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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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judgement that it sendeth and committeth to Memory to be reserved as it were in a treasury or store-house and to be directed concerning his acts and effects 2. The Sensitive faculty The second vertue is the Sensitive faculty the which although we know that it is variable and diverse in respect of the senses yet we may understand that it is caused and effected in this manner The Animal spirit whose place of late we said to be in the braine proceeding from the interiour and inward little caves and ventricles of the braine The Animal Spirit doth forme and frame the senses by the mediation and assistance of certaine subtile and slender sinewes doth forme and frame the Senses and by his vertue through the ministry and furtherance of the sinewes directeth and transposeth sight to the eyes smelling to the nostrills hearing to the eares and tasting to the palate of the mouth which senses wee see onely to be numbred and nominated of the senses of the head The third is the Moving vertue 3. The Moving faculty ingendred and bred in the braine to whom it is said to be proper to move and give motion For as the Animal spirit disposeth and directeth the orders and properties of the senses The Animal spirit directs the motions as is before declared so by the benefit of the same facultie the motions also are directed by which the vertues and faculties of the Spirit are dilated opened and enlarged and are likewise conveyed and sent abroad to the other members But for the perfection and complement of all these vertues and faculties Spirit is necessarily required Spirit necessary for the perfection of the former faculties by whose benefit and continuall motion as well the senses as the faculties are instigated and provoked to performe and finish their faculties and actions And they say that the Spirit is a certaine airy substance which continually exciteth and stirreth up the powers and faculties of the body to fulfill and accomplish their actions And indeed this Spirit is a certaine subtile body What spirit is ingendred by the force of heat because of blood flowing and streaming in the Liver attracted and drawne by breathing and the Arteries and afterward diffused by the veines to all the members quickning the bodies serving to promote and further motion by the meanes and aide of the nerves and Muscles But first this is directed and conduced to the Liver in this manner Heate remaining in the blood How naturall spirit is ingendred there is caused a certaine boyling in the Liver from whence a certaine fume or vapour issueth and proceedeth forth which eft-soones being purified by the veines of the Liver is changed and transmuted into a certaine airie substance and is called Naturall Spirit which purifieth and clarifieth the blood and afterward is sent and distributed to the particular and severall members Afterward the same Spirit is transferred and carried from the Liver by certaine veines to the Heart How vitall spirit is ingendred where by the motion of the parts of the Heart and a mutuall coagitation it is made more pure and is converted into a more subtile and finer Nature and beginneth to be Vitall and truely Spirit because is diffuseth and spreadeth it selfe from the Heart by Arteries to the members of the whole body and doth augment and further the vertue of Naturall Spirit And againe How Animal spirit is ingendred the same Spirit mounting and penetrating upward from the Heart through Arteries to the little caves and ventricles of the braine is there more exactly laboured and refined and is transmuted and altered into the essence and substance of the Animal Spirit Animal Spirit most pure which is most pure of all from whence streight-way it is sent and conducted againe by the organs and instruments of the senses to corroborate and strengthen those senses in some measure Although therefore it be the selfe-same one Spirit yet because of his divers offices and functions in divers parts Why the Spirit is called Naturall Vital Animal it is diversly taken and understood as in the Liver it is named Naturall in the Heart Vitall and in the braine Animal But we must not beleeve that this Spirit is the immortall soule infused into man of God Whether the Spirit be the Soule but it is onely the instrument and as it were the Charriot of the same The Spirit but the instrument or Charriot of the Soule For by the meanes alone of this Spirit the soule is conjoyned and united to the body neither yet also is there any perfect exercise of the soule without the ministry and service of this spirit which thing might easily be proved but that already this discourse concerning the faculties and Spirit hath beene overlong CHAP. V. Of the true Generation of the parts and the increase of the Feature according to the daies and moneths A little while after also a veine directed by the Navell A two-forked veine ingendred attracteth the grosser blood confused in the seed fit and convenient for nourishment whereby a two-forked veine is ingendred according