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that their spirit may be raised to the highest pitch of ardour, it would be as well, for troubles, cares or sadness are enemies to the pleasures of Venus. And if the woman should conceive when sexual intercourse takes place at such times of disturbance, it would have a bad effect upon the child. But though generous restoratives may be employed for invigorating nature, yet all excess should be carefully avoided, for it will check the briskness of the spirits and make them dull and languid, and as it also interferes with digestion, it must necessarily be an enemy to copulation; for it is food taken moderately and that is well digested, which enables a man to perform the dictates of Nature with vigour and activity, and it is also necessary, that in their mutual embraces they meet each other with equal ardour, for, if not, the woman either will not conceive, or else the child may be weak bodily, or mentally defective. I, therefore, advise them to excite their desires mutually before they begin their conjugal intercourse, and when they have done what nature requires, a man must be careful not to withdraw himself from his wife's arms too soon, lest some sudden cold should strike into the womb and occasion miscarriage, and so deprive them of the fruits of their labour.

And when the man has withdrawn himself after a suitable time, the woman should quietly go to rest, with all calmness and composure of mind, free from all anxious and disturbing thoughts, or any other mental worry. And she must, as far as possible, avoid turning over from the side on which she was first lying, and also keep from coughing and sneezing, because as it violently shakes the body, it is a great enemy to conception.

A
PRIVATE LOOKING-GLASS
FOR THE
FEMALE SEX

PART II

CHAPTER I

Treating of the several Maladies incident to the womb, with proper remedies for the cure of each.


The womb is placed in the hypogastrium, or lower part of the body, in the cavity called the pelvis, having the straight gut on one side to protect it against the hardness of the backbone, and the bladder on the other side to protect it against blows. Its form or shape is like a virile member, with this exception, that the man's is outside, and the woman's inside.

It is divided into the neck and body. The neck consists of a hard fleshy substance, much like cartilage, and at the end of it there is a membrane placed transversely, which is called the hymen. Near the neck there is a prominent pinnacle, which is called the door of the womb, because it preserves the matrix from cold and dust. The Greeks called it clitoris, and the Latins praeputium muliebre, because the Roman women abused these parts to satisfy their mutual unlawful lusts, as St. Paul says, Romans 1. 26.

The body of the womb is where the child is conceived, and this is not altogether round, but dilates itself into two angles; the outward part is full of sinews, which are the cause of its movements, but inside it is fleshy. It is wrongly said, that in the cavity of the womb there are seven divided cells or receptacles for the male seed, but anatomists know that there are only two, and also that those two are not divided by a partition, but only by a line or suture running through the middle of it.

At the bottom of the cavity there are little holes called cotyledones, which are the ends of certain veins or arteries, and serve breeding women to convey nourishment to the child, which is received by the umbilical and other veins, to carry the courses to the matrix.

As to menstruation, it is defined as a monthly flow of bad and useless blood, and of the super-abundance of it, for it is an excrement in quality, though it is pure and incorrupt, like the blood in the veins. And that the menstruous blood is pure in itself, and of the same quality as that in the veins, is proved in two ways.—First, from the final object of the blood, which is the propagation and preservation of mankind, that man might be conceived; and that, being begotten, he might be comforted and preserved both in and out of the womb, and all allow that it is true that a child in the matrix is nourished by the blood. And it is true that when it is out of it, it is nourished by the same; for the milk is nothing but the menstruous blood made white in the breast. Secondly, it is proved to be true by the way it is produced, as it is the superfluity of the last aliment of the fleshy parts.

The natural end of man and woman's being is to propagate. Now, in the act of conception one must be an active agent and the other passive, for if both were similarly constituted, they could not propagate. Man, therefore, is hot and dry, whilst woman is cold and moist: he is the agent, and she the passive or weaker vessel, that she may be subject to the office of the man. It is necessary that woman should be of a cold constitution, because a redundancy of Nature for the infant that depends on her is required of her; for otherwise there would be no surplus of nourishment for the child, but no more than the mother requires, and the infant would weaken the mother, and like as in the viper, the birth of the infant would be the death of the parent.

The monthly purgations continue from the fifteenth to the forty-sixth or fiftieth year; but a suppression often occurs, which is either natural or morbid: the courses are suppressed naturally during pregnancy, and whilst the woman is suckling. The morbid suppression remains to be spoken of.

CHAPTER II

Of the Retention of the Courses.


The suppression of the menstrual periods, is an interruption of that accustomed evacuation of blood, which comes from the matrix every month, and the part affected is the womb.


