This is a digital copy of a book that was preserved for generations on library shelves before it was carefully scanned by Google as part of a project to make the world's books discoverable online. See the back of the book for detailed information. azon. OR, THE HAPPY DELIVERY OF VV OMEN. VVherein is set downe the Government on of WÖM e n. Of their breeding Childa. rtheir Travaile;both Naturall and contrary In the times to Nature : And lofth ftheir lying in. Ingether with: thiç dffcases, which happen to VVO- men in those times, and the meanes to helpe them. which is added, a Treatife of the diseases of Infants, and young. Children: with the Cure of them, and alloof the Small Pox. With a Treatise for the Nursing of Children. zitten in French by I A'Mes GvilLIME AV the French Kings Chirurgion, JEEDA LONDON, Printed by Anne Griffin, for loyce Norton,and Richard Whitaker, 1635. Lthough that man bee thos molt perfe& and absolute of all other creatures, never therlese, fo weakeis hee by Netw czand fo fubie&t to in. finite infirmities, that Dia vine Hippocrates hatla indged him to be even fick nesse it felfe from his very birth: He his not fit (Saiih bee) to beemployed in any busfineffe while he sucketh: because hembully depends upon the helpe of another : afterward when comes to more yeares, hegrames stubborne, and unruly, and wants a Master to give him instruction : Againe, when heis growze to the prime of his age, he becomes andacions and proud. At laft in his declining time, he fəls into misery, having mothing left him, but the remembrane of his luborrsill bestowed. Pliny woteth, and experience Sherp:s it to be true, that the ill sent onely of a Candle neno put forth, is enough to destrojachilde in the mothers wembe, fo that flee may bee forced to fall intrædaile, and be delivered before her time, malefe unleseler strengthbe the greater to resist the offence. And alibough the chiud.ftay the pull time that nsture bath preixed him:yetcommmly he is not uble to get forth, or come safely into the world sea though the birth be natural) without the helpe not onely of the Mother and himselfe : but a'Soofthe nilwife and other womin about her ready tareceive andcferiko him, Andwhich is worst of all; if le be placed arry, or else be weake and faint or else if the Midwife' be at the fartheft of her skill,then if they will save the child,ant so consequently tke mother from death: they munft cal a Chirurgion to deliver her, do bring the child intatbemorlda which that i mag touch it by the way without taxing any).is.commonly done too late either through the milfulnefse of the kinsfolkes , or obstinacy of the Midwives. But grant that the child comes into the world of it felfen without the help either of chirurgion or Midwife : jet (as iriscommonly said)be drawes his death after him : the which may bee plainely perceived by the cries and laments which he makei bassoonie as hee seeth the light, as if hee pravedfarbelp and fuocour. Forif he should continue in that case that he'comes from his mothers wombe,, clogsech with bisshed or after birth, mai hout doubt t)uis bad being. putrijge:t would infect the child and at lengt! kill ita Besides, oftentimes, if there rcere. not belpe to make a free paffage, in the fundament; yard or other naturall places, that are sometimes closed 19there could neith. Justenance bee received, non excrements expelled, which would cause the chillte beft fted and choaked upon Many times also the headand other parts of the body as the bones and legs happen to be ili fpaper, jea broker and, ent of iogut,which would never come of themselves, into their proper and naturellplace. There then it is secessary thattle Chirurgiónulehis helpful and skilfurblanda so that every man may plainly see the necessity and Antiquity of this morke - since th 3 the first practises ix Chirurgerys that ever was dunein the world, was the Omphaloto, mia, or cutting of the Nagell, which Adam and Eve practised on teir first childe .. ten Th fetherefore are the Molives that have'indusedmien publish this discourse and therein to treateof such, diseases As happen to monien mithchild. And herein I have indeavoured to helpe them both in ! their naturall.o extraordinarytravailo: G Toease their in all such ac-itents, as may happen unto thim in their childbed : being the rathersincited therennia by reading the complaints of womens related by Soranus. O male occupatūrvirorūgenus ! occidimur nos, non morimur:&ab illis qui inter vos pericillimi exiftimatur perperă curată. Vosde qualibet levifimâ veftrarü affectionü,libros ex libris faciéces bibliothecas Voluminibus oneratas, de nostrisintereà iris & diffi. citlimiscruciatibus nulla vel exiguâmõtione facta. Onen, bom ll doegini befion pour time andpaines ! Alas, we women die not, bare tormented even to death for those that are accounted the most exert and skilfull . among you take not that care of us which they should: yon fit whole Librarieswiiblarge volumes t writings of every ligh: and triviall disease of your own, making little or na mention at allof nurc well and insupportable torments. I had purposed abruefifiesne gears since to have written foniewhat concerning this subject in my books of Chirurge+ rm but having more maturely considered therof,1 thought it filter to write a Treatise of it by it felfe;wkichit defer TZ ३ vetbboth for the difficulty of the fubiedt, and for the dark ety of the matter which I was desirous to observe therin : And indeed this workeexcelleth all other, which are pra tifed upon the body of man: whether ye respect the Antiquity,Neceßitie , or dexteritie thereof: Fortbe Antiquity: without doubt the first worke in Chirurgery, that ever was in the world, was the cutting of the Navell, which; (asis said before) Adam practised upon his first borne. Concerning the necessitie: fomeperhaps may object, that the bringing a bed of woman, is not so necessary * worke as these following: Toftay the finxe of blood, whether it beein veine or Arterytowse the Trepan; to open the Empyema,or swppuration in the brenjt; to cut one that hash the dropsie; orto let blood skilfully: For the fluxe of blood, it may beé further said that unlesse it heftopped by le-sing the blood, the life alfois endangered. But we must confider, that the blood oftentimes staging of it felfe, and experience evio dently shemes, that nature, which is wife and provident doth commonly restraine, and stop it. I have been present in many skirmishes , get fårre enough out of gunshot) where I have dressed many that werewo w led, who have had the great vessels in many partsoftheir bodies cut and bruised, having loft much blood upon the hurt and get it hath stopped and saved of it self some will say,that he who hath his skull cleft by a mound, is in danger of death if the blood that is shed wwon the Membrane, be not taken forth by the mean:s of the Trepan: For this blood would be wholly putrified, and withall.cor wit the brain the chiefe inftrument of life, and whefersfe is more than necessary. Not withstanding . withftanding we fee, that in many, the folk and mattor comes forthby the Nose, Eares and mouth, noithout being trepasneda pea that it paffetb even through their bones. We may say the like of fach mbichhave the Dropfte; or Em pyema the breast of the one is fullof Corruption, and then others bellyfull of water they bothchoakand fifte, unlese the Chirurgion make incision : in the ove making a partcentofis, inthe other opening the Pleura. SA Yet nevertheleffe we see, that he which hath an Empya ema or suppuration doth oftentimescapell the matter, filth, by the montb or Prime (the pages being manifest, by which mature doth unburther her felfeld be that haththe droppe svoideththe water either by urine or pool, yes and by sweat, er bing Somelittle vent vacka Nature makes in some part of the body, as in the Navellørlegs : which we observe by daily experience ix many men: and thereforewee many perceive, that these practises are wat alwages fo neceffary, and requifits. For letting blood; you will fag, that hee hazzards his life, and that sodainly)who being oppressed and troubled with a great poine of his head or fide, is not speedily bet blood : because the blood that boylet b in his veins ftriveth onely to come for.h. I'mill answer that Nature very often sends it forth by the Nose, Mmuth, Eyes, and Eares : by Stoole also and other parts, disburt hening her felfetothe ficke mans er fe and profit: But it is not fo in the delivery of women for if the entrance of the womb be closed (as it is sécn in divers)whether it be naturally,by reason of aftrong and thicke membrane, whichshuttethuythe passage : or otherwise because some scarre happening there, hath harde med,and forunk up the sides of the neck of the said momibe: it wouldbeimposible that restura Jhonbd- ever bee ableita separate and breske throughthese impediments: for er for the one, it is hard for a penne or quill topaljethere and for. the other Joh.cannoi put in a smallprobe through thekiiske bole whichisin the middeft of the nienbrane. And yet I kave had the experience therof in two women, which were neverthelefe meitb.childsias 7 will sheme more at larga hereafter.so that either the chirurgions help malt be used, or elfeborhibe moshenuard, the child would die miferatly. some mająbjectuntojone that: be nother might open thepassage her felle; by tearing thepartsfo bound by the scarre,and breaking trough the said membrane. but will you answer me, for herwhich hath her child turned amry And lies double in her womb, and follethinto a convulsion, or finxe of bloodzor bots together. The Mother not being oble eg:her tot virgitzor pullit forth especially if the head. ofit beintangles and fastked betweente the bones of os Pubis, fothat it is imposible to turse it safe and forind, exccept the Chirurgion use bis industry and skill. Nope for the dexterity : there is no comparison between this and other practises; for there be 10, workesto bee done in Chi'urgery; where it is not necessary, to have the benefit either of daylight or c ndle light, and he part which is to behandled and down fjed must be apparent and laid open to the age: whereas contrarivoise in this worke as well by reason of the company present, as alfo, least the woman should be afraid, the very entrance.mpberby he should put in his hand, they are constrained tohide: and then his hand being there, bemeilt search for the child (howfo:ver it be placed) røt being ableto fée it. And iftbe e be found two, three or four Childrex, Children, yća, sometimefive (as Albertus Magnussen porteth, be Sam in Germany awomin that brought forib to the number of threescore and five children being delivesedevergre-re of five) them (Isay) 1 leave you to indge what skill and dexterity , the Chirurgion ought to use it seeking them one after another, if they come amisse. On the other side as often as a woman is will delivered by the help and band of the Chirurgion, there life is given to two, to wit, to the metber and the child. And therefore these this worthy nian faith, In partu invocarur Dei auxilium : quæritur enim & parturientis & nafcen. tis falus.Whem a momamisin travaile,ikey call upon Gol for helpe: because they dejire to fave both the mother and the child. Now in all other praftifes, thougk they attaive to their wished end, yet cantkere bee but one enelj'aved at 230€. whereby it may be judged, that tbis.prací i feisban for the Antiquity, nécessity and dexterilerlierent, the most laudable and commendable of all others. 10 a To make the which inorecasie anikthebatter to ixstruct the young Chirurgion: I have gathered together allihat ? could possibly out of that which I have observed this fortë jeares and above wherein I have practisedit and Jeene it: practisedin the greatest families both within and without this kingdume,wb-re, ihanks be to God, good use hath bin made of me. Andwithall I have not refused nor disdained! to goe unto the meanest , moved partly by charity,and partly:: to make my Selfe more and more experiencedikerein. Having then conferred together,what either the Græcians and Latixs both Arʻient and Molerne have written with that I have beene able to observe, ond having reduced it allinte one, I have put it into French in favour of these pebo choare not so well learned, and have not the knowledge of the Greekeor Latine tongues. Some will say (to dimixifhtbat little bomohy, pohich I might get by this my labor) that the Ancients have written the greatel part hereof. But_they fhall Learnefrom thie mouth of this great o acle, That there is no lefle wit and anderstanding required to be able co judge of Sciences formerly.written than to be the first Au. thors of them. I know moreover, that in the Dactrine, and winch more in the phrase; Some will finde many things to beereprekended. But Iistreat the reader that he muullrèceive itin as goodpartas I offer it him:O-likewise-exhort others that are more experienced, than I am, to doc better. Let thema fhero me my faults friendly; and Iwill not refuse, willingly toretract them :after the example of thet divine Hippocrates, who freely confessed his faging openly, that hee had gotten more di honor chan either glory, or credir, by practising of Phyfick. 7 Hus farrc' hath the Authour pleaded for him felte, whom while I-Tranflaie, least the facit betranflated upon 'mce, I willpeake lomewhat' for my felfe, before I bec accused: Tealt when't am accused, there bec no body to fpcake for me: If therefore ie bico thought preiudiciall; eitlicr to the literary common: wealth of Phyficke, that I have exported and made common a commoditie, which the learned wou'd have had private to themfelves: - or jf I have beene offensive to VVomen,in prol ftiruting and divulginy, chat, which they would not have come to open light; and whichbcfide caunot be exprcft in luch modeltiermos, as are fit for the Virginity of pro and paper, and the wake chectes of their Child-bed; I must(as well as I can) defendi my lelfe from thele imputarions, and their my care tokcepe borh learning and mode. stic illibate, and inviolablc. . Firft ihen, 1 bayc donc no-more in this, than the Au SC* thor thour hath in bis French Copy, which is common to be had and read in that vu'gar tongue: in defence of which, and this the Lhadow thereof, I must say that it is not writ Lo much for the learned (who not withianding, if they bave not the french, may make usc of this) as for the Chirurgions, and Midwiycs, who are called to this kind of employment. As for women (whom lam most afraid to offend) they must bcc content to have their infirmitics detected, if they will hayc helpe for them, which I will might not come to any carc or cyc, but co those which chcy chemselves would have acquainted therewith; and as well for their lakes, as mincowne fatisfaction, I have codevoured to be as privarc and retired, in expressing all the pallages in this kinde, as polfibly I could And with this I hope all good Gentlewomen will rest satisfied: to whom I wish all happinessc of increale,and all incrcale of bappinelle, chat they may have a good houre for this business, and for all ocher Contentments many good dayes and ycares. А che THE GOVERNMENT and ordering of, a VVoman the , sl nine moncchsthat she goes wich child! 40 Andallo cha micans to helpe her, what Scisse clicknelte foever doth happenia - SLUIT som privacchac tinc.20019,1 ivi a so n Tibe firk Bookes in Los e sb'iis mis on tela 2001 Written by Tames GWILLEM E AV e French Kings Chirurgion in Orựinary, Cybug o and Iworne at PARIS doo e THE PRÉ FA CE. Havepurposed only inibis Work :!70 bandle the government of a SS Woman with child, and the means gydo belp ber in her trapgile; toges 99 go zather with the order which imea cessary for her in ber child-bed. But becawlerbit governmentų particular proper to a Woman Daith childee before we gipogrdecubercuntos no wwwfit first find out whether for bestjobsbildorno, The CHAP. I. The fignes to know phether a woman be with child, or no. . Chirurgion must bec very, circumspect in determining whether a wo: man bee conceived or no ; because many have prejudiced their know ledge and dilcrecion, by judging ralhly hercof. For there is nothing more ridiculous than to assure a woman that shee is with childe; and afterward that her naturall ficknesse, The Chirurgi. or store of water should come from her ; and in ons mauft bei Atad of a chi/de some windie matter should breake ware of judgeing radhilyo; from fier, and so her belly fall, and grow fat againe, which hath hapned unto many men that have beene well esteemed, both for their learning and experience. And wee have seene the experience hereof in some women, which were (without all question) thought to be so great, chatche Midwife was even ready to receive the childe : who horwithstanding have beene freed and acquicted hereof, either by their haturall purgiags andeva cuations or by votding of water, or else expelA Story. ling of wind. The which hapned to Madonli to her great griefe, who was delivered of certaine gallons of water, when she thought assuredly tháe ๒. the had beene witHehilde. I faw the contrary happennoche daughter of A Marcal, who was indged by rawo because knowudging ridicus is with .ckneffe , j and in dbreake Cagaine , hat hare ning and perience (without the Midde : who acquicted 320devu else expeladam Dito of certaine by foure of the chiefe Phyfitiansand as many Chirurgions,& two Midwives; not to have been with child; and yet being dead, there was found in her body,achild betweene fixe and seven months old. And of late memorie, fome of the most expert Physicians, and Chirurgionis of her time, unders Anothee, tooke che cure of an honest woman; and from the third uncill cho eightli moneth of our time, administred unto her infinire many Clifters, Apozemes, Potions, Fomentations, and Injections, and yet could not they provoke her natural sicknefle,much deffe cause her to bee delivered. At length in the ninth monech, the thinking that she had had the Collieke; was brought abcd of a faire daugbrer,be ing verily perswaded even then when thee was in travailethác Mhe was not with child, as she had aflured us all the time that she went. So thar a Chirur. gion being called to give his opinion of theconcep.* Direcions is tion of a woman whether iebe in a judiciall or pri- for the Chi. vatecase must be very wary and circumfpc&t what rurgiony judgement hegives herein, The ancient and modern writers have left fome fignes whereby wee may foretellit, which are collected from the Husband, from the Wife, from the Child, and from the Midwife. As for those fignes which are taken from the signes of coni Man, they are these: If he finde an extraordinarie ceprion raken contentment in the company of his Wife ; and if fronachis maa. he feele ac the same time a kind of sucking or drawing at the end of his yard; ifhee returnc from the field of nature, not over-moist,these are fignes that A 2 aredly thác trary hapo was iudged a man.' astromanyany have conceived. Atdby thefe obferExperiment. vations I have known menwhich have allured their Wives charthey have got them withchild, as soon às chey have had their companya :')""** 13 izbora 11 The signes whichare taken from the Woman Signes taken are more manifest and certaine : and although the greatest part of them bee found in Women and Maids, which cannot have their naturall courses: gernevertheleffe all thefe fignes joyned together, amin may presume as farre of them as art will per mir, and they berhefe: If the received anexrraordinarie delight in the company of her Husband: I from her nacurall parts (whether they continue drgor moift) there issue or flow nothing forth,be. caufe icisinó neceffarý conféquences that those parrs should alwaies'pemainedry,fince the Matrice rerainerhonelyktur:which is fit for the conforma: E pridoria tionofthechikdoLikewise, if ar the fåmecime face 20910 vidad 101 hactualindidejawning and stretching and feeles kvog is within heharhakinlgorguivering (such as we com monly find presently upon making of water(which runaeththrough the whole body, with a kinde of elilnefle pand isféltchiefely betweeno the shouldersand the backéj with some painerbouethe Navell, and a rumblingordisquietrelfe in the neather belly, which haprieth because the Matrice fhrinkes The wombie it felfe together, to entertailte and embraće the matter of generation with ie hath drawne and fuckt'in, feeling therebyakind of tick Whig. Againe, if within few dayes the fals & vomiting, and fpitting,diftaftsher meate, growerh dully careléffe, and qualmilh, 2 extraor usband; continue orth,be qualmilh longeth after-strange things, finding liêr belly tallen, and growne flac, according to tlie is fiar. French proverbe. itse Au ventre plat enfant gi. Ina belly which is flat, Ther's a child, be sure of that. ? Which makes them oftentimes to complaine aud say they be quite fallen away. Then not long after her belly fwels and grows bigger ; her hips and raines are inlarged; her courses appeare nor, which should flow at certaine times, (although some have Some women them when theybe with child.) Likwise iftowards when they be the second monerh her eyes grow hollow & war, with child have bereye balsshew leffe:thelidsbe loofe limber and foft : the veines in the corners of her eyes more fwollen and bigger then ordinary. For as Hippocrae Hippocratesa : des faich; ifthou canst not find by any meanęs whether a woman be with childe, or no, her very eie3 wil telthee for their eies be more hollow,& lunck inward sand the white is turned bluish: the veines and arteryes of their neck are puft up and more apparant chenusually their brests grow big andhard, with forke paine and pricking, having allo milke within them : the nipple waxeth firme, and hard: red, it it be aboy, and fometime blackish, if it bea wengh, which happenethabsarthethird or fourthmoneth when they begin to quicken. - Somejudge of their being with childe by the urine, as if it bee white, and clearely mingled with Signes taken liccle moats, and that at the cop there is perceived ar those e Matrice onforma time fhee and feeles s we com ter(which ( a kinde of the shoul uoche Na he neather ice fhirinkes mbrace the drawheard ng. Againe, g; and fpit from vrines, careléffe , and qualmilh , A 3 as it were a little cloud like to the Rainebow; or of an Qpall colour. Acthe bottome there appeares a certaine chicke sediment, which being shaken, spreads ic selfe into little flockes, like to carded wooll.Towards cheend, their vrine is thicke and reddish,byreason of the long retention of their na turall courses, Experimene of. Fernelius makes thistria!,which is, to take equall Fernelius. quantities of the womans vrinte, and of white wine, and to shake them well cogether; if this mixture looke like the broth of Beanes, it is a signe lhee is with child. Aippocrates. Hippocrates, secsdowne divers experiments, as to Hydromell is give the woman Hydromell to drinke made with made of hony and water boí- raine water, at night when the goes to bed, or else led together. Hony and Aonifseed beaten and dissolved in water. If she be with child, she will feele great paines and griping in her belly, (unlesse shee beused to luch Aukex.i kind of drinke, as, Avicen laith. Besides, if shee receive below any strong or stincking odor or smell, her clothes being well wrapped close about her', and the sent pierce not up into her nose, she hath conceived : Asalso, having over night put up a clove of Garlicke; if in the morning che lavoar or taste come not into her mouth. Trueftsignes But these fignes are not so certaine, the trueft gathered from and surest are those which are collected from the child, when hee begins to stirre and move, which commonly happens in the third and fourth monech. This motion is very gentle, not unlike the stirring of a flie when he fieth. Another the Child. oro wifc. ken, arded Keand eir na e equal e wide , mixture e sheei nes, as to de with 5, or elle in water . aines and d to fuck afsheet Another certaine ligne may be perceived by the signes gathe Midwife, who putting up her finger into the womb red by the Mid- to touch the inner Orifice therof, if the woman be with childe, she shall finde it so clofe shut, that the point of a needle will scarce enter thereiu, yerloft, and without any hardnesse;- which also will bee , drawne upward, being shrunke,and as it were truf- sedup, because the body ofthe Matriæ dothgather it-selfe together to embrace the seed, which is the reason that the Midwife can very hardly come to reach it with her finger; Some women when they be with childe hate the company of their husbands : which quality is faiek allo to bee in bruit beasts when they be great with young, who commonly fhan the company of the Male. And surely there be certaine times and fear abrirse lons of the yeare proper for bruic beasts to couple, but man (as Pling faith) harh neither timenor season limited hin, neither day nor houre appointed him, that so he might have his delire at all times-sı which hach bęene chusordained by nature as being more fit and necessary for many to multiply in hiskinde (be being the lively image of God, and made tobehold his glory), then for-brait beasts, which were created onely for the use of man. viw I know well the answer that those two noble A pleasant anak Ladies, Puppea the dangbrer of Agrippida, and Iulia. Swer. the daughter of Augustus made concerning this matter. The one said, that bruit beasts cannot taste the delight which women receive that are with childe, because they are without reace : the or smell bout her , The hath t put up? e favour of the other said, that whes her fip pasladenwirb.pares, 1. thenshe.could take tn passengers. ::19, OUR 0.tr.ro sil: 13 in CHA P. II. 159 1.951 in 11. The signes whereby to know whether awomag be with childe of Bogor & Weach. SV! Via Logopa Aving shewne the meanes to know whether a woman bee truly conceived, it will not be from the purpose to handle this question for the faris faction of some curious minds, who as soone asthe Chirurgion hath given his censure that a woman is with childe, demands presently of The difference him whetherit will be a boy or a wench ? But as it of sex is hard,, is very hard to know at the firft whether the woDe forctell man be with childor no, fo by great reason muftit needs bee farre more difficult to discerne and diflinguish the difference of the sex, and to determine whether it will be a boy or a wench. 113 I knowthere are some that boast they cancer tainly do it but for the most part it hapneth rather by chance, than through either attor skill. And for proofe thereof, I have fhewed them a childe newly come from the mothers wombe, onely laying my hand upon the privie parts, yet dürft they norbe fobold as give their opinion thereof, faying, that it were more easie to judge of it when it was in the wombe, seeing that from thence hihet gathered many evident fignes : but wee must account the greatest part of them to be uncertaine, as guith the as we have formerly said. Neyertheleffe, co distin, the Male from the Female,we will presently fhewall the markes which we ever knew, or could obserye, either out of the ancient, ar moderne wriers. LII And first of all, yong womencommonly are with child racherof a boy than a wench, because they be hoteer then the elder women, which was observed by Ariftote, who faith farther, thac if an aged Arifotle . woman which fever had children before chance to conceive, one may be sure it willbea wench. The like hapneth (as some write) ro women whichconceive when the winde is in the South, whoforthe most part bring forth daughters, and when the Northwind bloweth, fonnes. Hippocrates faith, that a woman which goeth Hipportpho with a boy hath a good colour, for a woman in her cafe, but if it bee of a wench shee willhave a worfe complection.Likewise if the right breaft be harder and firmer,the nipple hard, red and more ominenthe milke white and chickes which being milked or spirtled against a Aceke-ftone, or fome such smooth things, coptinues inatound forme like a a pearle, and being cast even into water it diffolvechi signės ofa not, buçfinks dire&tly to the bottome: and if you boy. make a cake withshe faid milke and flower, and in the baking it continues firme,andclose it is a figne the woman is with child ofaboy.Againe, the char goeth with a boys' hachche right side of her belly bigges, and mae copped, sand there the childe stirreshofrench This motion commonly at sige Observation weekes 07.0d B red our ot Avicen. weekes is scarce sensible, but at two moneths and a halfe more manifest. The male childe lyeth high a. bove the Navell by reason of his heate, and the Female at the bottome of the belly, because of her coldnesse and weight. They which be with child of a boy are more quickc and nimble in all their actions and be in better health of body, without being subject to many infirmities, which commonly haps pen to women with childe of a wench. Signes garlic Avicen obferveth thefe fignes, That a woman with child of a boy hath the pulse of her right side stronger, higher, and thicker,then thar ofthe lett: face will reach out her right hand rather then her left and in going she wil alwaies set forth the right: foote formoft : her righe brest is bigger then the lefe, and the right eye greater, brighter, and more sparkling: andif a woman about her last months have any great sicknelle, or any throwes, without beingdelivered, it is some likelihoodthat she is with child of a boy,fince the male child is faster tied and bound then the female, because the ligaments which hold and falten him aré ftronger and dryer then they that bind and support a wench. Signes of a A woman which is with child of a daughter hack wench. a pale, heavy, and fwarch countenance, a melan colique eye: Theis wayward, fretfun; and fad the Hippocrates. bearesin her face as Hippoorates faithMaculam solalib. deffipilicato, rem, that is to say, her face is spotted withred like thosewho have beene much in the funnel: her left breft is bigger then the right z and the top of the nipple black. The milke which comes forth of her brefs; brefts is blewish, thin and watrish:her belly is flat, and the feeles her burthen move on the left fide, cand chat not before the fourth moneth : the veines of her thighs and groine are bigger and more knotty on the left side than on the right.An honeft An experimcat Gentlewomaa aflured me that she had made triall of this receit, which is, to take an equall quantity of Claret-wine,andof urine made inche morning, put chem together into a glaffe, and let them stand na whole day, if there appeare in the botcome a grosse cloud,thicke like to Beane-broth, it is a signe the woman is with childe of aboy; if it appeare in che middest, it is figne of a wench, if there be no- thing found in the bottome but the ordinary ref- dence of urine, it shews she is not with child at all. Anexperiment likewise may be made out of the pra&tile of Livia, the Mother of the Emperour T3- timent of Livia berius, who being with child, and desirous to know with what she went, rooke an egge from under a Hen chat fate, and kept it warme so long in her hands, till at last a Cock chicken was hatched:ont of it, whereby shee knew that shee should have a lonne, which proved to be Tiberius the Emperour, as Suetonius reporteth. Here will it not bee befide our purpose to ser downe what Hippocrates writes in his booke de fue perfatatione, of the meanies how to get a man or woman-chi de. He that will(faith hejbeger a son, The meanshow must know his wifcas foone as her courses are stay co begetaronne or a daughter, ed, and thenrry che utmost of his strength; bur if he desire to get a daughter, chea muft hee compa. ny Another expe В 2 ny with his wife a good while after her courses, or at that tince when the haththem : and befide, he must tie his right stone as hard as he can endure it; and when he would have a sonne, hee must tie : aligrafia the left. But Aristotle feenies wrongfully to blame this worthy man, when he faith, that the general cion of Malesor Females dependsof the strength of the seed, and not of the stones, the use whereof he faith, is not for generation. But experience reak chethus che contrary, for the Countrimen shien they would have a Bull heger a' Cow-calfe, or a a Ball-calfe, they tietheright Atone for the one; and - the left for the other. 1.730 ci si albi. Pagi 100 CHAP. III. .. The fignes pobereby to know that a woman ::.. gøethtoith topo children. 103:56 Olaondon woudoiw.39 He fignes that a woman hathconceived two children, doe seldome appearebewill bring two fore the thirdor fourth moneth, which children. is chen knowne;both by the moving of the children, andulo by the greatneffe &'fwelling of the womans belly. As for the morion, ificbe felt strong and forcible, borhon the right and the left fide, at the same inftant; then it is apparent that therebetwo children. Likewise forthegreatnes of her belly, ifirappeare more fivole & bigger than in her other child-bearing, if the sides be higher than the middle of her belly, and from the navel downward chere appeare as it were a line of fepas To know whe ther a woman cind i Iration becweensborh fides crafted; if the vioman beare her burchen with difficulty, and her belly fall upon her chighs and hips, then may you safely ifay that Ibie goethwithcwo children ari conduit: "Chartvo", 19:28 close yra YB CHAP 93.9833707 30. koda 3107 of false conceptian. 19 tot 10 O 1919 1.0 T Omen are oftentimes, deceived in A reckoning themselves with child, for they thinke themselves with chille, when it is nothing but the topping of their naturall sickneffe, which keeperh not dge course. Some have a false concepition which is as io were the beginnipng of Mola." Others have the Mola it selfe, which we commonly call the Moone-calfe. Falle conception isa lampe of flesh garhered to- What a faile ogether commonly like to the gizard of a fowlé, conception is... whichisbigger orterfer, gecordingto che continuance of it, which aarare commonly expelleth in che seconds hird, or fourth month, Burche Mola is farre bigger, and convintosayeane ortwo łyda ten SÓS tweestond foregimesiae long as the woman , 0100 lives of this Molathere betwo kinds, the one may ! bé called a true the othera falfe one. The true Motais Belthy, being deithiingelsebut ad unprobisable erucor fallc. maffe, withour sbapo or formerhard and fire, -bred withiniche Matrice, cand leaving do chęsides stheneof. The falfo Mola is of three forts, the one 3 Windie, beingacollectionof grpfle wiodsche fefoond watrisb porxhepingtogether of Nabers, the third Mola is either B:3 childe, third'humorallor a meeting of many humours:AN three contained within the capacity of the womb, which doth make them differ from the swelling, hardnesse, or Scyrrhus of the said wombe, or from any flesh, water, or humour, which may chance to cleave to, or couch the outward part thereof. Mela bred ro. These are often bred together with the child, but gether with the then they cause death, either for that the childeis deceived of his nourishment, which is carried to the Mola; or because he wancing roome, cincoc --grow and come to perfection, Hippocrates. Hippocrates faith, that there bee some living and --fome dead Moles: The dead are like to che false burthens, so called, because women carry them - nor long, as being but lightly tied and fastned to the sides of the Matrice. Sometime they are divi. ::ided into divers severall peeces, so that Nicholas Ni3 colus faith, hec saw a woman which cast forth niac of them in one day, the least whereof weighed foure pound. The quicke and living Molesare they which wholly cleave to the wombe, and continue with the woman even to her deach. Cause of the The cause of the fleshy Mole, according to the fleth Mole. ancient writers, cannor wholly proceed from the woman, but the man must adde' something there22:00 unto.Golex holdeth, tharitis bred when the mans feed is weake, barren, imperfett, or in little quantity, and for the moft part choked through the abundance of the menftruous bloud, which is grosse and thicke, unfit for the framing of achilde, fothar : in stead-thereof is bred a umpe of Aesh, chat by The windy, Mole little and little increaseth, being wrapped in his owne membrane, which nature effectech as desi- , rous to bring forth any 98 atherthen las , Mole is ingendred through want of Windy Melc. heare in the Matrice, and other parts adjoyning, as the Liver and Spleenc; whereby mich winde is bred and shut up in the emptinefle of the wombe. li may also come from without, as in women newly delivered, and in such which having had their naturall courses in great abundance, doe venture too soone into the cold aire. , The watry Mole proceeds from the abundance Watry Molc, of watrie houres which is sent from the Liver, or the Spleene, or other parts thereabouts; or else through the weakepesle of the Matrice, whichigan, not allimilate the bloud that is brought to nourish it,parç whereof is turned into water, and being pot voided, stayed in the wombe. Buttost: The humorall Mole is bred by reaf in IOC Humorali,.. much moisture, asofferious, or whayish humors, of the whites, or watrish, evacuations, which come -0019' ? downe throðgh the veltels of the Matrice, and are 315! -i do this Itayed in the concavity thereof. - Falle conception hath some common Ggnes Common with the true as suppreshop of the naturall courses, fignes. depraved appetirediftaltefulneffe, vomitingsfwelling of the belly and brealts, so that it is very hard to distinguish the one from the other. But there. Chăt follow are more proper foche false, then the that Signes of falle true birth : forcas Hippocrater faith Infalle concep- conceptions ) tion, or Mola, the face is commonly puft up, their breasts, the motion, breasts which were swollen at the beginning, doe fall,and daily wax soft, limber and lanke,and with out milke. In the end, the face, breasts, armes, ...bolehighes, and legs grow leane and thin: true it is, that they swell towards night; like thofe Piat have the dropfie, the belly rifeth and groweth quickely, and withall very hard for the most part of an equal soundnesse, with divers pricking paintes in the bottoine of the belly that never ceale, which makes them that they can hardly walke, being hindred as it were with a heavy burthen, and ha ing oftenA Bimes a windineffe in the wombe, as bases reporfeth. 11, T211311 2915:001310EWIC Signes from The laid Hippocrates obferveth, how that by the motion it may easily bee koowne, for in trae conception the male child beginnech to stirre at the end ofthe third moneth, or Tooner, and the female at the third or fourth monterh; and where there is s no such quickning, we must observe whether there be any milke in the bretts, if there bee none found The child mo- it is a signe thaçiris a Mole. Beside, the mother fees veth of it selfe, Jeth the child move and not the side, and on the left, as most above, as below, and Puffy in the middle; without any helpe. But in falle con ception, though there be some marion, it is not Himall, but proceedeth rather from the expulfive Faculty of the Mother then of the Mole which ha ving no living foule endevourech nor of It felfe to eld??a?301 3'e come forth, neithry provoketh the wombe as the Bolusporchild doch, who having need of aire to breath in Tecks after it: Bur this is a molt evident fighe when the very way, both on the right Mole. the woman lies dowrie on either fide, for then she feeles ir like a bowle, and is nos able to uphold sylwedd or stay it; yea, and being laid on her backe, if her belly be pressed or crølhed, it will remaine in the place whithere is thrust; without comming backe åraine. Now thae which most affureth us, is, when Truc lignes. The nine moneths are past, and the woman not des liver d, bąı her belly growesbigger, and (welleth more and more andalktheother parts grow leane and leffe,this is a fure ligne of a Mole,though there bee some women thae have borne their children ten yea eleven mone hs. Timuliatoia Busch The signes of the windie Mole are these che belly signes of the is equally swolne and stretched like a bladder, fof-windy. ter than the feshy Mole, and chiesly neare che groine and neather belly, which being struck upon foundeth like a Tabour : sometime it decreaseth, and otherwhile ir lwellechmore: it is sooner bred and increased than the fleshy or watery, and stretches the belly as though it would reare it, which is not proper to the fleshy.fi As for the watery and humorall, che signes are Signes of the almost alike, the belly growes bigge,and riseth by warry and fur, morally little and little. It you touch it with your finger, sometimes the print thereof willremaine behind: it is even without any hardnesse. It’is true that the woman Iving on her backe, herflanks are fuller and bigger than the middle and bocrome of the belly which wax flac, the water and humour running fromone side to th other; andinfhaking the belly, they feelea swimming and foring of water. 1 C This Warr, and Hunoril This difference may bée also added, that in the betweene the watrish, the flankes, groine, and fometime the thighs are more diftended and fwolne than in the humorall, because the warrish fubstance stealeth thicher soonelt:bclides, that which palfeth forth, and bloweth below, is cleare like water, without any ill smell; but that which floweth in the humorallis reddith, and like to the walhingof flesh, and of a bad fent. This also is to be observed, that itt the false conception the nuurall courfes flow nor, and that the Navell doth shew it felfe but little, or not at all, as it commonly doth when the Mother is with childe. Concerning the cure thereof Ireane (God-willing) to handle it hereafter. CA P. V. 1 Me What diet and order a woman withchilde ought to keepe. Hat a woman with childe may enjoy her perfect health, shee must diligently obferve that which confiftéth in the use of the fix things not naturall, which are the Aire, Meat and Drinke, Exercise and Relt, Sleeping and Waking, Fulnesse and Emptineffe, and the Passions of the Minde. Good Ai e fit First therefore she muft dwell and live in a good wichchild - and welltempered Aire, which is neither too hot, por too cold or waterish: not fubject to any foggie mistsor winds, and especially the South wind For Cas. for a woman . be avoided. (as Hippocrates faith) when those winds doe blow, uponevery light occafion, women miscarry. The Northwind also is hurtfull unto them, for those winds breedthin rheumes, distillacions, and trou- The Ceugh blerome Coughisingreat-bellyed women, canling naught for them ofcentimes to abort, orbe delivered before you en wick their due time. Likewise fuch winds as bring with child. chemill smelsand vapours, which being drawne in together with the Aire webreath, into the Lungs, do many times breed very dangerous and trouble fome diseases. Aristotle laith, that the smell of a Bad Imelsto Candle put forth may cause a woman to abort, or loose her fruite: wherefore the must beware oball ill Aire; and take her abode in houses well& plea- santly seated, Chunning as much as may be pollible all bad favours. Concerning her dyet, she must use meates which Her Dyera bee of good nourishment, sandbreed good juice, moderately drying. The quantity must bee sufficient both for herselfe,and for her child, and therefore they are to bee dispenfed withall from fasting at any time : for sometime too much abstinence makes the childweake and fickly, and causech him often to bee borne before his time, seeking after nourishment, which he cannot find within his Mothers body. As also the too great quantity of meat his Mother takes may often stifle him or else make Too much him grow so big, that he cannot keepe himselfe in meate Rifleck) his place, which constraines him either to come forth, or else makes him fickly, seeing that those meates are corrupted wherewith heeis nourished C2 and Fit meats. aud ficelo' Hippocrates writeth in Epidemr. that the Sister of Caius: Duellius after thee had ear her fills aborted. :)*** ! - All mears which are either too hot, cold, or op 11 too moist are to be avoided, and.chiefly in the be. Srile mcats bada ginning of meales; as also thole which are too salt; òrover-much spiced, and likewise all baked meats. are utterly forbidden. Aristotle and Plinie write, that if a woman with childe eat much falc meat, her childe will bee borne without nailes ; which 01 Thewes that he will not bee long lived. Her bread must be of gond Wheat, well kneaded, light, and ålso well baked. For her meat, shee may use Heny Chicken, Capon, lóng Pigeons, Turcle, Pheasants; Larks, Partridge, Veale & Mutton: and for Herbs, let her tike Lettuce, Endive, Borage Buglofle, and 9:7:11 1:11 Sorrelli , abfraining from allraw Sallads. Sheemay çtore her frontar ke aftepi meat' with Pearesizof Quinces bakedoripreserved; as likewise tsith Chea ries or Damsons. Shée mrüt tanne ali didtctica! Diuretica') and things, which provokáth eitherurine, or the natuwindy meats rail courses and such asia cwindiä, as Pente and are naught. Bearvés. Norwitiftanding women with child hareoftentimes such disordinate appetite, by reason of fomefilcor sharp humor which is contained within the membranes of the stomack that they defire impit to ear Coales, Chalke, A thes, Wax, Sade-fidiraw, yea, and unwatered; and to drinke Verjuice & Vi. negar, yea very dregs, fo that it is impoflible in hinderthem from eating and eafting chem.Buryer abey' must-refraise and over-mafter themselves there. Hearbs. 