Culpeper's directory for midwives: or, A guide for women. The second part. Discovering, 1. The diseases in the privities of women. 2. The diseases of the privie part. 3. The diseases of the womb ... 14. The diseases and symptoms in children.
Culpeper, Nicholas, 1616-1654.
Chap. 11. Of the Dropsie of the Womb.

THey are also deceived, and think they are with child: when there is water that swel the womb; this is a Dopsie of the womb. This* water is either in the cavity o between the cots of th womb, o in its vessels. ••salius, Mar∣cellus Donatus shew that water is in the cavity, for it doth not preently by its plenty or quality, force its passage out, because the oriice is not al∣waies open, and Nature gathers it by degrees, and is used to it.

*Atiusaies, There are somtimes bladders of water in the womb. And Christopher Vegaaith, that Leonora thought that she had gone six months, and then voided sixty bladders of wa∣ter, and seven pieces of lesh, like that of the sleen in membranes.

* There is sometimes a Dropsie of the womb wih conception, as Schenkis and William Fa∣briiusaith of his own Wie.

* Ae gathering of water from moistness mixed with the trm, and from an evil sangifiation in the liver and ••leen, fom hir weakness, o fom errors in diet; or from weakness of the Page  39 womb, from hard travel, or often mischances, cold air or water, or whatsoever hurts the hea of the womb.

Also stoppage of the terms doth cause gather∣ing of water, for the water useth to be evacuated with them. Many take this for the only cause.

Somtimes the tunicles of the womb may be di∣vided in some place, and water may be gathered between them.

Hippocrates saith, The terms are ewer, and* cease before the time; the bottom of the belly swells, and the papps are sot without milk, and she thinks she is with child: by these you may know it is a Dropsie.

But because Doctors and Midwives are often deceived, you must distinguish this from other swellings.

When a woman is sound, and useth a sound man, the womb by degrees swells, and the child moves in its time, but often there is a Dropsi with conception before or after; therefore in a Dropsie the tumor is equal, according to the largeness of the womb and elly, and no point∣ed as in a woman with child.

Secondly, i the woman be in years, and hath not conceived before, and hath a good colour, it is a sign of a Dropsie rather then conception. If the tenth month be past, and the child moves not, nor the breasts swell, but are soft, say there is a Dopsie of the womb. Thirdly, in a true con∣ception, women are btter after some months, and the Symptoms abate, but in a Dropsie they increase still.

It is distinguished from a mole by the weight in the bottom of the belly.

From an inflation because the belly is stetched Page  40 in that, and sounds being striken, but is sot in a Dropsie.

It differs from the Dropsie of the belly, be∣cause the face is pale or wane, in that from the distemper of the liver there is thirst, but in the won bdropsie she is of a good colour, except the liver be also bad.

It differs from inflammation of the womb, for that is ith a constant feaver, and the Symptoms o it, and rom other tumors which are harder, but in a Dopsie of the womb, if the belly be preed it yild.

You shal know whether it be from the fault in the wob rincipally, or ••om some other part, thus. I te woman be of a good colour, and there were onely some diseases and causes that might hurt the womb as abortion, hard travel, stoppage of terms, or too many of them, then the womb is chiefly affected; but if there be signs of a distemer in the whole body, or in the liver or spleen, ad the colour is bad, it is by consent from other parts.

You shall knw whether the water be in blad∣des or in the cavity of the womb, thus: If you find the oriice o the womb closed, and there is little pain, it is in the cavity, but if the oriice be open, and there is great pain, it is in bladders or without the cav••y.

* If the humor in the womb be not corrupt, this disease is of long continuance, but may be easily cured: it is eaier cured in the cavity, then when it is in bladders, and between the unicles. A woman after conception having a Dropsie of the womb, her child dith, and she is in danger.

* When it is fro stppage of terms, and new, and the stength irm, open a vein in the legs, o∣therwise bleed not.

Page  41 Purge according to the humor, with respect to the womb, as in Chap. 6. of a cold Distem∣per.

Then purge Water. Take Angelica and Mad∣der roots, each half n ounce; Calamints Penny∣royal, Mugwort, Lovage, ech a handful; Savin a pugil, boyl them in wine, sweeten it with Sugar Or make Broaths with the same. Take Dianisum, Diagalangal, each half a dram; Oyl of Aniseeds, Cloves, each five drops; Sugar three ounces, make Rouls.

Inject into the Womb as in Dropsies. Take Asarum roots tree drams, Pennyroyal, Calamints, eah hal a handful; Savin a pugil, Mechoacan a dam, Aniseed, Cummin, each half a dram; boyl, tae six ounces strained, Oyl of Elder and Orris, each an ounce; make a Clyster. Or use Pe••aries. Take Agarick a dram, Coloquintida half a dram, Gni∣ium ten grains, with Honey and Wool, make a Pe••ary.

Make Fomentations and Baths of Danewort, Me cury, Elder, Pennyroyal, Organ, Chamomil∣flowers, Baberries, wild Cowcumbers, Broom, Carrot, Rue seeds. And anoint after with Oyl of Elder, Danewort, Orris, with drops of Oyl of Anglica, Anise, Caraway.

Slphur Baths are good, and those of Niter, o the Plaister of Bayberries, or Snails to the bot∣tm of the belly. Vomiting and neesing break the bladders. Give Clysters at the fundament as in Dropsies. Take Mercury leaves, Danewort, Soldanella, Mugwort Motherwort, each a handful; Chamomil, Elder, Broom flowrs, each a dram; boyl and to ten ounces strained, add juyce of Beets, Mer∣cury, Danewort, ea h six drams; Boys urine an ounce and half, Hiera six drams, Honey half an ounce, make a Clyster.

Page  42 Let the Diet be drying, as in Chap. 5.