being written by himself before. One Volume being a Comment upon Christ's last Prayer, on the seventeenth of John. Wherein is showed, 1 That the end why the Saints receive all Glorious Grace, is, That they may be one, as the Father and Christ are one. 2 That God the Father loveth the Faithful, as he loveth Jesus Christ. 3 That our Saviour desireth to have the Faithful in Heaven with himself. 4 That the Happiness of our being in Heaven, is to see Christ's Glory. 5 That there is much wanting in the Knowledge of God's Love, in the most able Saints. 6 That the Lord Christ lends daily Direction, according to the daily need of his Servants. 7 That it is the desire and endeavour of our Saviour, that the dearest of God's Love, which was bestowed on himself, should be given to his faithful Servants. 8 That our Union and Communion with God in Christ, is the top of our happiness in Heaven. Ten Books of Application of Redemption by the effectual Work of the Word, and Spirit of Christ, for the bringing home of lost sinners to God: By Thomas Hooker of New-England. Dr. Hills WORKS. The King's Trial at the High Court of Justice. The wise Virgin: Published by Mr. Thomas Weld, of New-England. Mt. Rogers on Naaman the Syrian his Disease and Cure discovering the Leprosy of Sin and Self-love, with the Cure, viz. Self-denial and Faith. A Godly and fruitful Exposition, on the first Epistle of Peter: By Mr. John Rogers, Minister of the word of God at Dedham in Essex. Mr. Rogers his Treatise of Marriage. The wonders of the Loadstone: By Samuel Ward of Ipswitch. An Exposition on the Gospel of the Evangelist St. Matthew: By Mr. Ward. The Discipline of the Church in New-England: By the Churches and Synod there. Mr. Brightman on the Revelation. Great Church Ordinance of Baptism. Mr. Love's Case, containing his Petitions, Narrative and Speech. A Congregational Church is a Catholic visible Church By Samuel Stone in New-England. A Treatise of Politic Powers. Dr. Sibbs on the Philippians. Vox Pacifica, or a Persuasive to Peace. Dr. Prestons' Saints submission, and Satan's Overthrow. Pious Man's Practice in Parliament time. Barriffs' Military Discipline The Immortality of Man's Soul. The Anatomist Anatomised. The Bishop of Canterburys Speech. woodward's sacred Balance. Dr. Owen against Mr. Baxter. Abraham's offer, Gods Offering: Being a Sermon by Mr. Herle, before the Lord Major of London. Mr. Spurstow's Sermon, being a pattern of Repentance. England's Deliverance from the Northern Presbytery: By Peter Sterry. The Way of God with his People in these Nations: By Peter Sterry. The true Way of uniting the People of God in these Nations: By Peter Sterry. Mr. Sympson's Sermon at Westminster. Mr. Feaks Sermon before the Lord Major. The best and worst Magistrate: By Obadiah Sedgwick. A Sermon. A Sacred Panegyric: By Stephen Marshal. A Sermon. The Craft and Cruelty of the Church's Adversaries: By Matthew Newcomen of Dedham. A Sermon. Mr. Eyes Sermon of the usefulness of a powerful Ministry to the Civil Governor. Dr. Owen's steadfastness of the Promises. Mr. Stephen Marshals New WORKS. VIZ. 1 Of Christ's Intercession, or of sins of Infirmity. 2 The high Privilege of Believers, That they are the Sons of God. 3 Faith the means to feed on Christ. 4 Of Self-denial. 5 The Saints Duty to keep their Hearts, etc. 6 The Mystery of Spiritual Life. The Names of all the Physical Books that are printed by Peter Cole, are set at the End of this Book. THE CONTENTS OF THE FOURTH BOOK OF PRACTICAL PHYSIC. Of women's Diseases. THE FIRST PART. Of Diseases in the Privities of Women. THE FIRST SECTION. Of Diseases of the privy Part, and the Neck of the Womb. CHap. 1. Of the straitness and largeness of the Orifice. Page 1 Chap. 2. Of the Mentula or Yard in a Woman 3 Chap. 3. Of Atretae or Closures, and straitness of the Neck and Mouth of the Womb 4 Chap. 4. Of Pustles and Roughness of the Privities 6 Chap. 5. Of Condyloma in the Neck of the Womb Page 7 Chap. 6. Of Warts in the Neck of the Privities and Womb 8 Chap. 7. Of the Haemorrhoids of the Womb. 9 Chap. 8. Of the Ulcers in the Neck of the Womb 11 Chap. 9 Of the Clefts in the Neck of the Womb 14 Chap. 10. Of Fistulae's in the Neck of the Womb 15 Chap. 11. Of a Cancer in the Womb 16 Chap. 12. Of a Gangrene and Sphacel in the Womb 18 THE CONTENTS OF THE FOURTH BOOK. THE SECOND SECTION. Of the Diseases of the Womb. CHap. 1. Of the Knowledge of the Temper of the Womb. 20 Chap. 2. Of the hot Distemper of the Womb Page 22 Chap. 3. Of the cold Distemper of the Womb 24 Chap. 4. Of the moist Distemper of the Womb 25 Chap. 5. Of the dry Distemper of the Womb 26 Chap. 6. Of Compound Distempers, and first of cold and 〈…〉 Chap. 7. Of the ill shape of 〈◊〉 Womb, and ●irst of the 〈◊〉 of it and its Vessels 〈◊〉 Chap. 8. Of the opening of t●● Vessels of the Womb besides Nature 3● Chap. 9 Of a double Womb, t●● wanting of a womb, and evil sha●● of the womb, and strange things found in it 3● Chap. 10. Of the Magnitude o● the Womb increased, and first of t●e 〈…〉 of the womb 35 Chap. 11. Of the Dropsy of the Womb Page 38 Chap. 12. Of a Tumour in the Womb from Blood in its Veins 42 Chap. 13. Of Inflammation of the Womb ibid. Chap. 14. Of a Scirrhus and Cancer in the Womb 45 Chap. 15. Of the displacing of the Womb, and first of the Ascent of it 47 Chap. 16. Of Falling out of the Womb 49 Chap. 17. Of the Rupture of the Womb 54 Chap. 18. Of Wounds, and breaking of the Womb ibid. Chap. 19 Of Ulcers and rottenness of the Womb 55 Chap. 20. Of the Diseases of the Stones, and Vessels of Procreation in Women ibid. THE Contents OF THE FOURTH BOOK. THE SECOND PART. Of the Symptoms in the Womb, and from the Womb. CHap. 1. Of Weakness of the Womb Page 57 Chap. 2. Of the Itch of the Womb 59 Chap. 3. Of pain in the Womb 60 Chap. 4. Of the Diseases of the Womb that come from sweet scents and stinks 63 THE CONTENTS OF THE FOURTH BOOK. THE SECOND SECTION. Of the Symptoms in the Terms, and other fluxes of the Womb. CHap. 1. Of the flux of the Terms Page 66 Chap. 2. Of the Terms flowing too soon 69 Chap. 3. Of want and stoppage of the Terms ibid. Chap. 4. Of fewness of the Terms 78 Chap. 5. Of Dropping of the Terms 79 Chap. 6. Of the overflowing of the Terms 80 Chap. 7. Of the Terms flowing with pain and Symptoms. 85 Chap. 8. Of evil discoloured Terms 86 Chap. 9 Of Terms coming before their time 87 C●ap. 10. Of Terms that come after their usual time 88 Chap. 11. Of the Terms voided another way 90 Ch●p. 12. Of the Whites ib. C●ap. 13. Of a Gonorrhaea. 94 Chap. 14. Of strange things voided by the Womb 95 THE CONTENTS OF THE FOURTH BOOK. TH● THIRD SECT ON. Of the Symptoms that bef● Virgins and Women in their Wo● after they are rip● o● Age. CHap. 1. Of Virginity. 96 Chap. 2. Of the Green-sickness, or white Fever 100 Chap. 3. Of Symptoms from the Womb, and Mother-fits in General Page 106 Chap. 4. Of Suffocation of the Womb 108 Chap. 5. Of the Frenzy of the Womb. 115 Chap. 6. Of the Melancholy of Virgins and Widows 118 Chap. 7. Of an Epilepsy from the Womb 120 Chap. 8. Of pain of the Head from the Womb 122 Chap. 9 Of the Diseases of the Heart, and beating of the Arteries in the Back and Sides from the Womb 124 Chap. 10. Of the Diseases of the Spleen, and the Hypochondriack disease from the Womb 125 Chap. 11. Of the Distemper of the Liver from the Womb, and of a Beard growing by consent from the Womb. 127 Chap. 12. Of the Diseases of the Stomach that come from the Womb Page ibid. THE CONTENTS OF THE FOURTH BOOK. THE FOURTH SECTION. Of ●he Symptoms which are in Conception. CHap. 1. Of the desire of Venery hurt 130 Chap. 2. Of Barrenness, and want of Conception. 131 Chap. 3. Of Barrenness for the time, and conceiving seldom. 139 Chap. 4. Of Conception, and forming of the Child 141 Chap. 5. Of the Generation of Twins, and many Children. 142 Chap. 6. Of Superfoetation. Page 144 Chap. 7. Of the ill Formation of the Child 145 Chap. 8. Of a Child turned into Stone 147 Chap. 9 Of a Mole 148 Chap. 10. Of Monsters 151 Chap. 11. Of false Conception, and Swelling 153 THE CONTENTS OF THE FOURTH BOOK. THE SECOND PART. THE FIFTH SECTION. Of the Government of Women with Child, and preternatural Distempers in Women with Child. CHap. 1. Of the signs of Conception 155 Chap. 2. Of the Government and Diet of Women with C●i●●. Page 156 Chap. 3. Of the Cure of Women with Child in general 158 Chap. 4. Of the Symptoms that befall Women with Child in the first months 162 Chap. 5. Of the Symptoms in Women with Child in the middle months 164 Chap. 6. Of the Symptoms that are in the last months 166 Chap. 7. Of Weakness of the Child 167 Chap. 8. Of Crying in the Womb 168 THE Contents OF THE FOURTH BOOK THE THIRD PART. THE six SECTION. Of Symptoms that happen in Childbearing. CHap. 1. Of Childbearing in General Page 170 Chap. 2. Of Abortion. 172 Chap. 3. Of the Signs of Natural Birth, and the manner and Government of such as bring forth 175 Chap. 5. Of Natural hard Travel 177 Chap. 6. Of a vicious disorderly Birth, or difficulty preternatural Page 179 Chap. 7. Of a slow Birth● 180 Chap. 8. Of a Child dead in the Womb 181 Chap. 9 Of the Caesarean Birth 183 THE CONTENTS OF THE Fourth Book. THE Seventh Section. Of the Government of Women in Childbed, of the Diseases that come after Travel. CHap. 1. Of the Government of Women in Childbed. Page 186 Chap. 2. Of the Secundine or Afterbirth, or a Mole that is left after Childbearing Page 187 Chap. 3. Of the Purgation after Childbearing diminished ●r detained 189 Chap. 4. Of too great a Flux of blood after Childbearing 191 Chap. 5. Of the pains after Travel, and torments in the Belly 192 Chap. 6 Of the Tearing of the Vulva to the Arse, and coming forth of the Womb, Inflammation, Ulcer, Suffocation, and Falling out of the Fundament. 193 Chap. 7. Of Watching, Doting, and Epilepsy of Women in Childbed 194 Chap. 8. Of the Swelling of the Womb, Belly and Feet after Childbearing 195 Chap. 9 Of Vomiting, Looseness, B●lly bound, and not holding of ●rin in Women in Childbed ibid. Chap. 10 Of the Wrinkles of the Belly after Childbearing, and mending of the largeness of the Privities Page 197 Chap. 11. Of Fevers and acute Diseases in Women in Childbed 198 The CONTENTS OF THE FOURTH BOOK. THE THIRD PART. Of the Diseases of women's Breasts. THE FIRST SECTION. Of Diseases of the Breasts. CHap. 1. Of the increased number of Breasts, and greatness extraordinary 203 Chap. 2. Of Swelling of the Breasts with Milk 205 Chap. 3. Of Inflammation an● Erisipelas of the Breasts Page 206 Chap. 4. Of the Oedema of th● Breasts 20● Chap. 5. Of the Scirrhus of th● Breasts 210 Chap. 6. Of the Glandles or Kernels in the Breasts being swollen, or of the Scrofula and Struma in the Breast 211 Chap. 7. Of the Cancer of the Breasts 212 Chap. 8. Of Ulcers and Fistulaes' of the Breasts 215 Chap. 9 Of straitness of the passages of the Breasts ibid. Chap. 10. Of strange things bred in the Breasts 216 Chap. 11. Of the Diseases of the Nipples ibid. THE Contents OF THE FOURTH BOOK. THE THIRD PART. THE SECOND SECTION. Of the Symptoms of the Breasts. CHap. 1. Of want of Milk, and not giving of suck. 218 Chap. 2. Of too much Milk 220 Chap. 3. Of Curdling, and other faults in the Milk 221 Chap. 4. Of Milk coming forth at wrong places 222 Chap. 5. Of strange things coming forth of the Breasts 223 Chap. 6. Of the change of colour in the Nipples, and pain of the ●reasts. A Tractate Of the Cure of Infants. THE FIRST PART. Of the Diet and Government of Infants. CHap. 1. Of the choice of the Nurse 225 Chap. 2. Of the Conditions of good Milk 227 Chap. 3. Of curing the faults in Milk ibid. Chap. 4. Of the Diet and Government of newborn Children 229 Chap. 5. Of the Diet of an Infant from breeding of Teeth, till it be weaned Page 230 Chap. 6. Of Weaning of Children ibid. Chap. 7. Of children's Diet after Weaning 231 THE Contents OF THE SECOND PART. Of Diseases and Symptoms of Children. CHap. 1. Of Infant's Diseases in General 232 Chap. 2. Of Fevers in Children, Measles, and small Pox Page 233 Chap. 3. Of the Milky Scab, Achores, and Favi 235 Chap. 4. Of a scald Head 236 Chap. 5. Of Ptiriasis, or breeding of Lice 239 Chap. 6. Of Hydrocephalus, or swelling of the Head 340 Chap. 7. Of Siriasis 241 Chap. 8. Of Frights in the sleep 242 Chap. 9 Of great Watching 243 Chap. 10. Of Epilepsy and Convulsion 244 Chap. 11. Of Strabismus, or Squint-eyes 246 Chap. 12. Of pain in the Ears, Inflammation, Moisture, Ulcers, and Worms ibid. Chap. 13. Of the Thrush, Bladders in the Gums, and Inflammation of the Tonsils 247 Chap. 14. Of Breeding of Teeth Page 248 Chap. 15. Of Losing of the Tongue, and of the Frog 249 Chap. 16. Of Catarrh, Cough, and difficult Breathing 250 Chap. 17. Of the Hicket 251 Chap. 18. Of Vomiting 252 Chap. 19 Of the Torments o● pains of the Belly 253 Chap. 20. Of puffing up of the Belly and Hypochondria 255 Chap. 21. Of the Flux of the Belly ibid. Chap. 22. Of binding of the Belly 257 Chap. 23. Of the Worms 258 Chap. 24. Of the Rupture● 261 Chap. 25. Of sticking out of the Navel 262 Chap. 26. Of Inflammation of the Navel 263 Chap. 27. Of Falling out of the Fundament ibid. Chap. 28. Of the Sto●● in the Bladder Page 264 Chap. 29. Of Difficulty and stoppage of Urinal 265 Chap. 30. Of not holding the Urinal 266 Chap. 31. Of cha●ing in the Hips, called Intertrigo 267 Chap. 32. Of Leanness and Fascination ibid. THE FOURTH BOOK OF PRACTICAL PHYSIC. Of women's Diseases. THE FIRST PART. Of Diseases in the Privities of Women. THE FIRST SECTION. Of Diseases of the Privy Part, and the Neck of the Womb. Chap. 1. Of the straitness and largeness of the Orifice. THERE are three Diseases in this Part. The straitness, and the largeness, and the Yard of a woman. The straitness is, when the cleft is so narrow, that it will not admit of a man● Yard, or with much difficulty, it hinders childbearing; and if it be from the first conformation, it is hard to be cured by Physic, but i● is enlarged, either by copulation, or by bring●ng forth of children. Sometimes it is from an ●lcer, or from astringent Medicines given unadvisedly, that they may appear to be Virgins, when they are not. Sometimes the cleft is shut up outwardly, and there is only passage for the urine and the terms; these women are called Atret●e, that is shut up● not bored, of which Chap. 3. Sometimes it is so close, that neither terms nor urine can com●●orth. The contrary to this, is largeness of the cle●t, or when there are more holes than Nature hath usually, by often copulation or childbearing. This laxity or largeness causeth barrenness and falling out of the womb, as Hippocra●es shows in the Nature of Women. And this makes women unpleasant to men. This is cured by purging after childbearing, by Fomentations, Baths, Liniments of Alum water, and the Decoction of astringent Plants. Take Com●rey roots, Bole, Sanguis Draconis● Pomegranate flowers, Alum, Mastic, Galls, each half a dram; make a Powder, and with steeled Wa●er make a Mixture, dip a Pessary therein. Or, Tak● O●ken leaves, Plantain, each half a handful; Comfrey roots an ounce, pomegranate pe●ls and flowers, Sumach, each half an ounce; Alum an ounce, boy● them in water, and ●oment the privities. Sometimes in hard travel, the space between the fundament and the privy cle●t, ar● broken into one hole. Ero● shows the Cure o● i●. Som● pu● a long pie●e of All●m into the ●le●t. When ther● are divers passages in a woman's privities, it i● from the first conformation, when by Natur●● error the passage from the strait g●t goes to the womb. Chap. 2. Of the Mentula, or Yard in a Woman. THe Al●e or wings in the privities of a w●man● are of soft spongy ●lesh, like a Cock's comb in shape and colour; the part at th● top is hard and nervous, and swells like a Y●rd in Venery, with much Spirit. This pa●t sometimes is big as a man's Yard, and such wome● were thought to be turned into men. It is from too much nourishment of the part, The 〈…〉 from ●he looseness of it by o●ten handling. It is not safe to cut it off presently, but fi●st use The 〈…〉 dryers and discussers, with things that a little astringe, then gentle Caustics without causing pain, as burnt Alum, Aegyptiacum. Take Aegyptiacum, Oil of Mastic, Roses●W●x, ea●h half an ounce. If these will not do, the●●●t it off, or tie it with a ligature of Silk or Horsehair, till it mortify. Aetius teacheth the way of amputation, he c●ls 〈…〉 10●. it the Nympha or C●itoris, between both the wings, but take heed you cause not pain ●r inflammation. After cutting, wa●h with Win●, with Myrtles, Bays, Roses, Pomegranate flowers ●oyled in it, and Cypress-nu●s and lay on an 〈…〉 Po●der. Some excrescences grow like a tail, and fill the privities: they differ from a Clitoris, for the desire of Venery is increased in that, and the rubbing of the clothes upon it cause lust, but in an excrescence of flesh, they cannot for pain endu●● copulation, but you may cut off this better than a Clitoris, because it is all superfluous. Chap. 3. Of Atretae or Closures, and straitness of the neck and mouth of the Womb. THey are threefold: it is either in the orifice, or the neck, or in the middle, it is always huttful, either to copulation or the terms, or to conception and childbearing. I saw one that had the first: the orifice was very little, only fit to purge the terms, and receive seed, she conceived, and the Midwives discovered in time of childbearing, and the Chirurgeon opened it, and she was happily delivered, but how the seed was spent into it, is not to be understood. Lib de abd sana. & morb. cau. c●p● 78. Flesh or a membrane is from evil conformation, or a wound, or ulcer, of which Benivenius, 〈◊〉 and Hildanu●. The ●le●t also may be closed by a wound o● ulcer, as in a woman who with the French ●ox had all eaten off, and it grew together after, only there was a little passa●e for urine. This is, either when the sides grow together f●●m a● ulcer, or ●hen proud ●le●h ●●ops it u●● ●hich is sometimes in the French pox. When it is in the privities, it is to be seen, but The Signs ●hen in the neck or orifice of the womb, it is not known, but when the terms are to ●low, or when ●hey copulate; and it is either broken by the ●orce of blood, or there is pain; and being virgin's, they are taken to be with child, for i● it ●ast long the womb swells, and the whole body is glewish. These either hinder the term● from the neck ●f the womb, or from the veins of it. If inflammation or ulcer was before, this disease may be suspected to be; if there the closing be by the membrane the place is white, if by ●le●h, it is red, ●nd it is known by the touch, for the membrane ●s ●arder than flesh. The inconveniences are great either in copulation, The Prognostic. conception or child bearing especially, for the child cannot get forth without hazard of itself or mother. It is easier cured when it is from a membrane only, because it is easily cut or broken, that in ●he orifice of the womb is not to be cured, because the instruments cannot reach it. Take away that which stops the passage, a The Cure. membrane that is outward is easily cut, but i● it be in the neck of the womb or be flesh, it is hard, for if the cut be large there is pain and b●e●ding, and the wound is hard to be cured, because the neck of the bladder is easily hurt thereby. 〈…〉 teacheth this operation in his Observations. And Hypocrates in his Book of Sterility shows how a membrane may be taken away without cutting. I●●●e●h grow fr●m an ul●●r a●t●r purging, use d●●ers and discussers, to dimi●i●● it: ●ith Frankincense, Birthwort, Roses, Pomegranate flowers, 〈◊〉 My●r●, Aloes, etc. as in Chap. 2. 〈…〉 Som● think this disease may come from dryness, but it is incredible. I● it come stom a hard tun or, soften and dissolve it with Butter, Oil of swee● Almonds, Lilies, etc. Chap. 4. Of Pustles and Roughness of the Privities. Roughness and Itching come from Pustles in the n●ck of the womb and privities ●ith scurff and swellings which i●ch and pain. The Causes They are ●rom an adust humour malignant and sharp, which abounding evacuate themselves by th●se loo●e and moist parts, and there sti●king, exasperated the flesh, this is in the French pox. The Sign●. They ●●c●are it themselves. The Prognostic. It is stubborn, long, and in●e●tious to men, and hard to be cured. The Cure. I● the adust sharp humours come from the whol● body, prepare with Bora●e, Fumitory, Succory, Endive and the like, then evacuate t●●m wi●h Senna● Epithymum, syr●p of Apples, Viol●●●, Roses, Catholicon, Consectio h●me●h, ●il●s of Fumitory, Tartar. L●t ●lood i● there be ●ulness, first in the Arm, then in the Ankle, but if it be from the French pox, first u●e Guajacum and S●●●a and the like. Foment the ●a●t often with a hot decoction o● 〈…〉 Fumitory, H●ps P●lli●●●y, o● u●e this Ointment. Take 〈◊〉 and Rose 〈◊〉 ●●ch 〈◊〉 ●●nce●; S●l gem, N●●●r, Alum, ●ach thr●● dr●ms; Sub●i●●●● a 〈◊〉 ●nd half, boy● t●●m ●o the third part, strain them, and add Verdigrease a scruple: then use gentler means two days after till the Pustles fall off and new flesh appear, and then use the Ointment again. Let the diet be to resist evil humours, of good ●uy●●, avoid salt sharp and ●our things. Chap. 5. Of Condyloma in the neck of the Womb. COndyloma is a tubercle or excrescens with heat and pain, for these parts are wrinkled, and when the wrinkles swell there is a Condyloma, sometimes it is without inflammation and s●●t, or with inflammation and hard. It is usual n the privities and fundament of such as have the French pox. They are from a sharp malignant humour, The Causes which is always in the Pox, and sometimes they follow hard clefts or chaps. They are pain and burning, the skin is wrinkled, The Signs. and when they are many, they are like a bunch of Grapes They are hard to be cured, if they are from The Prognostic. t●e Pox first cure that, and then they often vanish of themselves. A●ter general evacuations proper against the The Cure. Pox, use Topics, first see if there be inflammation, and then abate pain● As, Take oil of Lineseed and Ros●s, ●ach an ounce; oil of Eggs half an ounce, mix ●hem in a Leaden mortar. Or, Take Pellitory, Mallows, Althaea, each half a handful; Chamomil flowers two pugils, Lineseed and ●ae●ugreek, each half an ounce, boil them, to a p●n●●dd oil of Ros●s three ●unces, in●ect it w●th a Syringe. If there be no inflammation, use driers and repellers, as Vervain, Ivy, Acacia, Pomegranate peels and flowers, for Baths and Fomentations, and after add Discussers, as Chamomile and Thyme. If it be old and hard, first soften it with the same, and after thrice using them, ●se digesters and driers that are strong as a powder, Take round Birthwort a dram, Savine, Hermodacts burnt ●ach two drams; burnt Alum two drams, red Led a dram, Chalcitis half a dram, sprinkle it upon the loose flesh. Or, Take Aloes, Frankincense, Myrrh, each a dram; Ammoniacum dissolved in Vinegar a dram and half, Alum two drams, rea Led two drams, Galls half a dram, Turpentine, Oil of Tartar, each a dram; with Oil of Roses and Wax, make an Ointment. This is very strong. Take Turpcmine an ounce, Oil of Nutmegs two ounces, red Lead two drams, Alum, Vitriol, each a dram; Verdigreece, half 〈◊〉 dram, Sublimate a scruple, with Wax make an Ointment, or of Balsam of Mercury. Tetrab. 4. ●●rm. l. 3. If Medicines will not do, the Ancients advise burning, of which see Aetius. Chap. 6. Of Warts in the neck of the Privities and Womb. THey are from a gross seculent and malignant humour sent to the skin, and turned to a node. The Signs. They are known by their shape: the malignant are known by their hardness, and heat, and blewness, fil●h and pain. The Prognostic. They are often hard to be cured, because the pox is with them, and they are in a place to which Medicines are hard to be applied, and to continue. The Myrmeciae are not cut off, but they leave a great ulcer, the Thymi and Clavi grow again. Acrochordones once cut, leave no root. After Universals, and order of diet, either use The Cure. Medicines, or cut or burn them to discuss, than use Sage dried with Figs, Organ, Rue burnt, dry Savin, Frankincense, with Wine and Vinegar, or To be a skilful Physician study my S●nnertus, Platerus, Riverius, Bartholinus, and Riolanus, of the last Editions. Snakes skins with Figs: these also dry. These corrode, eat and burn, as juice of wild Cucumbers, with Salt, Milk of Figgs, Sheep's dung, Goat's gall, with Niter, Aqua fortis, Spirit of Vitriol, Sulphur, Butter of Antimony. Take heed that you hurt not the parts adjacent, but defend them with Bole, sealed Earth, Rosewater and Vinegar: if you put the Corrosives into Nutshells, change them twice or thrice in a day, and wash the part with a cleansing Decoction, and then cut or burn. Chap. 7. Of the Haemorrhoids of the Womb. THe veins that end in the neck of the womb, often swell, like the Haemorrhoids: it is from gross blood that comes to these veins out of the time of the terms. Inordinate flux of terms may occasion it, when The Causes t●●y slow out of the usual time, they grow thick, and cannot get out of the veins, but swell them. They are to be touched, and with a Speculum The Signs. matricis to be seen. There is pain and bleeding without order: she is pale and lazy. The Cure. Correct the blood, purge, and bleed in the arm to derive and revel, of which in the diseases of the womb. If pain be, abate it by sitting in a Decoction of Mallows, Althaea, Chamomil, Melilot flowers, Moulin, Lineseed, Foenugreek; of which also make Fomentations and Ointments, with Butter, Populeon, and Opium if there be pain. Take Populeon, Oil of Roses, and sweet Almonds, fresh Butter, each half an ounce; Saffron a s●●●ple, with the yolk of an Egg, make an Ointment. Or, Take Mucilage of Quinces, Althaea, ea●h half an ounce; Oil of Roses, and Hen's grease, each a dram; the yolk of an Eglantine, and Saffron half a dram, mix them in a leaden Mortar. If pain be gone or abated, and they bleed not, use Dryers of Bole, Earth of Lemnos, Acacia, Ceruse, froth of Silver, Led burnt and washed, long Birthwort, Alum, Verdigreece. If they swell with blood, evaporate it, or ●oment with the Decoction of Mallows, Althaea, Pellitory, Chamomil flowers, Moulin Melilot, seeds of Line and Foenugre●k. If they do not good, open them by Fig leaves rubbed upon them, or by Horsleeches, of which Chap. 2. If there be proud flesh, take it o●t, as is showed. If they bleed gently, l●t Nature alone to the work, for it is good, and ●rees from other diseases. If the flux be great, and abate the strength, open a vein in the arm divers times, and do as in over slowing of the terms. Question. How do the Haemorrhoids differ from the Terms flowing or stopped? Mercurialis saith, That though a flux of terms be immoderate, yet it hath its periods, and is without pain, and makes not the body lean, but it is contrary in the Haemorrhoids. But this is not true, for the body is not made lean always by the Haemorrhoids, nor do the courses keep their periods always. Besides the pain which is almost always in the Haemorrhoids, they differ in that the terms flow from the veins of the womb and its neck, but the Haemorrhoids are when the blood flows too much to the veins that nourish the privities, and there either sticks or is evacuated. Chap. 8. Of Ulcers in the Neck of the Womb. THey are seldom cured in the body of the womb, and they are simple and clean, or sordid and malignant. Are a flux of sharp humours that lasts long in The Causes the Pox and Gonorrhaea. Corrupt afterbirths, and courses after childbearing detained, inflammations turned to imposthui●es● these are the internal. The external are sharp Medicines, hard travail a reat child taken out by ●orce, violent lechery, wounds, falls, strokes. Are pain and constant biting that increaseth, Th● Signs. ●●●●cially in copulation, or when Wine or Hydr●mel is injected. You may also see it with a Speculum: also there is matter gentle or filthy: if the ulcer go towards the bladder, they piss hot and often: there is pain in the roots of the eyes to the hands and fingers fainting, and a little ●ever sometimes. Lib. 1. de morb. mulierum. The external Causes are to be related by the patient. If it be from the pox or Gonorrhaea, the signs of them will appear, of which Hypocrates. The Prognostic. They are hard to be cured, because they are in a part fit to receive humours, soft and moist, and that hath consent with many parts. Hence are divers Symptoms: the great, old, and foul are worst, when they corrode, and are hollow, they are seldom cured; they that may easily have Medicines applied to them, are easiest cured. The Cure. First, stop the flux of humours to the part, if it be either from the whole body, or any part. And amend the distemper of the womb, that it may neither breed nor receive bad humours. If the French pox be with it, resist that first. If there be pain, first abate that, with Milk steeled, or with three whites of Eggs, and Mucilage of Fleabane, or an Emulsion of Poppy seeds. Or, Take Althaea roots an ounce, Dill seed two drams, Barley a pugil, Faenugreek and Lineseed, each an ounce; Fleabane and Poppy seed, each half an ounce; boil them in Milk. Of which in pain of the womb. In a foul ulcer, first use Clensers, as Whey, Barley water, Honey, Wormwood, Smallage, Orobus, Orris, Birthwort, Myrrh, Turpentine, Alum. As, Take new Milk boiled a pint, Honey half a pint, Orris powder half an ounce. Use it hot often every day. When that which was injected, is voided, wash with the decoction of Mallows, and put up this Pessary. Take Eruum and Lentils in powder and Orris, each two drams; with Honey. Or, Take Diapompholigos, with Frankincense, Mastic, Myrrh, Aloes, as the ulcer requires. Or use Fumes. As, Take Frankincense, Mastic, Myrrh, Storax Calamite, Gum of Juniper, Labdanum, each an ounce; make a Powder, or Troches with Turpentine. If there be suspicion of the French pox, add a little Cinnabar. In a very foul ulcer, and Aegyptiacum or Apostolorum, or a little Spirit of Wine. In a creeping corroding ulcer, with clen●ers mix cold, drying and astringent Medicines. Alum water, Plantain and Rose-water, with Pomegranate flowers boiled, and Pomegranate peels, and Cypress-nuts is also good, and with Aloes. After cleansing, fill it with flesh, and heal it up. As, Take Tutty washed half an ounce, lethargy, Ceruse, Sarcocol, each two drams; with Oil of Roses and Wax make an Ointment. Or smoke the privities with Myrrh, Frankincense, Gum or Juniper, Labdanum two drams in powder, with Turpentine make Troches. Or use Sulphur, or Alum Baths, and Plasters. Inwardly give vulnerary Potions. As, Take Agrimony, Burnet, Plantain, Knotgrass, each two pugils; China three dram●, Coriander seed half a dram, Currans half an ounce, boil them in Henbr●ath, give it twice a day: or give Turpentine and S●●ar ●●r a month, or a dram of Pills of 〈◊〉 〈◊〉. If the body consume, give Ass' milk, with 〈◊〉 of Roses for a month. Chap. 9 Of Clefts in the Neck of the Womb. THese are long ulcers that are ●inal, like those in the hands and feet in Winter, they eat o● the skin, and are sometimes deep, with hard lips, if old: sometimes they are dry, or sometimes bleed. The Ca●ses They come from hard travel, when some pa●ts in the neck of the womb are broken by a great child, or violent copulation, or flux of sharp humours that stick in the parts, and corrode. The Signs. If it be new, it is hidden sometimes and known in copulation, by pain and bleeding. The Prognostic. The new are easier cured, then when they are old and callous. The Cure. If they come from hard travel, make a Clyster of the Decoction of Roses, Plantain, Birthwort, Bole, Sanguis Draconis, Frankincense, or with the white of an Egg, a Pessary. If from sharp humours: after universal Evacuations, use Topics that bind without biting, (if the clefts be not callous) as Oil of Linseed and Roses, with the yolk of an Egg, and j●yce of Plantain mixed in a leaden Mortar. Or, Vng. stpol ●onij apud G●l. Take Oil of Roses eight ounces, stir it in a leaden Mortar, till it is black and thick, then put in the powders of lethargy of Silver and Ceruse. If they are callous, make an Ointment of oil of Lilies, Marrow of a Deer, Turpentine and Wax: if they are malignant, cure them as ●●stula'es, of which in the Chapter following. If there be itch or pain. Take Diapomp●olig●●, P●pul●on, ●a●h an ounce; Sugar of Lead, ●amphire, each a scruple; make an Ointment. Let the diet be moist, of good juice, Chickens, Veal, Kid, rear Eggs, Mallows, Bugloss, Borage: abstain from sharp and salted meats. Chap. 10. Of Fistulae's in the Neck of the Womb. MAny times there are ulcers in these parts, because they are soft, and easily corroded, and ●re hard to be cured. Some of them are straight, others crooked; some 〈◊〉 others hollow. If matter stay there, it corrodes and makes The Causes burroughs, and divides the parts, and makes a Callus, and when the matter is voided, the parts divided cannot unite. It is known by the ●igure of the ulcer, there is The Signs. a callous lip, and thin evil matter, when it is pressed, flows out: there is no pain, except it reach a sensible part. Sometimes it reacheth the bladder, and then the urine comes forth at the fistula: sometimes the fundament, and then the dung appears in the Fistula. A new Fistula is easier cured than an old and a The Prognostic. straight then a crooked: it is scarce to be cured in a cacochymical old body, and when it pierceth into the parts adjacent. First use Universals, and good diet, then see The Cure. if it may be cured by Medicines, or better left to Nature to evacuate excrements thereby. I● the last is best, use a palliative Cure, by often purging and sweeting twice in a year, and injections an● strengtheners, and lay on a Plaster of 〈◊〉. If you hope for a Cure, after Universals, giv● drying vulnerary Drinks, of male Fern roots, Centaury, Agrimony, Bettony, Ladies-mantle, etc. Then use Topics; fi●st dilate the orisice (i● it be straight) with a Sponge or Gentian ●oots, the● consume the Callus, but first make it soft wi●● Oil of Lilies, Deer's Marrow, Turpentine and Wax. Three things consume a Callus: Medicines, cutting and burning, there in a new straight Fistula, use Gentian, black Hellebore, Aegyptiacum, o● Vigo's Powder with a Pencil. Or, Take Sublimate half a scruple, Rose or Plantain water six ounces, set it upon embers. If it be towards the womb, take heed of strong Medicines. If it be callous and ●oul, burn it either by a Caustick or hot iron. These are good in the outward part of the neck: then cleanse and heal. Chap. 11. Of a Cancer in the Womb. IT is seldom seen, and never cured: but here I shall speak of that in the neck of the womb, which is ulcerated, or not ulcerated. It is from terms burnt, and hot burnt humours The Causes that are black, that flow thither; it is after long scirrhous tumours, that have been immoderately softened. It is first not ulcerated, and when the humours are more corrupt, it is ulcerated. The Signs. They are hard to be known at first, because it is a tumour without pain, and after there is a pricking in it, and a pain in the groins, loins, and bottom of the belly. The tumour is hard, blue, with blue stinking lips When it is ulcerated, the Sym●●●●s are all worse, and there is a thin, bla●k, s●inking matter. Sometimes much blood t●at is dangerous, a gentle ●eaver, loathing, trouble of mind, th● cheek● are red, from the vapours that fli● up from the womb. It is hard to be cured, because mild Medicine● The Prognostic. are no●●el●, and strong exasperated; and the part mak●s it more hard, because it is neglected at the ●●r●t, and increaseth. 〈◊〉 the physician p e●ent ulceration; or if it The Cu●e. b●●o hi●d●● the increase of it, l●t diet be against melancholy: p●●pare and purge melancholy. T●is Powder for many dries given is excellent. Take Sm●r●gd●● Saphires, and E●st ●●z●arstone, e●ch a dram; give every day three or four grains with Scabious or Carduus water. Let the Topics not be biting at ●irst. But fo●ent with Jay●e of Plantain, Nightshade, Purslane, or use Diapompholigos. Or, Tak● j●yc●●f Plantain, Nightshade, Purslane, e●●h two ounces; Mucilage of Fleabane an ●un●e, O●l of Ros●● three ●ounces●●ti● them in ● leaden Mor●●r. Or, Take O●l of R●s●s, of Eggs, ●ach anounce and half; Su●g●r of Led a d●am, stir them in a leaden Mortar, then add lethargy, Ceruse, each three drams; Tutty a dram, Camphire a scruple. Or, Take j●yce of Nightshade six ounces, Tutty and burnt Lead e●ch two drams; a●phire half a dram, ●●ir th●● long in a leaden Mortar, and add powder of praiseth. Inj●●t a Decoction of Crayfish: and i● p●in be grea●, 〈◊〉 with Mallows, Althaea, Wate●lil●ies, Co●i●nder, Dill, fleabane ●eed, with Sas●roa in Milk; or make a Cataplasm of the ●ame. Some use Antimony, Arsenic, etc. which are good in other parts. But this cannot bear them. A Noble woman had on the right side of her face an ulcerated cancer and when all the French, Italian, German, Spanish Physicians could no● cure her, a Barber cured her only with Chickens sliced thin, and laid on often every day. Chap. 12. Of a Gangrene and Sphacel in the Womb. SOmetimes the whole womb is gangrenated, and it is from the privities that receive many excrements apt to corrupt. he Causes It is from an inflammation and ulcer not well cured, because the part hath many excrements, which easily quench the natural heat, and then the part mortifies. The Signs. There is an usual heat in the neck of the womb, and a fever with horror all over the body, than the colour changeth in the part, it is black and blue, without pulse or sense: when i● is cut or pricked, it stinks, and the strength decays, and the heart faints. The Prognostics Aetius let 1. c. 72. Nicol. Florent. ser. 6. tr●. math. de grad. in 9. ●h●sis c. de e●i●● matri●●. It is very dangerous, and worse when it goes to the womb then outwards. Some have had the womb fall out, and have lived, which besides grave Histories. We saw at Avinion in an old Noble woman. Anno 1635. Stop the putrefaction, take away that which is rotten, by scarifying if you can, then wash with the De●●ction of Wormwood. Lupins, and with Aegyptiacum, and apply this Cataplasm. Take O●●bus and Beanflower, ●ach two ●un●es; Oxymel a pint, boil them, add Lupins, Wormwood, Aloes The Cure. and Myrrh. Cut off the dead flesh, strengthen the principal parts, the heart, le●st the Spirits be infected with evil vapours that ●●ie up by the arteries. Give Conserve of Borage, Bugloss, Gillyflowers, Diamargariton ●rigid Electuary of Gems frigid, Confection of Hyacinths● Syrup of Sorrel, pomegranates, Borage; and appl● Epithems to the heart, Vuierus cured a Noble woman aged twenty five, she had a pustle in her privities in the Dog-days, from violent Lechery with her Husband, and she used a Cataplasm from a sill● Chirurgeon, In obseruatio. and in a few days it rotten, grew black, and mortified, and went towards the fundament very fast. THE FOURTH BOOK. THE SECOND SECTION. Of the Diseases of the Womb. Chap. 1. Of the Knowledge of the Temper of the Womb. Lib. uterus muliebris. MARK Anthony Vlmus Physician of Bononia, shows the temper of the womb: he saith that a beard in women shows that they have a hot womb, and hot stones: it comes with the beginning of the terms, and when the breasts swell, and is hard to be seen. Aristotle saith, That some women have hairs in Lib. 3. de lust. ani. c. 11. their chin, when their courses stop, and when they have a hot womb and stones. But there are more certain signs of heat. 1. When hard hair comes ●orth suddenly, thick, black, and long, and large about; if they come forth slow, thin, soft, yellowish, and but few not spreading the womb is cold. Also when the ter●s come forth at twelve years of age, it is a sign of a hot womb, and when they last long, the blood is red, hot, but not very much. In an old constitution they come later, and the blood is cold and waterish, and they end sooner. If it be hot and moist, they flow plentifully, and last till after fifty. If it be hot and dry, the blood is yellow, thin and sharp, and pricks the privities. If it be cold and moist, the blood comes late forth, with difficulty, and it is whitish and thin. If it be cold and dry, the terms come forth very late, and with difficulty, and seldom continue till forty, and the blood is thick and little. The third sign is from Lechery, for they who have hot wombs desire copulation ●ooner and more vehemently, and are much delighted therewith. They who are cold, do the contrary. The hot and moist are not tired with much Venery. The hot and dry have great lust, and a Frenzy if they want it; but they are quickly ●ired, because there are but few Spirits. If it be cold and moist, they are not soon lecherous, and are ●asily satisfied; and if they miscarry often, the womb is made colder, and they delight not in the sport: but copulation doth them good, and makes them more youthful. If it be cold and dry, they desire not a man in a long time, and take no delight, because the Spirits are few. The fourth sign is from often conception, for the hot conceive often, and bring forth males or Viragoe's, if the seed of the man agree with it. The cold doth the contrary. A hot and moist womb is very fruitful, if the man be well tempered, and though he be old and weak, yet she will conceive by him: sometimes they have twins, or over do, and have a mole. Hot and dry are fruitful, but not so much as the former. Cold and moist, are hard to conceive, especially when they are in years; when they are young, and the seed of the man is hot and dry, they conceive males, but seldom well shaped or healthful, and the woman while she is with child, is sickly. A cold and dry womb is commonly barren, and if they conceive, the man's seed is hot and moist, they bring forth females; and if males, they are tall, and quickly look old. Chap. 2. Of the hot Distemper of the Womb. HEat of the womb is necessary for conception: but if it be too much, it nourisheth not the seed of the man, but disperseth its heat, and hinders the conception The Causes This preternatural heat is from the birth sometimes, and makes them barren; if afterwards, it is from hot causes, that bring the heat and the blood to the womb: from internal and external Medicines, too much hot meats, and drinks, and exercise. The Signs. They are prone to lu●t, have few courses, yellow, or black, or burnt, or sharp, they have hairs betimes upon their privities; they are subject to the headache, and there are signs of much choler, their lips are dry. When this distemper is strong, they have few The Prognostic. terms, and out of order; they are ●ad and hard to flow, and in time they are H●p●●●ondria●ks, and for the most part barren; and ●here is sometimes a Frenzy of the womb. Use Coolers: so that they offend not the vessels, The Cure. that must be open for the flux of the terms. Therefore, Use inwardly Succory, Endive, Violets, Waterlillies, Sorrel, Lettuce, Sanders, and Syrups, and Conserves made thereof. As, Take Conserve of Succory, Violets, Waterlillies, Borage, each an ounce; Conserve of Roses half an ounce, Diamargariton frigid, Diatrionsantalon, each half a dram; with Syrup of Violets or juice of Citrons, make an Electuary. Outwardly use Ointment of Galens Cooler, Ointment of Roses● Cerot of Sanders, Oil of Roses, Violets, Waterlillies, Gourds, Venus' navel to the back and loins; or make Cataplasms of Barley meal, Roses powdered, Violets, Water-lillies, Sanders, with juice or water of Plantain, Waterlillies, Succory Lettuce, Oil of Roses, Violets, Waterlillies. Baths are good to sit in, and cooling ●omentations, and after let her take some of the Coolers mentioned. In great heat, use this cooling Pessary. Take Opium a scruple, Goose grease two scruples, Eros. de p●ss. mulie. c. 7. Wax and Honey, each four scruples; Oil an ounce, whites of two Eggs. This was from an opinion the Ancients had, that Opium was cold, but take heed of the using it too much, lest the narcoti●k quality hurt. Let the air be cool, her garments thin: let her meat be with Lettuce, Endive, Succory, Barley: give no hot mea●s nor strong Wine, except it be waterish and thi●; rest is good both in body and mind: she m●st not copulate, but she may sleep much. Chap. 3. Of the cold Distemper of the Womb. THis causeth many evils, and barrenness. They are contrary to those of a hot distemper; The Causes cold air, rest and idleness and cooling Medicines● The Signs. It is known by their not desire of lechery, no● receiving pleasure in the time of copulation, when they spend their ●eed. The ter●s are phlegmatic, thi●k and ●●im●, and flow not rightly there is wind in the womb the seed is crude, waterish● with a Gonor●haea. The Prognostic. It is the cause of obstructions and barrenness, and is hard to be cured. The Cure. Use things proper to heal the womb, as this W●te●. T●ke Galanga●, Ci●namon● Nutmeg, Mace, Cloves each tw● 〈◊〉 Ginger, Cubeb●, Zedoary, ●ardamo●s, e●ch ●n ounce; grains of Paradise, long P●pper, each half an ounce; beat them, and put them i● six qu●rt● of ●ine for ei●ht days, then add Sa●e, Min●s, Balm, Motherwort, each three handfuls; l●t them stand ●ight days more, then pour ●ff the ●ine, and be●t the herbs and the Spi●es, and th●n pour on the Wine● and distil them. Another. Take Cinnamon, Nutmegs, Cl●v●s, Mace, Ginger● Cubeb●, Cardamoms● grains of Paradise, ●ach an oun●e and hal●: Galangal six drams, long ●epper ha●f an oun●e, Zedoary five drams, bruise them, and add six quarts of Wine, put them in a Cellar nine dai●s, daily stirring them; then add Mints two handfuls, then let them stand fourteen days, pour off the Wine, and bruise them, and then pour on the Wine against and distil them. Querce●an hath an H●sterick Ex●ract, a ●reater In phar. doc. restit. cap. 25. and a less; use outwardly Fomentations, Baths● Baggs, of hot Roots, as Birthwort, Lovage Vale●ian, Angelica, Burnet, M●sterwort, Calamus, M●dder, Elicampane, Or●is, and Herbs, as Mugwort, Balm, Motherwort, Savin, Pennyroyal, Calamints, Organ, Dittany, Ma●joram, Rue, Bettony, Rosemary, Lavender, Sage, Stoechas●lowers, Seeds of Smallage. Parsley, Rue● Carrots, Anise, Fennel, Cummin, Lovage Parsley. Anoint with Oil o● Lillie●● Rue● A●gelica, Bays, Cinnamon, Cloves, M●ce, Nutmeg. Or, Take Labdanum tw● ounces, Frankincense Mastich, liquid Storax, ●ach half an oun●●; Oil of Cloves, Nutmegs, each hal● a scruple; O●l of Lilies, Rue, ●ach an ounce; with Wax make a Plaster. A F●me. Take Frankincense, Myrrh, Mastic, ●ach a dram; Bayberries a dram and half, Labda●um two drams● S●●rax, Cloves● each a dram; Gum Ar●bick and Wine make Troches, or Pessaries of ●he same. Let the diet be warming, and the air, the meat ●f easy concoction, seasoned with Anise, Fen●el, Thyme. Avoid Milk-meats, and raw fruits. Chap. 4. Of the moist Distemper of the Womb. THis is commonly joined with a co●d distemper, a●d causeth barrenness, a●d 〈…〉 the same causes, as a cold distemper: for commonly cold things do moisten. It is commonly in women ●hat are idle. The Signs They that have moist wombs, abound in courses, but they are waterish and thin, the privities are wet, they have the Whites, and desire not copulation much, and delight not in it, they retain not the seed; and if they conceive when the child is big, they aborte or miscarry. The Prognostic. If it last long, it is hard to be cured: if it be much, they conceive not. The Cure. It is by Dryers, and things that cure the cold distemper are good against the moist: because all Healers have a drying power. Use sulphur Baths and in Injections: beware of ast●ingents, lest the evil humours be stop●, and the disease increased. Chap. 5. Of the dry Distemper of the Womb. IN this the womb is hardened, of itself it is fleshy and soft, and moistened by blood fo● conception. The Causes It is sometimes from the birth, or old age, when they are past childbearing: if it be from drying causes, they are barren before they are old. Diseases and Medicines dry the womb, as inflammations, fevers, and when blood flows no● to it, nor goes to the bottom of it, by reason 〈◊〉 the straitness of the veins, or obstructions, as i● Viragoe's, and such as never conceived: and i● they void any blood, it is f●om the neck of th● womb, and not from the bottom. The Signs. They void little ●eed, and are ●low in Venery● the terms are few the mouth of the womb is dry, and they are slender of a dry constitution, their lower lip is always chapt, and blackish red. This distemper is hard to be cured in any part, The Prognostic. especially if it be old. Use moistners as Borage, Bugloss, Mercury, The Cure. Mallows, Althaea, Violets, sweet Almonds, Pist●chaes, Pine nuts, Jujubes, Dates, Figs, Raisins. Of which are made Syrups, Conserves, Emulsions, Candy's &c. Outward Remedies are made of the same, adding Time, Faenugreek seeds, Lilies, Branckurlin, Pellitory, etc. Fomentations are made with Milk, and after bathing anoint the region of the womb and the belly to the privities with oil of sweet Almonds, Lilies, Lineseed, Jesamin, fresh Butter, Hens and Goose grease. Let the Diet be moistening, the Air moist, the Me●t fattening, of much nourishment and small excrement, let sleep be a little longer than usual; great labour, anger, sadness, fasting, do hurt. Chap. 6. Of compound distempers, and first of cold and moist. THere is seldom a simple distemper in the p●rt, and commonly there is matter which ●eeds it● it is usually cold and moist, which gathers excrements of that sort, either in the whol●●●dy, or in the womb after the terms. The Causes Are all things that breed cold and phlegmatic humours in the whole body or the womb. The Signs. They conceive not, and are of an ill habit of body, the terms seldom flow right, and they have sometimes the whites. The Prognostic. It is harder to cu●e then a simple distemper. The Cure. The cold humour is in fault, therefore prepare it with syrup of Mugwort, Mints, Bettony, Hyssop, with a decoction proper. As, Take Fennel roots an ounce, Valerian, Elicampane, Masterwort, each half an ounce; pennyroyal, Mugwort, Motherwort, Nep, Margerum, each a handful; Rosemary and Sage flowers, each two pugils; Siler Montane, Fennel Aniseed, Parsnep seed, each a dram; boil them: to ten ounces strained, add Sugar, syrup of Mugwort two or three ounces, Cinnamon water half an ounce, make a potion for three doses. Then purge it with Agarick, Mechoacan, Turbith, and if other humots be mixed with phlegm, add Senna and the like, or use Pills de tribus Aloephanginae, Mastich, of Hiera with Agarick, Sine quibus. Or, Take Agarick a dram and half, Senna two drams, infuse them in Mugwort water, to three ounces strained, add Diaphaenicon or Diacarthaemum tw● drams, strain and add syrup of Mugwort half an ounce, Cinnamon water half a dram. After universal evacuations, use Pessaries. As, Take Mercury, bruise it and put it in a bag of white Silk, anoint it with Butter or Honey of Roses. Or, Take Benedicta laxativa three drams, Agarick two drams, Gi●h seed a dram, Pease meal six drams, with juice of Mercury make Pessaries in a Sarsnet Bag. Or, Take Hiera a dram, Agarick ●alf a dram, ●dellium a dram, with Honey make a Pessary, or make it with powder of Agarick● and Troches of Coloquintida, or give sweats of Cuaja●um, China and Sarsa, As, Take Guajacum a pound and eighteen ounces, in●a●e them in twelve pints of water twenty four hours, ●hen boil them to the consumption of the third part, ●ive six or eight ounces ●ot in the morning, and le●●er sweat. Pour water to the relics and boil them to ●he consumption of the third part for an ordinary drink. You may use China and Sarsa the same way, ●nd because in a decoction some strength is lost, ●nd so great a quantity is tedious for wom●n, ●ou may distil them and give a less quantity ●ith things proper for the womb. As, Take Guajacum a pound, or Sarsa eight ●unces, Angelica, Elicampane, each an ounce; ●ugwort two handfuls, Di●tany half a handful, ad ●x pints of water or wine, steep them two days, then distil them, and give two ounces of the water. Let her meat be roasted birds, hens, capons, partridges, mutton, sweet Almonds, Raisins, ●t her abstain from ●alt and sharp things. If these sweats are unpleasant, give them in ●e third and fourth Chapter internal and exter●al. As, Take conserve of Marjoram, Rosemary, bettony, each two ounces; of Balm an ounce, Dia●oschu dulcis, Diam●rgarion calid, each a dram; ●ndied Eryngus and Citrons, each half an ounce; ●ith s●rup of Mugwort make an Electuary, and use ●aths to 〈◊〉 in mentioned. Drying Spaw-waters are good to drink, or to 〈◊〉 in. Let the diet be as in Chap. 3. and 4. give the flesh of wild Mountain ●owl, Pigeons, Hens, Capons, Mutton, roasted and spiced and old wine, and let her exercise. Of the hot and dry distemper of the womb with Choler. Do as in Chap. 5. purge the Choler, whethe● it be from the whole body, or from the Liver, with syrup of Roses, Manna, Tamarinds, Rhubarb, Senna, etc. Chap. 7. Of the ill shape of the womb, and first of the straitness of it and its vessels. THis is a disease of evil conformation from nature, when it can be stretched out no further, this makes an abortion in the fourth or fifth month. But it is wonderful in its natural shape when it will stretch according to the proportion of the child, and after childbearing be as small as a● first. Of straitness of the vessels of the Womb. This is usual, and hinders the flux of the terms and conception, it is in the vessels of the womb, and of the neck thereof. The Causes Are thick tough humours that stop the mouth● of the veins and arteries, these are bred of gro●● or much nourishment, when the heat of th● womb is so weak that it cannot attenuate the humours, these either ●low from the whole body o● are gathered in the womb. Sometimes vessels are closed by inflammation or S●irrhus, o● other tumour. 