2 cibus poias thereinasimdchrasaheyvan firice that fuch food may much hurt and hinder both their owne and their childs health. Nevertheleffe if they cannot forbeare, suffer them a little, and ledthem liave their longings, for feareleftit liould prove'worse Accidents that with them. Für Ihave feene mañý women'which nay happen, being hindered& forbidden from using such trásb, have presently fallen into travell: and in others, their children have carried the markes of fame of the things ihey fö earnestly desired and longed uf2 - 2017 ting ter. Beside, although that such méarssorthenoit part are very bad and contrary, yet fst the desire lib 2 Aph.38. they have to eat them, they are digelled com- monly without hurting theparty ar ap: Mear and tamen,maluril.es rior, drinke(saich Hippocrates)is bertèrand fitter though quidern fed in. it be somewhat worse than that whichis better, menuroribund . , and hot so agreeable and pleasingsw...23111 3:10:33 anteponendus. For her Drink she maruf:Claret-wino madrine; Her Drinke. andnot too strong which the mustalláy very well. 07*?????: For this Wirehath power to comfort and hrengthen the ftomackeçivand all the other parts ferving for nourifhmientand generation and iffie caiinoe away with Wineler her drit:kitytróment de Bari ley-parerlwell boyledonian Herdsep multheinthe night, the better to di: Her Steep. geft the neat fhe hathitaken for watching, doe inger der crlidities and diseales, which caute un timély birthssin stead of faire and goodly children; and chiefly the multávoid steeping afcer dinner. Burióthe morning the miytake her eafe, as shee shall.thinke best yetnog turdirgas fomelghet La dicas C-3 Gxercice. ortment, dies dą) che day into night;&the night into days': She may use moderate exercise, but violent mo. cion loosenechtheCociłedóns or vessels of the Matrice whereby the child receives his nourishmenr. They mak be forbid riding in Waggiris or Coaches, especially in the three first months.foras upon a small occasion we see the fruits and powers of trees doe fallcas by fomelircle wind that shakes the tree or the likes ) fo many times through a tighe Gauses of Ab- cause women great with child, in stirring or moi ving themselves,yea,or but ferring their toot awry may be delivered before their time. It was not without good cause that the Romani forbad their Wives to ride in Coaches, the which also ought to beobserved in these daies, especially by tholewho are subject to take hurt, and there fore let them walke geadly taking an especial heed is and care to themselves the first three nionerhs. Great noyses Shee must than all great noise and sounds, as of hartfall. "Thunder, Artillery, and great Bells. Galen in his booke de Theriaca, faith, that many women with childe have died with the veryfright they received by a clap of thunder: and when she is afraid of hurting herselfe or falling into travaile, let her be carriedina chaire or litter between two strong men, and chiefely two houres before meales for as a woman may easily loose her burchèn' the first mo. neth because her child ( though he be but little) is not yet firmely fastened and tyed tothe wombe,fo likewise being greator big through his weight, he may fall downe and come forth;whierefore all vio lent contradics Violent excr t leat exercise,and too much labour, is hurtfulland dangerous for her, as also to frer, chidé, or laugh cifchurrtulli: immoderately. The fourth, fifth, and fixth moneth she may use more liberty, the sevenrh and eight she muit kcepe her felfe ftilland quiet, but when she is in her ninth monech,chen may shee use more ftirring, and exercise. And therefore is it that Aria Stotle in his Politicksappointeeh, that women with Sentence of child should not be sedentary, nörlive too nicelyAriftode. but that imce God hach bleffed them to beare chil dren, they should dayly visit the Temples of the Gods for their cxercife... The which Plato expreffely commandcth in his Opinion of Common-wealth, andby a kind of devotion, and Plato, religious picty. But Ariftotle in that place fpeakech. ike a Phyficion as he sheweth in hisbook de Gene qutione. In the Country (faith hee) where women accustome chemselves to labour, they are brought abed more easily, and with life paine. In briefe, where women exercise themselves, they are sooner delivśred for their exercise consumes the excre- labour argeafiki menrs,which idle and fochfüllwomen gather and delivered. heape together." In the first foune moncrhs ihree must likewise ab bandon Menus, for feare of shaking the childe, and bringing downe her çoarfes, which muffalfo bee bidden. observed in the fixrhand'éightmonerh, but in the seventh and pinch she may boldly use it, especially toward the end ofthe ninth moneth, which fome are ofopinions will help and halten the delivery.. Ariftatkie of this opinion, Cehough herein Hee Wonien that Venus fora; orte? ده At Rolles opini, contradicts the authoricy of Hippocrates,) The wowww.man with childe (faith hee) ought not to have the company of her husband. But Aristotle and Hippo. Giates . may, ealily be reconciled; the Philosopher meaneth,ghac chevihould not embrace their wives all the time of their being with childe; butonely toward the time of their lyingin, thereby co thake the child and make him come the more readily SctA forchis (Gr;comming in athe worldrufter this act, be is commonly enwrapped and conipaffed with Dime, which helpeth his comming forth. It is also requisite that her belly be loose, nor rea Her belly mult be soluble.. sainiagher excrements, and that the have if it be ago 1,214 pollible) every day che bencficofi Nature, which if it be not done naturally, it must bee helpt, taking, every morning some broth of Damas enlrune, Allo Apples (tewed with Sugar and a little Button fcand good. She may use Broch whep an on Borage, Bugloffe; Purflane, Lettuce, Parience and a little of the herbe Mercury hath becne boyled.. Loka, She may likewise take Suppofitaries so they benot Clifters, teresis too sharpe. Clisters made of a Calvesbeads orofa Sheeps heźd boyled with Annis-feed and Fennelseed wherein fomecoarse:Sugar, andoyle of Vio lets is dissolved, are very convenient, using them 53??5:0V neverthelesse with discretion, leaving ohcall.man ner of ingredients which might cause aflux of the Lib.5. Apb.34. belly, for feare of Abortment, or being delivered Mulieri gravide before their rime, as Hippocrates faith. ; ; fi aluus profufior lit, abortiona per Notwithstanding the same Hippocrates is of opiriculum imminet. nion, that women with childe in cales of necessity Lib.s Aplo.ar. may 15 very . . dicines must be be may be purged from the fourth to the feventh mos A Woman with nech but before and after those cintes he admits it Child may bo nor, nay, he forbids it dire&tly;which for all that the purged. Physitions of our time observe not in cases of dan- ger, because the Medicines we use in thefe dayes, as Rubarbe, Manna, Caffia,andTamarinds are not so violent as those that were used by our Ancients, which were Helfebor Scammony,Turbith, Color quintida, or the like:and we must take especial care of giving them any opening things which may ei. Opening me: ther provoke urine, ortheir naturall courseszfor as avoided. the fame Author faith, It is impoffible for the child Lib.s.Aph.60. : to bee healthfull, if the mother have her naturali fickneffe, ut Pittore Bloud-lecting is forbid them, unleffe it bee very needfull especiallyifthe child be grown any thing big, because hee hath more need of food and nourishment then atthe beginning when he was little: for cake away his fuftenance and he wilt wax leane and feeble, being oftentimes driven for want therof to seeke a passage forth. Norwithstanding there are some women lo fanguine and full of bloud that we are forced to take some of it away,left the child be stifled with the over-great quantity thereof, or when they fall into difeases where it is neceffary to open a veine. The ficceft time ( ifitbe not in cafe Confiderations of necessity)is from the fourth, to the seventh moneth. I have seene a woman with child who for a Bloud-lecting, concerning Pleurisie was let bloud eleven severall times, and yet stayed her full terme, and was well delivered. Paffions of the Nowconcerning the passions of the minde, a 2: y mindc. Woman on. lice women. * woman with childe must bee pleasant and merry, Tunning all melancholike and troublesome things that may vexcor moleft her minde: for as Aristotle saith, A woman with child must have a letled and quiet minde, which Avicen also counk lleth, that chosewhich have conceived, ought to be preserved from all feare, sadnefse and disquietnesse of mind, An observati. Wichout speaking or doing any thing that may of fendor vexethem; so that discreete, women, and For greatbel-, such as desire to havechildren, will not give care nato lamentable and fearefull tales or stories, nor caft their eies upon pictures or persons which are ugly or deformed, least the imagination imprint on the child the fimilitude of the said person, on picture, which doing, women shall bee sure to bee well and happily delivered, and that (wich the help, of God)they shall beare their burthen to the full corme, which shall be fene into the world without much paine, proniifing them a happy and speedy delivery. To concludes they must leave off their Basks as foone as they perceive themselves with child.noe lacing themselves too straight, or crush; ing themfelves together, for feare least the child be She mult cake milhapen and crooked, or have not his naturall heed of lacing growth : and their garments must beeratherlight herselfc too hard and thin, then heavy and cumbersomess CHAP. VI. How a womax minst governe her selfethe nine momrhs she goeth with chill. Ow Thave prescribed what manner of life a woman ought to leade, while sheis with child: the may ob- servecifit please her)this that follo weth though not so neceffary, yet commodious and profitable both for the maintai- ningof her health and preservation of her beauty. Topreserve che breasts. To che end then that her breasts after her delivery be neither too big and puft up, nor yet hanging downe like bags, and to prevent the danger that might happen unto her by the too great quantity of loud that is turned into milke, (which may be curdlec, and so fuppurate and purrifie.) As soorte therefore as she knowes her selse to be with child, (as in the second or third moneth) let her weare a chaine ofgold about her necke. Some preferrea chaine'offteele, or else little gad of steele put betweene che two breasts as likewise to pur a piece of corke there, and to weare under herarme-pits two dittle peeces more of the fame. This fomentation also is very good. A fomentation - Take of Periwinckle, Sage, and ground-Ivie, of each a handfull, Hemlocke halfe a small handfull, boyle them in wine and water, and when you have taken it from the fire, pur therto a little rose-vineger. And with this decodion warme, bath your D 2 breasts and fourth breasts in the morning with a cloth or spunge dipt therein, a quarter ofan houre, wiping and drying them afterwards with realonable warme clothes, The like may be done with the waters ofthe same What must be hearbs, and about the third or fourth month, when donc, the third Thee feeles her felfe quicke, about which time her Moneth, belly begins to swell and grow big, she must weare a Swathe (made fit for the purpose ).to fupport her belly, being first annointed with this Liniment or Pomade, which fbee shall continue cilt the ninth moneth, to keep herbelly from being full of knotབ བ བ :q()f tie and broken vaines, furrowd and wrinckled, masolsking it grow.deformed, unfeemely, and hanging downe lower than is fit, which hapneth bị reason ofche grear burthen and weight of the chiki; chår ffrercheth and inlargeth the skinne thereof, and causeth them to indure great paine in their belly and groirie. The Pomade Take of Kids sewer,and the fat of a Sow, ofeach or Liniment three ounces of Capons and Goose-grease of each approved. anounce and halfe,cut them fmall, and meltheni in an earchen por, putting thereto as much water as will suffice, then straine them through a cloth, and wash them in water till they waxevery white, and have loft teir favour. Afterward melt them 10 againe in a double vessell, adding thereto anounce of the marrow of a Hart, or Stag: then wash it a- gain ne with Rosewater or other sweet smellingwater,mingling therewichall(if you thinke fit,or that it will not be hurtfull to the wombe) two or three graines of Muske or Civet. Some: 1 Some use this oyniment: Take dogs greafe, and Another the far about a sheepes kidney, of each two oun- linimene, ces, Spermaceti onc ounce oyle of swect Almonds an ounce and a halfe, the facs must bee melted, prepared, and washed as before, then melted againe with the rest and washed wich rofeor fweer water. Some take good store of Sheepes-feet well bru- sed and broken in pieces, to the number ofchirry on forcy and boyle chemwellin water then taking off the fat, and marrow thai swimmech on the top, which they wafa well in common water, and take Another, theroftwoounces,of Ducks-grcafe as much, Sper- maceri one ounce, white Waxe fixe dranas, melt chem altogether in a double veffel, and wafathem in the above-hamed waters. Some Ladies and Gentlewomen which love not to rub their bellies every morning with any of thefetiniments were theron a Dog-skin, or fome other wel prepared and dreffed, as followeth and change it every fifreene dayes, or according as it will last and continue, not taking itoff, except ir: shrivelland grow wrincklede Take a Dog-skin,or some other skin ready dref sed to make gloves of, wash it often in common water, afterward in Rose-water, and dry it in the Thade and being thus drest and dryed, lay it in foke in theseoyles and fats following: Take of MeluesoyntmentofRoses an oünce and halfe,oyle of Saiac Iohns wort; ond of sweet Al- The manner to monds of each an ounce, fresh Butter, and Sper- prépare is a maceri, ofeach halfe an ounce, meltalttheferoge Dz ther ther in a double vessell and let the skin lie and foke in it, three or foure daies, moving & stirring them together daily : then cake it forth, and spred it in the aire, and lecit lie there two or three daies till it have fok’t in all the oile,& become dry.then cut ic to che forme & bignes of the belly,and so appiy it. The daintie and curious may use the former Liniments and skin: they that have not the méanes to do either, let them; Take of frelh Butter well Another easie to be provided. Wash'c in common water, and then in Rose-water, . three ounces, oile of sweet Almonds; one Ounce, Spermaceti,halfe an ounce: and with these melted together,rub their belly. Observation. These Ointments must be kept in a gallypot, and covered with Rosewater to keepthem from being -mustie. When the Woman is come to the ninth MoGovernment neth, having beene in good health all the time of her going with child: The must continue the use of che aforesaid Ointments, and must begin to use more exercise than she did before, walking gently before meales the first twelve or fifteene daies:and then afterward it wilbe good to use stronger exercile. It will be very profitable for her (especially after che ten or twelve first daies of the ninth moneth be past)toʻsit in the decoction following, after the manner of a halfe Bath, fome quarter, or'halfe an hower in the morning, and then being well dried, and laid to bed, let her beeannointed behind, all along the lower part of her backe,and before, from the of the ninth Moncth. . the Navell downeward; andchiefly upon Os Pulis and the groine, with the ointmeņctollowing. Take of Mallowes Althai, with their roots, M5therwort, of each two handfull, white Lilly roors, The Bath. three ounces, Chamorill; and Melilor flowres, of each a good handfull, Linseed, Quince-feed, and Fonigreeke, of each an ounce: Bovle them allin sufficient quantity of running water forthe Bath. Take of Hens fat; three ounces, Duckes fit, an Thic Oynes ounce and a halfe, fresh Butter, "two ounces Linment. secdoyle,an ounce and a halfe : Melt them alcogether, then waih them very well in Parierarie, and Mugwort water, adding thereforwo ounces of the Muccilage of Althea Roots. In which space, let her. take this drinke every morning fasting. Take of Oile of tweetAlmonds newly drawn without fire, A Drinke. an ounee, white Wine, halferan ognce, Parierarie water, one ounce, mingle them together: Some have found good by taking the yelkeof an ligge, and drinking a draught of Hypocras after it. Others take a litle Wineand water, wherein) Linfeed bathbeen stiepod." ; Let this or the like order & government be observed, for a Woman that is of a good habit of bo--dy,aud who in her going with Child hath not beent subject to any sicknefte, or accident of moment : bearing her Children well,& without much paine.' But because there be many, which are troubled: with divers accidents;which happen in their Child bearing, I thought good here, to treate thereof briefly, before I speake of their Delivery." CHAP. CHAP. VII. of many infirmities, which trouble women while they are great with child. A Woman T becomes a Woman well at all must have a times,&'chiefly in her Child-bea. care of her Beauty. ring, and afterherdelivery to have a care, as much as shee can poflibly, of the preservation of her Beauty: since there is nothing that sooner decayes & spoiHealth must be leth it, then the often bearing of Children. But as i preferred. Health is more precious, and recommendable then Beauty:and fecing that a woman with a Child may be troubled and oppressed with many accidents,& infirmities, during thenine moneths she bearesher: child:it willbecherforevery neceffary and proficam! ble to seek out the meanes to free and deliver them therof:Forin loosing the Mother, the life of the Arifocle. Child is also hazarded. Aristotle in his booke Dege neratime Animalium is of opinion, that bruit beasts going with young, are not subject to any difeases: and contrariwise, that Women are very often fick. Hippocratcs. Hippocrates faith, That they bee pale and wan, to Thew that they are subject to many infirmities. In times past when men and women were fold like! slaves, if there wereany found that were with child she was not warranted for wholeand found by him Vitruuius. that fald hier, as Vitrunius writes in his fecond book; because they were troubled and subject to fo many diseases. ܀ diseases. In the first three or foure moneths such infirmities chiefly happen for many causes. First,be- Why women cause they live (as Aristotle saich) for the most part with childe are in idleneile, and ear all meats, which areturned ficke. into excrements, and breed many obstructions, the fjuntaine and beginning of all diseases; the second is, the great suppreffion and stopping of bloud, whereof they were wontcobe purged every Moneth before their beiog with childe which runs to the Marrice to bevoided and find that accullomed passage which it had wont co have : but being not able to get forth and much lesse to be spent and dis gested by the child, (which is as yet but little)itree turnes backe into the veines& chiefly those which are neare the stomacke and through the long cons tinūance is there corrupred and changed, to be of a bad quality whereof proceedsthis depraved and disordinate appetite which the Latines call Picajor Mälacia : Loathing of meat, Hicket, Vomiting, Divers diseases Påines of the stomacke, ftanks, and belly, Ach of of warmen. the bäcker hips, and grqinë, difficulty of making water, Panting and beating of the heart o with Swooning, the Cough, binding and Flux of the belly, swelling of the thighs and feet, and somecimes Abortment, not being able to beare their children the full time: together with many other accidencs ; whereof we will fpeake hereafter, beginning with the Pica, which troubleth them oft nest and longeft. CIT. Titel . ON OTTO ** bisa berria ECHAR Bisori: 7!,! CHA P. VIII. Boxlimos, of the disordinate longing, called Picas BEE E commonly say the appetite is de praved, when beyond measure wee cover to eat and drinke too much (in respect of whiat hunger naturally requireth :) 'Or when wee desire or long after meats which are unusuall, and offend in quality, and are not drest and prepared as they ought. Ofthis depraved Appetite there be diversforts. The first is called Boulimos by the Greeks,and of the Lacins, Fames vaccina. Cuappetentia immodica. When they eat more than is requisite, not being able to satisfie themselvesı And it hunger urge them far ther, and grow greater, then it is called of the La Canina appe: tins Appetitas caninus, or Fames insatiabilis, and the party eats till hee bee fully even to the throat, chat he is constrained to vomicz his ftomacke being so overcharged. But then presently he is driven to eat againe, and then tayomit : from whence the Pro, verbe is taken;; He is rietärned like a Dogge to his por mit: The hike hapneth for drinking, as for eating: which the Latines call 'Sitis immodies, which is so Siris in modica. great; that the tongue cleaves to the roofe of the mouth, not being able to eat or speakes exceptibe mouth be first moistned, and the tongue weited. Thisaccident is very hard, yea, eyen unsupporta ble Pica. 38 ble to endure, the fickeparty taking to bther der lightbur in drinking, and that often, and in great draughts. Men are more subject to this drougth then women: Contrariwise, Women, and chiefly Those with child, and such as have not their courfés or Wenches that are subject to the Greene fickenesse, are more troubled with this depraved or immoderace appetite, called Malacia or Pica; having this name given it, either because Pies are trou- From whence bled with this disease, or else for that their feathers itis called be of divers colours, blacke and white, according to the variety of things, which women long after. This sicknesse hapneth when they defireito eate or eini drinke things, that are wholy contrary to Nature, as eating of raw or burnt flesh, yea, even to long after Mans flesh, Ashes, Coles, old Shoes, Chalke, Wax, Nutshels, Morter, and Lime, as Fernelius witnesseth of a man, who being a long time defi- Ferrelius, rous to eate'unsiakt lime, atlast devoured thereof the bignesse of ones fist, which helpt him without doing him any harme, either in the stomacke , or gurs. Notwithstanding, not long since, the daugh C!! ter of M Forges died, with eating the plastering of via wals. Sometimes custome, which isa second Nature, make us cover to eare such contrary things, as we defire, and the rather because we have commonly eaten therofin our youth: There is found the contrary hercofin fome, who abhorre and loath good meats, which is impared to the Idiosyncrasie or particular constitution of the person. Others have E a observed, Story of poi of Pica. 36 .2 un (bilde-birth, or da Libs. observed that there are fuck malignant humburs fometime bred in us; that theyare turned into fon, and make both these depraved appetites. Asit is seen by poyfonsraken inwardly, & applyed outwardly, which make the like effect. The biting of che serpent Dipsas doth testifie the same, which breedeth an intollerable and unquenchable thirst in him that hath beene wounded by it. Now therefore leaving all these kinds of vitiaBelated and depraved Appetices, we will onely speak of that wherewith great bellied Women are trou bled, which is called Pica. Divers causcs :. Some impare the cause ofthis fickeneffe to cer. raine Crudities, and ill humours,which are contained in the whole habit of the body, and imparted tothe mouth, ororifice oftheftomacke. But the foundef opinion is, tharthe Tides and tunicles of the stomacke and orifice thereof, are infected, and Kuffed with diversexcrements, and illhumours; and according to the qpality they have, the Wotanwicha child, Jorigeth after the like: Asif Me- . lanchólydbound, not burht or adult; the desireth diversthings. Tafterfharpe things as Vieger, Citrones,and Oren, ges:ifthe Melancholiebe adult, the desireth Coles, Altres, and plaltering: if the humoar bee falt, noce coveterbfalt meares and to ofthe rest. And surely . it ofron happens, thaçthey long for the like things as are in their ftomackes. This maligne and bad huhouris ingendred (as wee'have faid) through the retention of the naurall Courtes in women with Child, which how back into the ftomacke. In some Wherefore they degre . causcth the Pica, it beginnerh the firft weeks, yea, the very first day. The beginning ja others the thirtieth or forrieth day, and cons of the Pica. in mutes even till the fourth moneth, and then cealeth: which commeth foto pasle, because the child is is growne bigger, and having need of more Nourishment, draws to him a greater quanticy ofbloud the which he consumes: and so by confequent, ir returnes backe no more into the stomacke. Besides also, this humour hath beene much spent, and void ded, by the often vomitings which women have during the first moneths. And also because the The breeding Childs haire is bred, and growne great, which some of the haire hold to bee parely a cause of chis fickneffe. Plinje wrices, Thar Women with Child, feele themselves worse,when their Childs haire begins to come and chiefly about the new of the Moone. €. Now that we may preserve them from thisinfirmity, or at least diminish it as much as may bee: Their diet in the must chiefly ofe mears that breed good iuice; Picas & charin little quantity, increasingie nevertheleffe, as her bigheffe augmenteth;& the childe growerh: e which at length waxing strongeräud grearer, will consume part ofthisgreat quantity of bloud, and the rest may bee put into the membranes which wrap, and infold the child, &to the maffe of bloud's .ilgusaas whithisicalled the after-burehen, which is as it 1 were the liver ofthe Marriće. Now.concerning their meat and drinke: Coolidering that they that are fickeofthis difpale and fo infinitely diftarted that oftentimes they doe even , loath and abhorre good meats:therefore wee must .. E3 fet: ܀ ܕܼܲ ܆ 2 have the Pica. Actius, Meats fie for : set an edge ( as it were ) on their appetite, varying those that their meats in as many fashions as may be possible, thereby to make them the more pleasing and de fireable. Olives and Capers, as likewise fallades a little parboyled, are very good for them. All meats that are either too far, or too sweet, bee naught,because they stirreupa desire of vomiting. For their fauces : they may use Veriuice, Orringes, Citrogs, Pomegranars, and good Rose vineger, all very moderately taken. Aviser. Avicen commendeth tofled cheese and Amylum dried:which Aetius and Oribafius doe allow, and efOribafius. pecially to those that desire to eat earth, and plaleA eginela ring of walls, or the like. Paulus Aegineta allowes them the use of mustard, pepper, & cloues to make sauce thereoffor the stirring up of their appetite, and to help to digest the crudities contained within the stomacke : after meales fhee may eat bak't quinces, and rosted hilberts. For her drink, she must use good.claret wine, weil allayed: but if shee long for white, you may give her leave to drinke fome, so that it have a little altriction. Much drinking True it is, that the overgreat quantity of drinke is naught in the ishurtfull for her, by reason of the great washing which it might make in her stomacke : fhee may take every morning a draught of Wormewood. wine, or a little strong Hydromel, with a cost of bread. The use of these Lozenges is much commended. R Amylo Pica. R.Amyl. purig. fic.3i. Caryoph.Nucis Mofch. an.3 s. Lozenges. Spec. Diarhod. abbat. Di. sacchar. in aq Rosare & Abfynth.disolæt. Zij. fiant tabellæ ponderis 3j. Capiat unam fingulis auroris & fuperbibat tantil. lum dini, The Ancients, as Paulus and Oribafius, exceedingly commend the decoction of Polypody, and Annis-seed, with Sugar of Roses. They may use gentle fomentations to their stomacks, made of Wormwood, Balaustia, Cummin, Cytisus, and Fennell-seed, wherwith likewise may be made Ca. taplasmes forthe fameuse.For these medicines will comfort and strengthen the concoctive facultie of the stomacke, the better to digest the meat ; the recentive, to retaine and keepe that it hath recei: ved ; the expulsive, to thrust that forth which troubleth the stomacke; and the appetite, ro.cover and long for meas. This ointment is also very fitand profitable. R.Ol. Nardin. Cydonior. an. 3). Pub. Carioph: Linimene, Mastich. an. Əj. Cruci gr. iij, Ceræ parum. fiat Asales proftomacho, præmiffo forno R.ol. Maffich Cydonion. an.zj. ol. Nardir. Zs. Anothera? Coral; rub. Caryophil. Menth; Calam. Aro: mat.Nucis Mosch. ap.zs.Cære pis ad formam Cerati, Cido Rx. Cortic.Citrizi. fol. Meliff. Absynih ana.M.ij. A Cataplalome: Coquantur ix aq. com. piftentur du paflestur, Addendo oli Närd. Maftich an. 3 i. fiat: They • A1 Cataplafma. They may ufe Galers Cerote for the ftomacke, or that of Aetius made with Quinces, Saffron, and a little oyle of Spikenard. Concerning generall purgations, which may evacuare downward part of this fuperfluity, they must nor bee adminiftred when a woman is young Discretion in wich childe, but with very great care, and good ad purging. vice, not using any strong purgers. Bar if there be nced, and thar the diseale cealeth nor by light Me dicines, then may be given a little infufion of Rubarbe, and a gentle decoction of Sene, taking the advice of the learned Phyfitian. And therefore we must onely have regard to their vomiting, which at thefe times doth commonly moleft and trouble them, taking heed of staying it, except is beimmoAavicens precept derate (as Avicen faith) or too violent. Forother wayes it helpech to cure this disease, evacuating part of those ill humours whereby it is nourished and increased. And if we perceive she hatha de- : fire to vomit, and that the expulfive faculty be nor strong enough to helpeit; let her cake a little Hy- dromell warme; and if the matter in the stomacke be tough and clammie, adde thereto a little Vine. gar, the better to attenuate and cut it. I have beene the longer in this Chapter, because it is an accident thar doch much annoy women with childe; there- by the better to inftrue the young Chirurgion, when there is no Physician neare at hand. of Difteftefulnesse and Hicker. buka00w 6: 29913050531 Ost womeny, as soone as they are with child,be fodistated and doe fotoathand cabhorre meat,ithar they camor endore either to eat, fee, or fm lit, yea,& fome åre ficke even with the very hearing of iv named which makes them goe oftentimes two or three daies without any desire to eat::This difease hapo nech upon the same reason weegaver before of the depraved appetite, becausethe stomacke is filled The Cause, and ftuffed with divers excrements that cloy a grear bellyedwoman) which by little and little áre there gatheredstogbcherzy by the flowing backeof the courses that be stopped which cannot beeput forth, much beffe consumed by the little one hand fo come into the stomacke and fill it. - Bür when these corrupred and ill humoursabide The Hicket: longer in the stotracke, there happenis anotheraci cident,commonly called the Hicket, or Yeaxing: which is a violent & convulfive motion of the ftomacke, which feémeth to discharge ic felfe of those bad humours, which are contained in the capacity and membranes therof:and offend either in quan tity, or quafiey, or both together. From hence Discommodi. comes it that the stomacke willing to put them fit of the forth,cafts up withal the meat and food, the woman hath taken:co the preiudice of herselfe,(which F Hicker. cannot cannot keepe anything for her owne sustenance) and of the Child, who cannot find sufficient bloud to nourishi him: which at length makes them both weake; and caufeth the Mother either to be delivered before her time;or else tobrecda faint and feeble Child and oftentimesone that will be fickly all his life cime. Curc. Forthe remedying of this queasinesse, wee must have recourse to thofe medicines, written in the Chapter of depraved Appetite ; Both for the dyet and remedies. And touching the Hicket, when it comes through emptinesse,or wantof eating; then the woman must nourilh herselfe, taking often good meare, and in small quantity; as yelkes ofegs, cullis, veale, broth, hennes,and chicken:and let her belly bee annointed withoyłe of sweet Almonds, and Violets.If the cause proceedofany sharporbis ting humour it must be drawne and purged down. ward gently as we have faidalreadyz-orelfe by vor mit, without much straining. Gow milke; and the Straining bad 201 milke of an Affe are very much-commended as al fo the use of syrups of Violets, and Nenuphar arg very profitable. :!5';b:? The Hicket may also come of some inflamation that is in the Spleene, Liver, brother bowels neere the stomacke and so isimpare to je: this hapning, it will be very necessary to let her bloud: and that she use-mcats which moderately coole as also me. dicines of the fame mature both inwardly and outwardly;: considering thereof with the Phyfsions, Work 09hrskoj CHAP for women with child. . ten, shj Citol.11 COTCH. *.. giadossi!! of the Vomiting which happens to women with childe. Herebe somewomen, who as foone as they be with child, yea, the very first dayes are subject to Vomit: cafting up Women wich store of water and slime by the mouth: child vomitofa and this vomiting continueth even till they are quicke with childe:and with some it remaineth all the time of their going which I faw happenunto a great Lady of this Kingdome, who from the fecond day after she had conceived, vomited ; and affirmed constandy that she was with childe. When this Vomiting hapneth, it must not bee Vomiting'mud stayed suddenly, if so bee it continue gently, and not be stopron thefudden, without violence: for being stopped, there is such store of humours heaped and gathered togetherin their stomacks, that they are ready to be ftified, or stuft up; which being by little and little castup without violence, they are much eased : for by this evacuation of noysome excrements the first region of the belly feeles it felfe free, discharged, and unburthened of many long and grievous paines. The cause of this accident proceeds commonly of the Caufs. abundance of humours gathered together in the stomacke: or elle of some sharpe and biting humour,that doth stir and provoke it, and chiefly the upper Orifice thereof : aswellby reason of the ill mears they eat, and that in grear quantity, as alfo because they fill themselves too much with good i meat, which doth putrife and corrupt, (the natu F 2 rall Liniment, should proove distasteful let them use Codigniack or Come Citron pill condited. They may likewise take some digestive powder after meales. Let there bee provided some sach fomentation for their stomacke,as this. Forientation. R. Meæta , Abfinthii, rosar.rub. anm.s.balauft. 3 ii gariophilor.&- fantalor. an.3 s- carnis cido niorum z i.corticis citri. 3 i. fiat decoct. in vino 2: antero pro fotu. Then let them have this ointment : Rx.olei maftich. cidonior an. z r. olei de absinthio 3 üz. pulveris coralli rub.& gariophil. an. I . crociparum.fiatlitus, admoveatur præmiffo fotu. , This Emplaister is very fit:which must be applied after the ointment, and remain there a good space. Emplaifter, . B. Crufte panis affiti ziiij, macerext. in vino rubro fuccocidonior pul. Rofar.rub.& abfinthii an. 3.1. ligni Aloes & Gariophilor. an.3s, pul. coralli rubri. iiij. Olei de Absinthio z j.fiat Cataplasma. li'. If all thefe forenamed Medicines helpe not the 14.99 pacient, Master Mercator doch ser downe a remedy very easie to be pra&ised, and of incredible vertue An approved (as he faith) which cannot bring (having often tri ed it any danger: nor cause the woman to be delivered out of her cime:which is to let her bloud in the Salyatella of the right hand. wait . نم Medicine, ) : CHAP. XI. of the paine of the stomacke, flanks, and belly, which happens to a woman withchilde. Here is great fore of groffe: winds bred notionely in the stomacke, and gurs, but also aboud the Liver, Spleene, Mesente- rium,and Navell, by meanes of a weake Causes of and feeble beat; which is not able wholly to con- wind. fume,and scatter them: from whence proceedetha great distention of the belly, and other pares neere and chiefly about the Navell:which in fome ofrentimes stands out, and is as big as a goose egge. The which winds being thus inclosed, and not having free passage, cause such intolerable paine, that even the breathing is thereby hindered, arid pulse almost lost, which at length might cause the woman to be delivered Sometime also the wind is shut up within the Wind inclowombe:for I have knowne fomewomen, that have led in the voided them with such a found,& noise as though it had beene by the fundament; and this must bec remedied after this fore. , First shee mult bun all manner of moist, and Dyeu windy meats,& live after the order before preferibed. If it be needfull to purge her;let it be done, as isalready ser down. Then let there be applyed some dry fomentarions to the place affe&ted as this. Riflaricamo. e anethi animai). rofar.rub.p.ij.fe- Quila's .. misis : ,"7917 Si minis annisi &-fenicul.an.3 ii ,baccar,lauri 5 i.fiat omnium pulvis groffus,de quibus fiant facculi duo irrorati cum vino rub.di tepide admoueantur parti affecte. The fanie quiles may be boyled in wine, and fomitations made of the said wine with loft spunges. But you must observe, that the too longose of moist fomentations,oyles, and fats is forbidden wonten with child, for feare least by coo inuch moistore. and oylineffe, the ligaments and veffels of the matrice bee made too loose and soft : which at length may cause the woman to abort. Apply unto her belly and to the pants pained; in formeota Puléesle this that followech, R.Vitellovorum n.iiij.pulvis arisi,d fæniculi dulcis Pultefic. an.3s.pul.abfinthii.3s.cum oleo anei hino ducamo16.7 mil.q.S.fiat fricatuni. !! >> Let them chaw Fennil, or Anniseed, or a little Cinamon: and take a fost dipt in Hippocras. Some have told mee, that the distilled water of Citron Pils, drunke, is very singular good. And it will not beamiffe, sometimes to take a spoonefull, or twoof this water. • R Aque vitæ zs.cinamo.Ji.macerent.fpatio xiiij.hor. A Claret water. deinde affunde aqua rofar.ziij.faccari candizs.fiat m3/90 aqua chireta, capiat coclear unum. If yee perceive thar fhee is much troubled wich paine, you may give her a Clifter: as this. Rc Folior. malud. matrica. ab. m 2 for cantons. meliloti et fummitat.aneti un M. Í feminis mifi og fæwic.ne. 3 ij. br Wiant in iurecapit, vervec. A Cliftor. . vel vituli. de quo accipe quart. iij. in quibus disolveoh. Aneth.chiemel. an. Z ij. Sacchar. tnb. 3j. f. Butyr. recent. Zj. Vitett . duor.ovor. fist Clyfter. Nevertheleffe I am of opinion (if it may bee Admonithmong done possibly) that they should abstaine from ClyIters : because I have seene women sometimes, through as small a Clyfter as this fall into great tormenrs, yea, and even into throwes, nature being , thereto prepared and ready : which turned to the Chirurgions disgrace. Wherefore let her usethëse Lozenges following. Rc, Sem. Anis: fenic. dulc. An. 3 . Nucis Mischa Lozenges. ai: spec. Diacumin. Diarrhod. Abb.it. ana . Sacebar. in aq. Cinamom. diffolut. 3 ij. fiant ta- buhe, capiat unam, singulis auroris. She may use Sugar of Roses, which to every ounce hath two or threc.drops of the oileof Annis- seed added to it. CHAP. XII. Oft he paines of the Backe, Hips, and Groine, with difficulty ofm king water that happens HotoWomenwithchilde. Here bee some Women which beare their children high, and (as they say) within their stomacke ; so that they are nimbler either in going or stirring without being let or hindred thereby at all. Others G carry The divers s. carry them very low, having their belly standing tuation of the very much out, which brings thim very much inchilde. convenience : aspaine of the Hipsand Groine and then they complaine, as if those parts, and their belly, were rentand torne in peeces. Contrariwise, there be others that hide their childe within their raines, and beare it very backward, which causeth them to have exceeding great paine in their backs. In the two latter cases we had need to helpe them; Hippocrates. for as Hippocrates faith; when women with childe are troubled with great paine in their backe and legs, then are they in danger to be delivered before their time. The like may be also said of them that have much paine in their bully or groine.ro Cause of these These paines commonly coratherproceed from paines. the heavinesse of the child, than ofany quantity of humours which abound in the body. For at that time, che wombe being great, thicke, and full, by reason of the childe which is big and large, and of the bed, or after-burthen, & oftentimes filled with great store of water; on which side soever the womberestech, it drawes the ligaments and bonds with it, that hold and fasten it to the foresaid parts: and by the force of this dilation and stretching, doth cause and provoke paines in the backe, hips, and groine: as wellby reason they are tied therto as likewile for the continuity of those neighbouring parts which touch them. For the remedying whereof, the w án muft keepe herselfe ftill and quier without much stirring or shaking : she must eat little and often, and of meats that be light and woman 'The Cure, eafieof digestion:for the ftomacke being ful,doth presse the body of the Matrice, and thrusts it downward. Therefore she'must weare Swathies, which may helps to support and keepe up her belly: that by such a rest & swathing, the ligaments, which are leogthened, and stretchedt, may bee somewhat brought backe to their proper places: which must be confirmed and strengthened by these meanes. All the botcome of her backe, and raines must be annointed with Vnguentum Comitife, or else this ointment. R ol. Mastich.cidonior. an.3j.ol. Myrtill.z6.co- Oyarmen rall.rub.terra Sigillat.46. 3f. Ninguent.com mitis 3f-liquefiant omnis ut artiseft, fiat linimentuok. Ifthe woman with child feel any coldnesse (as ir happens to some, by reason of their cold tempera- ture)which makes them shiver,andquake:let there be added to the former ointment, ol. Costit.do meth.an.zß. But it shee find any heat there, or burning, then applie some ointment that hath vertue to comfort and ccole. R ol. Myrtill. Rofm: 1.3i.ff. ung. Rofat. Mes.3j. Aroh ung.Refriger.Galep.zf. Padwer. Corall. rub. ointment Bol. Armen.19.3i.fucci Anpast.37.miste.fiat linimerstwns. Likewise it may chance, through the waighti- A good ob nefse of the wombe, which reftech in the bottome, servation. that the woman with child cannot make water which hapning, the herselfe, with both hands must G-2 lifr lift up the bottome of her belly; by meanes whereof shee (hall hinder the body of the wombe from presfing and crushing the bladder, and especially the necke thereof; which is loaded and oppressed with the said wombe. You may apply below fome bathing or fomentation, made with the leaves of Mallowes; Althxa, Cresses, and Parietary, with a little Lin-leed, to make the paffage more loose, soft, and easie to be enlarged or widened. CHAP. XIII, of the parting and beatieg of the heart : As also of swooning, which happens unte women with childe. S there be divers winds and vapours that are shut up and inclosed in the neatherbelly of a woman with child, which procure great paines in her hips backe and groine; for the reaCause of the fons before rehearsed : So likewise are there the trembling of like vapours that arise from the wombe, and other the heart parts neare, which are inclosed in the Arreries, and by themare carried and imparted to the heart, which cause a pantirgand beating and the heart feeling it felte offended and oppreffèd by the said vapoursy endevourech by his motion to expell and The wildome drive them away farre from it felfe, (Nature has ot. nature in ali ving given to every part fome particolar meanes whereby to repell and thrust backe that which doth bes works doch annoy or moleft it. Asthe braine by seezing; the Lungs by coughing ; and the stomacke by vomiting.) But because this accident is oftentimes the fore-runner of a Syncope or Swooning, therefore will icbe needful to have a care thereof, itbeing easie to be knowne, both by the relation of the party, who finds her heart beat, as also by feeling the breast upon the region of the heart with onts hand, with which thismotion liftech up. the ribs, and the hand that is laid thereon, yea, some women have such a beating, that it makes even the ribs stand out of their place. For remedy whereof such vapours.must bee kept from seazing Lyd upon the heart, which may be done by well fencing of it, both within, and withour. If then you perceive that the woman doeaa bound with any ill humours, from whence chese vapoars may partly arise : (hee must be purged (as before) and let bloud, according as the accidents doe require, and the ancients doe appoint, which bereits must-be done in small quantity, and thatno: all as once ; but rather at many tiines by little and little, For according to Galen ; There is no remedy that How a woman a more hinders and alters the course of bloud and with child must ** noysome vapours from piercing and assailing the be let bloud. heart, then letring of bloud doth. Let her take every morning one of these Lozenges, which are very proper. R.Pulver.Letitie Galeni & degemmis on.i.pal.la- 1.ozengelo ir Guollos pid. Bezoardi Groles de corde Cervi,on. Əs.com. an. fedt, de Hjacintho,3 8. Sacchari:cum aqua fcordii diton . G 39 Hiffoluti zii.fianttabelle pond. 317. Jumat onam fingulis diebus mane e ferocubitura. Insteed thereof she may use thisopiate: Opiate. Re confervi bugloff borag.an.is conferue radicis fcorporere3.vi.corti.citrieonditi 3 ai ther.veter. Bipulebetuar.diamarg.frigidi 3 s.fiatopiata erips: at fingulis diebus mane ofero 31. at di&tum et. The Claret water before described is very exe cellenr good, some doc use the water of Orringe flowers. The heart must bee outwardly fortified with The heart mul Quilts, Fomentations,Epithemes & Cataplasmes, begarded. applied to the region therof;made with the aforenamed ingredient. Take for the Epitheme or fomentation, the waters of Borage, Bugloffe, Balme; & of Oringe flowers, CardusBenedi&us, Roses and of Scordium, adding thereto Saunders, Angelica feed:Cordiall floures and the like. And because that the heart and matrice, are dedefirech good lighted with pleasant odors,let those that are troubled with this disease use good smels ; fweet, but scither ftrong nor piercing. The wombe Cnar. XIIII. of the Congh. Lii Ne of the moft grievous, and almoft in supportable accidents, that can happen to a woman with childe, is the Cough: the which being violent" oftentimes causeth head Cause. head-ach, paine of the sides, flanks and belly, voi Inconveniences miting & watching, the woman not being able to of the cough. sleepe or take any reft, for the great concussion and agitation which is made through the whole body, which oftentimes puts the woman in dangor robe delivered before her ordinary time. For the most part it proceedeth of some fharpe and bicing vapours, which arise from the neacher parts, or else by the distillation of some thimehu. mour that comes from the braine, and falleth trickling upon the Trachea Arteria, orwind-pipe,& the lungs, which provokes them to cough,&yezbringing up little or nothing; the distillation may also be of some thicker humour, which fallethdowne the said parts, Therefore wee must have respect to the ancece Cure. dent causé, by hindering such vapours and humor's from breeding then staying those which may flow forfall down:ifchere be any caufeor matter joyned wi hit, already fallen and impacted in the lungs and breast, then muftithe brought up by ipitting. For the helping heroof, Eldey tryt avoid all falo and spiced meats, as also those that are sharpe and biting, especially if it becaused by fome vapours ord stilla ion of a thinne or serous humour. 11 Cancerning general Medicines: if ir be accom-General Media panied with a fever, or some great heat, it will not cines. be amifle to draw a little bloud, when the better to turne the course of the distillation:)which caufeth the cough to apply cupping-glaffes upon the shoalders with somelighoScarification Andifthecough should upon the faid Dies . should be of To long continuance, I would coun Cautery, sell you to lay a cautery in the hollowneffe of the nape of the neck:&hich I' have practised with good successe, but it must not be done before you have tried the Medicines following, and when the cough is great and violent. The rubbing of the armes, shoulders, and backe Fritions, must not be omitted, as also when the haire is sha.ven away, to apply Emplaftrum de Betonica, upon che head, to stay the Rheume. Ifthe Coughbe dry,proceeding from some thin and lharp humour or vapour, it must be thickned; contrariwise if the humour be tough and thicke,it must bee cut and attenuated by concocting both, and therefore in this case, the use of Medicines that dedull the sense thereof, are very profitable to mitigate violent Coughs : of which kinde are these that follow. Ifthe humour be thin and fharpe, this Julep taken twice or ihrice is very fit . RSyrup.Rofarum ficcar.cde jæjubis an 3 vi forupi Julep de nenuph. Zs. aquæ cardui eu ungula cabalină an.z i.s.fiet Inlap. reiteretur torquatorve ut artis est. If the humour beslimie, thicke and tough, she may use this Julep. Anotasse :? -5R, Syrupicapill.veneris et de liquirit. an.3 vi.oxją Tomelit. fimplic: Zs: aqua betonica, eu ungul.cobal. Hozij.s. fiat Inlap.reiteretur ut fupra. Let them often hold in their mouth Sagar-candy especially that which gathers about the pot fide, wherein litrop of Violets, or the like, hach bin put. Lec throare Letthemufe Trochiscks,iuice of Licorife,& femea cime chaw a peece of Licorise in theirmouth. The Lozenges of Diatragacanthum frigidura, Diaris fime plex and sugar of Roses, are very good. The use of Lohocs is very distastfull, but insteed thereof, lec them use firup of Iniubesy of dryed Roses, and a little diacodium mingled together, I have seene this medicine doc much good, especially when the cough is great, and that they feele fome excoriation, and roughnesse in the throat. Rolei amigd.dubfime igre recent.extractii.i.s.faca. Amedicine te w cori candi fubtilitipnlveris: 5$, macag.feminispflii take away the 53 cadmiornarinaquarofapleuiter extract, in the areas roughnellcof 3ii:mifecomina diligenter. 950 401 Les chemtakeofthis medicine in a fpoone, (wal lowing it down very gently, that sofome ofit may the better flide downe the Gides of the windpipes s -1999) It will bevery fit torub their breaftall over with Si tv 596! fresh butter oroyleof sweet Almonds and if they finde any heat,let them useoyle of Violets washed with Barly water wellboyled. 9:19 Seks And because there is nothing that stayeth diftil- Sleeping stopi lations better then seepe: and that those who peth Auxes. have the cough sleepe litele, it will be very good to make the patient feepe withoutgiving any violent fleeping medicine, this dulip may bee given very safely. :) Rv sirupi. de Inimbis, violati& diacedii fine fpecieb.an. Drinketo stay. Zs.cum decocto portulaca, latince, buraginis, betonin the Rheumca ce cu trium flon.cordial.fiat potus, capiat bora forni. Thisremedy, procureth(leep, and fo by const H quence 224 quence Izagoth the Rheume. If you have any good Landaruww.you maygive fafely three or foure grains thereot , which I have seene pradifed with pro- fperouslugcaffe. Vi vain of a luz, ! in CHAP. XV 1 9 af Cetiyeneffe, mberewith nomon with child 45.5). W aretroubled: و Mongit.many other accidents whicrewith women with child are troubled, there are kwo,che one contrary to the otherwhereunto they bee much lubject:that is either they are bound,andcannot goe to the stoole buo with much inconvenience and very seldome: orelle they are Contrary acci- alwaies loose and subject to the fluxe.Bochmay pár dents in wo, the woman in dangerof miscarrying. For when she mea with child is bound, with much strayning, and that violently to unburthen nature; the ligaments may be loose ned, or some veine opened : and cause fluxe of bloud:which may make her fall into travaile, and therefore it isfic to provide for it. I'm Theretention of the excrements, and coftivenes Stivenefits. ofthe belly, may happen eitherbecause they havo used to be fonarurally, or by alteration andchange of yeares, foras Hippocrates saith, they who have their belly moist in their youth, in their age will have ichardand dry, and fo contrariwise. This acci.. dent happens to others, because thegüts are not provoked&ftirredupbytheclifterofnatüre(which Cause of Co. of Coltivenck ] is the gall) that they may expelli and thrift forth their excrements. There might be alleaged many more reasons, which at this time I will leave to speake of, and onely frame my felfe to that which most commonly is the chose of it in women with childe, which is referred totwo pomcs, either be Ocher causes cause the guts are preffed by the unevennes of the wombe, whichistoo fall, and being placed upon themi, (and chieflyruponohe greargac)crushes and thrusts their bheagainstancoher, in fuch fort, that they have no meanesto enlarge and didate them- felves, thereby to voidthe excrements contained within them. The other is because che gurs, and the excrements within cremare cominonly very hard and dried in women with childe, through the great hear that is in the infrailes, which makes them that they cannoreasily fow. The sedentary life'allo that women lead, is cause that their excre- ments are stayed, and gather themselves together by little and little and at lengthftop up the passage. This accident brings unto them flushings in the face, head-ach, beating of the Arteries, yea, and oftentimes an Ague. For the caring of this disease,agood order in Diet is very needfull ; using mcats that doe moisten, and keepe the guts supplearid slippery, and withali foftea the excremNCACS ; which must be done with very greardiscrecion : fortoo much moiffure may at length over-much relax the ligaments of the wombe, and of the childes , and thereby hasten the delivery: Nuorosstoowiskantnom H 2 Not Cure, Broths to' loosen the belly. Notwithstanding, a woman with child beingroo costive, may use tender meats, as:Veale, wherewith they may make Broths, with Lettuce, Purflane, Sorrell, Spinach, Beers, Bugloffe, Violet leaves, and fometimes a little of the herbe called 2013!!! Mercury,Let them ufe Prunes, and Baked Apples. ... Some take twoor three gulps of fresh water before their meales : but let them ulegentle exercise, to make their excrement follow the more freely. It is also very fit for a woman with childe, in the morning when the riseth; and at night when she goeth to bed, to make proffer tounburthen nature withOut ftraining her selfe but very gently. If for all thisherbelly will not be correspondent, it will not beamisfe to give her Clyfterse Clyfer.. Mahy. Bismal. Parietar. Matric. an. m. ij. flor. ya Chaman. Melilot, an p. ij. fem. Anif Fænicuł . 978813! 3 3 coquantur in jure pulli vet.capit. ver. 1. vec. aut vituli in cotatur. ad quart. ij. di solve Sacch. atbi, olei Violat. Butyr. recent , an. 31, ori i vitell. ovor. numero ij fiát Chifter..:-191.54 biThismiy be given at twice. PS! Bonjoso She may also take some Broth wherein is put a fpoonfull or two of the water, or wine of Seny, which is made after this mannerarios!!! 