The womans doctour, or, An exact and distinct explanation of all such diseases as are peculiar to that sex with choise and experimentall remedies against the same : being safe in the composition, pleasant in the use, effectuall in the operation, cheap in the price / faithfully translated out of the works of that learned philosopher and eminent physitian Nicholas Fontanus. Syntagma medicum de morbis mulierum. English Fonteyn, Nicolaas. 1652 Approx. 325 KB of XML-encoded text transcribed from 134 1-bit group-IV TIFF page images. Text Creation Partnership, Ann Arbor, MI ; Oxford (UK) : 2008-09 (EEBO-TCP Phase 1). A39862 Wing F1409 ESTC R7033 12251523 ocm 12251523 57110 This keyboarded and encoded edition of the work described above is co-owned by the institutions providing financial support to the Early English Books Online Text Creation Partnership. This Phase I text is available for reuse, according to the terms of Creative Commons 0 1.0 Universal . The text can be copied, modified, distributed and performed, even for commercial purposes, all without asking permission. Early English books online. (EEBO-TCP ; phase 1, no. A39862) Transcribed from: (Early English Books Online ; image set 57110) Images scanned from microfilm: (Early English books, 1641-1700 ; 143:13) The womans doctour, or, An exact and distinct explanation of all such diseases as are peculiar to that sex with choise and experimentall remedies against the same : being safe in the composition, pleasant in the use, effectuall in the operation, cheap in the price / faithfully translated out of the works of that learned philosopher and eminent physitian Nicholas Fontanus. Syntagma medicum de morbis mulierum. English Fonteyn, Nicolaas. [12], 250 p. Printed for John Blague and Samuel Howes ..., London : 1652. Translation of: Syntagma medicum de morbis mulierum. Reproduction of original in Thomason Collection, British Library. 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Gynecology -- Early works to 1800. 2006-12 TCP Assigned for keying and markup 2006-12 Aptara Keyed and coded from ProQuest page images 2007-03 Celeste Ng Sampled and proofread 2007-03 Celeste Ng Text and markup reviewed and edited 2008-02 pfs Batch review (QC) and XML conversion The Womans DOCTOUR . OR , An exact and distinct Explanation of all such Diseases as are peculiar to that Sex. With Choise and Experimentall Remedies against the same . Being Safe in the Composition , Pleasant in the Vse , Effectuall in the Operation , Cheap in the Price . Faithfully Translated out of the Works of that learned Philosopher , And Eminent Physitian NICHOLAS FONTANUS . LONDON , Printed for John Blague and Samuel Howes , and are to be sold at their shop in Popes Head-Alley . 1652. THE FIRST BOOK OF Womens Diseases . The Proem by the Author . IT is acknowledged by the most able Physitians , that it requires great diligeuce , and Judgement to contrive an exact Partition , or Explanation of Womens Diseases , and to oblige the World with a right Method , and Meanes to cure them : because sometimes a part is diseased by consent , and sometimes primarily , by it selfe , or without any communication of distemper either with , or without matter , from any other part . The Ancients , whose studious endeavours conspired the subduing of these Diseases , have left behinde them most honourable testimonies of their labours , in favour of that Sex. Modern men also have been stirred up to their defence , as Mercurialis , and Mercatus , the former indeed with sufficient elegance , but the latter with so much tediousness , and confusion ; that you may sooner finde your Patient dead , then a remedy in his writings for her recovery ; to correct this inconvenience , Rodericus a Castro engaged his pen in their quarrell , but with no great successe , for if my Judgement be any thing considerable , his writings are more learned , then usefull . When I had noted these deficiencies , I thought with my selfe , that if I culled out the choicest Medicines ( omitting the superfluous ) and digested them into a little worke by themselves , it might prove an undertaking worthy of a generall acceptation ; This was the birth , and growth of my designe , warrantable enough , as I conceive , if not praise worthy , and if I flatter not my selfe in an opinion of my own paines , I have proceeded with so much perspicuity , and tender circumspection , as will make the event answerable . AN INDEX OF THE CHAPTERS . The first Chapter . OF the consent of the Diseases of the Matrix , with the other Parts . The second Chapter . Of the suppression , or staying of the Courses . The third Chapter . Of the immoderate running of the Courses . The fourth Chapter . Of the coming away of the Courses by Drops , the vehement Symptomes thereof , and of the Whites . The fifth Chapter . Of the Complication of the Courses , with other Diseases . The sixth Chapter . Of hard swellings in the Breasts . The second Book . The first Chapter . Of the Mother . The second Chapter . Of the Epilepsy in the Matrix , And the severall kindes thereof . The third Chapter . Of Melancholy proceeding from the Matrix . The fourth Chapter . Of a cold Distemper , and windy humours in the Matrix . The fifth Chapter . Of a hard swelling in the Matrix . The sixth Chapter . Of the Dropsey in the Matrix . The seventh Chapter . Of the falling down of the Matrix . The eighth Chapter . Of an Itch , Chaps , and an Inflammation in the Matrix . The ninth Chapter . Of a Cancer , and an Vlcer in the Matrix . The tenth Chapter . Of Wormes , and the Stone in the Matrix , and of the Piles . The third Book . The first Chapter . OF Barrennesse , both Absolute and Respective . The second Chapter . Of a Mola , or shapeless lump of Flesh . The third Chapter . Of Womens longings . The fourth Chapter . Of a bad stomach , proceeding from vomiting . The fifth Chapter . Of a Pain in the belly , the Passion of the Heart , and of sounding Fits. The sixth Chapter . Of a Cough in great bellied Women . The seventh Chapter . Of the swelling of womens legs , when they are with Childe . The eighth Chapter . Of Costiveness in Women with Childe . The ninth Chapter . Of the bloud which commeth away from the Matrix of a woman with Childe . The tenth Chapter . Of the water which cometh away from the Matrix of a woman with Childe . The eleventh Chapter . Of acute Diseases , which happen to women with Childe . The fourth Book . The first Chapter . OF a Naturall ●irth , and of Abortivenesse . The second Chapter . Of a hard Labour . The third Chapter . Of the After-Birth . The fourth Chapter . Of the Dead Childe . The fifth Chapter . Of the Paines , and the suppression of the Courses , after the woman is delivered . The sixth Chapter . Of the immoderate flowing of the Courses , after the woman is delivered . The seventh Chapter . Of the Diseases which commonly befall a woman , after her delivery . The eighth Chapter . Of an inflammation in the Matrix after her delivery . The ninth Chapter . Of too little , and too much milke . The tenth Chapter . Of sore Breasts . The eleventh Chapter . Of wrinckles remaining in the Matrix after a womans delivery , and of the meanes to contract the Matrix . FINIS . Womens DISEASES . The first Chapter . Of the consent between the Diseases of the Matrix , and those of the other parts . WOMEN were made to stay at home , and to looke after Houshold employments , and because such business is accompanied with much ease , without any vehement stirrings of the body , therefore hath provident Nature assigned them their monethly Courses , that by the benefit of those evacuations , the feculent and corrupt bloud might be purified , which otherwise , as being the purest part of the bloud , would turne to ranke poyson , should it remaine in the body and putrifie ; like the seed ejaculated out of its proper vessells . Hippocrates had a perfect understanding of these things , as may appeare by those words , in his booke de locis in homine , where he saith , that the Matrix is the cause of all those diseases which happen to women ; and it is no strange thing which he speaketh ; for the Matrix hath a Sympathie with all the parts of the body ; as with the Braine by the Nerves and Membranes of the parts about the spine , from whence sometimes ariseth the paines , in the fore part , and the hinder part of the head , with Heart also , both by the Spermatick , and the Epigastrick arteries , or those that lie about the Abdomen at the bottome of the bellie , from hence cometh the paine of the heart , fainting , and swounding fits , the passion of the Heart , anxietie of minde , dissolution of the spirits , insomuch as you cannot discerne , whither a woman breaths or not , or that she hath any pulse ; it hath likewise a consent with the breasts ; and from hence proceed those swellings , that hardness , and those terrible Cancers that afflict those tender parts , that a humour doth flow upwards , from the Matrix to the Breasts , and downwards again , from the Breasts to the Matrix , is the unanimous assertion of Galen , Hippocrates , Laurentius , Duretus , and others ; moreover it hath a sympathie with the Liver ; and thus the sanguification is perverted , and the body inclines to a Dropsie , and with the stomach and the Kidneys also , as those paines which great bellied women doe feele , and the torments which some Virgins undergoe , when they have their Courses , sufficiently witnesse . And lastly , Hippocrates hath taught us , that this consent holdeth with the bladder , and the straight gut ; for , saith he , when that part is inflamed , then the urine commeth away by drops , and the Patient hath frequent desires , and solicitations to goe to stoole , but but without any performance . Womens diseases are divided into foure Classes , whereof the first containeth the diseases that are common to all women : the second comprehendeth such as are peculiar to Widowes , and Virgins ; The third specifieth those Affects that concern barren women , and such as are fruitfull ; And the fourth treateth of such diseases , as befall Women with Childe , and Nurses ; of all which we shall now speak , one after another , in their order . Those diseases that are common , both to widowes and wives , both to barren women , and women that are fruitfull , as also to your Maids , and Virgins , proceed from the retention , or stoppage of their Courses , as the most universall , and most usuall cause ; when these come from them , in a due and regular manner , their bodies are preserved from most terrible diseases ; but otherwise , they are immediately subject to the falling Sickness , the Palsie , the Consumption , the Whites , the Mother , Melancholy , Burning Fevers , the Dropsey inward inflammations of all the principall parts , the suppression of the urine , nauseating , vomiting , loathing of meat , yexing , and a continuall paine in the Head , arising from ill vapours , communicated from the Matrix to the Braine . Wives are more healthfull then Widowes , or Virgins , because they are refreshed with the mans seed , and ejaculate their own , which being excluded , the cause of the evill is taken away . This is evident from the words of Hippocrates , who adviseth young Maids to marrie , when they are thus troubled ; that women have stones and seed , no true Anatomist will denie ; the womans seed , I confess , in regard of the small quantity of heat , is more imperfect then the seed of the mans , yet is it most absolute in it selfe , and fit for Generation . Another cause also may be added , besides that which is alledged from Hippocrates , namely , that married women by lying with their husbands , doe loosen the passages of the seed , and so the Courses come down more easily thorow them ; Now in Virgins it falls out otherwise , because the bloud is stopped by the constipation and obstruction of the veines , and being stopped putrifies , from which putrifaction grosse vapours doe arise , and from thence heavinesse of minde , and dulnesse of spirit , a benummednesse of the parts , timorousnesse , and an aptness to be frighted , with a sudden propensitie to fall into fits of the Mother , by reason of much bloud , oppressing and burthening the heart , also continuall anxiety , sadness , aud want of sleep , with idle talking , and an alienation of the minde , but that which most commonly afflicts them , is a difficulty , and paine to fetch their breath , for the chest by a continuall dialatation and compression , draweth the bloud from the Matrix to it selfe , in a large proportion , and sometimes produceth asthmaticall effects . But what shall we say concerning Widowes , who lye fallow , and live sequestred from these Venereous Conjunctions ? we must conclude , that if they be young , of a black complexion , and hairie , and are likewise somewhat discoloured in their cheeks , that they have a spirit of salacity , and feele within themselves a frequent titillation , their seed being hot and prurient , doth irritate and inflame them to Venery , neither is this concupiscence allaid and qualified , but by provoking the ejaculation of the seed , as Galen propounds the advice in the example of a widow , who was afflicted with intolerable symptomes , till the abundance of the spermatick humour was diminished by the hand of a skilfull Midwife , and a convenient oyntment , which passage will also furnish us with this argument , that the use of Venery is exceeding wholsome , if the woman will confine her selfe to the ●awes of moderation , so that she feele no wearisomnesse , nor weaknesse in her body , after those pleasing conflicts . Most certaine it is , that barren women are more tormented with sicknesse , then those that are fruitfull , because , they who have children , live in a more healthfull condition , by reason of the opening of the veines , and the comming away of the superfluous bloud ; which being of an earthy , and feculent substance , must needs introduce prodigious symptomes in the bodies of other women , who have no seasonable meanes to vent and purge it out , and daily experience doth witnesse it to the private consideration of such women , that very many obstructions breed in their Livers , Mesenteries , and Matrices . That women in Child bed also , and such as nurse their owne children , are subject to most bitter , and vehement affects , Galen doth daily teach us by an undeniable reason ; for whereas the childe in the wombe is nourished by the sweetest , fattest , and most elaborate part of the menstruous Bloud , in its own nature filthy , and dreggish , when the woman is delivered , that bloud is forcibly evacuated by a criticall kinde of motion , and violent ebullition , whereupon the spirits are exhausted , and the feeble creature is precipitated into mortall infirmities , as fainting fits , incredible torments , and frequent soundings . Many times also , besides that perticular fulnesse of the womb through the swelling , and strutting of the veines ; such women all the time that they be great with childe , are oppressed with an abundance of ill humours , contracted , and heaped up together by a bad diet , after which the upper parts of their bodies are many times most wofully inflamed . After the same manner also Nurses are tormented with sore breasts , painfull swellings , Ulcers , and Cancers , and the like cruell diseases , by reason that the Menstruum floweth in an unmeasurable quantitie to the breasts , and there settles . But now , by the permission of Heaven , we shall set down a particular Explanation of these Diseases . CHAP. II. The suppression of the Courses . THe suppression of the Courses , is an interception , or stoppage of that usuall evacuation of bloud , which is wont to flow from the Matrix every month . There is a twofold cause hereof ; one inward , the other outward ; the inward cause is also manifold ; for sometimes it is one kinde of distemper , sometimes another ; and sometimes againe , a humour is the cause thereof , the distemper is either hot , or cold , and concerning the former , this is controverted among the Doctors , how a hot distemper can stay the Courses : for if we will credit the b●st Authors , or submit our judgements to the generall Vote of Philosophy ; it is the property of heat to open , to rarifie , to make thin , and to dilate : as on the contrary , it is the property of cold to obstruct , to thicken , to binde , and to condensate , the answer is easie and obvious ; wherefore we say that heat properly doth not stay the Courses , but onely by accident , as namely by attenuation , dissipating , and consuming the thinner parts of the Menstruum , for any humour is reasonably conceived to become more drie and thick , when the thinner part thereof is wasted away ; and againe , the thicker and dryer it is , it must needs be so much the more unapt to be expelled : and this is the reason that sturdie women in the Country , who are accustomed to labour , and take much paines , and such Virgins , as are of a hot constitution , have very little , or no evacuation this way , because the M●nstruum is wasted , and vanisheth by their continuall exercise , and paines taking . Secondly , when the moisture is consumed away , the vessels are so much the more narrow and bound up , so that there is almost no passage left for the exclusion of the Courses . A cold Distemper stayeth the Courses , because it weakneth and cooleth the parts , breeds bad humors and obstructions , straightens the passages , obstructs the conduits , infirmes , and overcooleth the Matrix , and so retaines , suppresseth , and stoppeth the Courses . Swellings , Imposthnmes , scars , and the like , are all reducible to the inward causes ; but the most usuall inward cause is a slow , tough and slimy humour , which glewing up , as it were , the vessells of the Matrix , and thickning the bloud , retaineth the Menstruum , according to the opinion of Galen , delivered in severall places of his works . The outward Causes are all those things , which any way increase a cold juice in the body , as a cold and moist Ayre , gluttony , crudities , cold Baths , and an unseasonable use of them , meats that yield a grosse nourishment , and are hard to digest , and such as constipate the humours , and thicken the bloud ; in which number are thick and sweet wines , pulse of all sorts , white meats made with milke , hard fish , and salt flesh , pothearbs , Vineger , Olives , Rice , and the like ; also an unseasonable use of Venery , a disorderly motion of the body , presently after meates , cold drink , ale , and other Pourtents , or liquors which breed slow , and thick juices . You may know when the Menstruum is , or will soon be suppressed by the relation of the sick woman , who commonly will make these discoveries ; that she hath no stomack to her meat , that for a long time together she hath felt a heavinesse over all her body , with a paine in her back , her privities , and her Matrix : besides , you your self may discern agreenish paleness in her face ; Sometimes she is troubled with loud belchings , and cruell paines in her belly ; but frequently with the head-ach , especially in the forepart of her head , and when the bloud is stopped , & putrifies in her body , presently there ariseth a Fever , by reason of that Sympathy , Communion , or consent between the Matrix & the other parts . Many , and irreparable are the inconveniences , and evills , which happen by this stoppage of the Courses , if we may beleeve the great Hippocrates , who in one of his Aphorismes saith , if the Menstruum comes away without moderation , diseases follow ; but if it comes not away at all , yet then diseases happen also from the Matrix : but if it comes away in a due , and naturall manner , it preserves the woman from all gowtie torments , from paines in her joints , from the Pleurisie , and all other inflammations in her sides , from the Apoplexy , from the difficulty to fetch her breath , and from loosing her voyce ; Women that have not their Courses , must seeke for remedies with speed and prudence ; let them betake themselves to a temperate and moyst Ayre , for if the Ayre be too hot , it wasteth the bloud , and drawes it upwards from the Matrix ; it likewise exhausts the Spirits , and is thought to be a weakner of the body : on the contrary , when the Ayre is too cold , it compels the bloud to retire , it weakens the Matrix , breeds grosse and thick humours , and locks up the passages , so that the Menstruum cannot descend , the most convenient drinke in this case is small Rhenish wine , if there be a Fever , or , which will be lesse dangerous , small beere boiled with a little Cinamon , Anise , Maydenhaire , or Birthwort . Her diet should be such as will bee soon concocted , and easily distributed to all the parts ; boiled meats are more wholesome for her then rosted , because these dry up the bloud , but they soften the body , and keep it moist : let her also choose to feed upon tame creatures rather then wilde , because these are more hot and dry , but those are more moist and temperate ; boyle them with red fitches , for the broth that is thus made doth most powerfully bring down the Courses . What meats must be avoided hath been said above ; but above all things , let her refraine the use of sowre things , because , as Hippocrates hath warned us , they bring paine to the Matrix ; it will be good to rub the lower parts of her legs very often , and to tie straight ligatures about them , till they make her complaine of much paine . Having thus prescribed her Diet , the next designe must be to evacuate the Cause ; this may be done severall wayes , but especially by letting bloud , and sometimes by purging her body ; the Physitians have long contended , but very foolishly , which vein should be cut : but we omitting the frivoulous alterations on both sides , conclude with Galen , that when the Courses are stop't , if the strength of the woman will beare it , and the nature of the Disease require it , the vein in the Ankle must alwayes be opened ; not in the Arme as Aetius commands ; who also is backt in that opinion by Gradus , Mercurialis , and Amatus Lusitanus , who was taught by Ruffus to open a vein in a womans arme , to advance the cure ; but I cannot approve of that course , because rectitude must ever be observed . Galen in his book de Curandi ratione per sang . miss . chapt . 11. instead of opening a vein , useth Scarification to the domesticall part , as having the greatest resemblance with Phlebotomy , and if these things doe not overcome the Disease , apply Leeches to the Hemorrhoids , to take away the accumulation of melancholy bloud ; for they suck out the feculent , and dreggish humours , impacted in the Matrix , by reason that those parts are so neere the one to the other . Zacutus Lusitanus applieth them to the inner part of the Matrix , and boasteth himselfe the Author of this kinde of remedy ; but whether it be consonant to reason , I leave to considering persons to judge . There is no doubt but the application of Leeches may be usefull , because the humour is slow , thick and earthy : but in regard that no part is evacuated , till the whole body be first purged , therefore I shall advise you to give her this Purge following , which will worke very gently . Take three drams of Sena . Three scruples of Agarick . A dram of Annise-seeds . Macerate them together , in a sufficient quantity of Penniroyall water , for the space of a night , to three ounces , in the morning allow them one or two bublings , and to the liquor which you presse out , add Foure drams of Diaphenicon . Mingle them , and give it her to drinke . Or of the Electuary make a Bolus . When the body is purged , and a vein hath been opened , let your Judgement keep company with Galens directions , and prepare the thick humour with this Decoction following . Take Smallage , Fennell , and Sparagus roots , of each halfe an ounce , the leaves of Hysope , Pennyroyall , and Birthwort , of each a handfull . Two drams of Carrotts seeds . Boile them in a sufficient quantity of Barley water , to a quart ; to the strained liquor add Syr. de 5 radicibus , and Syr. lupulorum , of each an ounce , mingle them , and make an Apozem . Or Take the roots of Acorns , and Elecampane , of each two drams . The leaves of Pennyroyall , Motherwort , Balme , Betony , of each a handfull . Two ounces of white Agarick . An ounce and a halfe of Anise seeds . Boile them in a sufficient quantity of Fumitary water to a pint : to the liquor which you presse out , add Syrupe of Motherwort , Syrupe of Maydenhaire , of each an ounce . Mingle them , and make an Apozem . Note that Agarick hath respect unto the nervous parts , and that the Syrup of the five roots with vinegar doth hurt the Nerves , because all sharp things are hurtfull to the Matrix , according to Hippocrates , whose Judgement winneth reverence with the best Physitians . Fomentations must be applyed to the small guts , to the privie parts , and you must make them of opening simples , and such as will cut into , and make thin the grosse and thick humours . Baths and halfetubs prepared of the like simples will be very usefull ; and the best liniments you can choose are made of oyle of Lillies , castor , dill , and capers , and the most profitable oyntments are unguent . Agrippe , and de Althea , with gums . After you have gone thus far , you must evacuate the bloud , and provoke urine : to which purposes prescribe this Decoction following . Take the roots of Butchers broome . Sparagus , Smallage , Fennill , of each an ounce . The roots of Aristolochy the round . Birthwort of each two drams . The leaves of Penniroyall , Snakeweed , Motherwort , of each a handfull . Foure drams of Sena . Two ounces of white agarick . Foure ounces of Hermodactyls . An ounce and a halfe of Epithymum . Anise and fennill seeds , of each an ounce . Boile them in a sufficient quantity of water , to a pint and a halfe , to the strained liquor being hard prest , add two ounces of the best honey , mingle them , and make an Apozem . Every other morning let her drink foure ounces of this fasting , and in the meane time strengthen her belly , and her Matrix , with fomentations that are good to expell winde : you may make them of the Simples aforesaid , with the powders Dianis , Diacumin , Diagalang . and the like . You must provoke the Menstruum with Pessaries , made of the juyce of Mercury , Cucumbers , Restharrow , unsalted butter , Hogs-grease , the gall of an Oxe , Sagapenum , Ammoniacum , Castor , Assa-fetida , and the like . Perfumes made with spices bring down the Courses , if the streame or vapour of them be conveighed into the Matrix ; or you may appoint little Trochishs to be made with rue , aristolochy , Castor , assa fetida , Sagapenum , and turpentine , which being cast upon hot burning coles they will smoke , and that smoke will speedily bring down her Courses , if it be received up thorow a tunnell . You must make an issue in her leg , that the Matrix may exhale , and the thick humours may be purged out . Such Compositions as have steele in them will be most effectuall , for it is manifest by experience , that steele is good to cut into , and make thin the thick and slow humours , to open obstructions , to bring down the Courses , to provoke urine , and to free the vessels from all matter that stop them : and all these things it performes by manfest qualities inherent in it , and not by the ponderosity , or heavinesse thereof , as some have conjectured . Severall Authors have devised severall preparations of it ; but we alwayes used to prepare it after this manner following . Take a pound of Steele filed into a most fine dust , wash it in Pennyroyall water distilled , till the water look pure and cleare , then put it into a glasse Viol , pouring upon it a sufficient quantity of Vinegar , made with Penniroyall : set it in the Sun thirty dayes , stirring it about every seventh day , afterwards dry it , weare it to a most subtle powder in a Marble morter , sift it , and keep it for your use ; the Dose , or quantity hereof to be taken , is a dram with wormewood wine , or Rhenish wine , or with Hydromel . Note , that we advisedly make use of the vinegar aforenamed , because the use and vertue of Steele is to unlock obstructions ; and Vinegar hath a faculty to penetrate , make thin , and cut asunder the thickest humours , and therefore by the help thereof the Steele is with the more expedition transmitted to the remotest parts of the body . Yet if the patient be troubled with a hot distemper in her Liver , stomack , or spleen , or if you discerne any weaknesse in her inward parts , then prepare the steele with Rose-water , or whey of Goats milke . When she hath taken the steele , let her walke an houre after it ; for exercise opens the pores , and thereby the Medicine is the more easily distributed : when she hath observed this injunction , let her lie down till she begin to sweat , or if she finde in her selfe a disposednesse , let her sleep : afterwards give her to eat , but her meat should rather be rosted , then boyl'd , and for her drink , allow her small wine , or wine prepared with steele . I doe not judge it meet to determine any time for the continuance of these Rules , and precepts , onely in generall , I hold it convenient to use them , till the Patient be more apt , and disposed for exercise , till she can walke without any lazy complaint of wearinesse , till her lips begin to look of a more lively colour , till no obstruction be perceiveable by the touch , and in a word , till the urine , which was thin , pale , and discoloured , appeare reddishlike unto the urine of a healthfull woman . The Spring time is the most convenient to undertake this Cure ; for then the humours are most apt to flow , which in the Winter are congealed , and impacted in the severall parts ; and in the Summer time it will not be altogether so proper to begin the Cure , for then thorough the immoderate heat of the season , the humours doe daily threaten to precipitate the sick woman into a fever . If the woman be weake in her body , let her refraine from exercise , and rest her selfe upon her bed , and after the space of a full houre , let her body be diligently rubbed , till it looke red , that the faculties of the steele may be actuated , and assisted in their operation ; for Galen in his book de Puero Epileptico and the fourth Chapter saith , that the rubbing of the body supplies the want of exercise , because it attenuateth and cuteth the humours , unlocks the obstructions , quickens , and kindles the naturall heat , and dissolves the peccant matter . Many mingle steele prepared with Conserves , and Syrups ; Some make Lozenges thereof , and so doe we also ; especially when the Patient refuseth Wine , or Conserves , and the like : for in some cases we must allow pardon to the queazinesse of the sick , and humour the Palate with a safe indulgence . The powders Diarhod . Abbat , Dialacca , and Diacucurma , are very good to open the passages which are stop't , and therefore you may prudently mingle them among the ingredients for the Lozenges aforesaid . Here perhaps you will start this question ; if heat provokes to stoole , and brings down the urine , if it attenuates , cuts into to the humours , and open the obstructions ; why doe Physitians unanimously command the staying of a loosenesse , or an Issue of bloud , in what part of the body soever it happen , and to that intent prescribe water , or wine , or beer , wherein steele hath been quenched , thereby to make it more binding , and more apt to stay any flux ? I answer , that steele is indued with those qualities I readily grant ; but the Method which is observed in the use of steele doth cleerely demonstrate a diversity of faculties to be in it : wherefore if your aime and intention be to open the obstructions , drinke the wine when the steele hath been once , twice , or thrice quenched in it ; but if you desire it should binde , then prescribe it to be taken after the sixth , or seventh quenching ; for the first water or wine openeth , because in that lieth the fiery quality ; but the other bindeth , because in that consists the earthy part : neither shall you need to wonder , that severall and contrary qualities should lie concealed in one , and the same minerall , mettall , or simple , seeing that by daily experience we have a demonstrative certainty of the truth thereof ; for thus Aloes hath an Emplastick and an opening quality : thus Rubarb both binds and purgeth . Now you must note that these Simples are called hot and cold , as they have hot or cold parts predominant in them : thus we conclude endive to be cold , because the parts thereof are more moist then bitter , and we say Rubarb is hot , because it hath a ●itrous , fiery , purging quality predomi●ant in it , above the earthy , binding , and cold parts . Christopherus a Vega , a man otherwise ve●y learned , seemes to my understanding to ●orsake the offers of reason , in saying that ●●eele is unprofitable , because he never saw any woman , who had not her Courses , or who was troubled with obstructions , cured by the meanes of this Remedy ; but truly , ●f it doth not sometimes totally subdue the will , yet the fault must not therefore con●equently be charged upon the Medicine , because the Matrix is sometimes vitiated by an habituall distemper , or else the ob●ructions thereof are so many , or so stub●orne , that sometimes they destroy the sick woman ; and if it doe not fall out so , yet ●s it an undeniable truth which the Poet ●ells us , Non est in Medico semper relevetur ut Aeger , Interdum docta plus valet arte malum . That is , The Doctour cannot still