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A11176 The expert midwife, or An excellent and most necessary treatise of the generation and birth of man Wherein is contained many very notable and necessary particulars requisite to be knovvne and practised: with diuers apt and usefull figures appropriated to this worke. Also the causes, signes, and various cures, of the most principall maladies and infirmities incident to women. Six bookes compiled in Latine by the industry of Iames Rueff, a learned and expert chirurgion: and now translated into English for the generall good and benefit of this nation.; De conceptu et generatione hominis. English Rüff, Jakob, 1500-1558. 1637 (1637) STC 21442; ESTC S101598 115,647 315

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to be under which also lyeth the great gut named Colon. In the middle part of the necke of the Matrix The Virgin Pannicle is the Virgin-pannicle or skinne not unlike unto a most slender racket lincked woven together with many Fibraes or threds which is corrupted by the losse and decay of Virginty Some call it Eugion Hymen Cento and Hymen Further in the same part on the right and left side two hornes as it were doe bosse out called the Ligaments or binders of the Matrix with which it is bound The Hornes or Ligaments fastned and basted and also cleaveth affixed to the backe-bone or Spina dorsi on both parts To those Ligaments The testicles or stones or stay-bands the testicles or stones are annexed and combined by their nature lesser and harder than those are which belong unto men Moreover both of them are environed and compassed about with white sinewes I say seed-vessells being both also compacted of Arteries To these also small veines are united and affixed derived and springing from the great veine Vena cava diffused and dispersed into the Matrix by divers branches to nourish and cherrish the Feature in the wombe and to send forth the Flowers or Termes in their due season The Kidnies The Kidnies doe hang neere the wombe by certaine Ligaments or binders behinde the backe-bone or Spina dorsi being of a hot and dry temperature by the which all the wheyish and watrish humidity is attracted and drawne to be carried from the veines into the bladder and also receiveth his colour and tincture by them The Paps or Dugs of a cold and moist quality The Paps or Dugs intermingled and interlaced with Veines and Arteries being not unlike unto a Spunge consisting and composed of soft flesh like unto the lungs have power and faculty to transmute blood into a white colour and to convert and turne it into milke For as the Liver transmuteth the juyce of the meat attracted unto it into blood so the Dugges or Paps The Dugs or Paps change the blood into milke alter and change the blood into milke Further two veines doe descend from the Paps into the Matrix which draw blood from thence to be digested and turned into milke Whereby it commeth to passe the Infant being borne the Termes due by and by mount and ascend up by these passages and beginne to change into milke also the Dugges begin to swell and are hardned untill they be made lanke and soft with giving of suck Because it doth not a little availe The qualities of the Matrix to know the qualities and properties of the Matrix you shall be able briefly to observe and perceive them by these markes and signes It is hot in them which have a swift pulse much thirst Signes to know when it is hot their urine of a very high colour a love and desire to Venus a speedy pleasure and delight store and plenty of seed the haires curled the Termes inclining to a yellowish colour and not issuing out beyond the third day It is cold in them which have a slow pulse Signes to know when it is cold little thirst their urine thinne and white no love or appetite to Venus small store of seed no pleasure or delight a lasie sluggishnesse few store of haires Signes to know when it is dry the Termes inclining to whitenesse It is dry in them which have a hard pulse thinne urine the lips dry small pleasure or delight in Venus few Termes It is moist in them which have a soft pulse Signes to know when it is moist the urine thicke the lips moist and slippery no pleasure And in this manner simple qualities are knowne Concerning compound and mixt properties there is another judgement CHAP. III. Of what great profit it is to have an exact knowledge of this Tractate I Would have the Reader to be here diligently admonished rightly to esteeme regard of what great utility and profit it is What more profitable than this knowledge for preserving and recovering of health What better than to consider the end of our excellent and wonderfull building to have an exquisite and exact knowledge of this Tractate For what is more profitable than this knowledge and science for preserving and recovering of health and for the preservation and restauration of all the parts of the body What will frame and instruct our mindes better than to have considered the end of so excellent and wonderfull a building and worke-manship What more pleasant than to understand the artificiall framing of our bodies What is more pleasant and beautifull than to have understood the artificiall framing and forming of our proper Nature and body which we inhabite and continually abide in Also the proportion of these parts considered To be mindfull of sobriety temperance will command us to be mindfull of sobriety and temperance left that due