to the forme of this Figure And these veines doe attract sucke and draw unto them the hottest the most subtile and purest blood of which the heart is ingendred in the membrane or skinne of the heart involving and lapping the same round about named in Latin Pericardium and the heart is fleshie What the Heart is and of a grosse substance by nature as is necessary for such a hot member But the notable and great veine Vena cava spreading out himselfe and penetrating into inward concavitie vault or privie-chamber of the right side of the heart deriveth and carrieth blood thither for the nourishment of the heart The unmoveable and still veine Also from the same branch of that veine in the same part of the heart a certaine other veine doth spring up named of some the unmoving or still veine in Latine Vena immota vel tranquilia so named because it doth not beat and move as other pulsive moving veines of the heart doe named in Latine Venae pulsatiles but lieth hidden being calme and still ordained and destinated to this office namely The office of the unmoveable and still veine that it should conduct and convey blood digested in the Heart unto the Lungs and Lights which veine is environed and lapped about for which cause it is named Vena arteriosa an arteried veine with two coats like unto the Arteries But in the concavity hollow of the left part in the heart a most great and notable pulsive or beating veine Aorta called Aorta doth spring up diffusing and sending abroad vitall and lively spirit by the blood of the heart into all the pulsive and moving veines of the body For as Vena cava is the originall fountain and spring of all the veines by which the body attracteth and draweth to it the whole nutriment of blood Even so
living Creatures it maketh and workes the haires in Plants or Herbs the leaves also by cold and drinesse in living Creatures it worketh and maketh sinewes and bones and in Plants or Herbs the rinds barkes and wood Afterward the forming or fashioning faculty 2. The forming or fashioning faculty or vertue which others call the Informative faculty is that which formeth and fashioneth the matter which is changed to the similitude and likenesse of that from whence it drew his originall and beginning the parts like unto their first originall being severally disposed and ordered By this vertue and faculty the parts which ought and should be hollow as the guts veines arteries and such like are made hollow and those parts which ought to be massie and solid are in like manner formed so And in few words it formeth all things yea the smallest of them particularly and perfecteth the superfice or uttermost face of every little particle or diminitive portion so that nothing remaineth idle nothing also superfluous The helping or minstring faculties But to these principall faculties belonging to naturall force in perfecting the living Creature other helping or rather ministring faculties are added beside The begetting I say or generative faculty dilating and extending the thing ingendred into length breadth and profundity The augmenting vertue also which doth augment and increase the same by nutrition and nourishment and doth compleate and accomplish it even to his just augmentation and increase So also there commeth to them the nutritive and nursing faculty which ministreth to the Feature and cherrisheth the Feature in the wombe from the time that the seede is conceived that it may suffice for the composing and ordaining of so many To the nutritive faculty foure other aiding and helping faculties and so great parts of the living Creature And to this last faculty and vertue foure other aiding and helping faculties are said to approach The attractive which some call the appetitive faculty which attracteth convenient nutriment and food to the severall parts by his force as with an instrument as for the nourishment of flesh it attracteth the substance of blood and for the aliment and nourishing of the braine the substance of Phlegme and so likewise in the other parts working by his hot and dry faculty The concocting or altering vertue working by a hot and dry faculty and power changeth and transmuteth the substance of the nutriment and reduceth the nourishments of a diverse nature as it were into one masse or lumpe The reteining or retentive faculty which reteineth and helpeth the pure nutriment whereby that being digested is assimilated made like and is united to the particular members using the helpe of coldnesse and drinesse The expelling or expulsive facultie which by the helpe of moisture and coldnesse doth necessarily expell and void superfluous things neither agreeable or convenient to the quantity nor quality of the parts and therefore by no meanes to be assimilated and united to the parts The second principall faculty is named Vital The second faculty and vertue which worketh principally in humane seed is called Vitall and possesseth his seat and mansion in the heart And that quickneth and giveth life to the heart from whom the vitall Spirit by the Arteries annexed to it doth proceed to the members to be quickned and revived by the disposition of a naturall faculty