6: Take halfe an ounce of Semy well cleanfed, fix Cloves bruised, pur them into a dish, and powre upon them halfe a pintof wine, or water ready to boyle, and folecthem (wake ali night, and in the morning take two or three spoonfull, which milo be an. Geny wines be put into your Broth : keeping the rest to serve you afterward at your need. CHAP. XVI. of the Flux or loosnefse of the belly, which troubleth women with childe. He Łaske, in what manner foever irbe, doth pur the woman in danger of com- ming before her time : and thar for di- vers reasons. First, because therby the Flux of the meat they take for their nourishment is voided belly dange: . too soone, which should have stayed and bin türned into bloud, for the nourishing and sustaiping borhof the Mother and the childe. And therefore they both remaine weake and feeble, which com pelleth the child to come forth,and seeke for food 72c: Ô elsewhere. For as the Proverb faith; Hunger makes Proverb. thé :Wolfe come forth of the wood. Beside, the Mother is so troubled with rising out of her beds orolla às also with much ftraining her felfez (especially if it bee the bloudy flux.) that the wombe. Ofrentimes is overturned and relaxed : and cane fech the childe to bee cast forth of his place, byi reason of the moistnesse which runnech continually along the great gut, upon which the wombe is placed. Women with great bellies are commonly fub Women with jed thereto, because of the meaesthey cat, which jedro loofnele are:ofill juyce:whereby the stomack being weak- of the bellye ned, childe ale sub H 3 The Cure, ned, and not able to concoct them, the expallive faculty is compeld to thrust them downward, halfe concocted and indigested: otherwise they are corrupted, and turned into some maligne, sharpe, and biting humours : as into fretting choller, rotten flegme, or melancholy which doe corrode and stir up the bowels, and cause theflux of the belly. Concerning the cure of it,many considerations must be had. And first, it willbe very fit to know of what kinde the flux is, and what may be the causes thereof. Now, all Fluxes of the belly must needs be oneof these three; either Diarrhaa, Lionteria, or Dysenteria: Which soever it be of thele,if it proceed of a maligne and putride humour, it must not bee fuddenly stopped by aftringent Medicines, left it happen unto the woman with childe, as it did unco A worthy Smyrnia, (as Hippocrates faith) who having a fluxof Scory, the belly suddenly stopt, was delivered in the fourth moneth. How to proceed Now to know what kinde of flux it may be, the stooles will shew and teftifie. If it be not violent, ic may bee fuffered to flow gently, and fora good while, not omitting in the meane cime the use of fome Clysters, that may affwage the paige, if there beany. But if it continue, & that it be bred of some fharpe and biting humours, which gnaw the gurs, and provoke the expulsive faculcy, (of which kind are fretting and bicing choller, or falt flegme) and that the Mother feeme to grow weake and faint : 03300310.5 then must ic be remedied with as much speed and care as may be : otherwise the woman having di therein, · vers vers pangs and provocations, is in danger to bee delivered. Wherefore the humor offending must be purged widłı Rubarb compound fitupof Cicho- rie, and the like which have beenc already prescri- bed in the former Chapters : as also the like hu- mours hindered from breeding. And therefore Her Diese Thee must abstaine from all unwholefome meates, especially if the cause thereof proceed from thence Besides, the faid humours must bee allayed and made more gentle, that they may not any more provoke or stir up the expulGvé vertne: thewhich may bee easily done by a good'dyer, which shall breed as lịcele choller,orother Badhumours as may be:using broths made with Purcelane, Sorrell,Bu- gloffe, and the cold feeds, adding thereto a little Rise or French Barly. The use of new.laid Egges is much commended, which must bee poched in water: Hermeat must beerather roft'then boiled: Allspices are to beefchewed.Lether drinke be red Wine orftecledwater, wherina piece of bread hath beene foked! This drinke isvery fitand pleasant. Take of French Barly dried in a pan, ahandsull , A Drinke, fennill-seed, Coriander-seed; and Licorise, of each two drams, boile them in a quart of water, adding thereto an ounce of Berberis or two ounces of the igice of Pomgranates. A little before meales let her earea slice of Marmalade. And seeing there.ofien happens paine and gri, pings together with pangs and throwes because thoguis arcmoved and provoked:"therefore they must Clifter. Another Cli. ! Iter. must be washed, and the paine mitigated with this Clyster. K Hord. integ. m. i. chameemel. melilot an.m.s. Plane :tag.Borag.Buglos. an. 14, i. Bulliart. in iure Capit. vervec.aut vitali de quo cape quart.iii inquibus disSolve obviolar Züi vitell. dvor.Oz or.Sachar.rabozis . fiat clyfter. But if the woman be further molested with gripings, and that she have great and often provocations:chen this Clifterwill be very fit for her. R Plantag. Burs. Pastor. Portulac. an. w.j.flor.cha mamil.melilot. hord. integ.an.p. 1. fem. uniji Zs. Bulliant in iure pal'i gallinacei . de quo accipequ. iii.Sevicaj rill.zi.s olei omphac.ziij, vitell.vnius ovi cum alb.facchar. rub. zi. mifceantur, & fiat clyster, Clyfters that are made onely with oyle of Violers and the broth of a sheepe, or calves head be fine gular good. If the disease doe increase and the paines grow more violent then we must proceed even to ftupiPilula de Cinoglofa, which may bee given either by Pilule de cocoricke medicines, as Laudaxum, or the mouth or in a Clifter, wherein the Physicians counsell must be asked. I have seene given with good luccelle one or two drams of new Triakle dissolved in a clifter. It will be fit to annoint the bottome of her belly,and about the os facrum with thisointment. Rol. Rofar. Myrishi an. zk. s. olej Makich. Zi.vitella dhor.ovor. Crecios mifee omnia fimul,& very duor. Ointment fiat la situs propiettine, dole Sacro. **!!!!!; Virien They may bikewise use. Enguentum » Rolutumn Mhestral; const interit,COM : nou, il , The paine ftillcontinuing wich pangs&throwsi let there be made forberthis fuffumigation.com Rx.Folior. Matric.plantag. barfæ paftor: verbasci Ara Suffumigation: Rogloffe 19.9. jurofar rub.flor. Cham. Metileri Dalsiftiorum 43. mis. coquantur in æquis partibus vini austeri & aqua Chalybe fiat infessio, vbi per dimidiam horam fe contineat. Then (Thee being well dried) annoint all the botrome of her belly, andabour Os facrum, with this ointment. Rx.Sevicaprilli, & Vervec.an.zs.Olei Rosati & Ma. Linimene. ftich an.z ý.s. Olei Cydonior. Zj. liquef. fimul ali dendo pul. Rofar.rubr. verbasciou Myrtil . an.3s. pul.terræ figilate, & Coralli rub. 3. ij.ceræq.f. fiat litus. . CHAP. XVII. 1: of the swelling of the legges and thighs whick hepe meth unto womenwithchilde. N'those women which were wont to have great quantity of naturall purgaI tions, before they were with child ; the bloud after they have conceived, which was used to flow, being stopped and suppressed, and nor being converted into nourishment by 1 che Cause of the the Mother, and much lesse by the child:moft comswelling of the monly though it doth nor breed the former acciface, dents; yer is it altered and converted into waterih hamors : Moreover, the Liver through the abundance of bloud wherewith it doth flow, breeds a serous or waterilh bloud; and being not able to cacing digeft ic, it is thrust downward by the expulfive vertue of the upper parts, and at length restsit selfe upon the legges, feet, and thighs, thewhich makes them all lwelled and cedematous. This swelling of tentimes doth continue both day and night, and fometimes it is so resolved in the night, that in the morning it is scarce perceived at all, but presently all the day the tumour is renued,andar the evening doch much appeare; and then againe in the night it is resolved through rest, and the heat of the bed. Such as are much subje& co the whites before their being with childe, are commonly traubled with this infirmiry, which was observed by Hippocrates Who are not in cholericke people, and those that abound with fubje&rothcferous,sharpe and bicing humours. Beside the said fwelling oedematous swelling, there happens an inflamma- tion, which doth caute the skinne togoeoff, and sometime breedeth filthy ulcers. But this must bee semedied before these ulcers happen. o These accidents continue commonly but the first foure imoneths, yer with some they stay til their lying in, and fo foonè as they are delivered the fwelling vanishech of it felfe. If this disease doenor much offend the woman with child, it shall not be needfull to use many Men dicines, dicines,but it is sufficient that she keepe a good dy et, and chiefly if it resolve of it selfe in the night. Bucif she bee much troubled therewithall, let her Advertisemene use these remedies.' concerning the Let the fwollen parts be rubbed with this medi- cure cine. ceffarie. R Olei Rosat.Omphacin ziii.Acetiz8. Salis Zii. agi- Liniment. tentur omnia fimul, di fiat litus pro parte affetta. And if there bée any inflamation, adde toit a little ung. Populeum. The swollen parts mustbe wrapped with cloths Bindingne. and swathed, beginningarchebotcome, and logoing upward. Some findegood by laying thereon a Cabbage leafe,andbinding it as before. Others use the lye of Vine afhes, adding thereto Lyc of Vine alitele Alom, & Fullers carth, then dipping therin ases very good. a linnen-cloth doubled, or else a spunge, and fo ap plie it I have made proofe of this fomentation and cataplasme,when ther hath been no inflammation. R Fol.falv. Msioran. Ebul.Rerism. an.m.i.flor.cba- Fonecafation: mamel. Melilot.Lavand. Rofar.rub.an.p.s. Baccar. Laur. Innip. Balanft. am. FB.coquantur omnia in lixivii cineris Sarmentar.Ib.xii.addendo álum.com di.zi. fiat forus chine spongiis, deinde admoveatur Sequens cataplasma. R Farin. fabar, bord. Orobi. anz. iii. coquantur perfe&te in decocto Superiori,adderdofacis vini Cataplasma rub. Züü, Terebinth.contis Ži.S. unguent.Rofat mes 1 I 2 Mes.ol.Ratác Chamomel.amiz.pelm.Rofar rada Ircos florent. an.zf. admoueatur parti catide præ- millo fotu. I have likewise used insteed of the aforesaid fo. mentation, before the applying ofthe Poulteffe, to A tied renicdy take a quantity of Danewort, a little Sage, with a few Chamomile and Melilot flowres, and heate them in a skillet, laying it round about the leg, and covering it quite with ciles which cover the tops. of houses, being a little heated, cokeeperhe hearbs gently warme the space of an houre or two. Some use frailes with their shels beaters together and apply them like apoultésfej ?, ?" Beside the former swelling of the legs and feer, there hapneth to fome a puffingup,or windy (wel ling in the entrance of the wombe, fo great, and in swollen; that I have feene ic in some womén, big ger thenihalfe a childshead: which doth fogrieve and trouble them that they are scarce able to bring their legs togetheribut are faineto stand stradling: This swelling is very cleare, and thining; and to say the truth, there is nothing but water contained within it, the which must be crired before her lying Am observation in. There are not any Cataplafmes, or the like, in this case that can doe much good: ( as I my selfe have oft made triall) But oncly the manual pra- Crice, making many long and deep scarifications of all fides, which will cause great ftóre of water to flow and iffue from the part : "the which I have 9,30 practized upon many. Andit is to bee noted, that ofcentimes this tuikourdoch returne, and is filled againe, againe, therefore it willbe necessary, to make new scarifications And tothe end that it may not come fo foone againe, apply thereto, both within and Awiedremedy without, fine lint moistned in the oyleofsweet Almonds and laying upon it an emplaister-made with a little Cerotum infrigidens Galeni, & Desiccativum rubrum, mingled together : this Medicine will make the Orifices vent and flow the longer. Nor long fince there were two woichy:Ladies (which for honorfake I will not name) that were troubled with this accident about the time of their lyinging in whom I opened and scarified-thofe parts, to make the water flow and come forth. And it is to be observed, that we must await ' a fit opportunity to doe this, which will beę when they are neare cheir lying downe.? pg" centre OVE. AICHAP.XVIII: 170 ailut v Brj 708 70 Thi mcakes to helpemonien mhichigarroi beare's their Children the falbtime. wijnbolo Setentimes it happensto womsd, Ithac they cannot beare cheir burthen to the time prefixed by nature, which Histhenincbmoneth. This arcidiano is called aithera shift, or flippingaWay Or 7. Abortment, or (as our women call it)a mifthance: The fhiftis reckoned from the first day, the feed is retained in the wombestill füich stims, as tit meceivath forme and shape, in which time, . time,ific chance to issue & Bow forth, it is a Shift. The Abortment hapneth after the forcieth day,ỹea . even to the end ofthe ninth month. For the Abortment is a violent expulsion,or exclusionof thechild already formed &endued with life, before the appointed time. But the sliding away, or shifc, is a flowing or issuing of the seed, out of the wombe, which is not yet, eitherform'd, or endued with life. 11 Those that have beene delivered once before their time for the most part they miscarty with the rest of their children about the same time. Causes of This accident may happen upon divers occasiAbortment. ons the which are either inward; or outward. The outwardare, either an Ague, flux of bloud, or of the belly, vomiting, or any other sicknesse that may happen unto a woman with childe leaping, dancing, riding in a Coach, too much stretching of herselfe, and the lifting or carrying of any heavie burthen; the immoderate use of Vea uus, pallions of the minde, as choller, fadnefle, - longing after any thing, or the use of violent and strong Medicines. The inward causes are gathered from one of these three ; either from the Mother, or things beCauses from longing coher, or from the childe: Those that are che childe, taken from the child, are when he is either soweak and fickly that he cannot be kept in the wombe, being not able to draw sufficient nourishment, and thereby doth decay and die' ; or elfe by being too bigge and large,sothat the wombe is nor capable to lodge and support him, which maketh the vessels of ; .as also . of the wombe tobe relaxed and breake'; then the entrance of the womb dilatesit selfe,and the child commeth forth. From the mother, when shee is either too small Causes from or low of stature, which causech that the child can the mother. not grow in so little roome, neither move himlelfe or breach, (although he breath only by the arteries of the mother) her brest being so straight that it's cannot be stretched & enlarged or else because she is too far, which makech the caule to preffe downe, and crush the Matrice, and causeth the seed to flow and issue forth before it be formed. A woman allo Leannelle calls that is too lcane, and doch eat bur little, feldome serh Abortment or never beares her childe che full time. For if the mother benot well nourished, much leffe can the child. Toomuch eating stifles the child: aslikewise the use of unwholsome meats doch ingender ill bloud in the mother ; wherewith the childe being nourished, in the endlanguilheth, whence follow- echdeach. Another cause may bee the over-much fulneffe & moistoesfe wherewith womenabound, Fulneffe is and chiefly in their womb,which oftentimes is full cause of Alors andoverflows with moisture, and filleth the vessels ofthewombe full of lime,whereby the inner Ori- fice is enlarged and dilated, unable to support of keepe in the childe. There may likewise be engen ? dred some sharpe and biting humours; wherewith the Matrice being stirredor provoked, while it en- devours to expell them, may thrust out the childe allo. This accident may also happen to those that in their : cause abort. mcnt. They whích their child-bearing, are fubje&tro have their natuhave their na: rallicourses, as if they were not with childe: which doc often mif: commeth to passe, when nature striving to pur carryo them forch, doth cause the child to be untied, and - so he followeth the Purgings. Things annexo Concerning those things which are annexed or ed to che mo. belonging to the mother, I understand them to be ther, which doc such as may bee growne Orconrained withinthe womb, as someimpostume,Scyrrhus,orexcrefcence offiesh, Mole,or false conception therin contained, as also great store of water, the which I faw not long since happen unco an honest Geritlewoman, whose wombe was fo full of vrater in the eighth moneth, that the Orifice therof was constrained to open it felfe, and let them forth, the which was in such quantity, that it is incredible to be reported, and some six dayes after shee was delivered, the wombe not being closed againe. · As this accident is very dangerous both for the Mother and the childe, fo will it bee needfull to prevent and remedy it with all speed poffible.'' Signes of aborta? First,we may know that a woman is in danger to abort or miscary, whenthe milke in her brefts doth flow and run forth in great quantity, her brests remaining limber and soft: and if the be with child of twochildren and onebrest grow empty, it is a fign she will miscarry with one of them. For this sheweth that the childe doth loach and refuse his nou rishment, chiefly if the nipple have gotten any ill Hippoc,lib.s. colour,it is a signe that the Matrice is distempered, Aphorif:37-38. according to Hippocrates. They ment, They that are troubled with a great loosenelle Loosenele of che belly can ofthe belly, be often delivered before their time. fecha abutment Likewise great paine of the backe,and thighes, swhich coms found to the groin,and bottome of the belly, doth oftentimes presage the like. As also when there flowethout of the conduit of nature, first certain waters, then bloudy and slimy matter, and last ofallbloud. To the end chatit may be safely remedied, there care of Amust respect be had tothe cause: Now concerning kozmet. the outward causes, as if the mother bee troubled wich any ficknes fhemust be handledas it is requifire and fic: shee must funne all violencexercises, paflions of the mind, & the toooften use of renns. If the abortment proceed, from the littleneffe or lownes of the mother, before her being with child, let her use Bathes, fomenracions, and oyntmenes, į!!:;? ? that may loosen and inlarge herbelly,and Matrico, And while thee goeth with child let her feed moderarely,to nourish herselfe,and her child & when the ninth moneth is come let her use supling and relaxing oyntments like those formerly set downe, If the cause bę oftoo much farnes, it will be very fitand convenient to purge her, and let her bloud, before shec bee with child; and to prescribe her a strid order of dyer therby to make her leanejufing meates that bee not too nourishing, or full of good juice.Contrariwise fhiç thracis too lean,muft use good meats, andsuch as breed good juice, and that in good quantity.It toomuch eating and drinking, or the use of bad mcats, char breed ill juices K be ? . be che cause: then must the absteine from them. And when it doth proceed from the fulnesse and aboundance of humours & water: asit happeneth in ful-bodied young women, or which before their being with child were subject to fome evacuations (as bleeding at the nose, Hemorroides, or abundance of ordinary purgations, andwhites)then will it also be very needfull to purge,& let them bloud and before their being with child, to make them Whettiebe diet use the dyer:and especially those, that have the liis.occellary. gaments of thewomb loose and soft and the vessels , full of chicke and slimy matrer: to whom likewise may be administred cleansing:& strengthening injections,drying perfumes, Baths with salphur, and cmplasters for their backs, which shall hercafter be set downe. Bloud lectings. And when they shall bee gone about foure mofit for them neths and a halfe, it willbe very fit to purge them that abort, gently,and let thembloud,the which may be done more plentifully and boldly (not all at once, bat ar sundry times)in thosewho before their being with child were used to more copious and frequent évacuations. For experience doch shew, that by this meanes, those which werewont to be delivered before their cime, have nice only boine their children to the ordinary time, but thereby also have beenc brought a bed more easily and with lesse pain and Scote of nou, the child-fhall neither be in dan rithment cho ger to bee stiAed, by drawing more food then is kochthe child. needfullforhiş nourishment, not of growing too ; big, by turning it into his owne luftenance, which trouble. So the childe, might be a meanes through his exceeding great- neffe to breake and teare the ligaments that sup- port him or else;though he stay his fultime, (being thus big) thache should not be able to come easily into the world. To helpe the abortment, whereof the childe is of the abore cause, being naturally either weakeor sickly,it will recde ebat be very neceffary, that the mother put to her hel- commech from ping hand; as much as she can possibly. Wherefore The must be merry;quiet,as well in body as in mind not frertingor vexing herselfe : and especially about the time thee was wont to be delivered, shee 2: must keepe her bed using meates of eafie digestion and distribution, and drinke good clarec wine: lec her take every two houres, a good space from her meatc,fome of this opiate. B. Cons.Borag.Bugtos an.zi.Cors.Rofar. Antbos.an. Opines, 3vj. Cort.Citri.cord. Myrobol.condit.an.zs. May garit.splendid. Coral.rab.an.3 i ossis de corde cepum vi.3s.Cum fyr. Confer. Citri fiato piats capiat 3 j. ut di&tuen.eft. If he like notchis Opiate, let her use thefe Low Lozenges. zenges. Rc.sp.Diamarg.frig. 5 1.Coral.sub Corm cerøiufti. an.3 s.priapi.tanri. I iiii. Sacchar. in aqua. Bu- glof. diffolut. Ziti.fiat eletuarium pertabellas por- deris 3 s.velii.pro doficapiat ut di&tum eft. Let her be belly annointed with this ointment as wel to comfort the Matrice, as also to give strength unto the child. R.Mi Ka mon. Rrioki Mirtill.Cydorior : Maftich an Zs.Coral.rule. Ointment, Fantal.rxb.on3i. Maioran. Absynth.ax. I titj.org. Roscat. Mes Zs.Cereq S.fiat Linimentum. Let there be laid upon her backeand os facruses, fome such emplaster. Some women have found good by applying upon their Navell a tofte dipt in good red wine, ftrowing upon it the powder. of Rofes,Grana tinttorum; Čoral;and a little CinaB.Gallur.Nxe. Cuprel fang. Dracor. Balust. mirtil. Rof.ruban. 3i.f.Maftic. Myrrhe an.3 ij.Thur. Hgo, The Emplafer pocift.scacie gum. Arabic.Bol.armen.sn. 3 i.lada- wizi.Terebinth.venet.z is.picis Navalis.3 vi.Ce- re ol . Mastichar.q.Sutfiat . fecundum artements plaftrum, The emplaster muftbe often taken off for feare of the itching, and put on againe; and if there hap- pen any heate to the part, annoint it with Mesues ointment of Roses. Remediesit If you perceive that the child be too great, and big;to the end that he receivenotfomuch nourishment, whereby he may grow bigger and larger the mother must absteine from all meares that are fo inicy and nourishing, and keepe herselfe quiet having her bellyttayed up with a fit roler, that it hang nos downe and least the ligaments which hold the child might stretch and so by the waight be torne, and broken afunder. Causes of A- Thelike may bee'observed and practised in the bortinent an causes annexed & iOyned to the mother as ifthere Mether.. bee any Scyrrhus, Mole, Dropfie, Warcs, Impo stumes, the child be too big nexed to the ftums,excrescence of flesh; or other indifpofition of the wombe. The which must be cured before the woman be with child, according as the disease doth require, it being very hard for a woman to proue with child, when she is troubled with any of the aforesaid accidents. And in regard of outward caufes, wherein we did Oatware comprehend the Ague, Laske, Fluxe of blond, vow Caulo. miting and the like. These accidents must bee préverted, according as the case doth require taking the advice of the learned Phisicians, as we have said before. But concerning medicines, which muft be more particularly applyed to Outward causes, as fals, blowes, and violent exercises, lerrhein brave recourse to the medicines described, for thechilde that is weake, and fickly, towhich these tollowing may be added as being profitable for both causes. Asifthere appeare any bloud, or red waters that begin to flow and.comefotrh, bythe natural palfage, this medicine is excellent 23:140 by R. Gronor tincm.36. Corak rük margarit. ele&.in Medicines for gr:vi germina duor dari mifcerecichibeatuprionm vitello spins oor Vela OMATOIX05171991 RC Meftich subtihada ].foric fubtiliter i&cifié 03. germina duor.ovor.capiat.cum vitello ori. She may likewise take in the morning, aLozenge of Diarrhodonofcha weight of a French Crowne. Thispowder also is very commendable ad eids R.Sp.Diamarg.frigid.3 s. Coral. rub.wt. Bilot, in aq. Rofar.pryap. Taxri. fic. an. Dii. Ebojis. Bel. Armem. terra figillat. an ə itij . Sachar. rofat. tabulata abortment K 3 tabulat:3 is.Capiat mane & fero. JH. pro unaquaque dose. Of this powder also may bee made Lozenges. Ler there bee applied to her backe the former Emplaster or this that followeth. R. Meftich. Mirrh,gum. Arab.an.3 7. j'exth. ficc. Emplafter to Abfpub.rad.Böffort. Nucum o fol. Cuprej. an. recainc or keep 3.ir.Cortic.granat. 3.is. Styrac.calami, Colophon: in the child. picis Naval.an. 3 üklere Citrin. 3 1. Terelinh. vonz.5.01. Mirtill.a.s.fret empiiff.extendat.se peralutam,adulum. Ilois 30 If the emplaster breed any inconvenience, let them use this ointment: inement. R.Ol.Cyndonjor. Maftich, Mirtill.an.zit. Bol. Ar: men.fang. Dracow.corallo rub.ar 3 s. Höpoceft. A cacia 98.3 i. Santal. citr: rosar. rub. sem. Berber. av. ii. Cera q: f.f.ung. pro remibus eu. Dentre Having(with as miuch brevity, as poslibly I could) created of the Accidents which happen to women with child and having likewise brought them even to the cime that nature hath appointed for their deliveryit now remainech, that wee handle the . meanes, to helpe and ease them in this act and travaile the which Niall be done after wee have spokensomwhaticoncerning the beginning and office of Midwives, as being the firft that are called in this busincffe.ba TV1 tote. 79 THE MEANES TO HELPE and-fuccour a Woman with child, as well in her naturall cravaile, as that which is contrary to nature, cu brode Aily experience doth lhew us, that * many women are delivered with: out the helpe of the Mid-wife, Notwithstanding Antiquity tel. Jeth us that there have bin Mid- wives evenfrom the beginning: yea that divers of that sex have practised Phyfick. Hippocrates [weareth by Apolla and Esculapius Hippocinare . and by Hygea, and PANACRA, as Gods,and Goddesses Divers wome of Phyficke an incil on 23 Phisicians Ovid doth make mention of Ocgroe, daughter to ovich Clyross the great Phyfitian, who out of her curio. fiey did practice Pbyfiskeo dowodems ro Or ] Women forbid ficke, Origen, in his eleventh Homily upon Exodus fpcakerhoftwo Midwives, very skillfull in Phyficke, which were Egyptians, and cals chem Sephora and Phua. Beside this curiosity; neceflity, ( the mistreffe of Arts) hath conftrained women, to learne and practife Phyficke, one with another. For finding themselves afflicted, and troubled with divers dit eases in their naturall parts, and being defitute of Why women all remedies, ( for want whereof many perished, Phylicke. and dyed miserably ) they durst not discover, and layopen their infirmities, to any but themselves, Higinus. accounting it to be dishonest: A$Higinus testifies co ftudy Phy who relateth, how the Athenians had forbidden women, by their Lawes, to study in Phyficke; and that ar the same time there was a certaine maide named Agnodicca, very desirous to study therein, who the better to attaine unto her purpose,didcut off her haire, andappareltherselfe like a man: and being so disguised, The became the scholler of He. topbilus the Phyfitian : And when she had learned History Phyficke, having notice of a certaine woman that was troubledin hernaturall parts; thee went unto her, and made proffer of her service; which the ficke party refused, thinking the had beencaman: un ta But when Agrodices had allured her (by discove- ring of herfelfe ) that the was a maide, the woman committed her selfe into her hands, who drest, go and cared her perfedly and with the like carc'and industry shee looked to many others, and cured them. Whick being knowne by the Phyficjans, be A Aorable 2016 2017 cause caurechey wercabycalled arly more to the cure of women, they accufedthd faid Agnodides, that thee bad shaved off her beard, that thereby Thee mighe abuse women, faining themselves to be ficke. Then fhce putting aside her.garments made it evident that she was a maidia which caused the Phylicia na then to accuse her of a greater fault, for transgref fingthe Law,whichi forbad women éitherto ftudie or practize Physicke. This being come to the cares of the chiefest viomenthey prefently went to the chiefe Magiftrates, and ludges of the City, called the Areopagites, and told themi: that they did not account them, før their husbands and friends but , for enemies that they would condemne Her mirada which restord them to their heakho which made the Athenians to revoke and disanall that Law, gin ving Gentlewomep leave to fudic and prađize PhyGicke. In ors' sodi 90 SD 9913013 Now since the greatestdisease that women can have is that of the nine Moneths, the Crifis and There have cure whereof confiftsin their safe delivery : Wee beene Midmust not doubts botihat there have beene fome wires from women addi&ted chcretoyand praaised therein, id she beginning all ages. Hippocrates speaking ofthe birth that hap- fo210 oyt nech in the seventh Monch, doth refer the Reader -vizcie zw) unto the Midwives, who are present at lucht inbours, and wilhech hibrto came the truth thereof, of them. 29(veI stes 220 sont montes Galen saith, that Midwives doe nor hid thewo: Libro de francesa Lib.z.de Facultad ney that are in travaile,eichertoraise themeltes , CO2 or to fir downc in the Chairt, before that the en Midwives in Le Go time. Naturalibus. trance morbora Socralesmo: Extraordinaris trance of the womba bocopen, for the comming foşgh of the bilde which they know by feeling with their hand, The lamic Author likewise speaLib. de caufis kethofthe errors committed by Midwives, when the receive the childe; an evidenttestinionie that then werghomefuchiaithe rinic of Hippocrat. and Galen.no. 0127953 Laertini, and valerius cal aximus do testifie, that ther a Midwife ghagersta the mother of Socrates was a Midwife: 899. and it in found thatthe ancient Iudges did appointa ftipend forthose women that pra&tized Phyficke, well-s and which we've good Midwives Lib.I.S.1.de Witnelle rilpine aslikewise, such were punithedia as had practized, dr behavid themselves famille in cognitionc. their profeffionjasic appclaneths by the Law, Item ko Olyftetsiz usul bosc 01 But anong.chofa thachave practized Phyfieke, there were some that have applyed themselves molte e che delivering of Women; and for a difference from othert; they were commonly called Syugning Wamers or elfe caused themselves to be fo. no il lovin Saligd:kos womentarcofthisdifpofition, that they ugniariacions de fins 49.0X5ell mem orsapdeafd do keeme rogoebeTwo fores of yond the Whereforeidmay calitybe perceived, cunning wo Chat there hash boens, fonecubren thae have prachized Phyficket anchoredre tharweto inployed it the delivery of women andinhdfelaftrooke Upoti S. Aph.Hip them three things as the Lawyers, Plato in his hea fituram biti tatus and Galandastwisneft ieri sites.o. 29 The fists office w49toi make the mattis end to ai e bim loxanthe husband wistiche wife; and blowige to judge, mcn, Gal in 6z.libe Firft office. The second at. 3.Sen.se Andr. judge, whether they were fic, and capable, or elfe unable, and unsuficient to have issues and beget childeep, which is very difficult to be knowlexand achisday, there is a womanfoicunning who trak ble sprellit. rw wonxlot oulogni sozlatib The second office was to bice prefeno ar she deti! very of womenyiang birth of children whether it office. were in giving ofsome medicines, ( as Terence toth witnesse) whose words are these; Let her drinke that which I appointed and the question commanded ) or guadjuje ci elle byuling her handiworke: which worke was dare bibere, committed to none, bug those that had had hijf imperasi,dale. . dreng because ( as Phato faithJonatanaotbe fb apt and skiltalt in exercising a worke not knowne, Tas they which have had the perfect kaowledge and...ne var um experience thereof. Beside the faib Midwise vizas not to beginne to use this art, before ifhtowas part child-bearing : because Diana (the Patronele of women in child-bed) is barren and also for that a myt be pat woman that beareth children is muchatroubled; child-bearing. and moreunaprtolabour and take paines. vo! bas The third office was to know anditelt whether The third a woman was withchild orno. And therefore the office, Law given a DD.fratribus did ordaino, thảr three honest Midwives, skilfull in Midwifery, thould 79.31 view and make inspegion, and then give their 2.1 , 2012? judgement, whether the Woman iwere With child. orada 29309100.5121923 -30%, my s But fince that time beside the three formeroffit. Another affice ces, they havetakenupon them authority, to judg of Midwives of the virginity of maids. Aloverthelefte all the real that matters L 3 29 The Midwife i mous $4 0.43 coach S1Cbild-birth, or lo Lib.z. mous Vniversities of Italy have rejected, and condemned the opinion of such Midwiues, who say they can judge thereof. And Master Cujacius hath done the like (for che french )saying thatit is very difficult, yea impoffible, to know whether a maid be a virgin or no;And that this powerwas never er giSven unco Midwives by the Civil Law, to judge thereof. ་ ༢ 3:3'' ་. ་. ན་ of a Midwife What manner of woman, & Midwife ought to bees 2. PS:nr: ::16 MM Anythings are requisite, and needfull in a Midwife, but they are all referred to her pcrThe quality lon, to her Manners and to her mind:Firft,concerfor her person. ning her perfon, she must bec of an indifferent age, nçithertoo young, nortooold? well composed of body not being subject to any diseases, normishapen,or deformed in any part therof,neae in herap parell, and perfon: especially having little hands & a noc thicke: cleane,and her nailespared very neere and even; neither must shee weare rings upon her CAT fingers, nor bracelets upon her armes, when she is about her busines.She must be pleasant and merry of good discourse, strong, painfall, and accustomed Her manners. to labour, that she may bee able (if need bee) to And.A&.1.se . Watch two or three nights by the woman. 4. Sane pol illa Concerning her behaviour, she mufbee milde, mulieros teme- gentle,courteous, patient, sober,chaft,not quarrelseria : nec fatis fome, nor chollericke, neither proud or coverous, digna cui com mittas primo mora blabber, orreporter of any thing the shall'eizarom mulicrom, ther heareor lec in secret, in the houfe or person of . her: temulenta ef. QUOT; ker she hath delivered.Foras Terence faith, It is not Drunkonnelse fit to comunit her into the hands of a drunkem, or reffo reproved, DOOMBAs, that is in travell of her first child. As for her mind, shee must be wise,discreet, and Her mindo witey, able to make use sometime of faire and flatcering speecheszas Plato reportech Midwives were wont to doe in times paft:whichwasdone tonoother end but onely to bufie and beguile the poore apprehensive women. And it is a commendable deceit, allowed also in a Chirurgion when it is done forçhe patients good.For as the same Terence faith. Deceit doth serve oftentimes for a good medicine in extreame diseases. Now above all things the said Midwife ought to know that nature, the handmaid of this great God, hath given to every thing a beginning, increase, ftate, perfection, &declining, which he doth manifestly,andchiefely shew (faith Galex)in the birth of the chicke och a child, when the mother brings him into the face ofa Mida world. For Nature surpaffeth all, and in that she wife, doth, is wiser than either Art, or the Midwife, whosoever shee bee, yea, then the best or most cunning workeman that may bee found, as G# Lib. 7.denia ben witnesseth.For it is the, that hath ser downethe partium. day ofthe childs conformation, and the houre of his birth: And certainly it is a thing worthy of confideration, to see how in a little space, yea even in the twinckling of an eye,the necke of the wombe, ching .. which all the time of the nine monethswas so perfeâly and exa&ly closed and shut that the point of abeedle couldnot enter theria;how( I faydin an in- IT stane : ..?! © Admirable L 3 staat it is dilated and inlarged; to give paffage, and way for the child; the which cannot be compre- hended(as the fame Galen faith)bur only wondred ... at, andadmired. The fame Author in his fifteenth booke De nju partinm , defirous to thew the pro- vidence of Nature faith, that the faults of Nature are very rare, and that she worketh alwaies, and in such order, and meafure, that of a thousand Births, there is scarce one found that isamille, 1.51 Wherefore neither the Midwife nor any of the Womans kinsfolkes, oraffiftantsjötight to do any thing ralhly, but fuffer nature to worke; helping her notwithstanding in chat which shallbee need fullas hereafter shall bee declared: dividing the worke of their delivery into three several times and seasons. wabiat meseft beobserved when the woman fieles her felfe neare hertime. Hetime of delivery being ar hand, the woman is to prepare herselfe in this manner.She must presenely send for the Midwife, and her keeper, it being better to have them about her too soon, than too lare; for there become women that are delivered sodainely without the helpe of any one, although they have beene long in their first labour. In the meane timc thee must have a little bedde pros 2 The bedde. provided her, likca pallat, which most be of a rea- fonable bignesfe ftrongand firme, and also of an in- different height(as well for her owne commodity as the Midwives, and others that shall be present a. bout her rohelpe her, in herłabour)and it must be fo fer & placed, that they may conveniently come and go round about her, it must be placed far from any doore, and somewhat'neere the fire. Letit also be conveniently furnished with beds & good store oflinnénthat they may be often changed, as need 12000 fhall require. And likewise there must be laid croffe. !? the beds feete, a peece of wood, for the woman to reft her feete upon, that fofhce may have the more strengthwhen she bendech her legs, aswe will shew star! hereafter. Asfoone as she feeles herselfe ftirred and provo-Women ia tras ked with chrowesand paines, which are usuall-in waike. this case,it were good fopher ro walkeup & down the chamber and then lay herselfedown warme in her bed and then againe afcerwards to rise & walk up and down thechamber and then lay her down warmeinher bed and then againe afterwards to tifeupandiwalkegexpc&ting tittche water beega. thered andthe Matricebe opened, for to keep her felfe so long in her bed, would be very tedious and painfull.Yesit may chance that being in bed sheet Rekis often may take fome reftand have a lotle slumber, and profitable. fobý this mtands the mother may gather more ftrcagth;& the child bierhebester inabled to come atthetimd, which God bath appointed it andalo theaters will be the bacter prepared &gachared. They vailc maft . mcnto bed. red. They may give her, if the labourbe long, a little broth, or the yelke of an egge wich fome butter, and bread, and also a little wine and water. Divers forts of . Le is very certaine, chat all women arc. not deli- bringing wo- vered after one fashion: for some are delivered in their bed; others sitting in a chaire, some standing being fupported and held up by the standers by or else leaning upon the side of a bed, table or chaire, others kneeling being held up by the two armes.But The beft way the best and fafest way, is; cobe delivered in their to be delive bed, (the which I advise them to) the midwife, and afültants, as her kinsfolkes, friends, and keepers, ob ferving this chat followes. The placing' First the woman mustbe laid flat upon her backe, af a woman having her head raised somewhat high, with a pilin frayaile. ?low underhér backe that it bow not:and under her "buttocks and as facrum, let her have another pretty big pillow, that thereby those parts may be some what lifted up for a woman that sinkerh down into the bed can never be well delivered; and therefore the well placing of them is of great consequence. Let her thighesandknees be stretcht forth and laid abroad one from another; and her legs bowed and drawn upward, having her heels & the foles of her fect,leaning hard against the peece of wood which poz'il A is laid crosse thebed for this purpose. * 2: About somethey put a fyath foure times doub led under their backe, and hinder parts, which comes round about them this fwath must be a foot broad & better and fo long, that it may be heldby CWO Women, standing on each fide of the bed,theri1 with rise with to lift upthe woman in travaile a little pulling ir gently towards them,& chiefly when her chrows come upon her. For this raising or lifting up doth much refresh her and makes her endure her throws with more case. Beside the two women that hold the swathythere Another helpe must bee two more of her friends or kinsfolks, to for a woman cake her by the hands , thereby to clinsh or crush in laboutke , them when her throwescome, and the other hand they must hold on the topof her shoulders, that she rise nor upward too much, and that shee may the better strain her felfe, for oftentimes as she thrusts her feete hard against the peece of wood, which is put crosse the bed, shee raiseth herselfe upward. Sometime I have bid one of the women that stand by to presse gently with the palme of her hand the upper parts of the belly, stroking the child downward by little and little, the which pressing did hasten the delivery,& made them endure the throws becter and with more ease. The woman in travaile being thusplaeed, must rake a good heart, and straine herfelfe as much as shee can,when her throws come upon her making them double and increase, by holding in her breath and stopping her mouth, and forming herselfe, as though she would goero the stoole, which is much fitter for her to doe then to lye crying and lamen . cing. Aristotle hath well observed, thar those women, De generatione which draw their breath upward, are delivered Animale with much paine, because they make the Midrife M 1 rise up which in this businesse, should rather be de- pressed, and kept downe. It is very fic indeed, thari the cake some ease and respite, not forcing herselfe much for every little pang that happens, which she may gather all into one, thereby to make them a- vaileable,when time fhall serye... Aetites. If shee weare about her neckean Eagles ftone, loadstone, the skinne of an Vrus or wild Oxor the like,which might keepe backe the child, let them be taken away, and tied to her thighes. But above all things she must bee'obedient to all that is commanded her, either by his kinsfolks,and friends, or by the Midwife. Likewise she must be patient in her ficknesse, callinguponGod for helpe, since it concernes both herown life,and the childs, and shee must call to mind, that hee hath said with Genes. his ownemouth; That the woman should bring forth poish labour and paine. For it would bee a rare thing to fee a woman delivered without any paine. MeEvripides. dea in Euripides faith, That shee had rather dye twice ir the warres, then to be oncé delivered of a child. Nevertheleffe we read in histories, ofa certaine Country wherein women are delivered without a- by paine. And Aristotle in his wonderfull NarratiWomen deli- ons reporteth, that the women of Ligustria doe vered without bring forth without paine and that they returneto painc, their businesse as soone as they are delivered: They that write the History of America doe tell thelike of thewomen in that country, which is; That as soone as theybe delivered, (theyare so kind to their husbands, which tooke the paines to begeg the thechild) that they presently rise up, and lay their husbands in their roome ; who are used and atcen- Men that lic-isa ded like women in child-bed. And in this manner they bee visted of all their friends and kinsfolke, who bring them gists and presents. Tke office and duty of a Midwife for the first time, Me must obserue in the travaile. He Woman that is ready to be delivered being thus placed and laid in her bed, must have the Midwife neare unto her: who ought first to aske of her woman whether shee hath gone her full time, and bee ready to bee delivered, and at what time shee conceived; then must shee handle her belly, and marking it well, consider diligently whether the upper parts seeme as if they were empty and fallen, and the neather parts very bigge and full: which sheweth that the childe is sunke downe. Be. lide, shee must aske her whether shee have any paines, and in what manner they be, where they signes of bein. begin, and where they end : and whether they be in travail. little or great and frequent: whether they begin at the backe running downe all along the belly,with- out staying at the Navell: and chiefly if they runne along the groine, and endin the bottome ofthebel- ly inwardly(that is in the inner neck of the womb) then it is a ligne that she begins to fall in travaile. M 2 And And for the more affurance, ler the Midwife thrust up her hand, being first anointed either with fresh butter, Hogs-grease,orsomeotherointment, which hereafter shall be set downe. And if she perceive that both the inner and outward Orifice of the wombc be dilated and opened, it isa signe she begins to bee in travaile, especially if there flow or come forth by the said paffage any slime or water : the which doe foreshew that the birth is at hand, as Hippocrat.saith, which if they be pale,it fignifies for the most part it will be a wench andifit be reddish that it is a fonne. Now this slime commeth by the dilaration of the inner Orifice and from the memabrane, that doth wrap and infold the childe, which begins to breake. And also by reafon of the vesels and dich are loosened from the sides of the wombe, the which may be perceived by the waters which willfwell, shewing like a bubble, or rather likca bladder full of water. And when the water begins to be thus gathered, there is no doubt to be made, but that the woman is in travaile: Hippocrates doth observe three sorts of humors that flow in the ime of their travaile: the firft is limie;the second reddith; che third is the water wherein the childe swimmeth, and here endeth the first time, which the Midwife must obfervë. ) vitamini ODNE indo scia dobar C# AB The mcanes to weisulta Sis: sa 10 CHADVOCH of the second time that the Midwife mouef obféroe.is Hen the waters are in this fore ga- thered rogether, by meanes of the chrowes, which-come bylimle and little : then the Midwife must place The placing of herselfeconvenientlyneare unto the the Midwife. woman, fitting in a chaire somewhat lower than the bed: and she must fitin such manner, that fhee OT may easily put up her hand (being first anointed) salsica into those parts, when need requires. And by this meanes (hec may know whether the childe come know how the naturally or no, for in feeling gently crosse the child comincik, membrane, that containes the waters, shee shall finde either the roundnesle of the childs head, or ellësonne unevennesse. If in feeling thee perceive that there is any hard and equall roundneffe, it is most likely to be the childs head and that he comes paturally, but it thee feele any umevennefle, the contrary may be imagined about lovos When the perceiveth that all comes well , and according to nature, the throwes increafing upon the woman and that the childe doth strive and ert devourto come forth, and thewombe doth traine it felfe to be freed of this burthen then the MidWife must encourage the woman,entreating her to hold in her breath, by stopping her mouth, and to Araine downward, as though the world goe conhe Hoole: Alluring her that the haltbequiokly cafod M3 , che 3 of her paine : and that her childe is even ready to come into the world, exhorting her to be pacient, and promising that thee fall have either a goodly sonne, or a faire daughter, according as she knoweth heraffe&tion inclined. And the Midwivesgreatest charge m it be that The doe nothing hastily, or rafhly, or by force, to enlarge the passage of che child, and much leffe to calec forth the water, or to breake and reare che membranes chat containe it :bu: de mult expect till it breake of it felfe. The wacer must Some Midwives, either through ignorance or not be let forth, impatience, or else by being hasoned to go to some insluita od 1 other womans labour, doe teare che membranes with their nailes, and let forth the water, totte great hurt and danger, both of the poore woman and her child; who remaines dry, the water being issued and voided before the appointed time; yea, oftentimes before the childe be well turned, which hath beenę the death of many women and children. But when the water, both by the endea- vour of the mother, and likewise of the child, shall benewly broken; then as well the Midwife, as the Teft of the women present; must more and more -incourage the woman especiallywhen her throwes cincrease, befecching her mche name of God, that fhe would farther them, as much as she can possi- dalyarherthe meane time the Midwife must conti, ndally anoint the neather parts with butter, or fomtcoxher fatsw, And when the head doth delle to come forch, thee must receive it gently . شده به with > Offer it @ 9 with both her hands: which being come forth,and and the womans throwes increasing she must draw out the shoulders handsomely, sliding downe ber finger under the chiidsarme-pits;takingthe oppor- tunity and time when her throwes come fafteft. And it is to bee noted that the throwestesse very licele, or notat all, after the headandıhoulders be once come forth; Nevertheleffe, it will be very fir to give the poore woman a little breathing, increa's ting her,chat she would be of asgood cheere as she can. After this,the Midwife having drawne out the shoulders, may easily draw forth the rest of thebos dy:which must not be done either hastilyorrashly. But because the child naturally doth come into the world, with the face downeward: therefore when he is quite taken forth, hee must bee turned upon hisbacke : for feare left hee bee stifled, or chok't. And if his navell-ftring hee woondabout ftring maft bee his necke, ( as many times it happens)chen mast it undone, he unwoond. Oftentimes likewise, the child is so feeble, and faint that there can scarcely bee percei. ved any breath, or life in him: and therefore hee must have a littlewine spirted into his mouth, nose and eares, in that quantity as shåll bee needfull. When hee is come to himselfe, and begins to cry then the Midwife must follow the string, wagging and shaking it, thereby to draw, and bring forth gently the after-birth, to which ic is tyed:bidding Mcànesto the woman to cough, and likewise to hold fome after burthen. falt in her hands, fast shut together, and then blow in them ..! I ada In The Navel draw forth the child. . In the meane time the Midwife, or fome other woman,must presse, gently with her hand,che top of the wonians belly,stroaking it lightlydownward the after-burthen being come, itmust be laid upon - che childs belly : and the child;together with the What mufti be after-birth, must be wrapped up handsomely in a done to the bed, and a blanket, to be carried nearerthe fire, covering the head with a linnen cloth five or fixe cimes double: and yet not 'exposing him sodainly either to the fire-light, day-light,or candle-light, left by this sodaine change his fight might be hurt: bac hiseies maft be covered that by little and little he may open them, and acquaint them with the light. But as I said before, the woman must be incou. raged when the warer doch iffue forth, and caused to straine herselferobee delivered that the childe may follow the foresaid water. And they must likewise observe diligently,whether the paines, bee the paines of travaile, orno: and whether the water bethat, wherein the child swimmeth. For there be fome women that have these waters issue out, and come away, long before they are ready to lie downe. Which I have seene happen unto divers women, and of late me eorie to Mod. Arnault, who having gone fixe or A nor: ble fory seven moneths, and troubled with a great Co fique, that had held her almost two moneths, gizaji and cooke her every day at certaine howres : Shee being at her house in the Countrey, intreated me that I would come and see her, and to have my her fixe my advise and counsell , whether it were fit for her to come into the City, which I advised her to doe: both because of the great paine she had, and also for her exceeding greatnesse : being of opinion that she might have two children, as she had had not above a yeare before. Being come to Paris, Colique was somewhat mitigated, and a little while after she voided two or three gallons of water without any paine, thinking verily then that she was not with childe;yet five dajes after she was delivered very happily, and with little paine, of a faire daughter, there following very little water,or none at all, I saw another Lady in whom these waters came away above ten dayes before her deliverie, yet she kept not her bed, but followed her ordinary busineffe. And this is worth marking, that they may be carefull not to hasten the delivery, exceprthe paines bec proper for travaile, and such as I have already described. e 3: ld CRAP. VI. The third time that must be observed by the Midwife. S soone as the childe is borne, and that the Mother is delivered of her after-birth, the Midwife shall cause her legs to hec gently laid downe, taking away the peece of wood that lay at her feets and put a fine linnen cloth, or ra- N ther ther a cleane spunge, washed in warme water, and wrung out betweene her thighs, neare unto her naturalt parts, that the cold ayre may not get thereiò: and then must she take the child, together with the after-byrthen, and carry them to the fire, 28 as hath beene said already. And if it happen that the after-burthen be longere it come, or bee drawnc forth; and that the childe may not stay so long there, for danger to be ftifled, and die, it being oftentimes very weake: The Midwife shall first tie, and then cut the childs Navell-string, to separate him from the after-bur then : Which must be done in this manner. How che Navell. Shee mul have in readinesse a good double mult besied. thread, and a paire of fharpe. Scissors : with the thread Thee must tie the Navell a good inch from che childs belly with a double knot, or ofiner : this koot must bee neither too hard and strait, neither coo loofe: for too Irait tying, beside the extreame paine it causeth, makes that which is tyed fall off too soone, and that before the scar begrowne be- tweene the live, and the dead part : And if it be tied too loose, thereof proceeds a. flax of bloud from the umbilicall vefsèls, which are not exactly closed and stopped by the said ligature: and there fore a meane must be observed in doing it. Then Where che N&being thus tied, the Navell-ftring must be cut off vell mult becut an inch beneath the knot ; and that the knot may not flip, nor the thread lide away, she must take a little fine linnen Roler,dipt in oile of Roses, wherwich hec mult wrw the rest of the Navell," and with a little fine bombaft moistned in the same oylę, she must lay it upon the belly, that it be not crusht, when they drefse and swath the child. By this ligature, that which is tyed will come to wi. The Nevell muft fall of it ther, and dry of it selfe, and some foare or five selfc. daies after, more, or lesse, the dead part will fall from the quick,which must not be forced or plucke off in any case. . Some do observe, that the Navell must betyed longer, or shorter, according to the difference of The meafure is the sexe, allowing more measure to the males :be tying thc Na cause this length doth make their tongue, and pri- vell vie members the longer : whereby they may both speake the plainer, and be more serviceable to Ladies. And that by tyingit short, and almost close tothe belly offemales, their tongue isłefle free,and their naturall part morestaite: And to speake the truth, the Gossips commonly Tay merily to the Midwife; if it be a boy, Make him good measure; but faying of Wo if it bea wench, Tye it fort. Hippocrates would have them, in tying the Navells observe this that followeth.If a woman (faith Precepes of hçe) bee delivered with paine, and the child stay Hippocrates. long in the wombc, and comes not forth casily, but with trouble:-and chiefly ifit be by the Chirurgi- ans helpe,and instruments: such children are not long lived, and therefore their Navell-Aring must not be cut, before they have either (neczed, pif- sed, or cryed. Anon after the Midwife hath cut the Navell, The muft wipe and make cleane the child, not only his A common men Na 1 Aicens Methode his face,buc his whole bodie, and the wrinkles and folds of the arme-pits, buttocks, and joyncs, either with frefh Butter, orogle of sweet Almonds. Some do it withoyle of Roses others wich oyle of Nurs, thereby to inake the skin more firme, and to stop the pores, that the outwardayre may not burt him, and likewise to strengthen all his parts. Avicenboyleth Roses and Sage in wine, and wafhech the child with a fine soft Spung dipt therein: and focontinges it three or foure mornings, when he is shified. The child being thus shifced and annointed and then well dried, and wrape up by the Midwife,or What muft be others, they muft presently give him a little wine giventhe child and Sugar in a spoone, or else the bignefse of a peale, of Mithridare, or Trische diffolved in a little wine, if it be Winter, and in Summer (by reafon ofthe heat) with a little Carduus Benedictus, or some ha other Cordiallwater, Avicen doth thinke it fufficient to give thema litcle Hony: and co rub the top and botcome ofthe tongue with ones finger dipt in hony.And by this meanes, to see whether they be tongue-eyed, and foto cut the string,ifit be needsull. after he is borne, CHAT. Hile the Midwife doth cut the childs Navell, and make him cleane, the Nurse, or some other that is present, must have an especiall Care of two things: The first is, Togive the wo- man in child-bed this drinke. Take ople of sweet Almonds repoly drawne, trob a Drinke fora ounces, Syrup of Maidenhaire, one ounce, white wine, wo beid, child water of Parietarieofthe wall, and Carduus Benedi&us of each halfeanonnce, Mingle them very well to- gether with much shaking and so let her drinke it, This medicine will mitigate and lenifie the pas sage of the throat, and Trachea Arterid, which have beene heared, and stretched with crying, and gro- ning: And likewise it will helpe roʻprovoke the purgings, and hinder the pangs and gripings from being fo violent. 