successefull be , Sometimes the evill gets the victory . CHAP. III. The immoderate flowing of the Courses . THis disease is contrary to the former ; for as in that the Menstruum is too long retained , so in this they run too long . There is also this difference between them : the one proceedeth from a hot distemper , the other from a cold one . This we now treat on , is produced by a twofold cause , the one inward , and the other outward . The inward Cause is a hot distemper o● the Liver , whereby the bloud growes hot , thin , boyling in the vessells , and opening them , so that the Menstruum is purged out , before the usuall and due time . The outward Cause is that which heateth and inflames the bloud , and withall makes it thin , as vehement and sturdy exercises , pensivenesse , and immoderate cares of the minde , excessive anger , and thoughts busied upon revenge : a custome of eating meats that are hot in their quality , namely , such as are full of pepper , and salt , bibing of wine , and strong drinks , too much bathing of the body , long watchings , siting in the Sun overmuch , or by the fire side , &c. You may easily make your selfe acquainted with the signes by conversing with , and questioning the sick woman , besides , you may of yonr selfe observe , that the Patient is much weakned , in regard that the parts are deprived of the purest portion , and the most laudable substance of the bloud , by which the life of a Creature is prolonged ; women thus affected are very sad , and melancholy , by reason that the bloud faileth , which otherwise containes a spirit in it , that makes them cheerefull and lively , they grow leane and feeble , scarce able to stand upon their legs , they are apt to Nauseate , and forsake their meat , they are bound in their bodies , and grow puft , and swel'd up ; they are troubled with weaknesse in their stomacks , they cannot digest their meat , their eye-lids sink inwards , the calfes of their legs swell , and their outward parts look pale , and discoloured : yea , by degrees the whole radicall moisture , and inborne preservative decayeth , and the Patient perisheth . Wherefore make no delay , but immediately oppose all your helps of Art to the subduing of the Disease ; let her be lodged in an ayre that is cold and dry , and let her not be exposed to any ayre by night : strew coole hearbs about her chamber , and let her avoid the ayre which is hot , because it rarifies the bloud , makes it thin and waterish , and also inflames , and over-heats it . She must forbear the use of hot meats , as Leeks , Onyons , Watercresses , Origanum , and the like ; let her likewise refraine from feeding upon spiced meats , and such as breed a thin juyce ; Rice boyled with sheeps-feet is good for her : and so are rosted Quinces , Medlars , and Services . Three houres after Supper , let her take fine flower , or pure Bisket dissolved in Plantane , or Rosewater , and sweetned with Sugar . Give her no wine , unlesse it be sowre , and binding red wine ; but it will be more profitable to give her water , wherein gum tragacanth hath been boiled , and perfumed with Mastick , beere in which steele hath been infused will be profitable for her , about the third , or fourth day , for this drink hath a binding faculty without heating . But the opening of a vein twice , or thrice in a day , obtaines the preheminence from all other remedies , according to the judgment of Galen , because it drawes back the humour more forcibly to the upper parts when it is often repeated , then when it is done all at once ; heare him in his own words . Quantò majorem in numerum particulares auxeris detractiones , tantò efficaciorem revulsionem efficies , that is , the oftner you open a vein , taking away a small quantity of bloud at a time , so much more effectuall will the Revulsion be ; for when the bloud is allured to the contrary part by these frequent iterations ; Nature is accustomed to summon the bloud to the upper parts ; and thus that ordinary saying among the Doctors may properly be understood , that one flux cureth another . Hippocrates commendeth a large Cuppin-glass applied to the breasts ; and very deservedly , because there is a great consent and Simpathy between the veins of the Matrix , and those of the Breasts . Moreover , you must prescribe such things as are of tried , and known vertue , to thicken the bloud , syrup of Poppy , Quinces , dried Roses , Myrtles , and the like . We usually prescribe this Draught following for the sick , and we must add this to its commendation , that it seldome faileth in its operation . Two scruples of boiled Rubarb . A scruple of Citron myrobalans . Halfe an ounce of syrup of Quinces . Two ounces , and a halfe of Plantane water . Mingle them , and let her drink it . Divers Authors , as Rondeletius , Hollerius , Amatus Lusitanus , and others condemn the boiling of Rubarb ; and the reason is this , as things say they , become more milde , and weake in their operations , when they have past the fire ; so those things which are gentle , become more vehement , having acquired a new kinde of faculty by the force of the fire : this I grant most willingly , but in the meane time they purge lesse , and binde more , which we desire , and as for any corrupt quality , which the power of the fire may have contributed to it , that is easily washt away by the help of Plantane water , or the juice of Quinces , if you demand whither this humour should be prepared ? I answer , evacuate it without any delay , for you must not expect , or wait the concoction thereof . Binding Glysters will be very usefull ; you may make them after this manner . Take foure drams of the roots of Consolida major . The leaves of plantane and horsetayle , of each a handfull . Halfe a handfull of red Roses . Two drams of shaled Pease . Boile them in a sufficient quantity of plantane water , to nine ounces ; to the strained liquor add a dram of the Trochischs de Carabe , two ounces of syrup of Roses made with dried Roses . The whites of two Eggs. Mingle them , and make a glyster . Or Take foure drams of the greater Comphrey roots . The leaves of knotgrasss , and plantane , of each a handfull . As many red Roses as your thumb , and two fingers can take up . Sumach and Quince seeds , of each two drams . Three drams of barley parched , and beaten to a grosse powder . Boile them in a sufficient quantity of plantane water to nine ounces . To the strained liquor add two ounces of syrup of Myrtles . A dram of terra sigillata . Mingle them , and make a glyster . After these glysters are injected , anoint the Matrix with astringent oyntments ; Take as many plantane leaves as you can grasp between your thumb and two fingers at twice . Red Roses . Mulberry leaves . Oake leaves , of each halfe the quantity aforesaid . A dram of Sumach seeds . Boile them gently in foure pints of oyle of Quinces . Straine and presse the liquor hard , and then put in True Bolearmanick , Trochischs de Carabe , of each a dram . With a sufficient quantity of white wax , make a soft oyntment , according to art , or Take two ounces of unguentum Comitisse . Oyle of myrtles , and oyle of quinces , of each two drams . Mingle them , and make a liniment . You must likewise bath the Matrix with fomentations made after this manner . Take the leaves of plantane , Knotgrasse , Oake leaves . Red Roses , of each a handfull . The seeds of plantane , Sumach . Quinces , of each three drams . Boile them in a sufficient quantity of red wine , or water wherein steele hath been quenched to three pints : use the strained liquor as was said above . That which remaines after the straining may be kept for a Poultis , unto which you may add oyle of quinces , and unguentum Comitisse , of each two ounces , and mingling them together , you have an excellent Poultis . But if the disease yield not to these Remedies , you may exhibit half a dram of new Treacle , or Philonium Persicum , or a scruple of the masse of Pils de Cynoglossa ; if the Patient incline to a Consumption , give her Cowes milk prepared rightly with steele , to drink in a morning fasting ; if the evill still persevere , and you suspect the heat of the Liver to be the Cause of the disease , make an issue in her leg , that the Liver may exhale at that vent , and the other bowells may evaporate , or else let her goe into a Bath , the waters whereof run from an iron Mine ; for these naturally binde and thicken . CHAP. IV. Of the coming away of the Courses by Drops , of the vehement Symptomes thereof , and of the Whites . AS the urine irritates the expulsive faculty , so many times doth the Menstruum , for as that , when it is too hot , doth prick , burn , and is frequently pist out , so the Menstruum being vehemently hot , doth cause an itch , and an irritation , and produceth a Disease , which the Doctours call Stillicidium Vterinum , which we may english , to be a coming away of the Courses by drops . The Disease proceeds from the same Causes , as doth the immoderate flowing of the Courses : therefore the same Remedies will be also proper to overcome them ; yet in this present cure you need not prescribe so many Remedies , nor so often . When any notable Symptomes accompanie this Disease , as a vehement burning , torments in the Matrix , a paine about the secret parts , it is called the Stillicide , or Dropping of the Matrix , from a sharp humour , arising through the hot distemper of the Liver , and the Kidneys ; and whereas it takes beginning from a hot distemper , from whence sharpe , hot , and fiery humours are generated , your Method must be first to root out the Cause , and then to cure the distemper ; wherefore her body must be cooled , her bloud must be thickned , and the Flux must be drawn back to the upper parts ; this is done by a coole Ayre , by giving her whey to drinke , wherein steele hath been often quenched ; and lastly , you may prescribe for her the cold thickning Dyet , which we have set down above . You may let her bloud in both armes , and appoint the opening of the veine called Salvatella ; Leeches must be applied to the Hemorrhoids , that the adust and melancholly bloud may be drawn out . Purge her often with Rubarb and Cassia , Syrupe of Violets , Citron Myrobalaus , Manna , Tamarinds , Diaprun . simpl . and the like Simples which gently bring away choler . Cooling and thickning Juleps will be very necessary , which you may make after this manner . Take twelve ounces of plantane water . Foure ounces of Rose water . Two ounces of Syrupe of the juice of Quinces . Mingle them , and make a Julep , or Take the waters of Plantane , Purselane , of each eight ounces , Syrup of Poppy , Syrupe of r●stharrow , of each an ounce and a half . Mingle them , and make a Julep . If the chiefest fault lie in the Kidneys , Take ten ounces of Bean water distilled . The waters of Plantane . Mallowes , of each two ounces . Syrupe of Myrtles . Syrupe of Poppy , of each an ounce . A scruple and a halfe of Lapis Prunelle . Mingle them , and make a Julep . But note , if the Patient have a hot Liver , and a cold stomack , it will be convenient to lessen the quantity of the distilled mallow water , or to prescribe an equall part of Rose water , the vertue whereof strengthens the inward parts . Baths made with binding Simples , are highly profitable in this Disease ; for they doe not onely attemper the sharpnesse of the humours , but they drive the humours to the outward parts , and so defend and fortifie the Matrix from that annoyance , which they threatned unto it , and in a while the Flux is stayed . Whey , although it be Diureticall , and ●rovoke urine , yet when steele is quenched 〈◊〉 it , it is wonderfull wholsome for her : ●s Hippocrates affirmeth concerning the Son ●f Erotelaus , lying sick of a bloudy Flux , for ●hen he had drunk whey , in which red hot ●nts were quenched , his evacuations were ●ore moderate , although they were bloudy , ●nd in a short time they ended ; here is to ●e noted , that whey although upon a slight ●onsideration , it may seeme to be Diureti●●ll , and so to provoke rather then to stay ●he flux , yet if steele be frequently quenched 〈◊〉 it , till the thin and fiery parts thereof ●e wasted away , it stayeth the Flux . If these Remedies prevaile not to per●●ct the Cure , I shall counsell you to make ●n Issue upon the knee , for this being kept ●pen , the corrupt humours are evacuated , ●ithout any decay of the spirits , which ●therwise doe many times produce grie●●ous and vehement Symptomes ; we have ●poken of the coming away of the Menstru●m by Drops , with the terrible Symptome which accompanies it , namely , a vehement ●nd insupportable paine , but because this ●aine proceeds from divers causes , the Cure ●ust be also diversified . Women therefore which are of a cold Constitution , especially if they be young , prone to Venery , Black , and Hairy , must be purged , that the Cause may be taken away , and therefore their bodies must be first prepared before you can hope to appease the paine . You may evacuate the humour with Diaphenicon , Benedicta laxativa , or with Pills of Hiera : and you may prepare the humour with smallage , and fennill roots , with agrimony and Motherwort leaves , boiled in water wherein steele hath been quenched with Rhodomel . The paine must be appeased with unguent . Populeum , unto which you may add a few graines of opium ; or else you may apply fomentations to the head . A vein also must be opened , as we have shewed you above . If a woman or Virgin have the whites , which come away of a thick and fattish substance , you must proceede as in the former Cure ; but you must be exceeding cautious how you let bloud , for such bodies are full of raw humours , by reason whereof the spirits are much exhausted , and her body is weake and infirme , according to the Judgement of Galen , in his book de Sanguin . missione . chap. 11. wherefore in such cases , I counsell the Patient to goe to the Spaw waters , or some other of the like Nature ; for they purge away the thick humour both by siege and by urine , but especially the melancholy juice , which is the cause of this disease . A Decoction of China and Salzapavilla cannot be improper , nor Leeches applied to the Hemorrhoids . Note that the Caul of a Ram or Weather newly killed , must be laid to the affected part , being first anointed with oyle of Castor ; for as the skull of a man is good against the Falling Sicknesse , and the Lungs of a Fox against the stoppage of the pipes , by a specificall vertue , or hidden similitude , so is this good for the stomack , and the Loynes . The Whites are defined to be a lasting distillation from the Matrix , however it be affected ; for Nature indevoureth to expell that superfluous , moist , and excrementitious bloud thorough the Matrix , and even at the same time disburtheneth the body from this unprofitable and offensive humour . This evill is reckoned among the Symptomes of those things , which are immoderately expelled out of the body , the Causes whereof are divers ; for sometimes a predominancy of choler , sometimes a phlegmatick juice ; many times melancholy , and very often bloud is evacuated ; this is easily known , because a snottie kinde of humour drops , and distills continually from the Matrix , which if it be red , it proceeds from bloud ; if white , from phlegme , if yellow , it takes beginning from choler . The sick woman complaines of a general weaknesse over all the parts of the body , her legs and eyelids are swelled , she cannot digest her meat , her stomack failes her , she is lazie , and loves no exercise , and cares not to stir up and down ; so that at length her strength decayeth , and her spirits faile , through the abundance of bloud which hath come from her : wherefore this disease calls for early help , least it degenerate , as not seldome it doth , into a Dropsey , or a Consumption , or the like terrible Diseases . If the body therefore abound with much bloud , let a veine be opened in the arme , to draw back the course of the humour , which is hastening from all parts of the body to the Matrix . Thus we read that Galen cured the wife of Boetius , unto whom other Physitians had preposterously prescribed Medicines without opening a veine . Afterwards you must prepare the phlegmatick humour with a decoction of wormewood , unto which add Syr. of Roses , or Syr. ●de artemisia , the cholerick humour must be prepared with a decoction of endive , sorrell , unto which may be added Oxysaccarum , or Syrup . de succo Cichorii ; if it be a Melancholy humour , prepare it with a decoction of Fumitary , Buglos , unto which add Syr. of Fumitary , and Syr. Lupuli . Then expell the humour with some gentle purge ; if it be phlegmatick , Take three scruples of white agarick Tro●chischt . Two scruples of the root of Mechoacha . A dram of Annise seeds . Macerate them the space of a night , in a sufficient quantitie of fennill water ; in the morning to two ounces and a halfe of the liquor which you presse out , add Three drams of Diacarthamum . Halfe an ounce of Diacnicum . Mingle them together for a Potion . If Cholerick humours abound in the body . Take two drams and a halfe of the best Rubarb . Citron myrobalans . Cinamon , of each a scruple . Macerate them a whole night in a sufficient quantity of endive water , presse them with all your might , and add An ounce and a halfe of Syrupe of roses laxative . Mingle them , and give it her to drinke in the morning . If Melancholy humours be predominant . Take two drams and a halfe of Sena . A dram of Annise seeds . Macerate them over night , in a sufficient quantity of fumitary water , in the morning presse out the liquor , and add To two ounces and a halfe of the liquor strained and prest , Two drams of Confectio Hamech . Halfe an ounce of Syrup of fumitary . Mingle them for a Potion . If the Disease yield not to these Medicines , expell the humour by an Epicrasis , that is , by some Decoction , that by degrees will digest , open , and evacuate the humour , and also mightily provoke urine ; this Apozem following hath all these vertues . Take the roots of Parsly , Fennell , Buglos , Polypody of the Oake , of each halfe an ounce . The leaves of Maidenhaire . Agrimony , Motherwort , of each a handfull . Six drams of Sena . Two drams of rubarb . One dram of agarick . As much Epithymum as you can graspe between your thumb and two fingers . Two drams of Annise seed . Macerate them together a whole night , in two pints of barley water , upon hot embers , in the morning allow them one or two gentle bublings , and when you have strained them , add Syrupe of fumitary . Syrupe of roses laxative , of each an ounce . Mingle them for an Apozem . Every other morning let her have foure ounces of it fasting . If all these things prove ineffectuall , infuse a whole night six graines of Antimony in wine , and let her drinke it , if her body be strong enough to abide the conflict of the medicine : for besides that , it draws back the humours from the Matrix , by provoking to Vomit , it likewise purgeth away by stool that tenacious , phlegmatick , and thick humour which is the cause of the Disease . Wormewood beere is not unwholsome for her , or instead thereof , prescribe to her , beer wherein China roots have been infused , for this disperseth the humour to the skin , and dries up the superfluous moisture ; for the same purpose , we advise , with Galen , that a Bath of hot sand be prepared ; that after the use thereof the body be well rubbed , and anointed with honey heated by the fire ; then , as we prescribed above , make an Issue in her knee . CHAP. V. Of the Complication of the Menstruum , with other Diseases . THe Complication of the Menstruum with other Diseases is hard to be known , and not easie to be cured ; for if any woman be sick of any Disease , and if her Courses be supprest , or appeare not , the Physitians are at a stand , what is most fit , during this Judication , to be done , for it we follow the motions of Nature , who worketh rightly , and open a vein in the ankle , this will not cure the Disease , which is rooted in the upper parts . And if you draw bloud from the arme , you pervert the course and order of Nature , to the great disadvantage of the sick woman . But you will say , in such a case as this , what is to be done ? I shall tell you in few words . The Disease is either vehement , or moderate , and of long continuance ; if the Courses appeare , or come down , in a disease of long continuance , you may defer the opening of a vein till a more convenient season , be it either a vein in the arme , or in the ankle , which you intended to cut , for you can doe no hurt by omitting , or at least suspending this remedy . But if the Disease be acute , and require a speedy evacuation ; you must observe whither the Menstruum be answerable to the plentie of bloud which abounds in the body ; if her Courses come down , according to the prescription of Hippocrates , you must not be busie , but leave the whole matter to Nature ; of the same opinion is Galen also , for , saith he , if at that time when you are letting bloud , it should so fall out , that her Courses come down , or that she should on a suddeu have the Piles , you must desist from phlebotomy , and commit the whole businesse to Nature , if you are satisfied that the Menstruum commeth away in a sufficient quantity ; but otherwise take from her so much bloud , as may make good the deficiency of her Courses . But if a burning Fever be upon her , if she have not her Courses according to custome , and to the satisfaction of her own desires , then this defect must be supplied with medicines , by opening a veine in her ankle , applying Cuppinglasses with scarification to the calfes of her legs , or Leeches to the Hemorrhoids , to take away the superfluity of the bloud . One thing must be considered , namely , if a woman after her delivery have a burning Fever upon her , her Courses actually flowing , whither it be lawfull , in regard of the vehemence of the Fever , to open the upper veines ? Fernelius , Valeriola , Amatus Lusitanus , and divers others of good account , assent the lawfulnesse and expediency thereof ; for although some have imagined , that if the upper veines be opened , the bloud will ascend to the upper parts ; yet if it be true which they imagine , more profit and advantage will accrew thereby to the sick woman , then hurt or danger ; for when a veine in the ankle is cut , although it bring down the Courses , and supply the defective motion of Nature , in respect of the part particularly affected ; yet is it not equally prevalent against a most vehement inflammation , nor altogether so profitable in a most acute disease ; because the bloud must be drawn out from some vessell , that is nearer to the part affected , that the conjunctive cause may be taken away , and although by cutting a vein in the ankle , we can draw the whole masse of bloud out of the body , yet the bloud is not so fitly taken from one part , as from another ; for in a Quinsey , or a Pleurisey , 't is more commodious to open the Basilick veine to temper the heat , then any other veine in the whole body . CHAP. VI. Of hard swellings in the Breasts . THe Breasts are naturally thin , spongy , or fungous , and loose ; for this reason they are apt to entertaine any crude , and melancholy humours , flowing to them either from the Matrix , or from any other parts ; these , if they are not rightly , and duly expelled , they breed painefull , yea malignant and cankerd Vlcers : wherefore you must addresse your selfe to the Cure , without any truce or delay ; and this consists in three things ; in prescribing a Diet , in the manuall operations of Surgery , and in outward and inward Medicines . Let her therefore make choise of a pu●e ayre , let her drink be small beer boiled with annise and snakeweed ; let her meat be of good concoction , and easie distribution , as Mutton broth , Cock broth , and rosted Chickens ; let her avoid meats that thicken the bloud , as milke , cheese , bacon , fish , and the like ; open a veine , if she have not her Courses , in her ankle , or cut the Basilick veine twice or thrice , to ease the Liver , the Spleen , and the Kidneys , as the multitude of bloud shall require it . Note that the humour must be prepared , and attempted with this Apozem . Take the roots of Succhory , Polipody , of each an ounce . The barke of the root of the Caper , and Tamarisk tree , of each halfe an ounce . The leaves of Buglos , Fumitary , Balme , of each a handfull . Two drams of Fennill seeds . Boile them in a sufficient quantitie of barley water to two pints , and to the strained liquor add Syrupe of Borage , Syrupe of fumitary , of each an ounce and a halfe . Ten graines of Spirit of Vitriol . Mingle them , and make an Apozem . Because the humour is thick and dreggish , you must purge her body severall times , till it be perfectly cleansed , this may be done with this decoction following . Take an ounce of Polypody of the oake . The leaves Fumitary , Hops , Borage , Endive , of each a handfull . Epithymum , Century the less , of each halfe a handfull . Boile them in a sufficient quantity of Barley water , to two pints , and in the strained liquor infuse a whole night , An ounce of Sena . Foure drams of Rubarb . Agarick Troch . Creame of Tartar , of each two drams . Epithymum , and The flowers of borage , buglos , and rosemary , of each as many as you can grasp between your thumb and two fingers at twice . Two drams of annise seeds . In the morning give it one or two bublings , straine and presse it , and to the liquor , add Syrupe of violets . Syrupe of fumitary , of each an ounce . Make an Apozem , or Take the leaves of buglos , Fumitary , of each a handfull . Balme , Germander , of each halfe a handfull . As much Epithymum , as you can containe between your thumb and two fingers . Boile them in a sufficient quantitie of whey , to a pint , and a halfe , infuse for a night in the strained liquor Six drams of Sena . Two drams of white Agarick . A dram and a half of annise seeds . In the morning presse out the liquor hard , and add Syrupe of Violets , Syrupe of fumitary , of each an ounce and a halfe . Mingle them for an Apozem . Confectio Hamech and Diacricu will be highly profitable ; so also are Pils de Lapid . Lazuli . Sometimes you may prescribe glysters , to temper the melancholy humour ; as for example . Take the leaves of Mallowes , Marishmallowes , Violets , of each a handfull . Halfe a handfull of bran . Two drams of fennill seeds . Boile them in a sufficient quantitie of barley water to nine ounces : in the strained liquor put in Confectio Hamech , Diacatholicon , of each an ounce . An ounce and a halfe of oyle of violets . Mingle them , and make a glyster , or Take half an ounce of Polypody roots . The leaves of buglos , Fumitary , Violets , of each a handfull . Foure ounces of sena . As much Epithymum as you can take up , between your thumb and two fingers . Two drams of fennill seeds . Boile them in a sufficient quantitie of Cock broth to nine ounces , to the strained liquor add Diaprun . Laxativum , Confectio Hamech , of each an ounce . Half an ounce of Syrup of Violets . A dram of Sal gemme . Mingle them , and make a glyster . Leeches applied to the Fundament may much promote the Cure. The event may likewise gratifie your triall , if you prescribe Cordials , Treacle , Mithridate , Lozenges of Pearle , Alkermes , and the like : which with their coldnesse , drynesse , and cordiall vertue , retaine the spirits , correct the bloud , even when it is putrifying , and preserve the bowells in their due Symmetry , and naturall constitution ; Note , that you may not forget to wash her legs , with a decoction of Hops , Violets , Fumitary , Roses , Mallowes , and Vine leaves . If by the advantage of time it prove a cankerd , and a creeping Vlcer , you must not vex , and discompose the Patient with many , or strong Medicines , but you must institute a palliative Cure ; for Galen boasteth that he thus cured a woman , who had a Cancer in her breast , for when the thinner part was brought away , it became thicker , more full of putrefaction , and subject to exulcerate ; for it is undenyable , as the same Author affirmeth , that the vehemence of the remedies inflame the humor , and set it on fire , by that acrimonius quality , which is naturally in them . Almost all Authors agree that Issues are convenient , for they supply the stead of Purges , and Phlebotomy , as Guido a good writer witnesseth in his book de Cauteriis . The end of the first Book of Womens Diseases . THE SECOND BOOK , Written by NICHOLAS FONTANUS : OF Womens Diseases . The first Chapter . OF the Mother . THat Disease which we commonly call the Mother , the Physitians terme the Strangulation , or Suffocation of the Matrix , and sometimes the Ascent of the Matrix . Ga●●n took it to be a drawing back of the Ma●●ix , to the upper parts . Hereupon some of the Ancients conceived the Matrix , to be some stragling Creature , wandring too and fro thorough severall parts , to which phantasticall conceit , Fernelius , Eugenius , and Laurentius , contributed a credulous Assent ; for though a woman be dead , yet can you not with an ordinary strength remove the Matrix from the naturall place ; neither is that reason , which Fernelius alledgeth , of any moment , who saith , that in these diseases he hath toucht it upwards , seeing that this is not the true Matrix , but a grosse , windie swelling , of a roundish figure , and somewhat resembling the Matrix ; you will say the Matrix doth remove , and slip from its proper place ; I grant it , for by reason of the moisture , wherewith those parts abound , the Matrix is loosened , and exceedingly stretched : and this is the truth of the whole matter . The Cause of this Disease is twofold : the Retention of the Seed , and the Menstruum , which are the materiall cause : and a cold and moist distemper of the Matrix , breeding phlegmatick and thick juices , which is the efficient cause ; for when the Seed is retained , and the Menstruum hath not the customary , and usuall vent , they burthen the Matrix , and choak , and extinguish the heat thereof : then upon the diminishing of the naturall heat , windy humours are bred , especially in the Matrix , which by nature is a cold , nervous , and bloudlesse part ; after the same manner , if the seed be kept too long , it disturbeth the Function of the spiritous parts , and the Midriffe , it oppresseth the heart , causeth fainting and sounding fits , bindeth as it were , and girteth about the parts , and seemes in such a manner to stop the breath , that the sick woman is in danger to be strangled : her puls is sometimes weake , various , and obscure : she hath inward discontents and anxieties , and is most commonly invaded by , at least very subject unto Convulsion fits : she lies , as if she were astonished and void of sense : and from her belly you may heare rumbling , and murmuring noises ; she breatheth so weakly , that it is scarce discernable , and indeed she is so sad an object , that the by-standers may easily mistake her to be dead . The drowsie and sleepy disease called Carus differs from this , because they who are affected with it , have the use of their breath free , without any molestation : and it differs from a Catalepsy ( another drowsie disease , casting the sick into a profound and dead sleep ) because they who are taken with that , lie without any motion , but they who have the mother , are tormented with Convulsion fits , their legs and their hands are stretched and wrythed into unusuall figures , and strange postures ; and by this it is distinguished from an Apoplexy , unto which it is exceeding like . Galen wondreth how these women can live , who are troubled with these cruell fits of the Mother , without any puls , or breathing , in as much as it is impossible for one that liveth not to breath , or for one that breatheth not , to live ; for so long as we live , so long we breath . To this I answer , that although these women live without respiration , yet doe they not live without transpiration ; for this being performed thorough the pores of the skin , by the motion of the arteries , conserves the symmetry of the vitall heat ; for then that small heat retiring to the heart , as to a Castle , may bepreserved by this benefit of transpiration alone . Now to procure an assurance , whither the woman be living or dead , hold a feather , or a looking-glasse●to her mouth , if the former stir , or the latter be spotted , it is an undoubted signe that she liveth . This is a most acute Disease , and soone dispatcheth the sick woman , especially if it took beginning from some very contagious , and poisonous vapours ; lecherous women , and lusty widowes that are prone , and apt to Venery , are most subject to it : but married women that injoy the company of their husbands , and such as are with childe , are seldome invaded by it . You must apply your Remedies in the fit , and after the fit : in the fit , the humour must be drawn back with rubbing the parts , tying painfull Ligatures about them , and ●upplying Cuppinglasses , with scariffication to the calfes of her legs : have such Glysters in readinesse , as will take away the paine , dissolve , draw back , and purge out the thick humours : you may compound them by these formes following . Take halfe an ounce of Elecampane roots . The leaves of rue , penniroyall , Motherwort , and pellitory of the wall , of each a hand●ull . Three drams of sena . Bran , Camomile flowers , and the tops of Dill , of each halfe a handfull . Bastard Saffron , and Annise seeds , of each ●wo drams . Boile them in a