and vertue by dilating and contracting the Heart and Arteries By dilating and enlarging I say because the moving force and power which remaineth in the heart doth dilate and spread abroad the motion of the heart it selfe from the middle and Center of it into all the extreme and outward parts But by contracting and knitting together because the same force and faculty collecteth and contracteth againe the motion of the heart from the extreme and outward parts to the middle and Center of it Wee see both of them to be done and performed by the benefit of the lungs which like a paire of bellowes attracteth and draweth aire to the heart by an Artery The lungs like a paire of Bellowes attracts aire to the heart that is conveied and diffused againe from the same by the Arteries to other parts of the body The same moneth the brest with a continuall motion the nerves and sinewes being moved first of all Aire most necessary for the mitigation of naturall heat about the Heart Therefore this aire is most necessary both for the mitigation and asswagement of naturall heat about the heart which is attracted from the cold aire to temperate and moderate immoderate and overmuch heat especially seeing it is manifest The heart of so hot a constitution that unlesse it be mitigated by aire from the lungs it would be suffocated and perish that the heart is of so strong a constitution that it would quickely be suffocated and strangled by it selfe and so perish unlesse it should attract to it a cold temperament and mitigation every foot from the aire by the lungs of whose temperature the Animal Spirit is ingendred and is seated in the braine as we will streight-way declare from whence all the nerves sinewes drawing their beginning do descend down by the ridge-bone of the backe named in latine Spina dorsi and from thence afterward are distributed and divided into the body and are also cherrished and preserved of their primary Animal Spirit by the helpe of the vitall spirit Notwithstanding the same aire attracted by breathing The aire attracted by the lungs is by many meanes often corrupted by the labour and imployment of the lungs and passing into his vitall spirit by many meanes is also corrupted as hath beene often observed I say by the evill disposition of the braine by the infection of the Liver by the passion of the heart by the corruption and rottennesse of the Lungs and such like infirmities also by excessive corruption of the aire outwardly approching unto it of which to speake much for the present time would both be besides the purpose and also to no profit The third faculty is named Animal and is three-fold The third faculty is Animal which as the Queene doth possesse the highest place and obtaineth a seat in the braine And the same is certainly found to be three-fold For the first vertue of the same 1. The disposing and ordering faculty is the disposing and ordering faculty which disposeth and ordereth the whole braine and alone doth imploy and busie it in his order In what parts of the braine Imagination Reason and Memory are seated For in the former part of it it placeth and seateth Imagination in the middle part it scituateth Reason and in the hinder part it setteth Memory For whatsoever Fantasie hath conceived in the former little cell cave or ventricle that it streight-way transferreth and sendeth to the Senate and Councel-chamber of Reason there as it were to be examined by judgement and determined and whatsoever is here collected and approved by
panting of the heart shortnesse of breath distemperature of reason because of vapours mixed with the spirits a debility and weakenesse of all the members cold sweates continuall paine in the wombe And indeed evill humours retained and increased in the wombe doe cause and breed all these things partly neere unto it partly removed farther from it which distemper and molest the braine and other members of the body by stopping and intercepting naturall heat proceeding from the heart untill they suffocate and destroy all the senses at once and also the strength and forces of the body But in the cure of the present fit of this sicknesse first you shall mingle Salt with Vinegar The cure of the present fit in the suffocation of the Matrix and shall rub the uttermost parts of the members of the body I meane the soles of the feete and palmes of the hands and pulses of the armes afterward binders being tied neere unto the secrets the hips and hammes you shall apply cupping-glasses neere unto the place without Scarification Afterward you shall apply to her nostrills all things which being burnt have a strong and stinking savor as Castoreum Assa Foetida Feathers Haire Leather Horne Hooses of Horses or Kine or such like things For these things stirre up and move the Animal spirit being as it were asleepe which by and by inforced with such a stinking favour making haste to come to the braine by the nerves and instruments for the purpose doth stirre up the motive facultie in the same Moreover this motion by the great force of this strong savour commeth to the heart with the Animal Spirit where both of them together doe repaire vitall spirit in the