3. They are stopped by astringent Medicines. 4. By compression. 5. From a Scar or flesh, or a membrane that g●ows after a wound. Stoppage of the terms shows straitness which The Signs. hinders conception: and this stoppage is known by crudities abounding in the body, which are known by their signs. Sometimes thick phlegm comes from the womb, if there was a wound before, or the Secundine was pulled out by force. Stoppage of terms from an old obstruction by The Prognostic. humours, is hard to be cured; if it be from disorderly use of astringents, it is more curable: if it be from a Scirrhus or other tumour that compresseth or closeth the vessels, that cannot be cured, the disease is incurable. Obstructions are taken away by the means The Cure. mentioned in the cold and moist Distemper of the Womb: ●le●m must be purged and she must be let blood, as in stoppage of the terms. After Universals; come to the obstruction with Medicines that move the terms: these take away the cause, as in the Chapter of the cold distemper of the Womb. Or, Take Asparagus roots, Parsley roots, each an ounce; Madder roots half an ounce, red Pease half a handful, Pennyroyal, Calamints, each a handful; Wall-flowers, Dill flowers, each two pugils; boil, strain and add syrup of Mugwort an ounce and half. Or, Take Birthwort and white Dittany roots, ●ach ●n ounce; Costus, Cinnamon, Galangal, each half ●n ounce; Rosemary, Pennyroyal, Calamints, B●t●ony ●●●wers, each a handful; Anise and Fennel●e●●, each a dram; Saffron half a dram, with ●i●e. O● use Topics, as, Take Mugwort, Mar●oram, Calamints, Mercury, Pennyroyal, each tw● handfuls; S●ge, Rosemary, Bays, ●hamomil flowers, ea●h a hand●●l; boil them in water, foment the groins and the bottom of th● belly: or let her ●it in a Bath up to the navel; and then anoint about the groins, with Oil of Rue Lilies, Dill, etc. Or use Pessaries and Fumes mentioned. If straitness be from other diseases, cure them first. Chap. 8. Of the opening of the Vessels of the Womb besides Nature. THis is when there is great bleeding. The Causes The vessels are opened preternaturally three ways, by Anastomosis, Diaeresis, and by Diapedeses, as in the lungs. Anastomosis is from much blood which the liver doth produce, and send out by the womb, as in some by the nose. For the blood being thin, hot, choleric and sharp, opens the mouths of the vessels, and causeth a flux. Diaeresis is from much blood, when there is great motion, as when there is long copulation with a strong man that hath a great tool, or a hard travel, or abortion, a ●all or stroke; also when sharp humours corrode, or sharp pessaries. Diaped●sis is from the thinness of the vessels, and looseness, and the thinness of the blood, or from much moisture, or use of Baths. The Signs. M●ch blood is a sign the vessels are open, you shall know the causes that open them thus. In Anastomosis the blood drops, and is th●n, and there are signs of much blood, or sharp and thin. If there be a Diaeresis, the blood flows more, and there are clodde●s and there were causes that broke the vessels, as sharp Suppositories. Diapedeses is known, when the woman is of a thin and loose habit of body, the blood thin, or she hath used ●uch bathing. If the vessels open from much blood in a sound The Prognostic. body, there is less danger, and it is easier cured then in a Cacochymy. In an A●asiomosis give things that thicken The Cure. without slime, as Roses, Myrtles, Medlars, Services, Pomegranate peels and flowers, Sanders, ●oral, Heart's horn, Cypress-nu●s. In Diaeresis give things that thicken with slime ' as Comfrey, Plantain, Gum Traganth, whites of Eggs, Troches of Amber, Bole, Starch, Rice Quinces, Sanguis Draconis, Sarcocol, and Izing glass. But because there are divers causes, and these dise●es are not cured but by taking them away ● we shall speak of them in the Chapter of immoderate Terms. Chap. 9 Of a double Womb, the wanting of a Womb, and evil shape of the Womb, and strange things found in it. Julius Obsequens sails that one woman had two w●mbs, and 〈◊〉 saith that a Maid had her womb in two parts, as in Bitch's. C●l●mbus saith that one wanted a womb, but Lib. 15. a●●●o. ●e● privities were as in other women, and part ●f the neck of it hung out. Worms in the Womb. Lib. de morb. mul. Hypocrates writes that worms are found in the womb. And Gynaecea writes, it is a sign tha● Nature is wanton, etc. And John de Tornamira writes, that he saw a Woman that had an intolerable itching in her womb from the Ascarides, he gave a Womb clyster of the Decoction of Wormwood and Hiera, and she voided many small worms, and was cured. An Addition. * Wheresoever foul humours stop in any part, it is no wonder if it breed worms, if other things agree which are required for the breeding of th●m. Fat and hair found in a Womb. Cent. obser. 5. obser. 49. William Fabricius mentions that in a dead woman the womb was taken out, and it weighed eighty seven pounds, and was full of divers humours; in the middle there were hairs like yellow wool. An Addition. * This was by Magic, or a humour lay there fit to breed this strange matter, by preternatural heat. Stones bred in the Womb. Lib. 4. de morb. m●lier. ●. 11. Mercurialis doubts of stones being bred in it● but thinks it is clotted blood like stones. But it cannot be denied which many worthy Lib. 5. ipid. Authors write. First Hipp●cra●es w●it●s that a Woman of sixty, after noon alwa●es was pained as one in travel, after she had eaten many leeks, she had one ●it worse than the rest, and she arose, and found something rough in the orifice of her womb, and she fainted, and another woman t●●●st in her hand, and took out a great stone, and the woman recovered. E●ius also saith, Hard stones are bred in the Tetrab. 4. ser. 4. c. 98. womb sometimes, etc. Ni●olas Florentine and Mar●●l●us Donatus say the same. Chap. 10. Of the magnitude of the Womb increased, and first of the inflation of the Womb. Inflation is a stretching of the womb with wind, it called by some a windy Mole. See Ma●h. de grad. in 9 Rhasis. Matthew de gradibus: And Thadeus Dun lib. missel. c. 8. This wind is from a cold matter, either thick The Causes or thin, contained in the veins of the womb, which overcomes the weak heat of the womb; it is gathered there by cold meats and drinks, or flows from other parts. Cold air may be the cause also, if women that lie in, expose themselves to it. This wind is contained either in the cavity of the vessels of the womb, or between the tunicl●●. There is a swelling in the region of the womb, The Signs. sometimes reaching to the navel, loins and Diaphragma; & as wind increaseth or decreaseth, it ariseth or abateth, it is different from a Dropsy, because it is never ●●ollen so high. And lest a Physician be deceived, and take it for a conception, observe the signs of women with child, for if one sign be wanting, you may suspect an inflation; also in inflation the tumour increaseth and decreaseth, but in conception it still increaseth. Moreover if you strike upon 〈◊〉 belly, there is a noise, but not in conception. It differs from a dropsy in the womb, for the● is not such heaviness, they move more easily ar● the belly is not so swelled, there were causes th●● bred wind, and things against wind do good. It differs from a mole, for there is in that 〈◊〉 weight and hardness in the belly, and when the● move from one side to another, they feel a wei●● 2. de morb. mulier. that moveth which is not in this, of which Hypocrates. The feet and the face swells in the hollow parts, the ●olor is bad, the terms stopped, the●● is short wind, etc. If ●he wind is without the cavity of the womb● there is more pain and larger, nor is there a noi●● The Prognostic. because the wind is in a straighter place. It is neither a lasting nor a deadly disease, i● well lo●k● after: if it be in the cavity of the The Cure. womb, it is easier discussed. Give Hiera, Diaphoenicon, with a little Castory sharp Clysters that also expel wind: if it b● in travel, purge not till she be delivered. Bleed not, because it is from a cold matter: i● it come after childbearing, and the terms were not sufficient after, and there is fullness of blood, open the Saphena. After these, give things mentioned in Tympany, that respect the womb. As, Take Conser●● of Bettony, Rosemary, each an ounce and half; candied Eryngus, C●tron p●●ls candied, ●●ch half 〈◊〉 ou●c●; Di●●yminum, ●Diagalangal, ●a●h a d●●m; Oil o● Aniseeds six d●●ps, with Syrup of Citrons, ma●e an El●c●●ary. Or, Take Conserve of Rosemary, ●alm, each three ounces; candied Citrons and Oranges, each an ounce; Diacyminum a dram● with Syrup o● Citr●●● make an Electuary. Or give the Woman's Aqua vitae, or this Take Angelica roots two ounces, Masterwort, Elicampane, Orange peels, each six drams, Calamints, Pennyroyal, R●e, Sage, Rosemary, each a handful; Cummin, Fennel, Aniseed, each half an ounce; Juniper berries a handful, Zedoary, galangal, Cubebs, each half an ounce; with good wine distit them, give a spoonful or two. Apply outwardly a Cataplasm o● R●e● Mugwort. 〈◊〉 Dill, Calamints, Nip, Pennyroyal, 〈◊〉 with Oil of Rue● Cheir, Chamo●il, a●d make Baths of the same, and bags of Milium, S●lt● Chamomil ●●●wers, Melilot, Bayberri●s, Cum●●n, Fennel seed, or lay on a Plaster of Bayberries Let ●l●sters to expel wind be put into the wom●. As● Take Calamints, Agnus castus, Rue, each h●l● a handful; Aniseeds, Costus, Cinnamon, each two drams; boil them in wine for h●lf a pin●. Apply a Cupping-glass with much flame to the breast, and over against the womb. Use Sulphur-baths and Spaw-waters inward and outward, for they expel wind. If it come from cold after childbearing, and she is not well purged by her terms, heat the womb, and purge, and give strong wine Let the diet be hot, cutting and attenuating, The Diet. with things that expel wind, and little at a time. Question● Whether the wind is in the cavity● when there is in●●ation of the Womb? It is so by experience, though some deny it, nor is there any cause why wind should not b● bred in the womb, as well as in any other part; both by reason of the excrements that come thither, and the natural heat that turns them into wind: these also stretch the womb (though it be thick) as in dropsies and conception; also the retentive and altering faculty of the womb is never idl●, so that when it receives diseased and unfruitful ●eed, it suffers it not to corrupt, but turns Lib. de n●●. pueri. it into wind. As Hypocrates writes, When the w●●b is stretched by wind from the belly, women thi●k they hav● conceived. Chap. 11. Of the Dropsy of the Womb. THey are also deceived, and think they are with child: when there is water that swel● the womb; this is a Dropsy of the womb. This Ves. lib. 6. de corp. hum. Fab. Mar. Do. de hist. me. mira. l. 4. c. 21. water is either in the cavity o● between the co●ts of th● womb, o● in its vessels. ●●salius, Marcellus Donatus show that water is in the cavity, for it doth not presently by its plenty or quality, force its passage out, because the orifice is not always open, and Nature gathers it by degrees, and is used to it. Tetra. 6. 4. ser. 4 c●p. 79. A●tius ●aies, There are sometimes bladders of water in the womb. And Christopher Vega ●aith, that Leonora thought that she had gone six months, and then voided sixty bladders of water, and seven pieces of ●lesh, like that of the spleen in membranes. Lib. 4. obser. ●ent. ●. obarr. 5●. There is sometimes a Dropsy of the womb wi●h conception, as Schenki●s and William Fabri●ius ●aith of his own Wi●e. The 〈…〉 A●e gathering of water from moistness mixed with the t●rm●, and from an evil sanguification in the liver and ●●leen, f●om ●h●ir weakness, o● f●om errors in diet; or from weakness of the womb, from hard travel, or often mischances, cold air or water, or whatsoever hurts the hea● of the womb. Also stoppage of the terms doth cause gathering of water, for the water useth to be evacuated with them. Many take this for the only cause. Sometimes the tunicles of the womb may be divided in some place, and water may be gathered between them. Hypocrates saith, The terms are ●ewer, and The Signs. 1. De morb. mulier. cease before the time; the bottom of the belly swells, and the paps are so●t without milk, and she thinks she is with child: by these you may know it is a Dropsy. But because Doctors and Midwives are often deceived, you must distinguish this from other swellings. When a woman is sound, and useth a sound man, the womb by degrees swells, and the child moves in its time, but often there is a Dropsi● with conception before or after; therefore in a Dropsy the tumour is equal, according to the largeness of the womb and ●elly, and no● pointed as in a woman with child. Secondly, i● the woman be in years, and hath not conceived before, and hath a good colour, it is a sign of a Dropsy rather than conception. If the tenth month be past, and the child moves not, nor the breasts swell, but are soft, say there is a Dropsy of the womb. Thirdly, in a true conception, women are better after some months, and the Symptoms abate, but in a Dropsy they increase still. It is distinguished from a mole by the weight in the bottom of the belly. From an inflation● because the belly is stretched in that, and sounds being stricken, but is so●t in a Dropsy. It differs from the Dropsy of the belly, because the face is pale or wane, in that from the distemper of the liver there is thirst, but in the won b●dropsie she is of a good colour, except the liver be also bad. It differs from inflammation of the womb, for that is ●ith a constant fever, and the Symptoms o● it, and ●rom other tumours which are harder, but in a Dropsy of the womb, if the belly be pre●●ed● it yields. You shall know whether it be from the fault in the womb principally, or ●●om some other part, thus. I● t●e woman be of a good colour, and there were only some diseases and causes that might hurt the womb● as abortion, hard travel, stoppage of terms, or too many of them, than the womb is chiefly affected; but if there be signs of a distemper in the whole body, or in the liver or spleen, a●d the colour is bad, it is by consent from other parts. You shall kn●w whether the water be in bladde●s or in the cavity of the womb, thus: If you find the orifice o● the womb closed, and there is little pain, it is in the cavity, but if the orifice be open, and there is great pain, it is in bladders or without the cav●●y. The 〈…〉. If the humour in the womb be not corrupt, this disease is of long continuance, but may be easily cured: it is easier cured in the cavity, then when it is in bladders, and between the ●unicles. A woman after conception having a Dropsy of the womb, her child dirth, and she is in danger. The Cu●●. When it is fro● stoppage of terms, and new, and the strength firm, open a vein in the legs, otherwise bleed not. Purge according to the humour, with respect to the womb, as in Chap. 6. of a cold Distemper. Then purge Water. Take Angelica and Madder roots, each half ●n ounce; Calamints● pennyroyal, Mugwort, Lovage, e●ch a handful; Savin a pugil, boil them in wine, sweeten it with Sugar Or make Broths with the same. Take Dianisum, Diagalangal, each half a dram; Oil of Aniseeds, Cloves, each five drops; Sugar three ounces, make Rolls. Inject into the Womb as in Dropsies. Take Asarum roots t●ree drams, Pennyroyal, Calamints, ea●h hal● a handful; Savin a pugil, Mechoacan a d●am, Aniseed, Cummin, each half a dram; boil, ta●e six ounces strained, Oil of Elder and Orris, each an ounce; make a Clyster. Or use Pe●●aries. Take Agarick a dram, Coloquintida half a dram, Gni●ium ten grains, with Honey and Wool, make a Pe●●ary. Make Fomentations and Baths of Danewort, Me cury, Elder, Pennyroyal, Organ, Chamomil-flowers, Ba●berries, wild Cucumbers, Broom, Carret, Rue seeds. And anoint after with Oil of Elder, Danewort, Orris, with drops of Oil of Ang●lica, Anise, Caraway. Sulphur Baths are good, and those of Niter, o● the Plaster of Bayberries, or Snails to the bott●m of the belly. Vomiting and sneezing break the bladders. Give Clysters at the fundament as in Dropsies. Take Mercury leaves, Danewort, Soldanella, Mugwort● Motherwort, each a handful; Chamomil, Elder, Broom flowers, each a dram; boil and to ten ounces strained, add juice of Beets, Mercury, Danewort, each six drams; Boys urine an ounce and half, Hiera six drams, Honey half an ounce, make a Clyster. Let the Diet be drying, as in Chap. 5. Chap. 12. Of a Tumour in the Womb, from blood in its Veins. THis disease makes Women think they are with child also: for blood long detained in the v●ins about the womb, stretcheth them outwardly, and twisteth them, and the veins in the substance of the womb are full and stretched, and make it larger; but when the terms flow, it falleth again, except there be a Cachexy or Dropsy. This is only from stoppage of terms, and is cured by provoking them. Chap. 13. Of Inflammation of the Womb. IF the blood that comes to the womb, get out of the vessels into its substance, and grow hot and putrefy, it causeth inflammation, either all over, or in pa●t, before or behind, above or below, on the right or left side. The Causes Blood is the immediate Cause, which is pure or mixed; therefore the inflammation is either an Erysipelas, Oedema or Scirrhus, as phlegm, melancholy, or blood abound. Blood is either sent to, or drawn by the womb; by heat or pain● it is sent to it, when it aboundeth, or is hot or thin, and when the blood is moved by hot air, exercise, passions, as anger or hot diet. The Signs. There is a tumour with heat and pain in the region of the womb, with stretching and heaviness in the privities, and if you put in your ●inger, you'll feel the heat, and the more pain; there is a fever sometimes called Lipyria, when there is cold without, and heat within. The tongue is dry and bl●ck, with watching, doting, to●●ing to and fro, the breasts are puffed up and pained. There is headache to the roots of the eyes, and a pain in the groins, hips, midrif, pleura and shoulders: short wind, and like a Pleurisy, with loathing, vomiting, hickets. The belly is bound, the pulse is small, and often and weak, but at first darting and quick. And Hippocrates ●aith, If the womb 2. De mor●. mulier. be inflamed, the terms are stopped, and the neck of it is li●● a Spider's web with many small vein●, etc. I● it be inflamed before, the pain is about the ●●bes, and the urine is stopped. If behind it is in the ●oyns, and the belly is bound. If it be inflamed in the bottom, the pain is towards the navel. If it be from pure blood, the Symptoms are less, if from choler stronger, the thirst is more, the watching greater: if from melancholy, all are worse. If it be all over the womb, it is dangerous, and The Prognostic. few escape it. An Erysipelas in a woman with child is deadly, because there is an abortion, and the Mother dies: the worse the Symptoms, the greater is the danger. And it is safer to discuss an inflammation then to ripen it: if it turn to a Schirrus, it is lasting, and makes 〈◊〉 Dropsy. If it be not after abortion or a flux of blood, open a vein in the Arm, or cup and scarify the The Cure. shoulders. Bleed n●t in the foot, lest you draw blood more to the womb; but afterwards to derive, if it be from terms stopped, you may. Galen Gal 2. add glau. c. ●. ●aith, You may divert the blood by bleeding in the arm, or cupping the breasts, and you ma● derive it by opening the ankle-vein, and cupping upon t e hips. If there be choler● purge it with Syrup of Roses, Manna, Rhubarb, Diacatholicon; and use not strong movers of the terms. Use Alte●ers and Coolers, as Juleps and Emulsions, and provoke sleep, and if there be dotage, give Narcoticks. A●ter Univ●rsals use Repellers and A●odynes. As, Take Housleek, Purslane, Letti●●, Venus-navel● Vine leaves, each half a handful; boil them in wine, add Barley meal two ounces, Pomegranate fiowers two drams, Bole a dram, with Oil of Roses, ●ake a Pultis. Or, Take Diachylon simple tw●●unces, j●yce of Venus-navel and Plantain, each ha●f an ounce; Oil of Roses an ounce, Sugar of Lead a dram, make an Ointment in a leaden Mortar. Make Injections of the same Herbs, or of Milk and Rose-water. Or, Take Plantain, Ven●●-na●el, Lettuce, each a handful; re● R●ses two p●●il●, boil, and ad Oil of Myrtles an ounce, Rose-vinegar half an ounce make an In●●ction. Make Clysters of the s●me Plants in a small quantity, lest they oppress the womb. T●ke Al●haea roots an ounce, Mallows, Violets, Lettuce, each a handful; Nightshade half a handful, Violets, Roses, each a pugil; sweet Pr●nes ten, Linseed half a dram, boil them in Barley water, to six ounces, ad Oil of Roses three ounces, make a Clyster. An anodyne Fomentation. Take roots of Althaea, Mallows and Violets, each a handful; red Roses, Melilot, C●amomil flowers, each a pugil; boil them for a Fomentation. Or use a Cataplasm of white Bread and Milk. I● the progress discuss. As, Take powder of Alth●ea roots an ounce, Chamomil and Melilot ●●owers, e●●h two drams; Mugwort half an ounce, Barley and Bean flour, ●ach an ounce; boil them in sharp wine, add Hog's grease, Oil of Chamomil and Lilli●●, ●●ch an ●unce; make a Cataplasm. If the inflammation turn to matter, ripen it. As, Take po●der of Altha a r●ots, Chamomil flowers, M●lil●t● Lineseed, Fae●ugreek● each an ounce; Figgs eight, boil them, add yolk● of ●our Eggs, and ha●● a scruple of Sa●●ron, make a Pultis A●●er it is ripe, break it by motion of the body, coughing, sneezing, cupping, or by Pe●●aries. As, Take ●iggs an ●unce, Rue half a handful, boil them 〈◊〉 ad Honey and Leaven, each half an ounce; Pigeons dung, Orris roots, each half a dram; with wool make a Pessary. A●ter it is broken, the pain abates, th●n cle●se and heal the ulcer as in Sect. 1. c. 8. of an ulcer of the womb. If it break about the bladder give an Emulsion of cold Seeds, Whey, and Syrup of Violets. Let the diet be cool, with Barley water warm Abstain from Wine; to the declination of the disease, let the belly still 〈◊〉 kept loo●e. Chap. 14. Of a Scirrhus and Cancer in the Womb. AN earthy matter left after an inflammation mak●s a hard tumour called a Scirrhus, and sometimes it is without an inflammation It is a proper S●irrhus when there is neither sense nor p●n; it is improper when there is a little sense. It is sometimes as big as a man's head; sometimes Pa●●●us l. 23. c. 36. the whole womb is a S●inhus, sometimes only p●rt of it. The immediate Cause, is a thi●k earth● hu●or, The Cause● as natural melancholy wh●n a thi●k humour is gathered in the womb, there is a Scirrhus without inflammation aforegoing; this i● usual in melancholy women, and such as are no● cleansed by their terms, or have the Pica or green-sickness, and are fifty years old. Other humours sometimes breed a Scirrhus after inflammation, when cold astringents have been used disorderly, for then the humour is fixed to the part and hardened. The same may be from hot discussers, which send forth the thin matter in an inflammation, and fasten the thick. The Signs. The tumour is to be felt, it yields not, and is without pain, the terms flow not at first, or very little, & afterwards there is a great flux of blood. If an inflammation went before, and the part is heavy and burdened, it is a sign of a Scirrhus. She is unweeldy, slothful; and you may know from what humour, it is by the signs of the humours predominating in the body, and the part pained will show you in what place it is. The Prognostic. A Scirrhus easily turns to a Cancer. And when the terms are stopped, there is a Dropsy of the womb or belly. It is easier cured in the neck then in the womb itself. The Cure. Moisten and heat the cold and dry humour, with Borage, Bugloss, Fumitory, Succory, Epithymum, Polypod●. Then purge with Polypody, Senna, black Hellebore, and the like. As, Take roots of Althaea, Lilies, e●ch two ounces; Mallows, Vi●l●t●, Al●haea, Brankursine, each a handful; Mugwort, Calamints, Chamomil flowers, each half a handful; fenugreek and Lin●e●d, each half an ●unce; b●●l them ●or a Fomentation, or Bath, or to a Cataplasm, with Lineseed, Faenugreek, ●a h an ●unc●; Fi●s six, Orris powder too drams, Sa●●ron half a dram, Hen● grease and Oil of sweet A●monds as much as is ●it. Or, Take Bdellium, Ammoniacum, Galbanum, each as much as you please, beat them in a Mortar, with Oil de Been and Lilies, add Mucilage of Faenugreek, Lineseed, Figgs, make a Lineament, or with wax a Plaster. Or, Take Oil of Capars, Lilies, sweet Almonds, Jesamine, each an ounce; fresh Butter, Hen's grease, Goose grease, each half an ounce; Mucilage of Faenugreek, Althaea and Ointment of Althaea, ea●h six drams; Ammoniacum dissolved in wine an ounce, with wax make an Ointment. Make Injections thus. Take Bdellium dissolved in wine, Oil of sweet Almonds, Lilies, Chamomil, each two ounces; marrow of a Veal bone, Hen's grease, each an ounce; with the yolk of an Eg. In a bastard Scirrhus, you may use healers and digesters better, and Ammoniacum, and hotter Fats. Internal Medicines, are steel etc. of which in obstruction of the Womb, and Scirrhus of the Spleen. As for diet, abstain from breeders of gross and slimy humours, and from hot dryers. Cancer of the Womb. What may be said of this, is said before, only a Cancer may seize upon the substance of the womb, but it is more usually in the neck of it. Chap. 15. Of the displacing of the Womb; and first of the Ascent of it. WHen the womb falls out of the privities, it is called Procidentia uteri: this is ordinary, Eustach. rud. lib. 2. pract. c. 5. but the ascent or going up of the womb is more unknown. Many grave Anatomists hold tha● the womb doth ascend, if sweet things are applied to the nose; if to the privities, that it descends if stinking scents come, the womb flies from th●● and it is to be seen by breathing altered, and by some meats that the womb greedily desires, and catcheth up. Galen overthrows this opinion, and saith that 6. De lo. off. c. 5. the womb doth move after a sort, and ascend, but it is very little, and not to be demonstrated; nor can it arise to the stomach, it is tied with such strong ligaments to its place; and when it falls out the ligaments are extended by moisture, and falling of it down. And there is no reason why the ligaments though lose or wet, it should go up so speedily, and come down again; for● falling down is by degrees, and it is not soon brought up again. And though it be enlarged in conception, it is by degrees and equally, not suddenly in one side. Nor are the ligaments made very loose in conception, and the bottom of the womb is not tied, the ligaments being only on the sides. But this cannot be denied, which women affirm, that they feel a body or ball moving about the navel, and a Physician or Midwife may feel it. Therefore let us inquire what it is, if it be not a womb. That body which you may feel stir, is the stones, and that blind vessel which Fallopius found out, which he compared to the great end of a Trumpet, called F●llopius his Trumpet. For the stones hang, and the body of the Trumpet is l●ke a pipe loose and moving, and when they are full and swell with corrupt seed and vapours, they move to and fro, and ascend as high as the navel. And the stones with the Trumpet make this round tumour of the womb, which is Antrop●g●. lib. ●. c. 34. felt in women, as Riolanus observes. Whatsoever makes corrupt seed in the stones The Causes of a woman, and fills them ●th evil ●apors or wind, is the cause of which in suffocation of the womb; for the cause is alike in both, only in suffocation the Symptoms are worse● because the evil vapours are then more freely carried by the veins arteries and nerves, and asilict the principal parts. The woman and others may feel a round body, The Signs● and she ●indeth a pain at her heart, and short breath, without sleeping or doting, or other symptoms, and there we●e causes that disturbed the womb. It is not dangerous, yet not to be slighted, for The Prognostic. it may turn to the strangling of the womb, when these evil vapours move to the noble parts. Let the aim be at the corrupt seed, and vapours The Cure. which must be does ussed and evacuated, as in suffocation of the Womb. Chap. 16. Of falling out of the Womb. Sometimes it falls to the middle of the thighs, o● to the kne●s almost, or hangs a little out. The womb changeth its place, when the The Causes ligaments by which it is bound to the other parts ●re not in order. There are four, two above ●road and membranous that come from the Pe●iton●●um. and two ●elow that are nervous, ●ound and hollow. ●●●ide●, it is bound to the ●reat vessels by veins and a●t●ri●s, and to the ●ack by nerves. Now the place is changed when it is down another way, or when the ligaments are loose, and it falls down by its own weight, it is draw● on side, when the terms are stopped, and the vein● and arteries ●re full, those namely which go to the womb: if it be a mole on the one side, th● liver or spleen ca●se it, by the liure veins on the rig●t side, or the spleen on the left, as they are 〈◊〉 more or less. I also falls down by the loosning of the par●● to which it is fastened, but how that can be, it is not clear. 1. 2. De morb. m●lier. Hypocrates saith, It comes from external caus●, as fr●m ●old of the ●ee● or loins from leaping or fear, cutting of wood● or r●●ning d●wn a ●ill and the like these make the ligaments moist and lose. Also it may be from cold after childbearing, getting into the wom● when the ●●rms flow, ●tting upon a cold stone, and the like. Plate●us. Others say it comes from the solution of th● connexion of the sibrous neck, and the parts adj●●ent, and that is fro● the weight of the wom● descending: thi● we deny not. But then the ligaments must be loose or broken. But women in a d●op●e could not be said not to have the wo●● f●ll down, if it came only from looseness. B●● the ●ause in them, is the saltness of the water● which dries more than it moisteneth. The Signs. I● there be ● little tumour within or without the privities like a skin stretched, or a weight ●elt about the privities, it is only a descent of the womb: but i● there be a tumour like a Goose eg● and a hole at the bottom, there is at first a g●ea● pain in the parts to which the womb is ●astned● as the loins, the bottom of the b●lly, an● the privities, and t●e os s●crum, ●●om the stretching 〈◊〉 breaking of the ligaments: but a little after the pain abateth, and there is an impediment in walking. Sometimes blood comes forth from the breach of the vessels, and the dung and urine are stopped, and a F●aver and Convulsion. When it is new, it is easily cured, when old, it The Prognostic. is ha●d to be cured, but not deadly, only it is troublesome and nasty. It hinders conception, and keeps terms f●om flowing orderly. If it be with ●ain, Fever or Convulsion, it is deadly, especially in women with child. That which comes from corrosion of the ligaments● is dangerous. First put it up before the air al●er it, or it be The Cure. in●●amed or swollen. Therefore fir●t give a Clyster to remove the excrements. Then lay her ●pon her ba●k wit● her l●gs abroad, and thighs lifted up, her he●d down, and take the tumour in your hands, and thrust it in without violence. I● it be swollen by alteration and cold, foment it with the Decoction of Mallows, Althaea, Lin● Foenugreek seed, Chamomil flowers, Bayberries, and anoint i● with oil of Lilies, and H●●s grease. If th●re be an inflammation, put it not up yet. It Roder. ● cas●o. de morb. m●l. 1. 2. c. 17. may be frighted in, by showing of a red hot iron, and actin● as if you would burn it. First, sprinkle upon it the po●der of Mastic, frankincense, and the like. As, Take Frankincense, M●st●●h, each two drams; Sarc●col steeped in Milk ● dram, Mummy, Pomegranate ●●●wers, Sang●i● Draconi●, each half a d●am. Wh●n it is put up, let her lie with her legs stretched, and one upon the other, for eight or ten dai●s, and m●ke a Pe●●●●● like a P●ar● of Cork o● Sponge put into the womb, dipped in s●arp ●●ne o● j●yce of Acacia, with powder o● Sa●guis Draconis, Bole, Masti●h, or the Counte●ies Ointment, with Galbanum and Bdellium. Apply a Cupping-glass with great flame under the navel or paps, or to both kidneys, and lay this Plaster to the back. Take Opopanax two ounces, Storax liquid half an ounce, Frankincense, Mastic, Pitch, Bole, each two drams; with wax ma●e a Plaster. Or, Take Labdanum a dram and half, Frankincense, Mastic, each half a dram; wood Aloes, Cloves, Spik●, ea●h a dram; Ash coloured Ambergris four gr●i●● Mu●k half ● scruple, make two round Plasters 〈◊〉 be laid on each side the Navel. Make a Fume of a Snail ski● faulted, or of Garlic, and let it be taken in by a ●unnel. Use a●tringen●●omentations of ●ramble leaves, Plantain, Horstail, Myrtles, each two handfuls; Wormwood two pugils, Pomegranate flowers half an ounce, bo l them in wine and water. Or inject this with a Syringe. Take Coms●ey roots an ounce, Snakeweed, Pomegranate flowers, each half an ounce; Rup●●rewort two drams, Yarrow, Mugwort, each half an ounce; boil them in red Wine. Then use Sulphur Baths. To strengthen the Womb: Take Harts-born● Bays, ●ach a dram; Myrrh hal● a dram, make a B●ud●r for two dosis, give it with sharp wine. Or, Take Zedoary, P●rsnep se●ds, Crabs e●es prepared, ●ach a dram; Nutmeg half a dram: give a dram in powder, but use astringents warily, lest you stop the courses, and cause worse mischief. I● it fall out from ●●il h●mors that flow to the womb, and loosen the lig●unents, purge the body, and then ●se dryers, as the decoction of China, Sarsa and Guajacum. To keep it in its place, make Roulers and ligatures, as for the Rupture, and use Pessaries into the bottom of the womb, that may force it to remain: of which Fran●is Rousset hath writ●en at Lib. de part●s caesar. sec. 6. cap. 3. & 4. large, and shows that they neither hinder conception, nor bring any inconvenience, nay that they help conception, and retain it, and cure this disease perfectly. And Gaspar Bau●inus confirms the same in his Appendix to Rousset. You may use Circles or Balls instead of Pessaries. As, Take roots of wild Vine, make round Circles or Balls of them greater or less, as the Neck of the womb is. Then, Take Virgin● wax melted with white Rosin or Turpentine, dip the b●lls in till they are fit, put one into the neck of the womb, that will hold in being just fit: let it n●t be t●ken out till it fall out, and then put in another, if she be not ●●red. If it gangrene and sphacelate, cut it quite off, Lib. de pa●e ●es. sec. 4. ●. 5. histo. 6. Ibid. s●ct. 4. ●. 5. if she fear cutting, take it off by ligature, of which Rousset who shows the way, and says that it may be cut off without danger of life. He tells also of the place where you must cut, and in Sect. 4. de partu Caesareo, where the ligature is to be made. Let the diet be drying, and astringent, and glewing, as Rice, Starch, Quinces, Pears, green Cheese. Avoid Summer fruits: let the Wine be astringent and red. The Cure of the inclining of the Womb. When it inclines to the side, after Universals, apply Cupping-glasses to the other side, and let her still lie on the other side; and let the Midwife anoint her singer with Oil of sweet Almonds, and draw it a little by degrees to the other side. Chap. 17. Of the Rupture of the Womb. FEw Physicians have seen this, I never read of any, but once I saw it, of which in my institutions, lib. 2. p●rt. 1. cap. 9 Chap. 18. Of Wounds, and breaking of the Womb. IT is seldom wounded, by reason of the divers defences it ●●th; but sometimes the chirugeons' wound it in cutting out of the child: of which Hollerius, inter rara. no. 8. he speaks of a Woman with child in Paris, that her child's hand put forth at the n●vel, and was so in travel fifteen days, and both child and mother were safe. The Signs. It is evident, if it be made by the Chirurgeon in cu●●ing out of a child; and you may know i● by the place, if it come otherwise. There is blood and matter that flows out at the neck of the womb. There is more pain when it is in the ne●● of the womb, then when it is in the bottom. The Prognostic. These wounds are cured, as appears by the Caesarean birth or cutting; but they are dangerous, by reaso● of the strange Symptoms, and the consent of the parts. The Cure. Use Consolidaters or Healers; and if there be pain, Anodynes or Pessaries made of Wax candles dipped in Wound-oyntments. Or, Take Wax, Turpentine, Goose grease, Bu●●er, each a dram; Honey, Deer's marrow, Oil o● R●s●, Bulls grease, each two drams. Or, Take Fra●● kincense, Mastic, ceruse, Galba●●um, each half an ounce; mix them all with white ●ine, then ●d Po●ph●lix an ounce, and wi●h Wax and Oil of Rose●, make an Ointment. Make Injections or Clysters for the womb, of the Decoction of round Birthwort, Cypress boiled in steeled Water and sharp Wi●e, with a little Hydromel, Agrimony, Mugwort, Plantain, Roses, S●haenanth, Ho●ehound. Chap. 19 Of Ulcers and rottenness of the Womb. THough the neck of the womb be only subject to ulcers, as we showed; yet the substance of womb hath been ulcerated, and it hath been observed to rot, when it hath fallen ●ut, and to fall away. * As we said of a Woman at A●inion, that after lived some time. And the Examples of Rousset show that it may be safely cut off. Also a ●hild dead in the womb● may cause an ulcer, as divers Histories witness in Albucasis, Li● d● pair ●es●● chir● c. 76. and Alexander Benedictus, Maurici●s, Cord●●us, and many others. How th●se ulcers and rottenness of the womb are cured, is said in Sect. 1. cap. 8. where we sp●ke of Ulcers of the neck of the Womb, and Cap. 10. of Fi●●ulaes of the Womb. Chap. 20. Of the Diseases of the Stones, and Vessels of Procreation in Women. IT is apparent by Histories w●itten by grave and learned M●n, that the sto●es of women and there seed-vessels are many times grievously distempered, when the womb joined to them is not. Sometimes water is gathered about the stones In append. ad Roussetum 2. de par. caesar. as Gaspar Bauhinus, John Schenkius write, and he hath another History Lib. Obser. 3 from John Heintz of a Maid, that desired a little before she died, that her body might be opened to testify her innocency. In which besides other things remarkabl●, the stones were found swollen as big as a head of a young child; bluish and spongy, much water came out of them, and that made her belly swell, and she taken to be with child: bu● the truth appeared, and her chastity testified. THE FOURTH BOOK. THE SECOND PART. Of the Symptoms in the Womb, and from the Womb. Chap. 1. Of weakness of the Womb. THERE are many Symptoms from the womb. Of those in the womb: the first is weakness, so that it cannot perform its actions. The action of the womb is twofold, private and public. By its private action it ●akes it nourishment of blood that comes to it. By its public action, it serves for generation. If the private faculty be hurt, and the nourishment not well made, there is a superfluous moisture, and then weakness without other fault of the organ or unity divided. The first Cause is distemper, when the manifest The Causes qualities are changed, or when the natural heat is suffocated or dispersed; or when the occult qualities are changed. Heat in the womb makes a hot distemper, if it be too much, by which the womb sucks more than it can concoct, this is not properly weakness: but that distemper i● weakness, when the action is either not done, or weakly done. But cold rather makes weakness in the womb, by which it cannot make the sufficient quantity of nourishment, hence excrements are heaped up, and it cannot perform its actions. Also a moist distemper makes weakness, by which it can neither keep seed nor child; it is also weak from looseness. The Si●●s. Little desire of Venery, and no pleasure therein, argue weakness of the womb, flux of seed, often abortion, pain in the loins and pubes, when the terms are coming; ●arts from the womb, headache, Part. 1. ●ect cap. 2. & 3. and the like. The signs of a cold and moist distemper with or without matter, are already declared. The Prognostic It is a great disease, by reason of the diver● Symptoms in women that have conception hurt. It is worst when it comes from dispersing and extinguishing of the natural heat. The Cure. We have showed how distempers of the womb are cured: but the dispersing of the Spirits and natural heat, is cured by things that hinder th● loss of Spirits, and strengthen the womb, as Spices, Cinnamon, Cloves, Nutmeg, Mace, Diacalaminth, Aromaticum ros●tum, Diaxilaloes, ros●ta Novella, Treacle, Mithridate. Outwardly by Oil of Lilies, Nard, Lavender, and Astringents when the womb is loose. Things that help the womb in the whole substance, are in the Chapter of the cold and moist Distemper, as Aqua vitae for Women. Or this, Take Castor three ounces, Saffron two ounces, extract th●m singular, add to both Extract of Mugwort two ounces, of Angelica a dr●m, Magistery of the mother of Pearl ● dram, Oil of Cloves a scruple, of Angeli●●, and of Amber, and of Nutmegs, each half a scruple. Let her ea● meat of much nourishment, and drink good Wine. Chap. 2. Of the Itch of the Womb. THis is more in old then young women's and must be distinguished from the Frenzy of the womb: for here is only a desire to scratch the privities, so that they cannot sleep. Nor is it with desire of copulation, as in the fury of the womb. It is a salt humour that is serous and adust that The Causes causeth it, that is sent to the neck of the womb, and the privities. How it comes there, I shewed in Ulcers of the privities. It is known by her relation, and often putting her hand to the privities. The Prognostic. The Cure. It is more troublesome than dangerous, because it hinders sleep. First, purge the whole body, and if there a●● signs of plethory, and strength permits, bleed i● the arm. Then qualify the sharp ●alt h●mors, with cold and moist means, and r●mov● them from the privities. Foment with a Decoction of Lettuce, Plantain, Willow, Dock roo●s, and then anoint with Galen● Cooler. Or dip ● Pessary in this Ointment, and put it in. O●, T●ke Alum, Nit●r, Sulphur, each six drams; S●●phisager an oun●e, with Rose-vinegar and fresh Butter, make a Linimens. If these will not cure, use stronger, as the ointment of Elicampane with Quicksilver. Or, Take black Soap, Staphisacre, ●ach a dram; qui●k Brimstone half an ounce, Quick silver two drams, wi●● Rose-vinegar and Hog's grease, make an Ointment. Let the me●t be of good juy●e, cooling and moistening. Take heed of Spices, sharp and salted meats. Chap. 3. Of pain in the Womb. THere is pain in the body of the womb wit● other diseases sometimes: as the Co●●ckpains woven in the bottom of the belly, and in the loins and hips; and is called the Pain of th● Womb. It is often in women with child, as the inflammation of the womb; it is burning and beating, it binds the belly, and stops the urine. The Causes Solution of unity is the Cause of all pains, and this is from the stretching of the womb and its vessels, or corrosion. Stretching is from wind, or clotted blood in the cavity o● it, and when Nature cannot expel it by reason of the straitness of the pa●t, there is pain. Also pain is from stretching of the vessels be●ore the terms flow, when they are close, and the blood thick, and this pain is increased by external cold, especially after heat. Sometimes there is a gathering o● humours about the womb, when the terms ●●ow, and are ●oul, and they get into the membranes, and stretch them. The same may be from corrupt seed, that stretcheth the vessels. Or from sharpness and corrosion in the neck ●f the womb, when sharp humours flow through it, and twitch it. The pain is manifest, but let us look at the The Signs. signs o●●he causes. If it be from clotted blood, there was a flux of the same, and the pain is fixed about the orifice of the womb. If there were external causes, the patient will relate. If it be from seed, there is suffocation of the womb. The greater the cause is, and the more vehement The Prognostic. it works, the more is the danger. If there be pain, and fear of fainting, look to The Cur●. that before the cause, with Anodynes and Narco●icks if need be. If it be from wind● see inflation of the womb. If i● be from clotted blood, dissolve and eva●uate it, with hot and attenuating Medicines, made into Fomentations, Baths and Ointments. It is good to apply Treacle to the region of the womb, or put it in with Rue and Honey. Or give a Clyster to the womb, of Ru●, Foenugre●k s●ed, and Oil of Rue and Orris. Or give 〈◊〉 and Cinnamon water. If the vessels of the womb are not open enough for the terms. See in the stoppage of the terms. If there be wind, make a Clyster thus. Tak● Mer●ury, Mugwort, Cal●mints, Pennyroyal, ea●h 〈◊〉 handful; Chamomil and Melilot flowers, each ha●● a handful; 〈◊〉 an● Lineseed, each an oun●e; boil them, in a pint strained, dissolve Hiera, Be●tdicta laxativa, each half an ounce; ●a●e a Cl●●●●r. Give Mugwort, Zedoary water, Essence of Ca●●●r, Treacle, or ●omens Aqu● vit●e, of whi●h before. Make a Clyster for the Womb, thus. Tak● Mugwort, Calamints, Bettony, each h●l● a hand●●●; Gith, Cummin, Carret, Aniseeds, ea●h a dram; Spi●e, Schoenanth, Nutmeg, Cinnamon, e●●h 〈◊〉 dram; boil them in Wine. Then fill an Ox bladder half full with Oil of Lilies and Dill, and apply it to the belly. Or, T●ke Oil of Lilies, Orris, each an oun●e; distilled Oil of Angelic● a dram, Goose and He●s grease, each half an ounce; Mucilage of Lin● a●d Faenugreek seed made with Mu●w●rt w●●er, ea●h three drams; seeds of Cummin, Carrots, Carawa●, each a dram; with W●x m●ke a soft Ointment. O●, Take Pellitory two handfuls, Mercury a handful, beat them, add Chamomil flowers, Cummin, Anise, Carrot seeds, each a dram; two yolks of Eggs and Oil of Lilies, make a Cataplasm for the belly. Apply Plasters to the Navel, and Cuppin●glasses with great flame to the Region of t●e Womb; or dry Fomentations of Oates Mi●ium, Anise, Cummin, Carret seed in a Bag. A●d use Pessaries, as● Take Hearts marrow, Turpentine, Wax, Goose grease, each ●hree drams; Saffron a dram, yolks of Eggs seven, with Oil of Lilies, m●ke Pessaries. If the humours and wind is malignant, mi● Scorzonera, Bezoar seeds, and roots of An●elica, w●ter of Zedoary, Treacle, Mithridate, and the like in Suffocation of the Womb. Chap. 4. Of the Diseases of Womb, that come from sweet scents and stinks. THere is a particular Symptom in the womb which b●eeds great admiration, that it delights ●n sweet scents, and is offended with stinks; and it is certain, for if Musk, Civet, or the like, be but put to the nose of a woman that is subject to ●i●s of the Mother, they grow sick, and if the s●me be put to their privities, and stinks to the nos●, the ●it of the Mother ceaseth. It is hard to give the reason of this, many wi●e Men have given their opinions but they disagree among themselves, and satisfy me not, neither do I promise's to satis●ie others. But it is probable to me that the womb is not delighted with scents, as scents, for the privities have no smelling, and the sen●e of smelling doth not reach so ●ar: but the quality by which it is well or ill, is occult, and not to be explained, and not to be ●●parated from the odours. If any ask what that quality is. I answer, the●e are many qualities in Nature that are hid ●rom our senses, and yet we cannot deny them, because we see their effects, as the quality in a Dog's nose, we cannot apprehend but the Dog perceives it. But how these qualities come to the womb, is Quomodo u●erus ben● olentia r●cipi●t. by no other way but by the open way by the privities, by which Spirits get into the womb, and in the su●●o●ation of the womb ●weet thin●s p o●it, because they strengthen it by a peculiar quality to disperse the venomous air, and draw down Quomodo bene olentia hystericis noceant. the Spirits and humours. But if they be put to the nose● the womb consents by the Sympathy of the organ of smelling, and the brain with it. This is by the nerves and arteries; for the heart is presently refreshed with a sweet scent, because it presently pierceth into it being spiritual, and there is a great consent of the womb with the brain and the smelling, as is seen by the trial of barrenness, by a Fume from Hypocrates. 