SECT. III.—Of the Inflation of the Womb.
The inflation of the womb is a stretching of it by wind, called by some a windy mole; the wind proceeds from a cold matter, whether thick or thin, contained in the veins of the womb, by which the heat thereof is overcome, and which either flows thither from other parts, or is gathered there by cold meats and drinks. Cold air may be a producing cause of it also, as women that lie in are exposed to it. The wind is contained either in the cavity of the vessels of the womb, or between the tumicle, and may be known by a swelling in the region of the womb, which sometimes reaches to the navel, loins and diaphragm, and rises and abates as the wind increaseth or decreaseth. It differs from the dropsy, in that it never swells so high. That neither physician nor midwife may take it for dropsy, let them observe the signs of the woman with the child laid down in a former part of this work; and if any sign be wanting, they may suspect it to be an inflation; of which it is a further sign, that in conception the swelling is invariable; also if you strike upon the belly, in an inflation, there will be noise, but not so in case there be a conception. It also differs from a mole, because in that there is a weight and hardness of the belly, and when the patient
moves from one side to the other she feels a great weight which moveth, but not so in this. If the inflation continue without the cavity of the womb, the pain is greater and more extensive, nor is there any noise, because the wind is more pent up.
Cure. This distemper is neither of a long continuance nor dangerous, if looked after in time; and if it be in the cavity of the womb it is more easily expelled. To which purpose give her diaphnicon, with a little castor and sharp clysters that expel the wind. If this distemper happen to a woman in travail let her not purge after delivery, nor bleed, because it is from a cold matter; but if it come after child-bearing, and her terms come down sufficiently, and she has fullness of blood, let the saphoena vein be opened, after which, let her take the following electuary: take conserve of betony and rosemary, of each an ounce and a half; candied eringoes, citron peel candied, each half an ounce; diacimium, diagenel, each a drachm; oil of aniseed, six drops, and with syrup of citrons make an electuary. For outward application make a cataplasm of rue, mugwort, camomile, dill, calamint, new pennyroyal, thyme, with oil of rue, keir and camomile. And let the following clyster to expel the wind be put into the womb: Take agnus castus, cinnamon, each
two drachms, boil them in wine to half a pint. She may likewise use sulphur, Bath and Spa waters, both inward and outward, because they expel the wind.
SECT. IV.—Of the Straitness of the Womb and its Vessels.
This is another effect of the womb, which is a very great obstruction to the bearing of children, hindering both the flow of the menses and conception, and is seated in the vessel of the womb, and the neck thereof. The causes of this straitness are thick and rough humours, that stop the mouths of the veins and arteries. These humours are bred either by gross or too much nourishment, when the heat of the womb is so weak that it cannot attenuate the humours, which by reason thereof, either flow from the whole body, or are gathered into the womb. Now the vessels are made straiter or closer several ways; sometimes by inflammation, scirrhous or other tumours; sometimes by compressions, scars, or by flesh or membranes that grow after a wound. The signs by which this is known are, the stoppage of the terms, not conceiving, and condities abounding in the body which are all shown by particular signs, for if there is a
wound, or the secundine be pulled out by force phlegm comes from the wound; if stoppage of the terms be from an old obstruction of humours, it is hard to be cured; if it be only from the disorderly use of astringents, it is more curable; if it be from a scirrhous, or other tumours that compress or close the vessel, the disease is incurable.
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.