concoction be not perfected and accomplished they being filled more than is convenient For when as the first digestion or concoction is diverted from the course of Nature The first digestion being hindred occasion of grievous diseases is offred by and by also the other faile and are frustrated whereby it commeth to passe that the humours being corrupted and the blood infected the body is burdened and surcharged and occasion is offered for breeding of most great and grievous diseases Instructions of temperance to be learned frō the condition and scituation of the generative members also the condition and scituation of the Generative members and seed-vessells being so secret and hidden with so many windings and turnings what other thing do they yeeld unto us than documents and instructions of temperancie namely that they serve only for propagating and increasing man-kind and for the alleviating and easing their bodies and for preserving and maintaining health Neither is it doubtfull for that same cause naturally also the forces of man-kind to be weakned and diminished and further that they are exceedingly decayed and debilitated through the immoderate use of these parts What shall I say that by the framing building of these things diligently considered By the admirable work manship of Nature wee are admonished of our duty and by the admirable Art and work-manship of Nature in perfecting man wee are also alwaies admonished of our duty that so much as lieth in us we may carefully preserve those things which Nature with so much businesse and labour hath hardly produced and brought forth and also mindfull of charity love we do not mutually rage against those bodies which we possesse procreated by Nature the common and generall mother the same compact and uniting together of one body of divers members throughly pondred and considered which Nature hath most excellently framed contrived and joynted together with a strict band of a sociable law And that which is most principall and chiefe of all The artificiall frame of our bodies should
from this great veine Aorta are derived all the pulsive moving and beating-veines on every side dispersing pouring forth vital spirit thorowout the whole body The heart the fountaine of lively heat For the heart is the source and fountaine of vitall and lively heat without which no living creature no member can be cherrished Vnder the great veine Aorta even now spoken of The Veyned Arterie in the left cavity and vault of the heart another veine as yet springeth forth called in Latine Arteria venosa the veined Artery Although that truely be a pulsive and moving veine and convey vitall spirit yet it hath only one coat as those veines have which convey blood and that is framed and ordained that it may drive and transport cold aire from the Lungs to the Heart to refrigerate coole and refresh it and to temper and allay the immoderate heat But because veines doe breake forth from both the concavities and hollow cells of the Heart The generation of the lungs and are implanted and inserted to the Lungs the Lungs also formed and framed by them For a veine proceeding from the right cavity and hollow of the heart proceedeth and bringeth forth most subtile and pure blood which the Fibraes threds or haires being from thence afterward dispersed is altered changed and transmuted into the flesh of the Lungs And from the great veines of the Heart and Liver that is to say Vena cava and Aorta The brest legs and armes ingendred the whole brest is ingendred and also the legges with the armes successively and in their due order And the braine is so formed that it may be able to conceive retaine and alter the natures and qualities of all the vitall and lively spirits From the braine also the beginnings both of Reason The Originall of Reason and the Senses and all the senses doe proceed and have their originall For as the veines derive their progeny from the Liver and the Arteries from the Heart The Originall of the Nerves and Sinewes So also the Nerves and Sinewes being of a softer and milder nature doe spring and grow from the braine not being hollow after the manner of veines but solid and massie For indeede they are the first and principall instruments of all the senses by which all the motions of the senses are duely caused and procured through vitall and lively spirit After the Nerves and Sinewes the Marrow of the backe-bone The Marrow of the backe-bone in Latine Spina dorsi is ingendred from the braine not unlike to the nature of the braine so that it may scant be called and termed Marrow Not unlike to the nature of the braine both because it hath no similitude nor likenesse unto Marrow and also because it doth not resemble the same in substance What Marrow is For Marrow is a certaine superfluity of the nutriment of the members proceeding from blood ordained and destinated to moisten and cherrish the bones of the body but the braine and Marrow of the backe-bone or Spina dorsi The Marrow of the backe-bone derived from the seed doe draw and derive their originall and primacie from the seede not deputed or allotted to nourish other members and to make them prosper in good plight but that they should by themselves ordaine and constitute private and particular parts of the body for the motion emolument and use of the senses that from thence all other nerves and sinewes may take their roots and beginnings Many nerves do spring from the Marrow of the back bone For many