5. Aphor. But we must observe that sweet scents are acceptable to all wombs, and stinks are not, but the same Symptoms are not in all women from them; for they who have a womb of a good constitution with no evil humours in it, endu●e sweet things well, and delight in them, but they who are unclean, hate sweet things, and often 〈◊〉 into ●its by them, because while the womb is delighted with that sweet and hidden quality with which it hath a peculiar Sympathy, the evil humours that lie in the womb (especially if there be any corruption from seed) and the seed also are stirred, and when the Spirits fly up, the● take the bad humous with them, and send bad vapours to the heart which cause suffocation, and other Symptoms. But when the same scents a●e put to the privities, the womb is refreshed with them, and the Spirits are quiet● or move to the scents. And so the humours (if there be any) are still, or else move downward. But stinks on the contrary, by reason of their Antipathy with the womb, are voided by the Spirits, and so the humours move downwards, and o●ten the●e is an abortion thereby. What is spoken of sweet scents, may be understood of all sweet things, and this our judgement in a matter so difficult. THE FOURTH BOOK. THE SECOND SECTION. Of the Symptoms in the Terms, and other Fluxes of the Womb. Chap. 1. Of the Flux of the Terms. BY divine providence the blood which is voided every month is kept in when there is a child; for if it be its nature, it is not ill, but only superfluous, till they conceive, nor is it more an excrement than seed and milk. The Terms commonly begin at fourteen, and then the hair appears on the privities, the breasts swell, and women begin to be lecherous▪ and the ●lood can no longer stay in the veins, but breaks ●ut at the veins of the womb. In some they begin at twelve, and they are ●ery lustful commonly, and of shorter lives: they continued till fifty; in some till sixty, and then ●op. In some they begin at sev●n●●en or eigh●en. And in some they stop 〈◊〉 fifty, according to the variety of Nature and diet. Nature doth not send ●ort● ev●ry 〈◊〉 what is ●●thered, but sta●es till the plenty offends, and ●oth only once in a month, otherwise it would 〈◊〉 filthy and unpleasant, and hinde● co●●ep●ion. 〈◊〉 do they flow at one time in all exactly, but 〈◊〉 are twenty two days, or at most th●●ty be●●en the purge. In some they last three days, which was usual 〈◊〉 the time of Hypocrates. In some four or five 〈◊〉 more, as their Liver is reater, or their diet is 〈◊〉 or lower. Hypocrates saith, They should bleed but a pint 〈◊〉 half, or two pints: this is not alike in all, 〈◊〉 differs in respect of age and diet. As for the quality, it must not be too thick no● 〈◊〉 thin, but of a middle substance, without sent a red colour, yellower in choleric persons, in ●lancholick, black; in phlegmatic, whiter, and ●ust flow without any great Symptom. The passages are the veins of the womb, being ●uble from the double branch on both sides it, 〈◊〉 Spermati●k and Hypogastrick, that they may 〈◊〉 superfluities from all parts. And from this Description of a natural flux, 〈◊〉 may gather what is preternatural. Question 1. Whether can a Woman conceive, that never had her Terms? They are called by some Flowers, because they go before conception, as flowers do befor● fruit; but many have conceived that never 〈◊〉 their flowers, being hotter by Nature, as the 〈◊〉 deans that never have any flowers; and Vir● goes that use more exercise: but if these 〈◊〉 no more blood than will nourish their body, th● are ●arren. I● any thing abound, that is not required 〈◊〉 nourishment of the parts, and it so much th● Nature cannot endure it in the body, the wo● draws it to it when it hath conceived, to ma● up the child: of which hereafter Question 2. Whether menstruous blood is o●ly superfluous in quantity, or bad in respect quality? Writers disagree about this. Some say i● bad in quantity and quality, and venemou●● the effects, as making Ivory obscure, and 〈◊〉 Looking-glasses, corrupting Wine, by a 〈◊〉 ●rom the body of a Woman that hath 〈◊〉 flower. Others say they offend only in plenty: 〈◊〉 it were venomous, it could not be a whole mo● in the body, and it could not form the child, 〈◊〉 would Nature make milk of it. Therefore menstrual blood only offends quantity, and not in any manifest or hidden q●lity. But it hath strange qualities when it is 〈◊〉 with bad humours, or is kept too long in body to be corrupted, and cause great Sy●toms; but this is when it is mix●● with bad mors, or is out of its vessels, and so corrupts Question 3. Of the ●ext of Aristotle 7. de hist. Animalium, c●p●●. and how it is to be understood? Aristotle writes thus, Constantly every month 7. De histo. ani. c. 2. ●ome have their Terms: but most in the third, as ●f he should say, Few women have their courses ●very month, but many have them every third month. This is against Galen, and against expe●ience, for it is certain, that among six hundred women, scarce one hath them every third month. Therefore there is either an error in the Greek Text, or in the Translation, or great Men do often 〈◊〉 which is probable, and so did Arist tle in this of Physic. Therefore it is in vain to defend their ●rrour. Chap. 2. Of the Terms flowing too soon. ORdinarily they begin at fourteen; but many have had them sooner. A child of ele●en days old had a bloody humour flowing from 〈◊〉 privities. Another of five years old had every month a moderate flux. Fernel reports that Her. saxoni● vidit venetiis ser. 6. p●r●. 5. c. 1●6. Girl of eight years old had the Terms: but these 〈◊〉 rare, and for the most part very lecherous, 〈◊〉 short lived. Chap. 3. Of want and stopping of the Terms. SOme Women have them not till eighteen or twenty. Some before, and then they stop for a time without, either giving suck, or being with child. Some have been without them three, five or seven months, and then they came again This is an evil constitution, or suppression of th●● which it ought to flow, from the fault of the blood and stoppage of the passages. The Causes When Terms are wanting either blood is wanting, o● stopped. It is wanting, either because it i● not made, or dispersed or turned to other use●, for nature being more sollicito●s to preserve the individual person, then to propagate the species, spends 〈◊〉 in preserving of the person. Blood is not made from divers causes, as a●e, cold constitution of ●iver, Heart, or a disease which distempers the ●●wels. Or often bleeding from great vessels, or ●●om having many issues, which take from the blood. It is spent other ways, as before ripe age, an● when women are with child, or give suck, or i● hot Natures, and fat women, in whom it is tu●ned to fat. It is in vain to provoke Terms i● these. There are other external evident causes of s●●●ping of the Terms, as too great labour, trouble●●adness, fear; but these last do not only waste 〈◊〉 blood, but cool and corrupt it, and cause obs●●ctions, 6. Epid. s●●. 8. in ●ine. as Hypocrates speaks of Phatusa the 〈◊〉 of Pytheus. The proper causes are, the straitness of 〈◊〉 passages, or evil conformation of the 〈◊〉 through which it should slow. Or the closing the womb, of which we spoke, but I speak 〈◊〉 of the vessels. The usual cause of obstruction, is thick 〈◊〉 humours, f●om the blood too thi●k, or mixed 〈◊〉 melancholy which comes with it to the vei●● the womb, and stops them. This thick blood comes from a cold distemper of the stomach, liver and spleen, from thick and gross food, and drinking cold water when the Terms flow. So thought Galen in his time Lid de venae s●c alversus erasistrat. of the Roman women that drank Snow-water● and had few or no courses● Straitness is when the body of the womb is made thicker, either by Nature or other causes; as a cold and dry, or hot and dry distemper. Thirdly, straitness is from compression of the vessels, by a Scirrhus or hardness of the parts adjacent, as the strait gut, or by the stone in the bladder, and the womb displaced. Fourthly, the flesh may grow together by a membrane that grows to the vessels, or a ●●ar after a wound. Or after a mischance, when the veins annexed to the Secundine, grow so together, that they cannot be opened: of which in the first Question. They are not the same in women and Virgins, The Signs. for blood stopped in Virgins, goes to and ●ro, changeth the colour, and brings Fevers, especially the white Fever or Green-sickness. But in women it goes more to the womb, and brings Symptoms, as loathing, vomiting, and Pica. Galen hath other signs, as heaviness, a lazy 8. De loaff. c. 5. pain in the loins, neck, and behind in the head, that reacheth to the roots of the eyes, from the spreading of the blood stopped through the whole body. This laziness is chief in the thighs and legs, by reason of the veins there consenting with the womb. And are of a green complexion, and hairy, with a beard, and shrill voice. You may know women with child, from such a● want their Terms, only by p●●per signs. First the women with child keep their colour, but the other are pale and ill-coloured; they are merry, the other sad. 2. Their Symptoms daily grow milder, but in the other they daily grow worse. 3. You may feel the child move. 4. It is perceived in a month. You shall know from what causes the Terms are stopped, thus. If the Liver be cold, there is no blood made that is superfluous, and there are signs of a ●old Liver, and you may know that blood is not sent to the womb, when there is no heaviness, pain, or tumour about the womb, the liver or spleen are stopped. If it be ●rom phlegm or melancholy, which is o●ten, there are signs of their abounding, as laziness, paleness, seldom pulse, crude urine. Hypocrates saith, That if the Terms stop, ther● The Prognostic. Hippo. morb. mulier. Gal. 6. de lo. off. c. 5. are diseases in the womb, tumours, imposthumes, ulcers and barrenness, and diseases in the whole body, Green-sickness, Leucophlegmacy, Dropsy, Vomiting of blood, Heart-ach, Cough. And the longer they have been stopped, the ha●der they are to be opened. If the blood stop● go out at the nose, it is good. If it have great Symptoms, there is fear of Hippo. 5. apho. 23. death. You must not give Medicines to move the Terms, to extenuate lean persons, nor to such as want blood, and have a weak Liver, but they must be sed high. First see i● blo●d abound, and then (a●ter a Lenitive) open a vein● and l●t that blood which C●m. in 6. ●p●●. 3. ●. ●9 is in the veins, be drawn to the womb. Gal●● took th●ee ●ints of blood at three times f●om 〈◊〉 le●n wom●n, and cured her of an old stopping 〈◊〉 the Terms. You must open the ankle vein●, the fir●t day the right, the next the left, four or five days before the time. Or you may cup and ●●ari●ie the Legs. And bind the parts below, and rub them after general evacuation, opening of the Haemorrhoids doth hurt, and so do Issues, because they draw from the womb. Hiera picra hal● an ounce, or Pills de T●ibus, o● Hiera simple are good first. Then prepare, as; Take water of Mugwort, 〈◊〉 Maidenhair, ●a●h three ●u●ces; Syrup o●●he five Roots, and of Mugwort, each two ounces; ma●e it for two doses. Or, Take op●ning Roots half an ounce, Madder, Burn●●, ea●h three ounces; Mugwort, Bettony, Germand●r, Calamints, ●ach a handful; red Pease half a handfuls flowers of Bugloss, Dill, each a pugil: boil and sweeten it with Sugar. For phlegmatic Bodies, take the Decoction of Guajacum, Sa●●aphras, Dittahy for fifteen d●●es without sweeting. Then evacuate with Agarick, Mechoacan, Turbith, Scammony, Coloquintida, bla●k Hellebore. As, Take Agarick two drams, infuse it in Mugwort●●ter two ounces, Oxymel an ounce, strain, and the Extract of Michoacan a scruple. Or, Take op●nin● Roots half an ounce, Mugwort, Bettony, ●●ch 〈◊〉 pugils; Senna ●●l● an ●unce, Agaric two dra●● 〈◊〉 and Aniseed, each a ●●ru●●e; 〈◊〉 ha●● a dram, Rosemary flowers 〈◊〉 ●ugil, in●●●e 〈…〉 th●●e oun●●● an●●a●f, ●d S●rup of Senna ●n 〈◊〉 a●● hal●● 〈◊〉 〈◊〉 h●l● a dram. Or if they drink Wi●e. T●ke Tar●●th, 〈◊〉 〈◊〉 ea●h tw● drams; Senna an 〈◊〉 a●● ha●●, Maidenhair, ●alm, Rosemary, ea●● two pugils; Cinnamon, Galangal, each a dram● hang them in Wine, give six ounces with half an ounce of Manna. Or, Take Diaturbith with R●ubarb half an ounce, Mechoacan two drams, Agarick a dram, Diarrhodon● Cinnamon, each half a dram; Steel prepared a dram, with Raisins make an Electuary● give as much as a Wall nut. Or give Pills of Agarick foetidae, and so continue purging and preparing, if the matter be stubborn. Or, Take Agarick two drams, Mader a dram, with Syrup of Mugwort, make Pills. Or, Take Aloes three drams, de Tribus o●e dram, with juice of Savin make Pills● If the stomach is soul, give a Vomit, le●t it g●● into the veins. Then give provokers of the Terms which are Par. 1. sec. 2. c. 2. hot and thin, about the time they used to flow: they are three degrees in strength, and many so●t● of Medicines are made of them. A Powder. Take Cinnamon a dram, Amb●r● scruple, Saffron half a scruple. Or, Take Trochu of Myrrh, of Wall●flowers, each a scruple; Saffron five grains. Or, Take Castor, Pennyroyal, each a scruple; with Wine or proper Waters. Physical Wine. Take Madder roots an ounce, Orr●s half an ounce, Balm, Pennyroyal, Mugwort Rosemary, e●ch a handful; Wall-flowers half a pugil, Cinnamon an ounce, Galangal half an oun●●, with Wine: give four ounces. Or, Take the Decoction of red Pease. Or, Take Smallage, Fennel roots, each half an ounce; Mugwort, Bett●ny, Pennyroyal, Balm, each a handful; red Pe●●e half an handful, Juniper-berries half a● ounce, 〈◊〉 all flowers a pugil, boil and sweeten it. O● Taken ●en ounces of it with thr●● ounces of Mugw●●● for three doses. Quer●●tan commends this. Take Gromwels●eds, Anise, M●slet● of the Oak, each three drams; Dittany a dram, Saffron a scruple, ●rui●●, and keep them twenty four hours in Wine then boyl●them: give f●●r ounces for three dai●s together. Or make the Woman's aqua vi●●e. Or, Take Balm, ●tt●ny, Pennyroyal, M●●wort, N●p, Mothe●wort, Dittany, ●ach four handfuls; Wine thirty pints, distil them, add three handfuls of each herbs, and distil them again, and ad Fennel seed, Calamus, Cinnamon, Cassia lign●a, Cardamons, each half an ounce: distil them again. Or give Syrup of Calamints● Mugwort. Or, Take water of Pennyroyal, Savin, Calamints, each four ounces; Syrup of Mugwort ●●ur ounces, Cinnamon water an ounce: give it at f●ur times. Rolls. Take Extract of Savin a scruple, of Angelica half a scruple, of Elicampane six grains, Oil of Cinnamon five drops, of Cloves two drops, with S●gar dissolved in Balm wa●er. Or make an Electuary of Steel six ounces, Cassia lignea, Cinnamon, each two drams; Cloves a dram, Raisins two ounces, with Sugar dissolved in M●gwort water. Or, Take Troches of Myrrh a dram, Extract of Gentian and Savin, each a scruple; ●astor half a scruple, make Pills: give two scruples, or give every third day pills of Hier●. Use outward Medicines, but provoke not sweat ●y them. Take Althaea and Lill● ro●ts, each two ●unces; 〈◊〉 an ●un●e, M●ll●w●, M●r●ury, M●gwort, 〈…〉 M●therwort, Calamint●, Pennyroyal, M●r●●ram, Bay●●●●ach t●● handfuls; flowers of 〈◊〉 ●●●●nder, Cheir● each a ●●ndful; Faenugre●●● s●●d an ounce, Juniper an● Bayberries, each ●alf a han●●●l: b●●l ●h●m in Water, 〈◊〉 wi●h ●p●●ges. And then anoint with this. Take Oil of Lilies an ounce, o● Lavender seeds stilled hal● a dram, Calamints and Gith powder, each a dram; Storax calamint a scruple. To Virgins that must take no Pessaries, give Fumes, with the head defended; they will ●pen the mouths of the vessels, and cut thick humours. As, Take Myrrh, Bdellium, Storax, each a dram; Benzoin two scruples, Gallia mos●hata, ivet, each half a scruple; with liquid Storax make Troches. Then use Clysters and Injections into the Womb with Purgers. As, Take Calamin●s, Pennyroyal, each a handful; Gith seed, Turbith, each a dram; Coloquintida half a dram, boil it in wine, inject it into the womb. If it be hot a●ter it, inject the Decoction of Mallows with Milk or Barley water. And because the neck of the womb lies upon the straight gut, give Clysters. Take Lily roots an ounce, Orris, Valerian, ●ach half an ounce; Mercury two handfuls, Mugwort, Savin, each a handful; Chamomil, Lavender flowers, each a pugil; Caraway, Gith seed, each a dram: boil, add Hiera and Be●nedicta laxativa, each half an ounce; Oil of Cheir two drams, Electuary of Bayberries half an ounce. If she be no Virgin, put Mercury bruised in a Bag for a Pessary, with Centaury flowers. Or Garlic beaten with Oil of Spike. Begin still with the mildest, as Mugwort, Mercury, Pennyroyal, Marjoram, Rue; and then add Mucilages and Juices to loosen the womb● let ●ot Pessaries lie long, lest they cause a Fever. If it be from a tumour, provoke not the Terms, but lo●k to the tumour. Let diet be hot and attenuating of good juice, with Parsley, Savory, Rosemary, Cloves, Cinnamon. Little sleep and much exercise. Question 1. Whether are the other Causes of stoppage of the Terms? Some say the blood going to other parts, is a cause, but it is rather contrary, and the suppression of Terms is cause of that; ●or the veins of the womb are large enough to evacuate blood. Others say the strength of the womb is a cause, which thi●kens the vessels, that they receive no blood. But the womb is made to receive it when it abounds. Others accuse the strength, which is to be denied, but when it is so strong, that it is too hot or too dry, and will not receive the blood, and that is a sign of weakness. But there must be strength in the whole body, to cast out superfluous blood, or there will be other mischiefs. Question 2. What Veins must be opened when the Terms are s●opt? Authors disagree in this, as Aetius and Galen, L. de sang. miss. cap. 11. 18. 19 who always speaks of the ankle veins: and most are of his mind, being it is rational. For a vein opened in the arm, doth rather revel from the womb, then draw the blood to it; but in the ankle, brings it to its place, and opens obstructions, and doth both lessen, and bring blood to the womb, and move that which is in the womb ●ixed. Open the ankle therefore twice or thrice, rather Lib. de sang. mis. adver. ●r●sis. than the arm once. Therefore Galen commends Hypocrates that he opened a vein in the ankle in the Servant of Schimarg, though she had a Pl●thory● But in other disease's of the womb, as inflammation dropping, or too many Terms, it is good to open a vein in the arm. The Saphena is opened by putting the foot in warm water, before and after. Question 3. At what time must a Vein be opened against the s●●ppage of the Terms? Galen saith, It must ●e when Nature may be helped, be the blood moved: that is three or four days before the usual time of their coming, as if she had them always in the full of t●e Moon, and they have been stopped some months' bleed three or four dries before the full, to pu● nature in mind of her duty, and to make the blood run again. Chap. 4. Of fewness of the Terms. IT is when they flow less than they use or aught to ●low. It is either from the blood, or in the expulsive The Causes faculty in the passages. As if blood ●e little, the Terms are few and slow, if the retentive faculty is weak, and the expulsive strong, they come at due time, but in small quantity. If the Terms are slow, the fault is in the quality of the blood being too thick. Also straitness of the passages may be a cause, for if they be not wide enough, the blood cannot flow freely. The patient will tell the disease, but the cau●e The Signs. of it is to be found in the Chapter aforegoing. Few Terms from little blood is not dangerous, The Prognostic. if they be stopped from thick blood, there follow diseases: as Erysipelas, Scirrhus or Cancer. See the Chapter aforegoing for the Cure, and The Cure. and if it be from thickness of blood, it is often cured by a general Purge for the whole body. Chap. 5. Of Dropping of the Terms. THis is a flux, and lasts long, and there is pain. The blood flows not conveniently at the due time and manner, and the privities are always wet, as when the urine drops. Are from the blood and the passages of it, and The Causes the retentive faculty; as when the blood is too thi●k and sharp, which stir up Nature to let it out, and because it stretcheth the membranes, the●e is pain. Also the weakness of the retentive faculty is a cause. The women declare it, but if it be from thick The Signs. blood and sharp and straight passages, there is a stretching pain about the womb. If it be from crudity of blood, and weakness of the retentive faculty, the blood flows without pain, and is not much ●elt. It is troublesome to women, and if it last long, The Prognostic. The Cure. ●auseth ulcers and inflammations. It is all in mending of the thick and sharp ●lood, and in opening the passages, which are ●he two chief causes of it, of which we spoke at ●rge. If blood be superfluous, lose it not, nor open the ankle-vein, lest you draw it more to the womb, but take away the Cacochymy. If it be from weakness of the retentive faculty, strengthen the womb with dryers and ash ingents. Chap. 6. Of the overflowin of the Terms. IT is when it is too much or too long, and hur●s any woman, and brings diseases, but a certain proportion of bleeding is not to be defined; but too much is lost when the actions are hurt. The immediate Cause is the opening of the The Causes Gal. 3. de sympt. causis ●. 2. & 5. aph. come. 57 vessels, and the mediate cause is the blood in quantity or quality offending, or by its force or disorderly motion. Vessels are opened by Anastomosis, Diapedeses, Diaeresis or ruption, or by Diaurosis or corrosion. Anastomosis is from a moist distemper of the vessels● which loosneth the orifices, or from external causes, as Baths, hot and moist: or us● of Aloes. The flux is seldom too great from a Diapedeses, for it is but a sweeting through. Ruption is from plethory, when the Terms have long been stopped, and then break out, and when the bloo● is hot by air, baths, etc. The outward causes are falls, strokes, hard travel, great burdens lifted. Erosion is from sharp blood or humour, or from Medicines that corrode, as Pessaries long kept. For this great flux is chiefly from the veins in the bottom of the womb. The flux of blood is too great, when the The Signs. strength abateth, and Cachexy ●ollows, with paleness, swollen feet, and the blood that comes from the bottom of the womb, is blacker and ●lotted● That from the neck is redder and thinner. The signs of the causes. If it be from mu●lr blood, there are signs of plethory, and it easily ●lotteth together. If the blood be sharp and cholorick, it is putrefied in the womb, you shall know waterish blood by its colour, and the signs of that humour abounding: and if you dip a clout in it, and dry it in the shade, you may see it. If the womb be too moist, such causes went before. If it be from breaking of veins, they will tell you of violence. If it be from corrosion, it is little and slow, sometimes pure, sometimes ●erous. It weakeneth the whole body, the liver and bowels, The Prognostic. there is swooning, the Whites, and paleness, and Dropsy sometimes: That which hath been long● is hard to be cured, and causeth death, and in an old woman it is deadly. If there be fullness, abate the blood, and keep Indications it from flowing to the womb, revel it, r●p●l, cool and astringe it, that it may not flow so fa●●, and then amend the blood. If it is from plenty of blood, open the Liver-vein The Cure. in the right arm; bleed little and often because it makes better revulsion, and weakens not, open the Salvatella, if there be weakness, and cup Gal. 5. aphor. come. 50. ●he Back and Breast against the Liver, beneath ●he paps, where are veins from the womb: cup ●ot beneath, but in the shoulders, or back and ●rms with scarification, but scarify not under ●he breasts. Bind and rub the a●●s and shoulders, and temper and thicken the sharp thin humours, with De●●cti●ns and Waters of Plantain, Purslane, Sorrel● Knotgrass, Shepherds-purse, Pomegranate-Syrup, and of dried Roses, Sorrel, Purslane, Coral, Conserve of Roses, Bole, sealed Earth. If it be urgent, use Na●coticks, Syrup of Poppies, Treacle, Philonium, Laudanum. If it still continue, it is fed with choler, there● fore purge it with Syrup of Roses, Manna, Rhubarb, Senna. If it be fed with serous blood, help the ●eins that do not their duty, and the Liver, and sweat with China. You must not provoke urine, but use astringents. To Cure all diseases Read my Sennertus, Platerus, Riveri●s, Bartholinus, and Riol●nus, of the last Edition. As, Take the juice of Ass-dung, Syrup of Mir●l●s, each half an ounce; Plantain water an ounce. Give it her, and let her not know what it is. Decoctions. Take Comfrey roots, Tormentil, ●ach two drams; Purslune, Plantain, each a handful; boil them● add to six ounces Syrup of Curran●, Quinces, Myrtles, each six drams: give● it at twice. Or, Take Syrup of Purslane, juice of Ne●●les, each two ounces; Purslane water four ounces, Troches of Amber, of sealed Earth, each a dram● Bloodstone half a dram: give two spoonfuls every day. A Water. Take eight pin●s of Wa●er, ●i●h Starch, Barley meal, and Rise, dried Roses a handful, juice of Yarrow, Plantain, each half a pin●; Comfrey roots and all three ounces, Hors●ail, Bloodwort, each half a handful; Pears, and Quinces, Pomegranate flowers, all Sanders, each half an ounce; Mastic an ounce, distil them, and give tw● ounces, with half an ounce of Syrup of Roses or Purslane. Electuaries. Conserve of Ros●s two ounces Quinces an ounce and half●●roches of burnt Ivory ar● sealed Earth, each a dram; Crocus Martis, B●le red Coral prepared, Mastich, each half a dram; wi●● Syrup of Mir●les make an Electuary● Powders. Take Mastich, red Coral prepared, ●ach a dram●●earl, Smarag●s prepared 〈…〉 a scruple; Bloodstone half a scruple, B●le h●l●- dr●m, make a Po●der. Michael Paschal cured many with this Powder. L●b. de rat. m●●●. c. 55. Take two Eggshells, burnt Frankincense, Mastic, ●ach half an ounce; Pearl, red Coral and Amber, ●ach two drams; Bloodstone, Smaragds prepare●, ●●●h half a s●r●ple; Barley ●lour tw● pugils, whites of four Eggs, with ●i●el●d Water make Coke's. Give from half a dram to a dr●m in powder, with Trotter broth in the morning. Or give every day a dram of the powder of Ex p●●r●fores. to. Mulberry tree roots. Or, Take a plump Turtle drawn and plucked, wash it in Rose●water and red Wine, put an ounce of Mastic in the belly of it, stick it on, and roast it, and baste it with Vinegar of Roses. Then put it into a glass close luted, to be dried in an oven; then beat all of it to powder. Give a spoonful with Plantain water, or an astringent Decoction. Anoint the bottom of the belly, ●eins and groins, with the dropping of it. Or make Rolls thus. Take Bole half a dram, Magistery of Coral a dram, Pearl prepared a scr●ple, Sorrel and Plantain seed, each half a dram; Aromaticum rosatum, Traganth, each half a dram; with Sugar dissolved in Plantain water, make Rolls. In the use of cold As●ringents, take heed you s●op not the veins, and the heat be cooled. If these help not, use Narcoticks, a● Troches of sealed Earth, and Amber with O●i●m: these astringe also. U●e no Pessaries, except the veins in the neck o● the womb be open. As, Take Sn●keweed, Tormentil, each half an ounce; Pomegranate flowers, Plantain seed, each two drams; Comfrey roots 〈…〉 Frankincense, Mastic, each a dram; Ac●ci●, Sanguis Draconis, each two scruples; Bloodstone, Starch, each a dram and half; with the whi●e of an Eglantine, and Gum traganth dissolved in Rose water, make Pessaries with red Silk. Womb-clysters. Take juice of Yarrow, Solomon's seal, each two ●unces; Mucilage of Gum Arabic made in Plantain water two ounces, make a Clyster. A Fume. Take Frankincense, Mastic, each two drams; Myrtles, Labdanum, each a dram; red Roses, Pomegranate flowers, each half a dram; with Gum traganth make Tro●hes to be burnt. Ointments. Take Oil of Myrtles, Quinces, each two ounces; juice of Plantain, Solomon's seal, Horstail, each an ounce; boil the juices away, ad Bole, Plantain seed. Myrtle berries, Ceruse, each half an ounce; with Wax make an Ointment. Or use the Countess' Ointment to the loins and pectens. Cataplasms. Take Quinces, Pears boiled in red Wine, add Bole, Mastich, Sanguis Draconis, Ac●cia, make a Cataplasm or a Cerot. Or, Take Sorr●l and Plantain seed, Purslane seed, Bole, Sanguis Draconis each two drams; Frankincense, Mastic, Myrrh, each three drams; Turpentine an ounce, wi●h juice of Plantain and Yarrow and Wax, make a Cerot after the juices are boiled away. Fomentations are better than Baths, for they make the humours flow more. Let them be astringent, and cool. Or wash the legs and hips in cold water. Lay Epithems to the Liver, Ointments, Cerots, or Plasters. If choler offend, give Rhubarb and Conserve of Roses to evacuate the Cacochymy. If blood flow from a vein broken, use Coral, Bole, Myrtles, Comfrey, Acacia, Hypocistis: or apply a Pultis of whites of Eggs, and astringent Powders. If it come from a vessel corroded, use stoppers and glutinaters that a●e slimy, as Dropwort roots a dram, with a rear Eg. Let the diet be as the Physic is. In a flux from plethory, eat little, and that of little nourishment, and in other cases give things to close the vessels. Sleep long, and use little Venery, little or no exercise. An●er hurts, and other passions. Question. Whether Frictions or Ligatures in the Legs may be made for Re●ulsion? Hypocrates and Galen are misconstrued in his 8. Book of Blood-letting, and they are not to be used in the flux of the Terms. Chap. 7. Of the Terms flowing with pain and Symptoms. THe Symptoms are pain in the loins or thighs, headache, biting at the mouth of the stomach, pain in the belly and loins, fainting. They are as in suppression of Terms, but less The Causes vehement, and are in them that have not conceived. There is obstruction, thick and gross blood, that stretcheth the vessels, and the blood flows not orderly. A little before the Terms, there is headache, The Sig●s. biting at the stomach, pain in the loins, and bottom of the stomach, with beating at the heart, and ●ainting. When the pain is from thick blood, it comes forth in clods, and the pain is worse be●ore. If it be from wind, it is sudden, and stays not in a place, and there is rumbling in the belly. ●he 〈◊〉 Take heed it tu●n not to the stoppage of terms, if it be neglected. It is greater in barren women and Virgins, then in those have had children. ●●e Cure. Take away the cause; if they be thick humours, evacuate them after they are prepared: if sharp, temper them. These attenuate blood, water of Grass roots, Maidenhair, Decoctions of the opening Roots, Syrup of Maidenhair, o● the five Roots, Treacle, and the like in the stoppage of the Terms. Against pain, ●se the Fomentations and Ointments in the Chapter of pain of the Womb. Chap. 8. Of evil discoloured Terms. THis is called the Terms depraved by bad humous, and so they are voided. The Caus●s Blood is foul, either from evil diet, or evil humours, or stoppage of it. The humours are phlegm, choler, or melancholy mixed with it, and then the Te●ms are either pale, blue, green, or black and stinking● or white and phlegmatic. They are so from a fault in the stomach. The pale and yellow are a●e from too great heat in the liver. The bla●k ar● from the spleen disordered. 〈◊〉 Si●●●. Tha● blood which is naturals is different f●om the b●d in colour and substance: it is like that ●f a new ●●ain sheep, no● thi●ker nor thinner, and ●he ●ad Terms come no●●e●sonably, but soon●● or later of which Hypocrates. You may know Lib. de morb. mulier. by the colour what humour predominates, and by the substance. The phlegmatic and melancholy are long in coming, and the choleric waterish Terms come q●icker. The more they di●●er from the natural s●ate, The Prognostic. the worse they are, black and stinking are worst. The mattery are wo●st of all. If these flow seven, eight or nine dries, she is cured: if they ulcerate the womb, she is barren. Hypocrates saith they must be purged and prepared The Cure. 5. Aphor. 36. with proper things, as we showed in the distempers of the Womb. But take heed that you move not the Terms when you attenuate, for that will melt the ●erous humours, and fix them more in the vessels: use neither Vinegar no● sharp things. After purging, consume the relics by sweat; if choler be in fault that must not be sweated out, discuss it with warm Baths, and do so in melancholy. Use Pessaries, Fomentations and Fumes to the womb. Give Treacle, Mithridate, or the Decoction of An●elica roots, if cold humours are the cause. Chap. 9 Of Terms coming before their time. THese show an ill constitution. And it is a depraved excretion of the Terms that comes for the time often, f●r sometimes they fl●w sooner, or twice in a month. The immediate Cause is hurt of the retentive The Causes and expulsive faculty, so that the blood flows not or sooner or late●, or oftener: the cause why they come sooner, is in the blood that stirs●up the expulsive faculty in the whole body, or in the womb: sometimes all causes meet, the blood is too much, or too sharp and hot; and if the retentive faculty in the womb be weak, and the expulsive strong and of quick sense, it is sooner. A fall, stroke or passion are the evident Causes. The Signs. They will relate it: and the signs of the causes are these. If it be from much blood, there are the signs of plethory; heat, thinness, and sharp humours are known by the distemper of the whole. The weakness of the retentive faculty, and looseness of the vessels is known from a loose and moist habit of body. The Prognostic. It is not dangerous, but troublesome, and hinders conception. The Cure. I● they come too soon from hurt in the faculty provoked by too much plethory. Let blood, use a spare diet, and much exercise. If it be from sharp blood, temper it by good diet and Medicines, as in the choleric distemper of the womb. Use Baths of Iron-water, that corrects the distempers of the bowels, then evacuate. If it come from the retentive faculty, and looseness of the vessels, correct the cold and moist distemper with gentle astringents. I● it be from a stroke or fall, cu●e it as the vessels opened are cured, of which before. Chap. 10. Of Terms that come after their usual time. When they stay longer than ordinary, and return without order at no set time: the causes are little and thick blood, straitness of the passages, weakness of the expulsive faculty, and dulness. Either of these causes may stop the Terms, bu● if all meet, the disease is worse For if blood be not bred in such a quantity, that it may prick Nature forward to expel it, the purging of it is di●●ered, till there be enough to stir up Nature to expel it. If thi●k humours are in the blood, the passages stopped, and the faculty weak, the Terms mu●t needs be disordered, and the purging of them differed longer. If it be from want of blood, she hath either lived The Signs. poor in diet, or exercised too much, and she ●inds no inconvenience by the want of her Terms. If it be from gross slimy blood, there are signs of Cacochymy. The weakness of the faculty is known by the cold distemper of the womb. It is not so dangerous as stoppage of the terms, The Prognostic. but it is bad enough in a plethoric or cacochymical body. If little blood be, use a ●uller diet, and exercise The Cure. not. If blood be gross and foul, make it thin, and cut it, and after Preparatives, let the humours mixed therewith, be evacuated. It is good to purge presently after the Terms, and to use Calamints, and to purge often. Also four or five days before the Terms, sca●i●●e the ankles, and hold the feet in warm wa●●●, ●ub the legs, apply Cupping-glasses without S●●●ification to the inside of the thighs, and use Fumes and Pessaries. Anoint the bottom of the belly with things to provoke the Terms. If there be a numbness, use things against the Palsy. Chap. 11. Of the Terms voided another way. SOmetimes they come out at the nose, or are vomited up, or flow out by the Haemorrhoid 1. De morb. mul. 5. apho. 32. obser. medic. c. 15. Lib. 1 de affect. mulc. 7. veins. Hence Hypocrates saith that a woman that vomits blood, is cured by having her terms, or by a bloody flux. Sometimes they are pissed ●orth. Dodon●eus says that they come out at the eyes like tears sometimes. Ama●us Lusitanus saith they will come forth at the Teats of the breasts, and at the navel, at the little finger, or ring-finger every month, as Mercat●s observed thrice. The Causes Are stoppage of the Terms from straitness of the vessels in the womb, or evil conformation of the womb. The Prognostic. It is more troublesome than dangerous, and hinders conception. It is best when they come out at the nose, for it is a part that Nature useth to disburden herself by. The Cure. First, bring the blood to the womb again, and abate it. Open the ankle-vein three days before she begins to bleed. Or cup the thighs, or rub them. Or use Baths, Fomentations, Ointments, Womb-clysters, Pessaries, and the like mentioned in Suppression of the Terms. Chap. 12. Of the Whites. IT is a ●oul excretion from the womb, white, and sometimes blue, or green, or reddish, no: at a set time, nor every month, but disorderly, longer or shorter. Before or after the Terms, and when they are stopped. Virgin's seldom have this disease, and women with child have it sometimes. It differs from the running of the reins; for it is in less quantity, whiter and thicker, and at a greater distance. It differs from night pollution, which is only in sleep with imagination of Venery. The immediate Cause is an excrementitious The Causes humour, phlegm, choler or melancholy. Sometimes it is like waterish blood. It is gathered in the whole body, or in the stomach, liver or spleen. For they who have crudities in the stomach, are subject to this disease. Sometimes the womb alone is distempered after often mischances, or when the womb is very cold and moist. This matter flows through the veins of the womb, or of the neck of it, which use to carry blood, and Nature abuseth them to carry excrements, especially if they are bred in the womb. The remote causes are whatsoever doth breed ●ad humours; some have it after strong purges, or long bathing. Sometimes they are pale, sometimes blue, red, The Differences. waterish and green: sometimes slimy, or cold, or sharp, or stinking. In young people it is reddish. The face is discoloured, the urine thick, there The Signs. is loathing and heartach. If the humour be sharp and corrupt, there is a Fever. If it be phlegmatic and much, the ligaments of the womb are loose, and it falls out, thus Hypocrates, and there Lib. de nature. mulierum. are saith he swelled eyes, evil colour, and short breathing. If it be not bred in the womb, the humour is from a Cacochymy. If it be from a fault in another part, the signs of that will appear If it come only from the womb, there will be but little: if from the whole body, there will be more. The Prognostic. It is often, long with little inconvenience, b●● it must be looked to, lest it be worse, for it o●●●● brings ulcers, Cachexy, falling out of the wom●, Consumption, Fainting, Convulsions, when the matter is sent to the brain or nerves. And the worse the humour is, the greater is the disease. The Cure. It must not be suddenly stopped, lest it go to th● noble parts. First, see whether it be from the whole body, or any pa●t, or from the womb itself. If fro● the whole body, which is often, make general evacuation, and turn the humours from the womo, and keep a good diet, lest they come again. I allow not bleeding in the arm, if the Terms be stopped; for they cause a Cacochymy, which admits no bleeding. Moreover the mass of blood may be made ●oul by them; therefore find o●● whether it comes from Cacochymy or Plethory. And when it is most like to come from Cacochymy, bleed not. Therefore if phlegm abound, which is mo●● usual, after general purging, consume the relics with Guajacum and Sar●a, and a drying diet, and by provoking urine, of which hereafter. If sharp and choleric humours abound, temper them with gentle astringents, as Succory, Endive, Sorrel, to prepare, purge with Rhubat●, Triphera Per●ica, aggregative Pills, and Pills 〈◊〉 Rhubarb. If it be melancholy, do as in melancholy. If it be water, cure it as Galen did the Wife o● Boeth●s c. 8. ●ib. de prognost. ad P●sth. If it be in the stomach, liver, or the like, prevent it from increase, and because it is most about the stomach, give a Vomit, but not too strong. Then strengthen the stomach with h●● and dry Medicines. If choler abound, the distemper is hot, and then cool it. If it come from the womb, do as I showed, f●om what cause soever it is: Baths are good to ●●acuate and divert, and strengthen, and take away a moist distemper, provided they are proper for the constitution. Use Dryers and Astringents. As, Take Cons●r●e of red Roses four ounces, of Succory two ounces, r●d Coral, Snakeweed, Tormentil roots, Ivory, each 〈◊〉 drams● with Syrup of Myrtles make an Electuary. Or, Take red Coral, Bole, sealed Earth, each an ●unce; Pearl prepared a scruple, Mastic half a dram, Cypress roots two scruples, Mace half a scriple, with Sugar of Roses as much as all, make a Powder. Or, Take Diarr●odon a dram, Sander● a ●cr●ple, C●ri'ander two drams, Mastic, Coral, each a dram; with Sugar make Troches. But use not these Astringents, till the body ●e purged, lest the waterish humours be stopped, and the belly swell: but you may use hot Dryers safe●y, as Trea●le, Mithridate, with Conserve of Ro●es and Wormwood. As, Take Conserve of Rosemary flowers an ounce, Diacorus two drams, Diarrhodon, Aroma●icum r●●a●um, each a dram; red Coral prepared a dram and ●alf, Treacle two drams, with Syrup of Citron peels anal e an Electuary. And lest the womb be hurt with evil humours, inject the Decoction of Barley, Honey of Roses ●nd Whey, with Syrup of dried Roses. Or of wormwood, Mints, Motherwort, red Roses, Al●●m. And then use a Fu●e of Frankincense, labdanum, Mastic, Sanders, Nutmeg, red Roses. Avoid crude and moist things, and fish, mil● and all sweet meats, and ●alt. Forbear Suppe●● drink red Wine; sleep and wake moderately 〈◊〉 not upon the back, lest the loins be heated, an● the humours sent to the womb. Question Whether are Diuretics good in the Whites? Diuretics that provoke urine do also provoke the terms; therefore the relics of the humous would be carried by them to the womb, but these move the terms secondarily: but if the body be well purged, first they will not make the flux greater, but bring it out by urine. Chap. 13. Of a Gonorrhaea. THe running of the Reins may be in all women that are fit for a man, for it is the flux of natural seed. It is in men and women from the French pox, but when stinking humours do flow, it is not properly called a Gonorrhaea. The Causes The chief Cause is the weakness of the retentive faculty, and the looseness and largeness of the seed-vessels: the causes of these are showed in the Gonorrhaea of men. The Signs. The women will declare it, and the greatness and the colour; for if it be white and little and thick, and at distance, it is a true Gonorrhaea. The Prognostic. If it continue, it brings a Consumption and barrenness. The Cure. The Cure of Gonorrhaea and night pollution is P●act. 3. but I shall add this, if it come from plenty of seed. The Buds of the Salix o● Willow, 〈…〉 called the Closing of the Womb. 〈…〉 famous Physicians and Anatomists say 〈…〉 is a Hymen, which is the sign of Virginity. 