Of the suffocation of the Mother.
Cap. 1. That this disease doth oftentimes giue occasion vnto simple and vnlearned people, to suspect possession, witchcraft, or some such like supernaturall cause.
THE passiue condition of womankind is subiect vnto more diseases and of otherHyppocrat. 6 vulgar part. 7. sortes and natures then men are: and especially in regarde of that partGalen 6. locorum affect. cap. 5. radix suffocationum vter us. from whence this disease which we speake of doth arise. For as it hath more varietie ofMercatus de muliebr. lib. 2. cap. 1. 1. Ad sui ipsius alimoniam.2. Ad speciei propagationem3. Ad beneficium indiuidui per euacuationē superfluitatum. offices belonging vnto it then other partes of the bodie haue, and accordingly is supplied from other partes with whatsoeuer it hath need of for those vses: so it must needes thereby be subiect vnto mo infirmities then other parts are: both by reason of such as are bred in the part it selfe, and also by reason of such as are communicated vnto it from other parts, with which it hath correspondence. [Page]And as those offices in their proper kindes are more excellent then other; so the diseases whereby they are hurt or depraued, are more grieuous. But amongest all the diseases wherevnto that sex is obnoxious, there is none comparable vnto this which is called The Suffocation of the mother, either for varietie, or for strangenesse of accidents. For whatsoeuer straunge accident may appeare in any of the principall functions of mans bodie, either animall, vitall, or naturall, the same is to bee seene in this disease, by reason of the communitie and consent which this part hath with the braine,Altomarus de medend. hum. corp. malis cap. 110. Barth. Montagnana Consilto. 226. heart, and liuer, the principall seates of these three functions; and the easie passage which it hath vnto them by the Vaines, Arteries, and Nerues. And whatsoeuer humor in other partes may cause extraordinarie affects, by reason of the abundance or corruption of it, this part will afford the like in as plentifull a manner, and in as high a degree of corruption: and with this aduauntage that whereas in the other, some one or two of the, faculties onely one are hurt (as in Apoplexies, Epilepsyes, Syncopyes, subuersions of the stomacke, &c.) and not all (vnlesse as in Syncopyes by consent, where the vitall function ceasing, all the rest must needes suffer; not as one may do from another, but all directly from this one fountaine, in such sort as you shall often tymes perceyue in one and the same person diuerse accidents of contrarie natures to concurre at once.Mercatus lib. 2. cap. 2. & 3.
And hereupon the Symptoms of this disease are sayd to be monstrous and terrible to beholde, and of such a varietie as they can hardly be comprehended within any method or boundes. Insomuch as they which are ignorant of the strange affects which naturall causes may produce, and of the manifold examples which our profession of Phisicke doth minister in this kind,Valetius scofe fing at their ignorance calleth this disease a kind of diuell. in Holler. cap. 59. haue sought aboue the Moone for supernaturall causes: ascribing these accidents either to diabolicall possession, to witch-craft, or to the immediate finger of the Almightie.
But it is no maruell though the common people and men also in other faculties verie excellent may bee deceyued by the rarenesse and straungenesse of these matters, which are hidden out of their Horizon amongest the deepest mysteries of our profession: when as Phisitions themselues,Cosmocrit. li. 1 cap. 7. pag. 153 Inexperto medico sapésuspitionem numinis prabuerunt as Cornelius Gemma testifieth. If they bee not verie wel exercised in the practise of their profession, are oftentimes deceyued, imagining such manifolde straunge accidents as their hee mencioneth to accompanie this disease, (as suffocation in the throate, croaking of Frogges, hissing of Snakes, crowing of Cockes, barking of Dogges, garring of Crowes, frenzies, convulsions, hickcockes, laughing, singing, weeping, crying, &c.) to proceede from some metaphysicall power, when in deede (as hee there sayeth) they are meerely naturall.
