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A11278 The sicke vvomans private looking-glasse wherein methodically are handled all uterine affects, or diseases arising from the wombe; enabling women to informe the physician about the cause of their griefeĀ· By Iohn Sadler, Doctor in Physicke at Norwich. Sadler, John, 1615-1674.; Droeshout, John, d. 1652, engraver. 1636 (1636) STC 21544; ESTC S116338 43,151 302

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〈◊〉 〈◊〉 commonly called the false cources or whites of which I will speake hereafter Secondly it is said to proceed from the wombe for there are two wayes by which the blood flowesforth The one is by the internall veynes in in the body of the wombe and this is properly called the monthly flux The other is by those veynes which are terminated in the necke of the matrice and this is called of Aetius the Hemorrhodes of the wombe Lastly it is said to exceed both in quantity and time In quantity sayth Hippocrates when they flow above 18 ounces In time saith Aristotle when they flow above three dayes But wee take this for a certaine character of their inordinate flowing when the faculties of the body thereby are weakened In bodyes abounding with grosse humours this immoderate flux sometimes unburdens nature of her load and ought not to bee stayed without the councell of a Physitian Cause The cause of this affect is internall or externall The internall cause is threefold in the matter instrument or faculty The matter which is the blood may be vitious two wayes First in quantity it being so great that the veynes are not able to contayne it Secondly in quality it being adust sharp watrish or unconcocted The instrument viz the veynes are faulty by the dilatation of the orifice which may bee caused two wayes first by the heate of the constitution climate or season heating the blood whereby the passages are dilated and the faculty weakned that it cannot retaine the blood Secondly by fals blowes violent motion breaking of a veyne c. The externall cause may be calidity of the aire lifting carrying of heavy burdens unnaturall child birth falls c. Signes In this inordinate flux the appetite is decayed the concoctions depraved and all the actions weakened the feet are swelled the colour of the face is changed and a generall feeblenes possesseth the whole body If the flux comes by the breaking of a veine the body is something cold the blood flowes forth on heapes and that suddenly with great payne If it comes through heate the orifice of the veynes being dilated then is there little or no payne yet the blood flowes faster then it doth in an Erosion and not so fast as it doth in a Rupture If by Erosion or sharpnesse of blood shee feeles a great heate scalding the passage It differs from the other two in that it flowes not so suddenly nor so copiously as they doe If by weaknesse of the wombe shee abhorreth the use of Venus Lastly if it proceeds from an evill quality in the blood droppe some of it on a cloth and when it is drie you may judge of the quality by the colour If it bee cholericke it will bee yellow If melancholie blacke If flegmaticall watrish and whitish Prognosticks If with the flux be joyned a convulsion it is dangerous because it intimates the more noble parts are vitiated and a convulsion caused by emptinesse is deadly If it continues long it will bee cured with great difficulty for it was one of the miracles which our Saviour Christ wrought to cure this disease when it had continued 12 yeares To conclude if the flux bee inordinate many diseases will ensue and without remedy the blood together with the native heare being consumed either chacheriall hydropicall or paralyticall diseases will follow Cure The cure consisteth in three particulars First in repelling and carrying back of the blood Secondly in correcting and taking away the fluxibility of the matter Thirdly in corroborating the veynes and faculty For the first To cause a regression of the blood open a veyne in the arme and draw out so much blood as the strength of the patient will permit and that not together but at severall times for hereby the spirits are the lesse weakened and the retraction so much the greater Apply cupping-cupping-glasses to the brests and also to the liver that the reversion may be in the fountaine To correct the fluxibility of the matter catharticall meanes moderated with astrictories must be used If it be caused by erosion or sharpnesse of blood consider whether the Erosion bee by salt flegme or adust choller If by salt flegme Prepare with sirupe of violets wormewood roses citron-pills succorie c. then take this purgation following ℞ myrobolan chebul ℥ s. trochiscks of agaricke ʒi with plantaine water make a decoction adde thereunto sir. rosat lax ℥ iii. make a potion If by adust choller prepare the body with sirrupe of roses myrtles sorrell purcelaine commixt with water of plantaine knot-grasse and endive Then purge with this potion ℞ rindes of myrobolanes rhubarbe ana ʒi cinnamon gr xv infuse them one night in endive water Adde to the straining pulpe of tamarind cassia ana ℥ s. sirupe of roses ℥ i. make a potion