2 The second is, to cause a sheep robe fleaed, and to wrap the womans backe and belly in the skin yet warme, thereby to strengthen and com: fort all those parcs, which have beene as it were disiointed, & pulled one from another, with much striving in her travaile. Avicen thinks it enough to lay upon the womans belly, a Hares skin newly stript from the Hare being alive. Then ز N-3 Then the Midwife (if shee benor busied about the Childe) or some other that looketh to the woman, shall apply beneath to the entrance of the naturall part, and about the bottome of her belly this medicine. Take oyle of Hypericum, Sairt Iohns Wort two ounces, ning Medicince Ogle of Roses,aw ounce:Two whale egget Mingle them well together, and let them bé applied as I shewed before, with fine linnen cloths, or Aax, likewise there must be laid under her hams, a little pillow doubled, to make her keepc her knees apa litle, & that her thighs& legslie not straight down. Let her neither lie along, nor situpright, but keepe her felfe betweene both, having her head and body rather a little raised, then laid low, that her purgings may,the easier come away. After the skinne hath layen there two or three daies, the Midwife, or her nurse shall take it away, and (wath her belly, rubbing & annointing it first, with oyle of Saint Johns wort, fweet Almonds, and Roses,mingled together.For this swathing serves to keepe the Matrice in his place and co drive downe gently her after-purgings, and also is a meanes to keepe out the aire, which otherwise might cause the woman to have great paines and gripings. The fashion of The swath must bee made of linnen cloth foure che fwach. times doubled, of the bredth ofall her belly;which must be put round about her back & belly smooth without any pleat and wrinkle.And while they be about this, they must take an especial care that the WO . woman catch not cold nor that the aire get nor in- to her wombe, which being'emptied of such a bur- then will easily receive it, and this might bee a They muft be meanes to make it swelfand puffe up, and to shut ware of taking the Orifices of the veines, by which her purgings cold. fhould flow : the suppression whereof doth cause paines, gripings, fuffocation, an ague, and many other accidents. Now when the woman shall be thus accommo. dared, she must be kept from sleeping, though she be very defirous thereof, and let her in the meanc cime be entertained with some discourse, and let her Nurse looke to her brests, applyingsuch things thereunto,as shall be set downe in the third Booke in their proper place. After the woman hath beene kept three or fourc houres from fleeping, you may give her some broth made with a knuckle of Veale, or a Chicken, or in the woman in Read thereof, a couple of yelks of egges, and fo let childe bed muin her take her rest : and if shee have any defire to be in quick sleepe, she may,which muft be some three or fogre123049 houres after her Delivery,the doorsand windowes of her chamber being close fhut, not making any noise. And so let this fuffice for the naturall travaile or Delivery, wherein there hath beene no difficulty: the woman being neither much troubled, nor ha ving had any great paines, but those thar are or dinary, apd such as God hath appointed; which is cez.js that. In forro nomen bould bring forthoz vali. 09-b999 uden silah disela : W W CHAP. VIII. of apainfull add difficult Delivery, with the si causes thereof. Omen are brought a bed very kard ly, and with much paine, upon divers reasons, which is an occasión that many repaire unto Phyftians and Chirurgions to have their helpe, since there bee few MidWives found skilfull, that can give them much aid or fuccour in these cases. irii Causes of diffe. A Chirurgion being called thither, ought dilicult Delivery. gently to enquire what may be the cause, and con lider carefully thereof : now the cause may be re ferred to foure things, either to the Mother, or to Cic... the childe: or cothings that are annexed unto the childe: orelseto outward things, and fo according.si' " ly must they frame the remedy. 13 Caulefrom out" In the number of ourward things I comprehend ward things. those persons that are about the woman in travaile, who if they bee displeasing unto her, are to be increated gently to withdraw andabsent themselves . Whether it be by reason that the woman hath any feare, apprehenfion, or any millike and loathing, unwilling to have them so neare her, when shee is in horcravileandanguifh ; or else being ashamed to fee ber felfecin char cafe ... on Lib. 8. cap. 2. Pliny wriveth that the ancientsteld an opinion, that the delivery might be hindered and prove difficult از . difficult: if there were any in che womans cham Opinion of ber which held her fingers lockt or shut one within Pling. another: and produceth foran example Alcmena ; Story of Alle who could not be delivered of Hercules but with much difficulty. 3. Likewife the outward aire being too cold, may Coldnckic or hinder the delivery, because it cooleth the woman, acat doth hin. der the deli. shutting up her body, and especially those parts, very which ought to bee enlarged and dilated. As allo theayre being too hot, spendethethe fpirics, and makes the woman lose her strength, remaining weake and feebles and as it were fainting, without any power or courage. And therefore the aire mult be températe, yet rather hot chan cald. 34. Pleafing fmtls, casof Muske, Civet, Amber-Effe& of swees Grise, or the like, if she have fuch about her, che (meks. Vapour whereof may strikeup into her nose) doe kinder the delivery, because they draw the wombe upwarda noi non ju doni tica. If the causes of difficule delivery bęin the mother Causes from che Mother, her felfe, it comes cither by reason of her person, or her age orher naturall dispofition, or of some otheb decidentisbee hath had, or may have s otiby being delivered before or after her times i 19 perts 1. Her person or body may be the cause theraf: as if sheebe too fat andfull : for in such women I have seene great store of fåtcome downinto their Farnelic. naturall patcs, which ftopped the passage. And in others I have seen the Caule come downe which did fo preffe and crush together both the inward and outward accke of the womb, that it could very 0. hardly Leannefle. hardly open it felfe, yea, and being dilated, and inlarged, did even clofe & preffe ictogether again. The bladder Infone I have feene and felt part of the bladder prefent it felfe arthe entrance of the wombe, A woman that is too leane and bare ; as also one in :' that is doo diccle, may likewifebee delivered with 4.* much difficulty. And when this hapneth, itcannor be remedied, as one would defire. 2. Now concerning their age : both they that are too yoong, as being too straight, and also they that are old, haviag also their naturall parts too much Ihrunke together and dried, and the bones too closely joyned together, and the Cartilages ve ту hard, which cannotlo well yeeld, and bec dila13947. i 1 cred, as in youth: 1 Laylboth of these be delivered 7 ; with very much difficulry. 3. Their naturall difpofition likewise may be a pofition. crufe tharthey are delivered with much paine. 1. Asif they be weake of constitution,pice,render, simotous, and afraid of paine : which makes them that they willnot force themselves, nor make their paines and throwes effe&uall: and when the childe is even ready to compeforch, they shrinkein themselves with the very feare they have to feele fach paine. 0'; 3. Hippocrates faith, that women which have an Pippertases. i Ague when they are with thilde, and become very dcane without a manifeft caufe, doe bring forth their children with great difficulry,paine and dan- ger: Andif they doe mifcatryor abort, then they are in danger of their lives. The fame Aachor faith, that From her dir. tro?21) clolea that those women which give but little monerifh- Libide walk'a ment to their children, are sooner delivered, and pusti, contrariwise they that feed too much, are tonger ere they be brought a bed. 3 They that have beene troubled with any fickactres; asthe blondy flux or other funcofthebelfy, Con ulsions flux of bloud: or chat haveany tumour,ulcer, or scarre which hath happened by ben ing heretofore badly delivered; or any other accident that hath made the necke of the wombe hard, straighs, which is amcanes charis caninoć be dilated,and inlarged, or else which havethe eru trance, or paffage stope with some flesh or membrane, that is natural unto them thac istofay,which they have had from their birth; All thef:{i fay) aro delivered with great paine,and difficulty, yea and oftentimes doe lose their lives thereby. Now some will think it very Itrange and almost incredible, to find a woman that should bce with childe and yet a maid, here being even from her Athing worthy birth a membrane that stoppech the passage, and to be observed. hindreth the man from entring.Whereas it isneecllary for conception, that a woman should have e theencire fruition or companyof the man,andthat he should not onely enter within the outward para fage of the womb, but even to the imcr-neck therof to carry thisher the feed and there to mingle it with the womans. But Atories in this kind make us belecve che contrary, seeing there is naruch necef fity thatche mansfeede should be carried, and caft so deepe. For in Come Womcu the wombe is fo O2 green greedy, and lickerish that it doth even come down to meet nature, fucking, and (as it were ) snatching the fame, though it remaine only about the mouth and entrance of the outward orifice thereof. A story of A Averrhoes tels á story of a woman that became verrkoes. withchild, onely:by drawing in (as the bath'd her felfe) the feed of a man that was bached in the faid Bath. 1: The yearę 1607; in May, Mafter de la Nove the A true story, Kings Chirurgion in Ordinary, and (worne in the Chastelet of Paris, was called to search a young Wo. man thc wife of a Gold-smith, who had beene cited by her Husband to appeare before the Officiall of Paris: alleadging, that mee was not capable nor Girby nature, ob be married which was an occafioti chat Gerriane Hafjarta Midwife; and any felfe were fent for to search her. Where wee found, that in the very entrance of the womb, there was a mem-, brane lodrangli hard and thicke that a mans fin 5 inyon na) a. ger, and much jedle the other part was not able to ) Loversie breakeicopen, he having oftentimes made tryall to do it, whereby he had incurreda Paraphimosis: Anditbéretoreir was concluded that her husband hada juftcauforb tirebier, bütyet for all this, that itwascurable..! oidin) 3190 0 -Whereupon her Husband thought good to call Maften.de Levryez axi Pietre, sworne Chirurgians at Derischerwveal there concluded with a generall corsent to make an incision of the faid Membrane, which:was done, and dressed and healed, to her Husbanda concent's onely he was somewhat doubt full ficke full ofthat, which the said dela Nove had observed, and told him, that his wives belly was big, and that she wasqualmilh & diftafted,vomiting every mor- ning, which made him suspect that shee was withi childe: whereupon a Midwife told him that there was no likelihood, nay it was impossible to thinke thar a young woman of eightecne yeares of age Should be with child, her husband having never ene tredwithin her maiden cloister:& charwich thresho ing onely at the barne doore, the could not be full. Whereupon Master Pietre,was sent for, who though at first he could not be induced to beleeveit,yet ac length, having well considered thereof, gave his judgement that she was with childe, which proved true, for about some foure Monethsafcer the incisia od was made, she was happily delivered at her full cime of a faire da'ighter. Mad. scaron sent for me to helpe a Farmers wifé, Another story: that was grear with childe; and ready to lie downe , who had had the outwardorifice of her wombe, for the space of foure or five yeares, so perfectly closed, glued and joyned together, that it was impossible to put a litclcprotetherein: the which had happe- ned unto her, by being ill delivered, by meanes: whereof; the entrance of the outward necke of the womb, had been exulcerated, and the ulcerscica- crized, and the sides of the said necke joyned toge- ther and yet for all this she proved with child. At the efme of her delivery,by the advice and counsel of Master Rislay, and Charles the Kings professors in Phylioke and Regent Doctor in the faculty of Phy- 0:33 ficult. ficke at Paris,Brunet, Paradis, Ridilan Fremin,Rebi. gois,and Serre ( Qucere Marguerites Chirurgion) ea it- ton and Chufjinet, Master Barber, Chirurgionsat Pa- ris , Homere the Kings Chirurgion, and my felfe, I say by the advice of all these, there was an incision maid, then presently the speculum dilatorium was so well applyed, that all the Cicatrices were inlarged, which succeeded so prosperously,thar within three houres after she was delivered with much ease. The delivery 4 The travaile may likewise prove difficult and that is too soon painful, when the woman is delivered before or af- or too late, doth provedif. ter her time; before ber time, as when it comes in the sixth, seventh or eighth Moneth: which hape pens when the wombe is too moist and weake, or else foll, and as it were stuft with much lime which doth so moisten the necketherof, that it is inlarged and dilated before the limited time. As also the vessels, to the orifices whereof, the after burthen is fastned, do begin to be relaxed, which causeth that the child cannot bee fapported nor remaine in his naturall fituation. By which change, finding the in. ner orifice loosened,& enlarged, & the membrane wherein the waters are contained, and in which the child swimmeth,to be very small , and thinnc:it begins to break, which maketh the child out of ore dergand so caufeth difficule delivery. As also com much drynesse, as it were, want of nourishment, much drines, when the mother is not well nourished, having noc · , wherewith to faltaine the child, which makes the said childe, not having fufficient nourifacne, co turne and windchimsčlfefeeking about for it, and mas car Iber casts it felfe downe, and unloosneth his bed(which isthe after-burthen) from the sides of the womb; and in the end breaks the membrane wherein che waters are contained, and ftrivech to come forth for the most part out of order. The like hapnech to chem that goe to the tenth or eleventh montech; because the childe through the length of time that it stayeth in the mothers wombe, doth grow and wax bigger, though the parts ofthe Mother wher1. by the child (being thus big) is to come forth, and paffe through, are not increasedor enlarged arall, which causech (the passages being not able to bee sufficiently dilated and widened) great anguilk and paine to the Mother especially, thee being weakned in all her parts, that serve for the expulfon and bringing forth of the child; which among the rest are the Matrice, and the Muscles of the is upper belly, which being stretched beyond mea fure, through the greatnesse and bignesle of the is child,do enlarge the fibres, which cannot afterward be fo easily drawnetogether, having lost their pro: perforce and strength. And this may be manifestly perceived in those a good disara A obfer i that cannot make water ; the bladder being too ration. full, that although the passage bee opened by a probe, yer the Chirurgion is constrained to prefie the belly, fo to helpe the fibres of the Bladder, to close and fold themselves together. Besides, the childe filling up all the space that is in the wombe, Cannot helpe it felfe so well in thrusting forward, being as it were fettered and lockt faft therein. 1 3. The Causes frona 3 The like hinderance of delivery may proceed thechilde, from the child, who having attained unto the ninth monech, is not able to come into the world, either through weaknesse or feeblenesse; or because hee is not perfe&edand ripened as hee should, and so hath not fufficient strength to diffolve che ligaments and vessels; and to break asunder the membranes, wherein hoe is enclosed : which causeth, that after he hath strived in the ninth moneth, and A double con attempting it againe in the tenth, he is not able to fit ofthe child strive so lustily for his comming forth, having been weakned with forcing himselfe the moneth before. And it is most certaine, that the childs ftaying in the wombe äfter the ninth moneth doth proceed only from want of vitall hear, which is in the heart , or that he hath it not in sufficient Why the child is staid from quantity to desire the aire, which wee draw in to commingforth. coole us : or that all the parts of his body are not strong and able enough to draw unto them suffici ent nourishment. Another cause This difficulty of delivery happens also when of difficule de the childe is either ficke or dead, and is not able to livery helpe it selfe:as likewise, when he is too bigge in all his body, and chiefly in the head : or if hee bee a Monster, having two heads, two bodies, foure armes or legges: or if they be Twins, the one hin. Divers situaţi- dering the others comming forth which will bee ens of the child'evident by the bignesse ofthe Mother or if hebe ill placed to come forth, putting formost an arme, ora legge, or both; the shoulder,buttocks, side, or belly comming formost. : . The retention 4. Now concerning that which is annexed to cause from the child, the delivery proves difficult, if the mem-elings annexed brane that containes the water,whereon the child to the chaide. doth float and swimme, be firme, folide and hard, that it cangoc but very hardly bee broken : orthae the faid membranc beesothin, that it breaks too one, and before the childebee.well wned, and ready to follow the said water, which lerves to carry him and make hiin come forth the eager: For the childe that remaines dry, commech into the world with much paine. Likewise, if the after-burthen offer it felfe first, and that it stop the palage : orif there be a Molc, or falfe conception : As also if the woman have notbin lately at ftoole, or made water; the which of excrements is cause, that the great gut being full, may close the hindørs the de- necke of the womb: aslikewiseike Blad: er being full may prefle it downe, because it is placed be- tweencthem both. Whence it is commoply fai in she proverbe ; que l'enfant eft fitué exier le boire et le manger, which is; Thatchechild is feated between the meat and the drinke. And therefore all the a- førefaid accidents must beremedied accordingly. CHAP. IX. The maames to helpe women that are delivered witb dificulty. Hat a woman which is delivered with difficulty, and mach paine, may be bel- the Chxurgion ped: the Chirurgion ought to know what is the cause thereof, and from w P whence livory DireAion for whence this difficulty doth proceed : that he may the better cure it. If icbe, because the Mother is too grosseor fat, and chiefly in her naturall parts, as also if there be any ftore of fat offer it felfez (as I have seene it oftentimes happen in great striving and throwes,) yea, and that in such fort, that it did even stop the paffage of the childe : Then the Chirurgion (as gently as he can possibly) must thrust backe, and put aside with one hand the said fat, not tearing or Meanes to help hurting it, lest ic bee spoiled and corrupted aftershem that are wards ; holding it still downe on the one side, till the childe become forth of the wombe; keeping it alwayes from falling downe into the paffage and among the bones, when the childe is ready to come forth. Considerations But when part of the Bladder is funke downe forche Bladdero and relaxed, and is manifestly perceived in the en trance of the wombe: then must he doe theļike,as he did to the fat, holding itafide upward with the Aarof ewo or three of his fingers, until the childs head be past the Os Pubis.If he finde then (as it may focome to palfe) that the faid Bladder bee full of urine : the woman in travaile not having made water a good while before then must hee cause must be provo- her to make water, by putting a fit inltrument gently intothe Bladder. Forit is seene in some, that Anobfervacion the fibres which doe contract the Bladder, and make it drive out the trimre, are to weakned, and allo the whole body thereof, that the urine cannot come forth, Some The woman ked water. Some women have beene deceived, by taking thing wor thy to bonored the said bladder,thus full with yrine for the waters which come before the child, causing the said bladder to be broken:the which is worthy ofgreat confideracion. Also the said necke of the bladder may be stop't,by reason of some Carnosity, Inflammation, or stone, which I have fecne an honest wo. A notable story man, there being a ftone fallen down into the neck in her bladder, that stopt her urine, which being put aside by the probę, fhee made water:Neverthe. lese, when the childe was ready to come forth, the stone returning into the said necke of the bladder againe, did fo fret and hurt it, through the long stay, that the childs head made in the paffage, that it grew to an Impoftume and suppuration, which made a little hole, through the which shee hath long time made her water, not being able to hold or rețaineit; which is a story worthy to be marked. But as the urine may bee sometimes ftop't, fo likewise the exerements of the great gut may be retained: which hapning, it will be moreshen neceffary for the cure thereof, to give the woman a Clyster, that may both unload her, of her excrements. The cxcre. and likewise helpe and make her delivery the more ments must bee casie. I my selfe was present at the travaile of a poore Another story. licke woman, that had not beene at stoole in ren daies before, whose great gur was so fild and stuft with excrements as hard as a stone, that it was impofsible for her to receivea Clyfter; and wee were constrained, before she could bee delivered, to get P 2 voided our’all the said excrements otherwise it had been impossible to havc taken forth the child. To help and fuccour one that is leane and barren, or elfe of little starure, as also such as are either too old, or too young: they must have recourse long beforehand, unto medicines that shall mollifie, moisten, and relaxe; not onely the meinbranes, which ought to be dilaced and stretched, that they may be made more souple and gentle ; But likewile you must annoint the Cartilages, and Ligaments that joynethe Os pubis, Sacrum, Os Corcyg', and Ilium which mult be done with oyntments already ser downe, and even in the very houre of the delivery, annoint all che faid parts therewith. Some mislike not about the end of the ninth monech to bathe the woman, either with a generall or parcicular bath, as we have heretofore appoinLed: a; likewise to give her, every morning, eight orten daies hefore herlying in, this Drinke. A Drinkero Take oike oftet Almonds, dravone withoxt fare, an she delivery ounce water of Parietary, two ounces, mingle theme together and let her drinke it. The which I have ofcentimes cried in many womengand amongst the rest inasadame Ceppe, who beföre had beené many times delivered with mucli paine and sorrow of her children dead. Bur Gacę I counfelled her to use this medicine, she hachbeen delivered (thankesbe to God) very fortunately of manvchildren living. The same remedies do likewife serve for them, that have any Callositie, op bardneffe in the paffage of Nature, The as The weak and Jainty womenmift befedwin's Remedy for yelkesofegges, cullis,a tos with wiveauet fögar,or ihedainty. Hyppocras: and thu a little at a cime, and often, - you may also give them a litele confection of Alhermes diffolved, either in wine oriHippocras:CAnamon wacer also that is well made, and not too strong, is very fit and good. And it the feare of the paine doth hinder the de- Eçare,of paine. livery,then the woman must be incouraged telling her that the shalbe quickly freed from this ficknes, and chat it is cominon unto all women; to have Such paines, cherishing her with good hopes,affuring her that her travaile will bee very calie, and A good decki, promifiig! og her, that fhe shall have either a lonne or $15.cz a daughter, according as you know shee delires 646-89,99% des we have said before, flattering and soothing her as much as you can wichout chiding or giving her a ay crosse speeches ar alle sot" bibinib Th11 The most grievous and troublefome accident, Cause of ihre which a Woman can have, thar is in 'travaile, is most crouble. when there happens untoher; any Auxe of bloud, fome delivery. er Convulsions, for either of them kilt both the Mocher and the child instätitly, especially ifile Auxe of bloud continue long: becuse through the great loffe of bloud(which is the tives treasure, the fpirics and heare are diffalved, istorings And concerning convallions, they are very dan- Why Conveni , gerous ; because the braincbeing hurt, it cinnoi lions are affoord such ítore offpirits asare needfull, for the dangerous, respiration of the Mother, and the childe, who breaches onely by means of the fowisthat are in ܪ im. parted P. 3. parced unto him by the Arteries of his mother, which causerh him tobe choked& stifled. Befides, che great convulsion, makes the Midrife, andthe muscles of the upper belly, move so violently, that the child is much thaken, and rursbeth him and his mother in dangerto bestified and die... What must be Either of thète accidents happening,arelse both done in fuxes together, the mother and the chi de mult bee facsions, coured without any delay,which shall be done to speake in a word) by delivering her. And this ought co be done, either by the helpe of a Chirur gian,or else of a very skitfull Midwife. Lib.de superfamione. Hippocrates well observed it, when he faith. If in A good fen- a difficult travaile there happeni a great Auxe of tenceof Hifpo- bloud, without any paine beforethe travaile, then is there danger left the childe come forth dead, or that he will not live, and therefore she must be lodainely delivered, the which we have oftentimes feene ( to gur greatgriefe) happen untodivers women, that have died, through the obstinacy of their friends and kinsfolks ; yea and some also through their Pyhlitians and Chirurgians feare', who delayed the time, thinking, and hoping that the fluxe would stay a telling them that the child came. naturally, being well placed, with his head forward and that the mother Thould bee delivered even of herfelfe. I know there be many both Phyfitians and ChiTürgians, chat will appoint divers inward, and outwad medicines, yea to make revullion and alter the course of blond, will cafea veine to bee ope ned CrAICS. : رز ned in the arme once or twice?: rather than con- fent to this practice. But yer of all their medicines, I could never fee any that did good, but that in the end they were constrained to use the hand : the which I counsell tobe done specdily, and chiefly if you knit the Mocher bee at her full time, and ready to lie downe, which may bee both knowne of the wo- ; man, and also perceived by the throwes{he hath, or which went before ; as also by the dilatation of the inner Orifice of the wombe, whi h will bee open: and likewise feeling with the finger, that he waters are gathered, and ready to conie and ifue forth. And when the water fhall bee broken and Agood oboler come away, then so much the rather must the child valion, be taken out though the woman have not gonea. bove foure, five, lix, fevendreight moneths. And sometimes the yee water be notbroken, waters muftbec must note that if they and that the flux of bloud be very great, then you shall let forch the water, by dating and fretching existin gently she inner Orifice of the wombe': thereby to draw forth the childe,as we will shew hereafter. But because many women are subject to a flux of Caution cona bloud in their fourth, fifth, fixth, fetventh, or cerning che fans cighthmonevkof child-bearing; being not as yet multobserve from what place thisbloud is fent, the which may beefgom the entranceor Vagina of the wombe, and nor from within the body thereof, wherethe childe is contained and inclosed, which may beeeality perceived, if the woman have no throwes, orifcheinner Orjfice of her womb be not 1900 openg 2 let forth, . of bloud. ready to bee delivered :-therefore the Chiu. de open, but close shut; then there isno likelihood of any delivery towards, for bloud may iffue and When they come from the said oui werd necke or vagina, boch mult nor bcdc- in Maidard Woman with childe: If it be to, then livered in a Hisk of bloud, it will not beo needfull to meddle with such wo men or to force them at all, but only you must proce dio medicities that shall stay the said flux of bloud, Aswewill sljew in the Chapter of the after purgings chat flowimmoderately in women new ly Delivered. A wartlay fen It may alsp happen because the woman is Ple. . tince of Hilton thoricall, and fallofhloud:In this ale we nustf :1Nevtl. Mwder.. low the opinion of Hippocrates, who faith, that if a woman that is in travaile canno! be delivered, and ibat her paines continue many dajes: if foee bee olj zagnie soos Noung, lufty, and fullof bloud, you may let her ; bleed in the foot, if herftrength will beareita Bucif the be troubled with any ulcer tumour exdenes that may crefcençe of Aesh, Hemorroides, inflammation, hinder the deli chapps, or the like, which may chance in the necke ofthe wonibc theo shall fhe be handled as we will Thew in their proper places. All the which indispoti u 2 foi 2. Syain to fțions may make the delivery difficult , and cause, solut chat the parts cannot beediared, according as it is firandpecessary, for the childs comming forth. Forremedying the delivery that is too s one, or 100 lare: Wemu{t have regard anto thecause, and according thereto it must bee mred, andchiefly that which shall concerne the Mother; wherof we willtreat when we come to speake of the Abertment- it being my purpose in this place to speake onely Orbericci very. de fault is frein onely of those things which are fit, 'and ought to bee done in the time, and at the houre of the deli- verie. Now for the comforting of a woman,and easing Cure when the of her travaile, when the difficulty doth proceed the child from the child; as when he is weake, tender, sickly, or dead : aslikewise if he be too big, or a monster having two heads or if he beill turned and that he offer himselfe amisse : then the Chirurgion in this case{hall helpe,and set to his hand in this manner. First,ifir be through the weaknelle, or tenderneile of the child being ficke:che Chirurgion must not delay one minute of time,co hasten thedelive-, When the deli. ry, and hee must incourage the woman to doe the very mu& be like.If the head come first, then shall hee proceed hastned. therin gently, as in the naturall delivery: applying beneath and chiefly about the fundament, and os Pubis, which are the two utmost parts of the natu Oinmentsikud rall paffage, some ointments with the fingers ends, made for the having his nailespared very close.For this annoin purpose. cing will provoke and stir up the Matrice,to thrust out the child. The oyntment is this. R. Axang. Anser. Gallir.sepius in aq. Arthem. lot. anz is. Axung.porcirecent.z i.Butiri recent.z ii. Mucilag.sem.Lini,Cydonior.in aq. Sabine, vel Ar- temis : extract.An. 3 vi. Ob. de Castor.z i.Gallia: moschat.3. i. Ladani3 is.Libethi 3. s. misce omnia fimulprolitu. Hee for his part must incourage the mother, ġi- ving her a little confe&tio Alkermes, and likewise let her take this Clyfter. R. Bif Ointment, A Clyfter. A Drink Rc Biswal. cum Radic. Matricar. Mercur. an.m.i.ari. Jatoch.noftrat. Di&tamni. Arthemis.ax.m.s Flo. Lavandul p.s.sem. Lini. fenugrec.an.zs. fol. fera mundat. 3vi. fiat omnium decoctio, de que cape quart.iij . in quibus diffolve, Diophenie. Hiere fim- plic.ar.3 iij.ol.Rutac.Cheyrin.at. Zij fiat Clyier. Shee may also take this drinke, which I have knowne to doe good to many. Rc Cort.Callistul.contus.zs.Cicer.rub.96.s.Di&tnm. Aristoloch.rotund. Anbj. fol.fena mundat. Hermo- dačil.and ij.fl. Løvandule 38.fi. Decoctio in aqua Arthemis. Petroselini adziij. de quibus disolue Cinamomi.3i.Croci.gr.vi.fiat potio:This potion is to be given in extremity. Amatus Lusitanus doth much commend this me- dicine. R. Cipamomi. Troch.e. Myrrha an.31. Croci Dk.exa: cipiatur cum vino generoso. Rondeletius doth praise this. R.sem.Lavardul. 3 ü. Sem. Endin. Plantag.an. Dii. Piperis Disfiat pulvis Aq. Caprifol.Endivid av.zii. fiat Potas. Amaius Li- TANUS Rondeler. Label L'abotins approveth this drinke, and faich that it will even expell,and bring forth the dead child. R:Confect. Alkerur. sem. Lavandul Endin. Plantag. đa 5%Tro bac Myrrha,Borac: 9. Calori. . 49.artbemis.Bugtofizini albi #1.5 difiat potws. Ano. Another. Rk Borac 3 jis. Cinamomi 3 ij. Croci gr. iij. fiat pulvie o cum aq. Arthemis z vj, fiat potws. CHAP. X. : of divers deliveries wherein the operation of the hand is used. And first, what the chirurgion onght to consider before he sets to his band. Hen the Chirurgion shall bee called co deliver a woman that is in travaile, and cannot be delivered naturally: before he venter to doe any thing, he must consider two things: the first is, Two things to know whether the mother have strength enough dered in the le must be confi. to endurethe violence of Manuall operation : and deliveries. having found that she is able, he must then search whether the childe be dead or alive,for sometimes the childe is taken dead, and sometimes alive out of the mothers wombe. Nowas concerningthe Mother :First the Chi- Considerations rurgionmuft behold her face, heare her speake,ob-concerning thş Mo.hcr serve her doings,countenance & behaviour; then prefently must he feel her pulse, which if he find to be equall , strong, nor intermitting, and that she be not much changed from her wonted friends ; and likewise if the poore woman, her friends and kinsfolkes doe intreat him to helpe her, afturing him that she will courageously endure all that he comes QC2 Thall shall do unto her:then following the advice of her The Mother kinsfolks and friends he must go aboutit : foreteldoth hazard her life in the ling them neverthelesfe, that this kinde of practice delivery. is very dangerous and that the Mother venters her life,feing that the childe is either dead, or else likely to die if he be not already. But if the Chirurgion finde that her face and fpeech is decayed and weakned,,her countenance changed, her pulse small frequenr, sometime inter mitting and formicant : and that shee hath often Remedies muft swoonings, Convulfions, and cold sweats: then hee not be diffa. med. muft forbeare for feare least he bee blamed, and thereby discredit those meanes which should have profited, and may also doe goodunto others. signes of the Now you may know by these signeswhether the childes being child be alive or dead. Ifthe child stirre, it is a signe he is alive; which the Mother may conjecture, and alsoth: Chirurgiòn, by laying his hand upon her belly, And for the beter assurance hereof, hee must blide up his hand into the womans Matrice; and search for the childs Navell. Itin holding it betweene his fingers, he feele a bearing of the Arteries ; as also if by laying his hand upon the childs temples, or else handling the wrist, or sole of his foot, he finde rhár the Arteries doe beat, and like. wise, if in putting his finger into the childs mouth he perceive that he either fucke,or wag his tongue, it is a signe that he is alive.";? Contrariwise, if the foresaid things doe not conSignes that the curre, and har the Mother feele a heavinele, and thạcin turning of her felfe, (whether it be on the alive, right side or the left) the child doch fall like abowl, if her belly be cold, and that there come an ill fent from her, if her breath smell Atrong and her coon- tenance looke wan, and of the colour of Lead, and that the childs Navell, orafrer-birth offer it felfe formost,besides,iftheChirurgion,puccinghishand UP finds the child to be cold, without pulse, nei- ther fucking, nor moving his tongue : then I say it may be judged that thęchilde is dead. Batas the childe may offer himfelfe, being dead, Thechild come in divers positions, or fashion ; So likewise muft we meth after die use divers considerations and meanes to draw him vers fashions.f! forth: as we will more particularly shew hereafter, ។ CAP. XI. . The meanes to helpe a woman in travaile, kaving tithall aflux of bloud, or Convulfions.i. ] W E E have fhewed you before thac a woman being in travaile, and ha- ving either a flaxofbloud or Con. vulfions, she must befpeedilyhel- ped, because the deferringordelay thereof will endanger her life.? Wherfore you must proceed herein after this manner. And fince that in every delivery, the fin 2020'; } tuation is a matter of great consequence to make situation for its it the more facile and easie : thereforo you must all deliveries; begin in this fort, Sabaco liso coas 11 Firler. The right plas First, the woman must be laid overthwart a bed; cing of them. both for the better conveniencie of the Chirur gion or Midwife thar fhall deliver her, and also chat fhe may be held and stayed behinde che faster, by some strong body, so that shee neither slip forThe Commo. dity thereof. ward norbackward, in the operation or drawing forth of che childe. Likewise, there must be one or each side of her to hold her knees & thighs firme, and to keepe them asunder one from anocher : her knees must be bowed, and her heeles drawne up- , rii V: Ward, as we have said before in the naturall deli, very) her head.muttbee laid upon a bolster lying crosse the bed, her backe being a little raised, and her hipslifted somewhat higher with pillowes laid under them, and her hinder parts must lie within halfe a foot of the beds fide. She must have a linnen cloth three or foure times double laid upon her stomacke and belly, that may reach downe over her knees evento the middest of the legge:So that neither wind nor cold may offend her,nor any of the affiftants see what cheChirurgion toucheth, or dóth, and likewise that the woman bee not afraid of him, when he shall be about his busineffe. And therefore Hippocrates for this reason would have the womans eyes shut or covered. When the woman is thus placed, the Chirurgi on must put up his hand (being first anointed) into The clots of the first entrance of the naturall parts that he may bloud muft be take forth all the clots of bload, which hee shall lite finde chere. Then he must confider whether the inner necke be 1 be wide enough for him to thrust in his hand, and to turne the childe, if it bee needfull: Now ifthe inner necke benot sufficiently dilated, then shall The inner he, as gently as possibly he can, and without any neck may be violence having first annointed all the parts there dilated. ofwith fresh Butter, or some ointment) ftretch ir by little and little, till heger in his hand : if the water be nor broken, he need nor bee afraid to let it out: then prefently ifthe childe come with his head formost, he (hall turne him gently to find his feet, which he may doe more easily,ther if the wa- ters had been let forth before: because, that much moisture doch make the childslide, and turne ber- ter,chan when he is drý, And when he hath found one of his feet he must draw ir gently without vi. olence, and tie about it a piece of ribband, wich a Niding knot, that hee may put the foote in againe How the feet (leaving the riband hanging out) to make the may be found. more roome for his hand to goe in and search for: the other foot, which may be done by sliding his hand all along the childs thigh. And having found chem both hee shall draw themoutgently in adi- rect line, giving the womag a little breathing and bidding her to straine herselfe when she fedes any throwes, or puines, then the Chimrgiod (having in areadineffe a fine linnen cloth warme, hee must wrapit about the childsthighs, forfcare least hee flip out of his hand, if he tooke him naked) and fo plucke gently, untilt his battackes appearcy and the body with the head doth follow ; oblers ving geventheleffe, that his belly end breast be tir 3? zeriors ned ned downeward, as wee will shew hereafter more particularly, Experience will make it manifest unrous, by the stories following, how necessary it is to deliver a woman with child, when a flax of bloud,or convulsions do continue: and that she cannot be saved by ordinary medicines. Aftory, The yeare 1599. Madam Simon yet alive, daughter to M.Parens, Counsellour, and chiefe Chirurgion to the King;being readyto lie downe was surprised with a great flux of bloud, having about her Madila Charomie for her Midwife, and likewise M. Hantin the Kings Phyfition in ordinary, and M.Rigault Doctors of Phyficke in Paris, and because of great swoonings that took her every quarter of an houre through the losse of bloul shee had : Mafter Marchant my fon in law and my felfe were sent for; But I finding her almost without pulse having her The Chirurgi. on muffereteli voice weake, and her lips pale: I told her mother che danger, and her husband that shee was in great danger of her life, and that there was butone way to save her, which was, to deliver her speedily: the which I had seene pradized by the late M. Parens her Father who had caused me to do the like,unto a Gentlewoman of Mad.de Seneterre. Then her mother, and her husband earnestly intreated us to helpher, and that they would put her into our hands to dilpose of her. And so fodainely following the advice of the Phyfitions, she was very happily delivered of a liuely child. Acocker story. - The yeare 1600. I was commanded to gocand bac vifit ANA VIV in a flux of visit a great Lady, that was taken with a great and violent flux of bloud, through a fright she had of a great thunder-clap: Being come unto her, I found They must rest chat her flux was much mitigated ; buc thee being houd. constrained to goe twelve or fifteene leagues from Paris, and fearing lest that the said flux should con- tinue, she was brough thither by my sopne in law, Master Marcbant, by water : where she was no soos ner arived, but her fux of bloud tooke her againe, which made him dillike it, and judge that it would prove ill, contrary to the opinion of Master Dela Riniere, the Kings chiefe Physician, who was there at the lame time: Whereupon I was presently fert for in post, together with Master Renard the Kings Phyfition. We being come thither, found things in better efate; and the said Master Dela Riniere, tooke leave co goetowards the King. But on a fud- den the faid Auxbegan afrelh, which made them send for M'. Marescot, and Ms. Martin, che King's Phyfitians, who notwithstanding were not come before her delivery: which the kinsfolks& friends of the said Lady, and likewise M. Renard, M.Mano chant and my selfe, were of opinion to hasten, be- cause of the great losse of bloud she had, and the often swooning that rooke her: bot as soone as the was delivered, the flax of bloud ceased. The yeare 1603. Madam Danze, or Chece, being Thechird fory: in travaile, was taken with the like flux of bloud, which held her from morning till cight or nine of the clockeat nighr; having with her the Queenes Midwife, Madam Boursiere, MLe Fieure, Riolan, R Le { Le Moine, regent Do&ors in the faculty of Physick at Paris, and Mc. de Saint Germain Master Apothecary, were called to looke unto her; and because fae lost much bloud, they called Master Honore, the Kings Chirurgion, who being unwilling to actempt any thing without'my advice, I was likewise sent for. And as soone as I was come,my opinion, with the rest of the company, was to deliver her: which was done by the said Honore, the childe living The fourth Hi.. Of late memory Mad. Coulon, (being assisted in story. her travaile by Mad. La Charonne, a very skilfull Midwife) having a great flux of bloud; after that Mr Martin, Hantin, Corsuty, Pietre, the Kings Phyfitions, and Doctors of Paris, had given her many things for the staying ofthe said flux, in the end for feare left by losing her bloud, shee might also lose her life, falling into a syncope : with their advice she was delivered by the said Honore, and presently herflux was stayed. Anadmonition. But as these women and children aforesaid have for young Chi-beene saved, by being delivered in time : SolikeJurgions. wife these following lost their lives, because they were not succoured, as art and experience did require, their kinsfolks & friends being unwilling to have any goe about it in due time : whereof thefe two Histories may beare witnesse. Mad. Vion being ready to be delivered, fell into Another Scory. a great flux of bloud, and though some were of opinion to deliver her without further delay ; yet this being deferred upon the counsell of others, who who hoped to stay the flux with ordinary medi. cines they suffered her to loose her bloud,by little and little, and at last to loose her life. The same chance hapned to Madam Gaselin, who not having helpin time,dyed, even as it was forctold, it would come to paflezhaving lost all her bloud, before she would give her consent to be delivered:whichwill be a good occafion, to admonish a young Chirure gion,never to deferre this worke when he iscalled, and sees a great evacuation of bloud. It is now five and twenty yeares, fince I saw this practised, by the late M. Parens, and M.Hubert, of whom, wee are bound to acknowledge and willingly confeffe,that we have learned both this and many other experi- ments. Mad.de Mommor, being about five and twenty Another fory yeares of age, and neere her time of delivery one this purpose day found herselfe ill, about foure or fivea clocke in the morning, nevertheleffe she rose and went to Church, which was neere her house, her paine by fits began agajne, and shee fell into a continuall flux of bloud: At three daies end she was delive- red with great ease, without any helpe of the Mid- wife: and presently after, followed the after-bur- then : Nevertheleff: hce died the same day, at night: and was kept a pretty while by her friends, who could not perswade themselves, that fhee was dead:At lastbeing opened by M.Pinean, the kings sworne Chirurgion at Paris, in the presence of M. Faber, and M.Ballon, regent Doctors of the facul- cy of Physicke, ar Paris ; her wombe was found broken agreeing wich : R2 cerning convulfons. broken,& rent,right in that place where the veine and arcery hypogaftricke, afcend toward the mid'ft thereof; which likewise were dissolved, and gave way to all that issue of bloud. As for the convulsionswhich commonly happen through the childs great striving, when hee defires to come forth &(not being turned