2. Let her take two or three spoonfuls of briony water each morning.

3. Gentian roots beaten into a powder, and a drachm of it taken every morning in wine, are an extraordinary remedy.

4. The roots of birthwort, either long or round, so used and taken as the former, are very good.

5. Take twelve peony seeds, and beat them into a very fine powder, and let her drink them in a draught of hot cardus posset, and let her sweat after. And if the last medicine do not bring them down the first time she takes it, let her take as much more three hours after, and it seldom fails.

IV. Overflowing of the menses is another accident incidental to child-bed women. For which,

1. Take shepherd's purse, either boiled in any convenient liquor, or dried and beaten into a powder, and it will be an admirable remedy to stop them, this being especially appropriated to the privities.

2. The flower and leaves of brambles or either of them, being dried and beaten into a powder, and a drachm of them taken every morning in a spoonful of red wine, or in a decoction of leaves of the same (which, perhaps, is much better), is an admirable remedy for the immoderate flowing of the term in women.

V. Excoriations, bruises, and rents in the lower part of the womb are often occasioned by the violent distention and separation of the caruncles in a woman's labour. For the healing whereof,

As soon as the woman is laid, if there be only simple contusions and excoriations, then let the anodyne cataplasm, formerly directed, be applied to the lower parts to ease the pain, made of the yolks and whites of new laid eggs, and oil of roses, boiled a little over warm embers, continually stirring it until it be mixed, and then spread on a fine cloth; it must be applied very warm to the bearing place for five or six hours, and when it is taken away, lay some fine rags, dipped in oil of St. John's wort twice or thrice a day; also foment the parts with barley water and honey of roses, to cleanse them from the excrements which pa.s.s. When the woman makes water, let them be defended with fine rags, and thereby hinder the urine from causing smart or pain.

VI. The curding and clotting of the milk is another accident that happens to women in child-bed, for in the beginning of child-bed, the woman's milk is not purified because of the great commotions her body suffered during her labour, which affected all the parts, and it is then affected with many humours. Now this clotting of the milk does, for the most part, proceed from the b.r.e.a.s.t.s not being fully drawn, and that, either because she has too much milk, and that the infant is too small and weak to suck it all, or because she doth not desire to be a nurse, for the milk in those cases remaining in the b.r.e.a.s.t.s after concoction, without being drawn, loses its sweetness and the balsamic qualities it had, and by reason of the heat it requires, and the too long stay it makes there, is sours, curds and clots, in like manner as we see rennet put into ordinary milk to turn it into curds. The curding of the milk may also be caused by having taken a great cold, and not keeping the b.r.e.a.s.t.s well covered.

But from what cause so ever this curding of the milk proceeds, the most certain remedy is, to draw the b.r.e.a.s.t.s until it is emitted and dried.

But in regard that the infant by reason of weakness, cannot draw strength enough, the woman being hard marked when her milk is curded, it will be most proper to get another woman to draw her b.r.e.a.s.t.s until the milk comes freely, and then she may give her child suck. And that she may not afterwards be troubled with a surplus of milk, she must eat such diet as give but little nourishment, and keep her body open.

But if the case be such that the woman neither can nor will be a nurse, it is necessary to apply other remedies for the curing of this distemper; for then it will be best not to draw the b.r.e.a.s.t.s, for that will be the way to bring more milk into them. For which purpose it will be necessary to empty the body by bleeding the arms, besides which, let the humours be drawn down by strong clysters and bleeding at the foot; nor will it be amiss to purge gently, and to digest, dissolve and dissipate the curded milk, four brans dissolved in a decoction of sage, milk, smallage and fennel, mixing with it oil of camomile, with which oil let the b.r.e.a.s.t.s be well anointed. The following liniment is also good to scatter and dissipate the milk.

_A Liniment to Scatter and Dissipate the Milk._

That the milk flowing back to the breast may without offence be dissipated, you must use this ointment:--"Take pure wax, two ounces, linseed, half a pound; when the wax is melted, let the liniment be made, wherein linen cloths must be clipped, and, according to their largeness, be laid upon the b.r.e.a.s.t.s; and when it shall be dispersed, and pains no more, let other linen cloths be laid in the distilled water of acorns, and put upon them.

