BOOK II

Having finished the first part of this book, and wherein, I hope, amply made good my promise to the reader, I am now come to treat only of those distempers to which they are more subject when in a breeding condition, and those that keep them from being so; together with such proper and safe remedies as may be sufficient to repel them. And since amongst all the diseases to which human nature is subject, there is none that more diametrically opposes the very end of our creation, and the design of nature in the formation of different s.e.xes, and the power thereby given us for the work of generation, than that of sterility or barrenness which, where it prevails, renders the most accomplished midwife but a useless person, and destroys the design of our book; I think, therefore, that barrenness is an effect that deserves our first and princ.i.p.al consideration.

CHAPTER I

_Of Barrenness; its several Kinds; with the proper Remedies for it; and the Signs of Insufficiency both in Men and Women._

SECTION I.--_Of Barrenness in General._

Barrenness is either natural or artificial.

Natural barrenness is when a woman is barren, though the instruments of generation are perfect both in herself and in her husband, and no preposterous or diabolical course used to it, and neither age, nor disease, nor any defect hindering, and yet the woman remains naturally barren.

Now this may proceed from a natural cause, for if the man and woman be of one complexion, they seldom have children, and the reason is clear, for the universal course of nature being formed of a composition of contraries, cannot be increased by a composition of likes; and, therefore, if the const.i.tution of the woman be hot and dry, as well as the man's there can be no conception; and if, on the contrary, the man should be of a cold and moist const.i.tution, as well as the woman, the effect would be the same; and this barrenness is purely natural. The only way to help this is, for people, before they marry, to observe each others const.i.tution and complexion, if they design to have children. If their complexions and const.i.tutions be alike, they are not fit to come together, for discordant natures only, make harmony in the work of generation.

Another natural cause of barrenness, is want of love between man and wife. Love is that vivid principle that ought to inspire each organ in the act of generation, or else it will be spiritless and dull; for if their hearts be not united in love, how should their seed unite to cause Conception? And this is sufficiently evinced, in that there never follows conception on a rape. Therefore, if men and women design to have children, let them live so, that their hearts as well as their bodies may be united, or else they may miss their expectations.

A third cause of natural barrenness, is the letting virgins blood in the arm before their natural courses are come down, which is usually in the fourteenth and fifteenth year of their age; sometimes, perhaps before the thirteenth, but never before the twelfth. And because usually, they are out of order, and indisposed before their purgations come down, their parents run to the doctor to know what is the matter; and he, if not skilled, will naturally prescribe opening a vein in the arm, thinking fullness of blood the cause; and thus she seems recovered for the present: and when the young virgin happens to be in the same disorder, the mother applies again to the surgeon, who uses the same remedy; and by these means the blood is so diverted from its proper channel, that it comes not down the womb as usual, and so the womb dries up, and she is for ever barren. To prevent this, let no virgin blood in the arm before her courses come down well; for that will bring the blood downwards, and by that means provoke the _menstrua_ to come down.

Another cause of natural barrenness, is debility in copulation. If persons perform not that act with all the bent and ardour that nature requires, they may as well let it alone; for frigidity and coldness never produces conception. Of the cure of this we will speak by and by, after I have spoken of accidental barrenness, which is occasioned by some morbific matter or infirmity in the body, either of the man or of the woman, which being removed they become fruitful. And since, as I have before noted, the first and great law of creation, was to increase and multiply, and barrenness is in direct opposition to that law, and frustrates the end of our creation, and often causes man and wife to have hard thoughts one of another, I shall here, for the satisfaction of well meaning people, set down the signs and causes of insufficiency both in men and women; premising first that when people have no children, they must not presently blame either party, for neither may be in fault.

SECT. II.--_Signs and Causes of Insufficiency in Men._

One cause may be in some viciousness of the yard, as if the same be crooked, or any ligaments thereof distorted and broken, whereby the ways and pa.s.sages, through which the seed should flow, come to be stopped or vitiated.