Fen. 21, 3 cap: 26: tract: 4: Auicen also in his Chapter of this disease, speaking of the causes of it, sayth, that there were some wise Phisitions in his time which said, that the cause [Page]of this disease was vnknowne: Because as Iacobus de Partibus expoundeth it, they did thinke it to be inflicted from aboue, yet notwithstanding he setteth downe naturall causes of it, and a naturall cure.
Lib. de morbo sacro in principio. Hippocrates also long before finding this error to bee helde by some in his time maketh mention of diuerse of these Symptoms, and sayeth, that hee doth not see anie thing in them more supernaturall, or more to bee admired, then there is in Tertians, and Quartans, and other kindes of diseases: imputing it either vnto ignorance, and want of experience that Phisitians of his time did iudge otherwise; or vnto a worser humor, when as beeing loath to bewray their owne defects through pride and arrogancie:Inscitiae palliū maleficium & incantatio. R. Sc: li. 1. cap. 3. and not knowing what to prescribe would flie vnto diuine causes, and neglecting naturall meanes for their reliefe, would wholy relie vpon expiations, incantations, sacrifices, &c. cloaking their ignoraunce vnder these shadows, and pretending both more knowledge, and more pietie then other men: by which course they gained this aduauntage, that if the patient chanced to recouer, they should bee highly renowmed for their skill; if not, their excuse was readie that Gods hande was against them.
This hee speaketh of the Phisitions of his time, whome he confuteth principally by two reasons, which may serue for excellent rules for all men to discerne such cases by. The first is, that there is no supernaturall Character in these Symptoms, as hee proueth by an induction of diuerse of [Page 3]them, which in the cōmon opinion were thought to be aboue nature: yet hee proueth to haue their naturall causes in the bodie of man aswell as others haue.
The strength of this argument will better appeare hereafter in the particular Symptoms, which we are to entreate of: where it shall be made manifest that the most of them doe both depende vpon such naturall causes as other diseases haue in our bodies, and also are oftentimes mixed with other diseases which are accompted naturall.
It may likewise appeare by this, that whereas all other diseases are knowne by their notes and signes which resemble their cause (as Choller, Flegme, Melancholy, &c. haue their proper markes, corruption and putrefaction, their proper notes and malignity his Character) so there must be some Character or note of a supernaturall power in these cases (asLuk. 8.27.28. &c. Ternel de abdi tis rerum causis lib. 2 cap 16 Platerus de mē tis alienat. pag. 102. Beniuenius de abditis morborum causis cap. 8. Alsharauius. C. de Epilepsia. extraordinary strength or knowledge or suffering) or else we haue no cause but to thinke them naturall. If the diuell as an externall cause, may inflict a disease by stirring vp or kindling the humors of our bodies, and then depart without supplying continuall supernaturall power vnto it;Auicen. C. de melancholisi conting at a De monio sufficit nobis quod conuert at comptexionem ad choleram nigram, &c. vide Iacobum de partibus inhunc locum. Valesius meth; medendi lib. 2. cap. 2. then the disease is but naturall, and will submit it selfe vnto Physicall cure. For externall causes when they are already remoted, giue no indication of any remedy.
The second argument of this is, that these Symptoms do yeeld vnto natural causes, and are both procured [Page]and also eased by such ordinary meanes, as other diseases are: andFernel loco ci tato matheus de Grad. ex Azariuio. C. de E pilepsia. therefore they must needs be naturall.