sufficient quantitie of birthwort water to nine ounces , to the strained liquor being squeezed , and prest very hard , add Diaphenicon , and benedicta laxativa , of each an ounce . Oyle of dill , and oyle of rue , of each s●● drams . Halfe an ounce of butter . A dram and a halfe of salt . Mingle them , and make a Glyster . Carminative medicines must be laid upo● the whole inward region , as fomentation● made of the leaves of Rue , Motherwort , Penniroyall , the flowers of Melilot , and Cam●mile , or unguent . de Althea , with the oyle of Camomile , Dill , and Rue ; for this looseneth the passages by opening the pores , an● expelling the winde ; pessaries may be pu● up , made with Civet , Musk , and Amber but you must affront her nose with stin●ing odours , as the steame of brimstone , t●● smoke ascending from old shoes burn●● Partridge feathers , sagapenum galbanum , ass●fetida , and the like , cast into the fire ; because the Matrix doth , as it were abhor , retreat , and flie from these things , wherea● sweet things doe allure to them . But some curious braine may here demand , why sweet things held to the nos● doe breed the fits of the Mother , and on the contrary , stinking things appease those fits ? I answer ; sweet things applyed to the Matrix , in regard that they are hot , doe expell the winde , cut into the slow and tenacious phlegm , and afterwards purge it out : but stinking things applied to the Nose , consume the ascending vapours with their heat ; but you may still demand , if hot stinking things be good to break the winde , why may they not be laid to the Matrix , as well as sweet things ? I answer ? the Matrix embraceth , and meeteth sweet odours and perfumes , but unsavory and stinking sents it abhors , and flies from ; for 't is ● most certaine truth , that every creature , even by naturall instinct , shunneth inconveniences , and affecteth things convenient . If the evill still increase , and if the Virgin be of a good habit , fleshie , and for a long time hath not had her Courses , or for too long a time hath had them : the safest course , although upon the approach of the Fit , will be to open a veine in the ankle , without delay , especially , if any excretion of bloud appear , either at the nose , or at the mouth ; for as Hippocrates hath excellently taught us ; as the coming down of the Courses , is a present Remedie for those who vomit bloud ; so in a body that is plethorick , by reason that the Menstruum hath been long suppressed ; you may help a woman who vomits bloud , if you cut one of her lower veines ; the same opinion is favoured by Galen in his Commentry , saying , in this case we ought to endeavour an evacuation , namely , such an one as is correspondent to nature , when she is obedient to her own lawes . After the Phlebotomy , if her body ●e strong , and the Disease continue , apply Cuppinglasses , with scarification to her thighes , Leeches to the Hemorrhoids , and with iterated Glysters , and medicines given again and again into the body , purge out the Melancholy juices . Many , who are more rash then learned , more bold , then skilfull , because of the cold and the winde , which are the causes of this Disease , at the beginning will unadvisedly be offering wine to the sick , which being odoriferous , is apt to allure the Matrix to the upper parts ; therefore I counsell all those that value the health of their friends , to forbeare this temerity : yet if she faint , and her spirits be so far spent , that she swounds , or is ready to swound , in such an exigence you may allow her wine , yet in a small quantity . When the Fit is over , let her live soberly , and feed upon hot meats . that yield a thin , and subtle nourishment , and be very carefull to preserve her self , least she fall into a Relaps ; hearbs , and roots , and such thinge as thicken the bloud , or are hard to digest , must be no part of her diet , Wormewood beer may be allowed her , or in her beer mingle Cinamon water , or boile Annise seeds , or China roots in it . The humour must be prepared with cutting Syrups , as Rhodomell , Syrupe of Wormewood , Syrupe of Mint , or Syrupe of the five roots . You may prescribe the Purge of Mecho●aca , Hiera Picra , pills of agarick , of Hiera , with Confectio Hamech , or Sena . You must open a veine in the ankl● again , and because this thick and stubborne humour will not obey a single evacution , you must also purge her body againe with agarick , hellebore , Pills of Mastick , or of Rubarb . Steele taken in powder , or mingled among the other medicines , will much advance the Cure ; so will an Issue , and an artificiall Bath made with Sulphur , or a decoction of Salsa parilla , Guaiacum , and China . Lastly , if the Disease take beginning from the seed , because in Physick , no peculiar , or elective purging medicine is consecrated to it , you must lessen her diet , enjoyne her an abstinence from hot wine , and let her continually weare plates of lead upon her back ; for it is most certaine , that these doe diminish the seed ; if the Patient for twelve mornings together upon an empty stomack , drink three ounces of a decoction of agnus castus seeds , boiled with six graines of Camphire . CHAP. II. Of the Epilepsy in the Matrix , And the severall kindes thereof . PHysitians reckon up a twofold Epilepsy in the Matrix ; one by Consent , the other by Propriety ; the Cause of this is a thick , viscous , and slow humour , obstructing the hollow parts of the Nerves : the cause of that is a cold distemper of the Matrix , and a contagious vapour assaulting , and shaking the Braine , and the nervou● parts : for when the animall faculty strives to expell that humour , or vapour from it selfe , the hollow parts of the Nerves are crusht together , and the passages are stopt , and thus there happens a constipation , or an obstruction , the insides of the Nerves being , as it were straightned , bound , and closed up together . That there is such a Disease , as an Epil●psy by Consent , we are warranted by Galen to beleeve , who in his book de● Locis , propounds the example of a boy , who being lame in his legs , fell afterwards into an Epilepsy , and after the same manner Virgins , who are troubled with obstructions , winde , or a malignant vapour in their Matrices , doe frequently fall into the Falling Sicknesse . This is easily known ; for imminent windie humours , and rumblings in her belly doe presage it , her stomack swells , her mind is confused , her eyes are dim , and when she is ready to fall into a fit of the Epilepsie , or Falling Sicknesse , she may perceive a tingling noyse in her eares , a giddinesse , circumagitation , or turning round in her head : she is sad in her minde , disquieted in her body , troubled with the passion of the heart , and not seldome with sounding fits ; 't is a sad spectacle to behold her in this condition , from which if she be not seasonably delivered , she is very likely to fall into an Apoplexy ; this we have learn't from Galen , who in his third book de Locis , and 5. chapt . saith , Epilepticks doe often degenerate into a melancholy madnesse , and so on the contrary ; for this melancholy mood turnes to the Falling Sicknesse , when the humour invades either the body , or the minde ; or if that darke vapour becloud the minde , inducing a dimnesse , or gloominesse in the thoughts , with sadnesse , despaire , and deep melancholy ; if the spirits , which are bright and cleare in their own nature , be obscured with the foggy commerce of black vapours , the very presence of them dismayeth , terrifies , and discomposeth the minde : or if a confluence of those vapours assault the body , that is , the braine and the nerves , they produce the Falling Sicknesse . This requires a twofold cure : one in the Fit , the other after the Fit. In the Fit you must quicken and excite the animall faculty , and force back those poisonous vapours , that are stealing from the Matrix to invade the upper ●parts : then the winde must be expelled , the wayes kept open , and the thick humour must be got out of the body , by rubbing the parts , by tying straight ligatures about her legs , by fomentations , and baths , made with the leaves of penniroyall , motherwort , thy●ne , nip , camomile , salt , vinegar , and water ; softning Glysters are so usefull , that you must not forget to inject them ; you may make them thus . Take the leaves of motherwort , Penniroyall , Birthwort , of each a handfull . Rosemary ▪ Mint , of each a handfull . Two drams of fennill seed● . Boile them in a sufficient quantity of water , to nine ounces , straine and presse out the liquor , and then add Hiera picra Galeni , Diap●enicon , of each an ounce . A dram of sal gemme . Mingle them , and make a glyster , or Take the roots of Elecampane , Restharrow , of each foure drams . The leaves of Marjoram , Motherwort , Birthwort , of each a handfull . The tops of Dill , Camomile Flowers , of each halfe a handfull . Two drams of Annise seeds . Boile them in a sufficient quantity of Barley water , to nine ounces , to the liquor which you presse out , add An ounce and a halfe of Diaphenicon . Mass . pill . fetida● . De heira cum Agarico , of each two scruples . Oyle of Dill , Camamile , Butter , of each halfe an ounce . Mingle them , and make a glyster . If necessitie urge you , and the strength of the Patient will beare it , you may prescribe a sharper glyster , to draw the humours from the farthest distant parts , and to imitate the nature and effects of a Purge ; be this for an example to you . Take half an ounce of Polypody roots . Two drams of Mechoaca . The leaves of Sage , Rosemary , Betony , of each a handfull . Halfe an ounce of bastard Saffron seeds . Two drams of Agarick . As much Epithymum as you can take up between your thumb , and two fingers . Boile them in a sufficient quantity of honied water to ten ounces , straine , and pre●●e out the liquor , and add An ounce of Hiera Logodii . A dram of the Masse of Pills of Cochia . Ten graines of Troch . Alhandal . Half a dram of sal gemme . Mingle them , and make a glyster . For this being a most acute Disease , requires the utmost tryalls of art , that it may not degenerate ( as it is very prone to doe ) into a true Apoplexy . To the Matrix ( to make a sudden dispatch of the Cure ) apply Carminitive fomentations , and bath the privie parts , to break , and expell the winde . After the use of the Fomentation , apply oyle of Castor , oyle of wormewood , and in●ect odoriferous Pessaries of musk , amber , Civet , made up with gallia Moschat , and a piece of Cotton , according to the secret rules of Art ; to the nose you must hold stinking things , as sagapenum , galbanum , assa fetida , Castor , rue , and the like . When the Fit is approaching , Hippo●rates adviseth to open a veine in the Ankle , and this advice is magnified , and aplauded by Galen in his book de Rigore Chapt. 8. neither may you forget to apply Leeches to the Hemorrhoids , or the calfes of her legs ; for they will suck out the feculent and dreggish humour , that is impacted in the Matrix . Cordialls must be administred , as Treacle , Mithridate , Alkermes , Confection de Hyacyntha , and the like : or if you please compound them after this manner . Take the hoofe of an Elk. The wood of Misletoe of the Oake , of each two drams . The skull of a man newly dead of some violent death . Harts●orne , of each two drams . Pearle prepared , Burnt Ivory , Mastick , of each a dram and a half . The powder of Rosemary , Stechas , Sage , of each a scruple . The species Diacastor . Diaccumin . of each a scruple . With a sufficient quantitie of honey , of roses , and Syrupe of Stechas , make a mixture . If the Disease become againe indigested and crude , prescribe another Purge , of Aloes , Hiera Picra , Benedicta Laxativa , or Turbith ; but that the ignorant may not be rashly precipitated into some erroneous composition , we shall limit him to this prescription . Take two scruples of the masse of Pills de Hiera cum agarico . Ten graines of pill . faetidae . Troch . Alhandal , Diagrydium , of each five graines . With a sufficient quantity of Syrupe of Stechas make nine Pills . Sometimes the retention of the Seed is the Cause of these Symptomes , which if they be so vehement , that the former remedies cannot tame them , proceed as followeth . Take Storax in powder , Aloes in powder , White agarick , of each two drams . The juice of the hearb Mercury , The juice of the wild Cucumber , of each three drams . A sufficient quantity of Turpentine . With a piece of Cotton make a pessary , according to art , put it up , and move it up and down , till the superfluous seed be ejaculated . If the ●ick woman have many Fits in a day , certaine it is , that the disease is fixt , and rooted in the Head : wherefore in such cases I have known no better remedy , then an actuall cauterizing in the hinder part of the head , from whence as from an Issue , that virulent and luxuriant humour which is the cause of this most dangerous disease , may at last have a vent . In the intermission of the Fits , you mus● open a vein in her Ankle ; this is not my counsell onely , but Galen enjoynes the same remedy ; for in his book de Cur. ration . pe● sang . missionem , he saith ; if you will prevent the Falling Sicknesse , cut the Scyrhen● that is the veine in the Ankle ; afterward he commands the preparation of that cold and thick humour , which may be effected by this Apozem following . Take the roots of fennill , Small Aristolochy , Elecampane , of each foure drams . The roots of Dittany , Piony , of each two drams . The leaves of Nip , Penniroyall , Calamint , Sage , of each a handfull , The flowers of Stechas , Rosemary , of each as much as you ca● graspe between your thumb , and two fingers at twice . A dram of annise seeds . Boile them in a sufficient quantity of water , wherein steele hath been in●used , to two pints . To the strained liquor add An ounce and a half of Syrupe of Stechas . An ounce of oxymell Scilliticum . Mingle them , and make an Apozem . After you have prepared the humour , purge the body with this composition following . Take two drams and a halfe of Sena . Three scruples of white agarick . A dram of annise seeds . A scruple of Ginger , Macerate them for a night in a sufficient quantity of parsley water ; in the morning give them one or two bublings , and to the liquor which you presse out ( I meane three ounces of it ) Add two scruples of Mass . Pill . Fe●id . Mingle them for a Potion ▪ or You may prescribe some other mixture to purge phlegm ; and more valiantly to break and expell winde ; or make ready this plaister following , to be applied to her Navell , and her secret parts . Take three ounces of bistort ro●ts ▪ Lign . Aloes . Sautali moschatelin . N●tmegs . Barbar●es . Dill , of each two drams . Cinamon , Cloves , Scevanth , Ca●amile flowers , of each a dram . Male frankincense , or Olibanum , Mastick , Trochischs de Gallia Moschata , Storax calimata , Red ●torax , or each a scruple . Seven graines and a halfe of musk . Three ounces and a halfe of yellow wax . An ounce and an halfe of ●urpentine . A pound of pure ladanum . Nine ounces of ship Pitch . Mingle them , and according to Art make a Plaister . If the contumacity of the ●vill be such , as not to yield to all these remedies , make Issues in the legs , and if those also prove ineffectuall , my last recourse is to a decoction of Gua●acum wood , wherewith the learned Jachinus , as he av●rreth in his Commentaries upon Almansor , hath cured many of this Disease . CHAP. III. Of Melancholy proceeding from the Matrix . THis hath one and the same Cause with the Epilepsy , namely the retention of the Seed , and the suppression of the Menstruum , which being earthy , and not obtaining a vent , they putrifie , beget vapours , which doe not onely assault the braine , but they oppresse the heart also , and the Midriffe ; for when a gloomy and black vapour ascends to the braine , the principall parts , and their instruments are depraved , and the animall spirit , which is the chiefest instument of the soule , and in its own nature cleare and perspicuous , is rendred darke , and obscure . The true signes of this disease are sadnesse , fearfulnesse , anxiety of minde , and severall figures or postures of unquietnesse appearing in the body . They despaire , they doate , they talke idely , especially at that time when they expect their Courses ; in these you may observe a depraved motion of the principall Members , because the temperament of the braine is perverted by that cold and dry humour ; moreover they are unwilling to dye , they cannot sleep , they have no stomack to their meat , and being taken with a strange loathing of aliment , their bodies waste and consume ; sometimes they imagine that they undergoe the torments of damned soules in Hell ; they weep without any cause , they groan , they lament , anon againe they laugh , desire to goe into some by co●ne●s , and according to the inward discompo●ure of their mi●des , they turne , vary , and alter their gestures , and countenances into severall figures : sometimes they have a conceit that they are talking with Angels , sometimes they murmur , sometimes they sing ; certainly there is not a more strange and wonderfull disease , for in severall persons it bewrayeth a thousand , severall , ridiculous , and antick behaviours . He sees the difficulty of this Cure , both in regard of the Symptomes , and the stubbornesse of the disease , who understands it to be a cold and dry affect ( for there is no doubt , but the braine labours under a cold , and dry distemper ) and how much drienesse resisteth the best medicines , is not unknown to Philosophers ; for as it is of a dull , and sluggish action , so are there many resistances : and from thence comes the danger , because it easily degenerates into ●●veing , and raging madnesse , or into the Falling Sicknesse , or into an Apoplexy , and it is held incur●ble , if the braine be primarily affected , because in continuance of time , it takes so deep a root , that no Magazine of Remedies , no stratagems of Art can remove it . Wherefore you must be very carefull , when you undertake the Cure ; as for her Diet , let it incline to hot and moist , assigne her a gently breathing ayre ; boile her drink with the roo●s of buglos , angelica , and snakeweed ▪ with the leaves of hops , buglos , balme , and fumi●ary ; allow her white Wine that is small , and well sented , let her be indulgent to her sleeps , avoiding cares , pensivenesse , and troublesome thoughts ; if her body be costive , make it , and keep it soluble . Venery is wholsome for melancholy persons , provided that it be acted seasonably , and with moderation . Hippocrates placed the whole hope of the Cure in the evacuation of that excrement , commanding , as we have said above , such Virgins to marry . To facilitate the Revulsion , and the evacuation of the humour , loosen the belly with moistning Suppositories , and Glysters , observe their composition . Take two scruples of the species Hiera pi●ra . Ten graines of Troch . Alhandal . Halfe a dram of common Salt. With a sufficient quantity of honey boiled to a due thicknesse , make a Suppository , or Take a scruple and a halfe of Hiera Picra in the species . Trochishs of agarick . Troch . Alhandall , of each a scruple . Halfe a dram of Sal gemme . With a sufficient quantity of honey , according to art make a Suppository . Take the roots of Elecampane , Polypody , of each foure drams . The leaves of mallowes , Violets , Balme , Pellitory on the wall . Mercury , of each a handfull . Ten good prunes . Five drams of Sena . As much Epithymum as your thumb , and two fingers can grasp . Two drams of annise seeds . Boile them in a sufficient quantity of fu●●tary water to nine ounces , when you have strained and prest out the liquor , add , Diaprun . Laxat . Diaphenicon , of each an ounce . An ounce and a halfe of oyle of Violets . A d●am of Sal gemme . Mingle them , and make a glyster . Or , Take the leaves of Buglos . Borage , Balme , of each a handfull . Halfe a handfull of Violets . Foure drams of Sena . Halfe an ounce of the roots of black Hellebore . As much Epithymum as you can take up between your thumb and two fingers . A dram of fennill seeds . Boile them in a sufficient quantity of broth , made of a sheepshead and guts , soundly wash't before you put them into the pot , and to ten ounces of the liquor which you press out , add An ounce of Diaprun . Laxat . Halfe an ounce of Confectio Hamech . An ounce and a halfe of oyle of Violets . Two drams of common salt . Mingle them , and make a glyster . But if the Disease arise from a suppression of the Courses , thinke upon that Oracle of Hippocrates , and obey his words as a sacred Law , when he saith , the true way to provoke them , is by drawing bloud from the ankle ; provided that there be no reason to oppose this injunction ; having so done , and laying Leeches to the Hemorrhoids , the use whereof is exceeding profitable in this disease ; if the body be full , and the disease be found to be common to the whole body , open the Basilick veine on the right side : from whence , if an earthy and black bloud flow away , Galen adviseth you to take out a large quantity . If the Patient be young , leane , black and hairy , adventure upon deep scarifications made in her back , and fasten great Cuppinglasses to her arteries . These universall administrations being premised , and the humour being rightly prepared , it will be convenient to prescribe a Purge to cleanse her body from melancholy : to this purpose Take three drams of Sena . A dram of the roots of black Hellebore . Two scruples of agarick Trochisht . Halfe a dram of fennill seeds . Macerate them in a sufficient quantitie of fumitary water for a night , and when in the morning you have prest out the liquor , take three ounces of it , and add Three drams of Diacatholicon . Two drams of Confectio Hamech . Halfe an ounce of Syrup of Violets , Mingle them , and make a Potion . She must not take any Pills , for they are too great driers , both in respect of their forme , and also in regard of the ingredients whereof they are compounded . But by all meanes , let her have somewhat to dispose her to sleep ; as this , or the like emulsion . Take the seeds of Gourds , Melons , Citruls , Cucumbers of each an ounce . Six sweet Almonds blanched . Two drams of white Poppy seeds . With ten ounces of a decoction of Lettuce , and Poppy heads , and an ounce of Syrupe of Poppy , make an Emulsion , to be taken about nine a clock at night , and at two a clock in the morning . Embrochations also may be prepared for the head ; you may make them of a decoction of poppy heads , barley , roses , violets , waterlilles , nightshade , lettuce , coriander , and mandrake roots . Anoynt her nose and her Temples with this oyntment following . Take halfe an ounce of unguent . Populeum . Two drams of unguent . rosarum . Half a dram of Opium , d●●solved in vinegar of roses . Mingle them for the use aforesaid . Let her have cooling Lotions , to bath the palmes of her hands , and the soles of her feet ; if the cruelty of the disease be such , as to deprive her of all sleep , prescribe this draught following ; yet suspend the use thereof till you have tried other meanes , to procure rest for the sick Creature . Take a scruple of Philonium Romanum . Three ounces of Lettuce water . Mingle them , and let her drink it when she goeth to bed , or Take Philonium Persicum , Requies Nicholai , of each a scruple . Two ounces of a decoction of poppy . Mingle them for a Draught . Sometimes we use to exhibit two or three graines of laudanum opiatum : yet forbear this remedy , unlesse an urgent occasion prompt you to it : Baths are most wholsome , if they be made of the decoction before prescribed ; or else you may follow this example . Take two ounces of Barley , The leaves of Violets , Vine leaves , Lettuce , Willow leaves . Mallowes , of each two handfulls . The leaves of red roses , water lillies , of each a handfull . Boile them altogether , in a sufficient quantity of broth made with a sheeps-head , and let her bath her selfe in the strained liquor . A Bath prepared of oyles , and sweet waters is very effectuall ; so also is a Bath of Asses milke ; for these things temper the earthy humour , mitigate the acrimony thereof , correct the drynesse , and parchednesse of the skin , render the bloud more apt to descend , provoke sleep , qualifie the furious motions of the spirits , and nourish and fatten such bodies as are dryed up , and consumed . You must also comfort the heart with Cordialls , and to the same purose Take the waters of Borage , Balme , of each six ounces . Syrupe of the juice of Borage . Syrupe Regis saboris , of each an ounce . Two drams of Cinamon water . Mingle them , and make a Julep , or Take Conserve of ●he flowers of Violets , Borage , Oringes , of each an ounce . Confectio Alkermes , Confectio de Hyacyntha , of each a dram and a halfe . Species Diamargarit . frigid . Species Diambrae , of each a dram . With a sufficient quantitie of Syrupe de pomis Regis saboris , adding two leaves of gold , make a mixture , or Take the species Letificant . Galeni , The species Diambra , of each halfe a dram . Pearle prepared . Bezoar stone , of each a scruple . Two ounces of Sugar dissolved in Rose-water . Make them into Lozenges according to Art. If these remedies get not the victory , we counsell you to make deep issues upon the knee ; and if the disease be inveterate , prescribe an extract of black Hellebore , and apply Causticks to the region of the spleen , by the force and strength whereof , the black and cloudy humour , which sticks so close to the bowell , may by degrees be brought away . CHAP. IV. Of a cold Distemper , or a swelling in the Matrix . THe Matrix is sometimes swelled , either because the Courses are stopped , or else in regard of a continuall suppeditation of cold aliment , which generates a cold distemper in those parts : which because it cannot be simple , or solitary , therefore it presently consociates it selfe with moisture , and from thence arise thick , slow , and cloudy windes , in the very cavernes , or hollow parts of the Matrix , tormenting the woman with unspeakable paines . The signes are a swelling below the Navell , neare the privie parts , slow windes , with rumbling , and murmuring of the guts , forsaking of meat , sadnesse , slothfulnesse , heavinesse in the head , and about her secret parts . This is a grievous disease , because many ●imes it turnes to a Dropsey in the Matrix : for , in regard that those windie humours are bread , and increased by the diminu●i●n of the naturall heat , as Galen hath observed in his book de Sumptom . Causis , it comes to passe , that the feeble heat , now generating winde , proceeding from a cold distemper in the Matrix , doth so weaken it , that instead of winde , water , or a waterish humour is produced . This disease is cured by an extreame thin , and drying diet : wherefore let the ayre incline to hot and dry : but if the place be such as doth not naturally afford such an ayre , prepare it by art , sprinkling aromaticall things about her chamber , as sage , nip , betony , rosemary , stechas , thyme , origanum , and lavender . Let her choise be of those dishes , which will be of good nourishment to the body , easie to digest , and soon distributed to all the parts , as thrushes , young sparrowes , partridges , pheasants , and pigeons : she may not eat the flesh , of goats , Kids , hares , cowes , sheep , nor Deer : meats made with milke are unwholsome for her : so are roots , sallads , and pothearbs : new laid egs , raisi●s , and figs may be allowed her : but command a forbearace of chesnuts and almonds ; for they are thick and windy ; let her eat the whitest bread baked with annise , or fennill seeds , or a little honey ; course barley bread , and the like , is not good for her , but nothing is more unwholsome for her then fruit ; you may grant her the use of some few hearbs , as sparagus , parsley , alexanders , water pepper , ●orage , and buglos . For her d●inke , give her Fountaine water , wherein annise seeds , or cinanon , or china roots , or the like have been boiled ; but the most wholsome drink for her is wormewood beer . If she drink wine , let it be sparkling and pleasant , claret wine mingled with water , other artificiall drinks , as cider , perry , metheglin , steepona , Nectarella , Medea , and the like are hurtfull for her . The humour must be prepared with Rhodomel , Syrupe of wormewood , Syrupe of mint , and the like . Her body must be purged by fits , for the crude , thick , and windie humour , will not be got out with one medicine ; this is taught us by our great Master Hippocrates , who in his fourth book de Acutis , saith , whosoever indeavours at the beginning of a disease to dissolve , or take away an inflammation by a purging medicine , he will finde himselfe much mistaken ; for whilest the part is intensively inflamed , and the affect yet crude , and unconcocted , the physick gets no victory , hath no laudable operation at all : but rather it brings away such things , as would have made resistance against the disease , and so by this rashnesse , the body is weakned , and the disease gets strength : which when it hath once overcome the body , becomes uncurable : therefore whensoever you undertake to purge a body , you must not onely make the humours fluid , but you must also stay till they are concocted , especially in chronicall , and long-lasting diseases ; this may be done by the help of this Apozem following . Take the roots of fennill , Elecampane , of each halfe an ounce . The leaves of penniroyall , Wormewood , Hops , Motherwort , of each a handfull . As many Camamile flowers , as you can take up , between your thumb and two fingers at twice . Two drams of agarick Trochischated . Half an ounce of Mechoca roots . The seeds of fennill , Annise , of each two drams . Boile them according to art , in a sufficient quantitie of barley water , to two pints ; when you have prest out the liquor with all your strength , add ▪ Two ounces of Diac●ycum . Mingle them , and make an Apozem , or Take the roots of Polipody . Angelica . Hermodactyls . Of each halfe an ounce . The leaves of Hops ▪ Motherwort , Fumitary , Balme , Betony , of each a handfull . Six drams of sena . Agarick Trochischated . The roots of Mechoaca , of each two drams . Halfe an ounce of Bastard Saffron , seeds . Epithymum , Camomile , of each as much as you can take up between your thumb and two fingers . Two drams of fennill seeds . Boile them according to art , in a sufficient quantity of Cock broth , to two pints , presse out the liquor with your utmost strength , and add Two ounces of Syrupe of the juice of fumitary . An ounce of Diacnycum . Mingle them , and make an Apozem . Let her every day drink three ounces of it . For nothing cleanseth the Matrix from tenacious , and 〈◊〉 humours , so effectually as Agarick ; or which is a surer , and more infallible remedy against the Mother ; if we may credit Galen ▪ and Mesur . Monardus , Costa , Clusius , Lobel , and Weckerus , ascribe the same vertues to Mechoaca , which is hot , and dry . Turpentine , although Galen in his booke de sanitate tuenda ▪ saith , that it serves onely to loosen the belly , yet it purgeth , and cleanseth all the bowells , as the Liver , the Spleen , the Kidneys , the Lungs , and the Matrix , from those tough and slimy humours , which are strongly impacted in them . There are severall wayes to prepare it : sometimes it is most easily taken with the yelk of an Egg , sometimes in powder , and sometimes being reduced into an oyle , the admirable efficacy hereof freequent experience doth more and more discover to me ; so that I have often adventured to give it ( and with blessed success ) in many diseases , both of the Chest , the Kidneys , and the bladder ; for this cleanseth the stomack from thick , and tough humours , from which part floweth the whole streame of phlegmatick humours , it wonderfully warmeth the Matrix , wipeth away the clammy filth which sticks about the walls of it , expelleth winde , provokes the Courses , and brings down urine . You may make an excellent Fomentation after this manner . Take the leaves of Motherwort , Penniroyall , Birthwort , Rue , of each a handfull and a halfe . Rosemary , Sage , Betony , of each a handfull . The flowers , of ●amomile , Stechas , of each halfe a handfull . The tops of Dill , Wormewood , Of each as much as you can take up between your thumb and two fingers . Boile them in white wine to foure pints ; use the strained liquor for a Fomentation , and with sponges dipt in it , bath all about the bottome of her belly , her groiny and her privie parts . After the Fomentation , apply this admirable oyntment . Take oyle of laurel , Wormewood , of each an ounce , and a half . Oyle of Castor , Earthwormes , of each an ounce . In these oyles boyle gently The powder of aromaticum rosatum , Wormewood , Sage , Lignum aloes , of each a dram and a halfe . A dram of red Corall . Straine , and presse out the unctious substance , and add Three drams of yellow wax . Mingle them , and make an oyntment . If you augment the severall doses of the aforesaid hearbs prescribed , for the Fomentation , you may make a halfe Tub : or you may lay on the plaister pro Matrice ( 't is sold in the shops ) aromatized with Diarrhodon Abbat . and Diamoschus dulcis , or instead thereof apply the plaister Tachamacha , or Catanua ▪ Antidotes may not be omitted , as Treacle , and Mithridate . Excellent Lozenges may be made for her of sugar , with the species