Apply cupping gla.s.ses to the b.r.e.a.s.t.s and also over the liver, and to correct the flexibility of the matter, purgative means, moderated by astringents, may be employed.
If it is caused by erosion, and salt phlegm, prepare with syrup of violets, wormwood, roses, citron peel, succory, etc. Then make the following purge:--mirabolans, half an ounce; trochisks of agaric, one drachm; make a decoction with the plantain-water, and add syrup of roses lax. three ounces, and make a draught.
If caused by any mental excitement, prepare the body by syrup of roses, myrtles, sorrel and parsley, mixed with plantain-water, knot-gra.s.s and endive. Then purge with the following draught:--Take one drachm each of the void of mirabolans, and rhubarb, cinnamon fifteen grains; infuse for a night in endive water; add to the strained water half an ounce of pulp of tamarinds and of ca.s.sia, and make a draught. If the blood be waterish as it is in dropsical subjects and flows out easily on account of its thinness, it will be a good plan to draw off the water by purging with agaric, elaterium and coloquintida. Sweating is also useful in this case, as by it the noxious matter is carried off, and the motion of the blood to other parts. To produce sweating, employ cardus water, and mithridate, or a decoction of guaiac.u.m and sarsaparilla. Gum guaiac.u.m is also a great producer of perspiration, and sarsaparilla pills, taken every night before going to bed are also highly to be recommended. If the blood pours out, without any evil quality in itself, then strengthening means only should be employed, which is a thing to be done in cases of inordinate discharge.
Take one scruple of ol. ammoniac, one drachm of treacle, half an ounce of conserve of roses and make an electuary with syrup of myrtle, or if the discharge be of long standing take two drachms of matrix, one drachm of olilanum troch. de carbara, a scruple of bal.u.s.tium; make into a powder and form into pills with syrup of quinces, and take one before every meal. Take two scruples each of troch. dechambede, scoriaferri, coral and frankincense; pound these to a fine powder, and make into lozenges with sugar and plantain water. a.s.ses" dung is also approved of, whether taken inwardly with syrup of quinces or applied outwardly with steeled water. Galen by sending the juice of it into the womb by means of a syringe for four days consecutively, cured this immediate flow, which could not be checked in any other way. Let the patient take one scruple and a half of pilon in water before going to bed; make a fumigation for the womb of mastic, frankincense and burnt frogs, adding the hoof of a mule. Take an ounce each of the juice of knot-gra.s.s, comfoly and quinces; a drachm of camphor; dip a piece of silk or cotton into it and apply it to the place. Take half an ounce each of oil of mastic, myrtle, and quinces; a drachm each of fine bole and troch.
decardas, and a sufficient quant.i.ty of dragon"s blood, make an ointment and apply it before and behind. Take an ounce and a half each of plantain, shepherd"s purse and red rose leaves; an ounce of dried mint, and three ounces of bean flour; boil all these in plantain water and make two plasters:--apply one before and one behind. If the blood flows from those veins which are terminated at the neck of the matrix, then it is not called an undue discharge of the _menses_, but haemorrhoids of the womb. The same remedy, however, will serve for both, only the instrumental cure will be a little different; for in uterine haemorrhoids, the ends of the veins hang over like teats, which must be removed by cutting, and then the veins closed with aloes, fine bole, burnt alum, myrrh, mastic, with comfoly-juice and knot gra.s.s, laid upon it like a plaster.
[Ill.u.s.tration: _Position of the Embryos in a plural conception_]
[Ill.u.s.tration: Process of Delivery.]
The air should be cold and dry, and all motion of the body should be prohibited. Her diet should consist of pheasants, partridges, grouse, rabbits, calves" feet, etc., and her drink should be mixed with the juice of pomegranates and quinces.
CHAPTER IV
_Of the Weeping of the Womb._
The weeping of the womb is an unnatural flow of blood, coming from it in drops, like tears, and causing violent pains in it, and occurring at no fixed period or time. By some it is supposed to be produced by the excessive flow of the courses, as they flow copiously and freely; this is continued, though only little at a time, and accompanied by great pain and difficulty of pa.s.sing it, and on this account it is compared to the strangury.
The cause is in the power, instrument or matter; in the power, on account of its being enfeebled so that it cannot expel the blood, and which, remaining there, makes that part of the womb grow hard, and distends the vessels, and from that, pains in the womb arise. In the instrument, from the narrowness of the pa.s.sage. Lastly, it may be the matter of the blood which is at fault, and which may be in too great quant.i.ties; or the quality may be bad, so that it is thick and gross and cannot flow out as it ought to do, but only in drops. The signs will best be ascertained by the patient"s own account, but there will be pains in the head, stomach and back, with inflammation, difficulty of breathing and excoriation of the matrix. If the patient"s strength will permit it, first open a vein in the arm, rub the upper parts and let a cord be fastened tightly round the arm, so that the force of the blood may be carried backward; then apply such things as may relax the womb, and a.s.suage the heat of the blood, as poultices made of bran, linseed, mallows, dog"s mercury and artiplex. If the blood be viscous and thick, add mugwort, calamint, dictain and betony to it, and let the patient take about the size of a nutmeg of Venic treacle, and syrup of mugwort every morning; make an injection of aloes, dog"s mercury, linseed, groundsel, mugwort, fenugreek, with sweet almond oil.