〈…〉 they say a membrane wrinkled with 〈…〉 like Mi●tleberries, like the bud of a Rose half 〈…〉 hence came the word 〈◊〉 I think with the Ancients, that 〈◊〉 is something in these parts that distinguis●●●n Virgins from women, which is violated in the fi●●● copulation: many say they have it: and we may believe them. For it is certain that ●h●re is an alteration at first in Vi●gins which causeth pain, and bleeding which is a sign of Virginity. But what this is, it is not yet known ma●i●●●●ly. Some say it is a nervous membrane, with small veins, which bleed at the first bout. Some say there are ●our Caruncles tied together with small membranes. Some have observed a fleshy Circle about the Nymphae with obscure little veins, which makes the membrane not to be nervous but fleshy. To be short. I suppose it to be certain, that the part which receives the Yard, is not in them that have used a man, as in Virgins, nor is it alike in all; and this hath caused the diversity of opinions in Anatomists. Moreover this is not found in all Virgins, because some are very lustful and when it itcheth, they put in their finger, o● some other thing, and break the membrane: sometimes the Midwives break it. Question 2. Whether do all Virgins at the first bout, or Copulation, bleed? The Africans had a custom to shut the Bride Ex Leone Africano. groom and the Bride up in a Chamber, after they were married, till they prepared the Wedding-dinner. And an old woman stood at the door, to receive a bloody sheet from the Bridegroom, that she might show it in triumph to all the guess, and that then they might ●east with joy. And if there was no blood to be seen, the Bride was to be sent home ●o her friends with disgrace, and the guess went ●adly home without their Dinners. Some say from experience, that some honest Virgins have lost their Maidenheads without bleeding, and that it is a certain sign of Virginity when they bleed, and when they do not, they ar● not to be censured as unchaste. I hold that young Virgins will bleed but when they are in years, by reason of the long continuance of the terms, the parts are harder and larger; and if the man's Yard be small, there is no necessity of bleeding. Or if the girl was wanton afore, and by long handling, hath dilated the part, or broke it, there is no blood after copulation. Therefore Deut. chap 22. the Law of Moses is taken for that which happeneth often, and for the most part. And there can be no more gathered f●om hence, but bleeding is an undoubted sign of Virginity. The same may be said of the African custom. Question 3. Whether is the straitness of the privities a sign of Virginity? The privities are straighter in some according t● age, habit of body, and other circumstances, and Virgins are straighter than women that have been at it. But I deny that straitness is a certain argument of Virginity. For after many acts of Venery, it may be made so straight by astringent Medicines● that Whores may be taken for Virgins; as we showed concerning a Wench that was married, and to appear a Virgin, she used a Bath of Comfrey roots. Question 4 Wh●●her is Mi●k i● the breasts a sig● o● Virginity lost? Some say that there can be no milk in the breasts, ti●l a woman hath conceived: and Virgins have neither the cause nor the end why milk is made. And the terms sto●t do rather corrupt then turn to milk. And though there be always in the breasts a faculty to make milk, yet doth it not show its power, but upon an object, and for some end. Some say that Virgins may have milk, and 5. Ap●or. 39● Gal. in come. urge this Saying of Hippo●ra●es, If any have milk wh●n she is neither with child nor breeding th●ir ●erms are stopped. Galen is of the same opinion, and Lib. 3. anat c. 4● 〈◊〉 aphor●●● ib. 5. 39 though it be seldom, ●et he saith it is possible And Alexander Benedictus and Christopher de Vega saw it. We shall not contradict Hypocrates and expe●ience, but there is a twofold milk. The one of Virgins. The other of those that have brought forth or conceived. The first is made of blood, that cannot get out at the womb, but goes to the breasts; and this is nothing but a superfluous nourishment of the breasts, that turns milk by ●he faculty of the breasts, without the company ●f a man or conc●p●ion. T●e other is only when ●here is a child: of this milk it is true what Hip●●●rates Cit lo. de mor●. mu●●er. writes, It is a certain sign of a Mole, when ●r●at b●ll●●d women ha●e no milk in their breasts. ●nd true milk in the breasts is a sign of a live ●hild in the womb. These milks differ in respect of the blood, and diversity of the veins that bring it to the breasts, and though both are white, yet that of Virgins is thinnest, no● is it so much, nor so sweet; this 1. De hist. ani. c. 12. may breed in the veins according to Aristotle, from the supers●uous nourishment of the breasts: and if Virgins have it, they are not to be termed ●nchast. Chap. 2. Of the Green-sickness, or white Fever. THis is in Virgins fit for a man, it is call●d the Virgin's disease, and the white Fever, not that there is always a fever, but because their face is like people in a fever. It is thus defined. The Virgin's disease, is the changing of the natural colour into a pale and green with faintness, heaviness of body, loathing of meat, palpitation of heart, difficult breathing, sadness swelling of the ●eet, eyelids and face, from depraved nourishment. The Causes The first Cause is stoppage of terms. The next is the gathering of bad humours; for when the way to the womb is stopped, the blood returns to the great vessels and bowels, and chokes thei● heat, and stops the vessels, and spoils the making of blood, and then there are crudities, which being brought to the habit of the body, cannot b● united perfectly to the partest and cause a Cachexy, which is the way to a Dropsy and Leucophlegmacy, and divers Symptoms. The caus●● of the obstructions of the vessels of the womb, are crude humours, and phlegmatic slimy blood● from evil diet, and drinking o● vinegar, or eating raw corn, chalk, ashes, lime, earth, ●lay, and the like. There is a pale and green colour, the face is The Signs. s●ollen, and the eyebrows in the morning after sleep especially; the ankles swell, and the whole body is loose, and moist from much water: the legs are lazy, the pulse is little and often, in the neck, temples and back. The heart beats, the breath is short when they go up stairs, they loath meat. Some have the Pica, or desire to eat absurd things. The terms are stopped, the Hypocho●dria are swollen; sometimes they vomit, if vapours ●●ie to the head, there is thirst and headache; and if melancholy be mixed, the animal actions are hurt. These are not all in all people, but most are in most, and in some all. It is often turned to a Dropsy. Some after The Prognostic. death have had a Scirrhus, hard liver: some die suddenly, the heart being oppressed. If the stomach be much afflicted, it is dangerous, and they loath meat much. If it come from the womb alone, it is easier cured. It is best to begin in the Spring or Summer: The C●re. after a Clyster, open a vein the ankle. Then heat the thick cold humour, and make it thin; and●because it is too much to be purged at once, prepare and purge often, and mix atten●aters and cutters with your purges. When the humours are above the stomach and Mesentery, it is good to vomit those that can easily vomit, and to give liver-physick, or spleen, or womb-physick, even as in Leucophlegmacy, ●ee the Chapter of Terms stopped. But in this disease, always consider the liver, spleen and Mesentery, the obstructions of which are cu●ed with things mentioned. At fir●● open the the obstructions of these pa●●s wi●h ●om●●ew things that provoke terms, and ●●ter ●ive more. Thus: Take opening Roots an ounce, Madder, 〈◊〉 Orris, Elecampane, Citron peels dried, Sar●●●●●●h h●lf an ●un●e; Mugwort, Agrimony, ●●rm●nder, each a handful; Savin two pugils, C●r●ham●s seeds an ounce, Senna two ounces, Mechoacan, Agaric, each half an ounce; St●●chas 〈◊〉 two pugils, Fennel, Aniseed, Galangal, each two drams; b●●l them to a pint and half, sweeten it, a●d ad● Cinnamon water three dram●. Or infuse ●●em all with Sea-wormwood half a handful, common ●●●mwood two pugils. Or, Take Agarick, pills of R●uba●●, ea●h a dram; Quercet●n's Pills of Tartar and of Amm●niacum● each half a dram; Spike a scruple, Oil of ●innamon th●ee drops, Extract of Wormwood half a scruple, make Pills: give a scruple an hour before meat. Or, Take juice of M●rcury, clarified Honey or Sugar, each an ounce: add Gith seed, Senna, ●a●h two drams; Mechoacan a dram, make a Mass: or give Conserve of Marigold flowers. St●el is an excellent remedy after Preparatives, with proper Drinks or Ingredients. And i● the vessels of the stomach are stopped, give a Vomit, and then gross powder of Steel. If the Mesentery be stopped, Take Diarrhodon, Ho● laudat Mercatus. Diacurcuma, Agarick, each a dram; C●rthamus seeds two drams, red Dock roots, Carrot seed, each 〈◊〉 dram and half; Cloves a dram, Steel prepared two ounces, with clarified Honey make an Electuary: give two or four drams. If she vomit, stop it not. If the Liver be chiefly sto●t● let the St●●l be ●inely powdered. And Take of it half a pound, add eight ounces of Wine in a glass, set it in the embers, stir it, and let it boil twelve simmers, t●l you see it ●roath, and grow a little thick; then pour the ●roath and all into another vessel: do thus four times, and then let it be gently boiled till it be thick as Honey. Then Take Parsley, Carret seed, Diacurcuma, Diarr●odon, each a dram and half; Cinnamon a dram, Steel so prepared six drams, with Honey make an Electuary: give three drams, or five after exercise. If the Spleen be stopped; Take Steel prepared a pound, wash it with Vinegar, then strain it, and lay it on a clout, and add powder of Cloves h●lf an ounce. Let them st●nd so a day and a night, then put them in a glassed vessel, ad ten ounces of white Wine● Diarrhodon, Harts tongue, Senna, and Capar ba●ks● then stir them, than set them in the Sun for a day, or in an Oven: do this ten days, till the Steel be melted in the Wine, and little or nothing at the bottom. Give two ounces of this in the morning af●er purging and exercise. Or, Take Steel prepared an ounce, Cinnamon, Aniseeds, each two drams; Diamos●hu without musk a dram Sugar an ounce, make a Powder, give a dram: drink white ●ine and Mugwort water aft●r it. Ste●led Wine. Take Steel in powder three ounces, Cinnamon half an ounce, white Wine three pints: set them in a close glass eight dries in the Sun, stir them every day● Give six or eight ounces four hours a●ore dinner, for fifteen or twenty dries, and walk after it. At first give a Steel-medicine to prepare. As, Take Steel filings four ounces, ●●t i● in an ir●n 〈◊〉 ●ibl● or Ladle, th●n cast it into two pints of water of H●ps, Grass, M●dder, Borage, or Spring-water: st●●in it, and do so ●●ven tim●s. Then Take so many ounces o●●●w Steel, and cast it into water as before: strain and add Syrup of Violets, Borage, or 〈◊〉 of R●ses four ounces: give three ounces in the morning ●fter ex●rcise. Prepare thus three or four times and ●●en use stronger. A●●e● Steel use S●orzonera stripped all night in Wine give 〈◊〉 the morning. This hath cured obstructi● 〈…〉 Mercatus. Bez●●r ●●one ●●ith Mercatus opens obstructions in my ex●erience, and reh●ts venom; give six or seven g●●ins. Steel is be●t Spring and Fall, purge, and exercise before and after it, that it may be better dispersed. Use Preparatives, Purges, and strengtheners often, and for a long time, and change the forms, lest the patient loathe them. If water spread about the body, cool the body, and make it heavy. Use Sweats, as Baths natural or artificial, of Mugwort, Calamints, Nep, Danewort, Sage, Bays, Rosemary, Mercury, Ivy, Briony roots, Orris, Elicampa●e. After pu●ging and opening obstructions, all the Symptoms will vanish, if not, see for the Symptoms of the womb. The Diet. Let the air be temperately hot. The meat of good juy●e and easy digestion; potherbs and green fruits must be avoided, fish, milk, lettuce. Make S●u●e with Sage and Cinnamon. Drink Wine; l●t bread ●e well leavened, with ●ennels●●d● drink no wat●● no● Broths, at first and in the de●li●●tion of the disease, use exercise and V●n●ry. Let sleep be moderate. Question 1. Whether may the woman in this Disease be allowed the absurd things they long for? They are Virgins or women with child that long for such things, Virgins must not be allowed them, as chalk, etc. for they will increase the disease. Women with child must be pleased with fair woodsy to abstain from them; but if the appetite will not be allayed, rather grant them, then suffer an abortion or mark upon the child. Question 2. Is motion and exercise good in the Green-sickness? They are better than idleness which heaps up crudities, they raise the languishing heat in the bowels, and help the nourishment to be distributed: therefore they are to be used before the disease be great, and in the declination they discuss the humours. But use moderation, lest you weaken the body, or choke them● First therefore use Frictions, then watching, then more exercise after convenient purging. Question 3. Whether is Venery good for Maids in the Green-sickness? It is probable, and agreeable to reason and experience that Venery is good Hypocrates Hippocr. lib. de morb virg. bids them presently marry, for if they conceive they are cured. John Langius ●aith this disease comes in the ripeness of age or presently after. Lib. 1. epist. Venery heats the womb and the parts adjacent, opens and loosens the passages, so that the terms may better flow to the womb. But if there be a great Cacochymy, take that away before she be married, and then Venery may do more than Physic. But use it not in the vigour of the disease, nor in weakness. Question 4. Whether is Blood-letting good in this Disease? A Cachexy beginning with coldness of the whole body, seem to deny bleeding, and because the crude humours are in fault rather than blood. Lib. de morb. virg. But Hypocrates adviseth bleeding at the first. If it be a new disease, and comes from stopped terms, and blood abound that is stopped, and not turned into another humour, you may boldly bleed, provided the strength permit, and the passages be open. But in an old disease when crude phlegm abounds, bleed not, for it will increase the disease. Chap. 3. Of Symptoms from the Womb, and Mother-fits in General. IT is not to be expressed what miserable diseases women are subject to: both Virgins and others from the womb, and its consent with other parts. For when terms or blood are stopped, there are great Symptoms, and while they putrefy or get evil qualities▪ the Symptoms are grievous, and almost unexpressible. One woman may have divers Symptoms from the womb at the same time, when the seed and terms are mixed with other humours after they are corrupted, and there is more sometimes, and such noble substance as seed and terms being corrupted, are like poison. Gal. 6. de lo. off. c. 5. The consent with other parts, is from likeness of parts, nearness, or connexion of vessels. And because the womb is membranous, it hath a great consent with the membranes and nerves. Also the parts adjacent are easily infected. And thirdly, it hath consent with all the body by veins, arteries and nerves. It consents with the brain by the nerves, and membranes of the back-marrow: it cons●nts with the heart by the arteries, with the liver by the veins, which are great in the womb, and therefore the blood and bad humours go back to the ●●ver. It consents with the stomach by Anastomosis in the veins of the Mesentery, and by the arteries through foul humours and vapours go from the womb to the Mesentery and stomach. It contents with the spleen by the arteries; therefore many women that had not their terms enough in their youth, and have hot blood, are ●fter Hypochondriack, and a Physician can scarce distinguish these diseases of the womb and spleen nor cure them severally. It consents with the paps by veins and nerves, and the heart, Diaghragma, head, brain, and all the organs of sense and motion; with the liver, spleen, stomach, belly, mesentery, bladder, straight ●ut, back, hips, arms and legs, and causeth symptoms. As Galen ●aith the mother or hysterical Gal. de lo. off. c. 5. ●●●●ion is one name, but hath under it innumerable Symptoms. Chap. 4. Of Suffocation of the Womb. IN this they seem to be strangled. And there are so many Symptoms at once, that it is impossible to define it by one. Sometimes there is only short breath, sometimes the animal actions are hurt, the whole body is cold from a malignant vapour sent up from the womb. The Causes The immediate Cause, is a vapour malignant and venomous, sent up by the arteries, veins and nerves that hurt the actions of the parts it goes to. This vapour is like air or wind, thin and little but very strong, to get presently through the whole body; it chief ascends to the gullet, and causeth choking, as eating of Mushrooms, Hellebore, and other poisons. There is often short difficult breathing, with heart-ach, vomiting, and loathing. If the vapour go first to the heart, the motion of it ceaseth, and there is swooning, and she falls down. If it go to the brain, the animal actions are hurt. When ●eed and terms corrupt in the womb, with other bad humours, they breed this evil vapour; because they are the best substance, and the beginning of generation, they are worst when corrupted, especially seed to hurt the whole Gal. cit. 1. body. Sometimes it is in women with child, when they have not their after pu●ging, but evil humours a●e le●t, and corrupt in the womb. The chief cause of this humour, is in the trumpet of the womb and stones, the body of which is hollow and loose, the stones being in bladders, and have hollowness full of water, which in hysterical women is yellow and thicker than ordinary. Vesal. de corp. huma. Fabr. lib. 5. c. 15. This trumpet and the stones are often taken for the womb itself when they are swollen with corrupt seed, and humours, and wind, and reach to the navel: of which in the Chapter of ascent of the Womb. This disease is breeding sooner or longer, as the matter is more or less, sometimes corrupt humous lie still, and if they be stirred, they send a venom or vapour to the whole body: now in women subject to this disease, sweet scents to the nose, or taken in, or anger will move these huhumors and vapours. They are according to the variety of the symptoms The Differences. and efficient cause, or venomous humours, for corrupt blood, especially seed, puts on another Nature. That Suffocation is at hand, it appears by laziness, The Signs. weakness of the legs, paleness, sad countenance, and the motion of something like a ball in the belly, with noise like Frogs, Snakes, or Crows, so that some think it devilish. There is also belching, yawning, yexing, short wind, heart-beating, loathing, dulness, laughture at the coming of the fit, ●rom the vapour g●tting into the membrane of the breast, that tickle them: some cry, some both laugh and cry. These Symptoms increase when the fit comes and the jaws are closed, that she seems to be choked, and sense and motion is gone or depraved. Some have Convulsions, some h●ar what is done about them, but cannot speak, the ●ul●e i● less, the whole body is cold, and the eyes 〈◊〉 as if they were dead. When the ●it declines, humours s●ow from the triumvirs, the gu●s rumble, the eyes open, the cheeks grow red, and the body warm, the animal actions return, and the patient sighs, and comes to herself. It is known to be from corrupt seed, if the terms are in order, and short breath, and low voice, Suffocation and Convulsions, and all Symptoms are then more vehement, and at the end of the fit there flows a humour like seed out of the privities. It is from the terms if they be stopped, or flow not orderly, and if there be a dis●ase in the womb, it is neither from the seed no● the terms. The Prognostic. 1. If there come swooning, or a great Convulsion, or quenching of natural heat, it is deadly. 2. Suffocation from corrupt seed, is more dangerous than that which is from the terms mixed with melancholic humours. 3. The longer it lasts, and the worse the symptoms, the more is the danger. It ceaseth in young women when they begin to bear children. 4. The oftener the fit comes, the more you may ●ear the quenching of the natural heat by weakening of the heart often, and if she foam at the mouth, she dies. The Cure of the Fit. In the fit you must discuss the malignant vapours that riseth from the womb, and turn it f●om the principal parts, and you must evacuate the matter that breeds it, and prevent its return. Cal upon her loud, pluck the hairs of her privities and ears, make strong Ligatures and Frictions, cup the legs, and thighs, and g●oyns; hold stinks to the nose, as Partridg-feathers, burnt hairs, Leather, Horn, Castor, Assa foetida, Galbanum, oil of Amber, Rue, the warts on Horses legs dried, and the powder upon coals burnt, makes a ●ume which if taken in the nose, suddenly raised them. Apply sweet Scen●s to the privities, as Civet, Musk, Gallia, and Al●pta mos●hata, or powder of Cloves. To be a skilful Physician study my Sennertus, Platerus, Riverius, Bartholinus, and Riolanus, of the last Editions. Or, Take Storax calamita, Benzoin, each a dram; Gallia moschata half a scruple, make Tro●hes with Gum Tr●ganth, and let the Fume be taken into the womb by a Funnel. A Lineament. Take Storax, Benzoin, each a dram; Gallia moschata half a scruple, Civet four grains, liquid Storax half a scruple, with Cotton put it into the womb. Clysters to discuss wind, draw down the matter. Take the Carminative Decoction a pint, Electuary of Hiera six drams, Benedicta laxativa an ●●●ce, Oil of Rue and Bayberri●s, each a dram. Use Womb-clysters and Pessaries to women that have known man. Take Electuary of Hiera and Diaphaenicon, each two drams; Turpentine half an ounce, Honey of Mercury an ●unce, Castor hal● a dram, ●●th Wool make a Pessary. Oil of Tin applied to the navel, doth remove the sit. Or Rue, Castor, and sneesing Powders. As, Take white Hellebore hal● a scruple, long Pepper ●nd Ginger, each half a dram: or put Oil of Am●●● into the Nose and E●rs. Apply to the Womb this. Take Oil of Rue, ●a●s, each two ounces; Cummin seed, C●st●r dissol●●● in Vinegar, e●ch two drams; with Wax make a 〈◊〉 Or use a ●l●●s●●r of ●●lb●num, Ca●or, and A●●a foetida. A compound distilled Water. Take Zedoary, ●●smp s●●ds, Lovage ●●●ts, each two ounces; Myrrh, Castor, each half an o●nce; Peony roots four oun●●●, Misteto of the Oak gathered in the wain of the Mo●n three ounces, ad water of Motherwort four pin●s an● half, Spirit of Wine a pint and half, steep them eig●● days, distil and give a spoonful with Tile-flower, or Mugwort water, or Oil of Amber some drops. Or, Take Castor, Myrrh, Assa faetida, each a s●rupl●● Pepper half a scruple, with syrup of Mugwort m●l● Pills, give three. The Cure out of the Fit. First, prevent the ●eed from corrupting in the womb, and if it be corrupt, evacuate it presently with Womb-clysters and Pessaries: then dispe●se the relics, and strengthen the wom●. But ●ir●● give a general Purge that is gentle often, and use things that prevent the breeding of seed. Strengthen with Plasters and Ointments to the region of the womb. As, Take liquid Storax two drams, Avens, Agnus castus seeds, Angelica, each half a dram; Alipta moschata a scruple, Oil of Nard, Lilies, and white Wax, make a● Ointment. Or, Take Seeds of Agnus castus ● dram, all Sanders, each half a dram; whit● Ros● powder a dram, Tacamahaca a scruple, Amber t●● scruples, Alipta moschata half an o●nce, with Turpentine, Labdanum and Wax, make a Plaster. I● she be a Virgin, let her be married. If it be from terms stopped, see in the Chapt●● of that. This disease is neither from seed, nor blood● nor humours, if they be not corrupted after a peculiar manner. If it be from the womb distempered, give the Infusion of an ounce of Briony root in white Wine on●e in a week, for a year 〈◊〉 bed time: or this Hyste●i●k Water. Take Lovage roots, Peony, Angelica, Zedoary, each an ounce; Mis●eto of the Oak gathered in the wane of the Moon two ounces, Mints, Balm, Calamints, Bettony, each a handful; Carrot, Parsnep s●●d, Castor, each half an ounce; distil them in white Wine and water of Motherwort after eight day's infuson. Or, Take Briony, Valerian, Spignel, Ang●lica roots, each half an ounce; Balm, Ca●amints, Pennyroyal●●ettony, each half a handful; boil them in Wine, add Syrup of Mugwort an ounce: give it a● thrice. Vitriol of Iron one grain, with two grains of Sugar given in Wine some weeks, is excellent. Or, Take Cummin seed, wild Parsnep seed, each ● dram; give a dram in powder. Or● Take Fae●●la Brioniae two drams, Cummin seed, Parsnep s●ed, ●●ch a dram; Amber half a dram, Cloves two struggles, Cinnamon a scruple, make a Powder. Pills. Take Castor a scruple, Assa faetida half ● scruple, Myrrh, Galbanum, Sagapenum; each a scruple; with Honey of Mercury make ●ills: take 〈◊〉 a s●●●ple or a scruple often. Or take Treacle 〈◊〉 ●●●hridate. Apply Plasters or Lin●ments to the region of 〈◊〉 Womb, thus. Take old Treacle half an ounce, Agnu● castus seeds a dram, Oil of Angelica and ●ummin seeds, each two drams; with Plaster of bayberries. ●r make Ointments of the same. Quest●●● 1. What preternatural diseases is the 〈◊〉 of the Womb properly? ●●me say it is a cold distemper in quality chan●, they say right, but coldness is not the chief ●●●●om. Others say it is respiration hurt, Syn●●● or Convulsion. But it canno● be defined by one Symptom. Fo● sometimes the animal actions are hurt, and there is a Megrim, Delirium, Convulsion, and sense and motion are gone. Nor is it strange, that so small a vapour should bring such Symptoms, for it hath an occult venom Gal. 6. de lo. off. c. 5. in it● which is strong, for it goes many ways, and to many parts. Question 2. What is the true Caus● of the 〈◊〉 of the Mother? I say it is the malignant vapours that fly up from the womb: for it doth not work by a manifest 4. De lo. off. c. ●. quality, but by a venom which Galen sait● is like that of a Torpedo, or Phalanx, or Scorpion, which are little in bulk, but do great mischief, being enemies to the vital spirits and hea● by which there is a coldness all over, and s●o● breath from the actions of the heart hurt. Fo● when the heart is hurt, or the vital Spirits, either suffocated or corrupted, there are no good animal Spirits bred, and they not flowing to th● nerves and muscles, hinder the motion of th● breast. Also this malignant vapour is an enemy 〈◊〉 the animal Spirits, and makes doting and Convulsions when it gets to the brain. The Cause of these vapours are corrupt se● and terms, for while they are in th●ir proper vesels, they change not their nature. And the se● is not always pure but mixed with 〈◊〉 hum●● and the seed-vessels are sometimes 〈◊〉 a● distempered. Moreover the corruption 〈◊〉 〈◊〉 the womb in a peculiar manner: for as F●rr●● saith, The place from whence com●● life, is 〈◊〉 the breeder of the most deadly poison. Question 3. Is it good to give Wine in a ●it of the Mother? Hippocrat●● and Avicen quarrel about this. ●. 〈◊〉 〈◊〉 The fi●st allo●s wine because they are weak, and nothing sooner re●resheth● But Avicen is for water, and forbids flesh, for they increase seed and ●lood. But in the time of the ●it wine is proper, and Avicen doth not speak of the ●it, but of the diet out of the ●it, when it comes from plenty of seed and blood; nor will a little wine in the time of ●●e ●it get presently to the womb. Chap. 5. Of the Frenzy of the Womb. IT is a great and foul Symptom of the womb● both in Virgins and Widows, and such as ●ave known man. These are mad for lust, and in●i●e men, and lie down to them, and it differs ●rom Salacity, because in that there is no Deli●ium. It is an immoderate desire of Venery that ●akes women almost mad, or a Delirium from ●n iminoderate desire of Venery: it is without a ●e●ve●, and with heat, and tends to madness. ●here are degrees in it, for modest women have 〈◊〉 but will not for shame declare it, and die of consumptions. Others will not conceal it, but ●eak their thoughts bawdily, and follow men, ●nd ●olli●i●e them shamelessly, as Hypocrates 〈◊〉 in his Book of Virgin's Diseases. The immediate Cause is plenty of hot and The Causes sharp seed against Nature, but next unto that ●hich is natural; it is a little biting, swelling, and forcing Nature to let it out by lechery. The brain is only hurt by consent and the animal actions by an external error, or too vehement object. The part first affected, is the womb in the Nympha, which grows hot, and swells, but the Nymphae are not properly the seat of Venery, but the Clitoris, which was called by the same name anciently. The heat and sharpness of seed, is from the heat of the womb that breeds it, from hot humo●● in the womb and hot blood. The outward Causes, are hot meats spiced● strong wine, and the like, that heat the privities● idleness, pleasure, and dancings and reading o● bawdy Histories. The Signs. They find their lust to boy● at first, and so● shame will not declare it: they are sad and silent, and their eyes turn to and fro with lust, an● if any speak of Venety, they blush, and the pulse changeth, when th● brain consenteth, reason i● perverted, and modesty is overcome, than the● prate, are lustful, and angry; sometimes they cr● or laugh without a cause: they follow men, an● solicit them for copulation. Some will lie wi●● any one they meet. The Prognostic. It is a sordid disease, curable at first, but if neglected, it turns to madness. Th● Cure. Let Virgins that have it, before reason is subverted, be in company with chaste Maiden's, o● h● married. And be let blood to abate heat of blco● and sharpness of seed very often, there is no better remedy. Then temper and evacuate the humours, if the● be adust, and there be madness use strong●● Then have a Bath of Lettuce, Willow, Water-lillies, Vine-leaves, Purslane, Venus' navel, red Roses, Violets, Waterlillies. Let her sit twice ● day in it, and not sweat. To take away the sharpness of the seed, use Lettuce, Violets, Waterlillies, and things that quench seed by a secret quality, as Agnus castus ●eed, Leaves and Flowers of Champhyre here●●●er. As● Take leaves of Waterlillies, Agnus castus, Willow, each three handfuls; Lettuce, Purslane, Ve●●● navel, each a handful; Lettuce, Poppy s●ed, the 〈◊〉 great cold Seeds, each half an ounce; Dill seed 〈◊〉 drams, Waterlillies a handful, Violets half a ●●ndful, beat them with juice of Lemons, distil them ●●er twenty four hour, add to every pint a dram of ●mphire, give an ounce. Or, Take Agnus ca●●●ieaves, Rue, Willow, each two handfuls; Mints, 〈◊〉 of Dill, each a handful and half; Waterlillies ●●lf a handful. Agnus castus seeds, Hemp, Coriander, Lettuce seed, each half an ounce: beat them, ●nd distil them with water, add a pint of juice of Le●●ns, rectify it to half. An Emulsion. Take Lettuce, and white Poppy 〈◊〉 and the four great cold Seeds, each half an ounce; 〈◊〉 of Lettuce, Waterlillies, Willow, each four 'ounds; Syrup of Violets two ounces, Magistery of Co●●● dram. An Electuary. Take Conserve of Waterlillies, ●●●lets, of Agnus ca●tus top●● e●●h an ounce; of Ro●● h●lf an ounce, red Coral Smaragds, e●ch a dram; 〈◊〉 and Lettuce candied, each an ounce; with 〈◊〉 of Violets and Waterlillies, make an Electuary. Or make Baths of the same. As, Take tops A●nus castus, Lettuce, Rue, Waterlillies, D●l 〈◊〉 〈◊〉 them, anoint with Oil of Lilies, ●ngu●nt of Rose●, with Camphire af●●r that. Or lay a Plaster of Mercury and Marsh-lentils to the breast and loins. L●y a Plate of Lead to the Back, and give a Pessary of juice of Plantain, Purslane, Gourds. These that work by an occult quality, are fittest for numnesses that must not marry, but they that will marry must forbear them, because they cause barrenness. Let diet be thin, and of little nourishment, no Eggs; Beef is good, and fresh fish. Also Lettuce, Purslane, Succory. Sleep little● think not of Venery, labour, and avoid idleness. Question. Whether is Camphire cold or h●t, or doth it quench Venery? It is hot because it burns, flames, is thin, pierceth, is sharp and bitter. But it hath cold effects, as curing of burns and inflammations, and h●● headaches: but this is from the likeness of th● substance, because it draws hot vapours to it, an● discusseth, as Linseed oil that cures burns. No● hath it a double substance cold and hot, that ma● be separated. Exercit. 104. s●●. 8. Scaliger denies it by experience to quench V●nery, but if it be taken often, it doth: he t●ie● it but once. Chap. 6. Of the Melancholy o● Virgins and Widows. IT is a D●liri●● with sadness, trouble and we●●ing, sometimes laughing, without a Feav●● It differs from others by the efficacy only of the efficient cause, for it hath divers pains besides ●●dness, especially on the left side, near the heart in the pap● this is by occasion at a distance. The Cause is a melancholic vapour from a The Causes melancholic blood in the vessels near the heart, that infects the animal Spi●its, hurts the Fancy, and so the reason. For melancholic blood abounding in the vessels of the womb, comes back to the great arteries about the heart, by the arteries of the womb, and infects both vital and animal Spirits and causeth trouble of heart and de●●●ium, while this blood is quiet in the arteries, the●e is no vapour that riseth; but when it is hea●ed or s●irred up by any cause, the arteries about the back and spleen beat more than ordinary, and the vapours arise and trouble the heart. They a●e sad, and ●ull of thoughts, and trouble The Signs. at the heart, and cannot express their grief; all things are tedious to them, they weep and l●ugh without a cause, they sleep little, and with trouble and ●ear: they have a pain on the left side, and sometimes the left breast; their jaws are d●y, all which are the effects of a melaucholick vapour, and when that is discussed, all cease. If it be old, it turns to madness, and then they are 〈◊〉 silent, then pantler's, and think they see G●o●●s. At first it is easier cured, but if it last long, and The Prognostic. ●●e ●esist not imagination, and will not rejoice ●ith her Gossips, it is dangerous. They often despair and desire death, or hang themselves, or d●own themselves. If the manners are chan●ed, 〈◊〉 tu●●s to madness. Observe what progress the disease h●th made. The Cur●. At first if blood be hot, o●en a v●in o●ten i●●●e arm, if the terms be not stopped: if they be, bleed in the ankle some days before they use to flow. Let her be merry, and prepare and purge melancholy, thus. Take Borage and Balm water, each three ounces; Syrup of the juice of Borage and Bugloss, each an ounce and half. Mix them for two Doses, repeat them sometimes. Then purge Melancholy. As, Take Senna six drams, Agarick a dram and half, Borage flowers and Violets, each a pugil; ●itron peels two drams, infuse them in Rhenish wine for six hours, strain them, ad Syrup of Violets an ounce. Or, Take Scorzonera roots two ounces. Borage ●n ounce, Balm a handful, Senna four ounces, Agarick half an ounce, Citron peels six drams, Zedoary two drams, Cordial stowers a handful, add half a pint of the juice of sweet-scented Apples, and of Rorage and Bugloss steep them two days, then strain them, ad Sugar and half an ounce of Cinnamon, make a Syrup: give two or three ounces. Also give Cordials, Confection of Hyacinths, Species Exhilerants, and Confection Alkermes to such as can bear it. Cure it as Melancholy, only the matter comes from the womb; therefore still regard that it dry not the body too much, but use a moistening Diet. Chap. 7. Of an Epilepsy from the Womb. THis Falling-sickness is worst then from other causes, because there are greater symptoms, for that malignant vapour doth not only fall into the nerves, but the veins and arteries. The Causes The same malignant vapour that causeth suffocation, causeth this, for when it ascends by the veins or arteries, it begets other diseases: but when it gets to the nerves, or to the fountain of them, it causeth the Epilepsy. In some the whole body hath a Convulsion; in others some part only, as the eyes, head, tongue● hand or leg, and the outward senses are diversely taken. Some see not, some hear not, some see and cannot speak, some dote, and think they see strange things: some cry out, and know not why. All lose the sense o● feeling. If the vapour be n●t very malignant, they re●u●n to their work after the fit, as if they had not ●een ill. It is known by what hath been said: for here The Signs. 〈◊〉 not only a Convulsion as in other Epilepsies, ●●t dive●s Symptoms as in Suffocation of the ●omb. They seldom ●oam at the mouth, because ●e brain is not so shaken as to cause ●oaming: ●or is the vapour so fixed in the roots of the nerves, but they often do hear. It is grievous, and hath grievous Symptoms, The Prognostic. ●ut it is not so bad as a true Epilepsy, and if you ●ve proper Medicines, it never returns. The Cure of the Fit. Use things as in Suffocation of the womb or ●ther-sits: as Rue and Castor are good against 〈◊〉 Also out of the sit, you must cure it as the Mo●●, using things that respect the womb and the 〈◊〉 As● Take Peony roots, S●orzonera, Misled t●● O●k, each half an ounce; Polypody of the 〈◊〉 an oun●e. Rue, Pennyroyal, Calamint●, each a 〈◊〉 Seseli, Pion●, Agnus castus seeds, each ●●dram●; Carthamus s●eds bruised half an ounce, 〈◊〉 of Rosemary, S●ge, S●aehas, Borage, e●ch two pugils; boil them to a pin● and half, strain and ad● juice of Bettony, Yarrow, Mercury, Mug●●rt, S●n●a five ounces, Agarick, Epithymum, each half an ounce; Rhubarb, Cloves, each two drams; Ani●●● I ●nnel s●ed, each three drams: boil, strain with S●gar, and half an ounce of Cinnamon, make Syrup give two ounces. And these Pills twice in a week, a scruple o●● dram an hour afore Supper. Take Peony ro●●●, Senna, each half an ounce; Mugwort, Botto●● Rue, Yarrow, each half a handfuls boil them, clarify the Decoction, add juice of Mercury an ounce. Aloes an ounce and half: let it settle, pour of the clea● add Rhubarb sprinkled with Cinnamon water 〈◊〉 drams, Agarick half an ounce, Mastic, Epil●p●● powder, each half a dram; with Syrup of Mugw●● make Pills. To strengthen the Head and the Womb, and to mend its Distemper: Take Fecula o● Pim●● dram, of Briony, Amber, Misleto of the Oak, e●●● half a dram; Bezoar stone, Man's s●ull, each a s●r●ple; make a powder, give half a dram with Scorzoner or Tile flower water, or with Sugar make Rolls. An electuary. Take Conserve of Balm, Ti● flowers, Rosemary● Lily co●vals, Scorzonera 〈◊〉 ●an●ied, each an ounce; Diamosch● dulce a dra● powder of Agnus castus seeds and Peony ro●ts, 〈◊〉 two drams; with Syrup of St●●has. Chap. 8. Of pain of the He●● from the Womb. MAny ●●ins come from the Wom●, bu● 〈◊〉 chief and greatest are in th● Head, ●●●ver, or on one side, o● in the eyes. Matter ascends to the membranes of the head The Cause● by the veins and arteries from the womb. It is a ●●po● or humour from blood and humours; sometimes bad blood that is thin goes from the womb vessels to the great vessels, and gets to the head, & t● the membranes there, and causeth a stretching ulcerated, or pricking, or beating pain, when it is carried through the arteries being ●ul of blood. They think their head will be torn and the The Signs. membranes, and it is behind in the head, or when the terms flow, or ar● disordered, from consent with the womb. If it be from a vapour, there is no heaviness, and it ceaseth presently: if from a humour, there is heaviness. These pa●●s are great, and cause watching. The Prognostic. We have spoken of the headache, but here it is ●●om the womb; therefore consider what humo●● The Cure. offend in the womb, and let them be purged, and the distemper of the womb amended, as w● showed in the Distemper of the Womb. There is also a pain in the loins, because bad h●mors go from the veins of the womb and arteries to the great vessels, and so are sent by the ●●pill●● veins into the membranes, and stretch them, and cause pain: these humours must have ●●●per Purges. ●●●stion. In what part of the Head is the pain that comes by consent from the Womb? I● i● in the crown before and behind, but chiefly behind, by reason of the joining of the Back with the womb, for the womb is nervous, and ●o●s●nts ●ith the membranes of the brain, by the membranes of the ●arrow of the ●ack, and so ●erves ●uff●●●ith nerves, ●i●her by communication of matter or pain, and because the original of the nerves is in the hinder part of the head, women are more pained there then men, because of the Womb. Chap. 9 Of the Diseases of the Heart, and beating of the Arteries in the Back and sides from the Womb. THe heart beats, and the arteries also, as we showed in the Green-sickness, and it is by ●●il v●pors s●nt by the ●●teries to the hea●t from the womb, that a●ise from terms and evil hum●●● gathered in the womb: and this is known by ●ther Signs and Symptoms of a distempered womb. The Cure. To discuss the malignant vapours from the heart, give Cordials as in Chap. 3. of palpitation of the Heart; as Aqua vitae, Cinnamenwater, and Epithems, Bags and Liniments. The arteries also beat with the heart, as i● Widows on the lef● Hypochondrion and Bac●, where there is a great artery, and the artery th●● beats in the Back, is part of the great artery: they which beat in the Hypochondrion are the lesse● spleniti●k and mesenterick branches; therefore the beating is mo●e in the Back then in the Hypochondrion, but both puls●tions come fro● the same cause. The C●us●● The inflammation of the arteries is the Cause of this beating, when evil humours are sent fr●● the womb into the great branches of the arte●●● and there b●●t● the heart being overhot. Sometimes the motion of this artery is all the body over, and from a hot humour, the hot humours go to the heart, and cause a fever, but because there is little putrefaction, it vanisheth presently. If the heat of the humours go to the brain by the arteries, there is madness. Some seek the cause in the v●ins, and say that the arteries suffer from the 〈◊〉 〈◊〉 in them. You m●y feel it wi●h your hand laid upon the The Signs. Hypochondrion, and there are signs of a distempered womb, and melancholy from the womb, if heat continue in the arteries, and go to the whole ●ody, it consumeth it. It is seemingly a small disease, but it is not The Prognostic. without danger, because it comes from a bad cause, that weakens the bowels. It is cured as melancholy from the womb, and The Cure. ●●opping of the terms, and as Hypochondriack melancholy from the womb which follows. Chap. 10. Of the Diseases of the Spleen, and the Hypochondriack Disease from the Womb. Sometimes the Spleen and the Hypochondria suffer from the womb, so that you may doubt ●hat disease it is. 〈◊〉 from the womb by the arteries, the womb The Cause● 〈…〉 one from the preparing arteries, 〈◊〉 from the Hypogastrick a●t●ry. That from 〈…〉 goes almost to all parts of the 〈…〉 and 〈◊〉 branches of the spleen: there 〈…〉 b●● blood is ●●ed in the womb, and 〈…〉 upward to the 〈…〉 g●●● eas●●y from thence to the 〈…〉 ●●d t● the spleen, and the parts adjacent in the abdomen; and the sooner 〈◊〉 Nature useth to send bad humours to ign●●●● parts. These humours are gathered by suppre●●i●● of terms, which though they seem to be onel● 〈◊〉 the veins, yet they get to the arteries by their Anastomosis. Therefore those women that ●av● hot blood, and their terms flowed not orderly i● their youth, are splenitick and Hypochondriasm in their age. The Signs. It is known by a pain in the left side and b●e●● to the throat, there is short breath, often 〈◊〉 the belly is bound: they are sad and sol●● When thin blood grows hot, there is inclamation over all the body, and chiefly the ●ace which suddenly vanisheth, and there are other signs of Hypochondriacks. These cannot endu●● sweet scents to their nose. The Prognostic. If it be not speedily cured, it turns to wor●● diseases, as the Scirrhus of the spleen. The Cure. The blood is commonly too hot, therefore open a vein, especially when it is from the terms stopped. You may also open the Haemorrhoids● and then purge gently and often with Pills o● Tartar by Quercetan, of Ammoniacum of 〈◊〉 or Birthwort by Fernel; or give Steel and things as in the Hypochondriack diseases, lib. 3. par. 5. and in the Chapter of Terms stopped, and Melancholy from the Womb. Chap. 11. Of the Distemper of the Liver from the Womb, and of a B●ard growing by consent from the Womb. THe womb hath many and great veins mo●e than other parts. If then there be too much bl●●d in them, it easily goes back to the hollow ●ein, and chokes the heat of the Liver, and so the Liver is distempered according to the humour. It ●●eeds crude and phlegmatic blood, which s●nt ov●● the body, causeth a Cachexy: and what dis●●ses come by the Liver, are by consent f●om the ●●mb, as in stoppage of the Terms and Greensickness. Hypocrates speaks of a woman's Beard in Pha●u●a 6. Epid. ●e●. 8. aph. 45. the Wi●e of Pythius, for hai●s have their beginning and growth from the relics of the 〈◊〉 of the noble parts, that is from the excrementitious part of the blood. And if terms be ●●●pt, and the vicious humours that use to be evacuated with them, are sent over the body, they ●●use divers diseases and Symptoms, and among ●he ●●st the body of a woman is made hairy, and ●●e hath a Be●rd, which is rare. Chap. 12. Of the Diseases of the Stomach that come from the Womb. Sometimes from consent with the womb, the appetite 〈◊〉 lost, diminished, increased, or depraved, or there is Hictets, or vomiting, belching, pain, or heart-ach. The Causes This is when malignant vapours, the way bei●● large, rise from the arteries of the womb, and g● to the co●liack artery, and through the Hypogastrick. And if they are hot, they cause thirst; 〈◊〉 cold, they hurt concoction, and many times ca●●● strong Symptoms from their malignity and 〈◊〉 qualities, whose causes are not known. Hence it is that women desire absurd things, as these v●pors get into divers parts of the stomach. The Signs. You may know when the stomach is affected by consent from the womb, because the Symptoms abate and return again, when the vap●● comes to the stomach: there are also other signs of the womb distempered, and of the Spleen and Mesentery by the vessels, of which the matte● is sent from the womb to the stomach. The Prognostic. The Symptoms are worse when they come from the womb, then when they come from the stomach first, nor are they curable, except the womb be first cured. The Cure. It is to be directed to the womb and stomach● For if it come only by consent, and there is n● disease by propriety, when you have cured the womb, the stomach-disease vanisheth of it ●el●, if you do but strengthen the stomach. If the stomach be first affected, look only to thate Therefore first evacuate the humours that 〈◊〉 in the stomach, as we showed in its 〈◊〉 with matter, or the humours will be infected 〈◊〉 the malignant vapours. A Vomit is here p●●per. To ●elp the Womb, see for the 〈◊〉 and Suffocation, and for the Chapter of the D●stemper of the Womb with matter, then strengthen the Stomach, thus. Take Aromaticum 〈◊〉 a dram, Extract of Angelica half a scruple, O●l of Cloves, Cinnamon, ea●h fiv● drops; with Sugar two ounces, make Rolls. Or give Pills of Aloes and Mastic often. THE FOURTH BOOK. THE FOURTH SECTION. Of the Symptoms which are in Conception. Chap. 1. Of the desire of V●nery hurt. THERE are two Symptoms in women about copulation. The first lechery lost, when 〈◊〉 doth not willingly entertain ● man, or cannot long endu●e him, or if she endures, she finds little or no pleasure, no more than if she were outwardly handled. The other is too great lust as in Frenzy of the womb, when they cannot be satis●●●● by many m●●. The Causes The defect of appetite in lust is f●●m 〈◊〉 ●eed, or when it is cold, or there wants 〈◊〉 the seed-vessels. The causes of want of ●eed 〈◊〉 lib. 3. p●r. 9 s●ct. 2. c. 1. Sometimes it is 〈◊〉 ●●●l conformation of the ●eed-vessels. Women discover this to their Husbands that The Si●● g● to the Physicians for counsel. These women have not fruitful ●eed, and ther●●●e The Prognostic. are barren. For that see lib. 3. of Barrenness of men, where 〈◊〉 Liniments and Ointments for the loins and p●vities of women, but that ●●e may take more pleasure, let the man anoint the head of his yard ●ith Civet, or Hen's gall, or the gall of a Picked. Too much Lechery not of itself hinders conception, but wandering lust that follows lechery doth. The Causes are the same with those of womb prenzie, as plenty of seed, sharpness, and commotion, sharpness of seed from hot meat, and Medicines that provoke lust, and sharp humours in the womb and seed. Thus lust or lechery is abated by Medicines that extinguish the plenty of seed, and allay its sharpness. Chap. 2. Of Barrenness, and want of Conception. MAn or woman may be lustful, and copulate, and yet there may be no conception, or 〈◊〉 may conceive too many, as Twins, or more, 〈◊〉 have one conception after another, which is 〈◊〉 Superfoetation, or 〈◊〉 conceives a Mole or 〈◊〉 Conception is of fruitful seed spent by a man, ●nd mi●ed with a woman's s●●d to perfection, for 〈◊〉 making of a child by the retentive and altering faculty of the womb; hence it is necessary that both seeds be fruitful that is hot, ●ul of Spirits, and well tempered, and a fit subject for a Soul, and that both spend at a time, and there be mixed and retained together, to produce a child. Also the sucking of the womb is necessary, and that it should lay it up and embrace it, so that there be no space between the seed and the womb. Sometimes the womb greedily snatcheth and embraceth the seed, but doth not keep it, bu● lets it come forth two or three days after, or keeps it to no purpose, and brings it not to action, as in a false conception or mole. Moreover there must be blood in readiness to get the child, or be sprinkle it when it is first ●ormed, and to nourish it after. Therefore if te●ms be wanting as in girls, o● be stopped, or gone as in old ●olk, expect no conception. If they flow not by reason of labour and too much exercise, the conception is not hindered, if there be but blood enough to form the child. Hence it is that women that are brought in bed, conceive again before they have their terms. If all these be right, there is conception, otherwise she is barren, which is an impotency of the womb, that keeps it from sucking in of the seed, or from retaining, or from nourishing i●, and bringing it into act. The Causes The first is impotency in copulation, from the closing of the womb, of which before: or oth●● evil conformation of the privities, or and ul●e●, or tumour in the neck of the womb. The seco●d is the breeding of unfruitful seed, from diste●p: of the vessels and stones, or too tender and delicate a constitution. In men at eighteen, in women at fourteen, and men seldom get children ●fter sixty, and women seldom bear them after ●●fty. As for evil conformation to breed seed, some Faelix Plate. lib. 1. obser. tit. de vitalis motu● defects. have wanted seed-vessels, or they were not in their places. Some women are barren by the first Husband, and have children by the second, because there must be a certain proportion between both seeds: and if they be wanting, they are barren, which proportion is hard to be explained, and almost impossible; for we must not stay in the first qualities, for there are occult qualities in seed, by which they agree or disagree. The third cause, is when the womb su●ks not in the seed, nor receives it in a right manner, as when the attractive faculty is hurt, or hindered by divers distempers of the womb, or when a woman hates her Husband. Attraction is hindered by tumours or ulcers in the womb, or by its being displaced, as Hippocrate●: 5. Ap●●. 