aright)doch fo extend the womb that the said convallions follow therupón:here it is to be feared, leaft all within;wil Stories con- be torne and broken, and therefore itis convenient to deliver the woman with al pofsibl speed, which have beene practized both by my felfe, and of late by master Binet a sworne Chirurgion of Puris,a man of great experience, whobeing fent for by Doctor Boxuart, to deliver Opportune Guerrean, the wife of silvester the Printer, which had beene in labour from eight a clock in the morning, til nine at night: and finding her pulse very weake and small, as allo The Chirurgi- the woman deprivedofallfence and motion at the first he was somewhat fearefull . But being intreated by her Husband, and fearing least Thee might either die fuddenly,or elle fall into convulsions: he purcing hishand into her wombe, found the childs head, (che warer not being broke)which he let out, and presently delivered her with much ease, and {hee is yer living. Therefore wee need not expect, til the said convulsionsgrow stronger, for fearleast the womb bébroken,and torne through the great Itriving of the child, when hee is nor able to come forth, as wee may plainely see by the stories following The The yeare 1607. the said Master Biæet was sent Awonderfull forstogether with dele Moine, and Alton Master Bar- story. ber Chirurgion at Paris,to cut up the dead body of Iome du Boys, and having opened her nether belly, found the child upon the guts, who had brused and broken the wombe, and paffed quite through it, there being store of bloud-shed in the capacity of the said belly. Master Pineau, Guerin, and Launay sworne Chi- Another florya : rurgians of Paris, can beare me witnesse, that in op pening a poore woman, that died in the Hospitall of the Citry, we found her childswimming among the guts in her belly, the bottome of her Matrice being rent and torne. miert ch flate CHAP. XII. ght all Ith The meenesto helpe a woman when her efter burar ther comes formoft. . igh wild Du and els calt Fthe after-burthen offer it felfe for- When the after most the most sure and readyway burthen comes to helpe the Woman is to deliver is a music of formoft,there fluxe her fpeedily, because most com- bloud, : monly there followes a continual fluxe of bloud. For that the orifices of the veins are opend, which are spred in the sides ofthewombe, and there meete with the vessels of the afterburthen:& when the Matrice doth ftraine and force it felfe, to put forth the childe, then doch it thrust out both the blond that is contained there in, C 2 in,and that which is drawne thither, either by any heat or paine.Befides, when thechild is inclosed in the worabe, and the orifice thereof, stopt with the after-birch : then he cannot breath any longer by his mothers Arteryes,& so for want of help he will How she child be quickly choked, and even fwallowed up in the is stifled. bloud, which is contained in the womb, and which issuech from the veynes that are open therein. But before you attempt any thing, these two points must be observed: First, whether the afterburchen bee come forth but a little, or else very much: if ic bee but little(when the mother is well placed)it must be thrust,ard put back againe with Observations as much care,as may possibly bce. And ifthe head the afterbuch of the child come first , let it bee placed right in the . thn. passage, thereby to helpe the naturall delivery; but if you find anydifficulty,or if you perceive that the childs head cannot eally be brought forward, or that the child,or his mother, or both together bee weake, foreseeing that the travaile will bec long, then without doubt the best and surest way is, to search for the feete (as we have faid) and to plucke him forth gently by them. Another ob The other point to bec observed is, that if the fervation. said after-birth bee much come forth, and that it cannot bee put backe againe: as well by reason of the bignesofit, as also of the fluxe of blood, that commonly companies ir: and likewiseif the child When the after follow it close, staying onely to come into the birth must bee world: then must the after-burthen be puld away drawne forth quite and when it is come forth, it must bee laid ao Gde Mulier, The after birth side, without cutting of the string that cleaves upto it. For by the guiding of the said string you may the easily finde the child, who whether hee be alive or dead, must be drawn out by the legs, with as much dexterity as may be. And this must be done onely in great necessity, that the child may bee quickly drawne forth:as it may be easily judged by the sen- tence of Hippocrates, who saith that the after-burther Lib. 1. de Morte flaould come forth after the child, for if it come first, the child cannot live, because he takes his life from it, as # must come laft- plant doth from the earth. Sometime ir chanceth, that a part of the after- birth, as also the membrane which containes the waters doth offerit felf like a skin and comes forth sometimes the length of halfe a foote; which hap- pens to such women at have the skin wherein the waters are contained swelling out to the bignes of ones fist and more, which breaking forth of them- be felves,leave the skinne hanging forth, and yet the child not following it, which happening, it must It must be pula not be violently puld away: because the afterburi led Gently. then oftentimes, is not wholly loosened from the fides ofthe wombe. So that in drawing that, you shall likewife draw the said after-burthen, and so consequently the womb,orelse part therof, which commonly brings the woman into extreampaines, and fainting, yea and oftentimes to deach: Which hapned to my great griefe Junto a Gentlewoman, A Story. that died as foone as she was delivered, who put- : ring her selfe into her nurses hands, who tooke up: 97 on her tobe a Midwife, and was so ventrous, as ro pluck 2014 SW ach th art hoi chi He The remedy. plucke and draw forth the said membrane,and part of the after-barthen,which came to light by means of her Chamber-maid, who had kept it, and shewed it us after herdecease, webeing very inquisitive to know the cause of her death. But when this happens it mul not be pulled away but rather gently be thrust in againe, or else you may put in your hand betweene that and the neck of the wombe, to find the childs feet, and so draw him forth, as we have shewed before. I have ser downe this Story more ar large by reason of the great forrow I tooke for this Gentlewomans death, whom I had delivered twice before with mineowa hands,commingnot foone enough. to helpe her the third time. ! Chap. XIII. The meanes to Deliver a woman, when her child is dead in her wombe. Hen it is certainly knowne that the child W is dead, the woman must be placed in the same manner as it hath bin fhewerà, sek where wee spake of the taking forth of the childe, when there is a flax of bloud. If he put forth an arme, shoulder backe, belly or Whar muftbee done when the other part of his body first, he must be turned with child comes ill. all diligence, and drawne forthby the feet, as wee will more particularly declare in every severall de livery, according to the fundry fashions wherein he may come, either alive or dead. If he come dead, with his head forwards, & that The woman must be spect there is no hope at all of the womans delivery with dily helpedo out helpe,and that her strength begins manifestly to decay: the sureft way is to apply the hand. And then the Chirurgi- on shall thrust gently his left hand being wide opened, berweene the childs head, and the necke of the wombe:and with his right hand he et must put betweene the said head, con and Mat of the hand, an Iron Cro- cher, fuch a one as you see here fi- gured unto you. The figure or portraict of the Crochet, wherewith the dead child may be drawne forth of his mothers belly when hee comes with his head forward: the which is so lucked within the os pubis, that it can not bee' displaced or puht upward, to turne and dran forththe child by the feet, without much hurting the mother, and often endangering her life. It will Likeveife ferve to take forth a head, that remaines stone in the wombe : It must bee tenne or twelve inches long, strong, and thicke, and large enough to take held. So Which must bee fastned to the fidcofthe childs head, as about his care, or bone of the Temples, or in in some other place if it may be done S conve. conveniently, as within the hollow of the eye, or the hinder bone of his head, the Chirurgion keeping his left hand in the same placewhere he puric. first, and therewith he shall wagge and stirre gentSkill in draw- ly the childs head: and at that very instant, with his ing forth the right hand wherin he holds the crochet,so fastned, child, in any part ofthe head, must he draw and bring our the child:bidding the woman strive and force her felfe,as though she would be delivered alone. And iç is to be noted that the Chirurgion must take his time,to draw him forth when the woman falls into throws for while the throws continue the child flides forth the easier. Ofrentimes it chanceth, that the Crochet canObfervation not be put high enough at the first, to draw forth in using the the head all at once, so that after it is come forward Croccher. and drawne out in part they are faine to take away the Crochet; from the place where it was first fastned, and put it in againe to take new hold higher in another place, which the Chirurgion may doe very fitly,asiç hath beene shewed already. Likewise, if the Crochet be not well and surely faltoed at first but that it slip,and lose the first hold, then it will bee needfull to fasten, and put it in a surer place. 121 from The child may Having drawne forth the head and the Crochet be surely drawn ot.co being taken out, the Chirurgion shall nide in his Shoulders. fingers very cunningly under the childs armepits, that he may draw forththe shoulders, and the rest of his body for by this meanes he shall bee easier drawne outchan by the head:which must bc tone & very out by the OVOG very leasurely, without any violence, giving the woman leave to gather herstrength and expe&ting till her throwes come upon her. While the Chirurgion is about this worke,they must give the poore woman, a little wine, or else let her sucka coste sopr in wine,or Hippocras: per- swading and incouraging her that she shall quick- ly be delivered. This manner of drawing the dead child out of Şafe way to the mothers womb is safer, and speedier, then that draw the child which is used by turning and putting backe the childs head, to finde his feer, and sopull him out thereby. For whenfoever the childs head is much entred within the ospubis, it is impossible to thrust Inconvenienhim upward and turne him without much indances to turne che gering the Mother;and causing great contusion in the wombey from whence proceeds divers accidents, and sometime death as I have seene it often happen. I know some will alleadge, thar they have taken forth children alive, which were thought to have beenedead, in the mothers wote with the faid Crochet: and that they have presently dyed,onely crap with the hurt they received by the Crotchet, and certainely this is a cruell kind of pradice. Whereto I answer, that wemalt diligently looke, and condder, whether the childbe alive or dead, before we put in the Crotchet,and ifthere be any appearance Confideratiof life, -wee mult deferre the taking of him forth onsin using the therewith, as long as we may: But being dead, I see Crochet. no reason but we should take the child forth ; with the child TY wied. Question whe- the said Crochet, for the causes heretofore mentio- ther the Cro- ned.But if the childe be alive, it is a great question chet may beca whether he ought to bee pulled forth by the Cro- chet: prefuppofing that the Mother,having lost her Arength, is ready to die, except this meanes bee used: it being more expedient to lose the Mother than the childe, who would both dic if that were deferred any longer: and whether to fave the Mo- ther, fwho is more deare than the said childe) this pradife may be ventured.But as I thinke, there are none that goe about this businesse but with some touch of conscience, which being a point of Divi. nicy, I leave to be decided by them that are more. conversant cherein than my felfe. . CHAP. XIV. The meanes to draw forth a childe that is fwolme and proff up in his mothers wornbe; together wah the 3 manner of draping the head vohen it Stages behinde. Feħe dead childe continue long in The dead child the Mothers wombe, he may eafily (wels, and is. puft up. bé putrified, and not only his head, breft,and nether belly, swolne and filled with wind and water, but likewife his leggesand feet will be puft up. The childethar This fwelling and puffing up may also happen isálive may likovilcbcia through all the childs body, though he be alive, ha helweldcu ving either the Hydrocephale, or swelling of the head; or the droplic, either of the lungs or belly; Or, or elfe being Lencophlegmaticall. This accident hapning when the childe is alive, he must bee het. ped as being alive, not delivering the Woman co the childs loffe. Bucif hebe dead, and ye perceive that his head, breast, or nethet belly is swolne, or fil'd with wind or waterish matter, then the Chirurgion must putup his hand carrying in the hollownesseof it a little crooked knife, very,fharp, made after this fashion, & with thefaid knife he fhall divide and cut the part wherein the wind and water shall bee chclored, (whether it be the head, brcaft, or belly) which being let forth, the childe will grow lelke, and the wardshe may the more da d lily be taken out of it! The forme of the Knife to divide the Smolne parti, percbank bee of this bigreffe-bere deforibed that it may the better be carried within ones haadto the place that muft beecut or an opened. phether it be the beach, bréaft, er belly. It may so happen, that the childs arme come ming formost , through the long stay it makes with out, as also because ithath bin pulled by violence, S 3 will 1 will be fwolne, yea, and even gangren'd, that'ic cannot poffibly bee thrust backe againe, that the childe may be drawrie forth by the feet : If it fall out to be fó, then the arme must bee pulled oar as farre as it can, and if it may be done conveniently, ler it be cut off at the joynt of the shoulder, or else as neare unto it as may bee; the bone shall bee cut off with sharpe curting pincers, or else sawed off very eaven, the skin and muscles being put aside, char so the bone may bee covered with the said flesh, muscle and skin which will fall over it ; and allo that the bone through his roughnesse and hardneffe may not hurt the fides of the wombe, the stumpe that was cut or lawed, being put backe againe. Sometime the childs head will not follow the body, either because of the bignefse thereof, or elfe becaufe the chilie is illturned, that in drawing him forth, he chances to have his belly, stomacke, and face lying upward : which causech that the body being wholly come forth, while they would also draw forth the head thechinne takes hold of violently, the body onely is drawne, and the head not moved, stickech falto For the remedying whereof, that the head stay not behinde; the body must be gently turned, placing the face downward : (as wee said before) for by this situation, the head being moved up and downe, will be easily drawne forth with the rest of the body, by holding the body with one hand, and theospubis, and beina ren'd, that it and putting a finger of the other hand into ther ine, that the childs mouth. et : If it fall And when the head sticks, the Chirurgion must pulled on: thrust his left hand into the wombe, and put his onveniente , fore-fingerinto the childs mouth, to stay the head, uilder, or di which by reason of the roundnesse of it, and moishall be a sture of the wombe, rowles and slideth up and elfe fawedol downe, not being easily stayed; then with his right ang put alit hand let him puc in the Crochet, which must bee with the fir hooked or faltned either in the temples, hole of over it ; a the eare, hollow of the eye, or else in the mouth 3 and then let him draw the head gently, both with che Crochet, and also with the left hand, having his fore-finger in the childs mouth, and so bring him forth as cunningly as he can z taking his time alwayes when the Mother is in some paine, that so the childe may be the easier drawne forth, ughnesien fthe womb ing put back ot follow the thereof, in drawi , stomack Eth that of they woul akes holdo the bod , ed, sticker ne head sta turned, pla before) fo ved up and ith the relt one hand, and The meanes to helpe a poman in her travaile, when the child comes with his head for most,but having his necke awory, and his bend afide. B Eing now to speake of Births that are contrary to nature, we will beginne first with the Head, as being the worthieft, and most notable part of all the body. Sometimes the childe comes (as he doth naturally) with the head formoft, but it is placed amiffe, which may 1 bendafides . ther and the Eier travail, when the may bee after foure severall fashions; either the oroft , but having titi - headlying upon the backe, or opon the stomacke: his or else upon the edge of the shoulders, inclining towards one of the Mothers flanckes, which makes that the childe cannot come forth straight, and Ve in a direct line: because hisnecke is bowed, and ftads awrie.Hebeing thus turned, it is very hard, yea, even impoffible, that the Mother should bee delivered, either through any indeavour of the childs thrusing his feet against the bottome' of the Matrice: norby åny labour of the woman, forcing likewise and training herselfe as much as shee can potlibly by holding in her breath. Bur contraris When the Mo. wise, the more the childe ftrives to come forth, child ftrive in and injoy the outwardaire, the more he incangles vainc. and wreathes his necke, so at the last, both his strength, and the Mothers, are together much weakened, through the painethey both suffer: the childe being in danger, by reason of the great com- preffion that must needs follow the wreathing of his neckezand also by the hindrance of respiration, though he breathes onely as yer by the Arteries of How thechild his Mother; untill the after-burthen bee loosened, brcatheses for then he cakes breath at hisownemouth. The Marrow also of the backé, and the knewes( being the inftruments of motion) may therbiy bę lopreš fed together, that the animal spirits may be inter- €èpted, which depriveth the childe of all motion, arid consequently of life: wherefore, it willbce ve- ry necessary to help him speedily, which ought to be done in this fort.Firstler the Mocher beeplaced T and of Births that are e, we will beginze ead, as being che olt norable parto etimes the childe Daturally) wich d amifle, which may Icaneth. and hold after the fame order we prescribed for the helping of them, that are troubled with a great Flux of bloud. Then the Chirurgion, having his hands annointed (as wee said before ) sball put up his right hand, being open, as gently as he can pofa How to find libly, to finde on which fide the head doth leade, which way the and is turn'd: if the childs head leane upon his childs head breast, his hand will meet first with the backe; ifir bee turned toward the backe, then hee shall light upon the breast: or if the head leane upon one of the shoulders, then hee shall finde the other first, which will also be inclining somewhat toward the womans flancks; which when he hath found, before he goeabout to remove the head, and bring it into his naturall fituacion, which is to place it dimust firstwith cheenince the Marrice, hee the body of the child, either by the shoulders, or backe, or by the breaft: for by this meanes the head of the child, will not leane fo hard against the sides of the wombe : lochachis necke will even Way to bring the head come of itselfe to the right place. And for the Straight better help, the Chirurgion at the same instant Chali slide in his other hand yet not taking out the former) wherewith finding the place where the head doth relt, and leane: heç may casily draw his hand toward the fide of the childs head, and foshall hec bring it gently to the naturall place : and by this meanes, the childs head will rest betweene his hands to be fet right. The like also may he do, by putting his hand gently, toward the hinder part of the ped for the the head, and to set it right, having first thrust the childe upward, either by the backe or breast: the which is seldome done, because it is a surer and Another way readier way to thruft him up by the shoulders: and towards the Mothers flancks, then either toward to say the truth, the child; head 15 UL corned her belly or her backe. can por th leare Ecke ; if ball ligh 1 ODEC Cwari XVI. The meanes to helpe a Woman in travailt, when the childe comes with the band and arme together, with the head formoft. eito He childc should come into the world with his head forward, and if therebe any thing that comes with it, it is con- trary to bature. If the hand and arme offer chemselves, and come forth of the wombe, this travaile is contrary to nature, and therefore dangerous, because the arme takes up the roome Thehand comes the head should have, & hinders it fromcomming ming forth right; according as it is turned, either to the right delivery fide, or to the left or else upward the head leaning upon thebacke: or downward, being placed upon the breaft,(as we skewed in the last Chapter when the necke stands awry) which unteffe it bee helped in cime, it will bee very hard for him to come safe into the world. For the hand and arme comming forth, by rcafon of their tendernee and Toftneffe, being never so little crushed or held in the aire : they T 2 gronco arme. they are quickly altered and spoiled and will bee swolne and pufcup exceedingly : yea, and fome, time fall into a Gangrene, which I have often feene ming forth, fais come to passe: and therefore it will be very necef: into a Gan- fary to redresse it fpeedily. But especially the Chirurgion must take heed of pulling the said handor arme; because it is im. Inconvonience possible he should draw him out therby : For how of drawing the much the more the armeis thratt, whether it bee chide by the by the mothers, or the childs striving, or else by che Chirurgion, who labours to pullit out;so much the more will it make the head and necke to bow and bend, either toward rhe stomacke, backe, or fides ; it being impossible that the head and arme should come forth both together, because the said head is so enfolded and engaged in one of the faid places: and therefore this order mustbę obseryed herein. First, the mother must be laid upon her backe, The pra&tice.. her head and necké lying somewhat low, and her inconfondon's hips fomewhat raised: then the Chirurgion hasiert gou hands oyled, (as before) shall anoint all : ) 32: the womans.farts with that hand, which is most fit; according to the divers situation of the childe. If the hand onely,come forth, heeshall take it at the top of the wrist, and so thrult it backe as high as he can, guiding it all ałorg the sides and fancks of the childe, and having placed it there, he must pull backe his hand, to give place to the childs head; 'which at the fame inftant; with his other hand, 'must bee brought and pue right against the necke of & his id will bee of very nea ned er it has r eller ;[0 m2 ito bom f the wombe - And the bettento fetit adght, he and some muft with both his hands being spread abroad, and often feen placed on each side the head, thrust the shoulder upward with the ends of his fingers (as we shewed in the former Chapter) that the childs head maý take her be ser in the midtt : which will be easie for him to e it is in doe, in taking the childs temples of his head, beFor hos tweene both his hands, and by that meánes fec ir strait. And when this is done, lechim suffer the The woman woman to rest her selfe :-hirtle, asluting her that must behcalle." herchilde is well placed and that by and by he will come naturally into the world : Therest shall bee acke, a performed, as we have shewed in the naturall dead are livery; placing the woman aften the same order, as hath beene faid. But if it chance that the childe be dead, and that the arme bee Gangren'd, and so swolne, that it cannot bee put backé, then mustic oble be helped in the same manter as wee have shewed. before, whichoughtrobe done with all speed, for back feare of the putrefaction that may happen uinto it. dhi SitemboChap: XVII.gr ni asceris abbinice Type:) 29300 como Themeanesto helpe thetrāmjai latchereinile? - 49 Son Yarhild comes with both his hands axis Colariness and hentformos 101 belgavpito jutro coria's goi -Ang men are of opinion that the travaile Comparing of wherein the childe puts formoftboch his the cwofgres of deliveries, handsand armes, 19 not fo dangerotis and ADS difficultas the foriner, when there is burone:BED -ke cause helai of the nh nta oftoi de 1 gh a M T 3 of caufe when both the armes come thus ftretehed out, the head is found just in the middeft of the passage.But since that both armes must be put back againe, as in the former, before the child can come into the world, (it being very hard and dangerous to draw him forth by the armes) it hath made mee alwayes thinke that this kinde of delivery is more troublesome and dangerous than the former. The delivery Notwithstanding this may bee said to bee leffe where boch dangerous for the childe, because howsocver hee to come forth, and for all the throws that the formoft, is not fo fe dangerous. Woman can have, yet the child cannot wreath or turne his necke alide. But yeçrofay the truth, it is 12 armes come more more troublesome, both for the Mother, and the Chirurgion, yea, and sometimes for the childe also. But the best way to proceed herein is, that the The pra&ife Chirurgion, after he hath placed the woman (as is aforesaid (having his hands annointed, as also the parts of the Woman, he shall gently pur in his right hand and bring one of the childs, armes to his due place, by stretching it out at length, along by the Hanckes and thighs;& presently withdrawing that hand,he shall thruft in his left, tobring the other arme into his place, as he did the former. This be- ing done, hee shall marke, whether the head of the childbee placed right, in the meanetimefuffering to take some ease, not holding her so much backe, as when hee placed the armesofithe child. Then shall hee place hergasin a natural linch, but if he finde that the head of the child becurned aside, and be not set dire& against thepaflage, as it üfeth to be in a naturall birth, then thall,he gendly puc in both his bands joyned together.& presently opening them, he shall touch ongly with the ends - ec boven of his fingers, both the shoulders of the child, and the put him backe easily toward the bottome of the Matrice : and being so put backe, the head of the childe will come between his hands;which he fhalb easily place aright against the passage ( as is aforefaid) by taking both.lides of his head, or temples betweene his hands, and so the delivery shall be pere formed naturallysorsodini ! 31.07:19:39 CHAP... edium CHAP. XVIII: :::* The meanes to helpeth or both the child zen' 10'N comes with feet 5. it...formosta COPII, 16.12 Hensoever the child, comming into the World, doth put one or boch His feer formoft, the Chirurgion Thallplace-he Woman ( as it hach been oftentimes told,) and having his hands annointeil, lec'him chuse whether he will draw the child foith by the feet:or else if he thinke it better, to put back either one or both the feet and so turne him, and bring his head straight to his passage. For my part, I thinke it the better and Safer way to draw him forth by the feet, then to tur n'him upfide down, and fifc. his feet up ward, thereby to bring his head downward to the What must be paffage. And therfore, whether he come with one, obferved con- or both his feec forward, the greatest care must bee cerning the to know how his whole body is placed, & lies in his Mothers womb.as whecher his face & belly be türned toward the morhers backe, and his shoulders, backe, and buttocks towards her Navell: likewise whether his armes bee separated from bis thighes, flanks and sides, which ought allo 'o be diligently observed in al births that are conítrary to nature elpecially in those, when the child is drawn forth by che feet:For when you draw him out of the womb, child. with his buttockes, backe, and hinder parts of the head, turned toward the backe of the Mother, and his face toward her Navell, and belly,then without doubt the feet, butcocks,body and shoulders of the child being drawne forth, when the head commeth to the Os pubis, it will hang therein: which being fo catched, it will be very hard, nay impossible, to draw forth the child and if you draw him too vio- lently, it is to be feared least you breake his necke, especially if the childe betoo big, orhis head great. Therefore when you have drawne him by the feet cill hee is come forth, as farre as the buttocks, and walt, betore you draw him any further, you must , marke diligentlythe pofition of the body, whether the bell breft,and face;be upward or no. For if he be so placed, before you draw him any further, you must turne him upside downe which you shall per, forme, if you hold him fast bithe buttocks, and hips, with both your hands and turn the whole bo- dy(withall drawirgit genly)and fobring the bel- ly,breast, and face downe ward, which being done you shall draw him forth witheate, without dan- ger of staying, or carrying the head upon ospubis: which must needs happen, if the child were drawn with the face upwards. And this have Iwell obfer- ved, being called to the deliverie of fome women, where this chance (for want of good heed tak ing) hach happened, the head sticking within, and put- ting us to great trouble, to draw it forth. Beside, whinebeste when the body is thus fituared, if both the armes armes are be stretched out above the head, you shall bring fretched out. downe V downe one of them close to the side and let theo- ther stay ftretched out that when the shouldersare come forth, the said arme may be as it were a lay, or splint to the necke,for the passage of the head, to hinder the passage from Phutting or closing up, and fastning about the neck ofthe child and fo hin- der the child from comming forth, notwithstan- ding ofrencimes the childe is so slender and little, that foloon as the lhoulders are come out, present- the hcad followes atter and needech not the help of an arme, to bee a rest for the necke. Now the Chirurgion when he hath thus observed and marked the situation of the child, or else having after that manner put him backe, if he find the child may bee easily turned by lifting his feet upward, and bringing his head downward, he may The fafest way gently make triall of it. But if he find that there is işto draw the any difficulty therein, then the belt and surest way child forth Ly is to draw him forth by the feet. Therefore, ifbut che feet, one of his feet come forth, he shal tiea riband about it, that it it bee needfull to put it backe againe, to fearch for the other, he may the fooner find it and draw ic forth. For it were enough to teare the child alunder, and fokill both him and his Mother, to draw him forth by one foot. Therefore, whether the first toote hang out, or whether it be somewhat put backe againe;let it ferve for a guide to find the other, che Chirurgion putting his hand all along flow to find or the said leg and thigh even to the Perineum, neere foet. the which he fhall bee sure to find the other thigh, part and afterward the leg and foot, (unlefle you meet 31 Cheo with them first, ascommonlyit fals our.) But the Tureft way is to do it the first way (that is to find the thigh first ) because oftentimes there are two children, which if it should so happen, then might you cake one foot of the one, and another foot of theother:&thinking that theywere thefect ofone child onely without doubt in drawing them forth after V 2 after that manner, you would kill them both, and pur the Mother likewise in great danger of death, because it would be impofhble to draw them forth both together, And you must observe, that to draw a child well out of his Mothers wombe, you must' have a napkin,or some other linneb cloth, that you You must not may not hold the child naked, either by the feet , hold the child thighes,or other part of the body:but let it be with a warme cloth for your hands being annointed, and grease, and the child being also moist, he will eally flip from þetwcene your hands and you shall naked to the . not cake so tronghold as is fit, for to bring him forch. And yerit may happen that the inner necke Anobfervæion of che Matrice may not bebwide, as to give way or Midwives hand, without great difficulty and paine, the passage being not bigger than to admittwo or three fingers,by which nevertheleffe ir is found in what manner the childe comineth. If you observe that one foot orboth come formost, you must proceed according to this example. Being at Muret with Count Charles, I was called, A Story. together with the late Mont. de la Corde, onedfche Kings Physicians, to deliver a poore woman which hadbin in travaile two dayes and two nights : the Warers being broken, and the childe lefedry, the neckeof her Matrice was closed, she being nomore urged with paines or throwệs, which I observed by Ilipping up my hand unto the said necke, and get- ting two of my fingers therein, where feelingone of the childs feet, I perswaded my felfe that I should deliver her well, which I did in this sort. First, when I had placed her well, I anointed my hands with burrerand Hogs grease melted together, and with store thereof kanointed the in ward necke of the Matrice, as well as poffibly 1 could: and when I had somewhat dilated the said necke,with three of my fingers, I cast á riband with a fliding knot upon the childs foor , faftning it gently, and then againe dilating the said necke, I found out the other foor, upon which I flipped an, other riband as I had done upon the former: Thens didi 20 * V 3 r did I draw both the ribands, and brought the two feet together, which when I had drawne out aa- to the buttocks, I beganne againe to adoint, as before then taking a napkingleštit should slip, Ibad the woman force her selfe as much as shee could possibly, especially when thee felt her painesand throws comming:and then drawing sometimesdi. rectly,and, fomcimes toche one Gide, so to enlarge the paffage, I drew on the child gently turning the belly thereof downward, that the chin might not catch in the Ospubis, as I have noted before. Sometimesthechild comes not with his feer, but ils die in shan Gencs si : Li Nini Libro with his knees forward, and in this case the Chintr- gion shall use the fanne art as before, considering sib first him forch. first, whether it bee fitter to bring the childs head formost, or to draw him our by the feet. If he will draw him out by the feer, he hall'bring him into the foresaid situation, that is roleteise face of the child be turned towards the Mothers backe,and his CH backe toward her navelt: then shall hee unfold or unloose the legges that were bowed and bent; and shall draw them forth first and then the rest of the body in this fort. He shall slide his hand from the How to diant knee of the childe, along the shinne, tillhe come to the foot, which hee shall draw forth, and tie a small riband about it, and put that foot in againe, letting the riband hang out: The like shall he doe to the other foot, and so fhall hee easily draw out the two feet. Then let him draw forth the thighs and butcocks; and if the childe lie with his belly, breast', and face downward, and his buttocks, backe, and shoulders upward, let him inftantly draw gently out the rest of the childe, (15 we have faid before. But if he be placed contrariwise, hee The child muf must turne him gently, the face downward, left be turned. otherwise the head take hold upon the Os pubis, by thechinne, as we have said before. I have often repeated this fashion of drawing outthe childe, for feare left the young Chirurgion erre in performing it otherwise;which if he should doe, he will be much troubled in drawing out the head, which may sticke by the way as I have seene , it happen co M hando: CHAP. AGE1 CHA P. XIX. The meanes-bove to helpe a Woman when her childe commeth with both the feet and both the hands together. Hechilde comming into the world may offer himselfe to the necke of the Matrice in divers fafhions: as (beside thosethat have beene spoken of) with both the feet and hands formoft:the buttocks, backe,and headofthe childe, being so bene and bowed againft the bottome of the Matrice, te which doth presse and thrust him dowoward, that the said hands and feet come forth with such vio A cerriblekinide lence, that it is a learefull thing to see, and full of of delivery. danger, because of the difficulty to remedy it ; the Matrice bearing downe it felfein such fort, and to noufe ; icbeing impossible that the childe (hould be borne whileft he is thus situated. And therefore it will be necessary in this case to give helpe with as muchspeed as may be : The praaise whereof is in this manner fashions Firft, you shall place the woman as we have said Meares to help before: then the Chirurgion having his hands an- che cravailc. nointed, as is required; if the child be alive,he fhall aię first with his right hand to put the feet inco the Matrice, making themslipap as easily as he can to che bottome of the faid Matrice, and with his left hand shall hee stay the hands that they come not forth further: the feet being thus thrust backe, presently he shall either put one of his fingers into che childsmouth, or else cake him by the hinder part of the head, to bring it dire& against the parsage; in the meane time parting backe with hisleft hand, the childs hands and armes, that they may fall close to his fides:then taking the head between the palmes of his hands,he shall place it just against che passage : Whichbeing done, the birth will fucceed naturally, both by the helpe and striving of X the 162 m. Vi Child-bistbjoneladi Liba. Lib.z. the child and also by the enderbürof the:Mother, when she feeles her throwes come upon her: But when the Chirurgion (hall finde, that the A lurer way to draw forch the feet, legs and handscannot be put bạcke, and that childe. the Matricę doth bicare downward, and shur it toidu peas selfe, not suffering the feet to flip up, then must he, of Proits to with all the Art he can put back with his left hand, the childs hands and with his righchand draw the fset gently, caking heed that the childs face and belly may bedownward andfo draw out the child, as hath beene shewed before.i ..!!! Likewise if the Chirurgion find that the childbe dead, hemust draw him forth by the feer, without troubling himselfe to bring the headof the child to slow the paffage. For every dead child because he is hor 5.6.19 urls able to give any helpecóthe birth, bur that all the habour isto come from thei Morber, is oftentimes the cause of her death b And therefore the furėkt way is to turn him so, that he may be drawrie oue by the feet, orellęwith the Crochet, The Authors As formyselfe, I am ofthis opinion, that it is betopinione terwhether theichailde be deados alive (ifhe come with his feet and hands formolt)ichác the Chirurgion bring him forth by the feet, then to turne him, and bring his head formost, and folexpe&a nagural birth: forinichis striving, che Morher han ving bin mych wearied; and the child roach weak. ned, the deliverv(though itbe naturall) will prove very long and difficult, in regard, that neither the Mother, nor the childe can have much strength lefe themWhercaszlibyou draw him forth by the feet, feet, dieitherthe Mother northechild being much weakned the birth will be the more easie, and fora tunatezAs I have alwaieshad experience. 23 istio sosip Zuidooij noben 333L in @HAP. XXaod.com usc bins 6, LTD The meaner how to helpeaWoman pohen. her child corpus donble,putting formaft, either the sides of the Backes ned shoulders, or else the Buttoskelainen B Eside the former delivery, which is, when the child comes double, putting his hands and feet formoft: (there likewise happen divers other birchs that are noleffè difficult, and X2 dan dangerous: For when he comes side-long with his Sides: Backe,or Shoulders next the passage, his feet must needs be on the one fide of the Matrice, and his head on the other,lying quite crosse; so that the child, bearing on both sides with his head and fece against the wombe, doch extend, and stretch it to no purpofe, whereby the Mother growes weak and faint:which neither the, nor the child can long indure without danger of death; because his striving. helps not at all for his comming furth. A dangerous figuration, The like may happeni,when the child purs out his thighs and butcocks formoft: which kind of birth is very painefull and difficult, because the childe fils all the Matrice: Which the Chirurgion perceia ving, he shall consider, whether it be better to curn the child, and bring formost his head, or elfe his feer: if he can easily bring the childs headuntotho passage, he shall proceed in this fort. First, he shall put in his right hand ( being anpointed as before ) to turne the child, and having found the shoulder, with the palme of his said hand he fhall lift the child upward, that his feeț or knees may be toward the bottomeof the Matrice; whilst the head fäls and slides downward : and shall hold it fast at theorifice of the womb, with his left hand, being put in at the same instant ; and by this means shall bring the Armes close to the thighs, and fidesof the child, that the Woman may be naturally-delivered. But if the Chirurgión finde any difficulty to lift the body upward, for the bringing of the head downeward:then shall he slide his right hand under the childs armepit, and Todraw him gently, yet not making the arme come forth, co place the head right against the passage. go But ifche Chirurgion find any hinderance inbringing the head downeward, and that he thinkes hee can more easily guide and bring the feer to the orie fice of the wombe, then the best and furest way is.to draw him forth in that fort, by the feet: and certainely when the child comes with his buttocks formost his head being upward, then mayyou soor neer mecre with his feet and bring them easierto, the orifice of the Matrice, to bee drawne forth as wee, have shewed before. But when hee shoul puts his X 3 shoulder of bačke formol,then may you the more easily lift him up to make his head flip downward; or elfe take him by the Armepit, and fo bring genely his head to the neckeof the wombe, to deliver him naturally. :,.vs. bil: Chat. XXI. Lucas ord:12 The manner of helpixg the delivery whereix the child comes with his belly and breast formojt. sas He most troublesome, and painfull situation of a childin his mothers wombe, is when he comes with his belly formoft, putting out his navell, his legges and armes being turned backwards:For when he is placed in this manner and strives to come forth, he chrusts against the fides of the wombe with his hands and feet and so boweth backward, and bends the backe bone, that he brings himselfe as it were into a circle, whereby he enduresand suffers much paine, and likewise isweak ned exceeding much,unles he be speedily helpt:and besides,by his comprefsion & striving, hee caufeth the mother to endure much paine, and anguifh, without any profit arall: both which doth require to be speedily redrested, which may be performed in this forr.Firstche Chi rurgion rurgion shall place the woman in good order (as Meanes to help hach bin said)&then shall he slide up his right hand the childer (being first anointed) to observe and feele what part of the childs body is nearest, which hee shall perceive both by his feeling, and by wagging and stirring the childe up and downe : If the breast be next next, he shall cake (withthe said hand) the child by the shoulders and top of the arme, bringing him chereby gently downward, afteward lifting up his hand, that the childs head may fall right towards the passage, putting in presently his left hand to receive and set strair the childs head, which may bee turned on the one side, and that being done, the delivery shall be afterwards performed naturally. Another confi- But if the head cannot be casily brought down ward, or that the belly and top of the thigh bencerer unto the passage, then the Chirurgion shall put his right hand along the childs thigh, to find one of his feet, which being found, he shall cast about it a riband, with a sliding knot, and then fhall he seeke for the other, and bring them both gently to the passage, and so draw him forth by the feet, taking hold of him with a warme napkin, betweene both his hands; observing alwayes that his face and belly be downwards, for feare left when the shoulders are come forth, the chinne catch upon the Os pubis, as we have shewne more at large in the Chapter of delivering the childe with the feet formoft, to which place I refer you,shunning often repetition. deration, CHAP Lib.z. tbe bappy Delivery of Women. 169 CHAP. XXII. The weates to helpe the birth when there be twins, the one comming with his feet the other with his head formouft. IT T cannot well bee perceived a wayes, whether a woman beares cwochildren, though she be in Y travaile : man when the travaile : for I my selfe was present not long since Ore may bee as the delivery of an honest woman, who brought safelydelivered two children: and when she was delivered of the of two chil. first, the Midwife (not expecting that there was a second) was ready to draw out the after-burchen, but that I perceived another offer it selfe, at the passage, which as it came naturally, fo was shec delivered thereof very torcunately. But if it fo fall out that the twins doe come, the one with his head, the other with his heeles formost, then the Chi. rurgion (hall behave himselfe in this fort : How hec mua First he shall consider,which of the two children deliver the wo. the woman may be easiest delivered of. If the head Twins come ill, of the one come not so forward as the feet of the other, it will be calle to draw forth that childe by the feet, putting the others head a little aside, and when he hath brought that forth, he must presently set the head of the other right against the pas sage, and encourage the woman to bee delivered, which will the easier be done, because the other hath prepared the way. And it is happen, that in delivering the first by the feet, the second should change his fituarion; then the Chirurgion shall looke after the feet, and draw him forth, as he did the former. And when the head of the first is very forward, then shall hee thruft backe the feet of the second, to give way to the others head, that he may come naturally. If the heads of both the children come together of Iwo twins. to the paslape, che Chirurgion must takegreat care, for it is impoflible for him to make them como forth The way todeliyor a woman forth both at once, (except they bee very little.) And therefore he shall put up his hand to try, whe ther both the heads are placed in one, and the fame line, and paint of distance ( as commonly it happens) or else whether the one is further forward then the other : And especially bee must obserue whether the two children bemonstrous, and unnaturall, or no. As whether there bee two heads upon onebody:or ifthey beioyned together, either by the backe or by the belly, as it is often seene, which he may easily perceive,by sliding his right hand open betweene the two heads, putting it as high as he can, to fecle the division; and then drawing his hand downe againe gently.between the two heads hee shall thrust aside the one to give place to the other, which hee must bring right to the pallage, leaving the second nevertheleffc in his naturall fis tuation. And when the woman feeles her throws come upon her, then shall hee by all mcanes bring forward, the former that hee would receive, holding downe the other, with twoor three fingers of his left hand ( leasthee should offer to come forth) and shall endevour onely to bring the fira into the world. Which being donc.; if the second bee not well fituared, he shall bring the head forward right to the neckeofthe Matrice, and being brought thither, hee may easily come forth, because the way hach beene prepared, and made ready by the former. But you must observe, that the first being come forth,hee must bee taken from berwcene his mothers legges, for feare least he indanger his life; Y 2 but but you must first tye the navell, as we have shewHis Navell ed. And besides it will bee very necessary and fit squst be eyedo before it be cut, co tye the rest of the navell ftring, that is faltned to the after-burthen,with a large and ftrong thred, that it may therby be the cafier found and drawne forth afterwards. For the threed that binds the Navell, being left too short, it may slip into the womb,and thereby much trouble the mother: When the second childe is come forth, the Chirurgion must search whether there bee twoafterburthens, or no. And if it happen that after the second delivery,the two after-burthens should not The afterbur, come away so soone as they ought: then must they bee proveked, for feare least the Matrice being fpcedily. emptied ofcwo children, might chance to finke downe, and shut it selfe close together, thereby as it were to retain the said after-burthens, & by this means hinder the delivery ofthem, which must be remedied, as we have fhewed before. If the two children should have büt one body, I am ofopini- on that for theperformingof this delivery, it would be a more easie and safe way to turne the head up- ward, and draw him forth by the feete, than to make him come forth with the head formoft, ham.. ving an especiall care, when hee comes forth as far the buttocks, that you guide and draw them forth with all the art you can poffibly:at which kind of delivery, I my felfe was never present. chen must be taken away as CHAP CHAP.XXIII. The meanes to helpe awoman in travaile of Twins, their feetecomming formoft. S two twins may chance to offer themselves with their heads so likewise fome times they may happen to come with their teete formoft. When this chanceth, the Chirurgien ought to observe,whether the twins bee separated, (as wec -faid before or whether they bé unnaturall, as ha Y 3 ving a ving foure legs,one or two bodies, & likewise one or two heads. Now the belt way to find it is, that the Chirurgion having his hand annoinced (as beknow whether forellip it up gently wide open:as high as he can, che child bea and finding that the twins are not ioyned together monster or no. bar divided and diftinguished, he shall bring down his hand betweene one of their thighs, and pulling ir a little lower, shall take hold of one of the twins feet, (that which he thinks may be easiest drawn forch, and cye about it. a riband, with a sliding ) koot,cowards the Ankle: then fhall he put his hand along the said legge and so even to the butcockes, that thereby he may find the other leg of the same child and ioyne them together, and not bec mistaken ( taking one legge of the one twinne, and another ofthe ocher: For if he should doe fo,ther without doubt in drawing of them forth, he would teare them both alunder:) but being certaine by this meanes, that both the legges and feet, bee of the same childe, you may draw them forth gently, (as we have shewed before ) caking care that the childecome with his face downward. When you When the firft have thus drawne forth the first, you shall in the must be taken] fame manner, proceed to the second: having first taken away (as is said before the other, from betwecne the mothers legges. And if it happen thac one of the twins come naturally, with his head for, most and the other with his feet: and that his feet are more forward then the others head: then the Safest way will beto draw him forth first, that hath his fect formoft: having first of all put the othera is come he away, fide that offered himselfe at the passage. But if the head of the one beeright against the passage, and the feet of the other on the one side, then shall hee put backe the feet gently, and deliver the woman ** first of him that had his head formost, and afterwards draw the other forth by the feet. It may also happen in each of the former births, lemust bee that one of the twins may be dead, and the other knowne which living.Howsoever they are placed the Chirurgion is alive. must bee.very certaine which of them is dead, or alive. Which he shall know by feeling them about The mcanes to the Navell, Temples,orregion of the Heart Hand-knowite wrists, or Ankles, where if hee finde no Pulse, or beating of the Arteries, then hee may be sure that thechilde is dead, as also if heebee lesse horthan the other : and when you put your finger into his mouth, he neither fucke it; nor wagge his tongue. But if you find all these fignes concurre,then there How you mult : is some likelihood that he is alive and therefore it draw him out. will be best to bring his head right against the paf sage, that so the woman may the sooner be delivered, which will be done the moreèafily,because che live child can better help himselfe chan he that is dead. But if the Chirurgion thinke that he shall hardly bring the head to the said passage, and that hee finde the feet are nearer and readier, then I would advise him to bring the childe forth by the feet, and when the woman shall bee delivered of che onc, let him draw forth the other in the same fafhion. CNAP. XXIV. of the staying the after burther #fter the delivery. Frencimes it happens, after the woman hath beene delivered, whether it be na turally, or by the Chirurgions helpe : that the bed whercupon the childe lay, (commonThc After-bur- ly called the After-burthen) as being a second burthen may be then or delivery of the woman, because when Atøpt. that iscome away the Mother is wholly delivered, doth remaine fastned to the sides of the wombe, and cannot very eafily bee separated from it, and though it beloofned, yecoftentimes it cannot bee pur forth: The which may proceedeither from the Duadrinefle of the Matrice, and after-burthen, being se i destitute of their moisture, or because that it is Causes of the swolne and Atretched, or else because the expulsive Ictension of the after.bur faculty of the wombe hath beene much weakned th, by a long and painfull travaile : Whereunto may be added, that oftentimes the Mother hath beene so wearied, and brought fo low, and become so faint, weake, and feeble, thar fhee is not able to straine or force her felfe at all. Now it is most certaine, that after the child hath left his Mothers wombe, the said after-birth is a thing contrary to nature, which must needs be taken away and sent forth : And therefore one of these two accidents mast needs follow, either that the : che quicker which is the wombe) thruft forth the dead, (which is cheaster-birth :) or that the dead kill che quicke. And surely, chat being retained, it doch breed in the Mother, most pernitious, and dangerous Symptomes, as swounings, oppref fion, and sufocation : yea, and fometimes being corrupted and putrified, it is an occasiori of death. For the preventing whereof,there must be great care and diligence used in the bringing, and drawing it forth: which must not bee done rafhly, but leasurely by often (liaking and moving it. In the meane time, takiag heed that neither the Mother,nor che wombe, cake any cold, for feare left it be fodainely clos’d and sati uprand therfore; first of all, if the woman be weake, you shall give her,ci. cher fome Broth; Gelly yelkeofan egge, or else a cost and fuger. And you must likewile pur in praXize, that we have formerly spoken of: as to make her Cough, freeze, and blow in her hands, holding falt thercia : and beside you must give her medicines, that are proper to expell and drive forth the faid after-birth, which are such, as wee formerly prescribed, in difficult travaile: as IK.Succin.stercor.Arcipitr.palan.z6.diffdreju vi- A Drinice te no Hippocratico, & fiut porus. expell the Be Troch.de Myrrbo, Gall. Mosch. Zj. Cinamon. 