Diamoschus , Diagalanga , Diacinnamomum , or Diacuminum , or if you please , prescribe this mixtue following . Take the roots of Elecampane candied , Ginger candied , of each an ounce . Conserve of the Flowers , of Sage , Rosemary , Orenges , of each six drams . Halfe an ounce of conserve of borage . The species aromaticum rosatum , Diamoschus , of each a dram , and a halfe . With a sufficient quantity of Syrupe of Wormewood , mingle them for your use . If these medicin●s doe not overcome the disease , let her use minerall , sulphureous baths , or the like . Zacutus Lusitanus saith , if you take the durt in the bottome of one of these baths , and lay it upon the Matrix , it is as divine a medicine against the cold affects of the Matrix ; but in these words of his , I conceave there is more of ostentation , then of truth . If the evill yet persevere , we used in the next place to prescribe sweating remedies , of guaiacum , china and sassaphraz roots to be administred , as we have already shewed in the foregoing cures ; and afterwards we make issues that the Matrix may exhale . Now let us consider what must be determined in this case concerning Phlebotomy ; some will say that in a bad habit of the body , in a Dropsey , in the trembling palsie , and the like , where there is a deficiencie of naturall heat , no man will adventure to let bloud : seeing that when the bloud is diminished , the heat is also lessened , and the crude humours become so much the more crude : this was Avicens feare , as is manifest by these words of his : beware least you precipitate your Patient into one of these extreams , either into an ebullition of chollerick , or an indigested abundance of cold humours ; this we confesse to be true ; yet not so , but that sometimes ( all other● administrations being rightly and duely premised ) with Galen we may take away bloud by fits , then exhibit Mellicratum ▪ Then againe open a vein , either the sam● day , or the day following , as the disposition of the matter shall dictate to your reason ; we leave much also to nature her selfe , who many times concocts the thick humours ; the veine in the ankle must be opened , if women are thus affected ; but when men are troubled with these windy humours , the Basilick vein is the most proper to be opened . CHAP. V. A Schirrhus in the Matrix . ASchirrhus in the Matrix is a hard , and stony swelling , bread of earthie humours , and of a thick and melancholy bloud retained in the body . This is either produced by a cold distemper in the Matrix , or else it proceeds from a weaknesse in the upper parts from whence thick humours doe arise . This disease is very easie to be known , because in those who languish under it ▪ the Matrix appeareth hard in the circumference , like unto some great bowle , or a round Spheare . It differs from a swelling which is caused by winde ; because in this winde is heard within , which yieldeth to the touch , and is moved from place to place : but a Schirrus is a hard unmoveable swelling , of a black colour , and sometimes of a palish , wa● colour , if any phlegmatick humour be mixed with it . It differs from an inflammation in the Matrix , because in this there is a burning Fever conjoyned , and other signes which manifest an inward fiery Disposition . This is a Chronicall Disease , continuing many times beyond the space of a yeare ; for the Matrix , not being numbred among the more noble parts , doth better endure these molestations ; it is also a contumacious affect , despising ordinarie remedies , and if you oppose such as are vehement , it degenerates into a Cancer . After this sometimes followes a Dropsey in the Matrix , which when it is much hardned , becomes void of sense , incurable , drawing the neighbouring parts into consent with it , and so weakning them , that many times the Creature peri●heth for lack of warmth and cherishing heat . She must forbeare all those things , that yield a thick juice , and what these things be we have already in good part told you ; for her drink , allow her a mixture of wine and water , in which tamarisk roots , or the barke of the Caper tree have been boiled . The first regions of the body must be gently cleansed , and then that humour which nourisheth the swelling , must be rooted out with some peculiar and elective medicine ; if it proceed from a suppression of the Courses , or Hemorrhoids , open a veine in her ankle , or open the hemorrhoidall veines with leeches : but if it arise from some fault in the Liver , or the Spleen , cut the basalick veine . Having thus shewed your selfe carefull of the whole body , you must in the next place be solicitous of the affected part ; first by applying such things as will gently mollifie it , as the fat of a hen , the marrow of a deare , or of a calfe , with ammoniack , Storax , or bdellium : or with discutient fomentations after this manner . Take an ounce of the roots of Polypody of the Oake . The barke of the root of the Caper tree . The barke of the tamarisk tree , of each halfe an ounce . The leaves of warmewood , Sage , Savine , Penniroyall , of each two handfulls . Balme , Motherwort , Hops , of each a handfull . The seeds of broome , Fennill , of each halfe an ounce . Boile them in a sufficient quantity of water wherein steele hath been quenched , to six pints and bath the affected part with the strained liquor ; This oyntment following hath a like efficacy . Take unguent . Agrippe . Vnguent . Martiatum , of each an ounce . Halfe an ounce of unguent . de althea . Oyle of wormewood , Capers , Dill , of each three drams . Mingle them , and make an Oyntment . Plaisters also are very profitable . Take Diachylon cum gummis , Emplastrum de meliloto , of each an ounce . Mingle them for the use aforesaid , or You may make ready this plaister following . Take ammoniack , Sagapenum , of each an ounce . Opoponex , Bdellium , of each halfe an ounce . Dissolve them in strong wine vinegar , thicken them to the forme of a hard oyntment , and then add The powder of ireos . Ceterach , Auripiguentum , of each a dram . With oyle of Capers make a masse of plaistering stuffe , and spread it upon a piece of leather , cut into a convenient forme . If these medicines availe not , prescribe sweating drinks for her , made with Guaiacum , China , and Salsa parilla ; for as Fallopius , an Author of good account , saith , Salsa parilla hath a soveraine faculty to dissolve a skirrhus , or any hard knotty swelling . Sulphureous Baths are also most excellent in their operations . Some commend a poultis made of Goats du●g ; for this draweth away the winde , strengthens , and mollifies the part afflicted , and consumes the thick matter , whereof the schirrus is bred . I usully made it after this manner . Take three ounces of Goats dung . Meale of Lupines , Fitches , or Vetches , of each two ounces . An ounce of Bran. Half an ounce of Sulphur in powder . With the sharpest and strongest vinegar , wherein steele hath been ten times infused , make a Poultis . Steele is commended by all Authors , it mollifies and opens the Matrix ; quickens the naturall heat of the upper parts , and brings down the Courses , the stoppage whereof is the undoubted cause of this disease ; this , as hath already been declared at large , is taken many wayes , either in water , or in the forme of a Bolus , or in Lozenges , or in powder , or in some conserve , as it shall seeme good to the Physitian , and most acceptable to the sick womans palate . Issues will be profitable ; for whatsoever slimy , or clammy humour doth daily fall downe , more and more from the upper parts into the Matrix , findes a passage out of the body againe , so long as these are kept open . CHAP. VI. Of the Dropsey in the Matrix . VVE affirme with Galen , that an universall Drosey can by no meanes be generated without the fault of the Liver , seeing that the first instrument of sanguification is the author of the bloud , which if it faile in its action , 't is no wonder if water and winde be generated in the body , instead of laudable and pure bloud . But we confesse with Hippocrates , that a particular Dropsey may be produced without any fault in the Liver ; thus there is a Dropsey of the Chest , in the Foot , the Finger , the Arme , the Matrix , which we our selves have often seen ; the Cause thereof is a waterish swelling , rising in the hollow parts of the Matrix , partly by reason of the suppressed Menstruum , and partly by some violent labour , or some vehement Abortivenesse , or by some cold distemper , and winde in the Matrix . The swelling is discernable by the touch : and if you lay your fingers upon her Matrix , the print of them remaines : if the Patient turne her selfe from one side to ano●her , the waterish humour immediately ●alls down on that ●ide ; within you may ●erceive a rumbling noise of waters , her Courses are stopped ; she falsly surmiseth ●hat she is with Childe : the breasts grow ●ank , and there is no appearance of milke . She feeles some difficulty to fetch her ●reath ; she is troubled with passions of the minde , she is tormented with thirst , complaines of heat in all the parts of the body , is apt to nauseate , subject to a paine in her heart , and all other things molest her , that usually accompany a true Dropsey , and that in regard of a salt and waterish phlegme , ●etained in the hollow parts of the Matrix , and communicated thorough the common wayes to the upper provinces of the body . It differs from an inflammation in the Matrix ; because this is consociated with a Fever , continually burning all the parts of the body : but in a Dropsey of the Matrix , the heat is more gentle and temperate ; all things are lockt up in the Matrix , that is , nothing worth the mentioning comes from thence in an inflammation : but in a Dropsey a waterish , slimy and stinking excrement floweth away . This is a Chronicall Disease , and doth not quickly either destroy , or take leave of the Patient . It differs also from the windinesse which swells the Matrix , for in that the swelling is not so great , the flesh is not so pale and shining , neither is there so much winde , and it is easily differenced from a Schirrus , for in this you may feele a great hardnesse , but in the Dropsey , the flesh is soft and lanke . The Dropsey in the Matrix is a direfull disease , whereby the upper parts being vitiated , sometimes the whole body is drawn into consent , and then the naturall heat of the Matrix is diminished , and indeed the oeconomy of this part onely is not disturbed , but the universall strength of the influent heat is by degrees extinguisht . Wherefore you must begin the Cure without any procrastination , or carelesse delayes , by a heating and drying diet ; the forme , quantity , quality , and manner whereof , we have set down already at large , in the Chapter of a swelling in the Matrix . Allow her pure wine for her drinke ; that is sincere wine ; or else wormewood wine ; or if it seeme pleasant to her , boile china roots , with Annise seeds , Cinamon , and Agrimony in water , for her to drink ; or alter her beer with China , or wormewood , or Century . All moist things must be avoided : and the ayre must be artificially heated , unlesse you can settle her in an ayre , which is naturally hot . Among the universall remedies you must omit Phlebotomy , for this exhausts the hot substance , and weakens the naturall heat , cooleth the body , extinguisheth the inborne preservative ; yet this rule is not so strict , or so generall , but that sometimes it may be lawfull , yea necessary to cut a veine , when her Courses , are supprest , or when the Piles are stopt : yea , if she be young , and in the flower of her youth , it may be requisite to let her bloud in the spring of the yeare , especially if the constitution of the weather be agreeable , and the constitution of her body temperate , and sanguine , but otherwise never , or at least very sparingly , and that in the Ankle . Purge the first regions of her body with Diasenua , Mechoaca , or Diaphenicon , the thick , viscous , and waterish humours , neverthelesse being first prepared , specially with such remedies as we have commended unto you above , and although the waterish humours may be purged out , without staying for their concoction , because water neither concocts , nor waxeth thick , according to Galen , in his book de purgand . Med. Facult . yet to expell the winde , and to open the obstructions , wherewith the upper parts are infested , I praise those things which are good to break winde , to unlock the passages , and to purge out the humours ; this is commodiously performed with wormewood , agrimony , fennill , Maidenhaire , the juice of the Florentine Flowerdeluce , Sena , the roots of Parsly , Fe●nill , Sparagus , Butchersbroom , and Alexander , boiled after this manner . Take the last named five roots , of each half anounce . Three drams of danewort roots . The leaves of wormewood , Water agrimony , Maidenhaire , of each a handfull . Six drams of Sena . An onnce of the juice of Ireos roots . Boile them in a sufficient quantity of Barley water , to two pints , unto the strained liquor clarified with the white of an Egg , add Two ounces , of Syrupe Byzant . simpl . An ounce of Syrupe of wormewood . Mingle them , and make an Apozem . When the humor is prepared , exhibit pills de Hiera cum agarico to the quantity of a dram . Antimony warily administred , is a divine medicine , and so are the Trochischs Alhandal ; for these irresistably bring away those thick and clammy humours , which stick so fast to the Matrix ; afterwards the Matrix must be strengthned , and the windy humours must be expelled , with Lozenges made according to this manner . Take the Electuary Diacinnamomum , Diagalanga , Dialacea , of each halfe a dram . Two ounces of sugar dissolved in Cinamon-water . According to Art , make them into Lozenges , or Take an ounce of old Treacle . Two drams of aromaticum rosatum . With a sufficient quantity of Syrup of wormewood make a mixture . The Oyntments , Plaisters , and Poultisses , which are mentioned above , must be applyed to the secret parts : issues also and scarifications will be convenient , as we have already taught ; Pessaries likewise may bee made after this forme following . Take Troch . Alhandal , Troch . de agarico , The best Aloes of each two drams . A dram of Elaterium , which is the juice of the wilde Cucumber inspissated . The yolke of an Egg , Unsalted Butter , The juice of Mercury , of each three drams . With a sufficient quantity of wax , a piece of Cotton , and a piece of taffata make a pessary . This being administred , apply the Fomentation following to her privie parts . Take danewort roots newly gathered . The roots of the Florentine Flowerdeluce , The roots Cucumer . asicrin . of each six drams . The flowers of Camomile , Melilot , of each two handfulls . A handfull of the tops of Dill , Juniper berries , Laurell berries , of each halfe an ounce . Boile them in a suff●icient quantity of wormewood water distilled , to foure pints , to the strained liquor add Oyle of Lillies , Laurell berries , of each three ounces . Use it as was said above . CHAP. VII . Of the falling down of the Matrix . THe Matrix sometimes falleth down upon the lower parts , and this disease the Physitians call the Descent of the Matrix ; this is resembled to a pare , or a gooseegg , as it is small or great ; as there are many Causes of this disease , namely a hard labour , and a frequent bringing forth of children , miscarrying , a bringing away of the dead child , some fall from on high , hard riding , or immoderate dancing , yet there is one , in my judgement , more common then any of the rest , namely too much moisture in that part , whereby the Matrix becomes soft , and loose ; 't is needlesse to set down any signes whereby to know this disease : for of it selfe it is conspicuous . Yet in the meane time you must not let passe any opportunity of help , because it is accompanied with a diuturnall Fever , many times with Co●●●ulsion Fits , and a trembling of the parts . Wherefore if the disease pro●●ed from an excesse of moisture , prescribe a drying di●● ; and open the basalick veine for Revulsion sake . A purge must by no meanes be granted her , for 't is exceeding hurtfull , because it precipitates the humours to the part affected , and there breeds an inflammation ; but a Vomit is very proper in this case ; because by drawing the humours to some other part , it doth derive them from the Matrix . When you have done these things , labour to settle the Matrix in its former place , and to this purpose the woman must be laid upon her bed , with her legs stretched out , then the Matrix must be gently bathed with mollifying fomentations , afterwards to the end it may not fall down againe , rub the parts well , tye ligatures upon her armes : yea , apply stinking things to her Matrix , as assa saetida , galbanum , Castor , and stinking pisse : but to the nose hold sweet things , as musk , civet , and amber . When you have thus done , dry up the moisture , digest the slimy humour , and expell the winde with this Fomentation . Take half an ounce of tormentill . The leaves of wormewood , Mint , Sage , ●enniroyall , of each two handfulls . The flowers of Camomile , Red roses , of each a handfull . Burnt alum , Live Sulphur , of each three drams . Boile them in sowre red wine to three pints , and with the strained liquor bath her secret parts . After the fomentation , lay on this plaister . Take two ounces of Emplastrum pro matrice . Pitch , Gummi laranne , of each a dram . Two drams of the Trochischs de Gallia Moschata . The powder of red roses , Red Corall , Acornes , of each a dram and a halfe . With a sufficient quantity of wax make a Masse and spread it upon a piece of leather cut into a convenient forme . If it cannot be reduced to its naturall site and position , by the dexterity of the hand , but begins to mortifie by the inclemency of the ayre , cut it off , and afterwards fasten it by actuall Cauterizing , onely be carefull of some ligaments , and feare not the incision , because it is none of those principall parts , without which we can live no longer , but it is a part intended by Nature for Conception onely and generation . Avicen reports of some women , who lived eighteen yeares without a Matrix ; and the possibility hereof we affirme to be true upon our owne experience . CHAP. VIII . Of an Itch , Clefts , Chaps , and an Inflammation in the Matrix . AN Inflammation in the Matrix is a preternaturall swelling , arising from a hot bloud , or from the suppression of the Menstruum , in the hollow parts thereof . The Causes of this swelling are either inward or outward ; the inward Causes are a great plenitude or fulnesse of the whole body , begot by a hot distemper of the Liver and the veines . By the vehemence of this distemper , the bloud it selfe is compelled in a large proportion to the Matrix : and thus the retained bloud , being no wayes able to get out , either putrifies , or else without putrifying , produceth an inflammation : sometimes also an Vlcer in the Matrix , or clefts , or chaps , or the Piles , doe most speedily draw the bloud unto them by reason of the paine and heat . The outward Causes are a fall , a blow , a stroke , a hard labour , immoderate coition , and the like , which weakning the Matrix , the bloud flowes unto it , and settles there without resistance ; after this inflammation in the Matrix , there followes an acute Fever , bred of the putrifaction of the bloud , which Fever , Galen saith , must be numbred among the continuall Fevers . She complaines of a great paine in her head , by reason of vapours ascending from her Matrix : also her eyes ake , and her neck is drawn to one side , her stomack is affected by consent with nauseating , vomiting , and a griping paine ; and from hence many times proceeds a paine in her back , and idle talking ; the excrements are suppressed by the compression of the straight gut , and from hence comes a difficulty to make water , or a pissing by drops . Every one knoweth how dangerous , and mortall this disease is , by reason of the consent , which it hath with the parts aforesaid : wherefore you must presently addresse your selfe to the Cure ; first prescribing a thin and cold Diet , which Hippocrates enjoynes to be observed in all Fevers , and inflammations , and afterwards opening a veine . Many Physitians have been puzled to finde out Galens meaning , who first commands the Basilick veine to be cut ; Secondly , the Saphena , or veine in the ankle , but the reason is obvious ; for whereas in the beginning of the disease the body is full , he prescribed the opening of the basilick veine to expedite the Revulsion : otherwise he had drawn the humours by a precipitate motion , to the part affected , and so superinduced an inflammation . When this is done , he proceeds to lessen the predominancy of the bloud , by cutting a veine in the ankle , and not without sound reason : for by the proximity , or nearnesse of that part , the labouring parts are soonest disburthened . A Purge is in this case inconvenient , by reason of the inflammation of the part , and the drawing faculty of the purging simples . Glysters may be profitable , both to bring away the antecedent cause , and also to free the afflicted part from the peccant matter ; Make them by this example . Take the leaves of Violets , Mallowes , Beet , of each a handfull . The flowers of dwarfelder , Violets , of each a handfull . Roses , Prunes , ten in number . The seeds of Melons , Cucumbers , Citrons , Gourds , of each two drams . Boile them in a sufficient quantity of whole barley water , to nine ounces , to the strained liquor , add Two ounces of Electuarium lenitivum . Oyle of Roses , Oyle of Violets , of each an ounce . Mingle them , and make a glyster . To appease the paine , you may mingle Topicall remedies with the Anodynall , and apply them . Take the leaves of Mallowes , Violets , of each a handfull . Boile them to softnesse , then set them into an oven , and dry them , beat them to powder , sift them , and to the sifted matter add The whites of two eggs beaten together . The meale of marish mallowes , Unsalted butter , Oyle of Violets , of each an ounce . Two drams of Opium dissolved in wine vinegar . Mingle them , and make a Poultis , or Take foure ounces of the crums of white bread . The whites of two egs . Oyntment of Roses , Oyntment of Poplars , of each an ounce . Two scruples of Saffron . Mingle them , and make a Poultis . This Inflammation will either be dissolved , or hasten to suppuration ; you may guesse by the vehemence of the fever , when it will dissolve ; for seeing that the greatnesse of the fever doth accompany the greatnesse of the inflammation ; if the fever remit , which depends upon the inflammation , 't is a certaine signe , that the inflammation shortly will be dissolved ; but if after the universall administrations , the fever still continue vehement , it is a true signe of suppuration , and the rather if the paine be increased , according to that Oracle of Hippocrates , whilest Matter or Corruption is ripening , the paines and the Fevers are more importunate then when it is full ripe . The proper signe of suppuration is a most vehement paine upon the privie parts ; and therefore to humour the evill , and to hasten the suppuration , prescribe this Poultis following . Take the heads of white Lillies . The roots of marish mallowes , of each two ounces . The leaves of mallowes , Marish mallowes , of each a handfull . Bran , Camomile flowers , of each half a handfull . Twelve fat figs. Bo●le them all to softnesse , pulp them thorough a haire sieve , and add to the pulp Two ounces of the meale of line seed . Unsalted butter , The oyle of sweet almonds , of each halfe an ounce . Hogsgrease , The fat of a hen , of each half an ounce . A dram of Saffron . Mingle them , and make a Cataplasme . A Fomentation made of these things , and with sponges applied to the secret parts , are of knowne vertue ; but then note , that when you use it , it must be hot or luke-warme ; for the Matrix being a part full of Nerves is easily offended with cold things . When there is an itching in the Matrix , by reason of an influx of some cholerick , and biting humour , usually there follow chinks , chaps , and clefts , all which require one and the same manner of cure , with an inflammation . If the Itching continue long , give her whey , or an infusion of Ruharb to drink , lay cooling Epithems upon her Liver , and then wash her Matrix with this Injection . Take a dram of Trochisch . All. Rhasis . Mallow water . Breast milk of each three ounces . Mingle them together for an injection . From hence , if there be occasion proceed to issues . CHAP. IX . Of a Cancer , and an Vlcer in the Matrix . A Cancer is an uneven , blewish swelling with paine , and filthy to behold , this is twofold , either with , or without an Vlcer ; the one hath sordid lips , from whence issueth a black corruption , unsavory and stinking ; but the other , namely , that without an Vlcer , is called almost by all Antiquity a hidden Vlcer . The cause of this is the menstruous bloud detained in great abundance , and afterwards dried , and burnt up to adustion : sometimes it is produced by a dry humour falling down from the upper parts upon the Matrix , from whence that accumulation of●ordid , and blackish bloud floweth away . You may discerne the signes by a paine about the groine , the abdomen , the bottome of the belly , and in the loines of her back : it is a stubborne disease : both in respect of the incommodiousnesse of the place , which is the sinke of all the humours , and also in regard of her frequent desire , and indeavour to make water , which render the medicines so moist , that they cannot stick to the part ; moreover light remedies it contemnes , and vehement medicines make it worse : wherefore Hippocrates in one of his Aphorismes most wisely adviseth us , not to cure a hidden Cancer ; because they who are cured quickly perish , they who are not cured live so much the longer ; and we say the same of a Cancer , which is exulcerated , the paines whereof are greater , and doe more torment the woman , when the Cure of the Vlcer is attempted . We must therefore content our selves with a palliative Cure , that the Patient may live the longer ( for in the midst of misery life is sweet ) this may be done by appointing a good Diet , and forbidding the use of Melancholy meats . Upon the approach of the Spring , and about the end of Autumne , let her bleed from the basilick veine ; but if she have not her Courses open a veine in the ankle . Prescribe such simples as are good to purge Melancholy , as Sena , Hellebore , myrobalans , epithymum , and annise seeds ; Some of these must be infused a whole night in whey , and so strained and dranke , but exhibit not stronger Physick , because the humour is so apt to be outragious . Locall remedies which are moderately cold and binding , may be applyed to the privie parts , as roses , myrrhe , the juice of unripe grapes mingled with rosewater , breast-milke , and the white of an egg , or Take Cerus wash't , Tutia , of each an ounce and a halfe . Burnt Lead , Frankincense , of each two drams . With foure ounces of oleum Omphacinum stirred much , and long in a marble morter , and Three drams of white wax , make an oyntment , or Take foure ounces of Litarge of silver wash't in the juice of Pomegranets , and for two whole dayes worne to dust in a marble morter . Frankincense , Burnt Lead , Auripigment , of each two drams . Hogsgrease , The grease that is gathered from sheeps wool , New butter , of each halfe an ounce . Foure ounces of oyle of roses . Foure drams of wax . According to the rules of Art make an oyntment . If any filthy matter , or bloudy corruption run from the Vlcer , beat the shells of Crab fishes to ashes ( having first dried them in an oven ) and strow the ashes upon the Vlcer , aud anoynt it twice a day with oyle . If the paine increase , and grow insufferable , inject this decoction into her Matrix with a Syringe . Take an ounce of the sperme of Frogs . The leaves of mallowes . Marish mallowes , Violets , Mercury , of each a handfull . Coriander seeds , Poppy seeds , of each two drams . Boile them in a sufficient quantity of whole barley water , to eighteen ounces ; to ●●ree ounces of the strained liquor add Syrup of the juice of Pomegranets , Hony of roses strained , of each an ounce and a halfe . Mingle them together , and make an injection for six times , to be injected twice every day . Purge her body once a moneth with this Medicine following . Take three drams of Sena . A dram of Agarick Trochischated . Halfe a dram of black hellebore . A dram of annise seeds . Macerate them a whole night in a sufficient quantity of fumitary water , to three ounces ; in the morning set them upon the fire , and after one or two bublings , add to the liquor which your presse out , halfe an ounce of Syrup of the juice of fumitary . Two drams of Confectio Hamech . Mingle them for a draught . If her body be sufficiently strong , open a veine , yet be sparing of her bloud ; the Surgeons worke , which may be profitable , when the breasts , or the other parts are infested with a Cancer , must in this case be omitted : first , because he cannot have a full view of it , and secondly , being irritated by his administrations , it would cast the Patient into Convulsion Fits , in regard of the consent which it hath with the braine , which by this meanes would presently perish . Vlcers happen in the Matrix severall wayes , either upon the coming down of the whites , proceeding from an acrimonious and sharp humour , or else from clefts and chaps , which are not easily curable , because of the humour which insinuating it selfe , corrodes , and exulcerates the part . The signes of an Vlcer in the Matrix are , a pricking paine ▪ about the privie parts , fluxes of a virulent and corrupt humour , a gentle Fever , idle talking , and sometimes sounding Fits. These Vlcers are very hard to cure , partly because of the distance of the place , the virulency and malignity of them , and partly also , because it is so full of Nerves , that they hinder the coalescence , and healing of it . The most proper and convenient diet which in this case you can prescribe , is that which is moderate and temperate : let her surrender her whole desires to sleepe , not fearing any excesse ; hot meats must be avoided , and exercise must be forborne ; but above all things , let her refuse her husband in his loving offers of Benevolence ; for by heat and motion the humours melt , and falling down upon the Matrix , they exasperate the Vlcers . When you let bloud open the black vein ; a Vomit may be given with security , and safety , but the event of a Purge is doubtfull : yet if you prescribe one , let it be very gentle for the reasons aforesaid . Locall remedies are very proper and profitable : so are Baths , and the Injections which we have already commended to you ; provided , that you add a dram and a half of the Trochisch . alb . Rhasis , with two ounces of Hydromel , and the whey of Goats milke . If you can gather from the confession of the sick woman , that these Vlcers owe their beginning to the French Pox , having first made triall of all these remedies aforesaid , as well universall , as particular , prescribe compositions which receive Mercury , the severall formes whereof , if God permit , when we describe the Cure of the French Pox , we shall set down at large . CHAP. X. Of Wormes , the Stone in the Matrix , and the Hemorrhoids . THat wormes breed in all the parts of our bodies is a truth not to be denyed . The Cause of these wormes is a viscous ▪ phlegmatick , raw ▪ and cold humour , sticking by its clamminesse to the very Matrix , or to the neck thereof ; and by degrees putrifying . The signes of them are a dew , or moisture upon the lips of the Matrix ; slendernesse ▪ troublesome sleeps , an itching in the belly , and a slow Fever . This is a disease full of molestation ; i● regard of the Fever , and the want of sleep ▪ which waste and consume the sick Creature . To facilitate the Cure ; a dry regiment is necessary ; mea●● that yield a thick , cold , ●nd moist juice must be avoided ▪ her been ●hould be boiled with r●barbe , pur selane , or sorrell , and you may purge her body with ●ills of mastick , or de Hiera , cum 〈◊〉 , or Take an ounce of grasse roots . The leaves of plantane . Tansie , of each a handfull . Two drams of citron seeds . Boile them in a sufficient quantity of balme water to a pint , in the strained liquor infuse for the space of a night Three drams of the choisest Rubarb , A dram and a halfe of agarick Troch . Coralline , Hartshorne prepared , of each a dram . In the moring set them upon a gentle fire , allow them one or two bublings , straine them , and presse out the liquor , and then add Foure ounces of Di●●ni●u . Mingle them for an Apozem . Every other day let her drinke three ounces of it . You may make your injections after this manner . Take halfe an ounce of Di●tany roots . The leaves of Tansie , Calamint , of each a handfull . Halfe a handfull of Century the lesse . Two drams of citron seeds . Boile them in a sufficient quantity of honied water to nine ounces , add An ounce and a halfe of Syrup of Wormewood . Two drams of aloes in powder . Meale of Lupines . Rubarb in powder , of each a dram . Mingle them , and make an Injection to serve three times , or Take the roots of Costmary , Aristolochy , the long , of each two drams , Coloquintida , Aloes , The gall of an Ox , of each three drams . Two drams of