46. They who being too fat, and conceive not, the mouth of their womb is stopped up with the Cawl, and they conceive not till they are lean. But the more probable reason of not conceiving, is the matter of the seed turning into fat. The fourth cause, is the retention of the seed hurt by a moist distemper, than the womb is weak and the fibres are loose, so that it cannot contract itself to retain; and the seed by reason of its sliminess, cannot stick there. Also if the womb be too thick, not fleshy and ●o●t, and be not sprinkled with blood, as it i● in some by birth, whi●● makes them barren, and in some after they ce●se to conceive. If the orifice of the womb gape a●●●● 〈◊〉 〈◊〉 and abortion, by which the fibres are loosened and weakened, and the retention of the seed hur● And if a woman after copulation cough, neese, cry out, dance, or be angry or frighted, the sam● may be. The fifth cause of barrenness, is the hurt of the altering faculty, which brings in the form and act into seed; for if there be not a due proportion between the womb and the seed, there is barrenness, as seeds are choked in marsh●● ground, or die, or are burnt in dry and sand● ground: so man's seed is suffocated in a moist 5. Aphor. 52. ● womb, and dried up in a hot. Hypocrates speaks o● the 〈◊〉 proportion of the womb, as is ●it to cherish this or th●t seed, thus. Women that h●●e thick and cold wombs conceive not, and they wh●● womb is too moist, ●●r they quench the seed; nor●● they conceive that have dry and burning wombs, for the seed is corrupted in them for want of nourishmer●, they who are of a mean temper between these are f●●●full. The last cause of barrenness, is want of menstrual blood, which is necessary for the first formation of the child. Therefore Nurses that have much milk conceive, because the blood is carried to the breasts. Therefore all these causes are reduced either to impotency in copulation, or distemper of the stones and seed-vessels, or evil conformation, or ● cold and moist distemper of the womb, which cannot attract, detain, and alter the seed; sometimes ● hot and dry distemper that cannot nourish the ●eed● or from the enlarging of the orifice after childbearing, or from humours, or being displaced, or the straitness of the vessels, or want 〈◊〉 term●, or too many. Hence we may gather, that barrenness is oft●● from a fault in the women than the men, for i● men there is nothing required but fruitful ●●ed spent into a fruitful womb. But women besides the meeting of their own seed, must receive, ●●i●, and nourish the ma●s; and afford matter 〈◊〉 the forming of the child 〈◊〉 which divers accidents happen, and any of these will cause bar●n●ess. Mark also in these kinds of causes, that some do not properly cause barrenness, but only hin●●nder conception for a time; as the closing of th● womb, smallness of the privities, these do not ●●●ply cause barrenness. Some bring other external causes, as eating joa. Anglicus c●pi de sterile. 〈◊〉 heart of a Deer, or if she wear Jet about her, 〈◊〉 if Harts-tongue be hanged about her bed: if 〈◊〉 walk over the terms of another, or tread upo● them unawares, or anoint with them, or put 〈◊〉 jay●e of Mints into her womb. Some are born so, from a fault in the womb; The Differences. ●●●ers are not simply b●●●en, but in respect of the ●●n, and when they have another Husband ar● fruitful. Some are barren till the constitution of th● womb be changed: some bring forth at first, and then by som● fault g●o● barren. H●● sh●ll we know that a woman is barren? The Signs. ●i●st, see if the fault be in the man or woman. Lib. 3. of Sterility in men. For women, see if ●●●y are apt to V●nery or not, or receive the yard ●●●ly. 2. Search if she hath good seed answer●●●● to the man, or whether she hath used quen●he●s of seed. You may know that she spendeth 〈◊〉 or no seed, if she h●th little or no pleasure 〈◊〉 the ●ct. Unfruitful seed is known by a 〈◊〉 in the womb, a cold and moist ●ist 〈◊〉 the signs whereof are mentioned; a soul body shows the same, for good seed cannot be made of bad blood. It is hard to find whether the two seeds have the right proportion, or the womb agree with the man's seed. Yet temperate with temperate are very fruitful, because they are both of a good constitution. But intemperate couples are barren; but if one tempe● be good, it may mend the other, and she may conceive. If it come from a Medicine that destroys the seed, she will tell. If enchantment be the cause, though they love, yet they cannot copulate, or whereas they loved each other, now they fall out without a cause. Ask the woman how her womb doth attract, retain, and cherish the seed: if it have a tumour, or have matter or not? Whether there be a natural hereditary imperfection? Inquire concerning her family, if many were barren, whether she hath had hard travel or abortion? Whether the seed comes away presently after, or at a distance, after some days; if so, than the woman's ●eed is unfruitful, or there is a distemper in the womb that keeps it from cherishing the seed. If the terms be wanting● they are Viragoes, and have hair on their chins, or they are ●at, and seed turns into fat, or they are very lean because 5. Aphor. 59 they want blood. Hypocrates proves Barrenness thus. Put ● Fume (saith he) under the Coats of a woman, and l●t her be close clothed about, and if the sc●nt com● t● the nose, she is not barren, and he bids you put Gar●●ck cleansed into the womb, and if she smell of it at the The Prognostics. 〈◊〉 ●he is fruitful. A natural bad disposition that causeth barrenness is not curable; Hypocrates saith that barrenness 2. Prognos. 3. from ulcers is hard to be cured. A woman that conceives not from disagreement with her husband's constitution, by another husband, or in time may be cured, or some distemper that causeth sterility may be mended by Physic. Take away the causes, amend the distemper of The Cure. the womb, whether with matter or without matter is to be mended, which causeth either no seed or that which is unfruitful, or not convenient. See Part 1. Sect. 2. Chap. 1. The Medicines of an occult quality are best. As, Take Rocket seed, Silermontane, each half a dram; Ivory shave, Cinnamon, Nutmeg, each a dram; Mu●k (in such as may) three grains, whi●e Sander● three drams, make a Powder: give a dram with Wine. Or, Take Species Diamoschu, Diambra, each a dram; the matrix of a Hare, a Boar's stones, and the ●ard of a Stag, each half a dram; Nutmeg, Cinnar●on, Cloves, Rocket seed, wild Parsnep seed, each a dram; Musk, Amber, each four grains; with Sugar as much as all, give two drams in Wine. A Confection. Take sweet Almonds, Pistach●es, Pine-n●ts, Hazelnuts, each an ounce; Citron peels, Ginger, Cloves, Cinnamon, each half a dram ● Rocket seed two dram●: give a spoonful at bed time. Or make this Marchpane. Take sweet Almonds four ounces, Pine, Pistachaes, Hazelnuts, each two ●unces; Diambra, Dian●oschu, each ● dram; Ivory half a dram, Cinnamon half an ounce. An Electuary. Take Conserve of Rosemary six ounces, Dogs stones candied two ounces, Or●bus, S●hi●k● rein●, B●res stones, Sow's wombs, Deers pri●●ie●, Ivory, turnip seed, Fennel, Nettle seed, Rocket, Clary, wild Mustard, each two drams; Pine-nuts, ●weet Almonds, each half an ounce; Diamos●● dulcis a dram, Oil of Nutmeg by expression two drams, with Syrup of Betony make an Electuary. Or use Triphera without Opium. Or use Baths, In●essions, Fomentations, ●umes, and Baths after terms for five da●es. Take Briony, Masterwort roots, Mercury, Mugwort, Pennyroyal, Marjoram, Bays, Sage, Motherwort, Juniper-berries and tops, make a Bath. Or use Sulphur Baths of Alum, Niter, Bitumen, these do much good. A Fume. Take Labdanum, Storax cal●mi●e, Benzoin, ●ach two drams; wood Aloes a scruple, Musk six grains, with infusion of Traganth made in Rose-water, make Troches. Make Pessaries of green Mercury and Motherwort. Or, Take Mastic, Storax liquid, each half an ounce; Balm, Nep, Mercury, each a dram; Cloves, Nutmeg, each half a dram; Civet half a scruple, with wax make a Pessary. After Baths and Fumes, anoint the Pecten and Navel with this. Take Oil of Keir half an ounce●oyl distilled of M●rj●ram a scruple, of Cloves half a scruple, of Nutmegs by expression a dram, Storax liquid two drams, Civ●● and Musk, each six grains; with wax make a Lineament. After bathing, let her have a Bag upon her belly of Balm, Calamints, Mints, Motherwort, and Wine. Let her wear Plasters upon her loins and Perinaeum, till the week before her Terms. As, Take th● Plaster for the Mother an ounce, S●●rax liquid, Caranna, each two drams; Gallia m●●chata half a dram, Oil of Cloves half a scruple, of Nutmegs by expression a dram, with Oil of Keir mak● a Plaster. If the Womb be too loose and slippery, use Clysters of juice of Me●cury, with Honey Baths, Pessaries, Fumes, and other astringents Topics that strengthen. If the mouth of the womb gape, make a Decoction in Wine of Myrtles, Mastic, Wood-Vines, Olives, Wormwood, Cypress roots, Com●●ey, Snakeweed, Cinquefoyl, red Rose, Pomegranate flowers, foment the privities: or with powder of Mastic, Frankincense, Alum, Wood-Aloes, make a Fume. Other diseases are to be cured as before s●ewed. Let it be to increase seed, of much good juice. The Diet. In the time of copulation, avoid passions, anger, sadness, fear. Let love be invited, and if it burn, there will many Spirit's fli● to the womb and privities. Chap. 3. Of Barrenness for the time, and conceiving seldom. SOme conceive the seventh, eighth, or ninth year after wedding: some presently, but not after the first any more, or not in many years after. If Vi●gins marry af●re fourteen, they conceive 〈◊〉 or if the constitution of the womb be bad, The Causes o● the seed. Some conceive not from the disagreement of seeds, till their constitution be changed. They who want terms, or have them disorder●●, or are sickly, seldom or never conceive with The Signs. ●●ild, or have had hard travel, or a dead child. S●me are weakened, so that after the first child, they have no strength to conceive. All these will be related: whether she be married too soon, or had hard travel, or aborted, or had a dead child, or a mole. If these were not, The Prognostic. the seed and womb have not a just proportion with the man's, but it may be altered by age. If the womb be much hurt after travel, or any thing turn in it, or broken, they seldom conceive a gain. And if a woman marry at a ripe age, and have no remarkable disease, and conceive not presently, she is not to be accounted barren, because some private indisposition hinders conception, The Cure. which after may be altered, and she may prove fruitful. A woman that mar●●es too young, after she hath once conceived, and then ceaseth, must use Venery sparingly, till she grow older, that she may recover the strength she lost in her first travel. And if a woman marry at ripe years, and conceive● not by reason of the dryness of her womb, let he● use Baths, Fomentations, and emollient Pessaries. If she conceive not from weakness, strengthen the womb, and let her not use Venery often. If Virgins be sick from seed retained or terms● let them marry. But if there be a fault in the liver or spleen, or the whole body, that may be increased by Venery, it is better that they be cure● before they be married. And if they cannot b● cured, let them not be married. If the womb be distempered by birth or a disease, cure it as in diseases of the Womb: if it b● from a Mole or flux of blood, cure it as it ha●●● and shall be showed. If it be from a dead child, first cleanse it wit● juice of Mercury, and then put Treacle or Mithridate dissolved into the womb, or with a Pessary, or give them outwardly. Chap. 4. Of Conception, and forming of the Child. COnception is an action of the womb, after fruitful seed both male and female is received, mixed and nourished, & its strength is stirred up to do its office. Seed and Coema differ, seed is that which comes from both male and female, but Coema is that which is mixed of both, and is called Conception which produceth a child. This Conception is presently when two seeds meet in the womb, in less than seven hours after they are spent, if the heat of the womb preserve them, for Nature is not idle a moment, but presently falls to conformation. Therefore Hypocrates Lib. de genit. ●aith that the beginning of Conception is to be reckoned from the day that the seed is retained, and if she conceives not from the weakness of the seeds or womb, the seed will fall out in seven days for Hippocrates ●aith, That Conception and abortion Lib. de s●ptim. parti●. are judged in the same time, as a disease, health, and death are judged. And Arist●tle ●aith, ●f seed remains within till the seventh day, there is certain 3. De hist. ani. ●. 3. Conception. As for Formation, the Soul lying in the seed, snake's its own house, for all acknowledge a ●●rming faculty, and you must then suppose there is a substance from whence this faculty flows. And ●hough Aristotle ●aith that seed is a living creature in power; not that there is not the e●●ence ●f the Soul in the seed, and that it is not a living ●●eature in respect of the first act, but because 〈◊〉 not come to the second act, for wan● of ●it 〈◊〉 which being perfected, it hath the second act and all its operations, which for defect of organs, it cannot produce. There are divers opinions of the time of Formation, they are best that say the membranes a●e first made, which wrap the child with the navel vessels, by which it is joined to the Mothers' womb, and receives nourishment for the child. Then all other parts are made sooner or later, a● the child requires for dignity or necessity. We intent here to speak of women's diseases. Therefore there are three things required for the Formation of a child. 1. Fruitful seed from both parents, in which the Soul remains that hath a ●orming quality to make its own habitation. 2. The Mother's blood is required to enlarge the child to perfection. 3. There is required a good constitution of the womb to nourish the seed, and stir the concealed force. If these three be right, there is a child that is ●ound and perfect, that will be born: but if any of these be wanting, there are Twins are more, and other faults of which in order. Chap. 5. Of the Generation of Twins, and many Children. NAture hath ordained that a woman shoul● conceive but one child● in these and oth●● Countri●s especially, and that every year; yet in many pl●ce● s●e hath more, one had five at every birth, twenty at four lyings in. A Mar●●ret the Countess of Holst●rne, in the time of th●●mperor H●nry the seventh, had three hunder●● sixty four at one labour. And another Count●● in the time of Fred●ri●● the eleventh, had ●iv● hundred and fourteen children at once, being Boys: these are so seldom, that they seem incredible. I speak nothing of the Causes of such monstruous The Caus●s productions, but of Twins, or Three, or Four. It is certain they are got at one time: and this differs from Superfoetation, which is at many times. And you must not impute it to the divers Cells of the womb, for women have no such Cells, but only a Line that divides the le●t side from the right; but it comes from the division of the seed into divers parts, and the least forming force in the side is complete, and makes a child of every part of it. And because the cavity of the womb cannot admit so many parts of seed, being no bigger than a Bean; and if it do admit them, how can the seed be divided at one copulation into so many parts? I suppose that such women have naturally a larger womb, so that much seed is divided. A●d as Twins are begot at the same time, so they have but one Placenta, or part tha● receives the navel-vessels of both, but they have their several Coats. It is hard to know whether a woman have conceived The Sig●●. Twins, only thei● belly is not even, but divided with seams and wrinkles; and the weight is commonly greater, and the motion is not one nor alike. If a woman have two children, a●d be weak, The Prognostics. ●●e is in danger in her travel. Twins of one Sex ●●e mo●e lively th●n of both Sexes. And one is 〈◊〉 exp●●ience we●ker and shorter lived than the 〈◊〉 Chap. 6. Of Superfoetation. IT is seldom that a woman hath many children at divers copulations, but it is so sometimes, and is called Superfoetation, that is a new conception after a former. Though Hypocrates writes, 5. Aphor. 15. That the mouth of the womb after Conception is so shut, that you cannot put in a Needle's point, yet a woman with child may take such pleasure after, that she may a little open the womb to receive seed again, and draw it in, which may form another child. The Causes Therefore the Cause is the pleasure the woman hath, which opens the womb again to attract seed. And it is necessary that the seed received, be in its proper membrane, and peculiar receptacle. The Differences. These come sometimes sooner, sometimes later, sometimes the same day or the following, sometimes longer after. Sometimes they have a third Superfoetation, so that they have two living children, and one mischance. The Signs. It is known only by the motion of the infant, when it is conceived long after the first. The Prognostic. It is dangerous for the Mother, for fear of abortion, and for loss of much blood by two births at no great distance of time. The Cure. It is best to leave the whole work to Nature, and women ought to take heed of Superfoetation; therefore after they have conceived, let them meddle no more. Chap. 7. Of the ill Formation of the Child. IN the Formation of the child, there are divers Symptoms. 1. In the weakness of the child. 2. The parts are more or ●ewer, to which you may refer Hermaphrodites. 3. The parts are greater or less, as Dwarss or Giants. 4. There is some part out of place or shape, as Histories ●●ew abundantly. You must ●ind the Causes in the seeds, terms, The Causes womb, and error in Formation: the cause of these is the action hurt of the forming faculty. This is not always from itself, but from the unfitness of the ma●ter, and fault in the place which kee●s it from the intention: for actions of active things are not but in a disposed patient. Sometimes there is an extraordinary cause, as imagination, when the Mother is frighted, or imagineth strange things, or longeth vehemently for some mea● which if she have not, the child hath a mark of the colour or shape of what she desired, of which there are many Examples. But I doubt whether all errors in Formation, depend together upon the imagination; for the Spirits and humours are troubled by the passions of the mind, and so slow forceable immediately to the womb or other part, and this disturbs the Author●● sent●ntia. ●●rming faculty in its work. Also the forming faculty being overcome with plenty of humous' 〈◊〉 wanting Spirits that are gone another way●●ay by chance make an ill shape; therefore the ●●ssions of the mind are the first causes of ●rrou● 〈◊〉 Formation, and imagination ●●lps by 〈◊〉 up the appetite. These are the common errors of formation. Others are determinate errors, not simply from the imagination by the pallions which have no determination to such a thing; but no other cause can be besides the imagination, but how she directs the forming faculty for the producing of such effects, it is hard to be understood, but there must be some imagination and the forming faculty, that it may impart the species sent from the external senses to the forming faculty. And this is the cause of the consent of the upper and lower faculties: for the ●oul is the same in the whole body; and every where ●itted with the same faculties, but it doth not exercise all in all parts, but by the proper determinate organs ●● instruments. And though the child hath its ●oul, yet while it is in the womb, it depends upon the ●oul of the mother, as the fruits partake of the life of the tree while they are upon it, therefore it is probable, that whatsoever moves the faculties of the ●oul in the mother may move the same in the child: Hence it is that while the forming operateth in the seed and womb of the mother, if any species be sent to the imagination of the mother which she strongly receives, it may make an impression upon the child, yet every imagination cannot make this impression, but that which makes a great admiration or terror in the mother when the forming faculty is at work, as when she beholds one with six fingers, she brings forth the like, or when sh● produ●eth hair wh●●e it should no● be, or the l●●eness of a beast in an● limb, or when she ●eeth any thing cut or divided with a Cleaver, she brin●s ●orth a divided part o● a Harelip. Chap. 8. Of a Child turned into Stone. JOhn Albosius Doctor at Senon, and Sim●on Prov●nch●r of Lingo Physician of Senon writ of of this in French and Latin. I shall give my opinion with others. Two things are to be observed in this wonderful history, first why the Child in the time of tra●ail being dead in the womb did not stink as is usual, or kill the mother suddenly, or was not ●ast out by degrees being rotten? secondly by what force the child was turned into Stone? For the first, The mother lived twenty eight years after she had this Child, therefore it is not credible that the womb was so cold that it might hinder putrefaction, as some think. It seems more probable to me, that these questions explanation depend upon one principle, for the cause that made the stones hardness, kept the child from putrefaction, but what that is, it is obscure. Many fly to the efficiency of the fi●st qualities, others to dryness, others to coldness, others to both. I acknowledge heat, cold and dryness to be helping causes for b●eeding of Stones in man's body, but the chief cause is a Stone breeding juice, or spirit, of which I have spoken at large. The principles of generation were weak in this child and impure, and this stone-breeding ●●●ce was mixed with the blood in the humours, hence it is that it was not born alive, as in a will bred in the womb, which women have ●i●l they a●e old and die with it, and yet it s●i●●s 〈◊〉 no more than stones bred in most parts. But there is but this History of such a Birth. Chap. 9 Of a Mole. IT is ●lesh and a mass without bones or bowels, gotten of an imperfect conception instead of a child. The Latins call it a Mole from the weight, because it is troublesome to women, as a Millstone in Latin called Lapis molaris. The Differences. Sometimes it is unshapen flesh without bones, only full of veins, with a skin over it, and nothing within, but like the Parenchyma of the bowels. Pet. Salius diu. in annot. in altimarum. Sometimes it is membranous and ●ib●ous, without shape. Sometimes it is long, round, or like a quary of glass, or like a brute beast Some have brought forth three Moles like men's yards. Some are like congealed blood, or the Placenta of the womb, into which the navel-vessels are inserted; some grow and are nourished, and some have an obscure sense. Sometimes they are sent out alone, sometimes with● or before the child, of which there are many Histories. Some bring ●orth Monsters for Moles. The Causes It is from the error of the forming faculty, but the Cause of that is obscure. I suppose it is from both seeds, when the forming faculty is weak, and the seed little and not good, and overcome by much blood, and can make only veins and membranes, and not a whole child. Sometimes 〈◊〉 is in Widows only from their own seed and blood. A Mole is sooner bred when the blood is impu●e, and unfit to nourish, and is made when they copulate in the flowing of the terms that are unclean. It is ●either from heat nor cold principally, but from the error of the forming faculty. They are hard to be known before the fourth The Signs. month, than they are known by such as can distinguish between the motion of wind and a child ●. If a woman turn from side to side, it ●alls like a stone to that side she lies on, and is heavy. If it have any motion, it is trembling and beating, with constriction and dilatation like a Sponge. If after the time that the child should move, there be no motion, and the belly swells, and there is no sign of a Dropsy, it is a sign of a Mole. Thirdly, in women with child, there is milk about the fourth month, but in a Mole the breasts swell, but there is no true milk. 4. They are more pained and faint, and have more pain in their back and groins. If it be with a quick child, it is hard to be known, but it is known by its weight in the womb, which she perceives when she gets up to walk or moves from side to side; some are then strong and well coloured. It hurts the womb and whole body; if it be The Prognostic. divided, it is less dangerous: when it is soft, it is cast out the third or fourth month. Sometimes it ulcerates or tears the womb, and causeth great bleeding. Some have been cast out or drawn out Fabr. cent. 2. obs. 55. without danger: some grow old with them in, ●nd find no inconvenience but the weight. To prevent, take heed of Venery in the terms, The Cure. o● before the terms, or when the body is foul or ●●st●ucted, or the womb. When it is, take it away presently with thin●s ●●●t ●●nd fo●th a dead child. Hippo●rates showeth 1. De morb. mulier. the ●●●e in few wo●d●● First ●oment the whole Therefore if she be plethoric, let blood largely in the foot at divers times. Then purge often with strong Physic. Tak● Althaea, Lily roots, each half an ounce; Althaea, Mercury, Pellitory, Brank●rsine, each a handful; To Conquer all Infirmity Study my Sennertus, Platerus, Riverius, Bartholi●us and Riolanus, of the last Editions. Chamomil, Melilot flowers, each half a handful; F●●nugreek and Lineseed, e●ch six drams; boil them in Broth to a pint, add sweet Butter, Oil of sweet Almonds, Lilies, each an ounce; make a Clyster, repeat it often. M●ke Baths, Liniments, Fomentations (than move the terms) with Dittany, Birthwort, Briony, etc. Take Briony, Birthwort, ea●h half an ounce, Asarum two drams, Rue, Savin, Mugwort, Dittany, Pennyroyal, Motherwort, each a handful; Elder and Chamomil flowers, ●ach half a handful; Line and Faenugreek seeds, each half an ounce; boil them to a pint, ad Hiera an ounce and half, Troche● of Alkandal a dram, Oil of Ru● and Keir, each an ounce and half; make a Clyster, of the residents mak● a Cataplasm for the belly. Or this Pessary. Take Troches of Myrrh, G●lbanum, Opopanax dissolved in wine, each two drams; Showbread roots a dram, white Hellebore half a dram, with juice of Rue. F●b. cent. 2. obs. 52. If these will not do, let the Midwise take it out with her hand, if it be half rotten. Or leave it to Nature which doth it in time. To s●op the flux of blood after a Mole is taken out, use things against overflowing of the Terms. As, Take Plantain, Shepheards-pu●s●, Brambles, Oa● leaves, r●d Roses, e●ch a handful; boil them in steeled Water, then take B●rley bran t●o ounces, Pomegranate flowers, Cypress-nuts, Pomegranate peels, red Ros●s, Comfrey roots in powder, ea●h an ounce; Frogs burnt, Bole● Sanguis Draconi●, ●ach half an ounce; with the Decoction aforesaid, and a little Vinegar, make a Cataplasm for the Region of the womb. Take away pain with Anodynes mentioned in pain of the Womb: keep up the strength with meat of good juice. Question. Whether a Mole may be without the company of a man, and without his seed? To speak freely of this which many doubt, I suppose that many are made of a weak man's seed mixed with the woman's seed, and much blood. But Histories confirm that Widows ha●e had them without man's seed, but not of the shape with the others. And being voided, they melted being in the air into water. I think Virgins cannot have them but from wantonness, or in sleep they may spend their seed; but because it is weak, and the blood necessary for formation, neither is drawn by the womb, nor flows to it of its own accord, as it doth in those that have had children, and the vessels of the womb in Virgins are straighter than in Widows, and others that have had children. Therefore though the seed of Virgins flow into the womb, yet they cannot have a Mole for want of blood, which is necessary for the forming of the same. This is to be understood of Moles which are not vital, for vital Moles that have some life, cannot be got in Virgins or Widows without the seed of a man. Chap. 10. Of Monsters. HIstories tell us of many Monsters brought forth by women. We spoke of worms, S●ct. 2. Chap. 8. They are like Toads or Mice ●ar. 7. cap. 12. l ij. or Fi●●. Gordonius saith it is usual in Lombary. Lycosthones saith, and others also, that Serpent's Dogs, and other Monsters with parts like brute beasts have ●een brought forth. In appen. Franc. Ros. de par. c●esa. Gaspar ●auhin speaks of one Anne Troperim, which 1575. brought forth two Serpents with her child, in Harvest hot weather; she had d●u●k water in a Brook in a Wood near Basil, whe●e she thought she drank the Spawn of a Serpent, for a little after that, her belly swelled, and three months' after she was big with child, and the Serpents grew as the child did. Her belly was so big that she carried it in a swathing Band. She was delivered at last of a lean male child, and (because they suspect Worms or Snacks from the knawing and strange motion she felt that year) they put a basin of milk under her, and when they expected an afterbirth, out came a Serpen●, which she saw, and perceived another coming forth, they were an ell long, and as thick as a child's arm. Thus Ba●●hin and he speaks of others if you please to peruse him. A Monster is that which is either wholly or in part like a beast, or that which is ill shaped extraordinary. The Caus●s Histories witness, that a Monster may be f●om humane seed, and the seed of a beast: It is seldom, for the forming faculty doth not err of itself, but is seduced by the imagination, or frustrated of its ends, ●rom a fault of the Spirits, the heat or matter. Therefore imagination is the ●ause of Monsters. For Histories mention that w●men with child, by beholding men in visards, have brought forth Monst●rs with horns, and ●eak●, ●nd ●loven feet, The s●me is when Spiri●s or heat, seed or blood are weak or little. And though Doctors cannot cure Monsters, yet they are to admonish women with child not to look upon Monsters, and to strengthen their Spirits and heat, and to keep the seed and blood ●ight, and not to allow copulation in time of their terms, lest any monstrous Birth should be f●om much and impu●e blood. Chap. 11. Of false Conception, and Swelling. FAlse Conception or Gravidation is when the terms are stopped, and the belly swells, and there are signs like those of a true Conception: then they think themselves with child, and as Hypocrates saith, They believe not to the contrary till ten months are past. The causes, are wind in the womb, or water, C●●s●e. p. 1. 〈◊〉 2. c. 10. 〈◊〉 matter, or thick phlegm. These are bred f●om sickly seed retained, u●on which Nature works in vain: or from a fault in the terms tha●●or●upts the seed, and breeds bad h●mor●. The like appears in Virgins when they begin to have thei● terms, but it is discovered by pain. The terms flo● not as in a true Conception, The Signs. but in this there is pain of the head, loins, belly, ●nd groins, of which Hipp●crate● ●aith thus; 2. Prorrhe●. They ha●● a false Conception without terms 〈◊〉 wit● a 〈◊〉 bell● ha●e the headache, and th●re 〈◊〉 ●ill● in their breasts, bu● what is ●●ke water, and 〈◊〉 little. Moreover the belly swells sooner than 〈◊〉 true Conception; their colour changeth, 〈◊〉 fac●●nd ●eet s●ell● th●y loath meat, ●ain●● and have a depraved appetite. The surest sign is the time of childbearing being past. The Prognostic. They are commonly barren, or have ulcers in their privities. The Cure. It is cured by evacuation of the matter in the womb with proper Medicines, as in the Chapter of the Distemper of the Womb with matter, and of inflation of the Womb and Dropsy. THE FOURTH BOOK. THE SECOND PART. THE FIFTH SECTION. Of the Government of Women with Child, and preternatural Distempers in Women with Child. Chap. 1. Of the signs of Conception. IF she keeps the ●eed, it is a sign she hath conceived, and a man may know that the seed is kept. If he find in Copulation that his Yard is is sucked and drawn by the womb, and the privities are not moist. And if she perceives little or no ●eed ●o come forth again, and grow i'll and quiver, 〈◊〉 perceive a ●witching in h●r womb, from the ●reat delight: and the mouth of the womb closeth, ●nd the 〈◊〉 stop. But they are deceived, when they count or reckon from the stoppage of the terms. For some have their terms twice or thrice after they have conceived, and some have them all along without hurt. The chiefest sign of Conception, is when there is at first loathing of meat, pewking Pica, or preternatural appetite and vomiting. And when they hate that they earnestly affected, or ●aint when they think of them. About the fourth month, the child moveth, which is not in a Mole the breasts after that swell with milk, and the last are the surest signs. From the face and urine there is no certainty. Aphor. ●2. & ibi. 4●. Hypocrates teacheth us to know whether it be a Male or Female; If she be with child of a Boy, sh● is better coloured, but pale if of a Girl. And Boy● lie on the right side, and Girls on the left in the womb. Chap. 2. Of the Government and Diet of Women with Child. THe Diet is, either for such as are sound, or as have diseases. Aphor. 12. As for the air, Hypocrates saith, If there be a wet warm winter with Southernly winds, a dry spring with Northern winds, they who conceive in the spring abort upon any small occasion. Or if they bring forth, their children are weak and sickly, o● die. Let her avoid all evil scents, as of Rue, pennyroyal, Mints, Castor, and Brimstone. Some ca●not bear sweet scents, let them notlook upon ●●●rible things, nor hear great noise of Guns. Let meat be easy of concoction; let her e●● Quinces to strengthen the child, or sweet Almonds with Honey, sweet Apples, Grapes. Let her abstain from sharp meats, very bitter or salt, and things that can provoke terms, as Garlic, Onions, Olives, Mustard, Fennel, Pepper, and all Spices. In the last months, Cinnamon is good, Summer fruits are naught for her, and all Pulse. When the child is bigger, let her diet be more, for it is better for women with child to eat too much then too little, lest the child should want nourishment. Let her drink moderately of clear Wine, not exercise too much, nor dan●●, nor ride in a Coa●h that shakes her; let her not lift any great weights in the first and last months. In the ninth month let her move a little more, to dilate the pa●ts, and stir up natural ●eat. Let her abstain from Venery in the first months, lest there be a Mole or Superfoetation, or the child be hurt, but she may use it moderately in the last. She may bathe in the last months, once in a week to loosen the privy parts. Let her avoid anger, sorrow, fear, and too much mirth. Let her sleep rather than to be watchful. Let the belly be kept loose in the first month, with Prunes, Raisins, or Manna in Broth. And let her use Medicines to strengthen the womb and the child. An Electuary. Take Conserve of Borage, Bugloss and red Roses, each two ounces; of Balm an ounce, Citron peels, and Chebs Myrobalans' candi●●, each an ounce; Extract of Wood-aloes a scruple, Pearl prepared half a dram, red Coral, Ivory ●ach 〈◊〉 dram; precious Stones, each a scruple; candied Nutmegs two drams, with Syrup of Apple● and Quinces, ma●e an Electuary. Rolls. Take Pearls prepared a dram, red Cor●● prepared and Ivory, each half a dram, precious ston●● ea●h a scruple; yellow Citron peels, Mace, Cinnamon, Cloves, each half a dram; Saffron a scruple, Wood-aloes ●alf a scruple, Ambergris six drams, with six ounces of Sugar dissolved in Rosewater, make Rou●s. Apply strengtheners to the navel: of Nutmegs, Cl●ves, Mace, Mastich, Coral made up in bags, or a Toast in Malmsey sprinkled with powder of Mints. Chap. 3. Of the Cure of Women with Child in General. THey have divers chronic and acute diseases: as Fevers, Pleurisy Quinzies, or inflammation of the Bowels, of which Hippocrate● 5. Aphor. 31. (If a Woman with child have an acute disease, it is deadly) There is a double danger. 1. In respect of the Fever which Galen ●aith will be continual. 2. In respect of the want of nourishment Valer. l. 1. obser. ●ol. come. ad lib. 5. a●h. 30. for the child. For if a woman with child be fed, the Fever increaseth. If ●he have an Apoplexy, Epilepsy, Convulsion, Cramp, she cannot bea● it out● But acute diseases are not always deadly in women with child. They have sometimes intermitting Fevers, Coughs, from which they hardly are freed be●ore they are delivered. Question. 1. Whether must Women with child use a sparing Diet? Gal. ●it. lo. I● you give her a Diet at a long distance, the child will be starved. If you give her a ●ul diet, and often the fever will endanger both mother and child. Therefore be moderate, and add something to the diet which the mother loveth before the fever, for the child's sake, and for the fever. Abate the diet in the first months' let the diet be little in the middle and last months, let it be larger. Question. 2. Whether may a Woman with Child be let blood? Hippocrates ●aith, If a woman with child be let 5. Aphor. 50. blood, she will miscarry, and if the child be older the sooner. This is to be understood of great bleeding, which was pints in his time, but now we go by ounces. Therefore if bleeding be required in a fever, or the like, and the woman with child be in strength, you may boldly let blood upon these ●onditions. 1. That you take not nourishment from the child, let it be a little, and you will t●ke more, do it the second time, lest you weaken. 2. Open not the foot nor the Basilica, but the M●diana. 3. Before you bleed, strengthen the child by applications to the navel. And if they abort Amat. Lusit. c. 5. cur. 27. rod. á cast. 3. de morb. mul. in a fever, you must impute it rather to the violence of the fever, then to the bleeding, and you used the necessary help for preserving the mother. But it is safer in the first then in the last months, ●e●●use the child needs a further diet. You may also open a vein in a woman with ●hild, ●hat hath no disease to prevent abortion, ●hen there is much blood, in the fourth or fifth ●●n●h, especially if they have no fever, and are ●●rong. As Celsus ●aith, A strong Child, and a Lib. 2● c. 10. 〈◊〉 old man, and a healthy woman with child, may be sifely let blood. And Hypocrates forbids b●eeding only, lest the child should want nourishment. Question 3. Whether m●y● a Woman with Child be purged? You must not give strong Purges, lest thei● force which moveth the humours, should reach t● the womb, and cast out the child. Therefore you must not purge women with child in all diseases, nor at all times, but only in the fourth month ti● the seventh, and that sparingly. And if the matter 4. Aphor. 1. swell and abound, as Hypocrates shows. Fo● the danger from the turgent matter is easily avoided thereby: for it will be purged with more ease, then when it is fixed and quiet. 1. Therefore only purge in an acute disease. 2. From the beginning of the fourth only to the end of the siethe 3. Use no vehement Medicine, no● very bitter, as Aloes which is an enemy to the child, and opens the mouths of the vessels; no● Co●oquintida, nor Scammony, nor Turbith, but use Cassia, Manna, Rhubarb, Agarick and Senna: but Diacydonium purgans is best with a little of the Electuary of the ju●ce of Roses. If there be a chronic disease, she may also be purged safely, especially if she be used to it, and strengtheners be applied to the navel. Question 4. Whether purging or bleeding is most dangerous for a Woman with Child? We s●●wed in the last Question the necessity of purging and its danger by the great motion of humours, which if i● reach to the womb, causeth abortion, because it causeth pain in the belly, and provokes the te●ms. But bleedin● disturbs the humours less, nor doth hurt any way, but by taking nourishment from the child● And this you need not fear, if there be too much blood. Therefore pu●ging is more dangerous than bleeding. Question 5. Wh●ther is it lawful to cause an Abortion to preserve the Mother? A Christian may not cause an abortion for any cause, for it is wickeds' and the Gentiles in Hipp●crates his time never allowed it, they would not hinder Conception, much less would they destroy it when made. Nor must the mo●her be preserved by the loss of the child, For we must not do evil, that good may come thereby. But if to preserve the mother, the Physician purge or bleed, and the abortion follow, the fault is not the Physician that intended it not, but in the weakness of Nature and of the child, and is better to preserve the mother, then by neglecting the lawful means, let both die. Also the dead child must presently be thrown out. Question 6. Whether are Clysters, Diuretics and Swea●s prop●r for a Woman with Child? Though women deny Clysters to them, yet if they have been used to them, they may be given in a 〈◊〉 quantity, such as only mollitie and suppling, no● do th●y more hurt th●n Lenitives. Diuretics or things that provoke urine, are ●●t safe, because they provoke the t●●ms. You 〈◊〉 not give gentle Sweats, for Nature will re●●ive strength by the castin● off of her enemies. ●ou may use Alterers th●t are proper, as this Syrup. Take the juice of unripe Grapes about the beginning of September three galons, add Pom●●itrons or Lemons bruised hal● a pound: boil them 〈◊〉 they are soft, and strain them, and with half a pou●● of Sugar make a Syrup. Chap. 4. Of the Symptoms that befall Women with Child in in the first months. THey are loathing of meat, Pica, or evil appetite, pewking, vomiting, belly-ach, flux of the belly, tooth and headache, giddiness. These all come from the stoppage of the terms, especially in a Cacochymy or evil juice: for it goes to the stomach, and so to the head. Fi●st, 5. Aphor. 45. ●●ey loath meat, which Hippocrates ●aith is a sign of Conception. And this is when the child takes the purest blood, and leaves the impure, which gets into the mouth of the stomach, and infects it, and hence comes the loathing of some sorts o● meats. Sometimes this ceaseth of itself; but if there be danger of a Consumption in the mother, le●● the child should be in danger for want of food, give a gentle Vomit or Stomach-pills, with things that strengthen the Stomach. As, Take Co●ser●● of red Rose● half an ounce, of Bettony an ounce, preserved Quinces three dram●, Aromaticum 〈◊〉 half a dram, Pearl prepared half a scruple, 〈◊〉 Syrup of green Ginger and Quin●es, make an Electuary. Anoint the stomach with oil of Mastic, 〈◊〉 Quinces, Wormwood, Myrtles, etc. Give 〈◊〉 and powerful things with 〈…〉 roasted rather than boiled. Pica is when they desire strange and absurd things, as coals, ashes, etc. as she that longed for her husband's flesh, and though she loved him very well; she killed him, eat part, and powdered up the rest. Of this disease we spoke in the third Book. Juice of young Vine-leaves with syrup of Quinces, is good against this, or the water that drops in May from the Vines. This keeps the child from suffering by the mother's appetite. Or this Spirit. Take Citron peels, Oranges, P●●ny roots as much as you please, add Malmsey, di 〈…〉 them some days, then beat the roots and peels, ad more Malmsey, and distil them. The third is loathing and vomiting, from an evil vapour or humour in the stomach from blood retained. If vomiting gives her ease, stop it not, but leave it to Nature, it will cease after a month or two. If it be with trouble, give a gentle Vomit, or strengthen the stomach, or give a little Rhubarb. The fourth is pain of the belly, f●om wind and humours about the womb that go to the guts, discuss them as in Chap. 3. of the Colic. Avoid moist Fomentations, give Cinnamon water, or spiced Wine. The fifth is a looseness which must be suddenly stopped, lest it cause an abortion. First, give a Hippocr. 5. Apho● 34. ●entle Clenser and strengthener, ●s Rhubarb with ●●●up of Roses solutive, than Quinces at the first course at meals; and Rice, Starch, Almonds, Con●●●●e of Rose●, Quinces. Apply to the navel a Pull 〈…〉 of Quinc●s, Mastich, Nutmegs, Mace, Cloves. The sixth is the toothache, from a sh●rp humour ●●om retention of the terms that goes to the r●ot 〈◊〉 some tooth, and hurts the membranes. It ceaseth commonly of 〈◊〉 self, yet if it be great, use a Plaster of Mastic and Tacamahacca to the temples, and hold in the mouth the Decoction of Fern root●, cinquefoil, Snakeweed, Sage, Mulberry ba●●● etc. The seventh is headache, when the vapours f●om the terms stopped, ascend and twitch the memb●ane● of the brain, it must be repelled and abated with Lenitives, of which in Lib. 1. Part 3. Sect. 1. Cap 3. of Headache. The eighth of the Megrim, from the vapours disturbing the Spirits that go to the head by the veins and arteries, or by the gullet. If it cease not, discuss vapours, and strengthen the brain inwardly and outwardly as in Vertigo. Chap. 5. Of the Symptoms in Women with Child in the middle months. THey are cough, heart-beating, fainting, watching, pain in the loins and hips, and bleeding. 1. The cough is from a sharp vapour that comes to the jaws and rough artery from the ter●s, or from a thin part of that blood gotten into the ●eins of the breast, or falling from the head to the breast. This endangers abortion, and strength ●ails from watching; therefore purge the h●mors that f●ll from the head to the breast, with Rhubarb, Agari●l●, and strengthen the head as in a Catarrh, and giv●●●eet Lenitives, as in 〈◊〉 Cough. 2. Palpitation of he●●t and fainting, is f●●m vapours that go to it by the arteries, or f●om bl●●● that aboundeth, and cannot get out at the womb, but ascends and oppre●leth the heart. Use Cordials as in Syncope inwardly and outwardly. If it be from too much blood as in Plethory, open a vein. 3. Watching is from dry sharp vapours that trouble the animal Spirits. Then use Frictions, and wash the feet at bedtime, and give Syrup of Poppies, dried Roses, Emulsions of sweet Almonds, and white Poppy seeds. 