Cure.—The suppression is a plethoric effect, and must be taken away by evacuation; and therefore we begin with the phlebotomy. In the midst of the menstrual period open the liver vein; and for the reservation of the humour, two days before the evacuation, open the saphena in both feet; if the repletion be not great, apply cupping-glasses to the legs and thighs, although there should be no hopes of removing the suppression. As in some the cotiledones are so closed, it will be convenient, as much as may be, to ease nature of her burden, by opening the hemorrhoid veins with a leech. After bleeding, let the humours be prepared and made flexible with syrup of calamint, betony, hyssop, mugwort, horehound, fumitory, maiden-hair. Bathe with camomile, pennyroyal, savin, bay-leaves, juniper-berries, rue, marjoram, feverfew. Take of the leaves of maiden-hair, succory, and betony, of each a handful, make a decoction; take thereof three ounces. Syrup of maiden-hair, mugwort, and succory; mix of each half an ounce. After she comes out of the bath, let her drink it off. Purge with pill de agarice, fley-bang, corb, feriæ. Galen commends pilulæ de caberica, coloquintida; as they purge the humour of offending, and open the womb, and strengthen the faculty by their aromatical quality.
If the stomach be overcharged, let her take a vomit, such a one as may work both ways, lest working only upward, it should too much turn back the humour.
After the humour hath been purged, proceed to more proper and forcible remedies. Take of troschisk of myrrh one drachm and a half; of musk ten grains with the juice of smallage; make twelve pills; take six every morning, or after supper going to bed. Take of cinnamon half an ounce, smirutium, valerian aristolochia, of each two drachms; roots of astrumone, drachm saffron, of each two scruples; spec. diambia, two drachms; troschisk of myrrh, four scruples; make half into a powder; with mugwort water and sugar a sufficient quantity, make lozenges, take one drachm of them every morning; or mingle one drachm of the powder with one drachm of the sugar, and take it in white wine. Take of prepared steel, spec. hair, of each two drachms; borax, spec. of myrrh, of each one scruple, with the juice of savin; make it up with the lozenges, and take three every other day before dinner. Take of castor one scruple, wild carrot seed half a drachm, with syrup of mugwort, make four pills; take them in a morning fasting, for three days together, before the wonted time of the purgation. Take of juice of horehound, of each five drachms; rhubarb, spikenard, aniseed, galbanum, asafœtida, marrow root, gentian, with honey, make an electuary, take of it three drachms for a dose. In phlegmatic bodies nothing can be better given than the decoction of the wood guiacum, taken in the morning fasting, and so for twelve days together, without provoking of sweat.
Administer to the lower parts by suffumigations, pessaries, unctions, injections: make suffumigations of cinnamon, nutmeg, cloves, bay berries, mugwort, galbanum, molanthium, amber, &c. Make pessaries of figs, and the leaves of mercury bruised, and rolled up with lint. Make injections of the decoction of origane, mugwort, betony, and eggs; inject it into the womb by an instrument for that purpose. Take of oil of almonds, lilies, capers, camomile, of each an ounce; laudani, oil of myrrh, of each two drachms; with wax make an unguent, with which let the place be anointed; make infusions of fenugreek, camomile, melilot, dill, marjoram, pennyroyal, feverfew, juniper-berries, and calamint; but if the suppression comes by a defect of matter, then ought not the menses to be provoked until the spirits be animated, and the blood again increased; or, by proper effects of the womb, as dropsies, inflammations, &c. then must particular care be used.
If the retention comes from repulsion or fulness, if the air be hot or dry, use moderate exercise before meals, and your meat and drink attenuating; use with your meat garden savory, thyme, origane, and cyche peason: if from emptiness or defect of matter, if the air be moist and moderately hot, shun exercise and watching; let your meat be nourishing and of light digestion, as raw eggs, lamb, chickens, almonds, milk.
CHAPTER VIII.
OF THE OVERFLOWING OF THE MENSES.
I shall now treat on the overflowing of the menses, an effect no less dangerous than the former. This immoderate flux is a sanguineous excrement, proceeding from the womb, exceeding both in quantity and time. First, it is sanguineous: the matter of the flux being only blood, wherein it differs from that which is commonly called the false menses, or the whites. Secondly, it proceeds from the womb: for there are two ways from which the blood flows; one by the internal veins of the body of the womb,—and this is called the monthly flux; the other is by those veins which are terminated in the neck of the matrix,—and this is called the hemorrhoids of the womb. Lastly, it is said to exceed both in quantity and time. In quantity, saith Hippocrates, when they flow about eighteen ounces: in time, when they flow about three days: but it is inordinate flowing, when the faculties of the body are thereby weakened. In bodies abounding with gross humours, this immoderate flux sometimes unburdens nature of her load, and ought not to be staid without the counsel of a physician.
Cause.—The cause is internal or external. The internal cause is threefold; in the matter, instrument, or faculty. The matter, which is the blood, may be vicious, by the heat of constitution, climate, or season, heating the blood, whereby the passages are dilated, and the faculty weakened, that it cannot retain the blood; and, by falls, blows, violent motion, breaking of the veins, &c. The external cause may be lifting, carrying of heavy burdens, unnatural child-birth, &c.
Signs.—The appetite is decayed, the conception is depraved, and the actions weakened; the feet are swelled, the colour of the face is changed, and a general feebleness of the body. If the flux comes by the breaking of a vein, the body is sometimes cold, the blood flows forth in heaps, and that suddenly, with great pain. If it comes through heat, the orifice of the vein being dilated, then there is little or no pain, yet the blood flows faster than it doth in an erosion, and not so fast as it doth in a rupture. If by erosion, or sharpness of blood, she feels a great heat scalding the passage; it differs from the other two, in that it flows not so suddenly, nor so copiously as they do. Lastly, if it proceeds from bad blood drop some of it on a cloth, and when it is dry, you may judge of the quality by the colour. If it be choleric, it will be yellow; if melancholy, black; if phlegmatic, waterish and whitish.
Prognostics.—If with the flux be joined a convulsion, it is dangerous, because it intimates the more noble parts are vitiated: and a convulsion caused by emptiness is deadly. If it continues long, it will be cured with great difficulty: for it was one of the miracles which our Saviour, Christ, wrought, to cure this disease, when it had continued twelve years. If the flux be inordinate, many diseases will ensue, and without remedy; the blood, with the native heat, being consumed, either cachetical, hydropical, or paralytical diseases will follow.