hartshorne prepared . Boil them in a sufficient quantity of wormwood water to nine ounces , every morning inject three ounces of the strained liquor . Or make a plaister of the things aforesaid , according to art , and lay it to the privie parts . The same administrations will serve against the stone in the Matrix ; provided that you are sure , that that is the Materiall and efficient Cause ; that is a thick , slow and viscous humour , the other , namely the efficient , is an immoderate heat . Stones many times also are generated of a corruption , or matter congealed in the Matrix , and grown dry ; the Cause is twofold ; one inward , the other outward ; the inward hath already been declared ; the outward is a thick , cold , and waterish meat , suppeditating matter to the Concretion of the stone : as milke , fish , pulse , and other grosse aliments , as cheese and muddy ale . The Stone in the Matrix is known by the paine in the part , and if you presse down the Matrix the paine is exasperated . The woman conceives not , her Courses come down immoderately , and if she put her finger up her fundament , she may feele the Stone . Use your utmost speed and diligence to cure it ; for whereas the Matrix is as the sinke , or common shore , into which Nature empties out all the grosse and superfluous bloud , it may be feared that that corrupt matter will turne to a Stone , which in continuance of time growes sometimes to such a bignesse ( as we of our own knowledge can testifie ) that it fills the whole capacity of the Matrix , and totally suppresseth the Courses , breeding Vlcers full of corruption and purulency . The Cure consists in a good regiment , in the preparation of the humours , and in the evacuation and expurgation of them , to prepare the humours , give her this Apozem following . Take the roots of parsly . Eryngos , Fennill , Alexander , of each halfe an ounce . The leaves of Germander , Violets , of each a handfull . White Maidenhaire , Century the lesse , of each halfe a handfull . The seeds of grummell , Nettles , of each two drams . Six drams of raisins pickt and stoned . Foure drams of licoras , Boile them in a sufficient quantity of barley water , to two pints , to the strained liquor add Syrupe of the five roots . Syrup of Lemons , of each an ounce and a halfe . Mingle them , and make an Apozem . When she hath drunk the Apozem , make ready this Potion . Take the roots of Polypody , Marish mallowes , The leaves of Violets , Mallowes , of each a handfull . The leaves of Sena , Bastard saffron seeds , of each halfe an ounce . Agarick Trochischated , Mechoacha , of each two drams . Macerate them a whole night in a sufficient quantity of Rhenish wine to eight ounces , and boyle them gently in the morning , straine and presse out the liquor with a strong hand , and add to it Halfe an ounce of Electuary Diacar●hamum . Mingle them together , and make a Potion for two doses to be taken every other day . We have already furnisht you with Fomentations , Poultisses , Oyntments , Plaisters , and halfe tubs to bath in , which are very serviceable in this cure ; but above all things inject these glysters following very often , throughout the whole progresse of the Cure. Take nine ounces of some emollient decoction . Diacatholicon , Benedicta Laxativa , of each an ounce . Oyle of Dill. Oyle of bitter Almonds , of each six drams . A dram of Sal gemme . Mingle them , and make your glyster , or Take the roots of restharrow , Marish mallowes , of each halfe an ounce . The leaves of mallowes . Violets , Pellitory of the wall , Mercury , of each a handfull . The tops of Dill , Camomile flowers , of each half a handfull . Line seed . Fenugreek , of each three drams . Two drams of nettle seeds . Boile them in a sufficient quantity of water to nine ounces , to the strained liquor add Diaphenicon . Benedicta laxativa , of each an ounce . Oyle of Lillies , Unsalted butter , of each an ounce and a halfe . Mingle them and make a glyster . When these things are done , let the Midwife put her finger up into the Patients Fundament , and artificially presse downe the belly upon the bones , that joyne neer the privie parts , that the place where the stone lies , may be raised up : this being dryed , put in a hooked instrument , and draw it out , as we have sometimes seen it done , but afterwards let issues made in her body be kept open . THE THIRD BOOK , OF Barrennesse , and such Diseases , as befall Women with Childe . The first Chapter . OF Barrennesse , both Absolute and Respective . PRovident Nature that she might contrive the continuation of Mankinde for a long time , if not in the Individuall , yet at least in the Species , hath imprinted in those parts dedicated to generation , a vehement , continuall , and inexpressible appetite to propagation : and thus by a due commixture of the womans bloud with the seed of the man , she formeth and fashioneth a Creature in the Matrix , which at a certaine , and appointed time , she sends forth into the world compleat , and perfect in its Conformation . Wherefore in my Judgement , Conception is nothing else then a receiving of the mans seed in the Matrix , being exquisitely and proportionably intermingled , aptly retained , and fully perfected , and therefore by the rule of Contraries , we may affi●me Barrennesse to be a Depravation , or defect of these operations . Barrennesse is either naturall , and acquired from the first Elements of the Conformation , or introduced by sicknesse ; or lastly Respective , namely in reference to the Man , or the Woman , the first is incurable ; for no Physitian can correct those errours , which Nature commits in the mysterious purpose of our generation ; one of these errours is the straightnesse of those passages which lead to the Matrix , being sometimes so narrow that they hinder the right transmission of the seed into the vessells of Generation , or if it be injected , yet is it received with so much paine and labour , that the Matrix doth neither concoct nor perfect it , another errour is the widenesse of those parts , into which although the seed be duely ejaculated , yet it presently slips out againe , because the capacity of the Matrix is too wide ; the crookednesse of the vessells also may be another impediment ; for we may many times meet with jesting errours , as I may call them , in the workmanships of Nature ; thus in one body a double Matrix hath been seen , in another two hearts , in a third , the Spleen placed where the Liver should stand , and many other such like recreations of Nature , as Realdus Columbus hath discoursed of them at large in his Anatomy . The second kinde of barrennesse is that which is contracted by some disease ; for whereas the seed is a certaine spirituall substance , generated of the purest part of the bloud , it is necessary that it should be concocted in a temperate wombe ; but if the Matrix be too hot , it consumes the seed , as a little water thrown into a fire , is presently dryed up , and on the contrary , if it bee too moist and cold , the actions that are ordained for conception are weakned , and disabled , because cold is unprofitable , and uselesse for any function : it shuts up the mouthes of the veines in the Matrix : it renders a woman averse from , and indisposed to the pleasure of the Lawfull sheets ; for a waterish seed cooles the Testicles , and makes them unapt to elaborate the seed , and make it fit to unite and mix with the mans seed ; unto these impediments Hippocrates hath also added another which in his Aphorisms he calls a thick Matrix . From all which it is manifest , that the temperate Matrix is most fruitfull , namely that which obtaines a mediocrity , approaching to no excesse , either of an active or passive quality ; by the universall Constitution of the whole body , you may best discerne the temperature of the wombe , which is most fit for conception ; for such women are fresh coloured , and of a rosie complexion , gentle of behaviour , affable in their cariage , merry and pleasant in their conversation , not dull and drowsie , and full of pensivenesse . The third cause of barrennesse proceeds neither from the Nativity of the Patient , nor from any sicknes , but relates to the man , as for example ; one and the same woman may have had Children by a former husband , and yet no children by a second husband , not because she is now barren , or unfruitfull , but she is so called because of her husband , by whom she hath now no children , the case is likewise the same on the mans part , respectively to the woman ; but perhaps you will demand a reason hereof , I answer ; because the proportion and temperature of both the seeds , which ought to concur to generation , are contrary the one to the other ; for the seed both of the man and the woman , if it be prolificall and fruitfull , will be of a white , and shineing colour , not thin and waterish , but of a thick , and compacted substance , in sent like unto the flowers of the Dwarfelder tree , and being put into water , it will sinke to the bottome ; but that which is unfit for generation will swim upon the ●op of the water , and is in all respects con●rary to the former ; the man ought to be of a strong constitution , well set , full of ●uscles , and neither too slender , nor too ●hick ; for those that are slender , are usual●y too weak to get childreu , at least such as are healthfull , strong , and lively , and those who are to grosse , are commonly of a cold temper , have a thin and slippery seed , and are more desirous of Venery , then able to performe it . Barren men are commonly beardless , slow in imagination , and dull in practise , because their seed is cold , and containes not any spirit to tickle , and warme their Phantasies , but they sit like images , and are sad , and insociable ; on the contrary , hairy men , that have Testicles of an indifferent size , and a well concocted seed , are cheerefull , affable , ever frequenting the young company of Maids , and Virgins , being excited by the flagrancy of their eyes to Venereous dalliances , and lustfull speculations . After the same manner we must give judgement concerning women , which besides the signes aforesaide , if they be bald , and harelesse in the privie parts , they are suspected to be barren ; but if they be rough , and full of haire , it is a signe that they are fruitfull ; the wiser sort of Physitians know , that much haire is an undeniable argument of much heat , and of the strength of that heat , which driveth out those fuliginous humours , whereof those haires are generated . Those women that have black haire , are more apt for Venery , then any other complexion , because they are hotter , and have their Courses in a more plentifull manner : which Courses , how conducible they are to make her fruitfull , is manifest to any ordinary capacity , because the menstruous blood is one of the Principles of our generation . Other sorts of barren women must be referred to this Catalogue , as those that are luxuriant , and the whorish crew ; the former , because by frequent coition their bodies become empty of seed , and if any at that time be ejaculated , it is not fit for generation , because Nature is not allowed time enough to elaborate and concoct it ▪ and the latter sort conceive not , partly by reason that many , and various seeds are mingled together , and partly also by reason of their frequent cohabitation with men , whereby the neck of the Matrix is made so slippery , that it cannot retaine the mans seed . It will not be impertinent to enquire at what time women begin to have their Courses ? I answer , that for the most part , they begin when the Virgin is twelve years of age , and end when she hath attained to forty five : and in all that intercourse of time women are held capable of children ; but if any Auhors will affirme that women may conceive , before and after those forenamed periods of time ; we also affirme , that this is not ordinary , but very rare ; and 〈◊〉 de menstru● sanguine , in the chapter de ita & 〈◊〉 Conceptione admiranda , and he will straight demand , whither a woman can conceive without the Menstruum ? I answer negatively : for when either Principle of Generation is defective , there can be no conception ; if you still obtrude upon me , that many women have conceived without the Menstruum , I grant it to be true ; if you speak of the outward Menstruum , namely that , which we call their monethly Courses : but if you meane it of the inward , that is of that , which runneth out of the vessells into the Matrix for conception sake , you are deceived ; for no woman can conceive without this inward menstruum ; you will ask againe peradventure , can a woman conceive without pleasure ? and whither it be absolutely necessary that the seeds should be intermingled , and that the man and the woman should both spend at one , and the same point of time ? to the first I answer , that they enjoy an unspeakable pleasure , although that conduceth little or nothing to conception ; and to the second I affirme , that it is not necessary that they both spend at one time , although I confesse that may facilitate , and much help conception , but that it is sufficient , if the seed be received into the Matrix , and rightly concocted ; for there is in the womans seed , such an earnest , covetous , and greedie desire , to embrace , and be united with the seed of the man , that although the man spend after the woman , yet she sucks it in , and the conception is nevert●●less● perfect . Thus we have declared unto you ( with all possible observation of modest expressions ) the Causes of barrennesse in generarall ; and the signes of such men and wom●● that are un●ruitfull , by which 〈◊〉 you may discerne the particular constitution of either sex . It would be needlesse to set down any prognostick signes , because from a true consideration of the precedent notes , you may raise an unerring determination , whither the fault be in the man , or the woman . Let us now advance to the cure ; we have said that there is a threefold kinde of barrennesse , Naturall , Respe●tive , and that which is contracted by force disease ; that which comes from the Nativity of the Patient is incurable ; but that which is comparative in relation to the woman , or the man , may have help from artificiall administrations ; for if the man or the woman be unfruitfull through an excesse of the first qualities , that intemperance must be corrected ; how to bring this to passe , now heare and understand ; if any man thoroughly knoweth how to cure that barrennesse , which comes by sicknesse , the same man will be able to particularize every cause that introduceth unfruitfulnesse . Now this barrennesse that happens by reason of some disease , must be cured by a distinct observation of the cause , whereupon it hath dependance ; if it proceed from an Vlcer , that Vlcer must be cured ; if it arise from frequent coition , the incontinent person must curb her , or his appetite ; if the Ayre be a suspected cause , remove to another place ; if any poyson hath got into the body , by the power and malignity whereof , the spirit which is in the seed is weakned , and dulled , you must prescribe remedies of Bezar stone , and apply such medicines to the privities , as have a faculty to resist poyson . If the party be bewitched , as it often comes to passe , even by the malicious art of the Devill , or his instruments , besides the ordinary help● , you must indeavour to subdue the evill with other meanes , as the learned Fernelius hath taught us in his booke de abditis rerum causis ; for some diseases and remedies exceed the limits and boundaries of Nature . If slendernesse be the cause of unfruitfullnesse ; you must nourish and fatten the body with meats that yeild good juyce , and with moistning baths : and you must be carefull to avoid evacuations , and all other things , which weaken the strength , and exhaust the spirits . If fatnesse hinder fruitfulnesse ; the body must be extenuated , made lean , dried , and rub'd , and all other meanes must be used to dissolve and evacuate the thick juyc●s ; the Patient must accustome her selfe to much exercise , refraine from anger , and all passions of the minde , and content her selfe with little spleen ; for these things introduce leannesse , bring down the body , and take away all grossenesse , and corpulency ; for the same purpose also you may frequent the Bath , and hot houses , for sweating doth much extenuate a fat body . If the Affect be produced by an excesse of the first foure qualities , as we have already intimated , that hot distemper must be corrected by a various administration of remedies , in contrariety to that excesse ; first with a cold , and moist ayre , for in such cases , a hot ayre weakens our strength , and drawes 〈◊〉 the naturall heat to the circumference , inflames , dissolves , and enervates the faculties of the Matrix , and because a hot distemper cannot long continue s●mple , and uncompounded , but in a short space associ●●●s to it selfe a dry distemper , therefore the aliments must be moyst to resist the increase of that drought , which is not cured without much trouble and difficulty , if it be once introduced into the Matrix , which by Nature i● a dry and nervous part ; wherefore let her drinke be potentially moist , as small beer , or a decoction of burley , but enjoyn her an abstinence from wine , and all such meat● as are spiced with cinamon , and Ginger . Let her meat be of easie concoction and distribution , potentially cold , and moist , that is , cold and moist in their qualities , and operation , though they be actually hot when she eats them , it would be superfluous to name them , having already sufficiently spoken of them in the precedent Chapter of a hot di●●●per in the 〈◊〉 , and an inflammation in the Matrix . It will be convenient to draw bloud from the basilick vein , in the right arme , and if the hot distemper be thecause , that the Patient hath not her Courses , cut a veine in her ankle . Moreover you may prepare 〈◊〉 , and moistning Juleps after this manner . Take Syrup of Violets and 〈◊〉 〈◊〉 , of each two ounces . Twelve ounces of Endive water . Six drops of Spirit of vitrioll , mingle them , or Take Syrup of borage , and Syrupe of pur selane , of each an ounce and a halfe . A decoction of 〈◊〉 , with cucumber , citru● , gourd , and melon seeds , of each a dram and a halfe , take a pint and a halfe of the decoction mingled with the Syrups , and let her drink it at three doses . 〈◊〉 a Purge 〈◊〉 to evacuate choler . Take three drams of 〈◊〉 〈◊〉 . A scruple and a halfe of citron seeds . 〈◊〉 〈◊〉 a night in a sufficient quantity of a 〈◊〉 of 〈◊〉 , 〈◊〉 two ounces and a 〈◊〉 , in the 〈◊〉 straine and presse them , and to the liquor add three drams of the Electuary Diaprunlaxative . Halfe an ounce of Syrupe of Violets by infusion , mingle them , and give it in the morning . Whey of it selfe is exceeding wholsome , or else you may thus compound it for your Patient . Take an ounce of borage roots . Two handfulls of sorrell leaves with the roots . Endive and borage leaves , of each a handfull . Six drams of tamarinds . Boyle them in a sufficient quantity of whey to a quart , and in the strained liquor infuse for a whole night Halfe an ounce of choise rubarb . Two scruples of Cinamon . In the morning let them bubble a little over a gentle fire , and when you have prest them hard , add Three ounces of Syrupe of roses laxative . Mingle them together for an Apozem . Which is of most excellent vertue to correct the heat , and distemper of all the veynes , and principall parts ; this Bath also will be very effectuall to coole the body . Take foure handfulls of vine leaves . The leaves of mallowes , violets , and endive , of each two handfulls . A handfull and a halfe of bran . A handfull of salt . Boyle them in a sufficient quantity of water to eight quarts , let her hold her feet in the strained water , two or three houres together . You may likewise prepare fomentations of the hearbs aforesaid , and bath the privities , the Liver and the Reynes of the back ; and afterwards you may make use of this oyntment . Take two ounces of unguent . infrigidantis Galeni . An ounce of Cerat . Sautal●n . Oyle of roses , and oyle of violets , of each halfe an ounce . Two drams of the powder of red corall . Halfe an ounce of vinegar of roses . With a sufficient quantity of white wax , make an oyntment according to Art. Take the liquor which is distilled out of Cockles , Snailes , or Frogs , mingle it with Saccharum perlutum , and give it her to drink , as a most effectuall remedy against this Disease . A decoction of young Chickens boiled with prunes , and borage leaves , and taken every morning upon an empty stomack , doth refresh the body ▪ strengthen the spirits , moisten the Matrix , cleanseth away the foulnesse that groweth in those parts , and very powerfully resists the causes of 〈◊〉 . When unfruitfulnesse proceedeth from 〈◊〉 cold distemper , you must observe a contrary method of cure , as for example . The ayre must incline to hot and dry , the 〈◊〉 must be also 〈◊〉 hot and dry : and because this cold distemper is perpetually consociated with moisture , whereby cloudy and grosse vapours get into the Matrix , which is cold and nervous , therefore it will be requiste to correct this coldnesse , to take away the moisture , and to consume , and dissipate those windy vapours ; from 〈◊〉 you may gather , that this is a very frequent cause of barrennesse ; and 〈◊〉 ; and so likewise are flatulent and windy humours ; for they extreamely swell the Matrix , so that the se●d cannot be perfectly 〈◊〉 neither can the child be held fast by the 〈◊〉 . When you attempt the Cure , abstaine from Phlebotomy , unlesse it be preparative onely , to di●burthen the oppressed vessells ; when the Patient is in the spring of her yeares , and at the Spring of the yeare , least by taking away the bloud , the spirits should be wasted , the humours should become more cold , and indigested , which otherwise , were not the bloud prodigally ●et out , might be seasonably ●●●octed , and this you may observe with the learned Fer●●liu● , to prescribe a Purge , before you open a veine in crude bodies , that the first region may be cleansed ; if any man shall rashly proceed to a contrary course , doubtlesse with great disadvantange to the Patient , he shall pervert the right order of Nature : for when as he hath emptied the veines by Ph●ebotomy , he will fill them again with that filthy accumulation of corrupt humours , which they suck in with greedinesse from the first places , and so he shall not lessen , but double the disease ; the Purge may be made as followeth . Take a dram and a halfe of the whitest agarick . Two drams of bastard Saffron seeds . A struple of Ginger . Halfe a dram of An●●●eeds . Macerate them a whole night in a sufficient quantity of marjor●m water● to three ounces ; in the morning presse them hard , and add Diaphenicon and Diaenicum , of each halfe an ounce . Mingle them , and let her drink it in the morning . If her body be not sufficiently open , give the same potion every third day , or else prescribe this Glyster following . Take nine ounces of a mollifying decoction made with marjoram and groundpine , or germander , of each a handfull . Diacarthamum and Diaphenicon , of each an ounce . An ounce and a halfe of honey of roses strained . Mingle them , and make a Glyster . When you have thoroughly purged the body , and taken away the cause , the parts must be strengthned , and the distemper must be corrected with these pills . Take a dram of right lign . aloes beaten to powder . Two scruples of aloes rosat . Musk and amber , of each a scruple . With a sufficient quantity of alkermes , make thirty five pills . Let her swallow five of them , or fewer , every morning ; they are exceedingly provocative , and withall they strengthen the braine , the heart , the liver , and the Matrix ; when the man and the woman intend conjunction , let him anoint his yard with oyle of mastick , and wormewood mingled with a few graines of musk and civet ; and let the woman also anoynt her privie parts therewith , as well within as without ; for by this meanes there is raised a mutuall inclination to Venery , and the seed is received with a greater pleasure , and is more duely retained and elaborated ; reason it selfe will convince us , that sweating remedies made of ebony , and Salsapa●illa will mightily help , and prepare the Matrix ; for they expell the windy humours , strengthen the Matrix , and dissipate the fuliginous and grosse vapours ; naturall Baths are excellent for the same purposes , and so are Treacle , Mithridate , Alkermes , Aromaticum rosatum , Diarrhodon Abbatis , Diamargarit . calidum , and Diacinnamomum ; and lastly if you desire any satisfaction from our opinion concerning Issues , we answer , that they evacuate those cold and thick juyces which daily flow unto , and settle in the Matrix , and therefore , as we said almost every where , we affirme the use of them to be very expedient , and conducible . CHAP. II. Of the shapeless lump of Flesh called a Mola . A Mola is an unprofitable and shapelesse lump of flesh , bred in the Matrix of the menstruous bloud , as the Materiall cau●● thereof , according to the opinion of Galen , in sundry places of his works . He saith of the menstruous bloud , that 〈◊〉 such as is very thick and much hard●● in the Matrix ; but note , tha● he doth no● here exclude the seed of the man , for every Physitian knowes that a M●la proceed from a mixture of the menstruum , and a corrupted seed ; which indeed doth somewhat indeavour Conception , but cannot perfect it : neither is there any cause of wonder that such a lump of deformity should be fashioned in the wombe , seeing that severall kindes of monsters are bred there , according to , the variety of the humour , which floweth into the Matrix ; he that would acquaint himselfe with the knowledge of these things , may read Skenkius his Observatns , and the wonderfull stories related by Marcellus 〈◊〉 ; if also he would search into , and examine the true cause of these things , let him read Laurentius his book of Anatomy . But why doth this breed in the Matrix onely of a woman , and not in some other part ? I answer , because , although the bloud may congeal● , and become clotted in the other parts of the body , yet it happ●●s so more frequently in the Matrix of a woman , then in any other part of ●er body , because the Matrix i● as the common shoore of the body , where most of the excrements are exonerated . But why doth a Mola breed in women onely ? I answer , because women onely ●ave an abundance of this monstruum , more ●hen other Creatures , and that their bo●ies are full of grosse , thick , and tenaci●us humours , by reason that for the most ●art they use a moist diet , and abandon ●hemselves to a reproveable , and disor●●erly course of life . This Mola is of se●erall kindes ; for sometimes it is waterish , ●ometimes windy and humorall , and ●ometimes againe 't is ●●innie and bloudy ; ●his last in the most ordinary , and all Phy●itians have granted it , this is that which is most usually presented to our observation ; and lastly , this is that which so often hath deceived women , who boasted themselves to be with childe , and were not , and their Physitians also who told them they were with child , when they were not . Wherefore to avoid these common couzenages , let us be circumspect in the knowledge , and right understanding of the signes which are a swelling , with a drawing back of the Hypochondriacall parts , the women grow leane , are full of paine , and very apt to long ; the belly is burthened , her back aketh , her breasts swell , and her Courses are stopped , and that at the beginning of her conception : but afterwards in processe of time , she seemes to have the Dropsey , her belly is so immoderately swelled ; but you may know this from a Dropsey ; for in that the belly sounds like a Drum : the woman feeles within a kinde of fluctuation , or waving motion , and if a finger be laid hard upon her belly , the print of it remaines . A Mola is distinguished from a perfect conception , by three most certain signes , that is , by the motion , by the milk , and by the time that a woman beareth her childe ; in the motion , because there is a great difference between the motion of a childe , and the motion or stirring of a Mola , because the childe kicks , and turneth about to all the parts of the bottome of the belly , but a Mola moveth like a Globe , now on the right side , and anon on the left ; this also , if you presse down the womans belly with a gentle hand , removeth from the place , and returnes not suddenly into it againe ; and from the milke you may gather a never-failing signe , because the breasts swell all the time a woman is with childe ; but in the other it happeneth otherwise ; the time likewise affords a never-failing signe ; for if the swelling of the belly continue beyond the eleventh moneth ( which is the most constant and certaine period of a womans Reckoning ) and no signes of a Dropsie at that time appeare , you may warrant your owne confidence that she hath a Mola , but no childe in her belly . This is a most dangerous disease ; for many times a woman carries it in her wombe , the space of two or three yeares , and sometimes longer , insomuch that the naturall heat is suffocated therewith , moreover , in the expulsion of it , there is no small danger , for many times it groweth to such a bignesse , that it comes not away without extreame hazard of the womans life : for a great Issue of bloud ensueth , whereby the spirits being spent and exhausted , she waxeth feeble , wan and pale , and many times perisheth in the very act of expelling it . This evill hath a twofold manner of Cure ; one Preservative , to prevent the Generation or breeding of the Mola , and the other curative , to destroy and bring it away , when it is bred ; and this last is also twofold ; for the first designe must be to exclude it ; and the second to save the woman in the very act of excluding it . The Preservation consists in a due observation of these things following ; the ayre she lives in must be hot and dry , and the place healthfull , being scituate towards the East : let her keep a good diet , feeding upon meats that yield a wholsome nourishment to the body , and such as are soone concocted , and distributed to all the parts : let her choice also be rather of hot , then cold meats , avoiding such as are fat , salt , and hardned with smoak , fish which breed thick , windy , and viscous juyces , are unwholsome for her ; she cannot desire a more wholesome drink then Wormewood . wine , or excellent generous French wine : her belly must be kept open and soluble ; exercise must be used , and sleep refrained : angry chidings and cares of the minde must be moderated , and all such things forborne , as dry the bloud , and diminish the naturall heat . In the next place prepare the thick , and grosse humours with Rhodomel , Syrupe of wormewood , Syrupe of mint , and the like , mingled with some convenient water , afterwards prescribe this Purge . Take three drams of Sena , A scruple of Agarick Trochischt . A dram of the root Mechoaca . A dram and a halfe of anniseeds . Boile them a short space in a sufficient quantity of pure water to three ounces : then straine and presse them , and the ●maining liquor add three drams of Dia●henicon . Mingle them , and let her drink it in the morning early . If her Courses be stopped , cut a veine in her ankle ; Leeches also may be applyed to the Hemorrhoids , but with caution and warinesse , least thereby you more and more weaken such women , whose bodies ●re full of raw and indigested humours , afterwards you must purge her body again , with a scruple of extract . Catholic . and as much of mass . pillul . faetidar and lastly , prescribe an Apozem , or Decoction to cut a●under , and evacuare the grosse and tough humours , to provoke urine , to open the obstructions of the Matrix , and to bring down the Courses : all which vertues meet together in this Composition following . Take the roots of smallage , Eryngos , And Fennill , of each halfe an ounce . The ba●ke of the root of the Caper , And Tamarisk tree , of each two dram● . The leaves of penniroyall , and birthwort , of each a handfull . Germander , Maidenhaire , Balm , of each halfe a handfull . Ten drams of S●na . Three drams of agarick trochischt . A dram and a halfe , or two drams of Epythymum . Boile them all according to art , in a sufficient quantity of water , wherein stee● hath b●en infused to a quart : when yo● have strain●d , and with a strong hand pre● out the liquor , add Three ounees of ●yrup of roses . Mingle them , and make an Apozem , o● Take the roots of Butchers broome , Aparagus , Polypody of the oak , And fennill , of each halfe an ounce . The leaves of Penniroyall , And motherwort , of each a handfull . A dram and a halfe of annise seeds . The flowers of Violets , Rosemary , and Borage , of each as many as you can take up between your thumb and two fingers . An ounce of raisins of the Sun. Boyle them in a sufficient quantity of ●arley water to a quart . In the strained liquor infuse for a night Ten ounces of Sena . Three drams of the whitest agarick . Two drams of the best rubarb . A dram of Epithymum . In the morning let them buble once , or twice , and then to the liquor which ●ou presse out , add Syr. Byzantin . And Syr. de eupatorio , of each an ounce . Mingle them and make an Apozem . Of this , or of the former let her take ●wice in a day the quantity of three ounces or a week together , once in the morning , and the second time at foure a clock 〈◊〉 the afternoon . Excellent Lozenges may be made of the species Diamosch . and Diacinnamomum , or you● may compound them with Treacle , Mithridate , and Bezoar stone . When the Mola hath obtained some growth , if it be waterish , it must be brought away with such simples , as have a faculty to purge out waterish humours ; or if it be windy , you must prescribe such medicines , as are of a known , and approved vertue to strengthen the Matrix , and to expell winde ; and Carminative glysters in such cases will be very convenient ; so also will plaisters and fomentations applyed to her privie parts : but that which is humorall , skinny and bloudy may be overcome with the same remedies as are set down at the beginning , against the stoppage of the Courses . When Nature indeavours to expell this unprofitable burthen , and an issue of bloud ensueth thereupon , with fainting and swounding fits , then you must be diligent to strengthen the Patient with broths made of the flesh of Capons , and Partridges , and with such things as will stay the bloud , and refresh the exhausted spirits ; such as are Chalybeated wine , Sugar of Pearle , Corall , &c. You will object that wine cannot be seasonable , because by the heat thereof it makes the bloud thin , and makes it more apt to flow away in greater measure by opening the passages , rather then it can any way help to stay it . I answer , it is not guilty of this mischiefe , if it hath a reddish Tincture ; for if good Claret wine be chalybeated , as hath bin said , besides that it nourisheth the body , it is also a binder ; for it comforteth the spirits , and refresheth the whole body , which vertues must needs be profitable for , and welcome unto a Creature , who is hourely subject to faint and swound , and although it might provoke the bloud to flow , yet a greater good must be preferred before a small inconvenience , and therefore give her wine to refresh her spirits , which will be more to her advantage , then the issue of bloud can be to her prejudice , for she may perish suddenly in one of those sits , but the flux of bloud may be restrained by degrees . Note that foure things require an abstinence from wine . First , an inflammation of the bowells . Secondly , a vehement paine in the head . Thirdly , a Phrensie . And fourthly , a burning Fever in a crude disease ; and of this opinion was Galen , as appeares in his first book ad Glauconem , and the 14. chapter . Moreover the Patient should be refreshed with the choicest meats , and then the Mola should be disposed to come forth by softning and loos●ning fomentations , made of a decoction of marishmallowes , mallowes , motherwort , Mercury , Birthwort , Sage , Hyssope , Calamint , the seeds of line , marishmallowes , fenugreek , camomile , melilot , and rosemary ; in this you may dip a clout , and bath her privie parts . But if the bloud come not away , rub her legs , and apply drie Cuppinglasses to the calfes of her legs , and binde most painfull ligatures about them ; and in a word make tryall of all such remedies , as will draw down Nature , the humours , and the Mola to the lower parts . CHAP. III. Of Womens Longings . WOmen are sometimes so extravagant and preposterous in their appetite , that they refuse wholsome meat , and long after coales , chalke , a piece of an old wall , starch , earth , and the like trash , which they devoure as ravenously , as a hungry Plowman will winde downe a good bag-pudding . Now perhaps you may also long to know the cause hereof , which is no other then the menstruous bloud , especially if it be retained about the middle of their time , and grow corrupt ; for the child in the wombe is nourished with the sweetest part of the bloud , and the other part remaining which is vitious , filthy , and dreggish , noisome exhalations , especially in the middle moneths arise from it , and in such a manner contaminate all the upper partts , that the worst things are vehemently desired , and the most wholsome refused ; the signes are apparent from the depravation and irregular temper of their stomack . This Disease is hard to cure ; yet not so much in respect of the disease it selfe , as of the subject wherein it is generated , which is a woman with childe ; now we know that such women must be warily , and religiously dealt withall , and unlesse it be in extreame necessity , their bodies ought not to be purged . By this unavoidable abstinence the disease is increased , and the bad humour , being long retained in the body , becomes daily more and more corrupt , by the tetrous exhalations which ascend up from the pollutions of the Matrix : therefore having first appointed a strengthning , and drying dyet , you must indeavour to rid away that humour , with Syrup of roses solutive , and afterwards when the body is cleansed , and free from the humour you may prescribe a gentle Purge of Rubarb , which hath both a purging and a strengthning faculty ; for if we may adventure our beliefe to the assertions of the best Physitians , Rubarb may be safely given to old men , infants , and women with childe ; and Fallopius in his booke of purging Simples , and in the chapter where he speaketh of Rubarb , saith , it dries up all superfluous moisture contained in the vessells of the Matrix , it is a gentle cleanser , it strengthneth the Heart , and the stomack by its astringent faculty , neither need you to entertaine the vaine feares of some , who suspect that the bitternesse thereof may destroy the childe , for the taste of it is not horrible to nature , and besides the bitternesse quickly vanisheth . There remaines another doubt to be answered ; namely , whether it be more proper and advantagious to prescribe an infusion of Rubarb , or to give it in the substance ? I answer , that it purgeth most in the substance , or body of it , expelling the humours by siege , which it doth not in an infusion , at least not so powerfully , because then it evacuates onely by the purgative vertue which is in it , and of the same opinion is the Author before named . CHAP. IV. Of a bad stomach , proceeding from Vomiting . IT is a known truth , that most dangerous , direfull , and pernicious Symptomes invade women with childe , from which also forsaking of meat , and Vomiting doe afterwards follow , all which things proceed from those noysome and foggy exhalations , which are distributed into the severall parts , from the corruption of the bloud ; for whereas there is a sympathy , and consent between the stomack and the Matrix , when any poysonous , or malignant vapour ascendeth from the latter , it immediately invades , and overcomes the stomack , which being weakned in the conflict , or indeavour to resist , and keep out those vapours , the functions of it are depraved , it refuseth all comfort or nourishment , or if at any time it admit any , 't is no sooner swallowed , but vomited up againe ; these are the signes of this disease , and to cure it , proceed according to the Method following . In the first place prescribe a cleansing potion . Take three drams of Elecampane roots The leaves of wormewood , and Century the lesse , of each halfe a handfull . Boile them in a sufficient quantity of whole barley water to a pint , and a halfe , to the strained liquor add three ounces of honey of roses strained , mingle them for a Potion ; against the next morning prepare this purge following . Take three drams of rubarb . Two scruples of agarick Trochischt . A dram of annise seeds . Macerate them a whole night in a sufficient quantity of mint water , to two ounces and a halfe ; in the morning presse them hard with all your strength , and add three drams of the Electuary Diaphenicon ; if she cannot take down a Pu●ge , let her swallow these Pills following . Take a dram of the mass . of Pills de Hiera cum agarico . Make nine pills , and guild them . The next day following , give her this strengthning mixture , which doth not purge at all , and eve●y morning let her eat the quantity of a Nutmeg . Take Elecampane roots candied , Marmalade of Quinces , of each an ounce . Halfe an ounce of Conserve of red Roses . Foure scruples of aromat . rosat . in powder . Two scruples of mastick in powder . With a sufficient quantity of Syrup of mint make a Confection . After the use of these things , make this plaister following , and lay it to her stomack . Take lignum aloes , Yellow Sanders , And the round Cyperus , of each two drams . Galangale , mace , cloves , And calam . aromat . of each a dram . Common wormewood , roman wormewood , Spikenard , dried mint , Of each as much as you can take up between your thumb and two fingers . Mastick , Storax calamitu . Red Corall , of each two scruples . Amber , Musk , of each a scruple . Pure ladanum , Turpentine , of each an ounce . Foure ounces of white wax . Make a Masse ; whereof let him take a sufficient quantity , and spread it upon leather , and lay it to her stomack . Bisket steeped in muskadine is excellent good for her : because it refresheth the spirits , and mightily strengthneth the stomack . CHAP. V. Of a Pain in the Belly , the Passion of the Heart , and of sounding Fits. VVOmen with Childe doe often feele a pain in their bellies , and this also proceeds from winde , and the malignant vapours aforesaid : neither are the swounding Fits , or the Passion of the heart produced by any other causes , because the heart when it is shaken with this fuliginous , and grosse spirit , doth frequently stretch , and contract it selfe , and endeavouring to expell the evill which annoyes it , it falls into an inordinate and strange motion , like unto trembling . Under these diseases the woman languisheth , is full of feares and frights , prone to despaire , subject to faint , can obtaine no sleep , but wasteth away daily , and waxeth leane and meager . To take away her paine , you may administer such remedies , as will expell the winde , and strengthen the bowell ; of which sort you may furnish your selfe with plenty above , in the chapter of a cold distemper , and windy humours in the Matrix● You may likewise anoynt the stomack with this oyntment following . Take an ounce of unguent . Altheae . Oyle of wormewood , Oyle of Camomile , And oyle of rue , of each three drams . The powder of lignum aloes , Mastick , Wormewood , And both sorts of Corall , of each a dram . Halfe a dram of aromat . rosat . in powder . Six drops of oyle of annise seeds . With a sufficient quantity of yellow wax , according to art make an oyntment . This , or the like fomentation may likewise be very usefull . Take halfe a dram of elecampane roots . Two drams of lignum aloes . The leaves of Rue , Motherwort , Sage , Wormewood , Mint , of each a handfull . Mastick , Cloves , of each two drams . Boile these Simples in a sufficient quantity of water to three pints , and prescribe the strained liquor for a fomentation . After the use of the fomentation , clap to the stomack the caul of a sheep newly killed . In Spaine the greatest persons , and those the wisest also , take hot bread from the oven , afterwards they soake it in Muskadine , and having sprinkled upon it the powders of red and white corall , and aromat . rosatum , they lay it to the heart : others instead thereof use Treacle , Alkermes , and Confect . Hiachytorum , to all which may be added , if the evill yield not to the remedies aforesaid , a little bag to be worne upon the left pap , and made after this manner following . Take two drams of lignum aloes . Bezoar stone , Muske , Red corall , of each a dram . Red and yellow Sanders , of each two scuples . The Specie Diamosch . And Diambr . of each a scruple and a half . With a piece of red taffata and cotton make a quilted bombast for the use aforesaid . Mingle cordialls with her drinke ; and cordiall conserves , as for example . Take two ounces of conserve of red roses . Two drams of alkermes . Macerate them a night in two pints of plantane water , and red wine , in the morning straine it thorough Hippocrates his sleeve , that is a woollen bag , and give her now and then the quantity of a small wine glasse . If these remedies overcome not the disease , apply an exceeding great Cuppinglasse to the heart ; by the force whereof the windy vapour will evaporate ; for although Glysters doe draw back the humour from the affected part , yet in reference to great bellied women you ought to suspect the event of them , because they raise too great a disturbance by provoking nature downwards , and many times cause abortivenesse ; yet if the paine be insupportable , then inject carminative glysters , and omit all bitter ingredients , as Hiera , benedicta Laxativa , or Scammoniata ; but to prevent all errour , prescribe this following . Take a handfull of mallow leaves . The flowers of melilot , The tops of Dill , of each halfe a handfull . Two drams of fennill seeds . Boile them in a sufficient quantity of barley water to nine pints , to the strained liquor add two ounces of Syrup of roses Laxative . An ounce of red Sugar . Mingle them , and make a glyster . Or Take the flowers of melilot . And mallowes , of each a handfull . Annise and Fennill seeds , Of each two drams . Boyle them in a sufficient quantity of broth , made with an old Cock to nine ounces , to the inward liquor add Calabrian Manna . And red Roses , of each an ounce and a halfe . An ounce of oyle of rue . Mingle them , and make a glyster . It might doe much good , if you gave her a draught of balme water in the morning , in which water you may steep lignum aloes the space of a night , and afterwards put to the strained liquor a sufficient quantity of Syrup of mint ; for this expells the winde , cleanseth away the phlegme , and powerfully strenghthens the stomack . You must frequently and laboriously rub her lower parts , tye ligatures about them , and apply Cuppinglasses to them , if there be no imaginable cause to feare abortivenesse , but if there be the least suspicion of that , omit all such applications as may procure a revulsion of the bloud , nay , let me give you this caution absolutely to fo●beare them , unlesse she be taken with desperate trembling and fainting fits , or swounding , in the spring time too , when her spirits require them . You must cause her Basilick veine to be opened , if she be young , fleshy , and strong , for this Remedy , besides that it letteth out the thick , dreggish , and black blood , it refresheth the childe also , and the heart is sweetly , easily , and safely delivered from that burthensome humour , which did oppresse and almost overwhelme it . CHAP. VI. Of a Cough in Women with Childe . MOst certaine it is , that great-bellied Women , by reason of their being with childe , have not sometimes a free vent for their crude and indigested aliments , either by Stoole , or by Urine , or by any other Emunctories of the body ; these being unduly kept in the body putrifie , wax hot , and communicate noysome fumes , and vapours to the spiritous parts , which by their clamminesse , thicknesse and sharpnesse , together with the bad quality that is in them , gripe , and twitch the Woman , and force her to cough . Some perhaps may demand , why doth this Coughing happen in the last months ? the answer is obvious ; namely , because in those moneths a greater plenty of excrements are lodged in the body , then were accumulated at the first . The cause of the Cough , according to Hippocrates , is a viscous , thick , and tough humour , impacted in the Pipes of the Lungs ; which humour sometimes also , thorough that consent which is between the Matrix , and the Chest , invadeth that part , and raiseth a Coughing : and these are set down as the true signes of this evill . As for the Prognosticks , you must know that a Cough befalling a woman with childe is a bad Symptome : seeing that by the least stretching , and shrinking the Cotyledons or vessells of the wombe , are many times loosned , yea sometimes burst asunder , and from thence comes abortivenesse . The Cure is perfected with sweet wine , mild beere , and the frequent use of a Ptisan . sharp , sowre , and cold things must be avoided ; meats also must be forborne which breed a thick nourishment , and are hard to digest ; vehement evacuations likewise are not good ; wherefore having given order for the observation of a good Diet , prescribe some gentle , lenifying medici●es to provoke her to spit , as manna , Syrup of roses laxative , Diacnicu , and the like . These things being administred , proceed to Electuaries , and expectorating medicines , and especially to this Apozem following . Take an ounce of cleansed Barley . The roots of Aristolochy , Licoras scraped , of each two drams . The leaves of Asarabacca . Nettles , White Maidenhaire , of each a handfull . Two drams of raisins pickt . The flesh of Dates . Fat Figs , of each three drams . Boyle them in a sufficient quantity of water , to two pints , and to the strained liquor , add Two ounces of Diacodium . Mingle them , and make an Apozem , or You may prescribe Lozenges after this manner . Take a dram of the species Diatragacanth . frigid . Diaireos , Poppy seeds , of each a scruple . Two ounces and a halfe of Sugar dissolved in rose water , according to art make them into Lozenges . Then prescribe this Conserve . Take Conserve of red Roses , Elecampane candied , of each an ounce . Conserve of Violet flowers , Rosemary flowers , of each halfe an ounce . Two drams of meale of beanes . A dram of Diaireos . Ten graines of Sulphur . With Syrup of Coltsfoot make a Conserve . Meale of beanes , according to Galen , doth cleanse and mundifie the Chest , digests and crude spittle contained in the pipes , and makes it easie to be excerned ; bean-flower water is exceeding good for the Lungs , especially if she drinke it with Syrupe of Maydenhaire , or Oxymel Scilliticum ; the same faculties hath the distilled waters of red Poppies . The yolke of an egg taken in the morning with Sugar , and the oyle of sweet Almonds is a most incomparable remedy , and hath done good to thousands . Anoynt her Breast with this Oyntment , which is good to prepare the crude , and thick matter which stops her pipes . Take an ounce of the oyntment of marish mallowes . The axungia of a hen Of a Duck , of each halfe an ounce . Oyle of sweet Almonds , Oyle of Violets , of each two drams . Ten graines of Saffron . Mingle them , and according to art make an oyntment ; heat it when you use it , and anoynt the whole region of her Chest therewith . CHAP. VII . Of the swelling of the Legs in Women with Childe . FRom the same cause , namely from abundance of phlegme , and c●ude humours , especially in the last moneths , proceed the swelling of the legs , face , and eye-browes , and when I have told you that the flesh of the whole body groweth soft , and that she looketh white and wan in the face , I have discovered unto your consideration the signes of this disease . Women in this condition cannot be restored to perfect health till she be delivered : yet may we not delay our helps , least a worse evill happen unto her ; for whereas the legs and feet are outward parts , and at a great distance from the fountaine of heat , they are quickly affected with cold , and mortified through the abundance of crude humours , which many times settle in them . You may securely , speedily , and gently accomplish the cure by strengthning and dis●olving remedies . In the first place therefore provide a bath with chalybeated water , Saltpeter , Sulphur , Wormewood , Stechaz , Rosemary , and Camomile : in this liquor let her wash her lips , her thighes , her legs , and her feet , and when she washeth them , let her also rub them soundly . If her flesh grow very soft and lank , so that you feare a mortification , apply this Poultis following , which will exceedingly comfort her . Take two handfulls of Wormewood , Meale of Vetches , Meale of beanes , Meale of barley of each an ounce and a halfe . An ounce of Bran. With a sufficient quantity of oxymel , and a brine made with lemon pills , according to art make your Poultis . If the coldnesse of the part be such , that you feare a gangreen , there is nothing will more certainly prevent it then Scarification : for by this meanes the part is ventilated , and preserved from putrifaction . Strengthning remedies must sometimes be exhibited to expell the winde , yet you must administer them with a good diet , consisting of drying , and corroborating things , as Treacle , Mithridate , and other drying confections and powders , Diacinnamonium , aromaticum rosatum , Diarrhodon Abba , t is , unto which we may well adjoyne a decoction of China and Salsaparilla with a little stick of cinamon , and a few annise seeds . Note that these remedies may properly be accommodated to the cure of the disease , called the Vterine Flux , which happens sometimes to women when they are ready to lye down , by reason that there is an excessive abundance of humour in their bodies , or else because the childe in their bellies is very large and great . CHAP. VIII . Of Costiveness in Women with Childe . THe inner part of the humour being spent upon the nourishment of the childe in the womans belly , the dregs grow hard , and when Nature striveth to cast them out by a strong and vehement indeavour , the Matrix suffers a compression , by which compression the childe is offended , the Cotyledons are loosened , and many times the woman miscarrieth , and the child proves abortive . The belly must be sollicited , but not with glysters , because they hurt the childe , especially if it be grown to some bignesse , but with Suppositaries made with hogsgrease , and five or ●xgraines of Diagry●ium ; for these will irritate . Her meat should be of a moistening and mollifying quality , as mallow , and borage leaves eaten with butter and Sugar ; fat pottage also is good for her , in which , if she complaine of no torments , you may boyle polypoda , sena and prunes . Manna above all other things is in present case to be preferred : and next to it we commend Syrup of roses laxative , and Syrupe of Violets made with a frequently iterated infusion . Sometimes you may prescribe this Julep . Take the waters of borage , Fumitary , of each eight ounces . Three ounces of Syrup of Violets . Mingle them , and make a Julep . Forbeare the use of sharp medicines , for they worke with an unnecessary vehemence , and not seldome cause Abortivenesse . Unto this disease we adjoyne a loosenes , which hapneth , when women are of a cold constitution , and full of crudities , or when they have a weake belly : Sometimes also it happens by their inordinate Longings , when they wish for a greater variety of dishes then they are able to concoct ; for then many times what they have so greedily devoured passeth down into the guts without digestion , and causeth a loosnesse through the weaknesse of the retentive facultie . We have learnt from Hippocrates to accou●t this among the dangerous diseases ; for in the fifth brok of his Aphorismes he hath these words : If a woman with childe be troubled with a great loosnesse , 't is to be feared that she will miscarry , and note well the reason hereof : for when she is thus afflicted , the good and the bad goe away together , the childe is defrauded of its due nourishment , and so perisheth . You must presently strive to stay the loosnesse with binding and thickning meats , as quinces , rubarb , beer wherein steele hath been often infused ; or else you may prescribe this Potion following . Take a handfull of plantane leaves . The seeds of flux wort . The seeds of Sumach , of each a dram . Boyle them in a sufficient quantity of red wine , to a pint and a halfe , to the strained liquor add Srrupe of Comphrey . Syrupe of Quinces , of each an ounce . Make a Potion . Boile , or steep annise seeds in her drinkes and apply the same fomentations , oyntments , and plaisters , as we have already commended unto against Vomiting . But if the excrements be slimy , putrified , and stinke , you must not neglect the use of Rubarb gently rosted , and of myrobalans slightly rosted ; for these doe not onely purge , but they binde withall , and strengthen the parts . Sometimes you may exhibit Philonium Persicum , Requiem Nicholai , or Pill . de Cynoglossa , but with a sober caution ; the quantity is a scruple , or at the most but two scruples , and that when the other things have proved unsuccessefull , and also when the strength of the Patient will allow the taking of them . CHAP. IX . Of the flowing away of Bloud from the Matrices of women with Childe . ALthough we made mention of this disease in the first booke , where we treated of the immoderate flowing of the Courses ; yet we conceive it may be worth our labour , and the Readers thanks to add a few things , which in the Chapter aforesaid , were purposely omitted by us . Bloud then floweth immoderately from the Matrix , either when the lips thereof are unlockt , or when the vessells are open , or lastly , by transcolation . The inward cause of these symptomes is an extreame heat , or thinnesse in the bloud ; which either eats asunder the vessells , or rarefies the tunicles thereof ; the outward causes are all those things which have a power to make thin , to heat , to open , to rarefie , and to subtilize the bloud ; as immoderate cares of the minde , long watchings , a continuall use of hot meats , as dishes pepperd and spiced : also drinking too much wine ; yet you may exhibit a glasse of Claret wine in a moderate quantity , to refresh her spirits , provided that no Fever be suspected , and that her Matrix be not inflamed . The signes of this evill are manifest ; for the spirits are deficient , the heat is diminished , the face groweth pale , the feet swell , the strength decayes , the meat is forsaken , and no sleep can be obtained . The danger of this Flux is unknown , I suppose , to few women ; for seeing that our naturall heat hath its chiefe , and sole perseverance in the bloud , the losse of that bloud in an immoderate quantity , must needs exhaust the spirits , weaken the body , and at length when the naturall heat is almost extinguisht , and the sanguification is depraved , there will undoubtedly supervene either a Dropsey , or a Consumption . When you begin the Cure , keep the Patient in a darke roome , and let the ayre be cold and dry ; or if naturally it be not so , make it so by art ; her meat should be potentially cold , thick , and binding : as the flesh of Partridges , and sheeps-feet , or sheeps-heads , or broths made of them ; pease beanes , quinces , Services , and the like , are not unwholsome for her , and for her drinke , let it bee beere , or water wherein steele hath often been quenched . Let her bloud immediately to divert the humour , but in what part , there is indeed a great controversie among the Physitians about it ; but to promote the Revulsion of the humour , if the Patient be strong enough , we tye ligatures about her legs , and boldly open a vein in her arme ; or if she be very strong , we apply ●uppinglasses wi●h scarification to her shoulders . When the veine is opened , give her thickning Syrups , as Syrup of poppies , Myrtles , quinces , or Syrupe of restharrow ; Juleps also made with the disti●led waters of plantane and roses , and mixt with the Syrups aforesaid , will be convenient for her , or you may mingle Conserve of roses , or Conserve of acacia with Bolearmenick , and the Trochisch . de Carabe , which will be an excellent mixture to thicken , and stay the bloud ; but however forget not to prescribe this Purge . Take two scruples of Rubarb gently boyled . Ten grains of the myrabolans called chebule . Syrup of dried roses , or Syrupe of sowre Pomegranets , halfe an ounce . Three ounces of plantane water , or a decoction of tormentill root● . Mingle them , and make a Potion . Procure some sleepe for her with Opiates , as Athenasia , Requies , Nicholai , Philonium Persicum , new Treacle , or Philonium Romanum ; yea with pills de Cynoglossa , or foure or five graines of Opium : all these things doe wonderfully thicken the bloud , straighten the passages , fatten the body , concoct the bloud , provoke sleep , and therefore are very proper for women thus affected . Note that the Opium restraines , and stops all superfluous evacuations , sweat excepted , which it provokes ; besides , by inviting sleepe it refresheth the body ; for by sleep the aliment is soonest concocted , the naturall heat retiring to the inward parts , whereas when the Patient waketh , the heat is distributed and diffused all over the outward parts . Lay this plaister which followes the oyntment to the reines of her back , and with the oyntment anoynt her privie parts , and the region of her Kidnies . Take the powder of Cyprus Nuts . The roots of Comphrey , Bistort , of each two drams . Red Sanders , Red Corall , Bolearmenick , Mastick , of each a dram . With foure ounces of Vnguentum Comitissae make an oyntment . After the oyntment apply this Plaister , as was said above . Take a pound of loom , and beat it to powder , with ten drams of gum-arabick tosted by the fire , and the whites of foure Egs , incorporate them , and make a plaister . CHAP. X. Of water flowing away from the Matrices of women with Childe . MOst certaine it is , that Women with Childe by reason of their depraved appetites , and continuall intemperance in their diet , abound with crude and unconcocted juices , which nature not knowing how to digest , nor being able to expell them by her monethly Courses , are accumulated in a large measure , pollute the body , and introduce a cold distemper , from whence that water comes , which is the intended subject of our present discourse ; they who live a sedentary and an idle life , are very obnoxious to this disease ; in such women this waterish humour comes away at the Matrix , cold to the touch , slow in motion , slimy in substance , and white to the eye , and voide of all manner of sharpnesse ; these women look pale , their skin is lanke or loose , they are lazy , and loath to use any exercise , they are troubled with winde , and loud rumblings in their bellies . Account this is a difficult Cure : especially when it happens in the last moneths , when we dare not administer convenient remedies , fearing to destroy , or hurt the childe ; because such kinde of remedies dissolve , and exhaust the spirits , and when the body is extreamely weakned , they precipitate the Patient into a Dropsey , which is scarce curable ; or else she miscarries by reason that the retentive faculty is too much weakned by excesse of moysture . You must therefore indeavour the cure by a drying Diet , as Bisket made with annise seeds , and with flesh meat rather rosted then boiled ; forbid windy meats , salt meats , such as breed a thick juice , and yield too much moisture ; almonds , chesnuts , pine kernells , and boyled rise are very wholsome , all hearbs and fruit , beside quinces and medlars , are unwholsome . For her drinke , give her binding red wine , or wine wherein steele hath been quenched : for this comforts the spirits ; a decoction of china and Salsaparilla may be profitable , because it dries up the descending moisture , and cleanseth the body from it , this potion following will doe her much good . Take two drams of Cyprus nuts . The leaves of wormewood , Mint , Red roses , of each halfe a handfull . The seeds of quinces , Services , of each two drams . Parcht rise , Mastick , of each a dram . Halfe a dram of gum dragon . Boile them in a sufficient quantity of water , wherein steele hath been quenched , to two pints ; to the strained liquor add Syrup of dried roses , Syrup of the juyce of quinces , of each an ounce . Halfe an ounce of honey of roses . Mingle them , and make a Potion . Let her take three ounces of it early in the morning ; it evacuates the waterish humour , and not onely strengthens , but also bindes the parts , dryeth the Cotyledons , and retaineth the childe in the Matrix , that it come not into the world before its due time ; after the Potion , the next day lay this Plaister to her privie parts . Take two drams of Loadstone beaten to powder . Spikenard , Mastick . Red corall , of each a dram . Two ounces of oyle of quinces . Six drams of white wax . Mingle them and make a Plaister . A gentle laxative Decoction cannot be inconvenient , and therefore we shall here set down that which hath often purchased sweet ease to the Patient , and credit to our selves . Take a handfull of plantane leaves . A pugill of red roses . Foure drams of rubarb . Two drams of agarick trochischated . Mastick , Spikenard , of each a scruple . Macerate them together in two pints of water , wherein steele hath been infused upon hot coales , the space of six houres ; afterwards set them upon the fire , and when they begin to bubble , presse out the liquor with a strong hand , and add to it . Two ounces of Syrup of Fumitary . Mingle them according to Art. Give her every other morning fasting three ounces of this decoction ; for it gently strengthens the parts , diverts the waterish humour from the Matrix , and with much benignity evacuates it . When the woman is almost ready to be in labour , a wheyish or waterish humour floweth leasurely , and by degrees from the Matrix , either because of some dilatation of the Membranes , in which the childe is enwrapped , or else because those membranes are burst asunder ; and although it descend leasurely , yet a large quantity comes from her ; if this happen when she is in labour , suspend all helps of art , for it is a good omen that she will be safely delivered ; but if it should fall out in the fifth , sixth , seventh , or eigth moneth , in which there is , or may be a feare of miscarrying , then may you properly and securely adadminister those things , which we even now prescribed . If you demand from whence that abundance of waterish humours doth come , which floweth before she is in Labour ? I answer from the Membrane , or skin called Ammion , which is fastned to the Childe , and from the other called Chorion , in which two skins , the urine of the Childe is so long reserved , till the fulnesse of time be accomplished , in which it should be borne ; at which time seeking by instinct of nature , for a greater proportion of nourishment , it kicks , and teares these membranes , out of which when a large plenty of waters have run , it comes forth into the world . CHAP. XI . Of Acute Diseases , befalling Women with Childe . WOmen are preserved both from the threatnings , and also from the Invasions of those Diseases whereunto they are subject by a threefold kinde of Remedies : by Diet , by Phlebotomy , and by Purging , or to speake more properly , by being purged . But the two latter are the more difficult , according to the opinion of Galen , who in this hath the concurrence of Avicens judgement also ; you must know , saith he , that every disease of repletion , or the malice of a complexion is not cured by his contrary , but sometimes by a good regiment of health ; wherefore if it be a slight disease , it will be cured of its own accord ; for the●e is no kinde of disease so fierce , saith Galen in his book of Diet , which is not tamed by it ; but yet a moderation must be observed ; for they who are neere their time , and looke every day to be in labour , want a larger proportion of nourishment , because the childe is big , and should they be defrauded of this mediocrity , they would perish by the cruelty of an acute disease ; wherefore here lies all the difficulty to prescribe a convenient and fit Diet for such women ; for should you allow them meat and drinke suitable to the condition of women who are not with childe , you should destroy the childe : and should you , out of a regard to the preservation of the childe , be more liberall and indulgent to their appetites , this condescension would espouse you to another errour , for hereby you might cherish the cause of the disease ; let her therefore be fed with meats that are of easie concoction and distribution , and prohibit her the use of thick , sharp , sowre , bitter , and windy meats , that are hard to digest . Having prescribed a good Diet , you must consider whether it be expedient she should be let bloud . Valesius sets down the reasons on both sides , and for the Negative he alleadgeth an Aphorisme in Hippocrates , running to this sense ; if a woman with childe be let bloud , she miscarries ▪ and the rather , if the childe in her wombe be big ; because the childe is thereby defrauded of its aliment . Secondly Galen saith , Physitians ought not to be busie in offering helps , or strong remedies to women with childe , nor any exquisite manner of Diet ; here you must understand Phlebotomy say they ; therefore it must from Galens words be concluded inexpedient . Thirdly , if any evacuation be a cause of abortivenesse , as a flux of the belly , or a loosenesse , as Hippocrates in another Aphorisme affirmeth , how much more will the opening of a veine be a cause , by meanes whereof the aliment is taken away from the childe . Fourthly , a Fever kills the childe , by wasting the spirits , and drying up the bloud with the vehement heat thereof ; therefore so also will phlebotomy kill the childe by exhausting the spirits , and consuming the bloud . But all these reasons to my understanding are of no weight , no moment , no validity , seeing that it is most certaine , that the very impregnation , or being with child doth forbid phlebotomy , in respect of it self , yet not as one of those principall scopes which withstand it , but of those which indicate and advise to a sober and due celebration of it ; wherefore when a woman sick of an acute disease must be let bloud , yet must she bleed lesse then the affect and the plenitude require , because of that indication , which is taken from the childe in her wombe ; for her gravidation , or being with childe ought to be reputed as a Symptome which wasts the spirits , because her bringing forth the childe is a kinde of evacuation . To the second I answer , that Galen in that place meanes nothing else , but that Physitians should counsell their Patients to avoid intemperance , because women with childe admit not of the least degree beyond a medioicity . To the third I answer , that it is not alwayes true that abortivenesse followeth upon any large evacuation ; and therefore it should not onely have beene said , but proved by the Interpreters of Hippocrates ; for wee see that it followes not upon hunger , or emptinesse , unlesse it be diuturnall , nor from a loosenesse , unlesse it be immoderate , nor lastly , from phlebotomy , if a veine be opened in the arme , wherefore , that I may conclude , I conceive Hippocrates did intend only to prohibit the cutting of a veine in the ankle , but not in the arme : for I confesse , if a veine in the ankle be cut , the bloud is drawn in abundance to the Matrix , and so may strangle , or choake the childe , and cause abortivenesse : the like also doth any vehement and exorbitant Purge . Wherefore if an inflammation be present , we affirme that a woman with childe may be let bloud without any danger of abortion : yet with this condition , that she be first well nourished with meats of good concoction and quick distribution , and that a small quantity onely be taken away , least the spirits should be empaired either for the present , or the future . Moreover I like not the cutting of the Basilick veine , because it much exhausts the bloud , and may cheat the childe of his nourishment . Lastly , I counsell you to apply strengthning , and nourishing things to the navell before you cut the veine , as unguentum Comitissae , or Emplastrum stomachichum , or fomentations made of wormewood , roses , mastick , lignum aloes , quince seeds , and Claret wine : and whilest she is bleeding , let her hold cold water in her mouth , or cold beer , that if perhaps she begin to faint , she may swallow it , and preserve her selfe from swounding . But what shall be said concerning Purges , which consist of hot ingredients , and as Galen and Averroes contend , disturb and hurt the childe . I answer , all purging medicines are not of that quality ; wherefore we may safely prescribe manna , sena , tamarinds , rubarb , and cassia , omitting such simples as have any participation of vehemence ; and we confidently aver , that Hippocrates must be understood in this sense , where he saith , women with childe must be physickt or purged , if the matter be turgid , in the fourth moneth unto the seventh ; because the childe in the wombe is likened to the fruit upon a tree , which as at first they fall down by any slight motion , and afterwards stick faster to the tree , but when they are full ripe fall of their own accord ; so the childe ; wherefore if you will prescribe any physick , follow the directions of Hippocrates , and exhibit it between the fourth and the seventh moneth , because then there is a firme connexion between the Membranes , and the Cotyledons . If you desire exactly to know these middle moneths ? I answer , they are the fifth , the sixth , and part of the seventh . If you object the words of Galen , who saith that a child three months old is strong , and able to resist the injuries of physick . I answer , that he reckons the end of the third to be compleat , not till the fourth moneth be begun , concerning which argument the learned may consult the Epistles of Mainendus . THE FOURTH BOOK , OF VVomens Diseases . The first Chapter . OF a Naturall Birth , and of Abortion . PRovident Nature at all times hath not a greater care of any thing , then of the propagation of mankinde , and this although it appeare not so much in the species , yet it is cleare and manifest in the individuall , and thus she hath framed women to a delight in Venereous conjunctions , that they might with greedinesse suck in the mans seed , and dispose and cherish it to Generation . So soone as the woman hath conceived , Nature hath an especiall care to fashion , augment , nourish , adorne , and perfect the childe , and at a determined time to send it out into the world , in all respects compleat and absolute . This sending forth of the childe is twofold ; either naturall , or preternaturall ; the first is when Nature at a time prefixed , sends out into the Province of the world a perfect Citizen , with an exact dearticulation of all the parts , with a little paine , without any fever , or passions of the minde : this sometimes comes forth before its time , with great paine to the woman in her back and belly , as in the fifth , seventh , or eighth moneth : or else it stayes beyond the ordinary date of time . There are severall opinions among the Physitians , why a childe that is borne in the eighth moneth should be weake , and not healthfull , whereas a childe borne in the seventh moneth is held to be both strong , and healthfull . Laurentius in his book de re Anatom . handles these things with much elegance , and thither we refer the Reader , and for our own opinion , we shall most readily declare it to be this ; that I hold it impossible , that the childe should be able to undergoe two afflictions , the one immediately following the other ; namely , one in the seventh , and the other in the eighth moneth , in which it is very obnoxious to sufferance and danger , and therefore most commonly perisheth in the eighth moneth , for it comes to passe that the childe is doubly , or consequently afflicted ; first with that affliction which befalls it in the wombe , and afterwards with that which happeneth in the birth ; but this befalleth not the childe , which comes forth in the seventh moneth , because it comes into the world perfect , strong , and without the labour of the seventh and eighth moneth . Galen describes Abortion to be an imperfect Emission of the Childe , or a violent Excretion of the Childe . The Causes hereof are many and various ; some inward , some outward ; the outward cause , which for the most part is subjected to the arbitrement of sense , is a vehement fever , which kills the childe , especially if it continue long ; for it is destructive , both to the Mother and the Childe ; the fiery heat thereof devoures the whole substance of the moisture , wastes the spirits , consumes the flesh , and so weakens the body , and destroyes the childe by exhausting the spirits , and dissipating the aliment ; to this we have already adjoyned an excessive , or lasting loosenesse , because as we have said , it looseneth the Cotyledons , and by the sharpnesse of the humours irritates the Matrix , shaking , agitating , and assaulting it , till provoked Nature excern the Childe : dancing , leaping , loud crying , long fasting , doe all presage that the woman will miscarry ; so also are the relations of some unexpected events , anger , chiding , thunder , the sudden noise of some pistoll or musket , a fall , the denyall of some ardent request , and an innumerable company of other such things . The inward are reduced to three Causes namely , to the weight or heavinesse of the humour , whereby the suffocated childe is overwhelmed and perisheth ; the second is the great bulke of the Matrix , by reason whereof the childe is scarce held fast , but slides away , and slips out ; or the small and narrow capacity of the Matrix , wherein it neither groweth to any bignesse , or perfection , but perisheth for want of roome ; the third is a skirrosity or hard swelling , which is an impediment to the childe , that it cannot lye stretcht out to its full dimensions , but endures a compression , and dieth . Galen reckons up those signes which goe before abortion ; the first whereof is an extenuation of the nipples , the second a diminution of the milke ; the third when the child is not perceived to stir in the belly ; the fourth the slendernesse of the woman ; the fifth , the loosenesse or lanknesse of the whole belly ; the sixth , the depravation of the appetite : the seventh , which is a true signe that she is now ready to miscarry , is a paine in her back , in her privie parts , and torments all over her belly , with a thin humour distilling from her Matrix . This is far more dangerous , then a lawfull and naturall birth , in regard of the perturbations and violence which is offered to nature . As for the Cure , the woman having already miscarried , that consists in the point of preservation , namely , to prevent the supervening of a Fever , or the Whites ; this may be done by the help of those things which we have noted above ; sleep must be procured ; then the belly and the Matrix must be strengthned with fomentations , litle bags , and such like administrations as are good to expell winde . To prevent obortion , and to preserve the woman from miscarrying , we approve ( if the danger be threatned from an extreame fulnesse of humours , the cu●●ing of the Basilick or the middle veine ; for this counsell we have the Authority of Fernelius , who in his second book de Meth. Med. saith , unlesse many veines be unlockt about the mouth , in which the woman looketh , she will miscarry ; for the childe is overwhelmed , and choak't with too much bloud ; but if it proceed from the amplitude and large capacity of the Matrix , apply astringent decoctions ; if from the narrownesse of the part , mollifying medicines will be most proper , yea , and such as resolve and consume away hard swellings , may be convenient for this cure . CHAP. II. Of a hard Labour . VVE call a womans Labour hard , and difficult for five conditions , or five reasons : the first whereof is an Anticipation of , or as we use to say , when she comes before her due time , in the fourth , fifth , or sixth moneth , which because it is excerned by nature before the naturall time , it is imperfect , precipitating the woman into many straights and bitter pangs : the second is a transversall , or preposterous Egresse , as when one foot onely , or an arme appeareth , or when the breech cometh before the head , or when both the feet joyned together come out first , and afterwards the head ; the third is , when the childe which comes forth of the wombe is mishapen , nature having erred in the conformation ; the fourth is intolerable paine , fainting , swounding fits , and bitter torments about the bottome of her belly , and the secret parts ; the fifth is , an effusion or running out of water many dayes before the birth : which being run out , the passages which before were slippery to assist the emission of the childe , now remaine hard and dry , and become an impediment to the birth ; this humour is of no small advantage , nay , it is of admirall concernment to facilitate the birth , if we may without procuring envie to the man , beleeve Galen , who saith in his book de us● partium ; that that humour serves not onely to moisten the childe , and to make the wayes slippery , but it likewise subdues the callosity and hardnesse of the matrix , almost to an incredible dilatation ; to these we may adjoyne the weaknesse of the mother , and the imbecillity of the expulsive faculty , as also the strength of the Retentive . The signes of an illegitimate birth succeeding , are vehement , but vaine indeavours and strivings , seeing that the childe for the reasons aforesaid is hindred from coming forth . No man of understanding can deny , but this must be terrible to behold , and painefull to endure ; for if the childe chance to dye , and lye dead in the Matrix some dayes , it is most certaine , that it will putrifie , infest the principall parts with noysome vapours , and poysonous exhalations , weaken their strength , and bring an unavoided death upon the woman . We have often , and with the saddest apprehensions , beheld , how much diligence was necessary both to the reliefe of the Mo●●● , and the preservation of the childe : ●●erefore having provided a skilfull Midwife , you must lay the woman in a darke place , least her minde should be distracted with too much light ; all passions of the minde must be diverted by a pleasant , and cheerefull conversation , and provide such meat for her as is easie of concoction . Let her drinke be small beere , or barley water boiled with Maidenhaire , and cinamon , unto which add a small quantity of Rhenish wine ; for this brings down the urine , moves the Courses , and facilitates the birth ; boiled meats are most wholsome for her , as mutton boiled with Rosemary ; chicken broth also is good for her , and so are the chickens . Binding , and sharp things must be avoided ; gentle , and moderate exercise is commendable ; and afterwards the Midwife may rub her legs and her feet . We have acquainted you with the Conditions of an ill birth ; and now we shall furnish you with remedies to prevent , or oppose those conditions . When the childe goeth out in a depraved figure , the Midwife must gently dilate the parts with her hand , or with some convenient instrument ; certaine it is that this happens very often , if a monster be borne , in regard of the bad conformation of the body ; if a foot , or an arme , or the shou●●●ders , or the buttocks come out first , 〈◊〉 the Midwife by the activity of her hand , anoynted with oyle of sweet almonds , must thrust back the childe , and dispose it to a more regular egresse : but if this cannot be done , the childs life is in danger ; and if the child perish , it must either be expelled with medicines , or drawn out with an hooked instrument , as we shall shew you in the chapter next following . If vehement Symptomes arise from hence , all which are wont to proceed from the weaknesse of the Mother , or else from clotted bloud destilling from the Ma●rix before the birth , and that you feare a greater inquination in regard of that putrified bloud , then comfort the feeble and decayed spirits of the woman with the Rh●nish wine and broths aforesaid ; when this is done , provoke the clotted bloud , and feculent humour by strong ligatures , by rubbing her body with a course cloath , and applying Cuppinglasses to her legs ; and if the woman be fallen into an agony , if she be young , of a good habit , full of bloud , or of a sanguine complexion , and if it be also the Spring time ( if those about her have strong feares that she will dye ) open a veine in her ankle ; for thus Nature is disburthened , and the womb which was opprest with the weight of the bloud feeles ease , and many times the woman recover● who was at deaths doore . To witnesse the truth hereof , we have an authentick warrant from the writings of Hippocrates , who in his booke de morbis mulier . hath these words ; if a woman with childe be a long time restrained , and cannot bring forth ; if she be likewise in the vigour of her age , and full of bloud , you m●st open a veine in her ankles , and draw away the bloud , respect being had to the strength of her body . Note that he saith out of her ankles , that is , at one time from both ankles , as Cordaeus his Commentatour hath observed unto us ; but yet in our Climates , we conceive it sufficient to cut a veine in the left ankle onely ; because our opinion is , that somewhat must be left to Nature , who is somewhat wearied , but yet able to make a further resistance . After the phlebotomy , curb the malice of the humours with Bezoar stone , Trea●le , Mithridate , Alkermes , Hyacyntha , with Lozenges made of Manus Christi , Diamargariton frigidum , Aromaticum rosatum , and the like . If great plenty of waters come away before the birth , if the Matrix and the Scabard thereof remaine dry , if the Cotyledous be contracted and straightned , so that no roome is left for the egresse of the childe ; then must it be your indeavour to soften , to moisten , and make wide the passages , with oyle of sweet almonds , or with a warm cloath dipped in the oyle , or else fill a bladder full of this oyle , and lay it upon her privities ; or lastly , you may mingle it with a decoction of onyons , garlick , rue , and birthwort . Half Tubs are in this case very profitable , being made after this manner following . Take the leaves of mallowes , Marish mallowes , of each foure handfulls . Motherwort , Rue , Birthwort , Penniroyall , of each three handfulls . Camomile , Melilot flowers , The tops of Dill , of each two handfulls and a halfe . The seeds of Fenugreek , Marish mallowes , Line , of each an ounce and a halfe . An ounce and a halfe of Laurell berries . Boyle them all in thirty pints of water , put them into a tub , and let the woman sit covered in it , till all things correspond with her expectations . You cannot scandalize your judgement by an errour , if you present her with an opening , dilating , and provoking draught , as she is seated in the Tub ; the forme whereof may be this . Take two scruples of the Trochisch● of Myrrhe . Ten graines of Borace . Eight graines of Saffron . Halfe an ounce of Syrup of Motherwort . Three ounces of a decoction of madder roots and rosemary . Mingle them for a draught . Many commend this oyntment following , which they apply to the privie parts . Take unguentum de Althaea , Vnguentum Resumptivum , of each an ounce . Oyle of white lillies , Oyle of Dill , Hensgrease , of each halfe an ounce . Saffron , Dittany beaten to powder , of each two drams . With a sufficient quanty of wax make an oyntment . But if nature be culpable in both , namely in the weaknesse of the Mother , and the expulsive faculty , and also in the strength of the retentive ; then against one you must administer corroborating medicines , as hath already been said , and to rectifie the other fault , you must adhibit loosening remedies , such namely as are recited above . CHAP. III. Of the Retained Secundine . GAlen in his book de usu partium hath rekoned up three membranes , which enwrap the childe in the wombe ; the first whereof is called Ammios , this on every side is spread over the whole childe , and receiveth the childs sweat , that it may swim in it ; The second is named Allantoeides , or Intestinalis , or as others name it better , Vrinaculum , whose use 〈◊〉 , to receive the urine ; the third is called Chorion , our Midwives call it the Secundine , which is nothing else but a multitude and connexion of vessells and membranes , thorough which as by little springs or rivolets , the child draweth bloud and ayre ; these membranes are burst when the childe begins to kick his way out into the world , from whence that liquor distilleth , as we have noted above , which makes the passages slippery ; after the nativity of the childe these membranes are excerned , but if they chance to be retained , they introduce most outragious Symptomes , and a disease of number , in the excesse . The Causes of the retention are diverse , for many times the Matrix is confirmed after the childe is borne ; many times the immoderate passions of the minde make nature forget her selfe in his duty ; sometimes odoriferous things draw the Matrix upwards , and so nature is disturbed in her purposes of exclusion ; an unseasonable drinking of cold water is a very frequent cause of it ; and so are grosse meats that stuffe the body and thicken the bloud . You may know by the Midwives relation , that the Secundine is retained , unto whom ( if she be skillfull ) you ought at the command of Hippocrates yield up your beliefe , or you may conjecture it ; if the woman be sad in minde , subject to faint and swound , full of tossing , and unquietnesse , if she feele a heavinesse in her wombe , or a round substance , like unto a fixt and immoveable ball . This is a most lamentable disease ; for if the Secundine be retained for any considerable time it putrifies , and communicates poisonous exhalations to the principall parts , as the heart , the brain , the liver ; from whence arise swounding fits , anxiety of minde , giddinesse in the head , and direfull torments . Wherefore let it be the Midwives care with all speed to attempt the cure , bringing down the Secundine with her fingers besmeared with oyle , and let her hold fast the umbilicall vessells , till the Secundine follow ; but what if it remaine behinde ? then according to the Oracle of Hippocrates delivered in the fortieth Aphorisme of his fifth book ; you may exhibit sne●zing medicines to the nostrills ; for these by that motion compresse the upper parts , and the expulsive faculty being irritated , out comes the Secundine . Take black pepper , Mustard seed , Sagapenum of each a dram and a halfe . Tobacco , Castor , White hellebore , of each a dram . A scruple of Euphorbium . Make a fine powder of them , and upon the point of a knife , or thorow a quill let her sniffe up a little of it at a time ; or you may prescribe this Potion for two Doses ; it hath often done the Cure. Take eight ounces of penniroyall water . An ounce and a halfe of aqua Hysterica . Two scruples of Castor in powder . Mingle them for a Potion , to be taken at twice , or Take two scruples of the Trochischs de Carabre . A scruple of Borace . Halfe an ounce of the Syrup of juice of betony . Three ounces of a decoction of Savine . Mingle them for a Draught . Suffumigations are also very profitable to bring away the Secundine . Take Storax , Benjamin , Lign . aloes , of each two ounces . Musk , Civet , of each a scruple . Make a pessarie of them , adding Vnguentum Agrippe and the juice of Mercury . Liniments must not be omitted , made with unguentum de Althaea , de Agrippa , oyle of Almonds , and oyle of Dill ; fomentations and halfe tubs are equally necessary , made of a decoction of camomile , pellitory of the wall , Motherwort , Birthwort , Origanum , Sage Savine , annise , fennill , and Line seeds , unto all which may be added oyle of Almonds , and oyle of Dill ; Glysters must also be injected , and with good successe you may continually rub her hips and her thighes , tye ligatures about her legs , apply Cuppinglasses , and cut a veine in her ankle . When the Secundine is ejected or drawn out , give the woman Cordialls , as Bezoar stone , Treacle , Confect . de hyacintha , or Alkermes : all which things are of undoubted vertue to restraine the malignity of the vapours ; sometimes a Mole remaineth in the Matrix after the birth , which by reason of the congealed bloud , and the fleshi● substance , whereof it is compounded , is as difficult to cure , as the retention of the Secundine : wherefore you must indeavour to expell that by the help of those remedies , which we have prescribed above in the chapter of a Mola , and here also a little above . Note the difference betweene the Secundine and a Mole : this is fixt and unmoveable , but that is moveable from one place to another in a Mole , or when a woman is troubled with that halfe conception , so called , a black and clotted bloud drops from the Matrix , which upon the retention of the Secundine appeares not . CHAP. IV. Of the Dead Childe . CErtaine it is , that the Childe dyes in the Mothers wombe for many causes ; the first of these is an inward cause , as a defect of aliment , or the corruption of it ; the second is a most vehement burning Fever , which by the excessive heat thereof wastes the spirits , and destroyes the naturall heat ; The third cause is an unseasonable evacuation of bloud at the nose , the mouth , the Matrix , or by phlebotomy ; The fourth is an exuperance , or an immoderate predominancy of humours in the body ; The fifth is a great quantity of moysture loosening the vessells ; The fixth is some vehement medicine . The first outward cause is some blow ; the second a Cough : the third vociferations , or loud and clamorous yawlings : the fourth sneezing ; the fifth , sad tydings ; the fixth , some horrible and dreadfull sights . The Childe may be known to be dead by a coldnesse about the Mothers navell , and by a kinde of fixt and immoveable weight in her belly : by a bad taste in her mouth , and by her stinking breath . Use your utmost activity and cunning , to bring away the dead childe , both by inward administrations , and by outward applications , inwardly let her take this Potion . Take a a dram of the Trochishs of myrrhe . Castor , Storax , Borace , of each ten graines . Foure ounces of a decoction of Savine . Mingle them for a draught , or Take the powder of assa faetida . Trochishs of myrrhe , of each a scruple . Troch . Alhandal . Borace of each ten graines . Nutmeg , Saffron , of each five graines . Two ounces of a decoction of Savine , Two ounces of muscadine , Mingle them for a Draught , or Take the powder of Euphorbium , Dittany of Creet , of each a scruple . Ten graines of borace . Five graines of Cantharides prepared . Three ounces of a decoction of Savine . Mingle them for a Draught . Glystars and Suppositaries are of great concernment , and thus make you them . Take a dram of rest-harrow roots . The leaves of Savine , Pennyroyall , Birthwort , Motherwort , of each a handfull . Origanum , Sage , Dittany of Creet , of each halfe a handfull . Fennill seeds , Nettle seeds , The pulp of Coloquintida , of each two drams . Boile them in a sufficient quantity of water to nine ounces , to the strained liquor add Two ounces of benedicta laxativa . Halfe an ounce of hiera picra . Mingle them , and make a Glyster , or Take Troch . Allhandall . Scammony , of each a scruple . A dram of common salt . With a sufficient quantity of white honey boiled according to Art , make your Suppository . Outwardly you may apply oyntments made of oyle of Castor , oyle of Foxes , oyle of Euphorbium , with unguentum Agrippe , unto which may be added a little coloquintida , powder of dittany , scammony , the gall of an Oxe . Take two ounces of Vnguentum Agrippae . Oyle of Castor , Foxes , Euphorbium , of each halfe an ounce . The pulp of coloquintida , Dittany of Creet , Scammony , of each two drams . The gall of an Oxe , Euphoribium , of each a dram . Mingle them , and make an oyntment . Suffumigations may be prepared by this forme following . Take halfe an ounce of live Sulphur . Opoponax , Galbanum , Assa faetida , of each two drams . The powder of rue . Savine , of each a dram and a halfe . The gall of an Oxe , The juice of an onyon , of each a sufficient quantity . Make them into Trochischs for your use . Pessaries must not be forgotten ; therefore Take three drams of Hiera piera in the species . A dram and a halfe of myrrhe , A sufficient quantity of unguentum Agrippae . With a piece of cotton according to Art , Make a Pessary . Or Take Ammoniack , Assa faetida , Black ●ellebore , of each two drams . Troch . Alhandall , Scammony , of each a dram . The juice of rue , Soldanella , The gall of an Oxe , of each halfe a dram . Two drams of Turpentine . With wooll and cotton ( according to Art ) make a long Pessary . If these things will not bring away the childe , and if the Mother be sadly fallen into an agony , the safest method will be , to draw out the childe with instruments , if no contraindications appeare , as a bad pulse , and a difficulty of breathing , with anxiety and unchearfulnesse of disposition in the woman . CHAP. V. Of the Torments , and the suppression of the Courses after the Birth . WOmen in labour must be gently handled , and carefully lookt unto , both in respect of the roome where she is laid , and also in regard of the Diet which is most proper for her in that condition . As for the place , it must be darke , far and free from noise , or any other disturbance that way ; least she should be offended by any accidents of feare , or sadnesse , or by any sudden surprizalls of anger or griese . The Diet consists in meats of good juice , and easie concoction , and such as are not slow in their distribution to the severall parts , because they thicken the bloud , and obstruct the passages . Let her drinke be small beer , cleare , and well setled from dregs . Barley water in which birthwort and borage leaves have been boiled , is incomparably the best drinke you can device for her : and next to it we prefer Rhenish wine , conditionally , that the presence of a Fever doth not forbid it . The whole hope of preserving the Woman , yea , of curing the Diseases which happen after the birth , is placed in the evacuation of the feculent menstruous bloud , and therefore 't is the duty of our skill to provoke , and urge down that bloud , least that evill befall her , which Physitians call Torment . This is a paine in the whole lower region of the belly felt upon the privie parts , neere the small guts ; the inward cause thereof is a multitude of thick menstruous bloud retained in the body . The outward cause , is the inclemency of the outward ayre , in regard of the coldnesse , and the passions of the minde : thick meats , as creame , custards , and the like , coarse bread , salt flesh , hard fish , and many other things which are hard to digest , and not kindely distributed to all the regions of the body . You may most easily discover this affect by the signes ; for the Courses are retained , at least they come downe not so freely , nor in such plenty as at other times they were wont ; a wandring and unquiet paine is perceived beneath the navell , with gurgulations and rumbling in the guts ; the woman breaks winde , both upwards , and downwards ; and this winde is bread of a thick and feculent bloud . This affect must not be despised by neglect ; for the matter making way by degrees to the affected part , augmenteth the paine , yea , and introduceth inflammations with a Fever ; wherefore , when you have duely con●idered the age of the woman , the Climate in which she liveth , the time of the yeare , and the menstruum , you m●st without delay open a veine in the ankle , and not once onely , but twice or thrice , as it shall seeme expedient ; for by this administration the thick and feculent bloud i● drawn out ; rub her legs , till by her complaints you know she feeles paine , and apply Cuppinglasses to the inward part ; neither may you forget to lay Leeches to the Fundament , by reason of its neernesse to the Matrix and the spleen . A Purge be it strong , or be it gentle , must be exhibited the first dayes , because the belly is not sufficiently open , and inclined to evacuate the menstruum ; for should you afterwards purge her body , it would take off Nature , and interrupt her in her duty , as Avicen sheweth in his fourth Fen. and and first chapter . Therefore let the bloud be made fluid , and the passages kept open : and then mitigate the paines with mollifying fomentations mixt with Anodynalls . Take the Caul of a weather newly killed , and clap it upon the part ; for by the actuall and asswaging heat thereof , it takes away the paine : and the same vertue hath the bladder of an Oxe , if it be filled halfe full of this decoction following . Take the leaves of mallowes , Violets , Pellitory of the wall , Pennyroyall , of each a handfull and a half . The flowers of Camomile , The flowers of melilot , of each a handfull . Line seeds , Fennill seeds , of each halfe an ounce . Boile them in a sufficient quantity of water to three pints , unto which add Three ounces of oyle of sweet almonds . Oyle of Dill , Oyle of poppies , of each an ounce and a halfe ; use it as was said above . Anoynt her belly with this oyntment following . Take unguentum de Alth●ea , Vnguentum Agrippe , of each an ounce . Oyle of Lillies , Oyle of camomile , of each two drams . A dram of Opium dissolved in burnt wine . Mingle them for a Liniment . Between the suppression of the Courses , and the staying of the menstruum , after a womans delivery , there is little or no difference ; for there is one cause of both , and that accompanied with the same signes , and therefore we shall not diversifie the Cure , but direct the Reader to the second chapter of our first book , where she may furnish her selfe with convenient remedies . CHAP. VI. Of the immoderate coming down of the Courses after the birth . VVE have sufficiently handled the Causes of the immoderate flowing of the Gourses in our first book ; we have also related unto the signes ; wherefore now we shall tell you further from an Aphorism in Hippocrates , that if Fainting and Convulsion fits befall a woman in Child-bed , 't is a bad signe , because they argue a great weaknesse , after which follow inexpressible tortures , with paine in the Hypochondriacall parts , by reason of the clotted bloud , a small , frequent , and swift pulse , yea , and death it selfe ; sometimes the woman is surprized with dotage , a quinsey , or a Lethargie ; wherefore you must labour to stop the Courses with all your best premeditation , and caution : and the most expedite meanes you can use , are a thickning , bindiug , and cold diet , as broth made with trotters , in which you may also boil● rise , quinces , or pease : but abstaine from wine ; for it opens the parts , thins the humours , and provokes the Courses , as on the contrary cold things , bind , thicken , and stop up . Rub her hands , and tie Ligatures about her upper parts ; and according to the injunction of Hippocrates , in his Aphorismes , lay Cuppinglasses to her Breasts . Finally , if the womans strength will bear it , there is not a surer remedie then letting bloud ; and you must open the Basilick vein twice , or thrice . Thickning things are very necessary , and of great moment in this cure . Take true bolearmenick , The species Diatragacanth . frig . 