38.Didam Cretenf-Sncein.rafer.ofsiuw datijhor. AR. Əä. Piper. Creci . arh. j. fiat pulvis,capiat po ddfazlaum uino Salviatico, od cum aqua Aribe- mifsio. Z Gefner after birth Other expe riments, Geswer in an Epistle he writes to Gafferus faith; That the ftone of a horse, dried in an Oven, being made into powder, and taken the quantity of a drag me, or foure scraples, is an excellent medicine. Horatius Augenius reports in his Epistles, that he hath made otren triall of it, and faith, that hee had it,of his father, fora secret. Ifche afterbirch comes not away for all the forefaid medicines, then must you come to handyworke: and for that purpose the Chirurgion shall place the woman in the same fashion he did, in the drawing out of the child: then thall be put up his hand: (annointed as before) holding the Navelstring, which will ferve him for a guide to find the after-birth; and when he hath found it, hee shall observe and try diligently,whether it stickes to the sides of the wombe, orno: If the said after-burthen cannot come forch, because the passage of the. Matrice is too straite, it being shrunk together and swolne with paine: Then shall she use medicines that relaxe and mollifie, as the liniments appoin-, ted in the naturall delivery,ind also such as shallbe ser downe hereafter, togecher with fomentations, and inje&tions: And when hee perceives that the passage is open and free, and that the after-birch stares onely through the womans feeblenesse and weakeneffe in these two caseshe Shall draw it forth gently . But if hce perceive that it doth sticke to the wombe,and likewise finds it soft and mailt, then fhall زن fhall bee separate as gently as may be, with his fingers, (his bailes being first paired very close & even) from the sides of the womb,beginning acthat end which he thinks doth best cleave or stick therto, and so draw it by little & little, shaking ic fometimes on the one side, and sometimes on the other, nor drawing ic violently directly forward, for feare (as Hippocrates faith) left the Matrice should fall downe, and follow the after-birth, whereto as yet it siis fastned'; putting still betweene the sides of the Matrice, and the fail part of the after-burthen, either fresh butter,orfome of the liniment wherwich he anoints his hands, that it may helpe, by mollifying and relaxing, to separate it the more easily. And you must take an especiall care that you draw it' not forth luddenly all at once, lest ic -fhould sticke to many places of the wombe, and so you thinking to pull it along, might shake & bring down withit the body of the womb, which would 'cause a Præcipitation or falling downe therof:Or elle, if you should separate it by violence, some vefsell or part of the wombis in danger to be broken, which may procurea flux of bloud, or some ulcers, whereof may follow a Gangrene, yea, and oftens times death. If the Chirurgion perceive that there is any difficulty or danger to sever and bring forth the said after-birth, it sticking very fast by reason of drinelle,or that the Matrice is very painfull & swolae, then shall he use chefe Medicines following. 5. First he shall give thefe Pils. Z 2 R.Myrak. burchen RMyrra. 3 4. Rad. Ariftak. rotund. Didam. 049 ijs Pils, Caftor.afa fætid. Crocian... Gentian. I sa CHADO Jusco fabiał o Mercurial.fiat Maffa addendo Coxfeti. Alkermes 9 tij.capiat pro dofi 3 s. vel j. You may mingle with the said Dose halfe a Dragme of Piluke Cochie, to provoke and stirreup the expulsive faculcy of che belly, and fo confequently that alfo of the wombe. You must likewise provoke her ta fneeze, which Sneezing ex• máy be done, according as Aëtius appointeth, with pels che afrer. Caftorewn and Pepper made into powder, you may allousewhich is Itronger. R. Hellebor. ald. 3 s. påper. albi, nigrian Di. Cafto. Dij. Cinamax. 3 i. fiat on minu pulvis fubtil. inji ciantur aliquot grama in narere Bar you must note, that when her frieezing is reaThe manner of dy to come, shea maft stop her nose and mouth dojog it. with her hand that the breachin freezing may not goe farth all at once, and that it may thmit the pore violencly downware There muft be used also this fomentation and injection to the Matrice. Pk. Quatron Emotki Matric AN AN. 2* ijëj. por. ChaAn Injeâion mamel. Melilot.an.p.i. Sem.Lini, færugrác.des. Bulliont in jure vitedi. och Capi, Calaturie adde wombe, Ol.. Amygdak diha do cbeinini tention parten, oh 其 and fomentari. on for the for at inje&tio: Er magnate friat fotuscumfpongia, This fomentation and injection hath power to heat and comfort the Mamice, andallo to make it more ز more moist and fit to loosen the after-bürthen. At the same time you shall give her this Clyfter. Rr.Rgh Lilior. aldar. Bryon, recent. An. 3 ij. Malue ; A Clyftor Bismel.totius, Caulium, Matricar. Mercur. an.1). sem.Lini, fenugr. an.zseftor. Camem. Melilor.an. m.i. fol . Sene Murd. 35. fet decod. de qué cape quartar. iij . in quibus diffole Diaphenic. Hiera. an. 3 .iij. Mel Mercur. Ok Lilier. Aneth. ar. 3 tj. fiat Clyter. You must also caufe the Woman to mell unto bad and stinking odours, as old shooes, and Partridge feathers burnt, Afa fetida, Rwe. Some, after the childe is borne, have the veines Bloud lecting of the Matrice fo swolne that the after-birth can brings downe not come forth by reafon of the bignesle thereof, the after-birch, and the narrownesse of ihe paffage: then it will be good to let them bloud in the foor, which is a Medicine very often tried by trafferia, a great practi. tioner, anda Profeffor at Pudna, as he writes in his Rooke of womens difeafes, If thcafier-burthen come not away with all the aforesaid medicines, thenwillitbe neceffarytosuppurate & pucrificir,which I have seene fometimes camerorale : Bur in the hipporating of it, you What muitbec must have a care of two things:the firft is to streng- Suppurating of a done in the thien the Woman, and to preserve her from waligachtanker-bitchi nant vapors; that may ascend and take hold of the priacipal parts, as the heart, braine, and chiefly, the ftomacka, ufing other medicines, beside thote tha haveboene formerly ferdowne. And therefore She miftboiconoforced with these Medicines. Rx: Conso Z 3 . a A Cordiall Fire Re.Cons. Borag: Buglos. Rofar. An.zi. Coss. Anthos. Ic&uary. 38. Confe&t. Alkerm. de Hyacinth. an. 3i.s. Spec. Letificant. Galer. 3s. cum fyrup.Conser. Citri.q.s. fiat opiata. Let her take Lozenges of Diamargarit: frigidue: and likewise of Piache don Abbatis. She must also have all kind of pleasant and sweet savours to smell to, which may recreate the spirits. The second thing that the Chirurgionshallobserve, is, that in helping it to come to suppuration, hee have a'care that there bee por bred too much corruption : and therefore ir will be fit to ufe mundifying and cleanGng injections, adding therby alfo Medicines that will comfort thewombe,as those that are of a good smell. R. Maluæ Parietar. fenecion. Matricør. Apii. an.m. 1. Radic. Lilior. Ergon. Cucumer : agreft. aw.zi. A comforting and clcansing for.Cbamemel. Melilot. Hyperic. Centaur. VtriInjektion, usqz. an. P. i. Aristol. noftr. Agrimon. Veronic. Herba Robert. Mercurial.an.m. j.s. fem.fænugræc. Cydon. an.3 s. fiat decoctio ad lb'.i.s. in quibus diffolve Mirrh. Aloes, Ireos. florent. anzs, mellis Mercurial.z üi addendo Aq. Rofar.vinialbian.zii. fiat Injectio. Mipoliz Epides Hippocrates to this purpofe, writes a memorable story of a Carriers wife, who had a pecce of her after-birth left behind in thewombe, (that caused herto havethe Strangury) which continued there even till she was delivered ofanother child. For at the end of foure months lhe conceived againe and :S bore 1 bore her fruit to the full time: 'which History haih imboldened me to relatethis that follows. Mary Beanrin,yer living, Wife unto William Prat A true story. a Glasier, dwelling in Saint Andreies (treet, fent for me, it is some fixe and twenty yeare fince) to New me a tumor that came forth of her Wombe, which was as bigge as ones fist, and more; and was like unto abladder : as firme and hard, as strong parchment:full of cleare water, wherein one might perceive a pretty hardnesse: che faid tumor or blad der would lip up easily, when shee lay upon her backe,and lifted her thighs a little upward, crush- ing it a little with her hand, as they commonly do when they put backea rupture) which she did in : my presence, and I demanding of her how long this accident hadıroubled her; thee told me it had beene so above two yeares, and began at the birth of her second child :and yet notwithstanding the said she had had a little young daughter, about fixe Moneths since, to which shce then gave sucke, and that all the time that she went with child, shee faid this bladder fell nor downe at all, as it was wont be- fore her last being with childe. I counselled herto Call Mon.Parans the Kings chiefe Chirurgion, add other Chirurgions, to give their judgement, what thisbladder might be: And perceiving, when they had håndledic,charit was without paine, they were all of opinion after it was drawne forth, as farre as it could possibly, to have it tyed at the top, and then topierce it;the which I did; leaving the thred? wherewith Itycd it, somwhat long, that thereby 11 might. might draw it forth, when I thought fit. The inci- sion being made there followed great store of faire and cleare water, and presently we perceived a lit- tle fewus or Panty child of a fingers bignefle,fome- what firme and hard; without any bad smella fast- ned by the Navell, which was as firme andbig asa pretty string. About fixe daies after, with shaking the said thread, (which had beene likewise gently stirred, every day from one side to the other) the reftcame forth: having applyed, in the mean time, many mollifying injections to the wombe, for the loosing of it, from the parts whereto it was fast- ned. Lib.4. Obferuat. Tahn-Schenckius, in his observacions, among diAnocher story, vers other stories,tels a very strange one of a Wo. Marcell. Donat . man named Indovica,who for her bigneffe, was calHißor. medico led the great Marc, fhee going with a dead childe mirabil, librot voided onely the soft parts of the said child, being putrified, the bones staying behind: ģet for all this awhile after, fhec being in reasonable good health, became great with child againe. And falling ficke, there passed by chance, through the towne where faç dwelt a cerczine Mountebanckor Quacksalver, who made an incifion in her belly, and thereby taoke forth the bones of the said child, and cured her: And when the time of hertravaile candelee was delivered of alusty and healthfall child. 185. CHAR. CRAP. XXV. The meanes how to take fortha ckilde, by theçefarian section... T now remaines onely that I speake of the laft kiod of delivery, which must be practised after the mothers decease, that thereby the child may be saved and receive Baptisme. This birth is called Cæsarian à cefo Matris utero, in imication of Cesar, who was ript out of his Mothers wombe,at the very inftant fhee died. The which ought to be observed in every well governd common-wealth: For, Iurisconsulti enm necis damnapt, Lib.2.5 Demar . qui gravidam sepelierit, non prius extratio fætu, grod tuo effevedo, di Speri animantic cum gravida peremisse videatur. The fepulchro edifiLawyersiudgethem worthy of death, who shall A Law of che bury a great bellyed-woman that is dead, before Ancients, the child be taken forth because together with the Mother, they feeme to destroy the hope of a living In some women, I have made this practize very fortunately,and among the rest, in mad. le Melre, Mr Phillippes my uncle being ioyned with me: And likewise in Mad. Pasquier, presently after shee was dead, Monsieur Parens and the Curate of S. Andrew being present. But before the Chirurgion come to this worke, Whatche he muft obferve diligently, and bee certainly affu-wult obierre. red cando A a creature. red, that the woman is dead, and that her kinsfolks, friends, andothers that are present, doe all affirme and confeffe, that her soule is departed: And then he must come presently to the handyworke, because the deferring of it might cause the childs death, and so make the worke unprofitable. All the while that the woman lies in her paine and agony, the Midwife, or else some other wo: man, Thal hold their hand within the necke of the Matrice, to keepe it as open as may be possible : for though wee know that while the childe is in the. Mochers wombe, hee breaths onely by her Arteries; yet notwithstanding the aire that may enter therein, doth not oncly not hurt; but doth very, much good. Now to know certainly, and to be allured that the woman hath yeelded up her last breath, you . An experimene shall lay upon her lips, and about her nose, come light feathers; for if she breathnever fo little chey And being thus assured that she is dead, the Chirurgion, presently without any delay, after he hath laid open her belly naked, fhallchere make an inciThe Method of sion, ofthe length of foure fingers, neare untothe making the in, right Muscles, cutting both the skin, and the threc Muscles of che Epigastrium, and the Peritonanma piercing even to the very capacity of the belly, Then shall he thrust in two of his fingers, and with them shall he lift and hold up the said skin, murcles, and Peritoneum, and between them he must make will lie away. make a sufficient incision, to discover the Matrice, and the childtherein concained, which wlll easily Thew it selfe:Then shall he instantlymake an incisi- on just in the midst of the wombe, which he shall The womabe is find a finger thick,and more, and therfore he need thicke. not be afraid of hurting the child, because I have al- waies observed, that the after-birth is situated next to that place, and then the child But if there should bee any likelihood, that the said after-birth were penche womb, The wayto od , loosened and had changed his place, then must he be more circumfpect,and warie:And therefore, he shall rather teare and inlarge the incision with two fingers of each hand, being put therein, then cut it, and so make the orifice large enough, according as be thinks fit, for the drawing out of the child, which he shall cake forth ofthe wombe. This being done, he fhall take the after birth, and lay it upon the childs belly, causing some body, to take a little wine in their mouth, and spirt it into the childs nose, cares, and mouth, which muft bee done often as we have shewed before. Some hold, that this Cæfarian Se&tion, may The Authors andought to be practized(1 he woman being alive) opinion of this . in a painfull and troublesome birth: Which for pradiice, mine owne part, I will nor counsell any one to do, having ewise made triall of it my felfe, in the pre- fence of Moms.Pareus, and likewile seene it done by Mons. Viart, Brunet, and Charbonnet, all excellent Chirurgions, and men of great experience and practice; who omitted nothing, to doe it artifici- ally, and methodically: Neverthelele, of five A 2.2 WO The Cæfarian women in whòm this hạth been practised,pot one hath escaped, I know that it may bee alleaged, that there be some have been saved therby:But though it should liappen so,yet ought we rather to admire WEB * it then either practize or imitate it: For One Sprala lowo makes not a Spring, nether upon one experiment onely,cán one build a kojence. After Nonf.Parans had causedus to make trial! Seation repro- ofit,and seene that the successe was very lamencaved, av blé,and unfortunate: he left off, and disallowed this kind of pra&ize,together with the whole Colledg of Chirurgions of Paris: as likewiseche discreeter sort of the Regent Doctours in the faculty of Phy- fickejat Paris:at such time as this question was sufo ficiently difcussed by the late Mons. Marchant, in the two declamations he made,when : he had the honour to be admit- ted fworne Chirurgi on, of Paris. THE ORDERING OF a woman newly broughta bed, and of the Accidents that? may happen unto her in her Moneth. The Third Booke. CHAP. 1. what diet a Woman mut keepethat is newly delivered. Eretofore we have spoken ofthe care that must be taken of a Woman, fo foone as she is brought abed and de- livered of her after-birth: Now we will treate of the diet she is to keepe, while she liesin, and of the accidents that may be- fall her in that time. !!!!! Firft she must bee kept reasonable hot: for too much heat doth weaken, and dissolve the strength: Cold hures the - spermaticall but above all, she must be kept from the cold aire, because it is an enemy to the spermaticall parts, and being very piercingit may get intothe Matrice which parts, A23 which is now empry and there procure great pains and torments, as also pufe it up and the whole belly:and therefore the doores,ard windowes of her chamber in any wise are to be kept close-shut. Dyce. Her dyer must bethus: First she must live tempe Tatély, and not fil herselfe with too much meat and that must be of the same kind, that is prescribed for them that are wounded; and indeed in somć wo. men,there happens a great Solutio contimi,and not chat onlywhich they cal fimple,but also that which hath a contulon joyned with it. For in that great striving, and passing of the child,many membranes are not only bruiled,and hurt: but also broken,and torne:as it happeneth in young women and in others that are fagre in yeares, and never had any child before. Nay sometimes in these, the passage of the Matrice, and that of Anus, are brought into one: yea, and some suffer great excoriations, and harts, in those parts; which being negle&ed, in some, have come to putrefa&tion, and Gangrenes: And here Imut admonish women in childbed, not to regard the words of their nurses, or keepers mult not be al- which continually preach to them, to make much waycs harkned ofthemselves,saying that thevha i need to fil their bellies, which have beene so much emptied telling them how much bloud they have lost, and do daily loose and that at last they will grow fo weake, that 15 they will not be able to helre themselves. But these are frivolous reasons, for the greatest part of the bloud, which a woman voidechtben, and all her month, is but superfluous bloud and is good The net ses ! good for nothing : which hath beene kept in the body a long time, even the nine moneths, that she hath gone with childe : it being now necessary for her health to have it voided out of her Manice: that fo herbelly which is swolne, and puft up with the abundance of bloud (like a sponge that is fòll of water)may be quitted & discharged, and returne to the naturall proportion and bignesse. And there- fore for their healths fake, they makt not feed fo She maulifted plentifully the first daies as the vulgar thinke: that sparingly. by this abstinence may hinder the Ague which may happenunto them, and likewise keepe downe the abundance of bloud, which would flow to their breasts, and be converted into milke and by reason of the store thereof grow cloty and curdle, and in the end impostumate. Wherefore the five firkt dayes, let her useBroths, Hermears,s Panades, new Egges, and gelly:; not glutting her felfe (as commonly chey doe) either with flesh or Almonds. In the morning let her take a füpping or Broth: and so likewise at dinner, with a couple of new laid egges, and fome Panade and againe at fap- per, let her have the like, closing her stomake with à little gelly: bir yer if the meane to nurse her child her felfe, she must feed more plentifully. Let her drinke Bärley water, wherein alicile Cinamon, and Ladies of Itály zdes have bin boyled. The great use a water which is this. Take two Capons ready pulled and drolled, i boyle , Capem weet for Ladies them in an earthen pot, with a sufficient quantity of faire 3 A drinken . so faire water, till they bee halfe folden, then take them forth, and cut them into freali peeces to bee used as fole. meth. Take of Buglolle, Borage, and Balme of each two good handfuls:whereuf jou must make a lay in a glafje Limo bické, and upon that, another of the said Capons figh, and so upon that a lay of leafe Gold, with a dramme of the popoder of pearle, then poure in some of the broth, on 3. 9.3.14 'the top:which yorishall doé, untill all bee beftomed in the ; fame manner. This being done, you mustdiftill it, in a double vessel or Balneo Maria, and draw a quart of water orthereabouts, which must be reiterated " To often, till you thinke thatyou have enough to serve the woman in childbed, for tenne or twelve daies: Bat this curiosity, is for Princeffes and great Ladies. The faid water must bee drawne frxe and weeks or two moneths before it bee used, and fer in the lunne in lommer, and over an oven in winter to take away the rawneffe chat remaines in it. 20 If the woman have not an ague, in my opinion, The may drinke a littlewhite or clarer wine, with twice as much boyled water. But there bee some women that cannot endure wine and therefore ler 3 themdrink water and honyboyled together,orelfe Another drink boiled water:if they defire to drink in the day time between their meals or else in the night give them a little syrop of Maiden haire, with boiled water or any other syrop, so it be pot astringent because of their purgings. When her paines; the feare of the ague,and the burning of her breasts be past, then may gibec may she feed more liberally, and then she may.ext at dinner a little meat, with her broth:as Capon, Paller, Pigeon,or a bit of Veale: and at supper belide her broth,adise of Veale Mutoon, Chicken or any other good meado no The eight day being past; about which time commonly the wombe is well purged and clean , fed, it will not be amifle to nourish her better, giving her more folid meat, and in greater quantity, that lhce may grow ftrong agains, thefooner. Ali the which time lhe uniftkćepherfelfe very quiet; not much moving,or stirring horfelfe,nprfo much as once looking into the wie Lecheripeakeas lit- . !»;mare tle as may be, andhaveno 'noife made about her; por suffer her to be much visited,but by herfriends Nofc is leuanto and kinsfolkes,excluding all such tatling Gossips as may tell her any thing to trouble her or make her fad. Let her sleepe rather in the night, than in the day time:yet, iffhee have not rested ia the night sicepe. by reason of fome paines, then let her sleepe, when soever it comes upon her. And because most womenintharcase, ara Costive, and cannot void their excrements: therfore it will be very fit co give her Tome luch gentle Clifter. o Be Fel. Malu. Parietar. Biswal, totius as. 14. 1. flor. A clyftere Chomperised Melilot anpå forte, Amifi fenicul. an. 38.Coquest.in decod. Capitis vervec. de quodctia pequart iii.in quibus diffot.sacchu.rub.Mek . Megan curiakos.zü.Intyrrecent.Z.ii.fiat clister. " Youmay alloadde thereto fomttimesano muce Bb ef ful. Th re of , o Diarathálicon. IfOre dislike Clyfters,lether take a little broth or decoction of Sene. I amofopinionthat theAthenian women, while they were in Child-bed, didirake the broth of Cab bage, or Coleworts, rather to be loosebellied, then Colewats. to drive away.witchcraft; as Athéneus would have it: For heretofore the Cabbagewas Catoes Phyficke and all his houshould. And therfore when the RO-, mabes banifht the Phyfițions, Cato faid: thác the Cabbage alond, was Phyficke enough to care all their diseases; andbesides he made a little Com: mencary upon that fubje&t. 10 Am Sadnesle to be -- Lecher banith all griefeandheavinefiezi kaving avoided, regard only of her ficalthgandicobo merry.praifing g. svi su God fonher delivery inilliton 1100 let sloganla siten norisi'em to norisione WADETTTVTS 10:11.97 yos odigiausi qadinin'di ni no:1161983-londini 12,02 iplak mufti be dose to th-Womaus Bre:fts, Pelljandi : What mether parts, that is newly delivered. -Onori 5132 DA OG SOSI TV POWdowie thermann ofdyet, Woman in Child bedde should observe it willnor bee amille talhéw, whacis fit fobce done unto her, before she fitupotrises nendea. uouring herein, to bring all the pares.of herbody, which have beene strayned; and as ícwere quite changed througha long and painifulltravaile, to their former state, that they may be recovered and grow strong withas hxchipeed as maybepolibly. Women thar 1 If our French Ladies were in this poinre) tikeunto those which Vefputius Florentinus doth write of: it would then bee needlesse to prescribe to many are Virgins afmedicines, for restoring them to the fame state ter civild-bea ring they were in before their being with childe. There are women (faith tejchardwell beyondche Antar. .tique Pole, whose bodies are encire&Virgin-like, even after often child-bearing, and in whom there is perceived no difference from them thácare Virgits, as they thac krave opened them, having made diligent search, doe teftifie : but since there be no such women found in our quarters, (though I dare boklly say there be folne not much different)cherfore will it be very necessary to have a care what is robe donc to their belly breasts and nether parts. Wherefore after che sheeps skinne or Hares skin hath staid on four or five houres, letirbec taken away, and the womans belly and grojne anointed with met with the liniment following. And then applying the Cear-cloth of a jast bignele, which must bee continued the first seven daves, dressing it every morning, and turning the said Cearçloch, sometimes on the one side, and sometimes on the other : the linimentis this. Riol. Chamam. Amygd.dul Hyper. an. 3 is. Sper. An ointment i mari cati , sepi Hirci, zi ob Krtill.z.s. Li quefi nt omnia fimul, & fiat ligimestum, que uagantur partes ventris calidè gmtidiè Superpofits -11.943"). tela seguenti. But before you lay on the Cearecloth, you shall apply to her navel, an emplafter of Galbanum, of the , ol. Bb 2 the bigreffe of two or three fingers, in the middest wherofyou must puttwo or three grains of civec, and it mult bee fo applied that the fmell thereof strikenot up tothe Womans Rose: the Cearecloth is this. . A Cearclocks Rk Cereak.z iii. Pomat.fisse Mofcho, Pingued. vi tukan.z i.fpermat.cati.zis.ol. Hyperic. Amygdal dulcian.z i.Therebinth. Venetilota in aq. Porietar. Zsiliquefiant omnia in Balneo Maria. liquefactis. imporre telan ad magnitudinem ventris, qua refrigerata poliatu ditro plano d applicetur gentri pof undtionerne Thenmust the beswathed as we have thewed bofore. 156371,117,111 This being done, yod must have a care to her breasts., Somcapply to their breaftsonely, round" plalters, tradeloffume SuchiCearecloth as this. Another Cearceloche. b R Ceranovež viol. Rófar. Myrtill. Mellis Nar borzens. ar. I itä . liquefiant final or fiat fparadra. pwm. The faid round plafters must have akole in the midit for the Nipple to come through: Others ufe chis linimentánd Ceareclorh.D., R. 01. Rofar. Mirtill. an z is: Aceti parum, misce, unge mammas calide bis in die fecundo die infperge mammas paldere myrtifforum appone hoc Spa A Ccarc.locha R. ol. Myrtillor. Z iii.ol. Amygd.dulc .z i.Terebinth. venet.3 vi, Majkich, 5 ii. Nucis Cupros . 3 i Bol. 3 . . Armo terge Sigillati an, 3. ii, fang.Dracom. Diji. An ointment for the breasts radrapum. from tum. Myrtill: Bahaufti 47. . Theos Florent : Jalvia 493 s.Cere qosifirat Sparadrapam. Whereof you may, make rounds as I said before. Some Women rake water; parfly, or smallage, and boile is a pretty while with Vrine, and apply it iviers to the breasts. I have often tried this oindment fol- An aiemere's lowing, which hindersthe milk from curdling and to keepothe congealing, the breasts being rubd therewith. curdling. R.Vng. Populez is. Refriger.Galiz s.ol.Rofar.3 vi, Areti parum liquefiant final, e. fiat Lininen. Some put sage between their brealtijand under their Armepies: Now concerning the nether pats: let thembee Fotochtations bached gențiv, the first three or foure daies, with for the parts. warm milk wherin hath been boileda little Chervill plancaine, anda few Rofe leaves. The daies followingsuntil the eight day, let her use this bathor foredration, manis Bc. Dinimib. drague analb.se ftor. Hyperio, rofar. rub.dkP. in Agrimonial Mi.Bat decocto. After bath those bathings,leo there be applied, to the sides of her naturall paprs, this Ointment, with a very ame linnen-cloch: Rool.Hyper-Z 11: Spermat.Oxtizési Cerealb. pa An ointmart rum, liqueficant fimul& fiatal formam linimenti, sta dufuta When the firft eight daies are part, thee shall: weare upon her belly the Ceare-cloth following: her belly being frftrabd with this Ointment. Rich Hyper. Chamar, Aseth. c. 3. Ok Miastich. ment. B.3 3 iß Another oing A Cearc'oth for the belly. Hiß.ol. Myrtil.z.vi. Spermat. Ceti: zij. Sepire. num Hirciz i $. Adipis Certi 3 j. Cere nove 120- dicum,' fiat unguentum , quo-ungátur verter puerpere fuperponendotekım fequenteni. Biol. Mgrtil. Hyperic an.ž j 15.01. soneth. 3j. Tere- 3 binth. Veneti in aqua Artemis lot:z iiij. liquefac fimul,& auferendo ab igne impone telam ex canate, que contineat totum ventrem & inguina, deferat Spatiw octo dierim, premilofote: - The fifteene dayes being raft, Cheefballweare eight dayes more (by which time three weekes of her lying iq will be fioihed) this. Ceare-cloth fola lowing, over all her belly and groine. list A Cearcloch for Biol. Maftichi Myrtil. Tufmix. Cydon. an. Fj1.01. 9 che belly. Ghindium z-ijs Spermat. Cætiž.j. Terebinth. Ve * meta fæpius lotæ in aq. Plantag: 3B Cerezvj. liquefisnt omnia fimul , addendo pulver. Mastiek. Terra figillate, an. Z B. Irid. Florèxt. 3j. removendo ab igne, imponaturtela ex canabe que contimeat totum ventrem, deferst quindecim dies in tegres, which must bee renued afresh, after the first eight dayes. In which fpace her neather parts most be bathed with this fomentation, it ? Aftrengthning R., Fil. Plantag. Taple Barbat. Cestinod, Cand. equin, ani m. i. fol. Cupreff. mj: B. Cortic. gra- . i nat. Nuc. Cupreff. Balanft. am, ZB. Rosar. rube flor. Chamam. Melilot. an. p.j. Als win. Roch. z ij.Calam. Aromat Irid. Florent. an. 3. iij. Ca- ryophil . 3 i. fiant facculi due, coquantur in aquis partibus vini aufteri, aqua fábror. pro ore ex- teriør.calli uteri. And Fomentacion for the lower parts. And when three weekes of her time are expired she having beene, neither troubled with Azue, paines, or gripings, nor any other accident extraordinarie,and beinglikewise wel clensed from all her after-pürgings, before she goe abroad, it will be very good for her to bach cleanse, and waih her selfe being firft gently purg'd, with some easie me: dicine, according to the Phyfitions direčtion. Baths to be made in summer and while the weatheri, hot. VETTE 10'lu's long17; Bewer Vobecause the seasons of the yeare are diversi 7 therefore will it bee the best course to use Bathis of diver's compositions: Asifthe woman bee brought a bed in Sommer, and hor weather then Theemust have provided for her such a bath as fol. loweth, .bootin oricodstand 10C, Take a great tub, or hogshead, and fillit full bof. river water; made fomewhat hot, adding thereto as much white Wine as you thinké fit: wherein you? shall stiepe the space of adag and a night of Fen- Firf Bath for nill, Maritrom, Mugnart Metherwort, Penny. roju all, Agrimonie, Chamemill and Melilot flongers, of Rose beavès, of each two handfuts; put them in:0 aftrong linnen bag, that is large enough, quench-> ing oftentimes in the said liquor, a barre of iron The manner red hor: Then over night,you lhalltake out three of making. or foure l'ercles full of the said warer, and ser them over the fire fofeech and then poure it into the tub againe, and coveritclose, chatic may keepe in the Sumner. heat **3!103 Bath. heat all night and warme che tube then in the more ning you must par in more hoc water, until you have made che bath temperate, which muttbe nei- ther too het, nor toocold. In the morning, when the bath is thus prepared,thewoman (hall goc into it, sitting upon the bag of herbsaforefuid, and stay How long the there an houre, or two, without forcing herselfez muftfay in the and a little before her comping forck, let her take this Electuarie. An Elektuary. R.Comf-Biglass.Rosam amizh.comtia. Citri.condit. 3 ij.fiat Condimin, capiat ut dictum est. Some women cannot away with this Electuary, but content themselves, with a firele Citron pilt canded. Shee may also fweat a little in herbed, and then cause herselfe to be gentlyrub'dwithlinnen cloths, to take awayany spots or ftaines that have hapnėd upon her skin, in the time ofher childbed. Her fwer being past and she somewhat cooldher felfein her bed: then she must not eat any meat, bucfuch as is calie of digestion, and that breeds good bloud. Now this first Bach doth but only forve to pre pare her fora Second, which shall becmade as fol lowech : Take river water, and quench in it hot Iron, as. you didin the former bachs:wherin you Thall boile two great bagges, which falcontaine these Ingredients, ! Second Bath for Summer Re. Farin. Oroh. Fabu. Zapinar. an. Ib. Ü. Farix. glundinines Ibn S. Rofan.cub. flor. Chasientele Me=; 3 Bilots an. pug. iiij. Alumin. glacial. Roch. crud. an. 3 iij. cortic. Querc. Nucum Cupreff. an. 3 ij. Balaust. 3j. Caryophil . Nu is Mosch. an. 5 vj. |_'1.-Granor. Tintor. Zij s. conquaffantur omnia fimul, me fant sacculi cum pannolineo : bulliant in aqua Balnci primi ut dictum eft, stafit Balneum secunduu. The second Bath must be made as the first, with. out being either 100 hot, or too cold : Whercia shee shall stay an houre or two, sitting upon the bags, and before her going forth let her take the former Electuary, or a peece of Citron pill condi- ted: This Bach will serve for twice, it-being onely new heated againe. : In Winter time you shall make these Baths. ter RC Majoran. Artemis Menth. Rorismar. Heder. ter Bath for Wina! *reft. .an. M.iij.farin. Hord. fabar. Avenac. Orobi, Lupinor. an. Ib. ij. flor. Rorismar. Chamamel . .: Melilot. Lovardul. an. Mi s. Rosar.rub.a. ij. CA- riophil. Nucis Mosch. Cinamon Benzoin. styrach. calam. an. Z i. Alumni. Ib.s. granor. tinglor. Ba- Lauft an.3 iij.omnia conquassentur, fiant sac- cali dno. Coquantur in aqua Calibeatha, in qua fe- pe extin&tum fit ferrum candens, oi fiat Balneum ut præcedens. In Winterthe woman in Child-bed shall urechis in stead of the former, having washed her felfe in this firft Bath, chat was prescribed for Summer, and Сс taking skinne smooth for che lower taking at her comming forth the eleđuary formerly fet downe. And besides, while she is in the Bath, whether ir be in Summer or Winter, it will bệe very fit and convenient to rub all her body over with little bags To make the filled with Almonds, beaten very small, thereby to make her skinne smooth and slicke. After shee hath beene thus barhed, she shall use below such Fomentations as may close and strengthen those parcs, and bring them to their former state. R.Fel. Plantag.Tapsi Berbat.Centinod.Cauda equin. A Fomenration 41. M.i.Fol.Cupres.mis. Rofar.Rub.ffor.Chámam. Melilot. an. P.i. Balauft. Sumach. Nue. Cupressis parts, Gallar. an. Z i. Majoran, Thim. Puleg. Origan. an.Mos. Alumin.3.vj.fiat decodio in aquis parribus vini austeri et aqua Calibeatæ pro fotu partium Aque inferior, it is When she hath done with the fomentation, the must receive beneath this perfume. R.Benzoini fyr&c. calam ligni Aloes an. Es. Cortic. A perfume. citri, Nue. Cupressi Balan ini dicNwois Mofack. Caryophile ama 53). Cárabe Moftich vn.3is.Rosa. rub. Rii. fiat Aheajuns pulvis. excipiatur cam WWCcilagine guantuj tragacanthi,e-fant trochisci. The manner of The Woman must fie in a hollow chaire, that using the per- hath a hole in the bottome, and underneath it a hime. Chafing dish of coales ; whereupon there shall be put one or twoof the faid Trochiscks, and so the must receive the fame thereof.. And because no onely the faid parts doe-con- a tinue limber and wrinkled; but likewise the belly and breasts, doe also remaine, almost as big as they were before shee was delivered ; it will therefore Meines cohar- not be amiffe to take some order, that this excee. den the breaks, ding greatneffeof her belly and breasts may be di- minished, and they hardned withall: endevouring by all meanes to bring them againe to their naturall constitution. And fince thar this swelling and puffing up pro- ceeds commonly from some humors or wind that is got in, and gathered together in those parts, ha- ving beene toomuch relaxed: therefore it will bee very neceffary before you apply any outward thing thereto, chaoshee be purged, keeping a good diet, and avoiding all meats that shall breed any ill hu- mours or windineffe, Which being done, you may apply this that fol- Joweth.' Rri Farin.fabar. Hord. lupiner. a. Zij. farin.Ory%. Glandium an.3 ijs. Coquantur perfectè in aquis partibus. Aq. Myrtillor. Canda equin. Centinoda Plantag. Rofar.addendo. Pul. Nuc. Cupres. Balsaft. Myrtilian. Zs. "Pul for. A Pulcefc for : Camamel. melilot. fem.fenicul.an.žs.Sang. dra-bhebelly and breasts com. Alumin, an. 3ij . Ol. Myrtillor. ung. Rosat. Més. an. Ziij.Mellis Zis. fiat Cataplafma ad fora mam pultis fatis liquide, poft coctionem poteris addere Albumina ovor: Ventri applicentur ea er mammis. This Cataplafme must lie on xxiiij. houres, and then bee renewed. In stead of a second CaraСс 3 plasme, plasme, you may use this water, Bi Prnnor. sylveft. Mespilor. Cor: 'nor. Nul. Cupref. Balaust. Glandium cum suis Cupulis, e si dejint: A water for the brcasts, &e. fructus, Jume cortices arboruth, an. Ib. s. flor. Ro Josr: Sølv eft. Rrebrar. an. Ziiij. Albumin.duor.over. Aluminis Crud. 3 ij. Cariophil. Nucis Mosch.az.zs. Benzoint.Styrac.Calamitan.zi.calam. Arom.Frid. flor.an. žvi. Macerentur omnia in lb..xij. aquæfabrorum : poft infesionem 4. dierum, pínántur om 14 nia in Alembicnm plumbeum, & fiat distillatio: i servetur ad ujum. In this water you shall dip & soake linnen cloths or sponges, and applythem warme, either upon the belly, breasts, or any other part which you would have contirmed, knit, and drawne together : And to make it the more astringent, you must stcepe, therein for every quartof liquor of Mastické, Sanguis Dra onis,and Bole Armoniai ke powdered, of cach halfe an ounce ; setting it in the Sun in Summer, and over an Oven in the Winter: But it is enough onely (especially in great Ladies) to make the foresaid parts firme and hard, and keepe them from hanging and flagging downe : But it is allo very fitting, and likewise much required by them, to have their skin made faire, smooth, and delicate : for which purpose this water is firgular good. Oferi! as Rc Aq Florum, Bismal Malue, analb.ij. Aq: Rosar. Ib.iiij. Limones duos, (remote cute exteriore) minntim incisos, Prünor. Jylveft. immatur, lib.i. Pistestur. Carmenis unius Capowisjuveniss ahještina offibus 2 & water to beautific and adornic the skinne, &co oßibus o intestixis minutim iniisam. Lact. Ca- prin. Ib.S. Amygdah. dula. mund. Zij.farina Orob. Lupinor. an. Zs. Limaces rubros no. vj. Infunle omnia fimul per duos dier; deinde: diftillantur in ; Balneo Marie, With this water the aforesaid parts must be wa- shed, having first cleansed them with common wa. ter, wherein there hath bin some crumis of bread steepedall night. Wo 1996 Another approved water Rb Ag. Lilior.dbb.Nymph. an. lb, ü). Lactis Capris. Another water, Aq · lb. s. Cafei recenter facti fine fale lb, nes ai exteriori cute remotá, intifas, numerosi i Alba la mina ovor: numero viij. Boricis 3 iij. Caphire3.j. 5: Tolci subtiliter pul. Zi. Cerurzs.Columbor.juver. num. ij.ol. Tartariž is. misceantur, omnia. distillentur in Balneo Marie," selg om Myrrhulas Malter Le Bon writes, whotels it for a The verruc of great secret) doth leffen and Iraighten the natu- Myrrhe. rall parts, when they have beene over. (tretched, without hurting the Marrice, as also taketh away the wrinkles which happen either in the breasts or belly, and doth confirme' and knit those parts, of fending neither the pectorali nor naturall parts. ! - Sometines there comes little spots and freckless in the said parts, buţofener in the face, for the tas .290.1m king away whereof this is an excellene Medicine, , RiTartar. vini albi calecinat. 3 S. Maftick. 3 is. Ça: An Oinamene. iphuræ 3i. incorporentur omnia fimul cum ovi for spots. sigui albumine tange maculam, eu tege pannolinees Die in.codem imbuia dopunitidevil barn CHAP. CC3 CHAP. III. of the accidents which happen to pomer meish delivered. And first of their After-throwes. EE have hitherto treated of the ore dering of a woman in Child-bed, as allo of the time when thee fhallbee ready to walke abroad, and bee W Churched. But because there doe befall them many accidents in the time of their lying ini, I thought good to write thereof briefly, and to fhew the meanes whereby they may bee helped and cured. And since that thechiefest symptome that hap2013 pens unto them, and which comes roonet, is che after-throws: therefore I am determined to speake of them first. !! As soone as a Woman is delivered of her childe and after-birth, for the most part she is taken with paines of her belly, which oftentimes are so great fo and violent, that the thinks her very belly would beé rent, and cur alunder in divers places, from Franchecs. whence the French word thar figniffèth these paines and torments was derived to The cause of thefe gripings or paines may bee The first caure. threefold:First; either because the Matrice & those parts thereabories have bin fore troubled through the delivery, by striving to bce-unbürthened and freed ;£ ܀ freed of the childe: or else because the bloud that the second... runs and gathers ie selte to the wombe, (being retained) growes thicke and Aimie, that it cannot eafily flow and fo makes a distension of the Matrice ir being not able to cotne away but in great chors and hard matter, like unro a falle conception: and likewise when it is altogether retained and stopt, it causes a great extension of thewombe, Againe, it is oftentimes fo cleare, thinne, and sharpe, that it flowes above measure, and through the acrimonie and biting thereof, doth gripe and torment as it passech along : The third cause may, The third. : proceed from the outward aire, which is entred and gor into the wombe, at the comming forth of the childe and theafter birth. Hippocrates hath observed, that women in this Sentence of evacuation, are troubled with gripings & paines of Hippocrates, their fiftchild morethanof anyafter:chercaloris, because their veines are not accustomed to disburthen themfelves in this fort. Experience neverthe leffe teacherhus the contrary for a woman commonly of her fitly clafildes Hach very few of these paines and gripinga, and the more children thee hath, the more shee is troubled with them. The reason whereof seemes to bee this ; because the bloud, which in youthis sweet and milde, in proceffe of time gets a bitter, fale; ànè aduft quality, which palling thorow the veines, procureth this paine: For we finde by experience, that the flesh ok beasts-or fowle when they are old, growes unpleasant, as being hard, azia harth to But But whatever the cause of these paines be, wee must seeke to afswage them, and to freethe woman from them as well as, wee can. If then these ' paines be small, and that the after-purgings come moderately, wees may leave the worke wholly to nature : onely giving the woman in child-bed the drinke we prescribed before : Ofoyle of sweet Almonds, or of Walnuts, which of late hath beene found by experience to be better than the oile of Almonds, so that the Nuts bee sound and white, not rancide, and the oyle drawne without fire. This Oyle is much commended for the gripings which come by the acrimonie and Marpnefte of the bloud:and in ghiscase also some easie: Fomen cations of warme Milke, or fit upon the belly and Fomentation. lower parts : Fomentarion's also with Mallomer, March Mallomes, Parietary, Mugworts. Chamomile, Melilot, and Linseed boyled in Milke, are very proficable. When these paines and pangs proceed of thicke simie bloud, which cannot easily flow.or of windy matter, which being. shut up, cannot be discussed, if che paine continue, beside those aforesaid, you may use these remedies following. A drinkeeasie to be taken. Aprinke. Ro Rad: Petrosel. 3 B. radic. consdid. Major, 3 iij. Sems. Anis. Fenicul. am.3 8. Bull.omnis fimul, in decocto vituli , vel caponis, 9. f. in quo diffobre, croci, gr.iij.capiat mane tepide. Orelse she may use this powder, of which good proofe hath beenemade: Rr Nuclear cit Anochera A18. . 209 Bc. Nucleor. Dactyl. Amygdal. Nucleor, Persicor. A powder for an.3 s. Cinamom. ele&t. 3 i. sem. Anis. 3 B. Nuc. Gripings Mosch. Jij.Spec. Diamsarg. calid. I j. fist omnium - pulvis, capiat3 j. cum 0; vel cum aq. Cartui Benedi&. vel Brodio gulli & vituli, ji jts Spicio febris. R. Rad. Symph. major. Amygdal. dulc Nuckor. Per- ficor. an.3). Mandibul. Lucii piscis, Carab. 33.Cinamond.Nuc. Mosch.ax .ij. Ambra Chrys. gr. iiij. folia auri, Nu. vi.fiat omnium pnlvis, ca- piat. 3 i. cum ovo forbili, uel vino Hippocratico, veljusculopulli. Some in this case take halfe a spoonfull of Ci- namon water with the yelke of an egge : others with the said yelke of anegge, take two graines of Amber-greese. If the paines continue, use the Cataplasme following. Re: Vitellos ovor. ww. xii. Pul. fem. Arif. Fericula A Pulceffe an. 3 ii. Farin. fem. Lini 3 ij. Pul. flor. Chame. meh Melilot. an. 3j. B. Calamixt. 3 ;. ol. Aneth. 9. 14. feat Cataplasma, applicetur veniri calide; auferatur antequam refrigeretur, &iteretur sæpius. $ CHAP. IV. of the falling downe of the Fundament :: and Matrice. Here are some Women which are de livered with fo much difficulty, and are folong in travaile, thar to free them S felves from this misery & anguish, they are constrained to ftraine and force themselves in such sort, that the Fundament, or the end of the great gut commeth forth: for a Woman in her dea livery must straine and force her selfe, even asone doth at the stoole : It may happen also that the Matrice may follow the childe and after-birth; which is the precipitation or comming downe of the wombe; the ligaments being loosened, and 0:11: sometimes broken, either through much striving, or because that the Midwife or Chirurgion in drawing forth the childe or after-birth, dráw the Matrice together with its which may be done, and yer nor they in fault is: . When the Fundament commech forth, it is to be put up after this manner: First, the Chirurgion The cure of the niust put up the gut with a fine linnen cloth warme, as gently as possibly he can: bur if he finde any dif fi culty herein, because of some humour which is come to it, by abiding in the Aire all the time of the travaile; or by any flux of humours which the paine hath caused: then must he bathe and foment fallen. ir with a little milke, wherein red Roles, white Mullen, Camomile, and Melilot hath bin boiled: and when he shall see tharthe swelling is gone, and it is come to it selfe, then by little and little he shall put it up, not asing any force or violence at all. He may also (if the paine be aflwaged) foment it with Foment, red Wine, in which Plantajne, white Mullen, red Roses, and Balausts have beene boyled, and then presently he (hall gently put it up. The Matrice also being fallen downe, shall be put up after the same manner : but we will speake more at large of this; andof the causes thereof, in another place. CHAP. V. of the hurts and excoriations whichhappen in the lopper parts by Child-bearing. Lthough neither the Midwife in the naturall birth use any violence in bringing the childę into the world: nor theChirurgioneitherin turning or drawing forth the childe, handle or touch the woman, but with all gentleneffe and tendernesse that may be; yer oftentimes doe some contusions, or other hurts happen in the lower parts of the woman, yea, and excoriations, toge- ther with chaps and clifts, about the pare called Perineum : in respect chat fo great a morfell harh passed thorow fo narrow a place : Befides that, some women are very streight and close, either being Dd 2 for the contufi. on of the lower parts.. being very young or very old : or because they haveused medicines, to make those parts ftrait and parrow , besides that, in some women the childe proyes very bigge... For all these accidents ic is good to use at first, 91 (as we have said before) Oile of Se Johns wort, and Oile of Roses, beaten with whole egges altogether. If the Gides of those parts be bruised, you may use this Fomentation, which will resolve it gently. A Fomentation R. Maluk Bismalu. an. m. ia Matricar. m. B. RoA Saro rub flor. Chamam. Melilot. an.