The strength of this argument is grounded vpon the very foundation of our profession which hath beene layd byHippo. de natura humaaa circa medium. Destatibus pau lo post principix um. Hyppocrates andGal. de vena sectione aduersus Erasistr: cap: 8, in arte medicina li cap: 8 9. in constitutione artis cap; 13. methodi med: lib. 9.10.11. &c. Gallen long agoe and euer since confirmed by the practise and obseruations of all learned men; that diseases are cured by their contraries. I say contraryValesius meth. med: lib: 1. cap: 4: both vnto the disease, vnto the cause, and vnto the Symptom. And the more exact the contrarietie is; the more proper is the remedy: as when they are equall inMercatus meth med: pag: 42: 43: Gal. Simplicium lib. 3: cap: 11: Valesi us controuers: lib. 1. cap. 4 Luk, 11. vers. 21.22. degree or in power. But what equality of contrariety either in degree or in power, can there be betweene a supernaturall suffocating power, and the compression of the belly or throate. They are disperats in Logicke, but not contraries. For contrarietie is betweene such as are comprehended vnder one generall. And where one is opposed vnto one alone, and not indifferently vnto many. Neither doe I thinke, that any man wel aduised, will say that by compression of those parts, he is able to suppresse the power of the diuell. The like may be saide of the application of cupping glasses, of sweete plaisters, of ligatures, &c. beneath, and of euell smelles aboue; by all which we do obserue those kindes of fits to be mitigated: and yet there can bee no such contrary respect in thē against a supernatural cause, as is between a remedy and a disease. They are also procured vpon sweete smelles, vpon pleasant meats and drinkes, vpon feare, anger, iealousie, &c. as in the [Page 4]particular causes shall bee farther declared: and yet no such consent can bee shewed in them with any supernaturall affect, as that they may any way cause or encrease it. Wherefore the rule of Hyppocrates must needesbe true; that if these Symptoms do yeeld vnto naturall remedies, they must also bee naturall themselues. And thus much in explanation of these two arguments of Hyppocrates against the errour of his time: which notwithstanding hath been continued in the mindes of men vntill this day, and no maruell: vnlesse the same corruption which bred it at the first, had beene remoued out of the world. And therefore diuers of our Authors doe make especiall mention of this case wherein they report the common people to haue beene deceiued by imagining witchcraft or possession,Georg. Godelman. de magis &c. lib 1. cap 8. where indeed there was none.
Amatus Lusitanus reporteth of one Diua Clara, Bruno Seidelius de morbis incurab: pag: 29 Centuria 5, curat: 78. a maide of 18. yeares of age, which had euery day two or three such strange fits, as those that were about her, gaue out that that she was haunted with an euill spirit.
In those fits euery part of her body was distorted, she felt nothing, nor perceiued any thing: but had all her sences benummed, her hart beating, her teeth close shut together: yet for an houres space or two she would haue such strong motions, that shee would weary the strongest men that came at her. When she had beene three weekes in this case, her left arme began to be resolued with a palsie, &c. He being called vnto her prescribed such remedies as [Page]are vsuall in this case, and within few dayes recouered her, to the great admiration of the beholders.
Petrus Forrestus maketh mention of another maid of 22.Obseruationū medicin: lib: 10 obseru: 30. yeares old, which dwelt with a Burgermaster of Delft in Holland, who falling in loue with a yong man, fell also into these fits of the Mother: which held her many houres together with such violent horrible accidents, as hee neuer sawe the like: her whole body being pulled to and fro with convulsiue motions, her belly sometimes lifted vp, and sometimes depressed, a roaring noise heard within her, with crying and howling, a distortion of her armes and handes: in somuch as those about her thought her to be possessed with a diuell, and out of all hope of recouery. He being called vnto her in Ianuarie 1565. applied conuenient remedies as there he setteth downe, and in a short time restored her to her health againe.
Thaddeaus Dunus miscall: cap 9.Many more such like examples might bee produced both out of authenticall writers in our profession and out of our own experiences, which yet do liue (were it not that late examples would bee offensiue to rehearse:) but these may suffice to show how easily men vnexperienced in those extraordinarie kindes of diseases, may mistake the causes of them: when through admiration of the vnwonted and grieuous accidents they behold, they are caried vnto Magicall and Metaphysicall speculations. But the learned Phisition who hath first beene trained vp in the study of Philosophy, and afterwards confirmed by the practise and experience of all manner [Page 5]of naturall diseases, is best able to discerne what is naturall, what not naturall, what preternaturall, and what supernaturall, the three first being properly subiect to his profession: and therefore they doe wrong vnto the faculty of Phisicke, and vnto them selues, and oftentimes vnto others, who neglecting that light which wee might yeeld them, doe runne headlong and blinde fold into many errors and absurdities. For preuention whereof I haue breefly set downe what the doctrine of Phisitions is concerning this disease of the Mother,Lib. 28. obsern. 26. which of all other is most subiect vnto misconstruction. For that as Forrestus saieth it is a harde matter to discerne in what maner the Mother may occasion such strange and manifold accidents.