4. There is pain in the loins and hips from the weight of the child, or from the terms stopped, or growth of the child that stretcheth the ligaments of the womb and parts adjacent; if there be Plethory, bleed. If it be from weight of the child, hold it up with swathing Bands about the neck. 5. There is flux of blood at the womb, nose, o● Haemorrhoids from plenty, or from the weakness of the child that takes it not in, or from evil humours in the blood, that stir up Nature to send it forth. Also the vessels of the womb may be broken or torn by motion, fall, cough, or trouble of mind. This is dangerous, of which Hypocrates 5. Ap●●. 60. saith, The child cannot be well, if it be from blood only, there is less danger, so it ●lows by the veins of the neck of the womb for it takes a●ay Plethory, or take not nourishment from the child. If it be from the weakness of the child that draws it not, abortion often follows, or hard travel, or she goes beyond her time. If it slow by the inward veins of the womb, there is mo●e danger by the openness of the womb. If it come f●om evil blood, the danger is alike from Cacochymy which is like to fall upon both. If th●r● be Plethory, open a vein warily, and use astringents. As, Take Pearls prepared a scruple, 〈◊〉 Coral two s●ruples, Mace, Nutmeg, ea●h a dram; Cinnamon hal● a dram, make a Po●der, or with Sugar, R●u●s: or give this Powder in Broth. T●k● red Coral a dram, Pearl half a dram precious ston●●, ea●h half a scruple; red Sanders half a dram, Bo●● a dram, sealed Earth, Tormentil roots, e●ch two s●ruples; with Sugar of Roses and Manus Christi, 〈◊〉 Pearl six drams, make a Powder. You may strengthen the child at the navel I● there be Cacochymy alter the humous, and (if you may) evacuate. You may use Annulets in the hands, and about the neck. In flux of Haemorrhoids, beware of the pain. Let her drink hot Wine with a roasted Nutmeg. Chap. 6. Of the Symptoms that are in the last months. FIrst, the urine is stopped from suppression of th● neck of the bladder. Let her then lie d●wn● and let bladder be fomented with a Bag of Pellitory, Par●ley roots● Mallows, Lineseed, and the like, o● use the Catheter. 2. The belly is bound from a hot & dry live●● when the child d●●ws all the moisture to it, 〈◊〉 the guts. Let her then use Moist●ers, 〈◊〉 Butter, Mallows, Borage in Broths; or take Clysters in a small quantity. 3 The veins appear in the hips and legs a● varic●ns only, then keep them from walking and let th●i●●eet be laid upon a stool. 4. The legs swell from ●erous blood, but thi● goes away with the afterbirth, and is the signs 〈◊〉 a female child; but if she cannot walk, foment ●ith a Lie made of Vine branches and Wine, or with a Decoction of Organ, Pennyroyal, Chamomil, Calamints. Or, Take Bean and Lupine flour, each tw●●unces; Tartar an ounce, Pigeons dung half an ●unce, with ●eeled water and juice of Coleworts, make a Pultis. R●b and wash the feet with salt water in which Ch●momi●, Organ and Dill were bo●led. 5. The skin of the belly is cle●t with stretching after the fourth month; therefore use loosening Limments to keep off deformity, as marrow of Veal, and Sheep's legs, Oil of sweet Almonds, Hen's grease. 6. The water gathered in time of being with ●hild, between the membranes that hold the ●hild, comes forth too soon, because the membranes are broken by leaping or a con●usion. This makes difficult birth, for that water was to moisten the parts, Therefore let her keep a good diet, and strengthen the ●hild inwardly and outwardly. Chap. 7. Of Weakness of the Child. THis is either from weak seed or little nourishment or bad, and causeth many diseases in the child. To hinder abortion and death of the child, know rightly the weakness, as Hypocrates saith, 5. Ap●o. 53. They that will abort, have first breasts that ●al away, which i● from want of nourishment in the common vei●s of the womb and breasts. Hipp●crates 5● Ap●●r. 5●. ●ath a se●ond sign● which is this● I● a W●man with Child hath much milk flowing from her breast, her Child is weak. 3. If the terms flow often, the Hippocr. 5. aph●r. 56. nourishment is taken from the child. 4. A mother often and long being sick, shows that her child is weak, because her blood is not good, and the bad humours with the blood go to nourish the child which makes him sick. 5. When the mother hath a flux of the belly, the child is weak. 6. When it begins to move, and is scarce felt, it is weak. If it be from these causes, take them away, and strengthen the child; first ●eed the mother high with meats of good juice, and sweet Almonds steeped in Honey, Raisins, Quinces, outwardly thus. Take Malmsey three pints, dissolve it in oil ●f Nutmegs by expression half an ounce, add powder of Cloves, Rue, each half an ounce; Rose, Sage, Mar●oram, Pennyroyal water, each a pint; Aqua vitae three ounces. Dip Sponges in it, and apply them under the le●t breast, to the armpits, hams, pulses, soles of the feet, and when they dry, wet them again. Chap. 8. Of Crying in the Womb. CHildren have sometimes cried in the womb, as Fabricius saith in his Epistle to his Brother James Fin●el, and W●inridi●k of Monsters, writes thus, In this City of Bressa a child was heard to cry in the womb three days before the travel; when he was a man, he was miserable with poverty and disease's, till he died. Andrea's Libavi●● writes the same, and others. Some sa● it portends evil to the Mother, or Child, or Country. Th●●auses It is a v●ice by the expulsion of the air th●ou●h the ●ough artery, and some air may in the cavities from vapours or Spirits, as in eggs when chickens pip in them. And if the child have a rough artery, lungs and breasts which are the organs of breathing ●ound, and the child is strong, there is no hindrance but it may utter a voice. But something whatsoever it is, must stir it to make this noise. THE FOURTH BOOK. THE THIRD PART. THE six SECTION. Of Symptoms that happen in Childbearing. Chap. 1. Of Childbearing in General. WHEN the child can no longer be contained in so small a place, being grown, and requiring mo●e nourishment, it ki●ks, and breaks the membranes and Ligaments that h●ld it, and th● womb by an expelling faculty, sends it forth with great straining● and this is called ●ravel. It is either natur●l or not natural, legitimate or illegitimate. The natural is when the child ●omes with the head forward and heels upwards, with his hands and arms to his thighs, and so the other parts easily follow, than the Amnios is broken, and the water that was laid up in time of being with child flows forth, and moistens the passages, than the child with more force breaks the Acetabula, from which the Secundine is separated, and the other membranes are broken, and the blood flows into the cavity of the womb, and the child gets out by the expulsive faculty with such force, that it seems to fall rather than be expelled, and the bones of the privities must needs be divided. That which follows the birth is above humane capacity, namely the transmutation of the navel vessels, and lungs, and heart in the infant, and why Nature ordered it, of which Galen elegantly in the 15. Book of the Use of Parts, and 6. Chapter. There is also a legitimate birth, when it is according to the Law of Nature, and an illegitimate, when it is before or after the time. Hippocra●es saith that a birth in the seventh Lib. de s●ptim. p●rcu. month is vital and legitimate. And it is sooner f●om the strength of the faculty and matter ●it for formation, yet it is commonly weak, except the ●eventh month be complete. Of the eighth month Hippocrates ●aith thus, None live● that is born in the eighth month, because i● cannot bear the two afflictions to follow, but the reason of the Arithmeticians is better, that say an even month is imperfect. The ninth and tenth month are the best, as Lib. de natura pueri. Lib. Sapient. c. 8. Hi●p●crate● ●aith; A child is born in ten months at t●e f●rthest, and so ●aies the wisest Solomon. Some say that a child may ●e born in the eleventh month, and Peter Apponensis was so born; and some say they have been born in the fourteenth and fifteenth month: but rare things are not to be counted the Law of Nature. Generally Physicians agree with Hypocrates, though some dissent. Chap. 2. Of Abortion. IT is the exclusion of a child, not perfect nor living, before legitimate time. This time is defined Lib. de c●rnib. by Hippocra●es, Whosoever conceiveth, doth it within seven days, but they are properly abortions that come before the seventh day; and though some are in the fifth and sixth month that have lived, y●t that must not derogate from the common Law of Nature. Some differences of Abortion are from the time and bigness of the child. For that which is cast out, is little and round, without distinction of members at first, like a Grape. Sometimes as long as a ●inger, and members may be distinguished. And sometimes the child is almost perfect. The Causes The immediate Cause, is the expulsive faculty stirred up, and that is done by three means from Galen, from the weight, bigness and pain. 3. De natur● f●c. ●ap. 12. There are more causes which we shall place in two Ranks. The first is of the manner of the causes that provoke the expulsive faculty. The other is that which ●indeth out these ways by all the causes. The expulsive faculty is first provoked by the child being weak, either from evil seed, or being dead. The child is weak for want of food, and from the mother's diseases, either in her whole body, or in the womb, or parts adjacent that consent, as Fevers, Inflammations, Fainting, Convulsions, Pain, Vomiting, Sneezing. Cough that move the Spirits and humors● and shake the child and stir up Nature to expel it. Also straitness of the womb causeth Abortion, by which means it cannot contain a great child. Al●o shortness of the navel-vessels, which Fabricius first observed. The outward Causes, are cold air after hot and moist, which gets into the womb, and provokes it, and hu●ts the child. The Astrologers Cent 2. obs. 50. add the malignant aspects of the Stars: also too much or too little meat. Great watchings, purging, and flux of blood by the womb and Haemorrhoids. Also violent motion, as leaping, carrying of burdens, strokes on the belly or ba●k. Also passions, as anger, fear, sorrow. Also bleeding, purging, fasting, ●mel of brimstone or ashes, hoofs burnt, or stink of the snu●● of a candle. If the breasts be less, or much milk flow from The Signs. them, or she feel much and often pain about th● belly or loins, that go to the Pubes and Os sac●um, with a de●ire of thrusting forth in the womb. If the child change its place, and if it f●l lower when it was in the middle of the belly, there is fear of miscarrying. It is dangerous alwa●●s, because it is with violence, The Prognostic. there are also great Symptoms: they are in l●●s danger that have already brought forth a ●hild; ●●●refore the ●irst is most dangerous, and 〈◊〉 mou●●s of the vessels ar● to●n, and they commonly become barren. Abortion is mo●t dangerous in the sixth, seventh and eighth month, be●●●se th● in●ant being ●●eater, ●●useth greater pain, and breaks the Ligaments worse. To preserve from Abortion. Consider the constitution before she is with child, and prevent every cause. If it be like to come from Plethory before Conception, open a vein, and after Conception in the fourth or ●i●th month, in the arm. I● it be from Cacochymy, purge the whole body, and purge the womb with Pessaries, and strengthen it, of which in the cold and moist distemper of the Womb If she have conceived, open a vein before the time she used to abort; i● there Cacochymy purge gently at times. If there be a cold distemper of body by phlegm that hurts the womb, give the decoction of China or Sar●a, with strengtheners of the child Avoid the external Causes of Abortion, and if they have done hur●, help it presently. L●t n●t the belly be bound; if the child be weak, ●●move the causes of weakness, and strengthen i●● Use things that strengthen the womb and child, as Coral as Kermes-berries. Or, Take Magistery of Coral a dram, Pearl prepared half a dram, Ivory shaved a dram, Ma●●i●● half a dram, grains of Kermes a dram, Manus ●●risti with Pearl two drams, make a Powder. I● th● Abortion be at hand, and the pains increase, give this Powder with a rear Eglantine Or, Take Con●●r●● of red Roses two drams, red Coral a●● Ma●●i●h, ●●●h a scruple; give i● presently. Use the countess' Ointment outwardly to the Loins, R●ins, P●c●●n and Perinaeum. Or, Take Oil of Roses, Mirt●es, Ma●●i●h, Q●inces, ea●● two ounces; Oil of Mints an ounce, Bdellium 〈◊〉 in Vinegar, liquid Storax, each two ounces; Oil of Nutmegs by expression a dram, with Wax make an Ointment. Of the same with Pitch, Rosin, Colophony, you may make Plasters. Let her hold a Loadstone in her hand, or tie it to her navel, or wear an Eagle stone under her armpits, or Coral, Jaspar, Smaragds, Diamonds. If these will not keep the child up, you must give over A●●ringents, and use Leni●ives. Question. Whether the straitness of the Womb, is the Cause of Abortion? Hypocrates 1. de morb. saith, That the Womb Lib. de super. lib. de sterile. may cause Abortion, if they be windy, thic●, great, 〈◊〉 little: and he shows in another place that Abortion may be from the straitness of the womb. And in another place he saith, I● a woman in the 〈◊〉 De nat. ●ac. c. ●2. third, forth or fifth month miscarry, often, a●● at the s●me time, it is because the womb will not stretch. And Galen confirms the same, and i● stands to reason, for natural birth is when the womb cannot contain the child for its growth. Th●r●for● i● it be preternaturally too little, it i● the cause o● Mor●●on. And though Nature hath made the womb ●o hold the child, yet i● i● be not made large enough, it cannot ●●ntain it; so the stomach i●●●mtim●s so straight, that it cannot hold an indifferent quantity of me●t, as others can. Chap. 3. Of the Signs of Natural Birth, and the manner and Government of such as bring ●orth. AT her tim● of her b●in● t● be deliv●red, l●t ●er tak● h●●d of ●st●ing●n●s and thickness, but let her eat meat of easy concoction, and o● good juice, and sit every fourth day in a h●t Bath. Of Mallows, Foenugreek, Linseed, Mugwort and Chamomil flowers; and after let h●● back, loyns● belly and privities be anointed wit● the Mucilage of Althaea seed, and Oil of Lillies● and let th● child b● strengthened. But when ●●e hath pains from the navel to the groin, and in the back, than the ligaments a●● vessels are broken, by which the child grow● 〈◊〉 the womb. And because the womb violently strains to discharge it; the membranous ●ib●es are extended, and commonly there are very great pains, and throws, or the child will not be born, and it is an evil sign when throw● cease, because the expulsive faculty is weakened. And let not the Midwi●e provoke throws till the time. When the membranes are broken, the water flows out, that comes from the urine and sweat o● the child, first little, then more, then waterish blood, and the orifice of the womb begins to open to let out the child● And before this time, you must not provoke throws. Then let the Midwi●e put her ●inger into the orifice of the womb, and she shall perceive something round and hard as an egg. Let her not lie on her back flat, but with her back up, that she may breathe more freely. After the child is born, you must press the blood in the navel-vessels towards the navel of the in●ant, and take heed that you lose not mu●h blood in cutting off the navel-string, for it ha●● destroyed weak children, and you must l●bo●●o 〈◊〉 out the Secundine with the child: & i● it b● in the womb, anoint your hands with ●a●m oy●, ●nd ●u● them into the womb, and ●etch i● out. Chap. 5. Of Natural hard Travel. THough Childbearing since Eves sin is ordained to be painful as a punishment thereon, yet sometimes it is more painful than ordinary. The first is from the mother, and the expulsive The Causes faculty. 2. From the Child. 3. From the passage,. From the mother, as when the womb is weak, and the mother is not active to expel from weakness or diseases or want of spirit's, 5. Aphor. 55. of which Hypocrates. It is from the birth when there are twins or more, and both strive to go forth at a ●ime, or if the child stick to a Mole, or be so weak that it cannot break the membrane, or if it be too big all over, or in the head only, or if the Navel vessels are twisted about his neck. It is from the passages when the membranes a●e thick, the orifice too straight, and the neck of the womb is not open sufficiently, as in such as Fabric. cent. 3. obs. 57 labour of the first child, or are very fat. The passages are pressed and straitened by tumours in the adjacent parts, or when the bones are too fi●m and will not open, than the mother and child a●e both in danger, or when the passages are not ●●●ipp●ry, or when they are broken too soon by reason of the thin membranes, or the water flows ●●●th sooner than it ought. You may know ha●d Travel by ●●int throws, The Signs. that come at a great distance. And you must consider all things concerning the mother, womb ●●d child. The Prognostic. In hard Travel, the mother and child are in danger, and the Perinaeum sometimes breaks with the skin from the privities to the Arsehole. If a woman be four days in travel, the child scarce escapes. The Cure. All things that move the terms are good to make easy delivery, As Myrrh, white Amber in white Wine or Lillywater, two scruples or a dram. Some give a drop of oil o● Amber in Vervain water, or a scruple of mineral Borax, or half a dram, but begin with gentle things, as a spoonful of To Cure all diseases Read my Sennertus, Platerus, Riverius, Bartholinus, and Riolanus, of the last Edition. Cinnamon water. Or, Take Cassia Lignea, Dittany, each a dram; Cinnamon hal● a dram, Saffron a scruple, make a Powder, give a dram. Or, Take Borax mineral a dram, Cassia Lignea a scruple, Saffron six grains, give it in Sack. Or, Take Cassia Lignea a dram, Dittany, Amber, each half a dram● Cinnamon, Borax, each a dram and half; Saffron a scruple, give half a dram. Or give some drops of oil of Hazel in convenient liquor, or two or three drops of oil of Cinnamon in Vervain water, some prepare the secundine thus: Take the Navel string and dry i● in an Oven. Take two drams of the powder, Cinnamon a dram, Saffron half a scruple, with juice of Savin make Troches, give two drams, or wash the S●●urdine in Wine, and bake it in a pot, then wash it in Endive water and Wine. Take half a dram of it, long Pepper, Galangal, each half a dram; Piant●ne and Endi●e seed, each a dram and half, Lavender seed four scruples, make a powder. Or, Take Labdanum two drams, Storax ca●ami●e, ●e●●●in, each half a dram; Musk and Ambergrease each six grains; make a powder, or Tro●●●s for a ●●me, o● use pessaries to provoke the birth. T●ke Galb●nu● 〈◊〉 in Vine●●● an oun●●, Myrrh two drams, Saffron a dram, with oil of Orris make a Pe●●ary. An Ointment for the Pecten and Navel. Take oil of Keir two ounces, juice of Savin an ounce, of Leeks and Mercury, ea●h half an ounce, boil them to the consumption of the juice, add Galbanum dissolved in vinegar half an ounce, Myrrh two drams, Storax liquid a dram, round Birthwort, Showbread, Cinnamon, each half a dram; Saffron a scruple, with Wax make an ointment. Also sneezing provoke the birth and Annulets, 5. Aphor. 35. As a Snakes skin about her middle, the Aegle-stone bound to her thigh. If weakness be the cause, refresh her with Levi len●. de oc. nat. mir. lib. 4. c. 12. Wine and sops to the nose, Consect. Alkernies, Diamose. Diamarg. If there ●e twins, let the Midwife order them with her hands, and help the foremost. If the passages be not slippery, use an emollient Fomentation, and oil of sweet Almonds, Hens or Duck's grease, etc. If the belly be bound give a Clyster or Suppository. When medicines will not do it, break the membrane Aetius ●etra. 4. cip. 23. with the finger's dipped in oil, or cut them. When the Child is still ●orn, let the Midwife ●hew Spices and blow in its mo●th, or drop Aqua vitae in it, or anoint it with Honey. Chap. 6. Of a vicious disorderly birth, or difficulty preternatural. IF the head come not forth first, and the hands and ●eet are upwards there is an ill birth. Th● Causes Hypocrates reckons two causes, the largeness Lib. de nat. pu. of the womb, and disorderly motion of the mother from pain, also the thickness of the membrane, which when it cannot break with the head, it attempts to do with the feet and hands. The Signs. The midwife may perceive in what figure the child comes forth. The Prognostic. All disorderly coming forth is dangerous to mother and child, but there is least danger when both ●eet come forth, this is called by the Latins Partus Agrippin●s. The Cure. Let the Midwife reduce it into the cavity of the womb when it comes not forth right, and place it right. When the feet cannot be thrust upwards, let the Midwife fupple the parts with oil, and take hold of the arm and help it, and give sneezings. Let her always labour to put the child in a right posture by moving it with her hand, or taking the mother from the bed, and compose her in such a posture as may bring the child into a right posture, and that soon. Chap. 7. Of a slow Birth. THis is when the child is longer coming forth then ordinarily, ●f this Massa writes that a Venetian Matron conceived of a husband ●pis●●l. to. 2 29. ●pis. of seventy years of age, and brought forth a child in the ●i●teenth month blind and without hands which lived five months. Cardanns writes C●●sil. 85. ad ch●ist. 〈◊〉 that his father said he was born in the thi●teenth month, and Mercurialis writes thus. That it was never seen or written that a woman had a live chi●d f●ur years in her belly, etc. but these are rare and miraculous. The cause is the weakness of the seed, and want of heat in the womb, which makes the expulsive faculty weak. Chap. 8. Of a Child dead in the womb. WHen at the time of Childbirth, there is pain and breaking ●orth of water, which ceaseth presently without delivery, the child remaining in the womb, than the mother or the child dies, or both. When the travel is vehement from divers causes, The Causes they may also cause no birth, for either the more she may lose her strength and the child not come forth, or both may die. And if the child be weak and move little, or the mother may be weak and the child great, the travel is hard and both die, or if the child come not forth in a right posture. Or if the passages are ill proportioned, as Fabri. cent. 1. obs. 64. & 67. when the bones of the Pubes do not give way, or when there is Schirrhus, or other tumour that straitneth the passages● there is no delivery. Or the child dies by a disease for want of nourishment, or a fall, stroke, or leap, or passion in the mother. Search if the child be living or dead, for if it The Signs. be dead it will hurt the mother by rotting, and if the mother die and child be alive, take it out before the mother be buried. A child is known to be dead if the mother and Midwi●e perceive no motion, nor is it raised by any strengtheners given, and when the mother moves from side to side, i● moves like a stone, o● when the face and lips of the mother are pale, and her extreme parts livid: and the breasts that were plump, are fallen; her breath sttinks, water and stinking matter flows from the womb; there is a Fever, horror and fainting, or Convulsion; or if the Secundine come forth before the child. The Prognostic. If a dead child be not presently taken out, the mother is in great danger: there are great Symptoms, and strange diseases, of which see Francis Rousset and others. The Cure. When the child comes not forth in time; and is alive, it must be taken out by the Midwife or Chirurgeon by cutting the belly and womb, of which in the Chapter following. If it be dead, you must drive, or take it out before it stinks, either by Medicines or Chirurgery. The Medicines are such as stir up the expulsive faculty, but they must be stronger than before, because the motion of the child ceaseth, as Take Savin, round Birthwort, Troches of Myrrh, Castor, each a dram; Cinnamon half an ounce, Saffron a scruple: give a dram with Savin-water. Or, Take Borax, Savin, Dittany, each an ounce; Myrrh, Asarum rooes, Cinnamon, Saffron, each half a dram; make a Powder, give a dram. Purge first, and put her in an emollient Bath, and anoint about the womb with Oil of Lilies, sweet Almonds, Chamomil, Hens and Goose-grease. Foment to get out the child with a Decoction of Mercury, Orris, wild Cowcumber, Staechas, Broom flowers. Then anoint the Privities and Loins with Ointment of Showbread. Or, Take Colaquiwida, Agarick, Birthwort, each a dram; make a Powder, ad Ammoniacum dissolved in Wine, Ox gall, each two drams; with Oil ●f Keir make an Ointment. Or this Pessary. Take Birthwort, Orris, black Hellebore, Coloquintida, Myrrh, each a dram powdered; add Ammoniacum dissolved in Wine, Ox gall, each two drams. Or make a Fume with Ass' hoof burnt, or Galbanum or Castor, and let it be taken in with a Funnel. If these will not do, use Chirurgery. It is done Lib. 6. c. 23. te●rab. serm. 4. cap. 23. with the hand only, or with instruments, of which Aegineta and Aetius. Charles Stephens shows how to use the hand without instruments. When you know the child is dead (saith he) place the woman in the best posture, and tie her so very fast, etc. see the rest. John Bauhin takes the same course out of Lib. 5. cap. 2. de disectpart. corp●re huma. Schenks Observations. And because the strength ●aileth, refresh her, and abate pain, cherish the torn parts, and prevent Symptoms. To take away pain, and strengthen the parts, foment with the Decoction of Mugwort, Mallows, Rosemary, Wormwood, Myrtles, St. Johns-wort, each half an ounce; Sperma Ceti two drams, Deer's suet an ounce, with Wax make an Ointment. Or, Take Wax four ounces, Sperma Ceti an ounce, melt them, dip Flax therein, and lay it all over the belly. In some Country's women will not permit these, but leave all to God. Chap. 9 Of the Caesarean Birth. THe belly and womb are cut sometimes to take out the child, and this is called the Caesarean Birth, and they that live are called Caesar's. It is done in three cases. 1. When the child is dead, and the woman liv●. 2. Wh●n the woman is dead, and the child alive. 3. When both mother and child are alive. This is seldom, because either Medicines do it, or it is taken out by other Chirurgery, or the Enchirid. consul. modic. pag. 188. work is left to Nature. Mathias Cornax hath a History of one that carried a dead child in her belly four years, it was taken out by cutting the womb and belly, and the mother lived, and conceived with child after: she fainted not at the time, and the wound grew together without stitching; and her terms after came in good order, and she had a lusty Boy till the 2. of June. The Surgeons that had cut her afore were sent for, and the old orisice was open, and the mother and the women present, would not yield to the second cutting. Therefore her strength failed, and the Chirurgeon took out a complete child, but it was dead. There are more Histories of live children cut Plin. lib. 7. hist. nat. c. 90. out of their mother's bellies being dead. And Roderick a Castro saith that an infant cannot live in the mother's womb being dead, except it be taken Rod. â castro. lib. 4. de morbis mul. c. 1. A●gen. lib. 5. epit. 2. 11. out at the very time of her departure, or while there are vital Spirits, because when the motion and life of the mother cease, the life of the child also ceaseth: yet is his Argument of no force, because the child hath its proper Soul, and if it be well, it may live a while in the womb without benefit from the mother, as it doth when it is delivered. But take heed it be not suffocated in the womb, and keep the mother's mouth open, and let the Midwi●e never move her hand from the privities, till the Chirurgeon have taken it Lib. ●. de dis●●● par●. co●. ●●●m. c 1. out: and you may know that the child is alive, when the mother is dead by its leaping. Charles Step●ens shows the way of taking out a dead child. When a live child is cut out of the belly of a live mother, it is done only lest the mother or child, or both should die. And this may be done, and both preserved alive, which is plainly demonstrated by Francis Rousset in his Book of this subject, so that there is In 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉. no doubt of it. For first he shows the necessity of the operation, and next the possibility of it, showing that the muscles of the belly, the Peritonaeum and womb may be cut without hazard of life. Thirdly, he confirms by History what he proved by reason, and shows that many wounds of the muscles in the lower belly, Peritonaeum and womb have been cured. Fourthly, he propounds many more dangerous cases than the Caesarean Section, which were not deadly in themselves. And then he shows the manner of the operation, and how it is to be done. Therefore have recourse to his works, if thou wilt learn it. THE FOURTH BOOK. THE SEVENTH SECTION. Of the Government of Women in Childbed, of the Diseases that come after Travel. Chap. 1 Of the Government of Women in Childbed. PRESENTLY after she is delivered, labour to make the Afterbirth follow, of which in the Chapter following, then compose her in bed, and give her good food. Let the air be temperate, rather hot then cold. Let her beware of cold that it get not into the womb, it will cause torments and inflammations. If travel be hard, anoint the belly and ●ides with oil of sweet Almonds, Lilies, and warm Wine. Let her meat be of good juice and easy concoction, Hen broth, and Chickens, and Capons, Kid, Mutton, Veal, let her drink thin wine i● there be no fever, or Cinnamon boiled in water, the first days drunk warm: Let there be no noise about her, and let her not rise too soon, avoid passions lest the humours be stirred and ●●ll into some part. If sh● cannot or will not suckle her child, turn the milk from the breasts by repellers under the Armpits, as Unguent of Roses, Cerot of Sande●s, dissolved in vinegar, and to the breasts apply a Cataplasm of Bean and Orobus flour with Oxymel, or foment the breasts with the decoction of Mints, Dill, Smallage; or lay the leaves bruised upon them. Before she goes forth, let her bathe with a decoction of Lily roots, Elicampane, Mugwort, Agrimony, Borage, Rosemary, Chamo●il flowers, Staechas, Faenugreek, Lineseed, Citron peels. Chap. 2. Of the Secundine or Afterbirth, or a Mole that is left after Childbearing. THese stick in the bottom of the womb, or like a ball to another part, the mouth of ●he womb being open or closed. It is not safe to cut the Afterbirth from the The Causes Navel till both be come forth, therefore draw i● out without breaking of the Navel string, this i● retained because it grows to the sides of the womb, or is swollen by hard travel, or because the Navel string is broken by the infants straining: or from cold air got in, or from a frights or from her not having throws fit to exclude it● or because she is impatient and will not continu● in a due posture. The Signs. The Midwife will declare it, and the purgation is not, the belly swells, there is a fever, and heaviness, and pain in the belly; there is a stink an● loathing from stinking vapours, difficult breathing, Suffocation and Convulsion. The Prognostic. Many die from the retaining of it if it canno● come forth, when matter flows from the womb there is hope that they will rot and come away in sixty days. The Cure. First let the Midwife draw it gently with he● hand, and use sneesing, then burnt Partridge feathers to the nose, and Goats hoofs, as in th● suffocation of the womb. Then use things that expel a dead child, Di●tany, oil of wood Her●cleon after Preparatives. Or, Take Marjoram, Chervil, Pennyroyal, each a handful; Savin half a handful, Anise and Fennel seed, each half a dram; Lovage and Parsley roots, each three drams; boil them in water for thr●● draughts. Or, Take Dittany, troches of Myrrh, Borax, each half a dram; Saffron, Castor, each a scruple; make a Powder. Or, Take round Birthwort, two scruples, Myrrh a scruple, make a Powder give it in Wine. Make Pessaries of Mugwort, Mercury, Sage, Orris in powder with oil of Keir. Or, Take round Birthwort, Savin, Briony, Ox gall and Honey, and make a Pessary. The stronger are of the Decoction of wild Cowcumber, Coloquintida, Staphisager, Hellebore, Honey, and gall of an Ox. Fumes are made of Cassia lignea, Nard, Mugwort, Savin, Pennyroyal, Dittany. Or, Take Myrrh, Castor, Galba●um, each half a dram; Opopanax, Cinnamon, each a dram; with Honey make Troches for to be burnt. Then ●oment the Belly with the Decoction of those Plants. Or, Take Lupine meal an ounce, powder of Wormwood half an ounce, Myrrh, Rue, ●ach three drams; with Ox gall and Honey make a Cataplasm. If it come not forth, give a Womb-clyster of the Decoction of Sage, Mugwort, Mercury, Calamints, Pennyroyal. If all fail, inject things to suppurate into the womb, and let it be turned to matter, and come out by degrees, and inject strengtheners into the womb. Of the Mole lef● after Childbearing. You may know it by the signs of a Mole mentioned, she hath no ease after travel, there is pain in the navel, back and groins, and much clotted blood comes away, and yet she hath no ease● the Cure is mentioned before in the Mole. Chap. 3. Of the Purgation after Childbearing diminished or detained. THis is not alike in all women, for in some women the blo●d is fresh: in others it is waterish, choleric, or melancholic. And som● bleed more than others, according to the constitution and Country. It is either not at all, o● too much, or too little. The Causes When they are stopped or lessened, the vessels ar● too straight, or the blood flows another way, or i● is too thick, or the vessels of the womb are pressed from its position: the blood is drawn away by passions, fear, or goes hastily to the brea●●s. The Signs. The just quantity is not to be defined: when it is stopped, the belly swells, the pain is in the bottom of the b●lly and groins; there is chillness and a fever after it, ●ainting, weak, swi●t, unequal pulse; there is ●oot● in the urine. Sometimes the belly is inflamed, or she voids blue or black clods of blood. The Prognostic. It is bad of itself to have any thing left after Childbearing, and worse if it stays long, and Gal. 1. epid. come. 3. t● 21. grows melancholic: therefore it is a cause of many diseases. First, endeavour to evaevate the blood from the The Cure●● womb by Frictions, Ligatures and Cupping; i● they will not do, open a vein in the foot. Then open the passages with external and internal meanest anoint the Belly with loosning Oils, or foment thus. Take Lily roots, Birthworts, Briony, Angel●ca, each half an ounce; Mercury, Mugwort, Pennyroyal, Savin, Calamints, each a handful; Tansey, Chamomil and Elder flowers, each half a handful; Faenugreek and Linseed, each two drams; bruise them grossly, and put them in a bag, and boil them in Water and Wine: lay it to the privities and bottom of the belly. Give emollient Clysters; and if some days are pa●●, purge with Agarick, Rhubarb, Senna. Or, Take Lily roots, Al●haea, each half an ounce; Birthworts two drams, Pellitory, Mercury● Althiea, each a handful; Calamints. Chamomil, Elder flowers, each two pugils; Faenugreek and Lineseed, each two drams; boil them, to ten ounces strained, ●dd O●l of Dill, Lilies, each an ounce, Hiera simple half an ounce, Ointment of Showbread three drams make a Clyster. Or give Pessaries that provoke the Terms. Give things to melt and attenuate the blood. As, Take opening Roots three drams, Bettony, Maidenhair, Endive, Schaenanth, each two pugils; Anise, Fennel seed, each a scruple; red Pease a spoonful: boil them to a pint and half, add Cinnamon water two drams, Syrup of the five Roots three ●●nces: give four ounces. Chap. 4. Of too great a flux of blood after Childbearing. THat is too much which makes weak. It is blood abounding which ha●● been The Causes gathered nine months in the womb. It is thick, or spends the Spirits, and weakens. The Signs There is loathing of meat, pain the Hypochondria, belly-ach, weak and often pulse, dark sight, noise in the ears, fainting and Convulsion. It is dangerous when long, and with fainting The Prognostic. Hippoc. 5. aphor. 55. and Convulsion. Therefore observe the pulse, lest she die suddenly. See what strength she hath, and stopped it not ●●ddenly. I● it be not very g●●at, order a diet of The Cure. ●oas●ed Hens basted with red Wine, or Pomegranate, of Sta●ch, Almonds, Rice, Quinces, Con●●●ve of Roses, steeled Water, and make Revul●●ns: use gentle things, and strengthen the loose ●●●●ges. Anoint the belly with oil of Roses, Myrtles, cup under ●he breasts and sides without scarification. Apply a Cataplasm of red Roses, Bole and Rosewater to the Liver. Then use stronger, and give a higher diet o●ten in small quantity, and give Syrups to stop blood. As, Take old Conserve of Roses two ounces, of Tormentil an ounce, of Quinces without speci●● half an ounce, Bole, red Coral, each half a dram; with syrup of Currans and Coral, make an Electuary Anoint the belly with the Ointment of the Countess, and other Astringents; or use astringent Fomentations: or let her take into the womb a Fume of Mastic, Frankincense, red Roses, etc. Then open a vein in the arm, and let blood by degrees. See Sect. 2. Chap. 6. of overflowing of the Terms. Chap. 5. Of the Pains after Travel, and torments in the Belly. THese are not in the body, and bottom of the womb, but in the vessels and membranes by which the womb hangs, and that goes to the sides and belly. The Causes They are from a constant labour in travel, when the bottom of the womb is pricked to send forth from cold air let into it, or clotted blood detained, or sharp blood sticking to the womb, and pricking it. The Signs. They are in the womb itself, you m●y know i● they came from cold by what hath been done, & clotted blood will manifest itself. The Prognostic. They we●ken much, and are very troublesome, therefore they must be abated. The Cure. First, take away the cause, or abate the pain, and make that which hurts the womb fit to be evacuated by these Pills. Take Cinnamon a dram, Saffron a scruple, Dia●ymini, Diagalangal, Zedoary, each half a dram; make a Powder, give a dram in Pennyroyal or Cinnamon water. Or, Take of Cummin seed steeped in Spirit of wine and dried again a dram, Ameos s●eds and Ginger, each half a dram; Cinnamon a scruple, Castor half a scruple, make a Powder. If she faint, ad Cordial Waters. As, Take Diacyminum a dram, Diamargariton frigid, Citron pe●ls, Zedoary, each half ● dram; make a Powder. If she be choleric, or the humour thin and sharp, cure it as a Colic from Choler. As, Take Syrup of Violets, Borage, each an ounce; Mucilage of Quince seeds made with Violet water half an ounce water of Borage, Scorzonera, each two ounces: give it at twice. Extenuate the humours, and loosen the passages outwardly. Take Bean flour, Faenugreek and Linseed, each an ounce; Chamomil flowers and Cummin seeds, each half an ounce; boil them in Oil of Lilies for a Cataplasm. You may sum the womb with Decoctions of Herbs. Chap. 6. Of the tearing of the Vulva to the Arse, and coming forth of the Womb, Inflammation, Ulcer, Suffocation, and falling out of the Fundament. THe tearing i● in hard travel, when the mothe● Par. secti● 1. c. 1. is tende●, and the child great, of which ●●for●● The womb comes forth from the violent extraction Par. 1. sect. 2. cap. 15. of the child or afterbirth, when the ligaments are stretched. The Cure is mentioned, but you must not hinder the after flux by astringents, let her therefore rest, and lie one her back, with her ●eet drawn up, with Sweets to her nose, and stinks to the womb, so the womb will be retained, and the flux continued; after this is past, you may use Astringents. If there be inflammation from hard travel, hinder not the af●er-flux of blood by Coolers. If it turn to an ulcer, let the after-flux flow, and then cure it. Suffocation after childbearing, is from the ●●inking after-blood, which sends up stinking vapours which kill many. It is cured by Friction of the legs, Ligatures and Cupping with Scarification, applying stinks to the nose, as Castor, Partridg●eathers burnt, Rue. And applying Sweets to the privities. You must cure the ●alling out of the Fundament from straining in Delivery, as formerly showed. Chap. 7. Of Watching, Doting, and Epilepsy of Women in Childbed. THese are from the motion of the blood a●d hu●ors● when the after-blood flows n●t kindly● and there is a ●eaver, of which in ●●e 〈◊〉 Book. And from vapours sent from the 〈◊〉 there is an Epilepsy, which is cured by Reversion o● vapours and humours downward and ●●●fect Evacuation of the a●ter-blood, which done, all these Symptoms cease. Chap. 8. Of the Swelling of the Womb, Belly, and Feet after Childbearing. IT is commonly from cold got into the womb, and the belly sometimes swells, as if there were another child. It is cured by hysterical or mother Fomentations, or with the skin of a new ●lain sheep, and hard wine, if in travel they keep a bad diet, or drink too much, the humours go into wind, and if they fall into the legs they swell, then take heed of much drink: and after the flux is past, make Evacuation with things that expel wind. As, Take Coleworts and Chamomil, each as you please: boil them in Wine, and ●ome●t the parts. Or, Take Wormwood, S●uthernwood, Bettony● Calamints, Organ, Chamomil flowers, Aniseeds, Rue, Caraway, as much as will s●rve for a Fomentation for the feet. Chap. 9 Of Vomiting, Looseness, Belly bound, and not holding of urine in women in Childbed. THey ●a●● up crude and indigested meat sometimes, from weakness of the stomach by consent from the womb, or from the humours that Hipp. 1. de nat. mulier. 〈◊〉 to the ●●●mach, from the parts near the womb, when the after flux doth not ●low, they sometimes vomit blood, or when it is disordered. For the blood not getting out, goes to the great veins and liver, and in its hollow part, by plenty and sharp it opens the veins, and it gets into the stomach. Sometimes a vein is broken from hard travel. Hip. 1. It is bad, of what cause ●oever it comes: for de morb. mulier. the strength will ●ail, and there will be no ma●●er to make milk of● if the food be vomited. If other humours, they may cause a fever by their motion. If blood be vomited from a vein of the liver broken or opened, a Dropsy is to be feared; therefore stop it, whatsoever it be in this case. If it be of the meat, give that which will be easily digested, that oppress not the stomach which must be strengthened. If bad humours are vomited up, stop it not so soon, but flense with gentle Medicines, and ●pen the way by stool. In vomiting of blood make Revulsion to the lower parts by rubbing, cupping them, or bleeding in the ham or ankle, and provoke the after-flux. The flux of the belly is dangerous if it be great, for it weakeneth, and threateneth to bring a Dysentery, or Tenesmus● or Needing. Nor is it safe to stop it presently, lest you stop the after-flux with it. If it be from food not well concocted, let her keep a better diet, and let the stomach be strengthened outwardly. If this will not do, give internal remedies, so that they help the stomach● and hurt not the womb, as the Decoction of Ba●ley, Syrup and Honey of Roses. Give Clysters also to temper the sharp humors● and ●len●e. Or give Syrup of Roses, Pulp ●f Tamarinds, or Rhubarb. And A●●ingents of Roses, Plantain, Tormentil, Quinces, Coral, and the like. If they be wholly stopped, the belly must not be bound. But first give Rhubarb and Astringents outwardly, and provokers of Terms. Also the belly is bound in women in childbed, then give a Suppository of Soap or Honey, and after four or five days, give emollient Clysters, and Manna or Ca●●ia. If they cannot hold their urine after hard travel, use a Bath of Bettony, Sage, Bayes, Rosemary● Pennyroyal, Organ, Stoechas, and presently after anoint with this. Take ●at Puppy-dogs ●oyled in Oil of Worms, Lilies, and Foxes till the flesh fall from the bones, then take the Fat, and add Frankincense, Storax calamity, Benzoin, Opopanax, Mace, each a dram; Oil of Nutmegs by expression ●alf a dram, with Goose grease and Wax make an Ointment. Chap. 10. Of the Wrinkles of the Belly after Childbearing, and mending of the largeness of the Privities. AFter the forth month, Women prevent wrinkles by carrying a clout upon the belly● dipped in Oil of sweet Almonds, Jesamine, Oil of Lilies, to loosen the skin, that it may stretch better without cle●●s. If the belly be alreadly wrinkled. Take Sheep's 〈◊〉 Goats ●●et, Oil of sweet Almonds, each an ounce; Sperma C●●● two drams, with Wax make an Ointment. After the flux is past● add O●l of 〈◊〉 T●●rabi●. 