Another cause may be, too much weakness of the yard, and tenderness thereof, so that it is not strong enough erected to inject seed into the womb; for the strength and stiffness of the yard very much conduces to conception, by reason of the forcible injection of the seed.

Also, if the stones have received any hurt, so that they cannot exercise the proper gift in producing seed, or if they be oppressed with an inflammation, tumour, wound or ulcer, or drawn up within the belly, and not appearing outwardly.

Also, a man may be barren by reason of the defect of seed, as first, if he cast forth no seed at all, or less in substance than is needful. Or, secondly, if the seed be vicious, or unfit for generation; as on the one side, it happens in bodies that are gross and fat, the matter of it being defective; and on the other side, too much leanness, or continual wasting or consumption of the body, destroys seed; nature turning all the matter and substance thereof into the nutriment of the body.

Too frequent copulation is also one great cause of barrenness in men; for it attracteth the seminal moisture from the stones, before it is sufficiently prepared and concocted. So if any one, by daily copulation, do exhaust and draw out all their moisture of the seed, then do the stones draw the moist humours from the superior veins unto themselves; and so, having but a little blood in them, they are forced of necessity to cast it out raw and unconcocted, and thus the stones are violently deprived of the moisture of their veins, and the superior veins, and all the other parts of the body, of their vital spirits; therefore it is no wonder that those who use immoderate copulation are very weak in their bodies, seeing their whole body is deprived of the best and purest blood, and of the spirit, insomuch that many who have been too much addicted to that pleasure, have killed themselves in the very act.

Gluttony, drunkenness, and other excesses, do so much hinder men from fruitfulness, that it makes them unfit for generation.

But among other causes of barrenness of men, this also is one, and makes them almost of the nature of eunuchs, and that is the incision or the cutting of the veins behind their ears, which in case of distempers is oftentimes done; for, according to the opinions of most physicians and anatomists, the seed flows from the brain by those veins behind the ears, more than any part of the body. From whence it is very probable, that the transmission of the seed is hindered by the cutting of the veins behind the ears, so that it cannot descend to the t.e.s.t.i.c.l.es, or may come thither very crude and raw.

SECT. III.--_Signs and Causes of Insufficiency or Barrenness in Women._

Although there are many causes of the barrenness of women, yet the chief and princ.i.p.al are internal, respecting either the privy parts, the womb or menstruous blood.

Therefore, Hippocrates saith (speaking as well of easy as difficult conception in women) the first consideration is to be had of their species; for little women are more apt to conceive than great, slender than gross, white and fair than ruddy and high coloured, black than wan, those that have their veins conspicuous, than others; but to be very fleshy is evil, and to have great swelled b.r.e.a.s.t.s is good.

The next thing to be considered is, the monthly purgations, whether they have been duly every month, whether they flow plentifully, are of a good colour, and whether they have been equal every month.

Then the womb, or place of conception, is to be considered. It ought to be clean and sound, dry and soft, not retracted or drawn up; not p.r.o.ne or descending downward; nor the mouth thereof turned away, nor too close shut up. But to speak more particularly:--

The first parts to be spoken of are the _pudenda_, or privities, and the womb; which parts are shut and enclosed either by nature or against nature; and from hence, such women are called _imperforate_; as in some women the mouth of their womb continues compressed, or closed up, from the time of their birth until the coming down of their courses, and then, on a sudden, when their terms press forward to purgation, they are molested with great and unusual pains. Sometimes these break of their own accord, others are dissected and opened by physicians; others never break at all, which bring on disorders that end in death.

All these _Aetius_ particularly handles, showing that the womb is shut three manner of ways, which hinders conception. And the first is when the _pudenda_ grow and cleave together. The second is, when these certain membranes grow in the middle part of the matrix within. The third is, when (though the lips and bosom of the _pudenda_ may appear fair and open), the mouth of the womb may be quite shut up. All which are occasions of barrenness, as they hinder the intercourse with man, the monthly courses, and conception.