Sometimes it is caused by wind, and then bleeding must not be had recourse to, but instead take one ounce of syrup of feverfew; half an ounce each of honey, syrup of roses, syrup of stachus; an ounce each of calamint water, mugwort, betony and hyssop, and make a julep. If the pain continues, use this purge:--Take a drachm of spec. Hitrae, half an ounce of diacatholicon, one ounce of syrup of roses and laxative, and make a draught with a decoction of mugwort and the four cordial flowers.
If it proceeds from weakness, she must be strengthened, but if from grossness of blood, let the quality of it be altered, as I have shown in the preceding chapter. Lastly, if her bowels are confined, move them by an injection of a decoction of camomiles, betony, feverfew, mallows, linseed, juniper-berries, c.u.mminseed, aniseed, melilot, and add to it half an ounce of diacatholicon; two drachms of hiera piera, an ounce each of honey and oil and a drachm and a half of sol. nitre. The patient must abstain from salt, acid and windy food.
CHAPTER V
_The false Courses, or Whites._
From the womb, not only the menstruous blood proceeds, but many evacuations, which were summed up by the ancients under the t.i.tle of _rhoos gunaikeios_,[6] which is the distillation of a variety of corrupt humours through the womb, which flow from the whole body or a part of it, varying both in courses and colour.
CAUSE.
The cause is either promiscuously in the whole body, by a cacochymia; or weakness of it, or in some of its parts, as in the liver, which by a weakness of the blood producing powers, cause a production of corrupt blood, which then is reddish. Sometimes, when the fall is sluggish in its action, and does not get rid of those superfluities engendered in the liver, the matter is yellowish. Sometimes it is in the spleen when it does not cleanse the blood of the dregs and rejected particles, and then the matter which flows forth is blackish. It may also come from a cold in the head, or from any other decayed or corrupted member, but if the discharge be white, the cause lies either in the stomach or loins.
In the stomach, by some crude substance there, and vitiated by grief, melancholy or some other mental disturbance; for otherwise, if the matter were only crude phlegm and noways corrupt, being taken into the liver it might be converted into the blood; for phlegm in the ventricle is called nourishment half digested; but being corrupt, though sent into the liver it cannot be turned into nutriment, for the second decoction in the stomach cannot correct that which the first corrupted; and therefore the liver sends it to the womb, which can neither digest nor reject it, and so it is voided out with the same colour which it had in the ventricle. The cause may also be in the veins being overheated whereby the spermatical matter flows out because of its thinness. The external causes may be moistness of the air, eating bad food, anger, grief, sloth, too much sleep, costiveness.
The signs are bodily disturbances, shortness of breathing, and foul breath, a distaste for food, swollen eyes and feet, and low spirits; discharges of different colours, as red, black, green, yellow and white from the womb. It differs from the flowing of the courses and from too abundant menstruation, in so far as it keeps no certain period, and is of many colours, all of which spring from blood.
If the flux be phlegmatic, it will last long and be hard to cure, but if sickness or diarrhoea supervene, it carries off the humour and cures the disease. If it is abundant it does not last so long, but it is more dangerous, for it will cause a cleft in the neck of the womb, and sometimes also an excoriation of the matrix; if melancholy, it must be dangerous and obstinate. The flux of the haemorrhoids, however, a.s.sists the cure.
If the matter which flows out be reddish, open a vein in the arm; if not, apply ligatures to the arms and shoulders. Galen boasts that he cured the wife of Brutus, who was suffering from this disease, by rubbing the upper part with honey.
If it is caused by the brain, take syrup of betony and marjoram. Give as a purgative _Pill. coch._ or _Agaric_; make nasalia of sage, or hyssop juice, betony, flagella, with one drop of oil of _Elect. Dianth. Rosat.
Diambrae, diamosci dulus_, one drachm of each, and make lozenges to be taken every morning and evening. _Auri Alexandrina_, half a drachm at night on going to bed. If these things have no effect, try suffumigation and plasters, as they are prescribed above.
If it arises from crudities of the stomach or from a cold, disordered liver, take a decoction of _lignum sanctum_ every morning, purge with _pill de agaric, de hermadact, de hiera, diacolinthis, foetid-agrigatio_; take two drachms of elect. aromet-roses, one scruple each of dried citron peel, nutmeg, long pepper; one drachm of draglanga; half a scruple each of _fantalum alb.u.m_, ling, aloes; six ounces of sugar, with mint water: make lozenges of it, and take them before meals. If there be repletion besides the rigidity of the liver, purging by means of an emetic is to be recommended, for which take three drachms of the electuary diasatu. Galen allows diuretical remedies, such as _aqua petrofolma_.
If the discharge be angry, treat it with syrup of roses, violets, endive and succory; give a purge of mirabolans, manna, rhubarb, and ca.s.sia.