If the blood bee watrish and uncencoct as it is in hydropicall bodies and flowes forth by reason of the tenuitie and thinnesse the use of of hydragoga will bee profitable Purge with agarick elaterium and coloquintida Sweating is proper in this cause for by it the matter offending is taken away and the motion of the blood is carried to the outward parts To procure sweate she may take cardvus water with mithridate or the decoction of guajacum fassafras and sarsa-parilla the gumme of guajacum also doth greatly provoke sweate Pills of Sarsa-parilla taken every night going to bed are worthily commended If the blood flowes forth from the opening or breaking of a veyne without any evill quality in its selfe then ought onely corroboratives to bee applied which is the last thing to bee done in the cure of this inordinate flux ℞ Of bole-armonie ℈ i London treacle ʒi old conserve of roses ℥ s. with sirupe of myrtles make an electuarie Or if the flux hath continued long ℞ Of masticke ʒii olibani troch de carabe ana ʒi balaustiorum ℈ i. make a powder with sirupe of quinces make it into pills take one alwayes before meales ℞ Lapidis haematitis triti ana ℈ ii aliʒi troch de carabe de scoria ferri corall frankincence ana ℈ i. fine bole ℈ i. beate these to a fine powder and with sugar and plantaine water q.s. make lozenges Asses dung is well approoved of whether taken inwardly with sirupe of quinces or applied outwardly with steeled water Galen by conveighing the juce of it through a metrenchita into the wombe 4. dayes together cured this immoderate flux which no wayes else could bee restrained Going to bed let her take ℈ is Philonii Romani in a wafer make suffumigations for the matrice of masticke franckincence burnt froggs not forgetting the hoofe of a mule ℞ Of the juce of knotgrasse comferie quinces ana ℥ i. campher ʒi dippe silke cotton therein and apply it to the places ℞ Oyle of mastick myrtles quinces ana ℥ s. fine bole troch de carabe sanguinis draconis ana ʒi wax and viniger
q.s. make an unguent apply it both before and behinde ℞ Of plantaine shepheards purse red rose leaves ana M. iii. of goates and asses dung dried ana ℥ is acatiae hypocistidos ana ℥ is dried mint ℥ i. bean meale ℥ iii. boyle all these in plantaine water and make of it two plasters applie one before and the other behinde If the blood flowes from those veynes which are terminated in the necke of the matrice then it is not called the overflowing of the termes but the hemorrhods of the wombe yet the same cure will serve them both only the instrumentall cure will a little differ for in the esterine hemorrhods the ends of the veynes hang over like little teates or pushes which must be taken away by incision and then the veynes closed up with Aloes fine bole burnt alum troch de terra sigil myrrh masticke with the juce of comfery and knotgrasse laid plasterwise thereto The aire must be cold and drie all motion of the body is forbidden Let her meat bee Pheasant Partridge mountaine birds Cunnies Calfes feet c. and let her beere bee mixt with the juce of quinces and pomgranuts CHAP. IIII. Of the Weeping of the wombe THE Weeping of the wombe is an unnaturall flux of blood comming from the wombe by dropps or after the manner of teares causing violent pains in the same keeping neither period nor time By some it is referred unto the immoderate evacuation of the cources yet they are distinguisht in the quantity and manner of their flowing In that they flow copiously and freely In this continually yet by little and little and that with great paine and difficulty Wherefore it is likened unto the strangurie Cause The cause is in the facultie instrument or matter In the facultie by being enfeebled that it cannot expell the blood and the blood resting there makes the parts of the wombe grow hard and stretcheth the vessells from whence proceeds the paine in the wombe In the instrument by the narrownesse of the passages Lastly it may be in the matter of the blood which may offend in too great a quantity or in an evill quality it being grosse and thicke that it cannot flow forth as it ought to doe but by drops Signes The signes will best appeare by the relation of the patient Prognosticks Hereupon will ensue paines in the head stomacke and backe with inflammations suffocations and excoriations of the matrice Cure If the strength of the patient will permit first open a veine in the arme rubbe the upper parts and let her armes bee corded that the force of the blood may bee carried backward Then apply such things as may laxate and mollifie the stretching of the wombe and asswage the sharpnesse of the blood as cataplasmes made of bran lineseed faengrecke melilote mallows mercurie and atriplex If the blood bee viscuous and grosse adde thereto mugwort calamint dictam and betonie And let her take of Venice treakle the quantity of a nutmeg with sirrup of mugwort every morning Anoint the places with oyle of lillies roses lineseed sweete almonds and calfes marrow Make injections of the decoction of mallows mercurie lineseed groundfuell mugwort faengrecke with oyle of sweet almonds Sometimes it is caused by a winde and then