Cap. 2. What this disease is, and by what meanes it causeth such varietie of Symptoms.
THis disease is called by diuerse names amongst our Authors.Cardanus de causis sig. et locis morborum cap. 114. Altomarus cap. 110. Guaynerie us cap. de suffo: matricis. Passio Hysterica, Suffocatio, Praefocatio, and Strangulatus vteri, Caducus matricis, &c. In English the Mother, or the Suffocation of the Mother,Aeetius tetr: 4 Serm. 4. cap. 68 P. Aegineta lib. 3. cap. 71 Victor Trincavel. lib: 5. sect. 5 cap. 9. because most commonly it takes them with choaking in the throat: and it is an affect of the Mother or wombe wherein the principal parts of the bodie by consent do suffer diuersly according [Page]to the diuersitie of the causes and diseases wherewith the matrix is offended.
I call it an affect in a large signification to comprehend both morbum and Symptoma. For sometimes it is either of them, and somtimes both. For in regard the actions of expulsion or retention in the Mother are hurt. It may be called a Symptoma in actione laesa: in regard of the humor to be expelled which corrupteth and putrifieth to a venemous malignitie. It is likewise a Symptom in excremento vteri mutato. And in regard of the perfrigeration of the Mother, and so of the whole bodie. It is also a Symptom Albert. Bottonus cap. 39. in qualitate tangibili mulata, not morbus ex intēperie: Gal. locorum affectorum 3. cap. 7. Petrus Salius pag. 467. Altomarus cap 110. Horatius Angenius Epist. 6 because it is suddenly inflicted & suddenly remoued. But in regard of the rising of the Mother wherby it is somtimes drawn vpwards or sidewards aboue his natural seate, compressing the neighbour parts, & so consequently one another. It may be said to be morbus in situ, in respect of the compression it selfe, causing suffocatiō and difficultie of breathing. It may beGal. de causis morb. cap. 7 causa morbi in forma by causing coarctation of the instruments of breathing. And sometimes these are complicated andAltom arus ccitate. Rondeletius methodo curand. morb. cap. 69. matheus de grad. in 9 Rhasis. cap. 28 together with a venemous vapour, arising from this corrupt humor vnto diuers parts of the bodie, there will be an euill position of the matrix also: either because the ligaments, vaines and arteries beeing obstructed:Mercatus lib 2. cap 3. by those vapours are shortened of their wontedlength, and so draw vp the part higher then it should be; orMatheus de grad. in 9 Rhasis cap. 28. Hor. Augenius sibi offensum fugiens vt et iucundum insequens. for that the matrix being grieuously anoyed with the malignity of those vapours doth contract it selfe [Page]and rise vp by a locall motion towards the midrif.