_Note._--That the cloths dipped into distilled water of acorns must be used only by those who cannot nurse their own children; but if a swelling in the breast of her who gives such do arise, from abundance of milk, threatens an inflammation, let her use the former ointment, but abstain from using the distilled water of acorns.

CHAPTER VIII

_Directions for the Nurses, in ordering Newly-born Children._

When the child's navel-string hath been cut according to the rules prescribed, let the midwife presently cleanse it from the excrements and filth it brings into the world with it; of which some are within the body, as the urine in the bladder, and the excrements found in the guts; and the others without, which are thick, whitish and clammy, proceeding from the sliminess of the waters. There are sometimes children covered all over with this, that one would think they were rubbed over with soft cheese, and some women are of so easy a belief, that they really think it so, because they have eaten some while they were with child. From these excrements let the child be cleansed with wine and water a little warmed, washing every part therewith, but chiefly the head because of the hair, also the folds of the groin, and the cods or privities; which parts must be gently cleansed with a linen rag, or a soft sponge dipped in lukewarm wine. If this clammy or viscous excrement stick so close that it will not easily be washed off from those places, it may be fetched off with oil of sweet almond, or a little fresh b.u.t.ter melted with wine, and afterwards well dried off; also make tents of fine rags, and wetting them in this liquor, clear the ears and nostrils; but for the eyes, wipe them only with a dry, soft rag, not dipping it in the wine, lest it should make them smart.

The child being washed, and cleansed from the native blood and impurities which attend it into the world, it must in the next place be searched to see whether all things be right about it, and that there is no fault nor dislocation; whether its nose be straight, or its tongue tied, or whether there be any bruise or tumour of the head; or whether the mold be not over shot; also whether the s.c.r.o.t.u.m (if it be a male) be not blown up and swelled, and, in short, whether it has suffered any violence by its birth, in any part of its body, and whether all the parts be well and duly shaped; that suitable remedies may be applied if anything be found not right. Nor is it enough to see that all be right without, and that the outside of the body be cleansed, but she must also observe whether it dischargeth the excrements contained within, and whether the pa.s.sage be open; for some have been born without having been perforated. Therefore, let her examine whether the conduits of the urine and stool be clear, for want of which some have died, not being able to void their excrements, because timely care was not taken at first. As to the urine all children, as well males as females, do make water as soon as they are born, if they can, especially if they feel the heat of the fire, and also sometimes void the excrements, but not so soon as the urine. If the infant does not ordure the first day, then put into its fundament a small suppository, to stir it up to be discharged, that it may not cause painful gripes, by remaining so long in the belly. A sugar almond may be proper for this purpose, anointed all over with a little boiled honey; or else a small piece of castile-soap rubbed over with fresh b.u.t.ter; also give the child for this purpose a little syrup of roses or violets at the mouth, mixed with some oil of sweet almonds, drawn without a fire, anointing the belly also, with the same oil or fresh b.u.t.ter.

The midwife having thus washed and cleansed the child, according to the before mentioned directions, let her begin to swaddle it in swathing clothes, and when she dresses the head, let her put small rags behind the ears, to dry up the filth which usually engenders there, and so let her do also in the folds of the armpits and groins, and so swathe it; then wrap it up warm in a bed with blankets, which there is scarcely any woman so ignorant but knows well enough how to do; only let me give them this caution, that they swathe not the child too tightly in its blankets, especially about the breast and stomach, that it may breathe the more freely, and not be forced to vomit up the milk it sucks, because the stomach cannot be sufficiently distended to contain it; therefore let its arms and legs be wrapped in its bed, stretched and straight and swathed to keep them so, viz., the arms along its sides, and its legs equally both together with a little of the bed between them, that they may not be galled by rubbing each other; then let the head be kept steady and straight, with a stay fastened each side of the blanket, and then wrap the child up in a mantle and blankets to keep it warm. Let none think this swathing of the infant is needless to set down, for it is necessary it should be thus swaddled, to give its little body a straight figure, which is most proper and decent for a man, and to accustom him to keep upon his feet, who otherwise would go upon all fours, as most animals do.