phlebotonie is to bee omitted and in the stead thereof ℞ Sirupe of feverfew ℥ i. honie of roses sirupe of staechas ana ℥ s. water of calamint mugwort betonie hysope ana ℥ i. make a julep If the paine continues take this purgation ℞ hieraeʒi diachatholicon ℥ s. Sirupe of roses laxative ℥ i. with the decoction of mugwort and the 4. cordiall flowers make a potion If it comes through weaknesse of the facultie let that bee corroborated If through grossenesse or sharpnesse of the blood let the quality of it bee altered as I have shewne in the foregoing chapter Lastly if the excrements of the gutte be retained provoke them by a clyster of the decoction of chammomill betony feverfew mallowes lineseed juniper berries cummin-seed aniceseed melilo●e adding thereto of diacatholicon ℥ s. picraeʒii hony oyle ana ℥ i. Sal●iter ℥ is The patient must abstaine from salt sharp and windy meats CHAP. V. Of the false cources or whites FRom the wombe proceeds not only the menstruous blood but accidentally many other excrements which by the Ancients are comprehended under the title of 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 which is a distillation of variety of corrupt humours through the wombe flowing from the whole body or part of the same keeping neither cource nor colour but varying in both Cause The cause is either promiscuously in the whole bodie by a cachochymia or weaknesse of the same or in some of the parts as in the liver which by the inabilitie of the sanguifficative faculty causeth a generation of corrupt blood and then the matter is ruddish sometimes in the gall being sluggish in its office not drawing away those cholericke superfluities which are ingendred in the liver and the matter is yellowish Sometimes in the Spleene not defecating and clensing the blood of the dregges and excrementitious parts and then the matter flowing forth is blackish It may also come from catarrhes in the head or from any other putrified or corrupted member But if the matter of the flux bee white the cause is either in the stomacke or reynes In the stomacke by a flegmaticall and crude matter there contracted and vitiated through griefe melancholie and other distempers for otherwise if the matter were onely Pituita crude flegme and no wayes corrupt or vitiated being taken unto the liver it might bee converted into blood for flegme in the ventricle is called nourishment halfe digested But being corrupt though sent unto the liver yet it cannot bee turned into nutriment for the second concoction cannot correct that which the first hath corrupted and therefore the liver sends it to the wombe which can neither disgest it nor repell it and so it is voided out still keeping the colour which it had in the ventricle The cause also may be in the reynes being over heat whereby the spermaticall matter by reason of its thinnesse flowes forth The externall cause may bee moystnesse of the aire eating of corrupt meats anger griefe slothfulnesse immoderate sleeping costivenesse of body Signes The signes are extenuation of the body shortnesse and stinking of breath loathing of meate paine in the 〈◊〉 swelling of the eyes and feet melancholie humidity flowes from the wombe of divers colours as reddish blacke greene yellow white It differs from the flowing and overflowing of the cources in that it keepes no certaine periods and is of many colours all which doe degenerate from blood Prognosticks If the flux be flegmaticall it will continue long and be difficult to cure yet if vomiting or the flux Diarrhaea hapeneth diverting the humour it cures the disease If it bee cholericke it is not so permanent yet more perilous for it will cause
after great study and care instantly accompanying with their wives often beget doting children A hot and moyst aire is most convenient as appeares by the women in Aegypt which usually bring forth three or foure children at one time CHAP. 12. Of the Mola or halfeconception THis disease is called of the Greekes 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 and the cause of this denomination is taken from the loade or heavy weight of it it being a moles or great lump of hard flesh burdening the woman It is defined to bee an inarticulate peece of flesh without forme begotten in the matrice as it were a true conception In which definition wee are to note two things First in that a mole is sayd to be inarticulate and without forme it differs from monsters which are both formata and articulata Secondly it is sayd to bee as it were a true conception which puts a difference between a true conception and a mole which difference holds good three waies First in the Genus in that a mole cannot be fayd to bee animall Secondly in the Species because it hath no humane figure and beares not the character of a man Thirdly in the Individuum for it hath no affinity with the parent eyther in the whole body or any particle of the same Cause About the cause of this affect amongst learned authours I finde variety of judgements Some are of opinion that if the womans seed goes into the wombe and not the mans thereof is the mole produced Others there be that affirme it is ingendred of