I say of the Mother or wombe because although the wombe many times in this disease doe suffer but secondarily, yet the other parts are not affected in this disease but from the Mother: (Radix suffocationum vterus) which finding it selfe anoyed by some vnkind humor, either within it selfe,Galen. 6. loc. affert. cap. 5. Auicen. Fen. 21 3. cap. 16. tract 4. initium est ex matrice et) peruenit ad communitatē fortem cordis et cerebri &c. Horatius Ang [...] nius Epistola 6. or in the vessels adioyning or belonging vnto it, doth by a naturall instinct which is ingrafted in euery part of the body for his owne preseruation, endeuour to expell that which is offensiue: in which conflict if either the passage be obstructed, or the humor inobedient or malignant, or the functions of the wombe any way depraued, the offence is communicated from thence vnto the rest of the body. The principall part of the body are the seates of the three faculties, which do gouerne the whole body. The braine of the animall, the hart of the vitall, the liuer of the naturall; although some other parts are plentifully endewed with some of these faculties, as the stomacke, entrailes, vaines, spleene, &c. with naturall faculties,Gal. de difficultate respirā di lib. 1. cap. 7. Trincauel. li. 4 cap. 12. Felix platerus ca. de respira. defectu Gal. de sympt. differentiis Cap 2.3. the instruments of respiration with animall and naturall. These parts are affected in this disease, and do suffer in their functions as they are diminished, depraued, or abolished,Gal. 5. loc. affect. 6 Mercatus pag. 173. according to the nature & plenty of the humor, and the temperament and scituation of the Mother: and that diuersly: For somtimes the instruments of respiration alone doe suffer, sometimes the heart alone, sometimes two or three faculties together, sometimes successiuely one after another, sometimes one part suffereth both [Page]a resolution and a conuulsion in the same fit,Petrus solius diuersus pag. 400 or when as it suffereth in one part and not in another, as we see oftentimes sence and motion to bee taken away and yet hearing and memorie to remaine,Mercat. pa. 170 the speech failing and respiration good.Merca. pa. 174 Sometimes respiration, sence, and motion do altogether faile, and yet the pulse remaine good: So that the varietie of those fits is exceeding great, wherein the principall parts of the body doe diuersly suffer.
Another diuersitie there is, in the order of these fits: for sometimes they keep due g periods or circuits yearly or monthly,Aetius lib. 26. cap. 70 P. Agineta. lib. 3. cap. 71. Rhasis cont. lib. 22. mesuesum. 4. part. 4. sect. 1 cap. 8. Auicen Fen. 21 3. cap. 16. tract 4. quandoque sunt period. eius tardi, quandoque accidit omni die. according to the falling sicknes, and sometime euery weeke, sometimes h euery day, &c. I know a gentlewomā in this towne, who for 2. yeares together neuer missed a fit of the Mother in the afternoone. The like is hereafter mentioned in the Essex gentlewo. who for 16. years together had euery day a fit of the Mother at a certaine houre. D. Argent and I had another patient, in whome for 10. weeks together we obserued a fit of the mother euery saturday. I adde by consent of the Mother to distinguish those Symptoms or diseases from such as are caused originally by the part affected. For being procured but by consent, they endure no longer thē the fits of the mother do continue. The consent or communitie which the matrix hath with those principal parts of the body is easily perceiued, if wee consider the anatomy of that part, & the diuers waies wherby it may and doth communicate with them. The fūctions of this part, besides that which is commō to all other for their nutriment deriued from the naturall [Page 7]facultie, are 2. the one respecting the preseruatiō of the whole body, as it is an Emunctory of diuers superfluities which do abound in that sex.Gabr. Fallopius de med. purg. Cap. 17. et 23. Via euacuationi [...]. The other for the propagation of mankind, where it is to be conceiued and nourished vntill it be able to appeare in the world. In regard of these offices this part hath neede of great varietie of prouision, according as the vses are manifold. The substance is neruous, for the great necessitie it hath of sence and motion.
It is also Porous for the better entertaining of the vitall spirits and the necessitie it hath of distention and contraction.Constant. Varo lius lib. 4. cap. 3
It is tied vnto diuers partes of the body that it might the better beare the weight of an infant: backwards by little strings vnto the lower gut,Gasparus Ba [...] hinus historia anatom. p. 71. vnto the loines and os sacrum: forwardes vnto the necke of the bladder and os pubis by certaine membranes deriued from the peritoneum: on each side it is tyed vnto ossa illii by a ligament growing from the muscles of the loynes. It receiueth also for the former vses, vaines from the liuer, arteries from the hart, and nerues from the braine and backe, which are all inserted into the substance of the part, to deriue vnto it the benefit of those 3. faculties, both for the proper vse of the part, and for the vse of propagation and to discharge the whole bodie of diuers superfluities, which otherwise would be an occasion of many infirmities in them.
Now according to this description let vs consider how by consent, the principall partes of the bodie may bee affected from the matrix.