1. of each a scruple . Halfe an ounce of Syrupe of Quinces . Halfe an ounce of plantane water . Mingle them for a Draught , or Take terra sigillata , Red corall prepared , Troch . de carabe , of each a scruple . Halfe an ounce of Syrup of pomegranets . Three ounces of a decoction of red rose leaves . Mingle them for a Draught , or Take the leaves of plantane , Knotgrasse , of each a handfull . Red roses , Pomegranet flowers , of each half a handfull . Myrtle seeds , Sumach seeds , of each two drams . A dram of the juice of hypocystis . Boile them to six pints in a sufficient quantity of water , wherein steele hath been quenched , give the strained liquor for a fomentation , or Take the powder of Cyprus nuts . The roots of Tormentill , Dragons bloud , of each a dram and a half . A dram of mastick , Halfe a dram of right bolearmenick . Two ounces of unguentum Comitissae , Oyle of mastick , Oyle of myrtles , of each two drams . With a sufficient quantity of wax make an oyntment . If these get not the victory ; Take a scruple of the masse of pills de Cynoglossa . Make five pills , and guild them , or Take halfe a dram of new Treacle . Halfe a scruple of Requies Nicholai . Two drams of Syrup of poppy . Three ounces of plantane water . Mingle them for a Draught . If any fault in the Liver , as sometimes it hapneth , is the cause of this evill ; apply cooling Epithems unto it , or instead thereof you may adhibit Ceratum Santalinum mixt with the powders of Corall , Roses , and Camphire . CHAP. VII . Cures of such Diseases as usually befall a woman , after she is delivered . VVE are taught by Hippocrates , that those Diseases which happen after the Birth , are more dangerous and venomous then the rest , because they are produced by a grosse , impure , thick , and feculent bloud ; for the Childe in the wombe sucketh away the sweetest part of the bloud for its own nourishment , which it purifies , and reserves , the melancholy , and thicker portion thereof being separated , and forsaken , which if the providence of Nature doe not duly evacuate , and purge away , the woman in Childe-bed will without all doubt be invaded by strong and vehement Fevers , by reason of the boyling and putrifying of the bloud in the veines of the Matrix , which , according to Galen , are very large ; in the first place therefore , let the Patient be carefully attended , and begin the Cure by opening a veine , by Cuppinglasses applyed to the calfes of her legs , with Scarification , and laying Leeches to the Hemorrhoids . But the Controversie will be what vein must be cut ; for if she bleed from the arme , you draw the bloud upwards ; if from the ancle , you weaken the body , and contribute no ease ; but if you will follow my direction , tie strong Ligatures about her thighes and legs , having first well rubbed them , and then open the Cubit veine without any discouragement ; for this cleanseth the very Minerall , sinke , and puddle of the putrified Humours . Galen indeed affirmeth , that if a veine be opened in any part of the body , it will exhaust and emptie all the Vess●ll4 ; but not equally , and in all respects alike : for we deliver it for an undoubted truth , that the whole masse of bloud will soonest flow away , if the Basilick veine be opened , which is greater then any of the rest ; and of the same Judgement is Fernelius , who saith ; if the menstruum flow away from women in Childe-bed , thorough the vehemence of a Fever , you must cut the Cubit veine . At the beginning you must refraine the use of purging medicines ; for although you should make choice of such as are most gentle in their operation , yet they stir the humours , and doe not expell them from convenient places . Againe , should you prescribe strong purges , they would draw back the menstruum from the Matrix to the stomack , and disturb Nature , when she is labouring to expell it ; and that this were no rationall , and well-grounded meanes of Cure , but rather a rash and preposterous adventure , any sober judgement will acknowledge , because the expedition , the Art , and the Mystery of the whole Cure consisteth in the provocation of the Menstruum . If it be a violent burning Fever , prescribe such things as will qualifie and temper the heat of the bloud ; but avoide cold Simples , because they keep in the menstruum by binding up the parts ; neither may you be too bold with hot things , for they inflame the bloud . These Glysters following will be of excellent use for the purpose aforesaid . Take nine ounces of some softning Decoction . An ounce and a halfe of the Electuary called Diacatholicon . An ounce of hony of roses . Butter , and oyle of sweet Almonds , of each halfe an ounce . A dram of salt , mingle them , and make a Glyster , or Take nine ounces of mutton broth well boiled . The leaves of Motherwort , Violets , and Pellitory of the wall , of each a handfull . Two ounces of honey of roses . The yolkes of two eggs . An ounce of oyle of Violets , mingle them , and make a Glyster . You may make a Ptisan of Raisins , Barley , and Licorish , which will be very profitable for the sick ; and of no lesse efficacie is this Julep following . Take Endive and Borage water , of each fix ounces . Syrup of Betony , and Pomegranets , of each an ounce . Mingle them together for a Julep , or Take twenty graines of Mithridate . Ten graines of Alkermes without Musk , or Amber . Three ounces of Buglos water , Mingle them , and let her drinke it at one draught . If the Disease yield not to these remedies , wee judge it expedient to let her bloud againe , but in the Ankle ; if you suspect that Obstructions occasion the disease , as commonly indeed they are to be suspected , you may observe the same way of Cure , as is approved in a Fever , arising from Obstructions , and Take halfe an ounce of parsley roots . The leaves of betony , and carduus Benedictus , of each a handfull . Halfe a handfull of white Maidenhaire . The flowers of Borage , Buglos , Violets , or Roses , of each as many as you can take up between your thumb and two fingers at twice . Boile them in a sufficient quantity of Barley water , to a pint and a halfe ; in the strained liquor infuse foure drams of the choicest Rubarb , the space of a night setting the vessell upon hot ashes , with foure scruples of agarick Trochiscated , and a scruple of cinamon , all put in together . In the morning boile them a little , and when you have strongly prest out the liquor , add three ounces of Syrup of roses laxative , and make an Apozem , or a Decoction . Let her drinke three ounces of this Decoction every other morning . Hereupon ensueth a Lask , or Loosenesse in the belly , but without any paine , acrimony , or griping : and so long as it continueth free from any of those had qualities , you may by no meanes stay it ; but if it last longer with the Fever , the most prudent course will be to open a veine in her Ankle , having alwayes a diligent regard to the strength of her body : for this evacuation is Symptomaticall ( as Physitians speake ) and according to the Prognostications of Galen , it is either mortall , or very difficult to be judged : his words are these ; when any disease beginneth , if any thing be evacuated , it is not evacuated by any help or curtesie of Nature ; but all such things happen by chance in regard of those dispositions , which are in the body besides nature ; for it is impossible that any thing should be well purged out when Nature is oppressed ( as then she is with the crudenesse of the humours ) with those causes which did produce the disease ; for that the Crisis and Judgement upon this disease may be sound and good , it is requisite that those crudities must first be concocted , and afterwards duly , purged out ; wherefore if the Loosenesse happen at the beginning , you must neglect that , and be intentive to cure the Fever , yet with an eye to the loosenesse by letting her bloud ; but very sparingly , least the spirits should be wasted ; if the loosenesse continue so long , as to weaken the body , and bring the sick creature very low , then stay it , but with caution , and tender warinesse ; but above all things , avoid the use of such things , as will thicken the humours , for thus indeed you might stop the Loosenesse , but then withall you should stay the menstruum , which inconvenience you ought chiefly to feare . Your safest way therefore will be to apply strengthning Fomentations and Plaisters , that will moderately binde ; and with such you may furnish your selves above . It would not be unprofitable to purge away the cause of the Loosenesse , that so one Flux might be cured by another , therefore Take halfe a dram of tosted Rubarb . Ten graines of that sort of Myrobalans called Chebule . Halfe an ounce of Syrupe of dried roses . Three ounces of plantane water . Mingle them , and make a Potion . Many times this Loosenesse turnes to the Bloudy-Flux , with cruell paines , want of sleep , a continuall Fever , and frequent going to stoole . This must be helped with Glysters of a binding , qualifying , and cleansing faculty , as for example . Take the roots of Comphrey , and marsh-mallowes of each three drams . A handfull of plantane leaves . Halfe a handfull of red roses . Boile them in a sufficient quantity o● barley water to nine ounces ; and to the strained liquor put in Two ounces of honey of roses strained , An ounce of red Sugar . The yolke of an egg . Mingle them , and make a Glyster . Or Take violet leaves , plantane , and pellitory , of the wall , of each a handfull . Halfe a handfull of red roses . Halfe an ounce of whole barley . Boile them in a sufficient quantity of broth made with sheeps feet , to nine ounces ; to the strained liquor add Two ounces of honey of roses strained . The yolke of an egg . Mingle them , and make a Glyster . You must not neglect to open the Basilick veine , and the Salvatella ; a veine which brancheth out of the Cephalick veine , on the outside of the elbow , for these administrations will be wonderfully helpfull to cure a flux of bloud , arising from a distemper in the Liver ; those astringent fomentations also , with the oyntments , and Epithems , whereof we have spoken at large in the precedent chapters , will be of singular use . The next Disease , unto which women are subject after their delivery , is a Lientery , so called , because the meat passeth thorough the body , as it was ohewed in the mouth , without any change or alteration ; this is a most dangerous disease , and therefore all diligence imaginable must conspire to stop it : no lesse terrible , and perillous is that other , named by the Doctors Iliaca Passio , when the guts are so bound up , or inflamed , or enwrapped one about another , that whatsoever is swallowed down , is presently cast up againe by vomit , this also requires a seasonable and prudent use of remedies , least the Patient should pine away , and perish for want of sustenance : besides , it is so much the more dangerous , because by those frequent Vomitings Nature is interrupted , and distracted , and that menstruous matter is driven upwards , which should have been purged out from beneath . But note that these Vomitings proceed from severall causes . First from a certaine contagious vapour , ascending from the Matrix , and with the noysome odour thereof , irritating and pricking the stomack , so that it suddenly parts with all the aliment that was contained in it . You must be exceeding industrious with all convenient speed , to free the woman from this infirmity ; the vapours must be opposed , and forced downwards , that so by the discreet helps of art , Nature may be assisted to expell those faulty , and offensive humours by the M●trix . This may be accomplish't by tying Ligatures about the lower parts , and by rubbing of them till she complaines you hurt her , by putting Pessaries up into the Matrix , and applying Cuppinglasses to her thighes , also by holding things of a strong , and unpleas●nt odour to her nose , and by opening a vein in her Ankle . When her body is duely nourished , and well refresh't , give her this Glyster . Take the leaves of violets , pellitory of the wall , and beares-breech , of each a handfull Halfe a handfull of red rose leaves . Two drams of fennill seeds . Boile them to nine ounces in a sufficient quantity of a decoction of an old hen , and to the strained liquor add Two ounces of honey of roses strained . An ounce of new butter . Make a Glyster . This being given ; you must strengthen the stomack with the stomachicall Plaister already prescribed , and with these Lozenges . Take a dram of aromaticum rosatum in the species . Red corall and pearl prepared , of each half a dram . With two ounces and a halfe of white Sugar dissolved in a sufficient quantity of ●ose water , make little Lozenges according ●o Art , or Take old Conserve of red roses . Roman wormewood . The Conserve of Quinces , of each an ounce . Halfe an ounce of the Conserve of Acacia . A dram and a halfe of aromaticum rosa●um in the species . A dram of the Trochichs de carabe . Two scruples of red corall prepared . With a sufficient quantity of Syrup of Pomegranets make a mixture . Sometimes the Vomiting is accompanied with yexing , and they both proceed from the same causes , and therefore may both be cured with the same remedies : but if it be of long continuance , the most rationall and best grounded proceeding , is to apply a Cuppinglasse to the mouth of the stomack with a mighty flame . After all these follow two more , namely spitting of Bloud , and a Cough : the former whereof is cured by cutting a veine in the Ankle ; which kinde of remedy is approved by Hippocrates , in the thirty two Aphorisme of his fifth book , saying , a woman is freed from spitting or vomiting bloud , if the menstruum breake forth , and frequent experience justifies this truth ; for divers women , by the omission hereof , as Galen hath observed in his booke of Letting Bloud , fell into the Tissick , and other most lamentable diseases . But the Cough is twofold , either dry , or moist ; the cause of the former is a certaine , contagious vapour communicated to the spiritous parts , provoking the Midriffe , the Lungs , and the other instruments of breathing , to expell whatsoever is faultie , and offensive ; the cause of the latter is a crude , and raw humour , ascending up from the Matrix to the Chest , and sticking fast unto it . This is cured by rubbing the parts , and tying straight Ligatures about them , by Pessaries , Glysters , Cuppinglasses , opening a veine in her ankle , by Electuaries , Ptisans , expectorating Potions to cleanse away the bad humour , by laying on Emplastrum Resumptivum Pectorale , or Vnguentum de Althaea , among which you must mingle Cummin seeds and Saffron . After the same manner Women in Child-bed are troubled to fetch their breath , because by a mutuall , and frequent stretching , and compression of the Chest the vapours are transmitted to the Lungs , and they who feele themselves molested with such vapours do seldome escape that Cough we last mentioned . Moreover to this Catalogue belongeth the Pleurisie , which is a most acute , and therefore a most dangerous disease ; this you may discerne by these signes following , an acute and burning Fever , a Cough , difficultie to fetch breath , a pricking paine , and a hard pulse . Open a veine , and you overcome this disease , without any further remedy ; but the question will be , in what part of the body ? I answer , if it be a most violent Pleurisie , that torments the sick , if her Courses come down after a right manner , and yet the evill abates not , then cut a veine in her ankle ; but if this availe not , so as the Patients life is now in danger , then open a veine in her arme , especially , if she be full of bloud , that the vitious humour may be drawn away from the inflamed place , and seasonably evacuated ; this advice of mine is justified by the approbation of Mercurialis Mercatus , Alphonsus a Castro , Meschius , Valeriola , and the learned Zacutus Lusitanus ; neither will it be incovenient ; if you interchange this administration of phlebotomy , namely , first to draw bloud from the ankle , then from the arme , then from the ankle againe , and so keeping turnes , as need shall require ; for thus you will give ease , both to the part inflamed , and likewise to the Matrix , which is the part mandant , or that from whence the evill is communicated and distributed to the other regions . This being carefully performed , your next designe must be to mitigate , and take away the paine with fomentations , liniments Electuaries , and Ptisans . Take an ounce of the roots of marish mallowes . The leaves of mallowes , marish mallows , and white Maidenhaire , of each a handfull . Halfe a handfull of the flowers of dwarf-elder . Annise and Line seeds , of each halfe an ounce . Boyle them in water to a quart , and give her the strained liquor to drinke at severall times , then Take a dram of unguentum de Althaea . The Axungia of a hen , and new butter , of each halfe an ounce . Two ounces of oyle of sweet Almonds . Mingle them , and make an oyntment , then Take Syrup of Violets compound , and Syrup of Maidenhaire , of each an ounce and a halfe . Mingle them , and make a mixture to be licked from the point of a knife . Afterwards . Take two ounces of cleansed barley . An ounce of raisins pickt , stoned and washt . Two drams of the best Licoras . Boile them in raine water to a quart , and give her the strained liquor to drinke . Note that in all diseases of the Membranes , the upper part of the throate , and the Jawes , yea , and in the Falling-Sicknesse , the Apoplexy , the Palsie , and the Convulsions , you must begin the Cure by letting bloud , if plentie of bloud give occasion to the Disease . The swelling of the feet is the last of all those Symptomes , which invade a woman after her Delivery ; and this proceeds from a disorderly , and negligent Diet , during the time of her being with Childe ; for by that meanes raw humours are bread in her body , which after her Delivery settle in her legs ; as being cold parts , full of nerves , and far distant from the Liver , which is the fountaine of bloud , in which places you shall perceive soft kinde of swellings , which being crusht down , retaine the print of your fingers . This must be cured with strengthning administrations , and such medicines as are good to expell the raw humours , and likewise with such as will moderately binde ; for should you give her strong binders , you would thereby allure the humours towards the upper parts ; therefore to avoide that errour , prepare this Bath following . Take two ounces of marish mallow roots . The leaves of mallowes , Mint , Wormewood , Sage , Rosemary , of each two handfulls . The leaves of red roses and camomile , Of each a handfull . An ounce of Laurell Berries . Saltpeter , Sulphur , of each half an ounce . Boile them to eight pints in a sufficient quantity of water , wherein steele hath been often quenched , and let her put her feet into the strained liquor . Then take the dreggish substance which remaines , after the straining of the said liquor , and add to it The meale of Orobus , And Lupines , of each three ounces . Foure ounces of Oxymel . With a sufficient quantity of brine , made with the juice of Lemmons , reduce them into the forme of a Poultis , and lay it to the swelled feet . But if the humour fall down againe into the legs , by reason of an habituall distemper in the upper parts , you must either make an issue upon the knee , or else provoke her to sweat , with a decoction of Salsaparilla , and China roots ; for by the vertue of these Simples the humour is made thin , and more apt for expulsion , aud the lower parts wax more firme and strong . CHAP. VIII . Of an inflammation in the Matrix after a womans Delivery . THe Cause of an Inflammation in the Matrix is a hot and boiling bloud retained in the vessells , and putrifying . The signes are a paine in her secret Parts , a vehement Fever , much heat , swelling , and a great itching about all the parts of the Matrix ; hereupon the woman becomes very prone to fainting fits , to lye as if she were stupified , to talke idely , and the like , by reason of the consent between the Matrix , and the other parts , as we have already shewed . Lastly , she can neither goe to stoole , nor make water , without great difficulty , because the parts are so exceedingly swelled . This is a most terrible disease , as well in regard of the Symptomes , as of the Imposthume , which , if it be broken , leaves behinde it an incurable Vlcer , from whence filthy and noysome exhalations are communicated to the principall parts , which is an unerring signe of Death . The Cure is Universall , and Particular : the universall is the opening of a veine in the ankle , regard being had onely to the part inflamed , and the motion of nature ; but afterwards , we deny not , but it may be expedient , and efficacious to draw bloud from the arme , in respect of the Fever . The Particular is accomplisht by lenifying medicines , and by washing the part , the one is done by a Cataplasm made after this manner . Take two ounces of the crums of white Bread. The Pap of rosted apples . The Pulp of cassia newly drawn out , of each an ounce . Half an ounce of the mucilage of Fleabane seeds . Ten graines of Saffron . Make a Cataplasme according to Art. But if the Inflammation seeme to hasten to suppuration , which you may perceive by the Fever , and the vehemence of the paine , then you must discreetly assist Nature , by an application of suppurating medicines , but by no meanes adventure to give her a purge : remedies of the former sort are as follow . Take an ounce of marish mallow roots . The leaves of mallowes . And marish mallowes , of each a handfull and a halfe . Line seed , Fenugreek , of each halfe an ounce . Boile them in a sufficient quantity of breast-milke unto softnesse ; pulp them thorough a Sieve , and add to the pulp Two ounces of Hogs-grease . An ounce of oyle of roses . Make your Cataplasm . When you have overcome the Imposthume , use this Injection with a Syringe . Take six ounces of a decoction made with wole barley , and rose leaves . An ounce and a halfe of honey of roses strained . Make an Injection , and wash the ulcerated part very often every day , till the paine cease , and the Vlcer be healed , though she continue the use thereof for weeks , months , and yeares . CHAP. IX . Of too little , and too much Milke . WAnt of milk ariseth from these three severall Causes . First , from the fault of the milk . Secondly , from some impediment which hinders the transmission of the milke to the breasts ; or if it be transmited , it is not retained . Thirdly , a penury , or lack of bloud , either for want of necessary food , or by reason of some immoderate issue of bloud from the Matrix , or from some other part . The Signes of these things are the slendernesse of the breast , a sharp taste in the milke , and a bad smell ; other signes you need none , because the disease is manifest of it selfe ; in the meane time you must take heed , that this corrupt milke doe not settle in the Breasts , and exulcerate them ; wherefore beginning with the first cause , you must correct and amend the faults of the milke by purging out the bad juice : if phlegme abound , give her hot things , not onely to purge her , but also to nourish her body ; if choler be predominant , prescribe cooling and moistning things . But when the Breasts doe neither draw the bloud nor retaine it , you must be solicitous to strengthen the Breasts by drawing bloud unto them ; to this purpose you must rub her body , apply fomentations , and Cataplasmes , that will moderately heat , and expell , made of marish mallow roots , the leaves of Violets , mallowes , melilot , fenugreek , the crum of white breead and the yolks of Eggs. Moreover , if the parts want nourishment , then let her feed upon the choicest dishes , or at least appoint such things for her , as are good to increase bloud , and milke , as eggs , butter , milke boiled with fennill , parsnips , and the like . Rock her to sleep , by peaceable and sweet admonitions , and exercise your wits to keep her from anger , melancholy , and all other perturbations of the minde . It will not be hurtfull , but rather expedient to allow her the use of good wine , but then remember to put into it the powder of earth wormes . 〈◊〉 to this is the immoderate pl●●ty , and superfluitie of the milke , which you may easily discerne by that which comes away , therefore if you suspect that the bloud will congeale and grow clotted , then lessen the abundance of the mike , with a thin and spare diet ; enjoyne her to be very abstemious and moderate in her drinke , and if her Courses be stopped , open a veine in her ankle ; but otherwise in her arme , rub her legs , and use all other meanes to divert the bloud from the Breasts ; but above all things , let her use Exercise , which is the best remedie in this case . Yet if the bloud be congealed , and if by the exhalation of the thinner part , the rest wax thick , then you must administer attenuating and drying medicines to cut , make thin , and dissolve the clotted bloud ; of this sort are Emplastrum de muciloginibus , and emplastrum de Meliloto , among which you may mingle the juice of Smallage , and Frankincense . CHAP. X. Of the Inflammations of the Breasts . VVOmens Breasts , those delicate and tender parts , are not only frequently afflicted with the congealing of the bloud , but they are likewise very apt to be inflamed , by reason of a mixt plenty of bloud and milke , whereby they ●well exceedingly , looke of a high , red colour , and are full of paine and sorenesse ; This Inflammation is accompanied with a Fever , which the Physitians call Lactaria , that is by Interpretation , the Fever of the milke , or the milky Fever ; and the learned Midwives call it Pila , because presently , unlesse the Breasts be w●ll chafed and rubbed , there appeareth to the touch an exact resemblance of a Ball ; This taketh not beginning from any venomous humour contained in the Breasts , but is rather to be accounted a Symptome , driven to the Breasts by the motion of Nature , and the bloud ; it is likewise very hardly distinguishable from a true Fever , in which all the signes are conspicuous and manifest , as appeare in this , the swelling in the Breasts onely being excepted , which is not some Ball accidently swallowed with the drinke , as many learned men have vainely , and irrationally surmised ; for how is it possible , that a Ball should slip from the stomack thorough those slender passages of the Messentery , and the Liver , the hollow veine , and the Axillary veines , to the region of the Breasts ; therefore in my Judgment , it is a phlegmatick matter , ravelled as it were by the burning heat of the part into long threads , as it happeneth to the slow matter contained in the Kidneys , and the Bladder . If the Fever and the Inflammation be urgent , you must immediately command a veine in her ankle to be opened , if it happen presently after her delivery : but if a moneth be overpast , let the Basilick vein on the same side be opened . You must prescribe medicines to r●pell the humour , but be carefull that they be not extreame cold , least the humour should retire back to the principall parts ; a Glyster also must be first injected ; and you may afterwards prescribe this Poultis following , which will mollifie and dissolve the humour , and be very profitable . Take an ounce of marish mallow roots . The leaves of mallowes , Violets , Flantane , of each a handfull and a halfe . Boile them altogether in milke to softnesse , and pulp them thorough a Sieve , and to the pulp add Foure ounces of the crum of white Bread. A scruple of Saffron . Mingle them , and make a Poultis . Many times the Breasts and the Nipples are full of chaps , which exceedingly torment and paine a woman : these are caused by a sharp waterish humour falling down upon them , and may be cured with mallowes boiled in breast-milke , or with the white of an egg , or with Lilly leaves moistned in oyle , or with Vnguentum Pompholygos , or which will exceed all the former with oyle of Nutmegs ; among which you may mingle bolearmenick with Cerus , and some drops of oyle of Lead , or some other oyle by it self . CHAP. XI . Of wrinckles remaining in the Matrix after a Womans Delivery , and of the meanes to contract the Matrix . VVHen a woman is delivered , there appeare Chaps , or Wrinckles , by reason of the coming forth of the Childe , and the flux of the Menstruum : these we have often cured with gentle , astringent medicines , having first administred this Injection thorough a Syringe . Take halfe an ounce of Comphrey roots . Two drams of Cyprus nuts . Pomegranet flowers , Red roses , of each as many as you can containe between your thumb and two fingers at twice . Myrtle seeds , Shumach seeds , of each a dram . Boile them in a sufficient quantity of red wine , to sixteen ounces , and reserve the strained liquor for an Injection ; or Take a dram of Comphrey roots . Cyprus nuts , and the seeds of rhois , Of each halfe a dram . As many red roses as your thumb and two fingers can grasp . Beat them to a grosse powder , and with an ounce of unguent . Pompholygos , and a piece of Cotton , make a Pessary . With the same medicines , intermingli●n some other things that are greater binders , you may help the loosenesse , and widenesse of the secret parts ; which if they be not seasonably and prudently contracted , may possibly be a cause that the woman will have no more Children . Some Midwives use water wherein steele hath been infused , which we dislike not , provided that when you boile the water , you put in a quantity of Sumach seeds , Medlar seeds , and red Roses . FINIS .