-m. i. fiant Sacculi duo parvi, coquantur in æquis partibus vini er aqua fontis , admoveatur parti. This Fomentation must be applied onely to the entrance and Orifice of the Matrice, leít the ordi- nary courses behindered: and the aforesaid Medi- cine of Oile of S'Johns wort, shall bee prepared without the whites of Egges, and applied upon fine Lint or Cotton, leaving the passage of the wombe open: both to give way to the purgings, and vent to such vapours as may proceed out of the Matrice. For the excoriations and chaps, you may use this Ointment. Rc Cera alb. 3 B.ol. Amygd. dulc.z i. B. liquefiant fimul, & fiat Linimentum. Although these kinde ofulcers are easily.héaled, De Morb, Mu. as being but small (as Hippocrates noterh) notwithMer.lib.z, standing, they must be carefully handled, being in a partof delicate and exquisité sense, and fall of Nerves. Of Of the Medicine laft described; you fall make small plaisters and apply them fitly upon the exco. riations and chaps : And because (as I have now ted) there often happens a rent or breach about the Perindum, neare to the Fandament, and that when the woman makes water, shee feeles there a great pricking and paine ; it is necessary that her j Nurse or keeper apply to that part two or three littlelinnen clours, spread with the aforelaid Ointment, to keepe the urine from touching and galling there. But if the breach or clift be grear, you shall apply there little boulsters of Lint diptand dressed with this Balme. Rol•Hyperic. Z s. Axung porc.recenti 3 ij.obé vi- A Balmc for tellis over. 3 iij. Terebintho venet3ă fiat Balju the lower parts mum ad ufum. After that you have applied this Balme, you shall lay upon is the plaister before described, of wax, andoyle of sweet Almonds. thistlui.rubas Sometimes it happens thatthéwhole Perindum is divided and rifred, even unto the Fundament, and that both the passages are brought into one: which accident I have feene,and for want of helpe, che sides of the wound being hardned with a foarre, both the passages have continued as one:Forremedy whereof, I being once called, and finding the woman to bee withchilde, I gave her counfell to stay till thee were brought to bed : and about fix weekes after she was delivered beirg fent for to core her, I proceeded in this manner. First, with a crooked Rafor very sharpe, I cucs away away the scarre and skinne which was growne on both fides, as the common practise is, for an hare lip, which I have showne in my works of Chirurgery:which worke I began from the naturall parts, and so went on to the Fundament,nor taking away much flesh, but onely the skinne, which being taken'off, and as it were flead away, I suffered the part to bleed well, both to shunne an inflammation, and also to make the stitches with my needle more conveniently. About the midst of the clift or divifion, I paffed my needle thorow both sides thereof, (having first laid them eaven, as well above and be low as in the middle) and I took good hold of the -07-01:4 flesh on both sides, there leaving my needle, about na wela which I did curn& winde the threed on both sides, as userh to be done in the cure ofthe hare-lip:then at both ends of the clift I gave a stitch, somewhat close, such as is commonly made in simple wounds, and upon it I laid a little clour diprinabalm, which I have here described, and upon thar a Plaister of Diacalcitheos. R. Gum. Elemi. 3'ül. Terebinth. venet. Z ii s. Sang. Erclh wounds Dracon. Myrrh. Aloes an.3 i. liquefiant omnia fimul, do fiat Dalfamuin. Coretur calidè per linteum, a feruetur ujui. This is an excellent Balme for fresh wounds. This clift or breach was well healed within fifteene dayes:in which time I gave her two Clifters, beside that which she tooke first to prepare her body.But afterwards this woman proving with childe againe, and being in travaile, there hapned a A Balme for fresh breach neare to the old scarre, but not so long as the other; by reason of the helpe and care of the Midwife, whom I had instructed to anoint and rubi the Perinduwwith this liniment. 51100 R. Axung gallin. Cunicul. an.Z's. Axung. Pør, An Ointment, rec. zi. Oh Amygdal. dul. 3 vj.liquefiant fimul fiat litus, abluatur diu, in aq. Parietarie. 0001219T CHAP. VI..sr: 203":"! 1 of the Hemorrhoides. W EV Hen the Orifices of the veines neare the Fundament doe swell and rise, either more and lesse, according to the quanti- cy of the humours which doe fill them, the Greeks call this disease the Hemorrhoides , of Of these thereare two førss the one: inward and hidden withinthe Fundament,the otheroutward and apparant. The cause hereof is store of humours, which commonly are grosse and Melancholicke, sometimes. Flegmaticke ar Cholericke, which filling the said veines, afçerward flow downe to the ends of them ; which humours not finding way to .. iffaeout, doe extend the veines in such fort, that sometimes they become as biggo as Pigeons, nay, sometimes Pullers egges..! Many women as foone as they are delivered, are Why women troubled with them, by reason of the great paine arcfubje&ro which they have suffered. There may betworea-che Hemorrhoi i Sons given hereof, the one the great striving; and des. straining , The differences of Hemmor. choides, suales. ftraining to bring the childe into the world, which maketh the bloud come into the said veines and di. lateth them; the other retention of their naturall į courses which being stayed, the bloud and humors as which fhould have come forth, change their course, and being derived into the veines of the Fundament, procure the Hemorrhoides. The Hemorrhoides doe differ according to the nature of the humour of which they are bred,for if they proceed of a flegmaticke and waterilh bloud, because of their colour, and the likeneffe that they have to abladder full of water, they are called VesiVeficalesor cales, or uvales : and thefe are white, soft, and not painfull;ifthey breed of a grosse and thicke flegme, Verrucales. then they are called Verrucales, and ficales :and these are hard and painfull, cspecially if there be any hot humor mixed with the matter of them, which may be known by their rednes. Ifthey proceed of bloud and choler, together with some part of Melancholy, being uneven and rough like a Mulbery, then they be called Morales, these are very sensible and painfull, and in colour neare to a deepe darkered. Women are subject to all these kinds of Hemorrhoides, but especially after they be delivered:But my purpose is not to write so generally of all these kinds,butonely ofthose which are swolne, big, and painfull, which chiefly happen to women in childbed, and bleed very little, or not at all. The cure consists in three things that is in dier, in diverțing of the humor which flows to the part, and in evacuating that humour whichiscontained Morales, : in it : which being done, the paine will bee easily appealed. For the diet, it shall bee such as we have already Dieta prescribed for women in child-bed : the humour İhall be diverced by letting bloud, first in the arme, and then in the foor, in the veine Saphena, and last- ly, by applying of Cupping-glasses to the fide of the thighs, and that fortwo purposes : the one to bring downe the purgings, which being staid, may be thought to be some cause of the Hemorrhoides, the other to diminish the quantity of bloud in the crurallveine, which being empried, will draw to VE fome part of that bloud which flows to Cand it may be some of that which is containedin) the Hemor- rhoide veines. As for the third point, which is, to evacuare char bloud which is now setled in the He- morrhoide veines, that may bee done by Medi- cines which have power to resolve and digest, and also ro afswage paine, of which kind is this follow- ing, which I have used with good fucceffe,and Vige before me. R Fol. Mal. Bismál . Violar. Parietar. Tapfe Barbat. A Deco&ion cim rad, an. Mij. Sem. Cydon. 5 vi. hord. mund. wherewith to foment and m. i. s.furfur. M.iij. sem. lix. fænugrec. irteg. 43. suffumigate. Z iij. Pomer. dulc, aliquantulum confractor. nun. xij. lingua passerine virg. paftor.an.m.i. fiat om- nium decoctio, in aqu. Sufficiente, addendo flor. Chamemel. Melilot. Aneth. An. M.s.s. Bulliant us- que ad consumptionem tertiæ partis. After char she hath received the fume of this de coction, or otherwise bached the fundament here- Ee with with a pretty while, lee this Liniment bee applied. Ra Butgr. recent. 3 x. Ol. de vitellis ovor. Zs. Pina, qued. Anat.3 iij. Succi Plantag. Taps. Barbat. an. A Liniment. 3ij . misa agitando omnia Spacio xij. horarum in mortarioplumbeo. Thechiefe Medicine which is commonly applied, is this. Ri Vng.popul.z i. vitellum unius ovi.Ol. Sem. Zini. Zs. ung refriger. Gal. 3 vi. mifce omnia fimul, Another. fiat litus. If the paine bec great, you may adde hereto a scruple of Opium. I have made often proofe of this An experiment Medicine, to take all the white of a few Leeks,and of thc Authors. cut them small; and then boyle them with milke till they come to the formeof a Pultesse, and then lay it hot to the Hemorrhoides. Rhafis Modicine -- Iohx de Vigo alloweth of the authority of Rhafis; who counselleth.co take a white Onion, and to fall it with Butter, then to bake it in an Oven, or in the embers, and so beat it, and apply it like a plaister, which I have divers times made triallof. This plais fter alfo is muchcommended. R Rad. Ldior.albor.zis-rad. Treos Bost. Z s.scrophu- lør. taps. Barbat. flor. Chamamel. Melilot. Hype- ric, an.p.i. Dactylo aum. vj. Limac. rubror. Bum. x. fiat decoctio, piftentur passentur pasature. adde farin. Sem. Lini. 3 s. Butyr. récent. 3 j. Mgrrh. Thuris an. 3i. Croci 3 s. vitellos ovor, num ij. . A Pultelles. fiat Cataplafma. An approved.. I have had good experience also of this Medicine. Take twelve red Swailes without their sheks, of Mille pedes remedy. pedes, or Wood-lice 20.0r 30.infuse & parboile them a little in Linseedoyle, and make a Liniment here- of, andwich ir anoint the Hemorrhoides. Take of the aforesaid Wood-lices: thirty, Chervil e Another calic little handfall , boyle them in milke , or oyle of Violets; to be made. then beat them together and make thereof a kinde of Plaister, ac the last use this fomentarion. Boplewhite Mullen, Scrophularia, and Chervill to- A Fomentation gether : Take a pint of this deco&tion, halfe a pint of red Wine, Common Salt, and white Fraxkimsenice, of each halfean ounce, boylethem all together againe, till there be but two third parts, or there abouts left, and so use this decaction to the Hemorrhoides,fomenting them with little soft Sponges. Whileft these Medicines are used the belly must The belly mük be kept loose either with casia or Mamna, or else be loosc. with Clyfters(if the pipe willenterin easily)thar so the excrements may come forth the more readily, and may not burthen or moleft the part with their hardnesse and weight. It will be very convenient also to let her take of the powder of white Mullen in a little milk or else in Lozenges made with Sugar, because of the conceit some have, that this herbe so raken, takes away the Hemorrhoides. Some prepare Pils of Bdellism, Galbanum, and the powder of white Mullen ; and hereof givethe weight of a French Crowne. If the Hemorrhoidesheale not for all these meanes, I would give counsellto open them with a Lancette, thinking it better to lance and open them, so to let our the bloud, then to apply Leechesunto them, be cause EC 2 1 و هاوومه cause they fucke, and bring downe as much bloud to the part as they empty and draw forth. And because these Hemorrhoides have oftentimes a great hardneffa with them, this Plaifter or Pulceffe may be fitly applyed. A Puleclic. R Rad. Bismal. Lilior. an. z.is.fol. Porri cum Bulb. 48.8. i. flor. Chamamel. Melilot.an,mis. CoquanBR] 3 - man doontia in bacte, piftent. paffature, adde Bdellii Cum axunges Aufer.com Galline liquefacli an.z i. fimi Cataplasma Another. Take Bdellium melted, diffolve it with Goose grease, Ducks grease, and oloof Peach Kernels, Oftentimes the Hemorrhoides by reason of their hardneffe,cleave, and focome to ulcersand chaps., SOHAP. VII. or:10 ** of the after-pargings, which come downe too abundantly in Women newly delivered. wou! T happens to Women newly delivered, I that their after pargiags sonitimes come downe too immoderately, other times that theyate:fiuddenly fiaid. Thefetwo accidents are very troublesome, and Breed many inconveniences. Hippocrateswrites, that both these De Morb. Mui. bring many fymptomes with them, which Galers. Comment. in libos also witnessechslaying, If the purgings flow in too Apleorisien great abundancez, and above cofome, it brings women women into divers diseases, as Cold, Diftemper, Dropsieand Convulsions : and ifthe famebe ftay- ed and doe not flow at all, then fome inconvenience happens to the Matricezas inflammation, Erysipelas, Scyrrhus,and at last Cankers.So that we may easily see how fit and neceffary it is, that these purgings or courses should come away'moderately, and in an indifferentquantity. This theChirurgion should know by observing the time and the quantity which is limited for them, set downe in divers places by the ancient writers : And firft; for the continuance of time that these purgings fhould How long chic flow; Hippocrates doch proportion the time in hould lem. flow. which a woman in child-bed should be purged, ac- Hip.de nature. cording tothe time wherein the childe is shaped or pueris formed:which is thirty dayes for a man-child, and forty two at most for a woman.childe. This time may bee also measured according to that ordinary time of purging thar is omitted in the nine moneths she goes with child, as the bloud fhould be purged in every one of these nine monechs, as in every one of them the space of three or foure daies(which put together amount to twenty seven, or thirty fix dayes) so in recompence hercof when a woman is delivered, shee muitbee purged twenty feven, or thirty six dayes. It is written in Leviticus that when a woman hath Levitobap . 19.30 , brought forth a man-childe, Thee shall continue in the bloud of her purifying three and thirty dayes, but if the bearea maid-childe, then she shall concia nue in the bloud of her purifying fixty fix daýes. Ee. 3. As. 3 Mulier, As for the quantity and proportion of these purLit. de Morbis gings Hippocrates is of opinion, that the purgings which a woman should have every moneth, should bee a pint and a halfe, or chereabouts. And in his Booke De natura Pueri; hee would have a Woman in child-bed at the beginning should purge about thirteene or fourteene ounces, or a pint, and so che whole space of thirty dayes for a man-childe, and forty two dayes for a maiden.childe, every day diminishing the quantity till it wholly leaveher. Signes to know As for the quality of these purgings if the bloud man in child be red, as in a beast new killed, and doe presently bed bean hcalth congeale and thicken, then it is a signe chat thee is or no. in good health, and will.continue so all the time of herlying in.But when these purgings come in little quantity,and of an ill colour and doe not congeale suddenly, it is a signe that the Woman is not well, nor will not finde her selfe so all her moneth,as the foresaid Authour well observeth. But it is not to bee expe&ted that all Women should have their purgings in like quantity, for we must respect the habitude of the body, the course of life, the temperament,& other particular things, which in divers women are divers. Therefore GaEpidemior. Jen faith, that these purgings continue long in woDexorb.Mulier. men that have thione and subtill bloud; Hippocrates Laith, that women that are of full bodies, are purged more exactly; and againe hee writes, that women that are more in yeares, commonly have more of this evacuation than they that are younger. There may be two causes assigned of this abun- dant Comment.in 6. dant evacation, the one outward, as some fall, blow, or painfall travaile, which a woman may fuffer, either in obringing forth her childe, or the after-birth : It may also arise from passions of the minde, or from the unseasonable use of Baths, or from some other ill government in her childebed. The inward caufes may bee two : either the Inward caufes strength and vigor of the mother, which expelleth and putteth forth so much bloud, as is troublefome, and burdensome unto her; and in this kinde there is no great danger, because thee that is so strong; to expell in this fort, will be also able to retaine, so much as will be convenient and neceflary for her. Or else contrariwise,this mayproceed from the weaknesse, and faintneffe of the woman, who is not able to retaine and keepe that bloud which nature hath provided for her : and this hapneth chiefly when the Orifices of the veines continue open, after the delivery, not being able, (as Hip Hippocrat . den pocrates saith) to fhur, and gather themselves toas orbis Mulier. gether. The other cause is referred to the bloud, which offends either in quantity or quality, or both : In respect of the quantity, those women have store of these after-purgings, which are full of bloud; becaufe the Liver breedsmore bloud, i hen is neceslary; ; which afterwards is voided by the Matrice. The quality of the bloud is cause hereof, when it is too sharpe, piercing, thin, watry, putride, or venomous, so chac.nature defires.taberid of it... AS: : The Cure. : As for the Cure, you must fit that according to the cause, and yet there be fome generall remedies which may serve for all immoderate evacuations; and of this kind is Diet,which must be cooling and Dict. moderately drying. Let her feed upon good meats, not falt, nor spiced, nor of strong taste; rather roast than boiled ; and of boiled meats, let her chuleto eat of the heads & feet.She may use French Barley, new laid Egges, and Gellies made with astringent herbs. If she cake any Broths, let them be prepared with Borage, Bugloffe, Lettuce, Pursaine, Barley, and thecold feeds: Let her shun anger, melanchos ly, griefe, and other such passions of the minde: Let herkeepe her selfe quier, not much stirring or troubling her body. Let her drinke Barley water, or water wherein Steele hath bin quenched. You may give her also (if she have not an Ague) a little Wine, allayed with the said water. Let her make her abode in a temperate place, Diversremca nortoo hot: Let her lie upon a Materesse, or straw dies, bed, and not upon a feather-bed. It will be good to binde herarmes hard toward the shoulders, but not the thighs, although Avi. cer prescribe it. Cupping glaffes applied under the paps and upon the region of the Liver, will be very fic as Hippocrates teacheph : and likewise upon the arme-pirs and shoulders, as Avicen counsaileth. An experiment The most singular and presentest remedy, is colet fecae by the u bloud in the arme, which I have feene tried by the molt learned Physicians of our age, with very good fucceffe : For there is no meanes that makes better revulsion, zl. Authour, " - revulsion, and drawes the bloud sooner from the place to which it floweth,than opening of a veine. You shall apply upon the reines, the os facrum, and the parts thereabouts, a cloth dipt in Vinegar and water and likewise betweene che legszbut firstuse this Cataplasme. R Boli Armen. fang. Dracor. an. z j. Gummi Tra- A Cataplasmc. gacanth. 31. pul. Ayrtih. Rasar. an. 5. vi.fwcc. Plantag. Tapf. Bærbar.vertic. mort. an. q.8. ad formandum Cataplafmaz adde ungment. Comitis. z j.ß. Vnguentum Comitiffe of it felfe' is very good, as likewise this Ointment following, which is ap- proved. R. Succor. Lactuc. Plantag. 4. 3j. B. Gum:Tra- An Ointment. gacanth. in aq. Rofar. Macerat. Züija muccagin, sem.Cydonior. extract. in aq. fulani z B.Oh. Rofar. Myrtill. an. 3j. B. Corall. utriusque Sanch. An. : 1. Far. Hordeiz B. Cere parim, fiat ung. adde Aceti tantillum. You shall give her to drinke, a dramme of Tro- chisques of spodinn, with Plantaine water, or a decoction made with Horse-tsile, Roses, Krotgrasse, and Balarstia. Hollerius gives this, as a singular Me- dicine. K. Scorie ferri cremate, ou ix aq. Plaring. Sepius Holberius his extincta, Pul. lapid. amatitid. triti, an. 7 j. Medicina Э Terre figillat. a 8. firup. Myrtillor. Rosar ficcar. an. Z 8.aq. Plantag ziij. fiat potus. R. Sang Dracom. Corall. rub usti, Terr.figillat. an. Another, 9 i. semin, Rofarirub. 9 8. spodii Carab. Cirit. Ff ET . Mersatus lis : Alla gr. xijo kq. Myrtillor, vd Plamtag. Z iiij. fiat potus. Some in this case give three or foure ounces of Galeri che juyce of Plantaine. Galen affirmeth, that hee hath staid theimmoderate Howingofthe monthly fickneffe, with the aforesaid jüyce of Plantaine, when nothing else would doc good. Ludovicus Mercatus commends these two Medicines above all other. B. Far: Hord. Oriz.eu Amik, aniq. S. ad formana Medicines, dum panem ponderis z oi-recevt. coct. projice in e libr. viij. aq. Chały beata, quibus adde Rosar. rah. - ficcar piij. Succi Plantag. Ib.j. Rad. consolid. Ma jor. Zij. Cauda equin. w. j. Carnis Prunor: Sylvest. - Cidonior. ár: 3 ij. Portulae. m. ij. Bol . Armen. Ži. Balanft. fantol. omnium 43. 38. fiat omnium difilatio, de guacape manë zij : addende. Grup. Pora tubae aut Rofar. ficcur. 3 8. He likewise commendeth this Medicine following, as being very certaine and approved, and of great vertuçto stay the sicknesse. R. Rad. Filipeaduh. 3ij. fiat pulvis, cape 3j.cum vi. tello ovi, singulis diebusi Rc Cons. Rosar. Antiq. Z j. carnis Cydon. conde confor 48 Ele&uary Rode forpkite an.ZS.pub. Dignargata Frig.Tr cbis. Carabzom j. Bol. Armer. 3j. fang. Draa con. ij. cum facup. Rofat feccar. fiat opiata, exhibendaad3. j. per fe, vel cum aqua Plantag. mib. Espete Galettcachethue this Medicine, which may bee borhinjected, and also taken inwardly. K Mucág gumi Trieg acanth. Arabicis aq plan: An Inje&ion . wirio tag.extrac.zäj-fucci Plantas zivij.fiatinjectio, I iniciaturin sterminio zipotui priebe..... i -u. This initition follosing, may also bevery good, do Succulelygan, zivimucilaga gumini Inagacanth. Another. 5. extrade in aqua. Çdztinod. Chalybeat. Fil.. Aml.zi, misce.fiat iniectio. You shallallomake use of ichis Peffary, ifthere beneed. z.! v7: mivale sports How R Bol. Armen. Terre figillat angi. Lithargir.ZB.com An aktringero albumiweovi.fiataftringenspeffarium. Fellary, With this you may annoint your Peffary made fit for the purpofe, either of cortod, or linnen doch. 1 3 CHAP. VIII. ofthe Retention and fapping of the After-purgings ixWomen nepoly delivered. Sa Woman newly delivered is füb- luss ied to many accidents, by the over- much flowing of her naturall cour- ses:So is fhe likewise subiect co more dangerous and deadly chances, if Porrbeticos. they be suppressed and staied. Galen lajth,thar these Sed.z. after purgings, (which he calleth Lohia ) are par- gings of ill humours,which have beene gathered in The body all the time, that the woman went with child:For the child drawing to itselfe, the sweetest Ff2 What Lechia are. and A fentence of Hippocrates. and most familiar part of the bloud, leaves the worlt, which orkcrwise, if the woman were nor: with child, should bée voided our every Moneth, Andifche monthly sickneffe ftaied dothbring manie inconveniencies töziwoman, then much more these Locbio being soppressed, must breed, much more danger. Hippocrates in his first booke De Morbis Mulier: witnesseth this plainely, saying; That when the Afsprints a ter-purgings come in leffe quantity,then is fit,then Livsche woman in child-bed tals into a sharpe Ague, fheistroubled with a painein her stomacke, Thee finds herselfe ill, through all her body shee feeles a paine in the ioynts of her hands, in her thighes, and hips, the places about her necke, backe, and groine are sore ; and there is a weaknesse in every part : Shee fals intoa vomiting of ficame, and also of bitter and sharp matter : and finally, shee is in danger to bee lame and impotent of some of her The fopping members : For the Matrice hath an affinity and : of the After connexion, with many parts of the body, as with purging causes the head and stomack. And if this matter be tranf deach. ported,and carried to the head, breast, and lungs, and there make an abode, then the woman dyes presently; but if it be voided by the mouth,or nose, then she may escape. Oųeward.. The causes of this suppreffion are of two kinds, either inward; or outward: The outward causes are sadnes,griefe, suddain apprehension of fome ill newes, feare, frighting and such like passions of the mind:Likewise,cold which the woman hath taken, causes. Mulier. which shuttech up the veines of the Matrice; a bad dyet,& amongst other things, drinking of cold and Lib.de Aire lom bis, e Aquis. raw water: which hath beeñe noted by Hippocrates to be very hurtfullvoto women with child. Now concerning the inward causes, the fame Lib.de woorb. Author writest at the ulcers which happenby rea. Inward causes. son of a long and troublesome delivery, doe cause an inflamniation, and swelling, which makes the side of the wombe come together and shuts up the orifices of the veines thereof: from whence pro- ceedes suppression of the after-purgings. Likewise the over great quantity of thickeand grosse bloud; may be the cause, as also the weaknesse of the Ma- trice, the which because it hath beene sore wearied. and troubled in the delivery, and thereby lost all strength, is not able to disburden and free it felfe ofthe bloud whereof it is full. Hippocrates also in the same place gives anocher Hippoc.lacocin - cause, which is, when the mouth of the said womb is shrunke, or cuined awry, or else, because the fides of ic are funke downe, shruttogether and in flamed. For the Cure hereof, shee must observe anor- der of dyet, which shall be moistning, and opening Dyet. Her meate and drinke must be luch;as we have for- merly prescribed, for one newly delivered. Shee. shall take operative broths, therebyto open the ori- fices of the veinés; which are much stopt :-and ac- cording to the caufe, rocheremedies must be fitted asif it comeby any sudden apprehension,griefe,or anger,then must she be pleasant, and make herselfe, Ff3; tale, as as merry as she can. If it proceed of any inflammation or heat that hath chickned the bloud, then must she use Medicines,that fhall moderately coole and moistengas Apozemes made with the leaves and roots of Suécory, Burnet, Endive, Agrimony, Majdenbaire, Couchgraffe, or Gramen, Hops, roots of Perfly, and Asparagus, Violet flowers, with the firups of Maydenhaire,and de quing radicibns. If ir bencedfull to attenuate and cut, or co'evacuate any groffe and clammy humours, 'which shut up the Orifices of the veines : it will not bee amiffe toufe this fomentation, forharthere be no great inflammation of the part. A Fomenration R Malu. Bilmal. Parietar. Matricar.animi. Abro tan.Origan. Anerb. Calaminth. Artemis an. 1. s. Flor. fambuc.Chamemel.Melilot. an. Poi, fem.Li. ni fenugræc.ax.3 ij. fiant sacculi dio, Coquantur. in aq.Communizaddendo sub finem vini albiparum profotu. Of the foresaid ingredients you may likewise prepare fumes, halfe Baths, and also injections for the Matrice. If the said after-purgings are suppressed because the inner Orifice of the Matrice is closed,or turned aside, then will it be very necessary for the ChirurThe meanes to gion, Cafter he hath considered that there is neither fer the wombe painenor distemperature) to set it right againe,by right. putting up Peffaries, which shall provoke and bring downe the after-purgings, as this following. A Pellary: Rc Cere novd. 3 iiij. Mell.zi.Agrar. liq.zs.Ol. Mafebell.3 ij. liquefant omnia fimul, addendo Mirrh. Aloes he Aloes. an.3 is. Farix. Lupinor. 3 vii auferendosh igne, impone telan.ex Camabe de qua cooperiatur P:Garium ad ufum. You lhall first trame a Peffary, and then it shall be covered with the said cloth ; or elsedipped and ģ covered with the said Medicine. You may also make little round bags of a fingers length, in the forme of a Peffary, which you shall fillor fluffe with the herbe Mercury,firft bruifed or bearen and this may serve for a Peffary, this herbe is very much commended. If it be needfull to have the Pessary stronger, you may puc thereto a liecle Mugwort, Savine, and Balme. Ic will be very profitable to binde the thighshard Ligatures and and to rub the legges and thighs, especially on the fritions, inside, all along the crurall veine: you may also apply great Cupping-glasses in the faid places. Lee her legges and thighs be washed, with that deco &ion which was fecdowne before for the fomen. tation. The fame decoction also may serve for Clý. fters, diffolving therein Hierasor Benedi&. Laxation, and Mel Mecuriale. But we must preferre before all these Medicines, Opening a that which is the most foveraigne, which is letting for, is the most of bloud in the foot; outof the Saphena, or in the foveraigne, Puplitica, which is in the bending of the gartring remedy: place: For by this meanes we shall manifestly meet wich the cause of the sickneffe : And herein wee 3 shall follow the example of Hippocrates, who cau. fed the woman servant of stymargus to be let bloud because her ficknesfe or purgings were frayed after fhe in lier.l.1. fhe was delivered and by this meanes the was well discharged of them, although before she had beene in great and generall Convulsions. The same Authour faith, that a Woman that nae morbis Mw. hath these pargings stayed, must have present helpe, for feare left there happen some great inflammation to the part, fo that except thee bee presently let bloud, she is in danger of death. Her belly also must be kept loose by Clysters, and if she can vomit easily, shee must be helped that way also. Epidem:6. Galen faith, that hee hath brought downe these purgings in Women that were pale;leáne & weak, by leccing her bloud in good quantity. I have not bere ser downe any Medicines to bee taken by the mouch, because I have written many or this kind in the Chapters going before wherein I have created of the meanes how to make the child or after-birch come forth when they bee stayed, which Medicines have power also to provoke the courses orafter.purgings. CHAP. IX. ! of the falfe conception stayed, and abiding in the Woman after her delivery. T may happen to some Women, that after they have bin well delivered of their children, there may stay with them one or more false conception.Some of these false conceptions sticke fast to the the wombe, Come are unfigned, and loofe. If they difference of be small, they come forth together with the pure false concep- gings; but if they bebig, they oftentimes stay, and tion. abide within. And in this cafe the Chirurgion must be carefull, for if they be biggeand cleave to the wombe, they may bring much inconvenience to the woman, by theirlong staying behinde. So chen it will be necessary for him to know whether there be any of this kinde, and of what nature it is,which he shall learne of the Mother by demanding ofhep how she found her selfe all the rime she went with child. First then, ler himenquire of her whether the were very big at that time and if fhe had any hard- neffe in any part of her belly; whether thee hath G710138, I beene used to any fuch 'accident with her other children:for there are women which at every birth have of these false conceptions, and amongst o thers Mistresse Bragne-longwe hath fhewed the proof hereof: For the going with her second child could affure me, that then she had a falle conception, be- cagle she had one with her first child : which shee came to know by reason of a certaine hardnesse which she had upon her left: fide, neare to her short A Story: ribs, where lhe felt a great paine, yea, and her ribs seemed to be borneup or thrust outward: Andin- deed this Genclewoman after fhee was delivered brought forth one bigger than one fist, and be fore the could beridofir her belly was fwolne with páine and marmurings about her Navell, and to- ward her loins:she was often troubled with throws: Sigues. as if he should be delivered againe, by reason the Gg nature . 234.66891013 2903 Childebixtb, or Lib.z. : . nature did Grive, to pat and send that forth which Waspanarbialla. Besides thefe fymptomes, women that have falfe concepcions somewhat bigger and cleaving faftto the wombej arc troubled with great paine above the pavell, with unquietnes,warring of the mouth, vomiting and heavineffe downward. The Pulse is fmałtand frequents and some Women in this case bare the Strangtry, because the false conception dach preffe che neck of the bladder : and to con clude, almost the fame accidents are here, that hap pen, when there isa Mole or deadchilde. Those false conceptions that are small, though The progne: rio, three, fouré,or move in number (as there may Nickte, bo many they come fortheasly, & areconveyed a waywith the ordinarypurgings but if they be great and hardyohsyaręvoided with much difficu’ty, ey Tpecially ifcheysticktorba womb and then there is danger that they will turne into a Mole, which Hip.lib. defien. mult speedily be prevented: although Hippocrates wilhech that this thould be done wish prediction. Now this may bepgevanced Cashee faith) by these three méanes: firsty bytheufe of refolving Baths, which have power to maisten the whole body, and foto enlarge and difate the pafiage of tho Matrice, char it may como foroheathe feconetisby Glitets and purgations, which may purge forth excret ments, and also bring downe the naturall courses afresh. Thirdly, by Injections, which may provoke 2 and stirreap thé expulfive faculty of the Matrice toexpelthe purgingsjahdiwichtheb the falle con ceprion rilibh S. Curc. : Lib.z. the bappy detery of WW omen. conception contained in the wombe. "But becaule all these remedies have beene handled in the last chapter, I refer the Chirurgion thither. 31 TSV CHAP. X. di tingi! . T!!! 10 of the falling dobone or precipitation of the Matrice. 1.... berisabiwarig'idag! He ancient writers have observed that che matrice moveth and changeth his De Mobis while place, diversly: and as Hippocrates faith, lib.a. the Marrice caufeth great paines in divers places, according as it seclerh, and placech it felfe. If it rise toward the head, then the veines which Hippocrat. lib.2. de morb. mulier, are in the nose, and under the eies, fuffer paine, the de'natwa wirelio I. head is heavy, and sometime the woman fometh eb.ci... Epidemo ar the mouth. If the said Matrice movech toward the liver, presently the woman is deprived of her fpeech, her cèeth are fec, and her colour grows wan and pale. If it iacline toward the ribs, then the wo man fals into a coagh with pain of her fiderand the matrice hard and painfull to be touched, as if there were some ulcer,& the is troubled also with shortneffe of breath and fometimes, withi Convulsions: and if the continue thus long, he will grow lame : Againe if the Matrice turne to one side, there will bee a paine felt, right against the place, to which it inclines, together with a paine in the backe: and at last shee becomes lame of that fide, as Hippocrata Gg 2 tes, dem, a. tes and Actius doe witneffe; when it beareth downe Hippo:ras.Epic towards the graine, and pallage of the Vrine,then the paine is more violent, together with a dulnefle and numnes of the thigh:and suppression ofurine: as likewise if it be east backe toward the great gut, then the excrements of the belly are stopped, If it falldown lower, even cothe thighs,then there will be a Convulsion or crampe of the great toe ; and Plal. the hips and thighs will be pained. And therefore pot; u sfitly did Plato compare the Matrice to a lia ving creature, which was as irwere ingrafred upon another living creature, For the Matrice hath yoluntary motion toward every part, and certain ly, Scimus uterum naturaliter, ut femer excipiat, hiare; & ipfo fufcepto conftringi. How the.Ma. 1. Bur these fituations and changings of place must trice moyech, not be understood in an exact fenre. For it is unlike 13.09ly, nay, unpeslible that the Matrice should fo run from one side of the bodyto another that it should altogether leave his owne place. And this hath GaGal.in lib.3.de len very well noted, saying, that sometimesthe Matrice ascendech upward, and sometimes it is turned aside : not that of itselfe it leaves his naturall place but because it is drawne by something else: that is, How the Ma: by the ligaments which held it up,&by the nerves, wice changeth arteries, and veines to which it is annexed. To this place, authority of Galen I willadde farther, that the Matrice may be shut up and gathered into it felfe,and so draw with ir those parts to which it is fastned; offending & affecting them by some spirits,vapors, , or wind, which it may communicate unto them. Artic ul.CM). trice, . - Bar I will leave thiscurious speculation to Phy- fitions, and will onely meddle with that, which be- longs to Chirurgions, concerning the precipitati- on, or falling downe of the Matrice, of which there are three kinds.is V: den, The first whethe necké chereof (which is cal- The fiiA fal. led Vagina) fincketh and falleth downe, even to the ling of the ma. entrance of the naturall parts, and drawes, a little with it, the body of the Matrice: And this we may Hipp.Lib. de R. easily learne of Hippocrates, who faith, that the Ma- turapueri. trice commeth downe in such fort, that you may apply a liniment thereunto : And againe, that it commeth nearer to the entrance, than is needfull. Hipp Lib. de nas : The second kind is, when the body of the Ma- tura mulicri . The second trice fa!leth into the ourward necke, called Pagins, kindi and is thrust a little out of the entrance, of the naturall parts, and then the inward necke, which is funcke downe, shewes it felfe to the light, in the forme of the top of a mans yard: Which Hippocra- Hipp.Lib.de Stetes also affirmes when hee faith, that the wombe rilibus de morb. commech by liścle and little, out of the naturall Mulier. parts.; 1: The third kinde is, when the body and necke The third. of the Matrice is all sunke downe, and turned the kind. wrong side ourward, as one should turne the crowne of his hat; and then commech cleane out of the naturall parts, aud hangs berweene the thighes, in the bignesfe of a mans fist; or more, not unlike to the cod or purses of a mans privie parts,' Gablik 14.de as Galen writes. w parnikto The generall cause hereof is, because the ligas Gg3. ments ments, which should hold and faften it, are refolved and broken, which may proceed either of an inward or an outward cause. Outward call. The outward cayič may be, fome full, or blow . ses. or for that the woman hath lifted some heavy bará then, or harh beene in fome rage or choler; or had a violent Cough: running also, dancing, leaping, riding in a Coach, taking cold of her feer, fitting upon a cold stone, and overmuch cooling of the Marrice, may be causes thereof. Inward causes. The inward causes, are abundance of moisture, which hath relaxed the ligaments; or elfe a longing defire which a woman may have for the company of a man, which may also happen to maids and Hippocrat. Epin barren Women, as Hippocrates wriceth : Another dem. 2. cause may be, the long fuppreffion of the naturali courses, which sometimes makes'a woman grow Hippocrat.Epic Virill,or mankind, as Hippocrates witnessesof Phaea dem.6. tufa, witę of Pitheus, who became like a man with a beard, and a mans voice. Hipp.de Natura i The faid Hippocrates giveth another reason contrary to the former, which is, because she hath bad the company of her husband too soone after her delivery, while her sicknesse is yet upon her. But commonly this falling downe of the Matrice Hippocrat.de doth come (as Hippocrates noteth) by being ill de Mulier.2. livered : To which allo Galex fubfcriberh, making Gal.de faculto a fimilitude of it, to two that wrestle together one wwwr.lib.3. of which falling to the ground, drawes his fellow with him, and makes him fall also ; even fo, the Matrice striving to put forth the child, doch thrust forch Eie&tione FQIHS : forth it felfe also ; especially if the ligaments A comparisone". which fhould hold it to the backe, bee patu- rally loose and weake. It may also happen, that while the Midwife drawes forth the childe, or the after-birth, the Matrice may follow it to- , gither, In this case, although Hippocrates in his Booke before cited, seeme to be of opinion, that there is no remedy but for young women, leaving elder Botka old and women without helpe. Yer I have cured them, young may be cured hereof even of all ages, with very good fucceffe, is *** For the Cure therefore wee have three intenti. The Cure, ons: The firtt, to bring the Matrice into his owne place: the second, to keepé je chere: the third, to strengthen it being there kepr. For the firft, ter- the Chirurgion place the woman in this forr: Eet her lie upon herbacke, with her legges higherrban her head, and her feer drawne up infoch fort, that her hecles may almofttouch her hinderparts, with Is Luga her thighs and kneesspread abroad. It the Marricebee fallen downe, but a little, it The way to pus may cafiby be putup, nay,ir willevengoe op of it it up. felfe : But if it be much falten downe beforeicbee put up, it muft bee suppled and softned, thatfo it may returne more easie, and with lesse paine: Let ir bee anointed therefore with the cooling Oync- trio ment of Galen, ørelse with some such Liniment aś jesen this. R. Axung. Anfer. Gallir. an. 3j. ob Amig. An Oincensura di datar. dulc. Lilior. am 3 f. Cere paruw, fiat litus, FÖT . .:: For a shift you may take fresh Butter and Oyle of Roses mingled together : and then use this fo. mentation warme. A Romentation R. Malu. Parietar. Matricar. Betonic. Salvie an. m.i.flor. Chamamel. Melilot. an. P.i. Rosar.rub. pois. Coquantur in. &quis partibus vini e aque profuta. ::.!!!. After that you have used this Fomentarion, put up the Matrice gently with a foft linnen cloth and when it is put up, let the woman draw up her breath as we use to bid them that have a Heroia, orburfting tobe put up, and by this meanes the Matrice will be brought to his place the more easily. Belde you must remember, that if there be any tension, hardneffe or inflammation in the Matrice, to soften and supple it with the aforesaid Liniment and Fo mentation, and so will the inflammation be affwas A good obfer- ged. And if you finde that the bladderor great gut varion. bee full of excrements (as I have seene nor long . since in a poore Woman of Maffon, by meanes 3:03 whereof the Matrice was fhut and kept out) then first you must make way for the Vrinę by a Cathecer, and also void out the excrements by Clifters. For che second intenfion, which isco keepe the The fecond ncanes to help Matrice in his place, when it is well put up and plaupche Matricc. ced, the best and surest meanes is to chruft up a Per w fary,lach a one as is here defcribed, which hach chis power to kecpe che Matrice up, and yet not pur it to any painte. Bee 7 913 stiti oppuilor 00T :پوور qi 90116037 OS Decibblic edw Jis buits i 90090 giordani 2399 DA 唱到st's 長度 007 dood 99019ibentangkan led 9:Dai bus bonobiftol Wind & D:900) 19 OVOJ OS qui bus more ! 616siewomit buy aboutons un aninho993 Steristiche Beside, it will not hinderthe Matrice from pura s ging out such' evacuations, as a woman hewly de liveted hath, orany other humour, which may bee E' contained in the wombe: For this Pessary hath a i hole in the midst ofiritögive such excrementsfree paffage andiliges zuori espungua Hh; The he gent medicines The Pesfary being put up, lec ir abide there two or three dayes, when you take it out,put up a freshi one, keeping that to serve añosher time. There must also be a little string tyed to it, so to bee fastned to a girdle,or some other thing, lealt it fall down to the ground: The figure here set downe doth shew the manner of it. --When altrin If the woman bee newly delivered, and it her are to be flund. fickeneffe; you must not use angaftringent medi cine for feare least you stay that; but it is sufficient co keepe the Pessary there. When the time of purging is past, then must there a carebe had of the whole habit, and constiHip.de natura cution of the body. Hippocrates wisheth thar fhee Muliebri. cate little, and drinke lesse, the first seven daies; after which, shee may take some sustenance, and when thee would disburthen nature, let her fit up in her bed, but not rise from thence in fortie daies. After thatcimeaccomplished, she may walke gently; but in no wise bath her felfe, IFshee bee full of bad humours, lecher bee purged, if shee hath not had her courses, or purgings sufficiently, and iffhe be full of bloud, it will bee convenient to open a veine. And because the ligaments, which rie, and hold the Matrice, are oftentimes much moined, and relaxed with slime, and fleame, which falsopon them; it willbe necessary to drie them, by eva cuating, and drawing away the humour, which is Hip,demorb. the cause hereof. To this purpose, Hippocrates Miulier.lib.zc doth much commend vomiting, because it riddeth Vomiting is away such flegmaticke humours, ascommonly are neceffáry. in . 1 in the stomacke by turning them another way.Be saingas, kides that, the (tomacke while it heaves it felfe up. ward,lifts, and drawes up the Matrice with it ; buc this must be done confiderately, because strong and violent vomiting thakes & troubles the Diaphragwe andgurs, making them presse downward, and by this meanes keepe downe the Matrice. Here also will it bee availeable to apply large cupping glasses, on the top of the hips, under the Cupping paps and under the Navell: as also to bind the up. glaffes. per part ofthe armes fomwhat hard. Moreover you shall let the woman have good sents to smellto : as She maust have fundry finels. allo fome things of an ill fent, to putup beneatha Liniments and Plaisters may likewise be applied upon the backe, belly, and groine, such as we have fet downe in the Chapter of Abortment. As for the third intention, which is to strengthen the third the wombe, you must ale to this purpose, Pessories Arengthen Perfumes, Suffumigations, and Injectionsput up, and the mothers -applied to the part. Let the Pessary, be of the same fashion prefcri- bed before : buconely let the wax with which it is covered, be compounded in this manner. R. Cere lib. ij. Baccar. Laur. Absinthe Rosar: rub. án.3. j. B. Nac. Cupreff- Balauft. an. 3 j. Sang: Dracon. Kastich. Myrrh. an. iizj. liquefiant si- mnul addendo unguent. Comitiff.zj. With this wax thus prepared, you may cover the Pessaries made of Corke, in the fame fashion as is already- described. Letthe perfumes bee made of the Ingredients aforesaid, meanes to Hh2 The suffumi 11 fmels to bee af relaid, putting theretora lietleZadanum, and put into the Afla fetida , because the Matrice flyeth from any Pelaries, ching that is of a bad favour, and let the woman receive thisfumebeneath, fitting in a chuire, with a hole'iuje For moift fuffumigation, they shall be made thus. R. Tapsi - Ba-bat. Centinod. Abfinth. Matricar. gation. Consol. utriufque fal. Cupe an. mij. Baccar. gugout Laut. Nucum. Caprej. Balawffior an 3 $. Cortic. , ostrog 9 Quercus; Pini, Thuris; win. I vi Rolar. rub.p.ý. Lfiit omriun decoltio in aquis partibus vini aufteri, gi aq fabrorum, pro suffitu. Es Hippocrates counsellérh to put herein methings of an ill favour, as Afla fætida: You may also inject this decoction, bur then let it not be made alto gether so astringent ; or else let this serve for an +353 Injection 0:2 An Injegion, Rri Fol. Myrt. Lent sc.Summitat. rubi. Bistort. Pen taphil. Plantag. an. m. j. Rojar rub. Hyperic.ax. p.j. cort. Fraxin. 3j. Rasur. lign. graiac 3 $. fiat omnium decoctio, in colaturá ad bb: i) diffúlve fårupé de Rojs ficcis, la de Abfinthii an.3.7). fiat Injectio. Hipp. Lib. de na. Hippocrater commenderh a fomentation made . . tura Muliebric with a mans urine, and afterwards one made with the leaves of the Mafticke treen 211; CHA P. ܢܶܬ݁ ܘܰܐ، ܀ a string og ransels CHAP. XI. s of an effect, where the sides of the necké of the Los di 161 wombé are united and joyned weak together. Here is another troublefome accidene whichi chanceth to some Women after The cause. their delivery, which is the uniting and sticking together of the necke of the wombe : and this happens through hard travaile, which hath corne and excoriated che sides thereof: orelle by reason of some inflammation or ulcer which hath there hapned, through some sharpe and birinig humour, which hath corroded and exulcerated the said parts which being negle&ed and ill cured the fidesnot being healed and scarred, it happens that they are joyned and grow together, and so become one body. Galen hath made mention of this accident; and Gal lib. de dijo we have fometimes feene the experience of it. Sectione uteria As forche curehereof the Woman must be pur Cure. ged and let bloud,then bached for divers dayes together : and the Bath must be made of emollient things: likewife houseoftbe many emollient fo . menrations used to her lower parts, and after them divers liniments, such as we have prescribed in divers places: when the parts are sufficiently softned, then must you place the woman in the lime manner as is described, when sheeisto bee delivered: then Hh3 2462 Cbilde-bireb, or : Lib.z. saint T then when you perceivethe smalnesse and straightThe pra&icenesle of the padage, you fall apply a Dilatory In strument made in the forme of a speculum Matricis and by little and little ġou shalldilàte and stretch the parts so joyned together, which will part and sever one from another, without any effufion of bloud : And this have I practised with good fucceffe of late dayes upon a tenant of Madam Saçon, as I have declared before; and this I did when she was ready to lie downe, and yer no it accident hapned upon it. Butif sobe the callosity should be so hard (as by continuance of time it may be) that the faid parts should grow together againe, and could not be softned, then will it be necessary firft to make an incifion, that fo it may bee dilated more easily. And this hath Monf. Pineauránd my felfe practised upon a Gentlewoman, as I have more at large fer downe in my Booke of the nursing and government of children, in the Chapter of those that have iheir naturall parts shutup, and without paffage. The rest of thecure must be performed in thar Muft take heed of letting it manner which I have fer downe in the place last grow together cited: and herein muft a speciall care be had, that againe. the paris joyn dot, nor knictogether againe:to prevent the which, the woman shall weare a Peffáry continually, untillfuch time as the skarbe perfect ly growne and confirmed: And to this purpose let the Speculum Matricis bee often used, to enlarge the part : For it is certaine, that all such Membranes as have beenjoyned and grown together, when they arg are divided and severed, doe hardly come to that length, and bignesle that they were of at the first. And this I have of en observed and amongst other places in the month, wherof Monf. Pigra and Mons. Pinear the Kings Chirurgions in ordinary,& sworn ar Paris, will bear me witnesse, that I together with them cured an honest man, who had one side of his cheeke grown fast to his jaw which made him that A florya hee could not open his mouth, nor speake plaine. I cut and separated the membrane, a good way, which did knit and tye these parts together, but while I went about to cicatrise both sides which I had divided:had I not had the greater care to have hindered it, the parts had growne toge- cher againe, that I was con- ftrained to make a new separation three divers times. FINIS NVRSING OF CHILDREN. WHEREIN IS SET DOWNE the Ordering and Government of them from their Birth. Together with the mcanes to helpe and free them from all such discares as may happen unto them. Written in French by LAME'S GUILLIML AU, the French Kings Chirurgion in Ordinary. LONDON, Printed by Anne Griffin, for loyce Norton,and Richard Whitaker, 1635. THE PREFACE TO Ladies, wherein they are exkorted to nurse their Children themselves. Vlus Gellius (in my opinion) did not swiffe im putting to difference beyin tweenie a woman that reförses to nurse ker owne childe, and one that kils ber child, as soone as shee hath conceived; that three mig not bee troubled with bearing it win months in her wombe.For why may not avoman with as good reason, deres to souvish her child with her blood, in her wombe, s to deny it her milke bea inz borne? sincethe milke is nothing else but blood wbiteved, being sou brought to perfection and masa turity. But fome will say that the child may be delivered to fome other woman touwrseit, and that the Mother may have an eye and care over it • But (Gentle Lisa dies) here I desire you to consider with me the great inconveniences that may bence arise, which though they be infinite, get I will reduce them to foure heads. 