The partes of our bodie doe suffer by consentTrincauel. l. 3 Sect. 2. cap. 2. two manner of wayes. The one is when they doe receyue some offensiue thing from another parte which isAuicen. Fē. 1.3. tract. 2. ca. 6 Montagnana consil. 226 called Communitas non absoluta. And this is either a qualitie as in venemous and infectious diseases, where the malignitie creeping from one part to another doth alter the qualitie of the parts as it goeth, and at the last is comminicated to the principall parts, as the head, heart, liuer, longs, &c. or a substance which either by manifest conducts, as vaines, nerues, arteries, &c. or by insensible pores (as Hyppocrates saith,Fernel. pathologiae li. 6. ca. 16 our bodies are transpirable, and transmeable) is conuaied from one part to another: whether it be a vapour or a humor, as wee doe commonly obserue in the fits offeuers, where a vapour arising from the part affected, disperseth it selfe through the whole body, and affecteth the sensiue parts with colde or heate, the motiue parts with trembling, the vitall parts with fainting, sounding, inequalitie of pulse, &c. the naturall parts with deiection of appetite, subuersion of the stomacke, &c. vntill nature haue ouercome and discussed it. In these Feuers also many times humors are so plentifully sent vp vnto the braine,Forestus lib. 10 obseru: 115: in scholiis. as by custome or long continuance they breede some proper affect there.
The other kinde of communitie is that which they call Communitas absoluta, wherein the part consenting receiueth nothing from the other, but yet is partaker of his griefe: either for similitude of substance or function, which causeth mutuall compassion: [Page 8]as all neruous partes haue with the braine: whereby if any Nerue or neruous part bee hurt or pricked, the braine suffreth a convulsion, or for neighbourhood and vicinitie, whereby one part may offend another, by compression or incumbencie: as in the prolapse of the Mother, the bladder or fundament is oftentimes offended in their naturall excretion. And in this disease which we haue in hand by the locall motion of it vpwardes, the midriffe is straightned of his scope, whereby the lunges doe faile in their dutie, or by reason of connexion or continuitie which it hath with other parts, by Vaines, Nerues, Arteries, Membranes, Ligaments, &c. whereby the offence is easily imparted vnto other partes.Gal: locorum affect: 1: cap. 6 Or lastly by priuation of some facultie or matter, whereof the part hath neede. As in the obstruction of the Spina Dorsi there followeth a resolution or palsie of the legges or armes, by reason that the animall facultie that should giue sence or motion to the part is intercepted and hindered in his passage. Likewise in a resolution of the Muscles of the brest, as in a wound of that part, or in swounding the voice is taken away,Rondeletius cap 69. Trin [...] cauell loco citato: because the matter of it which is breath, is either not sufficiently made, or is carried another way, or not competently impelled to the organs of voyce.
All these manner of wayes hath the Matrix by consent to impart her offence vnto other parts. For there wāteth no corruption of humor, vapour, nor euill qualitie, where this part is ill affected, to infect other partes withall, there wantes no oportunitie [Page]of conueyance or passage vnto any part, by reason of the large Vaynes, Arteries, and Nerues, which are deriued vnto it, with which it hath great affinitie and similitude of substance, besides the connexion it hath with the heart, liuer, braine, and backe. It is linked also in neighborhoode with diuerse partes of great vse, as the bladder, guttes, midriffe, &c. which are likely to bee warmed when this part doth burne. According to the varietie of causes and diseases wherewith the wombe is offended, these Symptoms doe differ in nature, or in degree.Mercatus pag. 165. A plentifull matter produceth a vehement Symptom: a corrupt matter according to the degree of corruption, and the qualitie of the humor corrupted, causeth like accidents. The diseases also of the Mother being cōplicated with the former corrupt humors do yeeld varietie of Symptoms: as the rising of the Mother, which alwayes causeth shortnes of breath: b Empostumes of the Mother according to the place where they are bred,Mathaeus de gradi. & Auicenna locis citatis. and the quality of them, doe also bring a difference in Symptoms. And thus much for explanation of the definition.