same being oppressed and as it were laid asleepe At last all of them joyned together doe oppose themselves against the Matrix rising up towards the Midriffe and stir up the expulsive force of it so that the corrupt humours being expelled which are in it the Matrix may fall downe and give more roome and space unto the superiour vitall Organs or Instruments In this case the dung of a Horse fed with Oates boiled in the best Wine drunke very hot is very much approved Also halfe a dram of the confection Diacastoreum taken in broth made of a Hen. An Vnguent Likewise such an Vnguent may be prepared wherewith her secrets may be annoynted inwardly which suffereth this swooning Take Muske one scruple Gallia Muscata one dram Oile of Lillies two ounces Temper them and make an Vnguent Suffumigations also being thus prepared Suffumigations from which a fume may ascend up to the nostrills will profit in this case Take Castoreum Galbanum dissolved in Vinegar of each halfe an ounce Brimstone one ounce Assa Foetida one dram If you prepare these Fumes or Trochiskes you shall confect them with Oile of Castoreum But if you would use them with Vinegar you shall put pure and cleane wooll into her nostrills dipped in Vinegar in which these powders are dissolved or you shall apply it outwardly to them But if this deadly malady shall proceed from the Termes being retained in the Matrix or from corrupt seede it may be cured in the same manner as wee will declare in the Chapters following But if the cause of this disease shall come from cold it will be the wisest course to use hot bathes when due purgation hath beene performed such as are the bathes in that part of Germany which is named Helvetia A certaine diet and order of bathing being prescribed and set downe of a skilfull Physician because that water doth consist of much Brimstone and some Allome it sooner resolveth dispelleth and driveth away cold heateth the Matrix and comforteth all other Members and parts of the body of a woman CHAP. IX Of the Precipitation or falling downe of the Matrix of the causes and cure of the same THe Precipitation of the Matrix is the departure and digression of the Matrix from her naturall place into some other place or the comming forth and outward appearing of it through the privities This hapneth either by a fall blow or some other vehement hurt or through wind inclosed in the Matrix or corrupt humours or by the intemperate moistnesse putrefying the ligaments and binders of the same or else through difficulty and painfulnesse of Aborcement or the birth and negligence of Midwives or by violent extraction and pulling forth of the Secundine whereby it falleth out that the ligaments and stay-bands of it are broken and the Matrix is throwne downe suddenly to issue forth This removing of the Matrix is caused in a diverse manner that is to say toward the right or left side or lower and into the fore-part and hinder part of the body But although the causes of these diseases may easily be judged and discerned by these things going before yet they may as yet be divided into outward and inward Outward causes are Outward Causes falling blowes or strokes some hurt lifting of some thing which is of great waight swift running leaping dauncing unseasonable riding all immoderate exercise and such things as are like unto them Also long sitting upon the cold earth or cold pavement long-tarrying in cold water over-much and often drinking of cold water Also the violent breaking forth of the child the hard and painfull birth the rashnesse of the Midwives the violent extraction of the Secundine often coughing great crying out vehement sneesing The disease Tenasmus binding the body and all these things do minister occasions to the Matrix to fall downe Inward Causes The inward causes are long stopping of the Flowers with whose weight the Matrix being pressed downward doth suddenly descend and fall downe the ligaments and binders thereof being oftentimes broken in sunder Also humours inclosed in the same wind enforcing it and removing it from her place Likewise over-much humidity and moisture putrefying and corrupting the ligaments or tying-bands and by that infection enforcing it to issue forth The signes of this disease are not unlike to the causes Signes The party will easily rehearse the signes of the outward causes Whosoever is grieved with this disease But the inward signes are to be considered according unto the removing of the Matrix For if it bend toward Diaphragma or the Midriffe without any strangling or choking wee may perceive that the woman doth feele paines and heaving above the Navell to feele a round lumpe like a Globe in her belly to fetch her breath and wind very short and quicke as though her bowells were swiftly crushed together with the hand a dimnesse of the eyes paine of the head loathing of meat and often belchings going before and accompanying it sometimes also a sound of the belly being heard especially when as the removing from her place shall arise from wind inclosed in the same But if it shall fall downe to the lower parts then many paines shall be about the kidnies loynes and secret members and a round