CHAPTER IX

SECTION I.--_Of Gripes and Pains in the, Bellies of Young Children._

This I mention first, as it is often the first and most common distemper which happens to little infants, after their birth; many children being so troubled therewith, that it causes them to cry day and night and at last die of it. The cause of it for the most part comes from the sudden change of nourishment, for having always received it from the umbilical vessel whilst in the mother's womb, they come on a sudden not only to change the manner of receiving it, but the nature and quality of what they received, as soon as they are born; for instead of purified blood only, which was conveyed to them by means of the umbilical vein, they are now obliged to be nourished by their mother's milk, which they suck with their mouths, and from which are engendered many excrements, causing gripes and pains; and not only because it is not so pure as the blood with which it was nourished in the womb, but because the stomach and the intestines cannot make a good digestion, being unaccustomed to it. It is sometimes caused also by a rough phlegm, and sometimes by worms; for physicians affirm that worms have been bred in children even in their mother's belly.

_Cure_. The remedy must be suited to the cause. If it proceed from the too sudden change of nourishment, the remedy must be to forbear giving the child suck for some days, lest the milk be mixed with phlegm, which is then in the stomach corrupt; and at first it must suck but little, until it is accustomed to digest it. If it be the excrements in the intestines, which by their long stay increase their pains, give them at the month a little oil of sweet almonds and syrup of roses; if it be worms, lay a cloth dipped in oil of wormwood mixed with ox-gall, upon the belly, or a small cataplasm, mixed with the powder of rue, wormwood, coloquintida, aloes, and the seeds of citron incorporated with ox-gall and the powder of lupines. Or give it oil of sweet almonds and syrup of roses; if it be worms, lay a cloth, dipped in oil of wormwood mixed with ox-gall, upon the belly, or a small cataplasm mixed with the powder of rue, wormwood, coloquintida, aloes, and the seeds of citron incorporated with ox-gall and the powder of lupines. Or give it oil of sweet almonds with sugar-candy, and a scruple of aniseed; it purgeth new-born babes from green cholera and stinking phlegm, and, if it be given with sugar-pap, it allays the griping pains of the belly. Also anoint the belly with oil of dill, or lay pelitory stamped with oil of camomile to the belly.

SECT. II.--_Of Weakness In Newly-born Infants._

Weakness is an accident that many children bring into the world along with them, and is often occasioned by the labour of the mother; by the violence and length whereof they suffer so much, that they are born with great weakness, and many times it is difficult to know whether they are alive or dead, their body appearing so senseless, and their face so blue and livid, that they seem to be quite choked; and even after some hours, then-showing any signs of life is attended with weakness, that it looks like a return from death, and that they are still in a dying condition.

_Cure_. Lay the infant speedily in a warm blanket, and carry it to the fire, and then let the midwife take a little wine in her mouth and spout it into its mouth, repeating it often, if there be occasion. Let her apply linen dipped in urine to the breast and belly, and let the face be uncovered, that it may breathe the more freely; also, let the midwife keep its mouth a little open, cleanse the nostrils with small linen tents[11] dipt in white wine, that so it may receive the smell of it; and let her chafe every part of its body well with warm cloths, to bring back its blood and spirits, which being retired inwards through weakness, often puts him in danger of being choked. By the application of these means, the infant will gradually recover strength, and begin to stir its limbs by degrees, and at length to cry; and though it be but weakly at first, yet afterwards, as it breathes more freely, its cry will become more strong.

SECT. III.--_Of the Fundament being closed up in a newly-born Infant._

Another defect that new-born infants are liable to is, to have their fundaments closed up, by which they can neither evacuate the new excrements engendered by the milk they suck, nor that which was ama.s.sed in their intestines before birth, which is certainly mortal without a speedy remedy. There have been some female children who have their fundaments quite closed, and yet have voided the excrements of the guts by an orifice which nature, to supply the defect, had made within the neck of the womb.

