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Cure. For the cure of that which is curable, obstructions must be taken away, phlegm must be purged, and she must be let blood, as will be hereafter directed in the stoppage of the terms. Then use the following medicines: Take of aniseed and fennel seed, each a drachm; rosemary, pennyroyal, calamint, betony flowers, each an ounce; castus, cinnamon, galengal, each half an ounce; saffron half a drachm, with wine. Or take asparagus roots, parsley roots, each an ounce; pennyroyal, calamint, each a handful; wallflowers, gilly-flowers, each two handfuls; boil, strain and add syrup of mugwort, an ounce and a half. For a fomentation, take pennyroyal, mercury, calamint, marjoram, mugwort, each two handfuls, sage, rosemary bays, camomile-flowers, each a handful, boil them in water and foment the groin and the bottom of the belly; or let her sit up to the navel in a bath, and then anoint about the groin with oil of rue, lilies, dill, etc.
This is another evil effect of the womb which is both very troublesome, and also a hindrance to conception. Sometimes the womb falleth to the middle of the thighs, nay, almost to the knees, and may be known then by its hanging out. Now, that which causeth the womb to change its place is, that the ligaments by which it is bound to the other parts, are not in order; for there are four ligaments, two above, broad and membranous, round and hollow; it is also bound to the great vessels by veins and arteries, and to the back by nerves; but the place is changed when it is drawn another way, or when the ligaments are loose, and it falls down by its own weight. It is drawn on one side when the menses are hindered from flowing, and the veins and arteries are full, namely, those that go to the womb. If it be a mole on one side, the liver and spleen cause it; by the liver vein on the right side, and the spleen on the left, as they are more or less filled. Others are of opinion, it comes from the solution of the connexion of the fibrous neck and the parts adjacent; and that it is from the weight of the womb descending; this we deny not, but the ligaments must be loose or broken. But women with a dropsy could not be said to have the womb fallen down, if it came only from looseness; but in them it is caused by the saltness of the water, which dries more than it moistens. Now, if there be a little tumour, within or without the privities, it is nothing else but a descent of the womb, but if there be a tumour like a goose's egg and a hole at the bottom and there is at first a great pain in the parts to which the womb is fastened, as the loins, the bottom of the belly, and the os sacrum, it proceeds from the breaking or stretching of the ligaments; and a little after the pain is abated, and there is an impediment in walking, and sometimes blood comes from the breach of the vessels, and the excrements and urine are stopped, and then a fever and convulsion ensueth, oftentimes proving mortal, especially if it happen to women with child.
Cure. For the cure of this distemper, first put up the womb before the air alter it, or it be swollen or inflamed; and for this purpose give a clyster to remove the excrements, and lay her upon her back, with her legs abroad, and her thighs lifted up and her head down; then take the tumour in your hand and thrust it in without violence; if it be swelled by alteration and cold, foment it with the decoction of mallows, althoea, lime, fenugreek, camomile flowers, bay-berries, and anoint it with oil of lilies, and hen's grease. If there be an inflammation, do not put it up, but fright it in, by putting a red-hot iron before it and making a show as if you intended to burn it; but first sprinkle upon it the powder of mastich, frankincense and the like; thus, take frankincense, mastich, each two drachms; sarcocol steeped in milk, drachm; mummy, pomegranate flowers, sanguisdraconis, each half a drachm. When it is put up, let her lie with her legs stretched, and one upon the other, for eight or ten days, and make a pessary in the form of a pear, with cork or sponge, and put it into the womb, dipped in sharp wine, or juice of acacia, with powder of sanguis, with galbanum and bdellium. Apply also a cupping-glass, with a great flame, under the navel or paps, or both kidneys, and lay this plaster to the back; take opopanax, two ounces, storax liquid, half an ounce; mastich, frankincense, pitch, bole, each two drachms; then with wax make a plaster; or take laudanum, a drachm and a half; mastich, and frankincense, each half a drachm, wood aloes, cloves, spike, each a drachm; ash-coloured ambergris, four grains: musk, half a scruple; make two round plasters to be laid on each side of the navel; make a fume of snails' skins salted, or of garlic, and let it be taken in by the funnel. Use also astringent fomentations of bramble leaves, plantain, horse-tails, myrtles, each two handfuls; wormseed, two handfuls; pomegranate flowers, half an ounce; boil them in wine and water. For an injection take comfrey root, an ounce; rupturewort, two drachms; yarrow, mugwort, each half an ounce; boil them in red wine, and inject with a syringe. To strengthen the womb, take hartshorn, bays, of each half a drachm; myrrh half a drachm; make a powder of two doses, and give it with sharp wine. Or you may take Zedoary, parsnip seed, crabs' eyes prepared, each a drachm, nutmeg, half a drachm; and give a drachm, in powder; but astringents must be used with great caution, lest by stopping the courses a worse mischief follow. To keep in its place, make rollers and ligatures as for a rupture; and put pessaries into the bottom of the womb, that may force it to remain. Let the diet be such as has drying, astringent and glueing qualities, as rice, starch, quinces, pears and green cheese; but let the summer fruits be avoided; and let her wine be astringent and red.
Of Diseases Relating to Women's Monthly Courses.
That divine Providence, which, with a wisdom peculiar to itself, has appointed woman to conceive by coition with man, and to bear and bring forth children, has provided for nourishment of children during their recess in the womb of their mother, by that redundancy of the blood which is natural to all women; and which, flowing out at certain periods of time (when they are not pregnant) are from thence called terms and menses, from their monthly flux of excrementitious and unprofitable blood. Now, that the matter flowing forth is excrementitious, is to be understood only with respect to the redundancy and overplus thereof, being an excrement only with respect to its quantity; for as to its quality, it is as pure and incorrupt as any blood in the veins; and this appears from the final cause of it, which is the propagation and conservation of mankind, and also from the generation of it, being superfluity of the last aliment of the fleshy parts. If any ask, if the menses be not of hurtful quality, how can they cause such venomous effects; if they fall upon trees and herbs, they make the one barren and mortify the other: I answer, this malignity is contracted in the womb, for the woman, wanting native heat to digest the superfluity, sends it to the matrix, where seating itself till the mouth of the womb be dilated, it becomes corrupt and mortified; which may easily be, considering the heat and moistness of the place; and so this blood being out of its proper vessels, offends in quality.