Cap. 3. Of the kinds of this disease, and first of that wherein the vitall facultie is offended.
HOw I come to the kinds and sorts of this disease, which may bee reduced vnto three principall heades, according as euerie part of the bodie belongeth vnto some of the three principall functions which do gouerne the bodie of man. Not that euerie Symptom in this disease doth hurt some of the three functions,Affectus corporis vel excretionum vitia. for some are onely molestations or deformities, as sudden Collickes, windie humors, noyses, alteration of colour, &c. But because euerie part may well bee mustred vnder some of these generals: and we doe seldome see any hystericall affect wherein some one or mo of the functions are not affected. These functions as they are distinct in office, so they possesse in our bodies seuerall seats and haue seuerall instruments belonging vnto them.
1 The vitall function which by preseruing naturall heat in a due temperature, maintaineth the coniunction of soule and bodie togither, hath his principall mansion in the heart, and from thence by his Arteries conueyeth vitall spirites vnto euery member. So as without this wee could not liue: and therefore it is accounted the principallest function, [Page]because the rest receyue their being from this, and this fayling they must needes all cease. This function is performed by the motion of the heart, and Arteries, which in this affect of the Mother is drawne into consent as it is either diminished, abolished, or depraued. The deprauation of this motion is either when it is too fast and quick, or when it beates disorderly. The pulse in this disease is oftentimes too quicke, although it bee weake withall: but seeing it brings no great offence with it, the patient doth seldome complaine therof. The greater offence is when it beates disorderly, and keepes no equall nor orderly stroke, but either trembleth and daunceth in the motion, or else is violently impelled: insomuch as it doth not onely remoue ones hande being applied to some part where the Arteries are great,Trincauel. li. 4 cap. 24. and neare to the skinne) as lately appeared in a noble Gentleman of this lande now dead) but as Fernelius testifieth, hath sometimes displaced the ribbes,De partium morbiset symp. lib. 5: cap. 12. and sometimes broken them through the violent motion of the heart.
This Symptom is called the palpitation or beating of the heart, or Arteries whereof Maximillian the Emperour died as Crato reporteth, and wherewith Charles the fift was oftentimes molested, as Vesalius writeth. It is chiefly to bee perceyued where the Arteries are great & neare the skin: as vnder the left ribbes towards the backe, and in the necke: as you may obsrue in Maides that haue the greene sickenesse, by the shaking and quiuering of their ruffes, if they sit close to their neckes: where sometimes [Page 9]through the dilatation of the Arterie there ariseth aAneurisma. Pernel. loeo citato. tumour as bigge as ones fist. This Symp tom is euerie where mentioned by ourPetrus Salius pag. 429. Skinckius de cordis palpit. abs. 211. item 218.222. Forestus lib. 17 obs. 8. Authours in this disease and our dayly experience confirmeth it.