Take two drachms of rhubarb, one of aniseed, and one scruple and a half of cinnamon; infuse them into six ounces of syrup of prunes, and add one ounce of strained manna, and take it in the morning as required. Take one drachm each of the following drugs: _diatonlanton, diacorant, diarthod, abbaris, dyacydomei_, four ounces of sugar, and make into lozenges with plantain water. If the gall be sluggish, and does not stir the bowels, give warm injections of a decoction of the four mollifying herbs, with honey of roses and aloes.
If the flow be bilious, treat the patient with syrup of maiden-hair; epithynium, polypody, borage, buglos, fumitary, hart"s tongue and syrups, bisantius, which must be made without vinegar, else it will a.s.sist the disease instead of nature, for melancholy is increased by the use of vinegar, and both Hippocrates, Silvius and Avenzoar reject it as injurious for the womb, and therefore not to be used internally in uterine diseases. _Pilulae sumariae, pilulae lud. delupina, lazuli diosena_ and _confetio hamec_ are purges of bile. Take two ounces of pounded prunes, one drachm of senna, a drachm and a half each of epithimium, polypody and fumitary, and an ounce of sour dates, and make a decoction with endive water; take four ounces of it and add three drachms of hamesech and three of manna. Or take a scruple each of _pil.
indic. foetid, agarici, trochis ati_; one scruple of rhubarb pills, six grains of lapis lazuli, make into pills with epithimium, and take them once a week. Take three drachms of elect. loetificans. Galen three drachms, a drachm each of _diamargaritum, calimi, diamosci dulus_; a drachm of conserve of borage, violets and burglos; one drachm of candied citron peel, seven ounces of sugar, and make into lozenges with rose water.
Lastly let the womb be cleansed of all corrupt matter, and then be strengthened. In order to purify it, make injections of the decoction of betony, feverfew, spikenard, bismust, mercury and sage, and add two ounces each of sugar and sweet almond oil; pessaries may also be made of silk or cotton, softened in the juice of the above mentioned herbs.
You must prepare trochisks, thus, to strengthen the womb. Take one ounce each of mugwort, feverfew, myrrh, amber, mace, storax, ling aloes and red roses, and make lozenges or troches with mucilage of tragacanth; throw one of them on to hot coals and fumigate the womb with red wine, in which mastic, fine bole, mal.u.s.tia and red roots have been decocted; anoint the matrix with oil of quinces and myrtles, and apply a plaster to it, for the womb; and let the woman take _diamosdum dulco_, _aract_, and _slemotic.u.m_ every morning.
A drying diet is recommended as best, because in these cases the body abounds with phlegmatic and crude humours. On this account, Hippocrates advises the patient to go to bed supperless. Her food should consist of partridges, pheasant and grouse, roasted rather than boiled, too much sleep must be prohibited whilst moderate exercise is very advisable.
FOOTNOTES:
[6] The female flowing.
CHAPTER VI
_The Suffocation of the Mother._
This, which if simply considered, will be found to be merely the cause of an effect, is called in English, "the suffocation of the mother," not because the womb is strangled, but because by its retraction towards the midriff and stomach, which presses it up, so that the instrumental cause of respiration, the midriff, is suffocated, and acting with the brain, cause the animating faculty, the efficient cause of respiration, also to be interrupted, when the body growing cold, and the action weakened, the woman falls to the ground as if she were dead.
Some women remain longer in those hysterical attacks than others, and Rabbi Moses mentions some who lay in the fit for two days. Rufus writes of one who continued in it for three days and three nights, and revived at the end of the three days. And I will give you an example so that we may take warning by the example of other men. Paroetus mentions a Spanish woman who was suddenly seized with suffocation of the womb, and was thought to be dead. Her friends, for their own satisfaction, sent for a surgeon in order to have her opened, and as soon as he began to make an incision, she began to move, and come to herself again with great cries, to the horror and surprise of all those present.
In order that the living may be distinguished from the dead, old writers prescribe three experiments. The first is, to lay a feather on the mouth, and by its movements you may judge whether the patient be alive or dead; the second is, to place a gla.s.s of water on the breast, and if it moves, it betokens life; the third is, to hold a bright, clean, looking-gla.s.s to the mouth and nose, and if the gla.s.s be dimmed with a little moisture on it, it betokens life. These three experiments are good, but you must not depend upon them too much, for though the feather and the gla.s.s do not move, and the looking-gla.s.s continues bright and clear, yet it is not a necessary consequence that she is dead. For the movement of the lungs, by which breathing is produced, may be checked, so that she cannot breathe, and yet internal heat may remain, which is not evident by the motion of the breast or lungs, but lies hidden in the heart and arteries.
Examples of this we find in flies and swallows, who seem dead to all outward appearances, breathless and inanimate, and yet they live by that heat which is stored up in the heart and inward arteries. At the approach of summer, however, the internal heat, being restored to the outer parts, they are then brought to life again, out of their sleeping trance.
Those women, therefore, who apparently die suddenly, and from no visible cause, should not be buried until the end of three days, lest the living be buried instead of the dead.