4 ●●rm. 4. or R●s●s, or make Aeti●s his Cataplasm. Chap. 11. Of Fevers and acute diseases in Women in childbed. THey have often continual Fevers. The ●●●st is th' Fever of milk about the fourth or third day from the motion of the blood from the womb to the breasts; it is not of many days and continuance, and is not dangerous. But take heed you mistake not a putrid ●eaver for a milk-●eaver, for labour and pain sometimes inflame the humours, and cause putr●●action, and though the Symptoms appear not the next day after delivery, yet there may be the beginning of putrefaction from the heat of the humours in ●ravel● especially if the after-flux be stopped, from which time you must count the beginning of the diseases. For a fever cannot be long concealed, nor the motion from travel last long: therefore it is probable the motion is ceased, and the ●eaver comes of another cause, which I shall declare presently. The Causes They are the stoppage of the after-flux, or the diminishing of it, or the ●oul humours that were gathered in the time of being with ch●ld, and stirred ●n travel. Too great purging of the af●e●blood or Lochia signifies Cacochymy, or a Fever that will come long after travel. If the Lochia Hipp. 1. epid. tex. 21. ●low not in due time, or be stopped, than the blood and ●oul humous go back to the great veins and liver, and make a putrid Fever, or inflame those parts. The Signs. A Fever from milk comes the fourth day, and t●ere is heaviness ●f back and shoulders, and the Lochia flow well, if not, there is the sign of a ●●ver. If the humours putrify in the womb● there is ●oul stinking matter voided, the belly is swollen, and is pained when touch●. If the fever be not from milk, and the Lochia ●low, it comes from bad humours, especially if when she was big with child● she kept not a good diet. A Fever from milk is without danger, and The Prognostic. ceaseth the eighth or tenth day: that which comes from suppression of the Lochia or after-flux, is dangerous and often deadly, except there follow a flux of the belly. If black stinking matter ●low from the womb, they escape If the fever come from a Cacochymy before Delivery, it is worse, because it argues much humours, which Nature cannot discharge by the after-flux, and the strength is dejected by hard travel. A Fever from milk, requires only good diet, The Cu●●● and sweeting must not be hindered, for it cures. That which is from stoppage or diminishing of the Lochia, must be cured by provoking the after-flux, or by another evacuation instead of it: as purging, bleeding in the ●oot to provoke the flux or by scarifying of the thighs and legs, after cupping, while the time is, that the after flux should ●e not afterwards. For if that time be past, if strength permit, open a vein in the arm, & bleed plentifully. For purging: some purge them in a Pleurisy after the seventh day, but beware by reason of Valer. lib. 5. obs. 10. merc. 4 de morb. m●l● c. 11. the weakness after travel, and because Purges may hinder the after flux, which is dangerous, it is good to evacuate only by the womb; but if the flux of blood cease, and Nature would pu●ge something from the womb, you may give a gentle Purge of Rhubarb, Cassia, Manna, Syrup of Roses, Senna. Alterers are thus to be ordered. Avoid too cold and sharp things, le●t the evacuation by the womb should the disturbed by cold things. Let it be thin the first days of lying in, than T●● Diet. thicker, and so increasing, take heed of too much drink, especially of cold drink. Question. What Veins are to be opened in women that lie in, and have a Pleurisy? They have Symptomatical ●eavers; also from inflammation of the Pleura, Jaws or Liver, because some of the ●oul humours are sent to some private part, and makes an inflammation to which the ●eaver is joined, and the causes are as before mentioned. If there be a Pleurisy, she is in great danger. The question is whether she must bleed above or below, I say thus. First, this ●eaver is not properly Symptomatical, but primary, and hath the inflammation its associate, while Nature sends part of the matter to the Pleura or other part. Secondly note, that Nature is in an error while she sends the vicious humours, which she should expel by the womb to the Pleura. Thirdly note, that the vicious mo●ion of Nature is not to be helped therefore, which should be done if you should presently open a vein in the arm; but the blood is to be voided by the womb, which is Nature's way. Fourthly, i● the Pleurisy be not abated by o●ening a vein in the ankle for revulsion, but the Symptoms continue or increase, you must not continue to open the veins beneath, because they evacuate not from the part affected, which is necessary in such a dangerous disease. It is a sign that the matter is fastened to the part, that it cannot again be brought to the womb by revulsion. Therefore than you may open a vein in the arm on the same side, to evacuate and derive the blood from the part or there about, or she will be in danger of death. And fear not, that Nature will be taken from her ordinary motion towards the womb thereby, for the vein that was opened in the foot, prevented that: and if you fear any danger, you may prevent it by Frictions and cupping of the legs, while you let blood in the arm. And you may give Clysters, that may cause the humours moving upwards, to come down, and loosen the passages of the womb, that blood may flow out the better. As, Take Pellitory of the Wall, Mallows, Althaea, red Coleworts, each a handful; Chamomil●●owers half a handful, Faenugreek and Linseed, each half an ounce; boil them in Water, to a pint strained, add lenitive Electuary an ounce, Diacatholicon or Cassia half an ounce, Oil of Violets two ounces, make a Clyster. If the Fever abate, and the time of the flux of the Lochia be past, give a gentle Purge. Cure the rest as an ordinary Pleurisy, only take heed that while the after-flux lasts, you give no binding Medicine. Also she may have a Quinsy while she lies in, while the vicious matter flows to the jaws. The ●ure of which bleeding is to be done as in the Pleurisy, but the rest is to be done as in the Quin●●ie. And if the Liver be inflamed by the motion of the humours to it, you must bleed as in the Pleurisy and Quinsy. Yet it is not so needful in the arm as in the Pleurisy, by reason of the greater distance of the Liver from the arm, for the Pleura and the breast are nearer, and consent more with the arms, but the vein in the leg● is near to the hollow vein, as the distribution of the upper veins to the arms. The rest of the Cure of the inflammation ●f the Liver, is in Lib. 3. only observe that you must not use too great Coolers or Binder's in women in Childbed, but things that are of thin parts, lest the flux called Lochia or after-blood, should be stopped. THE FOURTH BOOK. THE THIRD PART. Of the Diseases of women's Breasts. THE FIRST SECTION. Of Diseases of the Breasts. Chap. 1. Of the increased number of Breasts, and greatness extraordinary. THOUGH Nature hath ordained Card. l. 8. c. 43. de r●rum variet Cabrol. obs. 7. two in all women: yet some have Breasts like men: others have had two on each side that had milk. The figure of the Breasts is round pointed at the nipple a little, it ought not to be soft nor hard, and of an indifferent bigness, and it is better they be indifferent, though th●y hold not so much milk, lest they be subject to C●n●ers and inflammations, and when they are too big, they have not a temperate heat. The Causes of overgreat Breasts, is much blood, and the ●●●ength of heat attracting and concocting it; these are remote causes, but the immediate cause is the la●geness of the passages and looseness, which is in the first conformation, and furthered by idleness, much sleep, and few terms, and often handling of the Breasts by whi●h the blood and the heat is drawn to the Breasts. It is easier to keep them from growing great, The Cure. then to abate them when too big: with good diet and Topics that repel by cooling, and binding and drying. As, Take Myrtle leavest horsetail, Plantain, Mints, red Roses, each a handful; Pomegranate flowers two pugil●: boil them in red Wine and Vinegar, and with a Sponge apply it to the breasts● and let it dry: or apply Hemlock bruised with Vinegar. Or, Take powder of Com●r●●roots two drams, Pomegranate flowers, red R●●●s, Frankincense, Mastic, each half an ounce; ●●●ley ●●our, red Ochre, each an ounce and half; with Rosewater, the white of an E●, and ● little Vinegar make a Cataplasm. These may be laid to the Breasts, and under the armpits, to astringe the vessels, and hinder the blood from flowing to them. Hemlock, Henbane, and other Narcoticks are forbidden, because they weaken the natural heat and hinder the breeding of milk. Dryers and Discussers are good in women t●at have great Breasts after weaning, to consume the moisture. As, Take Bean and Orobus meal, each tw● ounces and half; Comfrey roots in powder half an ounce, Mints three drams, Wormwood, Chamomil flowers an● Roses, ea●h two drams: boil, and add two ounces of Oil of Mastic, make a Cataplasm. The Breasts are too little, when the flux of blood to the Breasts, is hindered, diminished, intercepted, reveled, or turned another way, or when the blood is not drawn by the Breasts, as in a dry Liver-famine, much labour, or in watchings, fevers, and other diseases that consume the body. The same is when the radical moisture of the Breasts is consumed. You must remove the cause that breeds it, and ●●ten friction will attract blood, and foment with warm water, in which Emollients have been boyl●d with white Wine, and then anoint with Oil of sweet Almonds, or of Indian-nuts. Looseness of the Breasts is cured by astringents. Chap. 2. Of Swelling of the Breasts with Milk. When the milk carrying veins are too full, the Breasts swell all over, or in ●a●●, and are pained by stretching and red Som●●●es the milk congeal●th, and is a hard Tu●●●. ●h● cause is abundance of milk or blood that ●●kes it, or the weakness of the child that cannot ●u●k, o● because he is weaned. I● o●t●n ●●●seth without remedies. Sometimes 〈◊〉 is an inflammation, or the milk hardens to a 〈◊〉 You must hinder the breeding of much milk, The Cure. of which hereafter, and consume that which is bred; in women that give suck, the child will draw them, or a Puppy. Or use a Glass to su●k with: they which will not give suck, may use this. Take Barley meal of Lentils, Althaea roots, Chamomil flowers and Mints, each half an ounce; Agnus castus seeds two s●ruples: boil them in Wine, ad a little Vinegar, Oil of Dill two ounces, make a Cataplasm. Chap. 3. Of Inflammation and Erysipelas of the Breasts. Sometimes the tumour in the Breast is inflamed from blood, for though plenty of milk cau●e an inflammation, blood is the immediate cause, for milk as it corrupts and grows hot, increaseth pain, and so the blood staying in the fmal capillar veins, being out of the vessels, is hot, putrid and inflamed. There are other causes, as strokes● falls, straitness of clothes, and other hurts of th● Breasts. A hard and red swelling shows inflammation The Signs. with beating pain, and a Fever. These inflammations are commonly without The Prognostic. danger, but because the Breasts are so loose, and have many kernels, and little heat, they turn to Cancers and Scirrhus. If you fear a great flux of blood that will increase The Cure. the inflammation, let blood in a plethoric b●dy. But if it come from stopping o● th●●●rms or after flux, first open the vein in th● ankle, and scarify the legs, than (if need be) ●pen the arm. If bad humours coming to the Breasts, nourish the inflammation, give a gentle Purge of Manna, Senna, and the like. If the blood be too hot, or mixed with hot humours that help the motion o● the blood. Use Alterers, as Lettuce, Endive, purslane, Plantain, Waterlillies, and the like. To be a skilful Physician study my S●nnertus, Platerus, Riverius, Bartholinus, and Riolanus, of the last Editions. Use Repellers after these, but such as are weak and not too cold, as a clout dipped in Water and Honey, with Oil of Roses applied to the breasts. Or● Take Lettuce, Purslane, each a handful; red R●s●s half a handful: boil them in Water, add Vinegar two ounces, make an Epithem. Or● Take Nightshade, Lettuce, each a handful: b●yl them, stamp them, and ad B●rley meal two 'ounds, powder of Chamomil flowers half an ounce, Oxymel, Oil of Roses, each a dram; make a Cataplasm. When the beginning of the inflammation is past, ad Discussers with your Repellers. As, Take white Bread crumbs, Barley flour, each an ounce and h●l●; Bean and Foenugreek flower, each half an ounce; powder of red Rose● and Chamomil flowers, ●●ch two drams: boil them, add Rose-vinegar an ●unce, Oil of Roses and of Chamomil, each an ounce; make a Cataplasm. At length use only Dis●ussers. A●● Take Bean 〈◊〉 and of Lupins, and of Faenugreek, and 〈◊〉 and powder of Chamomil flowers, each an ounce; ma●e a Cataplasm. If the matter grow hard, use Emollients and 〈◊〉 As, Take Mallows a handful boil 〈◊〉 till they are soft, add powder of Lineseed, 〈◊〉 a●● Chamo●il flowers, each an ounces boil them 〈◊〉 add O●l of J●sam●●e ●n ●unce, ma●e a 〈…〉 I● it tend to Suppuration, lay a Plaster of 〈…〉 Or, Take Mallows and Althaea, each half a handful: boil them till they are s●●t, stamp them, and ad powder of Althaea roots two ounces, powder of Line and Faenugreek seeds, each a● ounce; Leaven half an ounce, ad Ointment of A●thaea two ounces, make a Cataplasm. When t●ere is matter, and the imposthumes breaks of its own accord, it is well, otherwise open it with a Lancet or some sharp Medicine, and let out the matter, and then cleanse it thus. T●ke Turpentine, Honey of Roses, each an ounce; Myrrh a scruple. The ulcer will be hard to be cured, except you dry up the milk in the other Breast, by reason of much blood that will flow thither to breed milk. Question. Whether the Inflammation of the Breasts be from blood alone, or from milk also● The inflammation and swelling in women in Childbed upon their Breasts, is from the afflux of too much milk, and it is with redness and pain, and beating or pulsation: and it is not only from blood, for tumours (as in other parts) a●e seldom pure or unmixed, but there are other humours with it. Therefore it is certain, that when blood is drawn by heat or pain, or comes of i● self to the Breasts, and begins to corrupt, the milk also may be corrupted. Of the Erysipelas of the Breasts. This Erysipelas is from fright or ang●r, and i● turns presently to a Phlegmon, and is cured as the inflammation of the Breast. Lay no cold astringent Repellers, or f●t things● but things that sweat, as Hartshorn, sealed Earth, Carduus must be given with El●er water● to discuss the thin blood that causeth the inflammation. Apply outwardly hot a Pledget dipped in Elder-water. Chap. 4. Of the Ocdema of the Breasts. THis phlegmatic tumour is in cachectick women that hav● the white Fever; it is cold and white, and pits, because the part is loose and spongy. Are a loose tumour, almost insensible of pain, The Signs. and the ●inger laid on, leaves a pit. It is larger when the terms are at hand, and abateth when they are passed. If it come from a Cachexy, and a disease of The Prognostic. the womb, it is dangerous: but it commonly ends by resolution, or dissolved. The Cure is by dry and hot means; and if it The Cure. is from a Cachexy or want of Terms, they must first be removed: then use Topics that discuss, and ●●solv●, and strengthen, let them be but temperately hot, lest you discuss the thin, and leave the thick, which will cause a Scirrhus. Make therefore Fomentations of a Lixivium of Vine and Colewort ashes, and Sulphur, or a Decoction of Hyssop, Sage, Organ, Chamomil-flowers. Then anoint with Oil of Chamomil, Lilies, Bays. Or, Take Barley flour four oun●●●, of Lineseeds, Faenugreek, Dill, Chamomil flo●●●s, each half an ounce; A●thaea root● an ounce, with Oil of Chamomil and Dill make a Cataplasm. Chap. 5. Of the Scirrhus of the Breasts. IT is a hard tumour without pain, from melancholy gathered in the veins that flows to the Breast; or it is thick phlegm dried. Sometimes both humours are mixed together, or more, which makes a bastard Scirrhus. And if burnt humours abound most, it turns to a Cancer: and if melancholy be most, it is not a Scirrhus, but a Cancer. There are two signs of a true Scirrhus, hardness The Signs. and want of pain, if it be fixed. I● is sometimes white, sometimes black or blue, as the humour is. If it be a bastard Scirrhus, there is heat and pain; and if they increase, it turns to a Cancer, and the veins grow blue about, and begin to swell. The bigger and the harder it is, the more hard The Prognostic. it is to be cured. If hairs grow upon a Scirrhus, it is incurable, and it easily turns to a Cancer. After Universals, and the Cause is removed The Cure. from the womb, or the whole body, let the containing cause be softened, made thin, and discussed. But beware of two things. First, that the thin parts be not discussed by too hot medicines, and the thick left, for so it will be incurable, and as hard as a stone. Secondly, that you ●erment not the matter by moistening Emollients, so that it turn to a Cancer. The Ancients either used none, or a drying or a moistening Medicine only. You must either use Moistners and Emollients with Digesters by turns, or mixed. Instil l. 50. p●. 1. ●●c. 1. c. 6. ●oment with the Decoction of Mallows, Alth●●●, Foenugreek and Lineseed, B●ank-ursine, and Chamomil ●lowers● Then anoint with Oil of sweet Almonds, Chamomil, Hen's grease, Veal marrow, Ointment of Alth●●a. Or apply this Cataplasm. Take Alth●ea, Mallows, Brank-ursine, Fennel tops, each a handful; boil them soft, stamp them, ad Barley and Bean flour, Linseed, powder of Althaea roots, Chamomil flowers, each an ounce. Or lay on the great Diachylon Plaster, and that of frogs. Then sprinkle Wine upon a hot stone, and let the Fume be received. And apply a Plaster of Ammoniacum dissolved in Vinegar. If it be a bastard Scirrhus● you may fear a Cancer. Then after Universals and bleeding, take away the disposition of the bowels that breeds black humours. If you fear a flux of humours, use oil of Roses, and juice of Plantain; and if there be heat, stir them first in a Leaden mortar, till they change their colour, then add Ceruse, lethargy, each three ounces, with Wax make an Ointment. Chap. 6. Of the Glandles or Kernels in the Breasts being swollen, or of the Scrofula and Struma in the Breast. CElsus saith the Struma and Scrofula in the Breast, are rare. It is from a thick humour, phlegm or melancholy. The Causes Struma is with pain sometimes, and and is like a Cancer, or seems to turn to a Cancer, but continues many years at a s●and● But let the cause 〈◊〉 ●at it will, it ●omes f●om stoppage or disorder of the terms, by reason of the great consent of the womb with the Breast. The Glandles or Kernels are to be felt, though The Signs. not before, there is one great unmoveable tuumor, and the rest are small. It is hard to be cured for two causes: the earthiness The Prognostic. of the matter, and the deep lying of it. They which are near the skin, are easily dissolved. After purging and bleeding, use Emollients The Cure. and Discussers that are strong, as in Scirrhus. Take Orris roots three ounces, boil them in Oxymel, stamp them, add Turpentine, Ointment of Althaea, each three ounces; Mucilage of Faenugreek seed an ounce. Or, Take roots of Althaea two ounces, Briony-roots an ounce, Orris roots half an ounce: boil them soft in white Wine, stamp them, add Ammoniacum dissolved in Vinegar, and Bdellium dissolved in Wine each an ounce; with Pitch and Wax make a Plaster. If it cannot be discussed, suppurate or cut it, but this is troublesome and dangerous. Chap. 7. Of the Cancer of the Breasts. HIppocrates saith, That an occult Cancer is better 6. Aphor. 38. not cured then cured ● for if cured, they presently die, but if not, they live long. Many women have lived long with good order of diet having a 〈◊〉 3. obs 87. Cancer, as if they had no disease, so saith W●lliam Fabricius, and that if the Cancer be not ulcerated, they may live forty years without pain: and if you lay on Emol●ients and Suppuraters, they die in half a year. The Breasts are spongy and loose, and therefore The Causes Cancers breed often there, but the Cause is from the womb, when they are of a hot and dry constitution with burnt blood, and when the terms st●p, and then the humours fly to the womb and and m●ke a Cancer, either with, or without a tu●or as●regomg. A Cancer that ●r●seth of itself, is hard to be The Signs. discerned at first: for it is like a little tubercle no bigger than a pease, and grows up by degrees, and spreads out roots with veins about it. And when the skin is eaten through, it is a stinking ulcer, and the lips are hard, and the matter black. It is hard or never cured, because the black humour The Prognostic. that causeth it, is very troublesome, and hath a peculiar malignity, which is fermented, and made worse with Emollients and Suppuraters, which loosen the vessels, and dilate them, so that the humour flows easier to the part, and the corrupt humours get easier to the parts adjacent, and infect them. A Cancer not ulcerated, is to be let alone, by The Cure. the counsel of Hypocrates. But let blood, and purge melancholy often. But use no Topics that may rot or provoke the part, but things that by experience take away pain; as Nightshade-water, Snails boiled and Frogs in Oil and with ashes of Frogs made into an Ointment, or Medicines of Lead. As, Take Oil of Roses two ounces, juice of Nightshade berries an ounce and half, Ceruse washed, Sugar of Lead, each a dram; Pompholygos half an ●unce, mix them in a Leaden mortar, till they a●e thick. Or use Craysi●h ashes, and the ashes of the inward ward rind of an Ash-tree, or Herb Robert. Lib. 2. de cur. vulgar. c. 3. Cent. 3. obs. 87. Arcaeus teacheth how to cut them out, and then burn the part, if they be deep and ulcerated. But Fabri●ius shows that you must burn after to consume the relics, and stop the blood: after it is cleansed; Take Herb Robert, Verbascum or Moulin, Scabious, Caprifolium, or Honeysuckles, Di●●, Man's grease, each equal parts: burn them, take three ounces, and with six ounces of Nightshade water in ● Leaden mortar mix them. After cutting out the root, purge melancholy often, and provoke terms or Haemorrhoids, lest it return. Give Treacle, Mithridate● with juice of Bo●age, Sorrel, Craysish broth, and Ass' milk. This Water is good against all Cancers. Take Moulin roots, Clowns all-heal, each two ounces; Ant. Cha●maet●us. Dropwort, Ceterach, Herb Robert, Agrimony, Tormentil, Scabious, Avens, Fl●xweed, each a handful; Nettle seed three drams, Elder and Rosemary-flowers, each a pugil; boil and sweeten it with Sugar. Foment, and wa●h the Cancer with one part of it, and let the dregs be applied as a Pultis. Fuchsius his blessed Powder. Take white Arsenic that shineth not like glass an ounce, powder it; pour Aqua vi●ae upon it, and pour it off, add fresh Aqua vitae every third day for fifteen days. Then Take roots of great Dragons gathered in July or August, sliced and dried in the wind, two ounces. Thirdly, ●ake bright clear Soot of the Chimney three drams, make a Powder. Keep it close ●●opt in a glass, the older the better, use it not till after a year. For a palliative Cure, keep it from increasing, and take away pain with this Wate● Take Scr●phularia roots and Herb Robert, each a handful; Lambs-tongue, Nightshade, Bugloss, Borage● Purslane, E●ebright, ●●ttony, each half a handful; a F●og, and two whites of Eggs, with Quince seeds and Faenugreek● each an ounce; Rose and Eyebright●ater, each a pint; distil them in a Leaden still. Use not Cancers as other ulcers, for Emolli●nt●, Lib. 6. c. 30. Healers and Drawers exasperated and kill wi●● gre●t pain. Chap. 8. Of Ulcers and Fistulaes' of the Breasts. AFter Universals, dry up the milk, and if the Breasts hang down, bind them up, that the humours flow not down, and move not the arm on that side. Then cleanse it with the Docoction of Rhapontick, Zedoary and Agrimony. Heal thus: Take strong W●●e six quarts, Rhois Obsonior●m, Cypress-nuts, each four ounces; green Galls two ounces: boil them to the consistence of Honey. If you fear a Fistula, enlarge the orisice, and take away the Callus, and heal it as an ordinary ulcer. Chap. 9 Of straitness of the passages of the Breasts. When the veins and arteries are not wide enough to contain blood to be turned, there is no milk. They are stopped by thick humours, as the vessels The Causes of the womb are, the cause is the stoppage of the terms, or hard tumours in the Breasts that stop or press. When the nipple hath no hole for the child to suck, it is from the birth, or a wound or ●●ar after an ulcer. The Signs. There is little milk, and the Breasts pine. If the Breasts swell, and milk cannot be sucked out, the fault is in the paps, or the veins of milk. The Prognostic. An obstruction from gross humours may be cured. If it be from a Scirrhus or Scarborow after an ulcer, it is incurable, and so is the nipple born without a hole. The Cure. If it be from thick 〈◊〉 or blood, atten●ate it with proper things, as Fennel, Dill, P●rsley, Aniseeds, Pease, Rocke● feed, or Earthworms made into Cataplasms o● Fomentations. Often rubbing of the Breasts, opens the milk-ve●s. Chap. 10. Of strange things bred in the Breasts. Hair's, stones and worms have been found in the Breasts. A worm breeds from putrid blood, and is like a hair; the same may be in the ●ald. Rons●eus miscel● 〈◊〉 10. Lib. de occult. na. mira. c. 12. back and navel, as I showed. And a good Author writes● that a woman pained in her breasts, could not ●e e●●ed till im●osthu●nes broke, and wor●s c●me forth. Levinus Lemnius ●●w stones that grew in the Breast. Chap. 11. Of the Diseases of the Nipples. THey are either wan●in●, or lie hid one or both● which hinders giving suck. If it be from the birth, it is searce cured; as also when the Nipple is eaten off by an ulcer. When they come forth first, use a sucking instrument, Amatus Lusit. curmed. cens. 5. cur. 31. and then apply Puppy-dogs to suck. If there be no hole from birth, or ulcer healed, it is incurable: i● it be a little, often sucking will enlarge it. The clefts in the Nipples is an usual evil, and causeth great pain in Nurses; and if it continue long, it turns to foul ulcers, and they cannot give ●●ck. To prevent this evil, in the two last months of being with child, wear two cups of wax over the Nipples with a little Rosin. They are cured thus with Oil of Wax, Mir●les, Ointment of Lead, Tutty. Or, Take Tutty prepare● a scruple, Alum ●alf a dram, Camp●●ire six grains, with Capon's grease and Ointment of R●●●s, make an Ointment. Or, Take Pomatum an ounce and half, Mastich a ●●●uple, powder of Gum ●r●ganth and red Roses, ●●ch half a scruple. Or, Take Ointment of Lead, Pomatum, each half an ●●nce; Frankincense, Bole, each half a scruple: mix them. When the in●ant is to suck, wash the Breasts ●●rst with whit● Wine and Rose-water. That the child may suck without pain to the ●oman, let her have a Tin or ●●lver Nipple, and ●●ver it with the pap of a new killed Cow, and let the child suck that. THE FOURTH BOOK. THE THIRD PART. THE SECOND SECTION. Of the Symptoms of the Breasts. Chap. 1. Of want of Milk, and not giving of suck. THERE are many C●uses of want of milk, either there is little blood to breed it, or the milk making faculty in the breast that makes milk, is not right, or the instruments for blood-making are distempered. Sometimes the matter is consumed by a s●aver or fasting, when they loath meat, or from care or labour, evacuations, sweats, or loose belly. Or from weakness of the infant that cannot draw hard. Also sadness, fear, and the like, may hinder blood from flowing to the breasts. Milk is wanting when the breasts are flaggie, The Signs. and swell not, and little milk is sucked out. The signs of the causes, thus If it be from the liver, there will be signs of its distemper: if from great eva●uation, that is known: the fault is known to be in the breasts, if as oft as they lie in, they have no milk and the breasts are ●●●al and wrinkled; or if Medicines to keep down the breasts, have been applied, she will tell you: or if it be from weakness of the child or passions of mind. The inconvenience is little to the Nurse, but The Prognostic. great to the child; therefore get another Nurse, or ●ure her. To breed milk, give t●●ngs that breed much The Cure. and good blood, of easy concoction. Medicines to b●eed milk, are Fennel roots and all green, and thin●s that heat, and are not very dry, which a●e few, but infinite are they that hinder milk, as things hot and dry, and cold things. These increase milk, roots of Smallage, seeds of Parsley, Dill, Basil, Anise, Rocket, Earthworms washed in juice of Fennel and dried, or burnt in a Ans. Boetius delap. & gem. l. 2. c. 229. pot a dram, or two fasting for some mornings, or Cr●st●l or Milk-stone a dram. Compounds are: Take green Fennel, Parsley, each a handful; Barley two pugils, red Pease half an ounce: boil them, and with Sugar swee●en them, or in Chicken broth. Or, Take green Fennel six drams, Barley two pugils, boil them in broth, and strain them. Or, Take Fennel seed six drams, Anise a dram and half, Rocket seed half a dram: give a dram or two in Broth. Or, Take Cows Udder sliced, dry it in an Oven, and powder it. Take half a pound of it, Anise, Fennel seed, each an ounce; Cummin seed two ounces, Sugar four ounces, make a Powder. Hot Fomentations open the breast, and attract blood, as the Decoction of Fennel, Smallage, or stamped Mints applied. Or, Take Fennel and Parsley green, each a handful; boil and stamp them, a●●arley meal half an ounce, Gith seed a dram, Storax calamity two drams, Oil of Lilies two ounces, make a Pultis. A Dropax and Synapisme, or Plaster of Mustard, are good if often changed. Chap. 2. Of too much Milk. THis is when much blood flows to the breasts, and the mother will not give suck, or weans the child, for the infant cannot suck it as fast as it breeds, when there is much blood, and good breasts that can make Milk. If Milk be kept, and cannot be sucked out by The Prognostic. the child, there are swellings, inflammations, Arist. 7. de hist. ani. c. 12. pains, curdlings, and corruption. Children that suck much, if they be full bodied, have a Convulsion. The fi●st coming of Milk is not to be stopped, The Cure. but when there is more than the child can suck, it is abated with a slender diet of little nourishment, as Barley, Potherbs water. By letting blood, or cupping, or by Repellers to the veins under the arms, above the breasts. Mints, Calamints, Smallage, Agnus castus, Coriander, Hemlock: to abate Milk, Mints and Smallage are doubted. Compounds. Take Smallage, Mints, Mallows, Mercur. Plat. Dioscor. dissentiunt. each a handful; Faenugre●k, Cummin seed, each half an ounce; Chamo●il, Melilot flowers, each a pugil; boil them, and foment, add a little Wine, or make a Pultis of them with Bean flour and Oxymel. Or, Take Cummin seed, boil i● in Vinegar, and with a Sponge foment. They which will not give suck, let them foment with this Decoction. Take Mallows, ●ays, Fennel, Smallage, Parsley, Mints, each half a handful; anoint after with Oil Ompha●ine. Then Take Turpentine washed with Wine and Rose-water three ●unces, Eggs two or three, Saffron a scruple, with Wax make a Plaster, with a hole in the middle, repeat it always before Supper. If you fear inflammation by too great a flux of Milk, repel with a Cataplasin of Lettuce, Wa●e●lillies, Poppies, Housl●●k. Or, Take Turpentine washed with Mint water three ounces, Cummin seed, Orris, Mints, each half an ounce; Saffron ●s●r●ple, with Wax make a Cerot. Chap. 3. Of Curdling, and other faults in the Milk. IF it stay long in the breasts, the thin evapo●●tes, and the thick remains, and hardens the ke●nels; hen●e are hard ●●●ors, because the ●●eesie part of the Mi●k is apt to harden. Sometimes Milk is too thi●k or too thin, sharp, ●alt, ●he 〈◊〉 The tumour from Milk curdled, is known by The Signs. the plenty of Milk retained that make clefts, and pain, and little tumours. If curdled Milk be long in the breasts, it easily The Prognostic. turns to an imposthume and inflammation. To hinder curdling. Take powder of Mints, The Cure. Coriander seed, each two ounces; Oil of Dill an ounce, with Wax make a Lineament. Or, Take Oil of Mints, Chamomil, Dill, Rue, each an ounce. To dissolve curdled Milk; Take Fennel root●, Eryngus, each an ounce; Mints a handful, green Fennel half a handful, Aniseed a dram: boil them to a pint, add Syrup of the two Roots and Oxymel, each two ounces. Foment with the Decoction of Fennel, Dill, Southernwood, Chamomil, Melilot flowers, Fenugreek, Lineseed, Parsley seed, Smallage, or stamp them, or Mints with Butter, and apply it. If it be hard, Take Mints, Coleworts, Bran, each a handful: boil them in Vinegar, and apply them. Or, Take juice of Smallage, Dill, Coleworts, each a handful: boil the● soft, and bruise them, ad powder of Myrrh, Orris, each two drams; Saffron a dram, Oil of Rue an ounce, Vinegar an ounce and half, make a Pul●is. Chap. 4. Of Milk coming forth at wrong places. MIlk hath been known to come forth with 〈◊〉 observe 〈◊〉 apellae. 〈◊〉 L●●r. 〈◊〉 l. 7. 11. the urine, or by the womb, by which passage is the doubt; the short way is from th● breast veins to the Epigastrick veins, from the Epigastrick to the Hypogastrick, and so to th● womb, rather than from the Pap-veins to the breast-veins, and so to the Hypogastrick, and so to the Womb. Chap. 5. Of strange thing coming forth of the Breasts. Sometimes matter comes forth of the Nipples Schenkius lib. 2. ex obs●rva●. Bauhini. Amat. Lusit. ●ent. 2. cur. 21. when they have long ulcers, and a●ter the ulcer is healed, it ceaseth. Sometimes the terms have come forth of the breasts at set Periods, of which Hypocrates; When blood comes forth at the Nipples, there is madness. Amatus Lusitanus knew two Noble women that were so, and not mad. And Hypocrates doth not speak of the Terms, but of other blood that is hot, and flies to the hot, and causeth madness, and part of it goes to the breast, and causeth pain and inflammation, whi●h shows madness at hand. It is cured by opening the Saphena in the foot The Cure. to ●evel the blood. Chap. 6. Of the change of colour inthe Nipples, and pain of the Breasts. THe change of colour in the Nipples, is not a sign of the loss of Virginity, for they are blue in them that give suck; bla●● in old women; and in them that have k●own Venery, it is natural, and red a● a Strawberry. Now because ther● i● a great consent between the womb and breasts, if the womb 〈◊〉 ●i●●emp●red, the ●ipples a●● 〈◊〉 The pain in the breasts, is from stretching by much milk, and inflammation: or from corrosion and twitching, from sharp matter, as in the Cancer and other Ulcers. The cause of the pain is known from the distemper. If it be from much milk, it is a gentle pain. If from inflammation, it is stronger. If from a Cancer, it is very great. How these pains are cured, is showed in thei● Chapters. A TRACTATE Of the Cure of Infants. THE FIRST PART. Of the Diet and Government of Infants. Chap. 1. Of the choice of the Nurse. THE blood that nourished the child in the womb, is turned into milk to nourish him after he is born, because he can eat no solid meats. And because from weakness or a disease, the mother sometimes cannot suckle her child, she must have a Nurse of good habit of body, and red complexion, which is the sign of the best temper; and let her not differ much from the temper of the mother, unless it be for the better: let her be between twenty and thi●ty, well b●ed, and peaceable, not angry, melancholy, or soolish, not lecherous, nor a drunkard. Let it not be after her first child, and let not her milk be too old or too new● o● ten months old at the most. Let her breasts be well fashioned with go●d Nipples, that the child may take them with pleasure. Let her keep a good diet, and abstain from hard wine and copulation, and passions: these chiefly trouble the milk, and bring diseases upon the child. If there be a bad humour from high ●eeding in the Nurse, let her take a gentle Purge when she gives not suck, except the child be to be purged by the same. Question. Whether is an Infant better nourished by the Mother or by a Nurse? Some say by a Nurse: others say the Mother's milk is more like the nourishment it had in the womb, which is best, except she have a disease. For he that gave her strength to conceive, travel, and bring forth, will give her strength to play the Nurse, though she be weak. And honest women will be very obedient to directions, for the good Lib. 12. c. 1. of the child they love so dea●ly: of which P●a●●rinus. Chap. 2. Of the Conditions of good Milk. IT must be neither too thick nor too thin, for too thick cannot be concocted, and the thin argues crudities. If it be dropped upon the nail, or a glass, and falls not easily off as water; if it sti●k too fast, it is too thi●k. Let the colour be whi●e, the more it differs from that, the worse it is. Let it be sweet, not four, ●alt, or bitter, or 〈◊〉 Let i● neither smell burnt or so●, for than it will easily corrupt in the stomach of the child. Chap. 3. Of curing the faults in Milk. THe usual fault, is when it i● too thi● by reason of plenty of S●rum in the blood● this nourisheth little: and mak●s lean ●hild●●n that shall into a Diarrhaea or Belly flux. If it be too sharp, th●y are scabby. Give hot and dry things, let bread be well baked The Cure. with Anise and Fennel seed, roast the meat, and give Rice and sweet Almonds: avoid Fish, Salads, Summer-fruits, much Bro●h, use of●en exercise, and purge Serum or Whey, with Sy●●p of Roses, and Mechoacan, or R●ubarb, if i● 〈◊〉 hot or choleric. If ●●ro●s humours come from the distemper of the Liver, amend that, and let cold and mo●●● 〈◊〉 be am●nded with things hot and d●y. Of thick Milk. It is from gross diet and drink, or from a hot and dry distemper in the breasts, that burns up the thin blood. Give flesh of good juice, and easy concoction, The Cure. as Chickens, Kid, Veal, abstain from gross food; use moistners and attenuaters, and if there be thick humours with the blood, let them be evacuated. Of the sharpness, ill taste, scent and colour of the Milk. There are divers tastes, scents and colours in milk from variety of diet. Therefore let a Nurse take heed of fried Onions, and all four, salt and spiced meats: and let her eat Salads and Rhadishes, and the like. Let her not be passionate. Milk also is sometimes fault, sharp, choleric, and melancholic. This breeds dangerous diseases, as wring in the belly, flux, watching, leanness, trush, and falling-sickness. Correct the blood, and keep a good diet, beware The Cure. of things that corrupt the milk, as sharp, ●alt things: avoid anger, and other passions, and Venery. Good Wine moderately, taken by such as have used it, takes away the ill scent from milk. If these will not do, purge the Cacochymy or evil ●uyces, with Medicines proper for the humours offending. Chap. 4. Of the Diet and Government of newborn Children. THe best colour in a newborn child, is redness all over the body, that changeth by degrees to a Rose-colour; they who are white, are sickly, and short lived. It must cry clear and loud, which shows the strength of the breast. Observe all the parts, and ●igure, and passages diligently: let the Midwise handle it gently. Roul it up with soft clothes, and lay it in a cradle, and wash it first with warm wine; give it a little honey before it sucks, or a little Oil of sweet Almonds newly drawn, that if there be any filth contracted in the stomach from the womb it may be cleansed, for there is a black matter yellowish in the guts, which if not voided, will cause an Epilepsy. Keep it from cold air, and not too hot; nor in too great light, set not a candle behind it at the head, nor let it see the Sun● lest it be squint-eyed. Let it not be frighted, nor left alone sleeping or waking, lest it receive hurt. Let it sleep long, carried in the arms often, and give it the dug, but ●ill not too much his stomach with milk. After four months, ●oos●n the arms, but not the belly, and breast, and ●eet, but keep them rolled from cold above a year. Let it be often cleansed from the excrements of the belly and bladder, lest they cause itching, o● pain, or excoriation. A little crying empties the brain, and 〈◊〉 the lungs, and sti●s up natur●l 〈…〉 it not cry too much, for to prevent Catarrhs and Ruptures● but it do●h least hurt● before sucking, and a●te●●onco●tion. Th●●i●st months, let it only suck as often as it will, ●o the stomach be not over charged. Give it change of breasts, sometimes the right sometimes the le●t. Afterwards make Pap of Barley bread ●●e●pt in water, and boiled in Milk. Let strong children have it betimes, and not suck an hou● after, thus it must be nourished till it breeds teeth. Chap. 5. Of the Diet of an Infant from breeding of Teeth, till it be weaned. WHen the teeth come forth, by degrees give it more solid food, and deny it ●ot milk, such as are easily chewed. When it is stronger, let it not stand too soon, but be held by the Nurse, or put into a go-chair, that it may thrust forward itself, and not fall. In places where bathing of children is used, 〈◊〉 it be washed twice a week, f●om the seventh ●●nth, till it be we●ned. Chap. 6. Of Weaning of Children. W●●n it n●t till the teeth are bred, l●●t when 〈…〉 ●●●th, it ●●use fevers, and 〈…〉 ●nd ●ther Symptoms. The 〈◊〉 ch●ld ●n mu●t be sooner weaned 〈…〉 som● in the twel●●h, some in the 〈…〉 I● is good to ●ean them a● a year and half, or two years old, but give it not suddenly strange food, but bring it to it by degrees while it sucks. It is best to wean in the Spring or Fall, in the increase of the Moon, and give but very little Wine. Chap. 7. Of children's Diet after Weaning. FOr seven years the diet must be such as nourisheth and causeth growth, for Hypocrates 1. Aphor. 13. ●aith, They cannot endure to fast, especially if they be witty. Keep them from passions, sorrow, and fear, and cocker them not, but keep them to reason. Let them play to temper the affection, but so as not to hurt the body. THE SECOND PART. Of Diseases and Symptoms of Children. Chap. 1. Of Infant's Diseases in General. HIPPOCRATES divides their 3. Aphor. 24. diseases according to their age●; In new born children there are alcers in the mouth, vomiting, coughs, watchings, fears, inflammation of the navel, moistness of ears. At Apho. 25. breeding of teeth the gums itch, and there are Fevers and Convulsions, and a loose belly when they Apho. 26. breed the eye-teeths. When they are older, the Ton●●●s art inflamed, the Vertebre in the neck are lu●a●ed inwardly: they breathe short, they have the stone, or round worms, or Ascarides, Warts, Satyrism or standing Yards, Strangury, Struma's, and other Sw●llings. They have other diseases at other times, as Measles, small Pox, the ligament of the ●ongue ●s tooshort, ●hasing. In the Cure, use not strong Remedies, nor bleeding, not purging, but Suppositories and Clysters As, Take Violet leaves, Mallows, each a handful; flowers of Chamomil and Violets each a pugil: boil them, to four or five ounces strained, ad Syrup of Roses half an ounce, or six drams, Oil of Violets half an ounce, make a Clyster. If it need other Physic, give it to the Nurse, for the purging ●orce is sent to the milk, as Hypocrates 6. Epid. c. 6. ●aith, If a Woman take Elaterium or wild Cucumbers, the Child is purged; but you must not give these to the Nurse, but gentle things will purge the in●ant, if the Nurse take them. Chap. 2. Of Fevers in Children, Measles, and small Pox. THey a●e subject to all sorts of Fevers, but they have chiefly a Fever from milk which putri●ies, and turns to choler, and inflames the humours. And when the teeth break forth, the gums are inflamed, they have watching and itching p●in in the mouth, and then fevers. When fevers come from corrupt milk, they The Signs. expel no teeth, and there are signs of corrupt milk● bellyach, many stools yellow and green. A ●eaver from breeding of teeth, hath its proper sig●s. These fevers cease when the cause is removed, The Prognostic. but if corrupt milk last long, it is dangerous. A ●eaver from corrupt milk is commonly from The Cure. choler; therefore give cold moist things to the Nurse, as Lettuce, Endive, Emulsions of the four great cold Seeds, Barley cream. Give no Wine while the child is in a fever. Purge the Nurse gently, with Manna, Cassia, Lenitive Electuary, and Syrup of Roses. Give Alterers to the insant, as Syrup of Violets, Sorrel, Citrons, Succory, Endive water, and of Violet with Sugar. Anoint the Backbone with Mucilage of Quin●●s, fleabane, with Oil of Violets and a little Wax, lay Astringents to the Stomach. As, Take Oil of Roses, Mastich, each half an ounce; red Sanders, Coral, each a scruple; with Wax mix it. If the fever come from breeding of it, abate the pain, and give the Alterers, of which Chap. 14. of Bleeding of Teeth. Of Measles and small Pox. There are Epidemical fevers at certain times Lib. 4 de ●ebr. c. 12. that cast out Measles and small Pox, of whic● before. The cause is not only from the impurity of the terms, but from the malignity of the air, for they are more or less, as the air is purer or impurer. Sometimes it is infectious, and the humours are so corrupt, that worms breed under the scabs and corrode the bones and internal parts, as hath been seen in bodies opened, dead of this disease. If the disease be very infectious, before there is a ●eaver, it is good to preserve by change of air and Antidotes, when many die of it, but when few die, it is not amiss to let them alone, lea●● they have it in a more dangerous time, for most will have it: only give a gentle Purge, and ●ortifie Nature, that she may better expel them. If there be a ●eaver, use no more Preservatives, ●ut labour to get them forth by Medicines mentioned, and defend the eyes and throat, and ●●event deformity, of which before. Chap. 3. Of the Milky Scab, Achores, and Favi. THe milky Scab is at the first sucking, the Acho●es are after. The Achores are scabs not white, and the white scab is not only in the face, but all over the body. The Achores are only in the head, but they are cured alike. They are all ulcers chiefly in the head, with hol●s that run with matter constantly. They come from excrementitious humours, waterish The Causes and sharp, mixed of thick and thin, very 1. De come. po. med. sec. lo. c. 8. ●alt. Therefore they are sometimes yellow, or white, or red, or black, but always salt, and bi●ing and itching, that makes them scratch. They are gathered in the womb, and from corruption of the milk. The Vulgar think they are healthful, when The Prognostic. they run, because Nature sends them forth, and if they strike in, they cause diseases and Epilepsies. Hipp. lib. de sacro morbo. They cure in time ●f themselves, but if the matter be very bad, it pierceth the skull. Dry these not rashly, so they disfigure not the The Cure. ●●c●, nor hurt the eyes. But drive them forth with scabious C●rduus water and Cordials. Use no Coolers nor Astringents, lest the matter be stroke in. Let the Nurse forbear salt and sharp, ●nd spiced things, and strong Wine. Pepare the humours with Borage, S●●●ory, Bugloss, Fumitory, Hops, Polypody and Dock roots. Then purge with Senna, Polypody, Epithymum, Rhubarb, and strengthen th● Bowels. As, Take Conserve of Borage, Bugloss, Violets, Fumitory, Succory, each an ounce; Succory roots, and Citrons candied, each half an ounce; Diarrhodon, Diamargartion ●rigid, Hartshorn, each a scruple; with 〈◊〉 o●● G●●●i-●●o●●rs mak● an Electuary. Let the Nurse take every day two drams. Or, Take To Conquer all Infirmities Study my Sennertus, Platerus, Riverius, Bartholinus and R●olanus, of the last Editions. Hartshorn prepared two drams, Magistery of Coral a dram, Diamargariton frigid half a dram: give half a dram, or a dram of this Powder. Let the child be purged with Manna or Raisins laxative. If you fear great putrefaction under the scabs, and that will turn to a scald head, or eat the skull; wash the head with Decoction of Mallows, Barley, Celandine, Wormwood, or with Althaea-roots boiled in Boy's urine, and Barley water. And then anoint with Oil of Roses, bitter Almonds, and a little lethargy. Or, Take ashes of Myrtles and Nut shells, each a dram; Tutty a dram and half, Butter washed with Rose-water an ounce. Or, Take juice of Beets, Celandine, each an ounce; Hogs grease two ounces, Sulphur a dram. Or, Take Ceruse, lethargy, each two drams; Pomegranate flowers and Agarick, e●ch a dram; with Oil of Roses and Vinegar, make an Ointment: or wash with Soap, and then with the Decoction. When the skull is bare, use Honey of Roses and Spirit of Wine, and after round Birthwort, and Balsam of Peru, and Turpentine with Tobacco water. Chap. 4. Of a scald Head. IF Achores or Favi last long, or are ill cured. They turn to a Scald, which is a scabby ulcer that corrodes the skin, and stinks; it is called Tin●a or Moth which eats garments● as this doth the flesh, Achores are moist ulcers in the head and body, Tinea is a dry ulcer in the head only. The immediate cause is a salt and sharp humour, The Causes melancholic from the mother's blood, or bad milk, it infecteth others, by the clouts or caps. Some are like a bran or scurf with scales, The Differences. some are slimy, and when the scab is off, there appears red quick nobs of flesh, like the insides of sigs, some are malignant, some not, some new, some old. There are dry scabs in the head, yellow or ash The Signs. coloured, that run little, and that which is voided stinketh. It is hard to be cured. If it be new, or the The Prognostic. matter yellow, or the like it is easier. An old Scald ashcoloured and black is stubborn: a●t●r cure the hair will scarce grow there again, because the skin is so hard; if it will not grow red after rubbing, there is no hopes of hair coming again. First take off the Scab with ●lensers a little The Cure. sharp, and because the humours make the skin dry and thick, moisten with Hog's grease upon Beet or Colewort leaves. Or, Take juice of Fumitory, Coleworts, Docks, Elicamp●ne, each an ●unce and half; Litharge half an ounce, with Hog's grease, oil of Rue, and Wax, make a sof● Oymment. When the Child is of age and strong, make first universal evacuation with Senna, Rhubarb, Agarick, then take off the Scab with Sulphur two drams, Mustard half a drain, Stavisacre, Briony roots, each a dram; Vinegar an ounce, Turpentine half an ounce, and Bears grease. Or beat Watercresses with Hogs grease and apply it, the scab will fall off in twenty four hours, continue it. After the scab is off, pull the hair out by the roots, with instruments or medicines; commonly they use a pitched cap, and pull it off violently which brings away the hair. Or, Take Starch or Wheat flour two ounces, Rosin half an ounce, boil it in water for a Pultis, lay it upon the several Scalds and let it stick some days, then pluck it off suddenly. Then use Emollients that correct the dry distemper. Also use things to take the excrements out that lie deep in the skin. As, Take roots of Althaea, Docks, Lilies, each an ounce; Mallows, Fumitory, Sage, each two handful; boil them in Li●, add Vinegar, wash the head with it every day Then● Take Ostratium, Sulphur, each half an ounce; oil of Eggs an ounce with Hog's grease. After that Take Briony and Dock roots, and Elicampan● roots, each an ounce; Fumitory, Celandine, Scabious, each two handful; Chamomil and Balm, each a handful; boil them in Lie and wash the head twice a day therewith● or foment it, then rub the head with a course cloth, or with oil of Staphesacre, or of Radish till it grow red: to draw out the bad humours that lie deep. Then use Tarr and Wax for a Cerot. Or● Take Salt-peter an ounce, Oxymel an ounce and half. Or, Take quick Brimstone an ounce, whi●● Hellebore, Staphisacre, each two drams, with Hog's grease. It is not safe to use Arsenic, or Orpiment, or Mercury, or other poisons that corro●e because it is so near the brain. Chap. 5. Of Ptiriasis or breeding of Lice. LIce are creatures which breed in clothes that are constantly worn, but they are chiefly in children from the excrements of the head. All say, that filth and nastiness alone is the cause of louse, but I think not so, for filth alone cannot do it without heat, for besides the first qualities there is a hidden force in the matter by which it is disposed to produce a particular species; for fleas and worms will not breed of that matter which breeds louse, so it is in Plants. Heat is the helping cause which raiseth the seminal force, and brings it into act, and though the matter be putrid it doth not wo●k upon it, but as it is somewhat natural. Excrements are not presently putrid, but there is in them a heat that can raise forming force, and though there is some putrefaction, yet is it not so great as to hinder the action, hence it is that children and women that are hot and moist have many excrements that are fit to breed louse. Some meats breed lice, as Figs by their fat Gal oriba. Ausc. juice which doth naturally tend to the skin, and varieties of meats, and not cleansing nor combeing The pl●ce where lice breed in children is the skin of the head, where they stick fast with the hair, especially if there be scabs. The Signs are needless, they are manifest. The Signs. It is a filthy troublesome disease, many have The Prognostic. them ●reed all over the body, and some have died by them. Sometimes the lice leave them when they are about to die. To prevent breeding lice, let children eat no food of evil juice, especially Figs, let the head be often combed and washed, and the matter purged that breeds them, with hot dry thin medicines, that draw the matter out and consume superfluous moisture. The Cure. Take heed of Mercury and Arsenic in children but make this Lotion Take round Birthwort, Lupins, Pine and Cypress leaves, each equal parts; boil them. Or, Take Elicampane roots two ounces, Briony half an ounce, Beets, Mercury, Soap-wort, each a handful; Lupins a dram, Niter half an ounce, boil them for a Lotion. then use this ointment. Take powder of Staphisacre three drams, of Lupins half an ounce, Agarick two drams, quick Sulphur a dram and half, Ox gall half an ounce with ●yl of Wormwood: there are stronger, as white Hellebore and Mecrury, which are not safe. Chap. 6. Of Hydrocephalus or swelling of the Head. WE spoke of this in the water without the Skull: but Hydrocephalus is from water gathered within the skull or in the ventricle● of the brain, as when the child's head in the womb hangs down, or when the brain is ver● moist. The Signs. A tumour from water contained in the brain is less and harder than when it is out of the skull. The Prognostic. It is harder to be cured then when it is gathered without the skull, and is often deadly. The Cure. There are many medicines mentioned that are good here, to be used outwardly, and to the nose and ears. As, Take Snails in their shells thirty, Margerum, Mugwort, each a handful; stamp, add Camphire a scruple, Saffron half a dram, with Oil of Chamomil make a Pultis. Snuff this Water often. Take Nutmeg, Cloves, C●bebs, each ● scruple; Calamus, Frankincense bark, each half ● dram; Marjoram water three ounces, drop hot Oils into the ear●. If in twenty days the water be not gone, open the skull, and let out the water by degrees, and take heed of cold. The tumour of wind in the skin of the head or membranes of the brain, is seldom without water which breeds wind. Use Discussers that make thin, as Chamomil, Rue, Organ, etc. Chap. 7. Of Siriasis. IT is from Aetius, a disease with a ●eaver, or an Tetra. ●. serm. 4. c. 13. inflammation of the membrane● and the brain, so that there is a hollowness of the eyes and forehead. It is from phlegmatic blood that grows hot by The Causes putrefaction, and so becomes like choler. The remote causes are hot weather, and milk full of wind, from the evil diet of the Nurse. Such milk will make the child drunk, and cause this inflammation. Heat of the forehead, and hollowness there, The Signs. redness of face, a ●eaver, dryness, no appetite, watching. The hollowness in the forepart of the head, is where the Sagital and Coronal ●utures meet, for there the bones are membranous, and grow at last hard. It is dangerous, and counted deadly among The Prognostic. women, and as often as this bone o● membrane ●als, there is a pit, and the brain falls down, they commonly die in three days. The Cure. First, give a Clyster, of syrup of Roses or Violets, than Coolers, of the juice and water of Lettuce, Gourds, Melons; or apply a Pompion split in two. But cool not the brain too much, anoint with Oil of Roses. Or, Take Oil of Roses half an ounce, Populeon an ounce, the white of an Eglantine, and of the Emulsion of cold Seeds drawn with Rose water two drams. After the flux is stopped, and the inflammation abated, use Discussers. As, Take Oil of Chamomil an ounce and half, of Dill half an ounce, with the yolk of an Eg. Let the Nurse's diet be cooling, or the milk be changed: let it not be vexed. Chap. 8. Of Frights in the Sleep. 