nerves doe spring from the Marrow of the back-bone or Spina dorsi from which the bodie may have sense and motion as it is evident by the Vital and Animal faculty and vertue by good defence as hath beene declared in the former Chapters Further wee must here note and consider that of the seede are ingendred Cartilages or gristles Of the seede a e Cartilages or gristles bones c ingendred bones the coats of the veines of the Liver and of the Arteries of the heart the braine with the nerves and sinewes againe the coats and also both the other pannicles or caules and wrappers and coverings of the Feature But of the proper and convenient blood of the Feature Of the blood of the Feature the flesh is ingendred also the Heart Liver and lungs the flesh is ingendred and those things which are fleshie as the Heart Liver and Lungs And afterwards all these things doe flourish prosper and are nourished with menstruall blood a tracted and drawne by the little veines of the Navell which veines are observed to attaine to the Matrix from the orifices or mouths of the veines All which things are distinctly and orderly caused and brought to passe from the conception even unto the eighteenth day of the first Moneth at which time it is called seed but afterward it beginneth both to be called and to be a Feature Feature which thing also some ancient Writers have comprehended in these Latine verses Sex in lacte dies ter sunt in sang vine trini Bis seni carnem ter seni membra figurant Et aliter Injectum semen sex primis certe diebus Est quasi lac reliquisque no vem fit sanguis at inde Consolidat duodena dies bis nona deinceps Effigiat tempusque sequens producit ad ortum Talis enim praedicto tempore figura confit Which verses for the benefit of the unskilfull in the Latine tongue may thus be Englished Sixe daies to milke by proofe thrice three to blood convert the seed Twice sixe soft flesh doe forme thrice sixe doe massive members breed Or otherwise The first sixe daies like milke the fruitfull seed Injected in the wombe remaineth still Then other nine of milke red blood do breed Twelve daies turne blood to flesh by Natures skill Twice nine firme parts the rest ripe birth doe make And so foregoing time doth forme such shape CHAP. VI. Of the food of the Feature in the wombe with what nourishments it is nourished and when it groweth to be an Infant SO long as the Feature remaineth in the wombe it is nourished and cherrished with blood attracted and drawne to it by the Navell The Feature in the wombe nourished 〈◊〉 with blood attracted to it by the Navell whereby it commeth to passe that the Termes of women are stayed and cease to issue forth after the conception For then the Feature beginneth to covet and to attract unto it much blood Three differences of menstruous blood after conception But the blood is discerned to have a three-fold difference after the time of conception The first and most pure part of it the Feature attracteth for his nourishment The second and not so pure and thin the Matrix forceth and driveth upward to the brests by certaine veines The breeding of milke where it is converted and changed into milke and for that cause it is that certaine
he be distinctly and propound 〈◊〉 formed yet hee hath not attained to his just perfection But if he bee borne the seventh month Why the Infant borne the seventh month may live hee shall live most easily because hee is perfect enough then But that they which are borne in the eight moneth are most seldome able to live when some borne in the seventh moneth doe for the most part remaine alive doth come to passe not without good reason For in the seventh moneth the Infant is alwaies moved to the birth at which time if he shall be of that force and strength he commeth forth to the birth If he be not hee remaineth in the wombe untill hee shall be able and strong enough that is to say the other two moneths If after that motion of the seventh moneth hee proceed not to birth he removeth himselfe from thence into another place of the womb is so debilitated effeeblished by that moving The Infant borne the eight moneth cannot live that if he come forth to birth the eight moneth following hee cannot live at all because of that motion For neither is the Infant weakned with this moving alone but with a double motion even unto death First Two deadly motions of Infants when he is borne the eight moneth after his moving in the seventh as we said of late Next because in respect of the Planets every seventh moneth bringeth forth a motion hurtfull and dangerous to any Feature The Sun I say at that time remaining in an opposite Signe and because the eight moneth is proper to Saturne an enemy of all things which receive life Also we must know The difference of sex and the cause thereof that male-children are conceived in the right side of the Matrix by plentifull seed issuing out of the right testicle or stone of the man but female-children in the left side by the seed of the left testicle For the right side because of the Liver is hotter but the left side is colder But principally the more copious and plentifull heat is a cause of ingendring and procreating of male-children The similitude of forme with the parents is from the power of the seed That also children doe sometimes answer and agree to their parents in likenesse of forme that thing is caused by the vertue and power of the seed that the Infant is most like to him or her in forme and shape whose seede