1. First there is danger least the childebe changed and another pur in his place.si, 2. Then that naturall affection whichshould be be 112 twixt tipoixct the motherund the childe by this.meines is die winished. 3.Thirdly,it may be feared that some bad conditioxsorixelinations may be derived from the Nurseinto the child. 4. AndilaWy the Nurse may communicate.fome imperfe&ions of ker hodg into thechild. 1. As for the first point, which is the changing of the child, that may easily come to paffe; because as foors as the child is borne ind Christered, the Mother preFenstly delivers it to the Nurse, to bee carried into the. Carstreg: mkere thechild being wholtyleft to the difsretion of the Neefe.maybe some ill okance be ftified, overs hoids be ket fall, fo come to an untimely death, welfemuj be devonred, posledy or disfigured by some wild benly, Wolfejor Dog and then the Nursefearing ta be punified for ben negligence, may take another child into the placesfit, which can hardly ever bee mendorkedand distinguished: Apdiwdeed.nohen childrens grow'Someophat big, he brought home from Nurfe, if they prove not like their parents in body.in conditione ou witarbe. Proverbe goes, That theyarechan. ged at Nurse;which ometimes may be træer, tkan they are wolnego Hindgirl The Historiegraphers report that Arthebar King of the Epinotes being olb had one onely fons mbofe Nurse was corrupted with great gifts to change him, and io take & Gentlemans somme into his place. But eshen the King was dead, the Nurfe repenting her felfe of this wickedneffe, revealed the crror:wheræpoa ensued fach terriblewars, betweene Abe lavofuell and the freppafed fon, that both of them lost their livesira battet. Vipon #his occafior, Thomistus the seventh King of the La cedemonians leaving two sons behind him, when he died; the Lacedemonians chose the younger oftkem for their King, because bet kad beeme surfed b; the Queexe his Mother and reiected the eldest, who had beene brought up bya ftrange womax; fi aring leaft be had been changed by bis Narse. 2. For the second point whichis matureliffe lion, without donbt that cannot be fa carveft, either from the mother toward the child, or from the child toward. the mother; iffbehave not marsed bins and green hine froke. Forifjhe nurse bima be fucks or draws her upone blood.Whereupon gronds a familiarizardmes, chu thie child when be comes tegeares of discretion finds him. felfe bound to his mot'er for many benefits: both in that fheb.tb born bin nine months in ker womb, and difo because she hath nursed him,watshed him, an of ten nude him cleane. To recompenes wherof he endeaDichers tahem here tboxfand defights to make her for get ortake in good part, so much rare and paines, as free biath takes withbim. He playes a number of with tricks about her, hekilsethker, strokes her haire, noje, enienres: keflattersker, he counterfeits anger and other paßions, and as he gropeth bigger befindes othey frortswith her which ranseth that they beare one anothe futhanafectiox as cannot be expreffed; for makes that they can never be paried : When he is bigge, and comes to be weared, ifone chide bis nur se he cries; and ftramps;andifone offers to take him out of his Nurses armes, he will fliin their faces, and if it were possible ke would even pul out their beart:o all this proceeds from that inward affection of the childe; to which w lizo love love com bee compared. And herenfons Platojuftly said, That children would never love their раrencs fo well; but that their fathers doc ofren beare them in their arms, and the mothersgive them fuck at their owne breasts. And hereofwe have a memorable example in Cor. nelius Scipio, whowhen hee had condemned tenne of his most valiant Captains to death, he mould not beare his owne Brother Scipio Africanus intreating for them; and get granted teir pardun to one tbat had bin bis Fefter brother, and fucked the fame Nurse: which being objected to him by his owne brother, Japing; That they had beene borne both of oxe Mother; hee answered l.im, That his Nur Se-Mother had desérved better of him than his omne mother had done. One of the family of the Gracchi,returning from the warre, met his owxe Mother, and his Nursē together : but he addresing himselfe,firft.to his Nurse, presented to her 4 Girdle of guld, and then to his mother a lewell of Silver : which free taking indignels, and rebuking him with reproaches, hee replyed : 1 krom (Mother) that jon bereme nine mokeths in your bombe, get that mas out of neceßitie, because you could doe te otherwife; but when I was borne,then you forsooke me, and my Nurse-mether willingh, entertained me, carried me three geares in her armes, and nourished mee with her owne blood. 3. As for the mannersand conditions of the child, thereis no doubt to be made, tut that they are better bred and fashioped by the Mother, than by the Nurse. For first st is delivered by learned writers, that the Mangers and conditions of the minde, doc follow the temper temperament of the body, and the temperament arifeth out of the sourishment: so that commonly such as the humoxtsare, such provethe manners. Hence Maft weconclude, that the childe that sucks Nærfe that is vitions and wicked, fui keth also from her ber faults and vices: And hefade,when the child comes to understanding, and observes what the Nurse Speaks and dotbzhe retaines that, sages it after her, and imi. tates ber : and that which is imprinted from the ina fancy, will bardly or never be tooted ont. For this causé Platowarnes us not to speak or flew anything before a child, which is vot decent and hovejt : ani Aristotle forbids tolet a child see any wanton or los fcivious picture. Then (to returreto our Norf)pse may be allured that tbe Milke (wherwith the childis Kovrijhed troo years together hath as much power to make the children like the Nurses, both in body and mind, as the feed of the Parents hath to makethechildren like them. For althongh the child be borne of houeft Parents, nevertheleffe the bad nurture of a mica ked Nurse, will make the child vitious and picked : For (as the Proverbe is) Nurture prevailes more than Nature. This may be plainly observed in all things that have life: for a faire and flourishing tree which hath bin bredin a good and fat ground, if it be transolanted into a barren gronnd; becomes afbrub, and bearès no fruit that is good and tall fill. Like wise, the grainethat is sowat ix a good ground, will beare a faire and odoriferous flower ; but if it becaft ipto bad ground, it will bring forth a bastardflower; without any good or pleasing sriell. It is reported, that a certajue child was sourished with the milke of be ABitch: But hee would rise in the night and home withother dogs. Plato going about to give areason pobe Alcibiades mas so hardy, although he were am Athenian, (who naturally were milde and timorones) resolves it thuiz: because the Said Aleibiades had beene Bursed by a Lacedemonian Woutin, whichisa very stout and valiant Nation. 4. As for the imperfections of the body which children mag borrow from their Nursesaltough they bevery many, get comsider omby those whichithe carpnia lencie and difeafesof the Nurfemagbring them. Itacicus writerb, that the Germanes of all other people are the biggeft und ftrongest of bado and the reasonts, because they are our fad by their mothers, which are big offiature.And it is observed, that they whichput forth their children to pomen of smallftature, have ikem neither fe biggeworftrong and able of body,an if they had brought them up themselves. If a young Lambe fucke a Gost, * is found by experience, that the poolk of it will bie harder than of other peepe, and he will prove more fierce and wilde than is 16turall for his kinde. And tothis purpose Procopius relates a Story of Polopeia, the daughter of Theseus,who being delivered in secret of a son, and defirons to concealele on immodeftie,camsed liimtobe caft into a forreft, where heb ing found by a Shepherd, was brought up and nontifeed with Godts milke (from wberce he tooke the name of Ægistus) which made him fo (wift of foot, that every one did admire him for his simblea neffe and quickreffein running Nam concerning the diseases of Nurses, you ball frnde finde more of them, polluted and infected with the freach Poxes, and other diseases; than found and healthfull , And I havekuiwen Nurses give little children the Frencia Poxes, who afierwards bying with their owne parents, bave ikewise infe&fedtkems. sig Nuno what u disgrace , and what a forrons and griefe of beart,this would be to-d mother, if such a chance shonlit. kippen, I leave untog (faire Ladies) toi4dge. and therefore every Mother Mouldendeavont, by alh meanes possible if she bee not fickly, ortow.perder) to purseherchild ber felfe; fincethat nature hath beftowed two) apsupor her onel, f rthat purjose. There are so orber Creatures, but give fücke to their giming ones and if you dee bist orely m ke afbewo, that you . Dould take them from their dams,what a cuyle and Birre doe they make? if you carry them away, they will runne aftery * and neverbedre till yow have ler goejens hold: * defiring ratherto loose their ow we lives than fwffer their littleones to be carried away. And therefore let Mothers mever put forth their Children to me (if they themselves bee smund and healthfull) for feare of being changed. So shall you be sure to have children, which will honomer and love 9 H, witkout fething their affections upon a stronger: a There so bl you not need to make any doubt, but that your Children will bee vert nons, and honeft ; not being addicted to any viles, which they may cake from their Nurles : and they Mall 201 l arxe an dishoneft, or undecent speeches; nor beare any thing that shall be either hascivions, or unbesitting : then shall you bieure, that year children will bee healt/:fall, fince they have beene kk Bowrifbed . apucifped with good milke aand meat fed with Apples, l'04F45sopsand fuch like tres, phich is often given them, for part of milks, and by this meanes, sou Shall have faire and good children, well brought up, dociles Vertuous, loving, strong, and linjer i mithout any diseas fesa Tbensballnoube accounted for Mothers indeed and not . Step-mothers and therefore never make your excu fes, that you canzot, por are not to endure the trou. “ lhe and painess or that your will zat feffer you to da fanto And to conclude, I would have gou imitate Blanchę of Castile sometimes Quečneof France, pphe pursid the King Salewes her Sanne her omne felfes and on a time ashepping out of this may her child. being froward a. great Lady of the Court gave him fucke, to still him, and muke kimi ymaet : which comiming ta the Queenes egre,fhe profectly topke i bechild and thrufl þex finger to furre. amore into histlerpat, that the made him venit rep all the milke hee had suckt of the said LApit looks being siery, angry that any muman des basa sa kould give her child sucke, mot lás sūkotid, t2 berkuther felifeovooste (112' laced . soon!!! Na 3 joudut?? : F.**2496A titoxonline preis: fpoised to PA04') geoodles) THE comunista y dictis esineb 019 96 stato :13.57 fint: 4509:15:232.2009, bilan yg mengalami mitigatoa cha go fugir dedilia ugaliniai F the Nutre; and what care multbee had in the choife of Wiherwisi £1038 SVI i Ofte conditions that arerequired to bec is good VIRONa Milke boer 91.0937 3 What care the Nurse mu have,of all the parts of the childs body. 4 How thee ought to shift and make clean the childe. s Of the childicradle, where it must beeset, and how hte must lie i when he goes to fcepe. Primeri itin 6 When his owne Morher, or the Nurse may give the childe fucke, : how,and how ofren. 7 Howahe child muft beethade diame after he is awake, and una Swathed. 8 What clothes and dreslings the child must have, and at what time. 9. Ar what time the child may take other sustenance, beside Milke, 10 When a child ought to be wcancd 11 Of the diseases which happen to achild. 12 How there may happen divers diseases unto little children, as they come forth of their mothers wombc. 13 of the bigncfic, and swelling of the head, 14. Of divers imperfc&ions, that come with the child into the world. 15 Of the diseafes of their eyes,cares and nose. 16 Ofthe forenefle and ulcers of the mouth called Apbtba. 17 Of the swelling inflammation and sorenelts of the Gummes called Paron.js and Epoulis. 18 Of the strings which the child hath under his tongue, that make him tongue-ryed. 19 Of the Cough. Kka a TE 10 Of ! 20 Ofthe inflammation and swelling of the Navell 21 Of she gripings and freating in the childs belly, 21 Of the wormes. 23 Ofbreeding of teeth. 14 Of Convullions chat trouble children. 25 Of watchings, 26 Ofthe frights, starting and raving of yoang children la caeli {flеере, 87 Of the falling downc of the gut or rupture. 28 Öf the difficalry of making water. 29 Themcanes to helpe children that pilca bed, and cannot hold their watcr. 3. Of the gallings and rubbing away of the skiane in the groine and thighs. 31 Ofthe accidents which happen to the childsyard." 3. Of wenches that have no naturall pacage from their birth. 33 Ofthe fundament that is closed and Ahut up. * Ofthé scabs that come on the childs head and facc, unproperly called Tinca.. View 35 Ofthe Mcafels and the rocks. 36 Ofthecure of the small Pocks and the Mealcls. 37 How to preserve Children from having the Measels and the Small Pocks. 38 ofthe French Pocks. 19. Otthecomming forth of hairçin childrens backsandraines; cala, lol Mortus P'ALĀS. 1 THE MANNER OF Nurfing, and bringing up of chile dren: Together with the Discasos, which may happen unto them and, the cure thereof, Written by IA MES GVILLI ME AV the French Kings Chirurgion in Ordinary and sworse at Paris. nim The Prefaces T is recorded by anetent Histories, Metrop.Salibo I that there bave beene fome Children, scolio ad Ter- Episc.363 which baue made # poyfe, and caft.lib.gode-4;": tul.tib.g.06 fartheries, being get in their mothers belly: and for proofe bereof , i bey relate, that in the Citie of Rascat, there was a child borne with two bornes, wbose moans and lamentations were beard fourteene dages before bis birth: Butibis is rather Prodigious then Naturalli, as S. Augu. Aug.lib.z.de ftinc faith; For a child naturally,neitber laments sowie doÂcato nor cries, so long as be dotb abide in his motbers wombe. And 310 Kk3 alteration of the fees the light(bende the And I have often observed, that a child neither cries; Hor makes any nolle, neitbor figbes, sbougb be be halfe.come forth, mobat paine or an suits focar dhe periferning the passing But as be finds Heden very necessitie,and bisowne feeling, doc forçe and as it were boring shoes Bim Pics and moan and moans,tbereby tofbeno in bohat need bee stands of belpe. Hec traves and demands the factour of his owne mal ther tøbenodright and fed, othersbije'be'would die in asbort space; except he were a second Codratus the Martyr, who was even from bis tender age deprived of all humane aid aid, and forsaken both of Falck and mothers and altbe world bebida o 5.98 But - Pour Lord God did fupply, this want dnia ako caused in recompence thereof, tbat aroundcloud, comming damnefrem baniseren, did encom. si tot sprato bime about and south dei cospod bliza rifle bim. Hositions 99368 23Gide INSEE ROA 281.00 Sjedom, 2937600 e nedita Iidoyid zi stotoil 20 ab omanikuga the . to U DA SEM. Cara of 아 sain 132.113sztami podtion commune bi doi ioni, ... zrodtom zid ni shidn diode so in quel 0,23573 you Metaph. 1o. Mariii, Liper:: som.7. 1 .ni!?8 17 ( OFA NVR SEAN D9 pollboog 810 what ele&tion, and cholecaught ud 20tobes made of her. jonnum vidios:19,2 0:10.1010 10,2991'3 T:shim 10 YOO ni Tsitioneat you misi! deseised20593G Handle 9019w amin9310 foto ; Dauoi bnr llot Hough it were fit, that every mo- ther thould parte her ownsichild: because her: Midt ez wbichibno- chipgelle, but the blood whicebed (of which he was made and wher trio with, he had beggehouifhecbekre Maine he staid in his Moshers wombad Wilksbitesat the Wayes more naturall, and familiar umrohim ahan , thatofa (tranger; and allobynurlingbimber felfe, fhe shallbe wholy accompted hisnothers yedfince they may be hindered by sicknelle en forbrölthey are too weake and tendens erhieble because their Husbands will not not sufferthemytherfore Iday,it will be very necessary to seek out anacher Nurfel: and The difficulty everyone knowes how hardathing it into fividea of finding a good one because they have bin faofeeni beguiled, , and deceived therein; which hath given mee occasion, first ofall to shew fomemarkes, whereby you may make fame, shoiqe of one that is fieri :3 Ax? Now in chuling of a Nurfeythetente fixe sehing's they may good Nurfer 90 % to to be confidered: Her birch and Parentage : her person: her behaviour:her mind: her milke: and her childe. (Firlf, Concerning, her Linage, she mustcome Heclinage. ofa good ftocke, gr kindred there being none of her race, whether it be grandfather, or grandmother,nay, not so much asоnc of her great grandfathers, or ancient progenicors that hath ever beene stained, or{porced, either in body or minde: For, oftentimes we see, though the Parents bee health full, and sound, yer their children bee sometimes, either sickly,or fooles, or else viciously given: who tetaine such vices from their grandfather,or grand- Orochieszýta,& sometimes from theirgreat grand, fathers; which troubleth many men, to think from whenecthefe accidents may proceed: for it is ye sýdesraine chat there are many Children, . sredifedredor deformed, either in body or wholepatentcsare very healchfüll,&'well featura: Buc.yer;ifyóg search farcher, you shall finde that fomeof their progenitors have beene affeqed ia the bike raameron donubi biti od 1144115 Touching the Nurlisperson for her age, Her Pescon. growth, fhefliall be chofen, when she is at hele Bib 17 twhich is about five and eweney yeares of age, from s bilo mhich time, to the Ave and thirtieth yeare, is the .: V. bcoz age wherin women are most remperáce, healthfull, strong, and lulty: therefore one shall bee cholen, that is betweene-five and twenty, and five and Her flasure . thirty yearesés Now, for her body, Thee ought to be of a midteftature, neither roo bigg, nor too . litcle, 12 A red haired little, for too far, nor too leane, nor yet too groffe, having good fleshie armes and legges ; and her flesh being hard and firme: she must not be defor- med, neither squint-eyed, lame, nor crump shoul- dred ; she must beeone that is healthfüll, and not subject to any disease; the complexion and colour of her body must be lively and Rosie:she must not be spotred with redneffe, and especially Mlie should not havered haire ; and therefore such as are of a Nursediscom browne complexion are held to bee best, whose mended. haire is of a Chest-nut colour, betweene yellow and blacke. She must have a pleasing countenance, abright Her Counte. and cleare eye, a wellformed Nose, neither croos nance. ked, nor of a bad smell, a ruddy mouth, and very white teeth : She must deliver her words'well and distinctly, without stammering and she muft have a strong and big necke'? for thereby (as Hippocrates ANurses per: faith) may one judge of the strength of the body. fe&ions. She must have a broad and large breast, garnished with two Páps, of a reasonable bignefle, neither limber, nor hanging downe, but betweene hard and soft, full of Azure veines and arteries, not being either knottie, or swolne bigger than they should be : the nipple, which is inthe midst of the breasts, oughtrobe somewhar eminent, and with all, a rèddy colour like a Strawbery; it must bee of reasonable bignefse and thicknesse, and of an eafie draught, that the childe may take itthe better, and '! fucke the easier. Yoon 3501 ' 99 lryone She must not be with childe, neither should she LI have 10 Do Hipp ib. a have her naturall purgings; though Hippocrates' Epidemier. seeme, to allow the contrary : velating the story of a Nurse , whose body was full of Pustules, of which shee was freed as foone as she had her ordinary sickneffe:defiring( as some interpreters would have it)toshew; that it is not without reason, for the Nurses health that the should have her courses chereby to coole and cleanse the blond, whereof the milke is made. 3: Shee ought to be of a good behaviour, foHer Manners ber; and notgiven either to drinking or gluttony, milde, without being angry or fretfull: for there is nothing that sooner corrupts the blond, of which the milke is made, than choller or fadecffe : and therefore fremust be merry, playing & singing to the child, dandling and ufing hin gently, and one that will not refuse to give him the breast at apy time, for feare left he cry. Shee mult likewife bee chaste; not defiring afterber husbands company, and much lefle a ftrangers, because carnall copulation (as Galey faich) troubleth the bloud, and loby confequence the milke ; alfo ir diminisheth the quantity thereof,by provoking the natural pargations, and also makes her have an ill (mell; fas Aria fotle faich) because they heat themselves very much in this act 2 and which is worst, che Nufe thinking only to take her sport a liteke, may therby Prove with child. Her Minde, 4 Concerning hermind : Les herbe fage, wife, discreet 'that she may take care of her little one, andaot lay him in zay place, whicre he may endan ger ger himfeffe,to be either fickc or stifled: Forthere are more Nurfes than fhould bee, which are fuch beasts, and fo careleffe, who having their childe fucke in theinight as they bewith them in the bed, doe oftentimes fallafleepe apon chem,and fo ftifle them. And she moitallo have discretion to judge fomewhar neare what her little one crieth after, it beingnot able otherwife to expreffe what it would have : Obferving (as Gülen faith) thechilds dispo Gal. de Sanicas. tuenda fition, that so shee may give him thar which hee craves or desires, or else take away fach things as ' fhall offend him : playing with him, kissing him, dancing him gentlyin her armies, and finging with- all: and she must likewife opent him often, to lay and keepe him drie and cleane. of the conditions which are required in good Mitke. Hechoice of good Milke is chat it be of a mid- , The quality of good Milke ther too watrish,nor too thicke: For that which is too watrish and chio, may cause the child to have a fcowring, and belides, it yeeldeth no good nutriment: and the milke which is too thicke, is easily cradled, and not so soone digested, and so causech obstructions, from whence the matter of the stone is bred. As for the quantity of Milke : a Nurse Quantity of thould rather have too much than too little : because when there is but little, it will be hard for the child to draw it when asif there be plenty, it will LI2 Milke. comc The colour of come the eafier, and even thrüft out it felfe.More over, if the child should fucke the breast drie,then shar which shall come in the roome of its cannot be well concoded so soone : Besides, if the childe should chance to have an Ague, then would hee facke and consume a great deale. Againe, the. Nurse,besides a sufficient quantity for the nourish ing of the childe, must have fame to milke into his 3:24.! ; eyes, if he should chance to have any imperfe&ion there : as either hear, pimples, or itching, that so it may be cooled. As for the colour,it must be white, according to good Milkc. the common saying ; (Aswhite as Milke). for the Milke which is blewish, makes thew of Melancho. ly, as the yellow doth of Choller, and thereddish, that it is not well concocted, and signifies either that there is a weakneffe in the breafts, or else an ill quality of the blond, whereof it is made, which hath not beene concocted and corrected by the na turall heat of the paps,"" The ceil. Befides, good Milke ought not to have any strong smell,batracher a sweet fent, which smelleth neither hot, por lowre not yet adust, for such smels that the bloud of which it is made is over heated, or putride, The taske And concerning the taste;that Milke which hath a fweet favour, is much commended : as contrari.; .wise, that which is either sharpe, fower,or birter, is to be refused, and therefore not chosen for good. A proof of chie Now the triallthereof may be made in this fort: Milkein a quanas to know whether icbe of a good substance : lec, che . shew, goodacffe of titie, ܝܲܢ ܪܼܲ the Nurse milke some few dropsof it upon a look- ing glaffe, or other sleeke thing:and if in holding it, gently aside, it flows and runs presently and keepe not together a little,then it is a signe thaçthe Milke • is watrish, and too thinne: If it stand still, and will not runne at all then it shewes thàr the milke is too thicke and fat:But if it runne leafurely,pot staving either too long,or flowing too soone upon the said smooth body,it fheweth that the Milke is of a mid- dle substance, and ought to be reckoned and cho- sen for the best. The quantity of the Milke may be knowne thus: A triall of che if there remaine some in the breast after the childe quantity, hath done sucking: and againe, if in opening the childe you find him bepissed:But you must havean eye that your Nurse be none of these Cozeners for there be some) that give the child water to drinke in fecretzand others which wet the childs bed : But such Nurses deserve to be whipt;and theirknavery may bee easily descried, both by the eye and the sent and likewise discerned by the caftesa come observation which is taken from the The choice of Nurseschild for the choice ofa fit Norfe,isconcer- 2 Nurse by her a ning his age: For if her childe bee above seven or eight moneths old, then her milke will be too stale afeerwards: and besides, it would be a doubt whether shee would have milke enough to nurse him that should be put unto her. Againe, if the childe bee but fifteene dayes or a 2 moneth old, that shewes that her Milke is too new, and that it is not as yet well purified: childe because L1 2 because the mother is not wholly purged and cleansed. So Avices commands that a childe should not be put to fucke a Woman, till at least two moneths after her delivery ; and ar the fartheft not after . eight. And because the sex of the Nurfes childe muft likewise bee observed, Aeginets wishcth, that it fhould be rathera man-child than a maid.child:because the milke is hoteer, better, concocted, and not so excrementitious: And he addech farther, that it : is fit (whether it be a boy orawench) that the mother have born her burthen the full time. For thore that are commonly delivered before their time, for the most part are not found,bur fickly: though there be many healthfull women which goe with their children but seven moneths. CHAP. II. How a Nurse onght to order bør felfe concerning her Diet, and manner of life. : T is not enough that a Nurse be indow ed with the conditions and qualicies 1 I aforelaid: but it is veryfit also that she maintain: and preserve them : wherefore wee will ser downe briefly, how, and in what manner shcought to governe her felfe. ci First of all therefore ler her shun and avoid all badairegand all kinde of illand stinking smels : for such 1 such fenes as are roo krong, arc naughtand kurrfull for her, because they infect and over heat the spi- rics, and bloud, whereof the milke is made : Shee What meat a nu semul ree must likewise avoid all meares, that are either too fraine from. much salted, or spiced, orofattrongtaft,as Onions Leekes, Garlicke, Mustard, and all kind of Baked Meates,and old cheese: Let her eate Veale, Mut- ton Chicken, Kid, Partridge, and fuch like meates , which are of good iuyce, and of easie disgeftion: What meates and shee must use them in moderace fort, without she hall use. glutcing herselfe. All sorts of fish are hurtfull for her,except it bee in small quantity: thee may eat, lacke, Sole, and Qualverzand if she eate nofth let herufe new laid cgges. Her mear must bee rather boyled, than rosted, but yet there must be bad a repeat to the habitude and complexion of the childe: Forifheebeevery moist and fegnjaricke, then the Nurse fhall rather ufe rostmeat: and so of other complexions. Her bread fhall bee of good wheate well made, Her Breate light and baked as it ought to be. Let her put into her potcages, Leoruce, Sorrott, Her Brock. , , Purcelaine, Borage, Bugloffe,and Succory. Shee shallrefraine from all kinde of raw fruits. Forher drinke, let her take Ale, or Beere where that cannot beehad Barly water ;'or water Her drinke. A kinde of fodden; or else a fall kind of Hydromellor mead drinke which » which hath but a little Cinamon in it, they use in But I would rather counsaíle them, to drinke they call Bock it Wide and Water together. Ariftatle forbids wine, chec France which , boch Arißoties Her exercise. Her sleepe. both to the Nurse and the childe, excepcít bee (as they say) well Christned. She must use moderate exercise, and chiefly before meales : For moderate exercise doth strengthen the naturall heat, and consumeth all superfluities. The parts which ought to be most exercifed, should be rather the uppermost, as the shoulders and armes : because that the exercising of them makes the bloud and spirits the foonérascend into the breasts. For her sleepe, that cannot beeicher limited or prescribed: because the Nurse is oftentimes.constrained to watch, when the child is either froward or ficke.And therefore she must take her reft when Thę may,whether it be in the day, or in the night, as the child will give her leave. Her belly must be alwaies loose, and if it chance robee bound, Thee may take a Clyfter.Let her use Broths, Prunes, and Apples well fodden, chat fofhe may keepe her selfe soluble. She muft shun all disquietnesse of mind, and she must beemerry and pleasant, neither vexing, nor grieving, nor too cholericke. CHAP. III. The care whicha Nurse must have of all the parts of the childs body. He Nurse should be chosen a moneth or two bee delivered that shçe , may alwaies have an eye over her and her before the woman أو أول child, and then as soone as the Woman shall bec brought abed; and that the child hath pasfedthor row the hands of the Midwife or Keeper, and is fwathed by them, he fhall be delivered sochie Nurse ! ke 894951 to give him sucke, and have a care of himu kacin Firft of all lec the Nurfe considerand vlew all the Parys of the childs body beginning at the head, ob ferving whether it be well &alipoeders OK that if it chance to have any ill forme or figures that chen it may be mended as well asit may, which shallbee done by bringing the said head unto the formeof& How to fashion bowlega liale prefiedendmade fint on both sides the childs head. in fuch fortg that neither the foretpartnpr hinderr part of the head stand too farneohe, nor yet be too flat: which fhall be donelwith fuch head-cloths as they use commonly towegreftroking įtby little andlitel4, withour much prefsingbrewhingit es fome Narfes doe: but onelyphandling it in a mailde and gentle fallaion.) stav, covso to care Upon the Mould of the head you fhalllayapeece of Cotton or Kerfey. A fome wife to lay a peece of sum on silt Scarler.! luggbe olabbonbonosc luod The caręs must bee cleansed with little fagges, Tlae childs made like tents, and the Narfe must look whether cares must bee) the holes be well made that therempay not remaine any filth either within or in the wrinklesand folds behind them. And as Rhafis faith, the eares must be a little prefed to the head, that they may not hang downeari zobausi edlensi 309971 9 Let the eares alle bec wrapped about with fine linnen clouts, that they may not bee over-heated, Mm and An وہ وانا cleansed. Tlac eyes clonica, and so Ricke to the head, by the meanes of some groffe matter or swear which commonly is bred cheres . . JE But above all the eyes must be looked unto,and wiped with a fine linnen cloth, cfpecially abouc both thecorners, tharif there should chance to be any filth gathered in those places, it may be takert away. Avices puts therto la little Virgin oile, because it micigateth and taketh away the roughneffe and nitrofity which might remaine about the childs ... eyes, through his long swimming and lying in his owne sweat and Urine, while he was in his mothers wombe. I have seene in fome children, that (after they have beeneborne) there hathrunne out ofthe corner of the eye,many daies together, thick drops of blond, which congealed presently. There are many children likewise borne bleare eyed, for the helping whereof the Niale fhallufeto annoint the corners of the eyes with a little Prigmentam Tutie, andlikewise spirt a liecle of her milke into them. The nose mult Now concerning the childs Nose, it is fit that it be clensed... should be opened and dilated gently, washing and cleansing it with a little warme water. The same Avicen bids, that it should bee anointed withia little Virgin oyle, which maft bee done with the top ofone finger, the nailes being pared very neare and even. And if you chance to finde fome licile membrane or skinne chår stops up the holes, and passage thereof, it shall be cut alunder that there may bee a passage for the excrements of the brairie. And a "And for as much as the head of a childe aboundeth with store of moisture, (as Gales writeth) which is purged and voided by the mouth, nose, and other passages: therefore it willbe very fit that the Nurse have a care to the taking of them away for feare left by their stay, they either falldownupon the lungs, or into the stomacke, or elsegrow to For the cleaning be dryed, which hapning the Nurse must put her fing of the finger being annointedwith honey,co the bottom mouch, of the childs mouth and tub itabove and under the tongue, which shee may doe also with Sirup of Violets. Besides shee shall looke whether the fundament bee well opened, and whether there bee any filth bred there or no: as also, whether the passage of the yard be free: & ifit be a wench, whether there Care to be bad be any membranechac dochstop upthe entrance of the funda- Not long fince, I made a new passage in a little mens childe, who had the hole of his yard growneand as, it were glued together: and an other boy, which had the Aring of his yard so short and straight that it made the head of it(called Balagus) bow downe- ward, and seemed as though it had no passage, but as soone as I had cur the string, the yard came to the right fashion. And concerning the membrane whichiomtimes ftops the passage : Jhave made incision of the like membrans in three girles and lately in the daugh- ter of M.James Boyzard. As for the armes and legges, if they bee either For the armes crooked or fand awry, they must bee fet straight and legs. M m with tal.inende medica. wida Betté swath;& fic boullters; made for the purpofesas likewife iseither the backebone,or the belo jy do stand out. But for these they must repaire unto a Chirurgion: who must (hew and instruct the Nurfe low he qught to proceed herein, when she Ahitus the child in yoote vi? of Giden would have us, to looke tothefe deformi, O . A precepe af. Dies bedines, because the bones{through their fofcGalen,de fusios neffe anideendernes Háre more easily made straight and are apterto be féet in theipright place & forme, then when they are growne dryer: it being then very hard to amend such errors, as the fame Galer Gal.de arte faitholiski, rol yung9d 2013 derivbáboregon..7951 92117 od: od: CHAP IV. :0:'70 9731 ouli's 9:32 -31 . arrito :971 Hom'the Nurfemiuft bift the child. 1 quae ni ujing wou soben is E prüft not onely have a regard, to Route such'defects of Nature, 19 the child thay bring with him from his mo . chers wombe, and cure. them but we , , must also looke, and have an eyeg: that the Nurse, or shee chat fwathes, and drefseth him,doe not make him worse:and ofawell fabioned child in allthe parts ofhis body, doe not make him deformed or milhapen,and so spoike him. For the child, most commonly they bind and crush him, so hard, that they make him grow , emais a ten crooked: Şome swath allthe childs, body hard to cool bosomake him have a goodly necke, and to make him seemex , دانه از شود. مردم از feeme the fateer: but this crushing makes his brest and the ribs which are faltned to the back-bone, to stand out; so that they are bended; and draw the Vertebræ to them, which makes the backe-bone to bend, and giveout either inwardly or outwardly, or else on the one fide, and that causech the childe to be eithercrump-fhotildred, or crooked brested; our than the other.Co bind the hips so hard of that theybecome very small and that hindersthem from growing and waxing big. Which doth much harme especially to maids, who fhould have large of hard fwa- hips, that when they come to age they may bring thing thchips. forth goodly children. Galen hath observed that the too ftrait and Gal. de causo hard binding or crushing of the hims and legges of xoxboro little children when they are fwathed, dorli make them grow crooked legged, and they will remaine asche Latines calit, Vari,or Valgi, going eitherin ward or outward with their knees. This imperfe ction may also happen through the Nurses fault by rai??nyo? carrying the childe alwa es upon one arme, and the fame fide:andby holding the childs knees hard towards her, making them stand like a bow: For the preventing of which mischances, the Nurses fhall carry their children föntetimes on the right fide and sometimes on the left. And theymust likewifé fwath them but loosely, stretching downe theirarmes all along their fides, without binding orcrafhing cheni hard rogether. Satis CHAP. V. of the childs cradle, and how it is to be placed ; sed also how the child ought to belaid when he goes to sleepe. Hen the child fhall be, thus dressed and [wached, it will then bee fit to let him sleepe and take fomerest,for which pur pose he must be laid in his cradle: ficced with a little mattresse, which shall be laid deepe to the bottome, that the sides of the cradle may bee a great deale above the matresse ; that so the child may as it were fincke downc in his cradle for feare How to order least he fall out of it. Then upon the Mattresse shall slae Cradle. belaida pillow, that is fomwhat soft, to laythechild upon letting himlye the first month upon his back but afterwards when he is waxed a little bigger, lec How to lay the himlyesometimes on his right side, and sometimes on the left, having his head a little raised up, , that che excrements of his braine may the more easily flow and passe through the emunctoryes thereof: And he must be bound & tyed in with strings,left in rocking him, hee fall out of his Cradle. At the head of the Cradle let there be a little Arch made of wood, or Ozier to lay a coverlet over it, thereby to keepe away the wind, and that no dust fall upon him. But it would be more convenient (for those chatcan fitlyhave it to set the cradle within a little bed, child, Cradle shall bed, the Corcaines drawne round about ir, Now concerning the place where the Cradle The place where the must Rand, it will be very fit that it be in a Cham- ber that is neither too light nor too darke, nor too be set. hoty nor too cold : For if it be too light, it fpends the spirits of the light and hindreth the child from Sleeping: if it be too darke, it makes him deGre the light, and caufes him to be Melancholike: ific bee- too hot, it will stifle him, & make him apt to catch cold when he comes into the aire:ific be too cold, it brings him to a murre, or fopping in the head: and therefore it will be best to keepe a meane in all of them: And especially you must have acare tha the Cradle and bed stand not neare che doore, chimney,or windowes that the light doe not draw the childs fight awry, and so make him prove to be squint eged: and therefore the fire or the candle must be set right against his eyes: For if they were on either side the glimpfe will make the childturn and role his eye aside to follow the light and so the use and motion which the mascles would get therby, may make him either fquincorgoggle-eyed. Oftentimes the child cannot sleepeafter he islaid downe, and therefore he must be gently rocked, to invite him thereto, and nor hastily or too fast, for feare of making the milke flore in his stomack, and his Nurse shall sing by him, 'hecalıse finging provokesfleepe; and keepes him from crying Till chechilde be two yearcold; hee may fleepe at all times whensoever he will, yea, he may fallaSleepe at his mothers (eat as hee is fucking, and if A you! bel you would observe the space of time for fleeping which the Ancients did, it muk bee chus: Tillche childe be three or foure yeares old, let him sleepe more than wake. But according to Gaben, he ought herein nor to exceed mediocrity, otherwise it is dangerous : forlong fleeping copleth and moist neth the braine, and there retaines fuperfluities. And Avicen saith, that it doth bepæmme and befot. chechildsfenfesjand makes him dulland lumpith, i CHAP. VL. SIIT! . whenzhe Mother her felfe, pribe Nwle, onghttogide thee childe fuckes and home, ined how mucha 90 Tis very fit, that either the Mother, or some other Nurfe for her do give thechild fucke after he isborne:ifit be the Mother her selfe, it must not be at the sooneft, untill eighc dayes after her delivery : Some allo areof opinion, that the Mocher her felfe should not give her childe sucke in the monech, by reason the hath been troubledand tired in her lyingin:and because she is not asyét well cleansedand purified of her after-purgings, which commonly last a moneth, as Hippocrates faith: In which fpace The Challlet little pretty whelps sucke her breasts, to make her milke come the better, and that it goe not away. Some women doe make their keepers draw their breafts, and others draw them with glaffes them: selves : felves : Besides, Avicen commands that a womari should not give her childe sucke, untill she be well recovered. Now you know that some are well fooner,and some later,and so there can be no time limited and prescribed:But above all, itmuft beob- served (as the same Authour faith) that the Nurse doe not give the child fucke after shee is risen, be- fore she hath milked forth one of her milke.: And likewife shee shall not give him the breast, if by chance shee hath over-heated'her felfe, either by some exercise, or else with going, till first she bee come into a good temper, ardwell cooled. Now in givirghim-fucke, the hallobserve this The manner! order: She mult sometimes spirt fomeofher milk, how to givetke either upon the childs lips, or else into his mouch; childc fucke. and when he hath left the nipple, fhéemust crush her breaka lietle, Trhat he may draw and fucke with lelle labour; and the must be carefull that heswalļow nar-downe too much at a time, and that the milke come not out againe at the nose: Befides, the must sometimes take away the teat, and give it himragaine, that hee sucke'not too much at once, and too greedily. It is very hard to see downe the quantity of What quantity of milkethc milke that a childe Thould take ; But therein the child mey Nurse must have a respect to the age, complexion, sucke. temper, and to the defire which the childe hath to fucke increasing it as the childe growech, or according as he is thirsty, either through some ficknefle, or when his teeth come forth : for at those times he is more drie than otherwise. Now to know how Nn often а : often the child should sucke in a day; Pantur Ægiaer ta appoints, that it should be twile a day or thrise ac the most:which he meanech for the first foure, or five dayes, that he may be acquainted cherewith by little and little, & also because there is then no great need. I have fenechildren that have not fucked in two or three dajes, after they were borne; for they know noe then, whether they are yet in their Mo thers belly or no, where they sucked not at all; alHippocrai.lib.de though that Hippocrates faith, that the child receives princip some nourishment by the mouth, while he is m his Mothers belly. It can neither beerold nor limited how often he ought to sucke in a day, because it is fit he lhould have lhe teat asoften as he cryeth iyet 2001 lecit be buta little at a time, because the stomacke at firstis but weake.And if he wrangles but a liccle, it will bee best to still him,either with rocking, or Inging: Andthough he be not quieted, or stilled, a liccle crying can doe him no great harme, but rather may ferve for some good use:For ie makes him run af Nose, shed teai es and spic:it purgeth his braine; yea,and stirreth up his natural heat, and also dilates the passages of the breast.But ifhe cry too violently,and eagerly,it may do him much harme & cause him robe bursten,orbreak fome veffell in his breast or elsebring the head ach, 97, ;!; , st 6 How the childe naft be made cloane after bei siis - dnoake; undurfwathod. 7.2390 id Fter the childe hath well sucked, and Nept, the Norse must shift him, and make him cleane:For which purpose the Nurse, or fome other, must fit neare che fire, laying out her legges at length, haying a soft pillow in her lap, the doors and windowes being close that, and having fome thing about her that may keepe the wind from the child. And when shee is thus accommodated, the shall unfwath and shift him dry. If he bee very foule, fee may walh him with a little water and wine luke-warme, with a fpunge or linnen cloth." The time of shifting him is commonly about seven a clocke in the morning, then againe atnoone, and at seven a clocke at pighe : and it would not be amiffe to change him againe about mid-nighe which is not commonly done. But because there is nocertaine horre, either of the childs fucking, or sleeping : therefore divers, after hee hath Nept a good white do every time Mift him; left he should foule and bepiffe himselfe. And furely there be mai ny children, that had need to be shifted, as soone as they have fouled themselves : which I would counsel foë pund you to lie in their filch. Cn 91 DIXIT Nn 2 When When you change his bed, you shall rub all his body over with an inditferent fine linnen cloch: and then his head must be rubid and made cleane: and when he is foute or five mobechs old, hishead may be cleansed wich a fine brush: and when hee is growne bigger, let it be combed. . و T: C#A?. VIII. [ what cloaths and coats the childe must havez and at what time. $ foope as the childe is somewhac growne, and that hee cannot well keepe his hands swathed in, and hid any longer; (which is commonly a9757873bout the twentieth or thirtieth day, according as he is in Atrength) then musthee have, little Deeves, that having his armes and hands at liberty, hee may use and ftirre. chem: and then the Nurfe shall begin to carry him abroad, so that it be faire weacher; tofport and exercise him not carry ing him out into the raine, orinto the hot Sunne, nor whenthere is any rough wind. And therefore he mast bekept in the shade, avoiding all ill aires, as of links, and the like. And if heelhould chance to be frighted with any things the Nurse fhaltendevorto take awaythe apprehenfion therof, and hearted him, without making him afraid. I have seene some children that with a frigh have fallen into che Epilepsie or falling sickneffe, the Physicians Physicians not being able togive any other reala:] thereof, but onely the fearę he had taken. If by chance he doch cry and weepe, then thall you endevõur by all mcanes to fill him and not ler him cry, observing diligently what it is he cries for, and what may be the cause thereof : that as Galen faith, he may haye that he defireth orelse beerid of that which offends and troubleth him. But the fame Authour faith, chat children gene» Galde Saxito 10 rally are stilled and quiered by three meanes : by twendio ***41.5 giving them the breast, by rocking and by fingingi to them ::They may bealso ftiled by giving them something to hold in their hand or by making them looke upon fomewharthar pleaseththem, sas, alfo by carrying themabroade si gor!<1000 - About the eighther ninch moneth,orar farthest? when the childe is a yeare old; he must have coats, and not be kept fwaihedapy longer. And ifrit babes Sammer, he must becoared sooner because of the heat, which makes the body oftentimestobcefulb of whcales and pimples. And fotomay have coats fooner, according as their strength will sufferitzo which an especiali care must bee had. And chiefly the Nurse must let him have a hat,- that may be ea- fe and large enough, which'may coverall the force part of the head, without being curious Castbey say commonly) to make him have, agoodiy high fore-head. 001: Tomrin inn ! .:1657 CHAP. IX. 1,100mm 233 lu bio usato 30. mabuhat uge the child may take other fuftebu u91/2i ii rakce befide Milke. no 1.Id:: 7 Suomi RAHechilde must be nourished with milke oriely, till his fore-teeth bee come forck Gallikandara kurangaböch above and beneath gas Galda wriBulale tuenda. Sve Teth: for being nothing else yet but as icwere milken ic is very fidand profitable that hee The childs food. should be nourilhed with no other food ::Befidesz the teethrate chitfiy ordainedi býrnacure opetyto chaws and therefore when hee hach Aone thee ought nor to bee fed with any folide meat- But as foonc as chey are come forch, it Mewerh thar Na, turetach givearbimi those instruments to make use of themi band therefore hee may then take more solide meac, if you chinke he can digestit. For to give him any other nourishment than milke or dif-mear before three haverderhj it might breed greatiftore of erode humours; and winds, which oftentithes (ab Avices faith) doe cause the childe as to hade bonches or contósions about his backe bone and tibs. Neverthelette, though his teeth be couritz yetmif youndt give him bieatrhat is too lovite, orintoo greacquantity