But amongst all causes of barrenness in women, the greatest is in the womb, which is the field of generation; and if this field is corrupt, it is in vain to expect any fruit, be it ever so well sown. It may be unfit for generation by reason of many distempers to which it is subject; as for instance, overmuch heat and overmuch cold; for women whose wombs are too thick and cold, cannot conceive, because coldness extinguishes the heat of the human seed. Immoderate moisture of the womb also destroys the seed of man, and makes it ineffectual, as corn sown in ponds and marshes; and so does overmuch dryness of the womb, so that the seed perisheth for want of nutriment. Immoderate heat of the womb is also a cause of barrenness for it scorcheth up the seed as corn sown in the drought of summer; for immoderate heat burns all parts of the body, so that no conception can live in the womb.

When unnatural humours are engendered, as too much phlegm, tympanies, wind, water, worms, or any other evil humour abounding contrary to nature, it causes barrenness as do all terms not coming down in due order.

A woman may also have accidental causes of barrenness (at least such as may hinder her conception), as sudden frights, anger, grief and perturbation of mind; too violent exercises, as leaping, dancing, running, after copulation, and the like. But I will now add some signs, by which these things may be known.

If the cause of barrenness be in the man, through overmuch heat in the seed, the woman may easily feel that in receiving it.

If the nature of the woman be too hot, and so unfit for conception, it will appear by her having her terms very little, and the colour inclining to yellowness; she is also very hasty, choleric and crafty; her pulse beats very swift, and she is very desirous of copulation.

To know whether the fault is in the man or in the woman, sprinkle the man's urine upon a lettuce leaf, and the woman's urine upon another, and that which dries away first is unfruitful. Also take five wheaten corns and seven beans, put them into an earthen pot, and let the party make water therein; let this stand seven days, and if in that time they begin to sprout, then the party is fruitful; but if they sprout not, then the party is barren, whether it be the man or the woman; this is a certain sign.

There are some that make this experiment of a woman's fruitfulness; take myrrh, red storax and some odoriferous things, and make a perfume of which let the woman receive into the neck of the womb through a funnel; if the woman feels the smoke ascend through her body to the nose, then she is fruitful; otherwise she is barren. Some also take garlic and beer, and cause the woman to lie upon her back upon it, and if she feel the scent thereof in her nose, it is a sign of her being fruitful.

Culpepper and others also give a great deal of credit to the following experiment. Take a handful of barley, and steep half of it in the urine of a man, and the other half in the urine of the woman, for the s.p.a.ce of twenty-four hours; then take it out, and put the man's by itself, and the woman's by itself; set it in a flower-pot, or some other thing, where let it dry; water the man's every morning with his own urine, and the woman's with hers, and that which grows first is the most fruitful; but if they grow not at all, they are both naturally barren.

_Cure_. If the barrenness proceeds from stoppage of the menstrua, let the woman sweat, for that opens the parts; and the best way to sweat is in a hot-house. Then let the womb be strengthened by drinking a draught of white wine, wherein a handful of stinking arrach, first bruised, has been boiled, for by a secret magnetic virtue, it strengthens the womb, and by a sympathetic quality, removes any disease thereof. To which add also a handful of vervain, which is very good to strengthen both the womb and the head, which are commonly afflicted together by sympathy.

Having used these two or three days, if they come not down, take of calamint, pennyroyal, thyme, betony, dittany, burnet, feverfew, mugwort, sage, peony roots, juniper berries, half a handful of each, or as many as can be got; let these be boiled in beer, and taken for her drink.

Take one part of gentian-root, two parts of centaury, distil them with ale in an alembic after you have bruised the gentian-roots and infused them well. This water is an admirable remedy to provoke the terms. But if you have not this water in readiness, take a drachm of centaury, and half a drachm of gentian-roots bruised, boiled in posset drink, and drink half a drachm of it at night going to bed. Seed of wild navew beaten to powder, and a drachm of it taken in the morning in white wine, also is very good; but if it answers not, she must be let blood in the legs. And be sure you administer your medicines a little before the full of the moon, by no means in the wane of the moon; if you do, you will find them ineffectual.