doth most exceed and excell in power and vertue But in this case Motion of the starres supposed a cause the motion of the Starres is supposed to prevaile some thing that when the seed is conceived under good aspects of the Planets this causeth an excellent shape but when it is conceived under evill aspects in like case it procureth an ugly shape And so much hitherto CHAP. VI. Of certaine Precepts very necessary for women conceived with childe even to the houre of the birth by the reason of divers chances HEreafter we will give some wholesome and necessary Precepts to women conceived with childe by which being instructed they may certainly know how they may behave and use themselves from their conception even to the birth and deliverance that no danger may happen to them or they cause a hard and painfull birth to themselves by the neglect of the Precepts Before all things 1. To be merry and cheerefull not pined with care let them be of a merry heart let them not be wasted and pined with mourning and cares let them give their endevour to moderat joyes and sports For these things doe both exhilarate and cheare up the Infant and stirre up all the faculties of the Feature and doe strengthen and comfort him in his parts and members as is manifest in the third Chapter Further 2. let them abstaine and forbeare from all violent motion and hard painfull labours To abstaine from violent motion and painfull labour c. and let them use moderate exercise let them not leape or rise up suddenly let them not runne also neither dance nor ride neither let them lace or gird in themselves hard or straight or lift up any heavie burden with their hands Sleepe especially is convenient 3. To take heed of sharpe and cold winds great heat c. Againe let them take heed of cold and sharp winds great heat anger perturbations of the minde feares and terrours immoderate Venus and all intemperance of eating and drinking Let the diet and food of women with child 4. To be moderate in diet be frugall and moderate let them abstaine from crude raw and grosse meates to wit Lentills Beanes Milium Beefe salt and fryed fruites milke cheese and such like But let them use Chickins Egs divers sorts of Pottages Birds Mutton and Veale It will be good sometime to use Cinamome and Nutmeg with Sugar Let reasonable white Wide serve for their drinke 5. Not to let blood the first foure months nor to use boxing-glasses The first foure moneths from the conception by the counsell of Hippocrates let them not open any veine let them also abstaine from boxing glasses or boxing let them take no Pills or purge without the counsell of an expert and skilfull Physician for that time the Ligaments and binders of the Feature are as yet tender and weake and therefore the Feature is easily destroyed and nourishment is substracted and drawne from him But if it shall happen that they be bound and cannot got orderly to stoole 6. To make the body soluble being bound let them take Spinage seasoned with store of Butter also Lettuce made tender with Water with Salt Wine and Vinegar But if those things will not relaxe and unloose the belly let them use Suppositors confected and made of Hony and the yolke of an Egge or with Venice-soape But if the constipation and binding shall be so great that this remedy will not profit let them by the advice of a skilfull Physician use a potion of the decoction of the leaves of Sena together with Cassia newly extracted and drawne which the Physician shall minister more or lesse according to the quality of the constipation or costivenesse And if they shall conceive with grievous Symptomes and accidents 7. If after conception there happen swooning and fainting what to doe and after the conception shall suffer swoning and fainting continually let them drinke Sorrell-water and Rose-water warmed tempered with Cinamon and little Rundells or Cakes named Manus Christi or Diamargariton Or the water of Roses and Buglosse being tempered with a litte Cinamon Cloves and Saffron beaten to powder shall be laid upon the brest in a cloth once or twice doubled together dipped and steeped in that water If they thinke they shall be delivered before their time through some accident what to doe But if they thinke they shall be delivered before the time as in the seventh moneth or some other immature and unseasonable time and shall already
passages doe bend and incline upward from the Matrix to the brests as in the booke following shall appeare in the Anatomicall demonstration The third the most grosse and impure part of blood remaineth in the Matrix and issueth and floweth forth with the Secundine in the birth and after the birth Thereby it is Great affinity between milke and the terms that Hippocrates saith that there is great affinity betweene the milke and the Termes when as it happeneth that the milke is bred and made of them Galen also because of this matter doth elegantly and excellently advertise us that the Infant taketh and hath more from the mother The Infant receiveth more from the mother than from the father than from the father because first that the seedes are augmented and increased by the Termes next because the Feature is nourished by them in the wombe by and by thirdly because being borne hee is nourished with her milke and even as any sprigs or slips have more from the earth than from the Plant being as it were the Father So Infants have more from their Mother Hereby he saith it commeth to passe that so much