_Cure_. Here we must take notice, that the fundament is closed two ways; either by a single skin, through which one may discover some black and blue marks, proceeding from the excrements retained, which, if one touch with the finger, there is a softness felt within, and thereabout it ought to be pierced; or else it is quite stopped by a thick, fleshy substance, in such sort that there appears nothing without, by which its true situation may be known. When there is nothing but the single skin which makes the closure, the operation is very easy, and the children may do very well; for then an aperture or opening may be made with a small incision-knife, cross-ways, that it may the better receive a round form, and that the place may not afterwards grow together, taking care not to prejudice the sphincter or muscle of the r.e.c.t.u.m. The incision being thus made, the excrements will certainly have issue. But if, by reason of their long stay in the belly, they become so dry that the infant cannot void them, then let a clyster be given to moisten and bring them away; afterwards put a linen tent into the new-made fundament, which at first had best be anointed with honey of roses, and towards the end, with a drying, cicatrizing ointment, such as unguentum alb.u.m or ponphilex, observing to cleanse the infant of its excrement, and dry it again as soon and as often as it evacuates them, that so the aperture may be prevented from turning into a malignant ulcer.

But if the fundament be stopped up in such a manner, that neither mark nor appearance of it can be seen or felt, then the operation is much more difficult, and, even when it is done, the danger is much greater that the infant will not survive it. Then, if it be a female, and it sends forth its excrements by the way I mentioned before, it is better not to meddle than, by endeavouring to remedy an inconvenience, run an extreme hazard of the infant's death. But when there is no vent for the excrements, without which death is unavoidable, then the operation is justifiable.

_Operation_. Let the operator, with a small incision-knife that hath but one edge, enter into the void place, and turning the back of it upwards, within half a finger's breadth of the child's rump, which is the place where he will certainly find the intestines, let him thrust it forward, that it may be open enough to give free vent to matter there contained, being especially careful of the sphincter; after which, let the wound be dressed according to the method directed.

SECT. IV.--_Of the Thrush, or Ulcers In the Mouth of the Infant._

The thrush is a distemper that children are very subject to, and it arises from bad milk, or from foul humour in the stomach; for sometimes, though there be no ill humour in the milk itself, yet it may corrupt the child's stomach because of its weakness or some other indisposition; in which, acquiring an acrimony, instead of being well digested, there arise from it thrice biting vapours, which forming a thick viscosity, do thereby produce this distemper.

_Cure_. It is often difficult, as physicians tell us, because it is seated in hot and moist places, where the putrefaction is easily augmented; and because the remedies applied cannot lodge there, being soon washed with spittle. But if it arises from too hot quality in the nurse's milk, care must be taken to temper and cool, prescribing her cool diet, bleeding and purging her also, if there be occasion.

Take lentils, husked, powder them, and lay a little of them upon the child's gums. Or take bdellium flowers, half an ounce, and with oil of roses make a liniment. Also wash the child's mouth with barley and plantain-water, and honey of roses, mixing with them a little verjuice of lemons, as well to loosen and cleanse the vicious humours which cleave to the inside of the infant's mouth, as to cool those parts which are already over-heated. It may be done by means of a small fine rag, fastened to the end of a little stick, and dipped therein, wherewith the ulcers may be gently rubbed, being careful not to put the child in too much pain, lest an inflammation make the distemper worse. The child's body must also be kept open, that the humours being carried to the lower parts, the vapours may not ascend, as is usual for them to do when the body is costive, and the excrements too long retained.

If the ulcers appear malignant, let such remedies be used as do their work speedily, that the evil qualities that cause them, being thereby instantly corrected, their malignity may be prevented; and in this case, touch the ulcers with plantain water, sharpened with spirits of vitriol; for the remedy must be made sharp, according to the malignity of the distemper. It will be necessary to purge these ill humours out of the whole habit of the child, by giving half an ounce of succory and rhubarb.

SECT. V.--_Of Pains in the Ears, Inflammation, Moisture, etc._