If barrenness proceed from the overflowing of the menstrua, then strengthen the womb as you were taught before; afterwards anoint the veins of the back with oil of roses, oil of myrtle and oil of quinces every night, and then wrap a piece of white baise about your veins, the cotton side next to the skin and keep the same always to it. But above all, I recommend this medicine to you. Take comfrey-leaves or roots, and clown woundwort, of each a handful; bruise them well, and boil them in ale, and drink a good draught of it now and then. Or take cinnamon, ca.s.sia lignea, opium, of each two drachms; myrrh, white pepper, galbanum, of each one drachm; dissolve the gum and opium in white wine; beat the rest into powder and make pills, mixing them together exactly, and let the patient take two each night going to bed; but let the pills not exceed fifteen grains.

If barrenness proceed from a flux in the womb, the cure must be according to the cause producing it, or which the flux proceeds from, which may be known by signs; for a flux of the womb, being a continual distillation from it for a long time together, the colour of what is voided shows what humour it is that offends; in some it is red, and that proceeds from blood putrified, in some it is yellow, and that denotes choler; in others white and pale, and denotes phlegm. If pure blood comes out, as if a vein were opened, some corrosion or gnawing of the womb is to be feared. All these are known by the following signs:

The place of conception is continually moist with the humours, the face ill-coloured, the party loathes meat and breathes with difficulty, the eyes are much swollen, which is sometimes without pain. If the offending humour be pure blood, then you must let blood in the arm, and the cephalic vein is fittest to draw back the blood; then let the juice of plantain and comfrey be injected into the womb. If phlegm be a cause, let cinnamon be a spice used in all her meats and drinks, and let her take a little Venice treacle or mithridate every morning. Let her boil burnet, mugwort, feverfew and vervain in all her broths. Also, half a drachm of myrrh, taken every morning, is an excellent remedy against this malady. If choler be the cause, let her take burrage, buglos, red roses, endive and succory roots, lettuce and white poppy-seed, of each a handful; boil these in white wine until one half be wasted; let her drink half a pint every morning to which half pint add syrup of chicory and syrup of peach-flowers, of each an ounce, with a little rhubarb, and this will gently purge her. If it proceed from putrified blood, let her be bled in the foot, and then strengthen the womb, as I have directed in stopping the menstrua.

If barrenness be occasioned by the falling out of the womb, as sometimes it happens, let her apply sweet scents to the nose, such as civet, galbanum, storax, calamitis, wood of aloes; and such other things as are of that nature; and let her lay stinking things to the womb, such as asafoetida, oil of amber, or the smoke of her own hair, being burnt; for this is a certain truth, that the womb flies from all stinking, and to all sweet things. But the most infallible cure in this case is; take a common burdock leaf (which you may keep dry, if you please, all the year), apply this to her head and it will draw the womb upwards. In fits of the mother, apply it to the soles of the feet, and it will draw the womb downwards. But seed beaten into a powder, draws the womb which way you please, accordingly as it is applied.

If barrenness in the woman proceed from a hot cause, let her take whey and clarify it; then boil plantain leaves and roots in it, and drink it for her ordinary drink. Let her inject plantain juice into her womb with a syringe. If it be in the winter, when you cannot get the juice, make a strong decoction of the leaves and roots in water, and inject that up with a syringe, but let it be blood warm, and you will find this medicine of great efficacy. And further, to take away barrenness proceeding from hot causes, take of conserve of roses, cold lozenges, make a tragacanth, the confections of trincatelia; and use, to smell to, camphor, rosewater and saunders. It is also good to bleed the basilica or liver vein, and take four or five ounces of blood, and then take this purge; take electuarium de epithymo de succo rosarum, of each two drachms and a half; clarified whey, four ounces; mix them well together, and take it in the morning fasting; sleep after it about an hour and a half, and fast for four hours after; and about an hour before you eat anything, drink a good draught of whey. Also take lilywater, four ounces; mandragore water, one ounce; saffron, half a scruple; beat the saffron to a powder, and mix it with waters, drink them warm in the morning; use these eight days together.