the more is retributed and yeelded backe againe to the Mother by how much the more they have given The Infant being perfected in the wombe the first month sendeth forth urine by the passages of the Navell but the last moneth by the privie members But now the Infant being formed and perfected in the wombe the first Moneth it voideth and sendeth forth urine by the passages of the Navell but the last Moneth that passage and conveyance being stopt and shut up hee voydeth it by the privie members as hath bin before declared in the third Chapter Nothing expelled by the fundament so long as the Infant is in the wombe concerning the three coats or caules But by the Fundament so long as hee is in the wombe he voydeth and expelleth nothing at all because he hath as yet attracted no nutriment by the mouth The time of the life of the Infant After the forty and fift day by the advertisement of Hippocrates he taketh life and with it the Soule infused into him from Heaven by the judgement of many so that then he beginneth to have sense and feeling But at this time although he be able to have sense and feeling yet hee wanteth motion to wit being as yet very tender and feeble The time of moving but concerning the time of his moving Hippocrates doth excellently instruct us in this wise A rule to know the time of motion and the time of the birth If you double the number of the daies from the conception you shall finde out the time of motion and the number of the time being tripled accompted thrice will declare the day of the birth For example sake An Example It the Infant should be formed in forty five daies hee will move and stirre himselfe the nintieth day after which is the middle day of the Infant lying in the womb but in the ninth Moneth hee will proceede hasten and come forth to the birth although maiden-children for the most part are borne the tenth Moneth And let these things suffice concerning the forming growing increase and perfection of the Infant in respect of the daies and times The end of the first Booke The second Booke Of the Matrix and parts thereof also of the condition and state of the Infant in the womb and of the care and duty to be observed of women with childe CHAP. I. How necessary a thing it is to insert and annex the Anatomy of the Matrix to this worke But because there is no difference in the bowells of the body of man and woman No difference in the bowels of man and woman but in the privities and seede-vessells except only in the privie parts and in the Spermaticall or seed-vessells we distinguish and divide them severally as the intent of our Tractate requireth and doe propound to sight the Matrix with the Orifice or mouth of the necke thereof with the annexed Vrine-pipes or water-conduits and also the whole frame of the same to be viewed and seene in this Figure But the Figure following doth demonstrate and shew the wombe mother or Matrix with the necke cut from it with the mouth or port-passages of the Matrix being closed and shut up within the which the conceived seede is fashioned formed and detained even unto the houre of the birth The same Figure also doth in like sort shadow out the bladder cut from the neck But we accounted it a superfluous thing to marke and point out every severall thing with Letters and Characters because they are extant and are to be seene every where in the bookes of those which have written of Anatomies CHAP. II. Of the substance forme qualities of the Matrix and parts annexed THe Matrix mother or wombe a member proper and peculiar to the Female sexe is made and framed of Nature to be the receptacle and receiver of seed in which it being conceived is conteined until it grow to the due forme and shape of a body The forme of the Matrix The forme of this is somewhat square at length it is also round not unlike unto a bladder The parts are two The parts of it are two The first is the receptacle concavity or hollow vault 1. The receptacle whose substance is full of sinews having one coat of sinewes ligaments and mixed flesh mingled together and the substance is indowed with small sense or feeling closed together with a strict straight narrow passage greedy and desirous of receiving altering and distributing that naturall humor That part is called the Matrix Mother Wombe or the Generative member in which the seede is conceived and formed The passage and gate of this after conception The passage of the wombe after conception so closed that a needle cannot enter into it is so fast and firmely shut and closed together that a needle cannot enter into it without violence and danger which thing is a most certaine argument and signe of conception A certaine signe of conception Also this passage or wombe-port is not opened but in the conception Carnall-copulation birth issuing forth of the Termes The latter part of it is called Cervix or the neck 2. The Necke or Cervix full of sinewes as it were consisting of Cartilaginous or gristled flesh yet not without fat having a wrinckle in the upper part and being of it selfe very sensible That part is called the womans privity or privie-passage in the top of which there are two lips or brims called the foreskinnes in Latine Praeputia by which the wombe and secret parts are covered fortified and defended against externall aire comming underneath About the sound and bottome of this part under the bone named in Latine Os sacrum the necke of the bladder and conduit of the water or urine is discerned