3. Aphor. 24. HIppocrates saith this is often; the cause is unclean vapours mixed with the animal spirits that disturb them, and present horrible objects to the fancy. They arise from the depraved concoction of the stomach, in full feeding children, that eat more than they can digest. These vapours ascend not only by the wea●and, but by the veins to the head. It comes often from wor●s also, or corrupt humours that knaw the mouth o● the stomach. T●e Signs. They groan in their sleep● and twitch, and b●ing frighted out of sleep, they cry, their breath is hot, and often s●inking. T●e 〈◊〉 ●ure it presently, for i● is the forerunner of an Epileptic. Give good Milk and le●s, th●t the stomach be The Cure. not over charged. Let it not sleep presently after food, but carry it about, till it is in the bottom of the stomach. Use Oil of sweet Almonds or Honey of Roses two spoonfuls to cleanse the stomach. Then strengthen it with Magistery of Coral, or Con●ection of Hyacinths with Milk. Or, Take Magistery of Coral a dram, Diapleres a scruple, with Sugar dissolved in Rose water an ounce m●ke Rou●s. Anoint the stomach with Oil of Nard, Wormwood, Mints, Mastic, Nutmegs. If it be from a fever, look to that. If from worm's, I shall after speak of it. Some hang Coral and Wolves teeth about the child's neck. Chap. 9 Of great Watching. A Child new born sleeps more than he wakes, because his brain is very moist, and he used to sleep in the womb. If you cannot make him sleep by singing nor rocking, no● the like, it is a disease. Are dive●s in m●n and children: in these it is The Causes from milk corrupt in the stomach, from which sharp humours arise, and disturb the animal Spirits, and infect them; and if there be sad fancies, frights ●ollow, of which before. If it cries always, and cannot by any art be The Signs. made to sleep, it is a sign of a disease of watching which is dangerous, because children use to sleep much. And hence come Catarrhs, Convulsions, Dryness and Fevers. The bad milk mus● be amended, and the corrupt The Cure. meat prevented. If it be from a fever or pain, remove them. Galen adviseth you of●en to 1. De tu●n. c. 8. change the bed and place. Sleeping Medicines are not safe, but hurt, but are rather to be given the Nurse moderately, as sweet Almonds, Lettuce, Poppy seeds. Wash the feet with Decoction of Dill tops, Chamomil flowers, Sage, Osiers, Vi●e leaves, Poppy heads. Cool not the head too much, nor use Narcoticks. These are sa●e, Oil of Dill to the temples, Oil of Roses, with Oil of Nutmegs, with Poppy seed, Breast-milk, Rose or Nightshade water with Saffron. In great dryness of the brain, let the cove●ing of the cradeles head ●e wet. Chap. 10. Of Epilepsy and Convulsion. IT is either by consent from parts below, when the milk corrupts in the stomach, or from an ill quality in it from the Nurse's bad diet, or from worms in the guts, or from vapours, from bad humours that twitch the membranes of the brain, as in the Measles and ●mall Pox. It is sometimes from the brain first, as when the humours are bred in the brain that cause it, either from the parents, or from distemper, or bad diet. It may come from toothache also, when the brain consents, and from a sudden fright. The Signs. It is manifest. You shall know by the signs of the diseases, whether it comes from bad milk, worms or teeth. If from a fright, the people will tell you. If these all are absent, it is certain that the brain is first affected. The Prognostic. It is a great disease, and kills for the most part young children. But when in older, and it comes Hipp●. 58. apho. 7. at a distance, it vanisheth by age. If it come with Pox or Measles, it ceaseth when they come forth if Nature be strong enough. Give this Powder to prevent it, to a child as The Cure. soon a● it is born. Take male Peony roots gathered in the decrease of the Moon a scruple, Magistery of Coral half a scruple, with Leafgold make a Powder. Or, Take Peony roots a dram, Peony seeds, Mis●eto of the O●k, E●kes hoof, Man's skull, Amber, each a scruple; Musk two grains, make a Powder. The Florentines burn behind in the head to Lib 3. 6. 25. dry the brain, and Celsus saith it is the last Remedy. Aegineta saith that children cannot endure 1. 3. c. 13. such cruelty, for the pain and watching Sylvatic. contro. 87. would kill them. See Sylvaticu●. The best part of the cure is in the Nurse's diet● which must not be disordered. If it be from corrupt milk, provoke vomit, thus; hold down the tongue, and put a quill dipped in sweet Almonds down the throat. If it come from worms, give things that kill worms, with Peony roots, and the like. If there be a fever, respect that also. Give Coral, Smaradgs', and Elkes hoof. In the ●it give Epileptic water, as Lavender-water, and rub with the Oil of Amber, or hang a Peony root, Elkes hoof, or Smaragd about the neck. Of a Convulsion. This is when the brain labours to cast out what troubles it. The matter is in the marrow of the ●ack, and fountain of the nerves. It is a ●●●bborn disease, and often kills. In the ●it wash the body, especially the backbone with decoction of Althaea, Lily roots, Peony, Chamomil flowers. And anoint with Man's and Goose grease, Oil of Worms, Orris, Lilies, Foxes, Turpentine, Mastic, Storax calamity. Ex Paulo Aegine●a. The Sun flower is good boiled in water, for to wash the Child. Chap. 11. Of Strabismus, or Squint-eyes. THis is when they lie in the cradle with their head from the light, or on one side, and they still look towards the light, which causeth distortion of the eyes: or it may come from the Epilepsy, or by birth. The Prognostic. If by birth, it is not curable, nor if it come from an Epilepsy. If it come from custom, and be new, it is curable. The Cure. Lib. 1. par. 3. c. 43. You must put a candle on the contrary side, or a picture, so long till the eyes come to be right. Chap. 12. Of pain in the Ears, Inflammation, Moisture, Ulcers, and Worms. OF these in the first Book. But here we shall speak of in●ants● the brain in them is very moist, and hath many excrements which Nature cannot send out at its proper passages; these get often to the ears, and cause pain, and flux of blood, with inflammation and matter with ●ain. The Signs. In children pain and inflammation are hard to be k●own, they cannot relate it, only it is k●own by constant crying, and feeling their ears, and will not let others touch them; sometimes the parts about the ears are red. It is dangerous, because it brings watching, The Prognostic. Hipp. 1. prog. ●. 16. and Epilepsy: the moisture breeds worms there, and fouls the spongy bones, and at length deafness incurable. Presently alloy the pain, but children must not The Cure. have strong remedies. Only use warm milk about the ears, Oil of Violets, or the Decoction of Poppy tops. To take away moisture, use Honey of Roses, and Aqua Mellis, to be dropped into the ears. Or, Take Virgin's Honey half an ounce, red Wine two ounces, Alum, Saffron, Saltpetre, each a dram; mix them at the fire. Or drop in Hemp seed Oil, with a little Wine. Chap. 13. Of the Thrush, Bladders in the Gums, and Inflammation of the Tonsils. THese are from bad milk, or from ●oul humours in the stomach, for the mouth is tender, and cannot endure the sharp milk, nor the vapours from the stomach, because the coat is the same as in Lib. 2. Part. 1. Cap. 18. The bladders in the gums are thus cured. Take Lentils busked, powder them, lay it upon the gum●. Or, Take Milium in flour half an ounce with O●l of Ros●s make a Linimem. The inflammation of the Tonsils is more from eleven to thirteen, for then the parts a●e harder, and hold the humours longer, and they cannot sweat out. For Cure, keep the belly 〈◊〉 b● 〈◊〉 〈…〉 26. the like; use Repellers at first, than resolver's with Repellers, and at last resolver's alone, but not too hot; in age Gargles are best: in infants anoint with Honey of Roses, Myrtles, Pomegranates, Diamoron inwardly. Outwardly use Oil of sweet Almonds, Chamomil, St. Johns-wort, Lib. 2. par. 1. cap. 22. etc. Chap. 14. Of Breeding of Teeth. THis is a necessary evil in all children, and very great by reason of the variety of symptoms joined with it. It is about the seventh month, first the foreteeth, than the eye-teeths, and last of all the grinders● First they feel an itching in their gums, than they are pierced as with a needle, and pricked by the sharp bones, whence is great pain, watching and inflammation of gums, fever, looseness and convulsions, especially when they breed their eye-teeths. First, it is known by the usual time, as the beginning The Signs. of the seventh month. Also they put their finger's in their mouths to allay pain. 3. They hold the nipple faster than before. 4. The gum is white where the tooth begins to come, and there are divers Symptoms mentioned before. The fever that follows breeding of teeth, comes from choleric humours inflamed by watching, pain and heat. The longer teeth are breeding the greater the The Prognostic. danger, so that many die of fevers or convulsions. They are best that have their belly lose: Hipp lib. ●e demitio. These have no convuision, & a fever consumes the humous. Hard breeding of teeth is from thickness of the The Cure. gums; therefore mollitie and loosen them, rub them with the finger dipped in Butter and Honey, or a Virgin Wax Candle is to be chewed upon. Or anoint with mucilage of Quinces made with Mallow water, or with the brains of a Hare. Foment the cheek with the Decoction of Althaea and Chamomil flowers, and Dill, or with juice of Mallows, and f●esh Butter. If the gu●s are inflamed, add juice of Nightshade and Lettuce. Let the Nurse keep a temperate diet inclining to cold, as Barley broths, or Watergrewel, rear Eggs, Prunes, Lettuce, Endive. Avoid sal●, sharp, biting and peppered meats, and Wine. Chap. 15. Of Losing of the Tongue, and of the Frog. WHen the tongue is tied, they cannot freely suck. This must be done by skilful Artists; or use this Lineament. Take clarified Honey, and boil it gently till it may be powdered. Then Take yolks of hard Eggs dried in a glass in an Oven, till they may be powdered, a dram, frankincense and Mastic, each a scruple; burnt Alum six grains, with Honey of Roses make a Lineament. The Frog is when the veins under the tongue, are filled with bad blood; and if phlegm sweat out, and stick in the passages, there is a tumour like Mushrooms which causeth stamering. It is cured thus: Take Cuttlebone, Sal gem, Pepper, each a dram; burnt Sponge three drams, make a Powder, or with Honey a Lineament: rub under the tongue. Lay under the chin a Plaster of goose dung and Honey boiled in Wine, till the Wine be consumed. Chap. 16. Of Catarrh, Cough and difficult Breathing. WE have spoken of these before, but Lib. 1. par. 2. c. 34. because Hypocrates reckons them in children's diseases, I shall touch upon them. The general Cause of a Catarrh in a child, is The Causes a moist brain, and much milk that burdens the stomach, from whence many vapours fill the brain; and if the brain be full of excrements, it is easily dissolved or melted, either by heat or cold, and goes to the nose, ●●ws or lungs, which cause a cough or Asthma. Moreover much food makes crudities in the first passages, and phlegmatic blood is bred of crudity and thick chyle in the liver. This is sent by the arterial vein into the lungs, and pressing the Bronchia or pipes of the lungs, causeth difficult breathing and Asthma. It is known to be from a hot humour, if it be The Signs. thin, they often neese, the face is red, and the jaws; the breath is short, and the Nurse ●inds it in her nipples. If difficulty of breathing come from the head, there will be a cough and snorting in breathing, and a noise in the lungs, when the air passeth not freely through them. If it come from the parts below, there is neither Catarrh nor cough, but hardness about the Liver, and a tumour. In children a great Catarrh with short breath The Prognostic. is hard to be cured, because they cannot take Physic. First, let it and the Nurse keep a good diet, fill The Cure. not the stomach with milk nor other diet; but let the Nurse forbear sharp, salt, peppered, ●our things, and things that fill the head with vapours. And give her a Pectoral Decoction: Take Figs, ●ujubes, each ten; Sebestens thirty, Raisins stoned ●en drams, Liquorish two drams, Maidenhair, Hyssop, Violets, each half an ounce: boil them in three pints of Water, to the consumption of the third part. Let her take six ounces every morning. Keep the belly open with Syrup of Roses, or Cassia, or a Clyster; with oil of sweet Almonds with Sugar candy, or juice of Fennel, with Milk, or hold down the tongue, and provoke Vomiting. Give Syrup of Jujubes, Maidenhair. If the matter be thick, give Syrup of Hyssop, or Horehound, or an Emulsion of oil of sweet Almonds, Pine-nuts, Scabious water. Or give a Lohoch of Diaireos, Diatragacanth frigid, Pe●idies, with Syrup of Jujubes. If it be hot give Emulsions of the ●our great cold Seeds, with Mallows, Pellitory, with Diatragacanth frigid. To dry up the matter, lay outwardly a stuph of Hemp hot, and sprinkled with powder of red Roses and Frankincense. Apply Basil and Margerum to the nose, to make it sneeses. Chap. 17. Of the Hickets. IT comes from corruption of the food in the stomach, or from milk ●illing it, or from cold 〈◊〉 these hurt the expulsive faculty, and it is ●●●rred up to expel what is hurtful. If i● come from repletion of milk, the belly The Sign● swells, and there is vomiting after. If from corruption of milk, the Nurse hath bad milk: the child cries, and is pained, and the excrements s●n●●l of stinking milk. Hi●kets is commonly not dangerous in children, The Prognostic. and cease when the cause is taken away. I● it be from a vehement cause, and goes to the nerves, there follows a Convulsion, or Epilepsy, and death. That from corruption of nourishment is cured The C●re. by vomit, with a feather dipped in Oil, to tickle the throat; then strengthen the stomach with hot things. As Syrup of Mints, Bettony, and foment it with Decoction of Mints, Organ, Wormwood; then anoint with Oil of Mints, Mastic, Dill. Or, Take Mastich an ounce, Frankincense, Dill seed, each two drams; Cummin seed a dram, with juice of Mints and Flax apply them to the stomach. There is a disease like the Hi●kets in children from anger or grief, when the Spirits are much stirred, and run from the heart to the Diaphragma forceably, and hinder or stop the breath Sometimes they have a shrill voice, the Spirits suddenly breaking forth, but when the passion ceaseth, this Symptom ceaseth. Chap. 18. Of Vomiting. IT is from too much milk or bad milk, or f●om phlegm that falls from the head to the stomach, but this is seldom in children. It is of●en from a moist loose stomach, for as dryness retains, so looseness le's go. If it be from much milk, they are better after The Signs. vomiting. If it be from corruption of milk, that which is vomited is yellow, green, or otherwise ill coloured, and stinking: worms are known by their signs. It is for the most part without danger in children, The Prognostic. and they that vomit from their birth, are the lustiest, for the stomach being not used to meat, and milk being taken too much, oftentimes crudities are easily bred, or the milk is corrupted, and it is better to vomit these up, then keep them in. If Vomiting last long, it causeth Atrophy. When it is from too much milk● give it less: The Cure. if it be from corrupt milk, amend it, as I showed. Cleanse the child with Honey of Roses; and strengthen the stomach with Syrup of Mints, Quinces. Or, Take Wood-aloes, Coral, Mastic, each half a dram; Galangal half a scruple, with Syrup of Quinces make a Linc●us. If the humour be sharp and hot, give Syrup of Pomegranates, Currants, Coral. Apply to the belly the Plaster of Bread, the Stomach-cerot, or Bread dipped in Wine hot. Or, Take Oil of Mastic, Quinces, Mints, Wormwood, each half an ounce; of Nutmegs by expression half a dram, Chemical Oil of Mints three drops. Coral hath an occult propriety, therefore it is hung about their necks. Chap. 19 Of the torments or pains of the Belly. IT is often with the flux of the belly, and from milk alone that breeds wind and sharp humours. When it is corrupted, it gets to the guts, and causeth a gnawing pain: worms staying in the guts, do the same. They cry continually, hate the breast, and toss The Signs. to and fro. If it be from wind, it ceaseth, sometimes the belly swells, and they break wind. If it be from humours, it is constant: if it be tough phlegm, the belly is bound, and the dung is slimy. If it be sharp, there is a flux yellow and green. If from worms, there are signs of them, and of crudities and wind. If this pain lasts long, they are weak, or have The Prognostic. Convulsions or Epilepsy, it is worse when ●rom corrupt milk and worms, and is dangerous. If it be from crude humours and wind, give a The Cure. Clyster. Take Pellitory, Chamomil flowers, each a handful; boil them in Chicken broth, to three or four ounces, add Honey of Roses an ounce, with the yolk of an Eglantine make a Clyster. This may be given safely to a child of two months' old. Or give oil of sweet Almonds, with Sugar candy, and a scruple of Aniseeds; it purgeth new born Babes from Heur meth. ad prax. l. 2. c. 26. green choler and stinking phlegm. If it be given with Sugar Pap, it allays the crying pains of the belly. Anoint the belly with Oil of Dill, or lay Pellitory stamped with O●l of Chamomil to the belly. Or, Take Chamomil flowers, Dill tops, each a handful; Faenugreek and Lineseed, each half an ounce; boil them in Wine, foment the belly twice a day before meat. If pain be from corrupt milk ●hat is sharp, give Syrup of Roses, or Honey of Roses, or Syrup of Succory, with Rhubarb, or a Clyster of the Decoction of Bran, Pellitory, with S●rup of Roses. And use outwardly Oil of Roses, Dill and Chamomil. Chap. 20. Of puffing up of the Belly and Hypochondria. WHen they suck too much, the belly is swelled under the ribs, for want of concoction, and there are crudities in the stomach and wind, and also in the parts adjacent. The Hypochondria are hard, and puffed up, The Signs. and there is straitness in the mouth of the stomach, and short breath. It is easily cured with good diet. The Prognostic. Give a thinner diet, that the crudities may be concocted. Give no fresh nourishment till th● first The ●●re. be digested, then give Honey of Roses to purge. Or the Decoction of Cardiaca, which is good for the heart and mouth of the stomach: it opens obstructions, and cleanseth phlegm. Or powder of Peony roots, Cummin seed, Jesamine; or make it up with Honey, Oil of sweet Almonds, or Sugar for a Lineament. Foment the sides with the Decoction of Cardiaca, Chamomil flowers, and Cununin seed. Chap. 21. Of the Flux of the Belly. IT is 1. From breeding of teeth, with a feave● commonly, and the concoction is hindered, and the nourishment corrupted. 2. From much watching. 3. From pain 4. From stirring of the humours by a fever. 5. When they suck or drink too much in a fever. Sometimes they have a flux without breeding of teeth, from outward cold in the guts or stomach, that hinders concoction. If it be from teeth, it is known by the signs in T●e Signs. breeding of teeth: if from external cold, there are signs of no other causes. If from a humour flowing from the head, there are signs of a Catarrh, and the excrements are frothy. If crude humours are voided, there is wind, belching, and phlegmatic excrements. If they be yellow, green and stink, the ●●ux is from a hot and sharp humour. It is best in breeding of teeth, when the belly The Prognostic. Hipp. lib. de dentitio. is loose; but if it be too great● and you fear Atrophy, it must be stopped: if black excrements are voided with a fever, it is bad. A sucking child needs not cure so much as the The Cure. Nurse, you must chiefly observe the condition of the milk and mend it, if not, change the Nurse, & let her not eat green fruit, and things of hard co-coction. If the child suck not, take away the causes of the flux, with purges that bind after: as Syrup or Honey of Roses, or a Clyster. Take the decoction of Milium, My robalans, each two or three ounces; with an ounce or two of Syrup of Roses make a Clyster. After cleansing, if the cause be hot, give Syrup of dried Roses, Quinces, Myrtles, Coral, Curr●ns, or the powder of Diamar●ariton, Coral, Mastic, Hartshorn, red Roses, or powder of Myrtles, with a little Sanguis Draconis. Anoint with Oil of Roses, Myrtles, Mastic. Or, Take red Roses an ounce, Myrtles, Mastic, each two drams; with Oil of Myrtles and Wax make an Ointment. Or● Take red Roses, Moulin, each a handful; Cypress roots two drams, make a Bag, boil it in red Wine, apply it to the belly: or use the Plaster of Bread or Stomach ointment. If the cause be cold, and excrements white, give Syrup of Mastic and Quinces, with Mint-water. Use outwardly Mints, Mastic, Cummin. As, Take Rose seeds an ounce, Cummin● Aniseeds, each Lib. 3. par. 2. cap. 5. & 6. two drams; with Oil of Mastich● Wormmood and Wax make an Ointment. Chap. 22. Of binding of the Belly. IT is from a cold and dry distemper of the guts, from birth in some. 2. From slimy phlegm that wraps the dung, which sticks in the guts. This is from bad milk, when the Nurse eats gross food, slimy and astringent, or drinks little. 3. It is from a hot distemper of the kidneys or liver, that dries the excrements. 4. It is when choler doth not stir up the guts to expel. If it be from a dry distemper of the guts, it is The Signs. hard to be cured: if it be from slimy phlegm, the dung is wrapped in it. If choler comes not to the guts to provoke them to stool, the dung is white, and the body yellow. It is best in children to have a loose belly, and The Prognostic. Hipp. 2. aph. 53. they are more healthful; for if it be bound, the belly is pained, and there is headache. First, take away the cause: if it be from a hot distemper of any bowel, or dry, wash the child The Cure. often, to moisten and cool it in a Bath of Succory and Lettuce boiled. In a cold distemper use hot for the stomach, and in a dry use moist things, as Oil of Lilies, Dialthaea, Hen's grease, Butter. Let the Nurse avoid astringent me●ts, as Q●in●es, Medlars, Beans, and use Emollients. If the chi●d be big, give juice or Decoction of red Colwo●ts, words, with a little Salt and Honey. If it be from slimy phlegm, give Honey or Syrup of Roses. Correct the hot distemper of the Liver and Reins, with Syrup of Violets, and Emulsions of the four great cold Seeds. If choler come not from the Gall to the Guts, give the Decoction of Grass-roots, Fennel, Sparagus, Maidenhair. Give Clysters to cut and cleanse tough phlegm. As, Take Al●haea roots, Mallows, Pellitory, each half a handful; Faenugreek and Lineseed, each a dram; Chamomil flowers a pugil: boil, and to three or six ounces, ad three drams of Cassia, Oil an ounce, and the yolk of an Eg. To the Navel, apply Hens grease, and Ox gall. Or, Take Aloes two drams, Ox gall a dram, Scamony a scruple, with Butt●r make an Ointment. Fill a Walnut shell with it, and apply it to the Navel. Anoint the belly with Emoillients. Take fresh Butter, Goose and Hen's grease, each half an ounce; Oil of sweet Almonds, and Lineseed, each two drams; Veal marrow, Dialthaea, each two drams; with Wax make an Ointment: Bran and juice of Danewort make a loosning Cataplasm for the belly. Only keep it from the stomach, as you must do other Cataplasms. Chap. 23. Of the Worms. IT is observed that children have had worms in Ex authore lib. 4. de morb. their mother's belly, and voided them after they were born. But they are chiefly bred by mixing milk with other meats in a hot and moist constitution, and from sweet meats which worm's love; and Summer-fruits: they are round and long, or broad and little. Besides what is said in Lib. 3. Part 2. Sect. 2. The Signs. Cap. 5. Worms are known to be in a body, when there is much spittle, and a stinking breath, troublesome sleep, gnashing of teeth, crying and bawling; a dry cough, loathing, vomiting, hickets, want of appetite, or too much, thirst, a belly swelled, or bound, or too loose, thick white urine with pain, when the belly is empty, and the worms want food. There is a cold sweat over the face, and a high colour, with sudden paleness; sometimes a fever and convulsion which ceaseth presently. These are the signs of round worms rather than of the flat. Infants are often long troubled with worms The Prognostic. without any great inconvenience, sometimes there are great Symptoms. The long round worms are worst, and have eaten sometimes the guts and belly through, with a fever they are more dangerous: few are better than many, and small then great, white are better than those of other colours. The other Prognostics are mentioned in other places. Preservation. It is better to prevent the breeding of worms then to expel them, by eating of meats of good juice, with Oranges and Pomegranates, and avoiding sweet, fat and slimy meats, fish, milk, and Summer-fruits, and figs. Drink thin Wine, and Grass and Sorrel water with it, and with powder of Heart's horn. Let the belly be kept loose, with Clysters fo● children: or give the Decoction of Sebestens before meat, or of Wormwood and Scordium, but children will not take bitter things; therefore give Grass water, and juice of Lemons or Citrons, or a drop or two of Spirit of Vitriol. When you know by the signs, that there are The Cur●. worms, kill and expel them with powder of Coralline, Wormseed. Heart's horn, or eight grains of Mercurius dulcis. Infuse them a night in g●ass water, and cast away the substance o● the Mercury, and give the Water. Or, Take Wormseed two drams, Coralline, Harts horn prepared, each a dram; roots of Peony, Dittany, Magistery of Coral, each a scruple; make a Powder: or give the Essence of Peach flowers, or the Decoction, of Fern-water half an ounce, or an ounce. If there be a fever, use colder, as juice of Lemons, Pomegranates, Oranges, Vinegar, Heart's horn, Bezoar, Confection of Hyacinth, or this Potion. Take Grass water four ounces, Syrup of juice of Citrons an ounce, of Violets half an ounce, Spirit of Vitriol two drops, give two spoonfuls. Give bitter things at the mouth, and sweet at the fundament, as a Clyster of Milk. Or, Take Raisins ten, Figs seven, boil them in water, take of it four ounces, add Sugar an ounce and half, make a Clyster. Use varieties that the worms may not be too familiar with one. Apply Peach leaves to the Navel bruised, or a Cataplasm of Ox gall, Wormwood and St. Johns-wort. Or, Take powder of Wormwood, Gith, Centaury, Wormseed, Lupins, each half an ounce; with Oil of Wormwood, and Wax half an ounce, make an Ointment. Or, Take Treacle half an ounce, with juice of Wormwood apply it to the navel: or make a Bath of Peach leaves and Wormwood, put the child into it up to the navel. If there be a Fever, use colder things mentioned. Chap. 24. Of the Rupture. IT is from the Peritonaeum lose or broken, when the s●all guts fall into the cod, from crying, cough, straining at stool● and from vehement motion, or a fall. Sometimes the Peritonaeum is well, and a water falls from the belly into the cod. The tumour is visible: if it be from a gut, it is The Signs. in one part only, as the right or left, and it may be felt, and the hole also through which it fel. If from water, it is even all over, and there was no cause of other Rupture. It is easier cured in infants then in elder persons, The Prognostic. for it is safer, but worse then that of water which goes away of itself when the water is consumed. Let the belly be kept open, let not the child The Cure. cry. Avoid vehement motion, lay him upon his back, and thrust it up gently, and apply this Plaster. Take Lambs tongue, Sanicle, each half an ounce; Lentils, and Lupins, and red Roses in powder, each two drams; Frankincense a dram, Alum half a dram, with the white of an Eg. Or, Take Frankincense, Cypress nuts, Aloes, Acacia, each two drams; Myrrh a dram, with Izinglass make a Plaster. Or apply Gum Elemni steeped in Vinegar, till there be a Cream at the top, and with oil of Eggs make a Cerot. Inwardly, Take Sanicle, Lamb's tongue, each half a handful; Agrimony a handful, Comfrey the greater half an ounce, boil them, to a pint strained, ad Sugar, give it often. Or give powder of Mousear or Moonwort with Wine. If it be from water, anoint with Oil of Elder, Bayes, Rue; or apply a Cataplasm of powder of Beans, ●oenugreek, Lineseed, Chan●●mil flowers, Cummin seeds, with these Oils. Chap. 25. Of sticking out of the Navel. IT is without inflammation. 1. When it was not well tied, and too much left that sticks out. 2. When the Peritonaeum is loose, and hath water or wind in it, from crying or coughing. 3. When the navel is ulcerated, and the guts fall into it: this is called properly Exomphalon. The navel yields to the touch, but in an inflammation, The Signs. it is hard; there is neither heat nor redness and it lasts longer than an inflammation. If the navel was not well cu●, there will be too great a quantity, if the Peritonaeum be not broken, but lose, the navel starts not much out, and is not greater by crying; if it be broken, the tu●or scarce appears when he lies upon his back, but it increaseth by crying or walking. If the Midwi●e did not cut the navel well, it is The Prognostic. more troublesome than dangerous. If it be too large or ulcerated, at first it is easily cured, but afterwards it may cause a deadly ilia●k passion, when the guts that fall in, are inflamed. When the Peritonaeum is loose, wind stretcheth The Cure. the navel; then use a Cataplasm of Cummin, Bayberries, and Lupins powdered in ●ed Wine, or a Bag of Cummin and Spike boiled i● red Wine. Then lay on an astringent, and roll it. If the Peritonaeum be broken, first put in the gut, then bind it close, after you have laid on astringent Powders. Or, Take powder of ●ypressnuts, Frankincense, Mi●●l●, Mastich, Sarcocol, All●m, isinglass, each a dr●m; with the whites of Eggs make a Pultis, and give Medicines against Ruptures. Chap. 26. Of Inflammation of the Navel. IT is from pain, when it is hot well tied, that draws blood to it. There is redness, hardness, heat, and beating. If it turns to an imposthume, and breaks, the The Prognostic. gu●s come forth, and the child usually dies. First abate pain. Take Ma●●ows boiled and stamped The Cure. two ounces, Barley meal half an ounce, Lupins, Fen●gree●● ea●h two dramis with Oil o● Rose●●●ke a Cataplasm. To repel Blood; Tak● Frankincense a dram, Acacia, Fleaban● seed, e●ch half a dram; with the white of an Eglantine mak● a Cataplasm. 〈◊〉 Suppuration as much as may be: but i● it doth suppurate, Take Turpentine half an ounce, the yol● of an Eg● and Oil of Roses two ounces. Chap. 27. Of Falling out of the Fundament. When the muscle tha●●huts the Ars●-hol● is loose, the fundament comes f●rth the cause is moisture of the muscles after a flux, or straining at stool, in Tenesmus or Needing, or when the belly is bound. The people will tell you the causes, and you The Signs● may see it. It is easily cured, when it is from straning at The Prognostic. stool, if it have not been long out. If it be from great store of moisture, it is hard to be cured, especially if there be a looseness of the belly, for then Medicines cannot lie on. First, put it up, if it be swollen foment it with The Cure. the decoction of Mallows and Althaea, or anoint with Oil of Lillies● then keep it in with astringents. As, Take ●●d Roses, Pomegranate peels and flowers, Cypress nuts, each half an ounce; Sumach, Frankincense, Mastic, each two drams● boil them in red Wine, foment with a Sponge, then sprinkle on this Powder. Take red Roses and Pomegranate flowers, each half a dram; Frankincense, Mastic, each a dram; lay it upon a clout, and put it to the Fundament See Lib. 3. Part 2. Sect. 1. c. 6. Chap. 28. Of the Stone in the Bladder. THe stone in the bladder is usual in infants, as that of the kidneys is in elder people. How it is cured, we showed before● In infants Lib. 3. par. 3. sec. 1. c. 6. & par. 8 sec. 1. c. 1. it is from gross unclean milk made of tough meats, this too much taken in, causeth crudities sit to breed the stone, ●r pap of Barley meal and milk may cause it. There is al●o a weakness in the liver and stomach, when they do not separate unprofitable food, but much earthy juice remains in the chyle that breeds stones. Also a ho● distemper in the reins, by which the chyle is drawn to the bladder, and if there be a native hereditary disposition to breed the stone, an earthy part is in the humour, which makes the urine thick this is in bigger Boys more than in infants They piss by drops, with itching and pain, the ●he Signs. Urinal is stopped often, and tha● which is pissed is like clear wa●er white, or like milk or whey, sometimes blood is pissed, and the yard often stands. It increaseth daily i● it be not opposed, and The Prognostic. cannot be cured without cutting, which is dangerous for young or old. Prevent the breeding of it when you see the The Cure. least disposition to it. Let the belly be always kept loose, and the Nurse eat no gross slimy food: make a bath of the decoction of Althaea. Mallows, Pellitory, Parsley, Dill, Faenugreek, Lineseed. then anoint the bladder with Althaea, oil of Lilies and Scorpions, and apply a Cataplasm o● Pellitory, boiled with oil of Lilies. A Powder. Take Magistery of Crabs eyes, white Amber, Goat's blood prepared, each a scruple; Lib. 3. pra. decal. ves. with Parsley water, give it often. Or give two drops of spirit o● Vitriol with half a dram of Cypress Turpentine. Chap. 29. Of Difficulty and Stoppage of Urin. THere are many causes in ripe age that are mentioned, but in Infants they are chiefly two causes: the thick humour that breeds the stone, that makes a strangury and dysury; and the Stone that stops the bladder. It is voided by drops, and the child cries, and The Signs. the urine is thick, you may try with the Catheter if there be a Stone. If it be not presently cured, it turns to the The Prognostic. Stone: and all natural evacuation in Children being stopped is dangerous. It is as in the Stone, you must evacuate humours The Cure. from the first passages with Honey of Roses, Cassia, Turpentine, foment and anoint as before with Grass water, Restharrow, Dropwort water, and decoction of red Pease. Or, Take the blood of an Hare an ounce, Saxifrage roots six drams, cal●ine them, give from 〈◊〉 scruple to half a dram, with white Wine or Saxifrage water. Chap. 30. Of not holding the Urin. SOm●●piss no● o●●y in their sleep, but always, because the muscle that should close the orifice of the bladder is weak, and when much water pricks it, it suffers it to come forth, sometimes a Stone in the bladder hurts the Sphincter, so that it cannot do its duty. The cause of weakness is a cold humour and moist, from gross ●ough meats, from gluttony and the like. It cannot b● known i● Infants, but i● may in The Signs. elder children, that ●now they ought not piss a-bed. If it come by custom, it turns to an habit, The Prognostic. or a disease, and is hard to be cured in ripe years: if it be from distemper it is easy to be cured. Alter the cold and moist distemper, dry and The Cure. consume the phlegm, let the Nurse have a hot drying diet with Sage, Hyssop, Marjoram, let not the child drink much, keep the belly. Outwardly a●o●●t the region of the bladder with oil of Costus, Orris, and other driers: make a bath o● Sulphur, Alum, and Oak leaves, o●luse Sulphur or All●m baths: give this powder. Take Hogs bladders burnt, roasted stones of a Hare, Cocks throats roasted● each half a dram; Acorns two scruples, Nip, Mace, each a scruple; give half a dram with Oak leaves water. see Lib. 3. Part 8. Sect. 2. c. 6. Chap. 31. Of cha●ing in the Hips, called Intertrigo. IT is th● separation of the scarf-skin from the true in the Hips, that causeth pain and unquietness. It is from sharp piss, when the clouts are not The Causes changed often: in such as are fat, to whom filth sticks easily. The Skin is off and it looks red. The Signs. It is troublesome by reason of the pain, and The Prognostic. causeth want of sleep, and ulc●rateth if it be not cured. Change the clouts often, wash and cleanse the The Cure. child often, sprinkle on ●his fine powder. Of lethargy of Silver, seeds and leaves of Roses, burnt Alum and Frankincense, or anoint with white ointment and Diapompholigos. Chap. 32. Of Leanness and Fascination. Sometimes children and men grow lean; the elder from Fevers, Consumptions, and other diseases; but children pine away, and the cause is not known, and though they eat and perform other actions, they are not nourished no● grow. The causes of Consumption in Infants are, The Causes little or bad milk by which no blood is bred fit to nourish the body, so that they thrive not till they change the Nurse. The second is worms that suck away the nourishment. The third is worms about the body without, ●s in th● Back, Aims●●r Leg● and all parts, these are very small a●d br●ed in●●●ufculous parts, and stick in the skin, and never come wholly out, but after rubbing in baths, th●y put forth their heads like black hairs, and run in when they feel the cold air: they breed of ●●imy matter shut up in the capillar veins, which turns to worms from transpiration hindered. The fourth cause in the opinion of people is fascination or witchcraft, either from the eyes of Witches, or by vapours, or by touch, or by words from a Witch; these are alleged by many Authors. I neither allow nor plainly deny all these ways of fascination, though it is not credible that a child should suffer by words or looks only. I deny not but diseases may be sent from sick bodies to others, as the Leprosy, the French Pox, Consumption, and the like, and may infect Infants. And I believe that they may be hurt by Witches and malicious persons by the help of the Devil and God's permission, as Basil the great writeth: for wicked people make Basin ho●e invidia. a league with the Devil that they may hurt such as they look enviously and angrily upon. And I add one thing, a habit of body that is grown very excellent is in most danger, as Hippocra●●s ●aith, when children come to be very healthful and fair, they fall suddenly into a disease, and the vulgar not knowing the cause of it, impu●e it to Witchcraft. The signs of the causes, if they be lean from a The Sign● fever or other disease, it is easily known. If these causes be not, view the Nurse's milk● whether little, or her breasts ●lag without milk, and that is the cause of leanness in the child; if she have milk, see if it be not hot and dry, and choleric. And consider her constitution. If the milk be blameless, see if it be not from worms either in the Guts or in the skin; the wo●ms in the skin are known by putting the child into a bath and rubbing it, especially on the back with the hands, and with Honey and Bread, and then you shall see little ash coloured or black hairs come out of the skin. If there be no outward nor inward cause, you may mistrust a venomous vapour or witchcraft. If it be for want of milk, change the Nurse. The Prognosticon If it be from worms in the skin, it is not hard to be cured; if it be from an occult quality, or from Witchcraft, it is hard to be cured, because we know not the nature of the malignity. If the Nurse have any Disease, or be contrary The Cure. to the constitution of the child, change her, kill and cast out the worms. If it be from worms in the back, rub it and anoint it with Honey and To Cure all diseases Read my Sennertus, Platerus, Rive●●us, Bartholinus, and Ri●lanus, of the last Edition. Wheat bread, and when their heads come forth kill them with a Razor or crust of bread● do this often. There are many superstitious things carried about against witchcraft, some hang Amber and Coral about the child's neck, nor is it impossible that plants and Gems should have power against witchcraft, As, Briony root, and Elks hoof are ●ood against the Epilepsy, also there are Annulets against other diseases● ●f leanness be from a dry distemper of the whole body there is no better Remedy the● often bathing in a decoction of Mallows. Althaea, Branckursine, Sheep's heads, and the like, and anoint after with the oil of sweet Almonds. If he be hot and dry, add to the bath Lettuce, Endive, Violets, Poppy heads, and anoint after with oil of Roses and Violets. FINIS. Several Physic Books of Nich. Culpeper, Physician and ginger, and Abdiah Cole Doctor of Physic, commonly called, The physician's Library, containing all the Works in English of Riverius, Sennertus, Platerus, Riolanus, Bartholinus. Viz. 1. A GOLDEN Practice of Physic: after a new, easy and plain Method of knowing, foretelling, preventing, and curing all Diseases incident to the body of Man. Full of proper Observations and Remedies, both of Ancient and Modern Physicians. Being the fruit of one and thir●y years' Travel, and fifty ●ears Practice of Physic. By Dr. Plater, Dr. Cole, and Nich. Culpeper. 2. Bartholinus Anatomy, with very many larger Brass Figures, than any other Anatomy in English. 3. Sennertus thirteen Books of Natural Philosophy: O● the Nature of all things in the world. 4. Sennertus' Practical Physic; the first Book in three Parts. 1. Of the Head. 2. Of the Hurt of the internal ●●nses. 3. Of the external Senses, in five Sections. 5. Sennertus' Practical Physic; the second Book, in four Parts. 1. Of the Ja●s and Mo●th. 2. Of the Breast. 3. Of the Lungs. 4. Of the Heart. 6. Sennertus' Third Book of Practical Physic in fourteen Parts, treating, 1. Of the Stomach and Gullet. 2. Of the Gu●●. 3. Of the Mesentery, Sweetbread and Omentum. 4. Of the Spl●e●. 5. Of the Side. 6. Of the Scurvy. 7 and 8. Of the Liver. 9 Of the Ureters. 10. Of the Kidneys. 11. and 12. Of the Bladder. 13. and 14. Of the Privities and Generation in men. 7. ●●nn●rt●● ●ourth Book of Practical Physic in three Parts. Par● ●. Of the Diseases in the Privities of women. The first Section. Of Diseases of the Privy Part, and the Neck of the Womb. The second Section. Of the Diseases of the Womb. Part 2. Of the Symptoms in the Womb, and ●●om the Womb. The second Section. Of the Symptoms in the Te●●●●n● other Flu●es of the Wo●●● The third Section. Of t●● Symptoms that b●●●l all Vi●gins and Women in their Wombs, after they are ripe of Age. The fourth Section. Of the Symptoms which a●e in Conception. The fi●●● Section. Of the Government of Women with Child, and preternatural Distempers in Women with Child. The sixth Section. Of Symp●●●● that happen in Childbearing The seventh Section. Of the Government of Women i● Childbed, and of the Diseases that come after Travel. The first Section. Of Diseases of the Brea●●s. The ●●cond S●ction. Of th● Symptoms of the Breasts. To which is added a Tractate of the Cure of In●an●●. Part 1. Of the Diet and Government of Infants. The second Section. Of Diseases and Symptoms in Children. 8. Sennertus' fif●h Book of Practical Physic, Or th● Art of Chirurgery in six Parts. 1. Of Tumours. 2. Of Ulcers 3. Of the Skin, Hair ●nd Nails. 4. Of Wounds, ●ith an excellent Treatise of the Weapon Salve. 5. Of Fractures. 6. Of Luxations. 9 Senn●r●us two Treatises. 1. Of the Pox. 2. Of the Gout. 10. Idea of Practical Physic in twelve Books. 11. Twenty four Books of the Practice of Physic, being the Works of that Learned ●nd Renowned Doctor La●●rus Riverius, Physician and Counsellor to the late King, etc. 12. Veslingus Anatomy of the Body of Man. 13. A Translation of the New Dispensatory, made by the College of Physicians of London, in Folio and in O●●avo. Whereunto is added, The Key of Galen's Method of Physic. 14. A Directory for Midwife's, or a guide for women 15. Gal●ns Art of Physic. 16. A new Method both of studying and practising Physic. 17. A Treatise of the Rickets. 1●. Medicaments for the Poor: Or, Physic for the Common People. 19 Health for the Rich and Poor, by Diet without Physic 20. One thousand New, Famous and Rare Cures, in Folio and Octavo. 21. A Treatise of Pulses and Urins. 22. A Treatise of Blood-letting, and Cures performed thereby. 23. A Treatise of Scarification, and Cures performed thereby. 24. Riolanus Anatomy. 25. The English Physician enlarged. The London Dispensatory in Folio, of a great Character in Latin. Divinity Books Printed by Peter Cole. All Mr. Bridge's Works. All Mr. Hooker's Works. And Seventeen several Books of Mr. Jeremiah Burroughs'. FINIS.