CAUSE.

The cause of this suppression is either external or internal. The external cause may be heat or dryness of air, want of sleep, too much work, violent exercise, etc., whereby the substance is so consumed, and the body so exhausted that nothing is left over to be got rid of, as is recorded of the Amazons who, being active and constantly in motion, had their courses very little, if at all. Or it may be brought about by cold which is very frequent, as it vitiates and thickens the blood, and binds up the passages, so that it cannot flow out.

The internal cause is either instrumental or material; in the womb or in the blood. In the womb, it may be in various ways; by humours, and abscesses and ulcers, by the narrowness of the veins and passages, or by the adipose membrane in fat bodies, pressing on the neck of the matrix, but then they must have hernia, zirthilis, for in men the membrane does not reach so low; by too much cold or heat, the one vitiating the action, and the other consuming the matter through the wrong formation of the uterine parts; by the neck of the womb being turned aside, and sometimes, though rarely, by a membrane or excrescence of the flesh growing at the mouth or neck of the womb. The blood may be in fault in two ways, in quantity and in quality; in quantity, when it is so consumed that no surplus is left over, as in viragoes or virile women, who, through their heat and natural strength, consume it all in their last nourishment; as Hippocrates writes of Prethusa, for when her husband praised her overmuch, her courses were suppressed, her voice changed and she got a beard with a manly face. But I think, rather that these must be Gynophagi, or woman-eaters, rather than women-breeders, because they consume one of the principles of generation, which gives a being to the world, viz., the menstruous blood. The blood may likewise be lost, and the courses checked by nosebleeding, by bleeding piles, by dysentery, commonly called the bloody flux, by many other discharges, and by chronic diseases. Secondly, the matter may be vitiated in quality, and if it be sanguineous, sluggish, bilious or melancholy, and any of these will cause an obstruction in the veins.


SIGNS.

Signs which manifest the disease are pains in the head, neck, back and loins; weariness of the whole body (but especially of the hips and legs, because the womb is near those parts); palpitation of the heart. The following are particular signs:—If the suppression arises from a cold, the woman becomes heavy, sluggish, pale and has a slow pulse; Venus' combats are neglected, the urine is thick, the blood becomes watery and great in quantity, and the bowels become constipated. If it arises from heat, the signs are just the opposite. If the retention be natural and arises from conception, this may be known by drinking hydromel, i.e., water and honey, after supper, before going to bed, by the effect which it has; for if after taking it, she feels a heating pain about the navel and the lower parts of the abdomen, it is a sign that she has conceived, and that the suppression is natural.


PROGNOSTICS.

The whole body is affected by any disorder of the womb, and especially the heart, the liver and the brain, and there is a singular sympathy between the womb and those three organs. Firstly, the womb communicates with the heart by the mediation of those arteries which come from the aorta. Hence, when menstruation is suppressed, fainting, swooning, a very low pulse, and shortness of breath will ensue. Secondly, it communicates with the liver by the veins derived from the hollow vein. Obstructions, jaundice, dropsy, induration of the spleen will follow. Thirdly, it communicates with the brain by the nerves and membranes of the back; hence arise epilepsy, madness, fits of melancholy, pains in the back of the head, unaccountable fears and inability to speak. I may, therefore, well agree with Hippocrates that if menstruation be suppressed, many dangerous diseases will follow.


CURE.

In the cure of this, and of all the other following cases, I shall observe the following order:—The cures will be taken from surgical, pharmaceutical and diuretical means. The suppression has a plethoric effect, and must be removed by the evacuation; therefore we begin with bleeding. In the middle of the menstrual period, open the liver vein, and two days before, open the saphena in both feet; if the repletion is not very great apply cupping glasses to the legs and thighs, although there may be no hope of removing the suppression. As in some women, the cotyledones are so closed up that nothing but copulation will open them, yet it will be well to relieve the woman as much as possible by opening the hemoroid veins by applying a leech. After bleeding let the place be prepared and made flexible with syrup of stychas, calamint, betony, hyssop, mugwort, horehound, fumitary, maidenhair. Bathe the parts with camomiles, pennyroyal, savias, bay-leaves, juniper-berries, rue, marjoram, feverfew. Take a handful each of nep, maidenhair, succory and betony leaves and make a decoction, and take three ounces of it, syrup of maidenhair, mugwort and succory, half an ounce of each. After she comes out of her bath, let her drink it off. Purge with Pill agaric, fleybany, corb, feriae. In this case, Galen recommends pilulae of caberica coloquintida; for, as they are

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