the menstruous blood but if these two were granted then mayds by having their courses or thorough nocturnall polutions might be subject unto the same which never any yet were The true cause of this fleshy mole proceeds both from the man and from the woman from corrupt or barren seed in the man and from the menstruous blood in the woman both mixed together in the cavity of the wombe where nature finding her selfe weake yet desiring to maintaine the perpetuity of her species labours to bring forth a vitious conception rather than none and so instead of a living creature generates a lumpe of flesh Signes The signes of a mole are these The months are supprest the appetite is depraved the brests swell and the belly is puffed up and waxeth hard Thus farre the signes of a breeding woman and of one that beareth a mole are all one I will now shew you how they differ The first signe of difference is taken from the motion of a mole it may bee felt to move in the wombe before the third moneth which the infant cannot yet that motion is not to be understood of any intelligent power in the mole but of the faculty of the wombe and of the seminall spirits defused through the substance of the mole for it lives not a life animall but vegitative in the manner of a plant Secondly in a mole the belly is suddenly puft up but in a true conception the belly is first retracted and then riseth againe by degrees Thirdly the belly being prest with the hand the mole gives way and the hand being taken a way it returnes to the place againe But a child in the wombe though prest with the hand moves not presently and being removed returnes slowly or not at all Lastly the childe continues in the wombe not above eleven moneths but a mole continues sometimes foure or five yeeres more or lesse according as it is fastned in the matrice I have knowne when a mole hath fallen away in the fourth or fifth moneth If it remaines untill the eleventh moneth the leggs waxe feeble and the whole body consumes onely the swelling of the belly still increaseth which makes some thinke they are hydropicall though there be little reason for it for in the Dropsie the legges swell and grow bigge but in a mole they consume and wither Prognostickes If at the delivery of a mole the Flux of blood bee great it shewes the more danger because the parts of nutrition having beene vitiated by the flowing back of the superfluous humors whereby the naturall heate is consumed and then parting with so much blood the woeman thereby is so weakened in all her faculties that she can hardly subsist Cure Wee are taught in the schoole of Hippocrates that phlegbotomy causeth abortion by taking away that nourishment which should sustaine the life of the child Wherefore that this vitious conception may bee deprived of that vegetative sappe by which it lives open the liver veyne and then the saphena on both feet Fasten Cupping-glasses to the loynes and sides of the belly which done let the uterine parts be first mollified and then expulsive faculty provoked to expell the burden To laxate the ligatures of the mole ℞ m.iij. Chammomile Melilot Pellitory of the wall Violet leaves Mercury roots of Fenell Parsly ana m. ij Lineseed Faengrecke ana lb. i. boyle them in water and let her sit therein up to the navill At the going out of the bath annoynt the privities and reines with this unguent following ℞ oyle of Chammomile Lillie● and sweet Almonds ana ℥ i. fresh butter Labdani Ammoniaci ana ℥ s. with the Oyle of Lineseed make an unguent Or instead of this may be used ●nguentum Agrippa or Dialtheae ℞ of Mercury roots of Althea ana m. s. fol. Branchae Vrsinae m. s. Lineseed Barley meale ana ℥ vi boyle all these with water and honey and make a playster Make pessaries of the gumme Galbanum bdellium Ammoniacum Figgs Hogges suer and Honey After the ligaments of the mole are loosed let the expulsive faculty be stirred up to expell the mole for effecting of which all medicaments may bee used which are proper to bring downe the courses ℞ troch de myrrha ℥ i. castor aristolochia Genti●● dictam ana ℥ s. likeʒi in ℥ iiij of Mugwort water ℞ of Hypericon Calamint Penny-royall Betony Hysope Sage Horebound Valerian Madder Sabine with water make a decoction take ℥ iij. of it with ℥ is of Sirrupe of Feverfew ℞ of Mugwort Myrrh Gentiane pil coch ana ℈ iiij anaʒs assa foetida Cinnamon Iuniper berries Borage ana ʒi with the iuce of Sabine make pills to be taken of every morning Make insessions of Hysope Bay leaves Assrum Calamint Bayberries Chammomile Mugwort Sabine ℞ of Sagapenum Marjerom Gentiane Sabine Cloves Nutmegge Bay-berries ana ℈ ij Galbanumʒi hierae picrae blacke Hellebore ana ℈ i. with Turpentine make a pessary But if these things prove not availeable then must the mole bee drawne away with an instrument put up into wombe called a Pes griphius which may be done with no great danger if it bee performed by a skilfull Chirurgeon After the delivery of the mole by reason that the woman hath parted with much blood already let the flux of blood bee stayed as fast as may bee Fasten Cupping-glasses to the shoulder and ligatures to the armes If these help not open the