A dry diet is commended as the best, because in this effect the body most commonly abounds with phlegmatical and crude humours. For this cause Hippocrates counsels the patient to go to bed supperless. Let her meat be partridge, pheasant, and mountain birds, rather roasted than boiled. Immoderate sleep is forbidden, moderate exercise is commended.
CHAPTER XI.
OF THE SUFFOCATION OF THE MOTHER.
This is called in English, “the suffocation of the mother;” because it causeth the womb to be choked. It is a retraction of the womb towards the midriff and the stomach, which so presseth and crusheth up the same, that the instrumental cause of respiration, the midriff, is suffocated, and causes the animating faculty, the efficient cause of respiration, also to be intercepted, while the body being refrigerated, and the action depraved, she falls to the ground as one dead. Many instances are recorded of those who have been considered dead, even by the medical men, in this disorder.
To distinguish the living from the dead the ancients prescribe three experiments: the first is, to lay a light feather to the mouth, and by its motion you may judge whether the patient be living or dead: the second is to place, a glass of water on the breast, and if you perceive it to move, it betokeneth life: third, to hold a looking-glass to the mouth and nose; and if the glass appears thick, with a little dew upon it, it betokens life. You ought not to depend upon these; for the motion of the lungs, by which the respiration is made, may be taken away so that she cannot breathe, yet the internal transpiration of the heat may remain; which is not manifest by the motion of the breast or lungs, but lies occult in the heart and inward arteries: examples whereof we have in the fly and swallow, who, in cold winters, seem dead, and breathe not at all; yet they live by the transpiration of that heat which is reserved in the heart and inward arteries: therefore, when the summer approacheth, the internal heat being revocated to the outer parts, they revive out of their sleepy ecstacy.
Those women therefore, who seem to die suddenly, let them not be committed unto the earth until the end of three days, lest the living be buried for the dead.
Cause.—The part affected is the womb, of which there is a twofold motion—natural and symptomatical. The natural motion is, when the womb attracteth the seed, or excludeth the infant or secundine. The symptomatical motion, of which we are to speak, is a convulsive drawing up of the womb.
The cause is the retention of the seed, or the suppression of the menses, causing a repletion of the corrupt humours in the womb, from whence proceeds a flatuous refrigeration, causing a convulsion of the ligaments of the womb. And as it may come from humidity or repletion, being a convulsion, it may be caused by emptiness or dryness. And by abortion, or difficult child-birth.
Signs.—At the approaching of the suffocation, there is a paleness in the face, weakness of the legs, shortness of breath, frigidity of the whole body, with a working in the throat, and then she falls down as one void of sense and motion; the mouth of the womb is closed up, and being touched with the fingers feels hard. The paroxysm of the fit being past, she openeth her eyes, and feeling her stomach oppressed, she offers to vomit.
It differs from apoplexy, by reason it comes without shrieking out; also in the hysterical passion the sense of feeling is not altogether destroyed and lost, as it is in the apoplectic disease: and it differs from the epilepsies in that the eyes are not wrested, neither doth any spongy froth come from the mouth; and that convulsive motion, which sometimes, is joined to suffocations, is not universal, and it is in the epilepsies, only this or that matter is convulsed without vehement agitation. In the syncope, both respiration and pulse are taken away, and she swoons away suddenly; but in the hysterical passion, there is both respiration and pulse, though it cannot be well perceived; her face looks red, and she hath a fore-warning of her fit. Lastly, it is distinguished from the lethargy by the pulse, which in one is great, and the other little.
Prognostics.—If the disease arises from the corruption of the seed, it foretells more danger than if it proceed from the suppression of the menses, because the seed is concocted, and of a purer quality than the menstruous blood; and the more pure being corrupted becomes the more foul. If it be accompanied with a syncope, it shows nature is weak, and that the spirits are almost exhausted; but if sneezing follows, it shows that the heat begins to return, and that nature will subdue the disease.