This motion of the heart and Arteries in this affect of the Mother is oftentimes diminished either in part or to sense totally. In part, where the pulse in this disease is weake, slow, obscure, intermittent, &c. and the whole bodie accordingly feeble and slow in euery action, for want of influence of vitall facultie from the heart. It is totally diminished in that Symptom which is called Syncope or swounding, the very image of death, where the pulse isGal. loc, affect. 6. c 5. pulsum vix perceptibilem habent &c Item de compox sit. pharmac. s.l. lib. 9 in finit. scarcely or not at all perceyued; the breath or respiration cleane gone: by reason that the heart wanting his motion, hath no neede of the helpe of the lungs to refresh it withall, all the faculties of the body fayling, it selflying like a dead corpse three or foure houres togither, andAntho. Guaynerius. cap. de suffoc. matricīs. Albert, Botionus loco infra citato. Gal. loco citato. Altomarus loco citato. sometimes two or three whole dayes without sense, motion, breath, heate, or any signe of life at all (like as wee see Snakes and other creatures to lie all the winter, as if they were dead, vnder the earth) insomuch as diuerseAmbros. paraeus li. 24. c. 10. errors haue beene committed in laying foorth such for dead, which haue afterwards beene found to haue life in them, and haue risen vp in their burials, whereupon there haue beene lawes enacted, asDe morbis muliebr: lib. 4. cap. 22. Iacobus Syluius de mensibus mulierum. Mercurialis reporteth, that no woman which was subiect to this disease should be buried vntil she had beene three dayes dead. Or asDe morbis medicandis. lib. 10. cap. 10. Alexander Benedictus [Page]of Bolonia sayth 72. houres, which commeth to the same reckoning.Practicae lib. 2. cap. 17. Petrus Bayrus setteth downe diuerse reasons why they should not be buried before three dayes bee ended, besides the experience of some (as hee saith) that haue beene found aliue in their graues after they had beene buried. I will refer the reader for the reasons to the author himself, and toLib. 10. obser. 79. in scholiis. Forrestus in his obseruations.Histor. nat. lib. 7. cap. 52. Plinie maketh mention out of Heraclides, of a woman who for seuen dayes together lay for dead in a fit of the mother, and was restored againe to life: which (saiethDe medica hystoria mirabili. lib. 4. ca.11 Marcellus Donatus) is not to be thought a fabulous tale, seeing it is not repugnant to the rules of Philosophie and Phisicke. And6. Locorum affect. cap. 5. Galen making mention of the verie same hystorie vnder the name of Apnaea, discourseth of the reasons of it.
Ioh. Schinckius refert ex pictorio. obseruat. med. lib 4. cap. 288. Rabbi Moses an ancient Author in Physicke, reporteth also of a woman, that in the fitte of the mother, did lie six dayes without sense and motion, her Arteries being waxt hard, and she readie to be buried, and yet recouered.
Demorbis muliebribus cap. 43. Bottouus a late professor of Physicke in Padua, reporteth of a woman that beeing giuen ouer for dead in a fit of the Mother, was by such conclusions as he tried, discouered to be yet aliue, and recouered her former health againe by such remedies as he prescribed.
Obseru. li. 10. in scholiis ad obseruat. 79. Iacobus Ruffius testatur se plures huiusmod. vidiss. mulieb [...]. l [...]b. 6, cap. 8. Forestus of Alkmar in north Holland, but lately dead, setteth downe the like example of another, that lay in that maner 24. houres, and was by him restored to health againe.
The like also he citeth out of Leouellus, in that place, of one that lay with her eyes shut, and dumb a whole day, and by conuenient remedies was deliuered from her fit, and could rehearse all that was done about her in the time of her fit. But the most pitifull example of all other in this kinde,De hominis generat. cap. 46. is that which Ambrose Paraee reporteth of Vesalius a worthie Physition, & for anatomicall dissections much renowmed, who being called to the opening of a Gentlewoman in Spaine, which was thought to be dead through the violence of one of these fits, began to open her, and at the second cut of the knife she cried out, and stirred her limbes, shewing manifest signes of life to remaine. The beholders were exceedingly amazed at the sight, and blamed the Physition much for it: who though hee tooke her for dead, yet tooke he great apprehension of sorrow for that accident, that he estranged himselfe. After through griefe and remorse of conscience for his error, pretended (as others say) a pilgrimage for the absenting of himselfe, and therein died. Many more examples to this end could I produce out of Authenticall writers, and late experiences, if it were free for mee to mention them: but these may suffice to shew how wonderfully the vitall facultie is ouerthrowne in this disease, and withall respiration, sense, motion, and all the functions of the bodie by reason of this.
Cap. 4. Of that kind of this disease wherein the animall facultie is offended.
THe second kind of this disease is, where the animall facultie doth principally suffer; and it is that faculty whereby we do vnderstand, iudge, and remember things that are profitable or hurtfull vnto vs, whereby also we haue sence and do feele the qualities of things, and moue to and fro, & performe diuers other voluntary actions for the cōmoditie of the bodie. For nature had made vs but base creatures, if she had giuen vs onely the vitall facultie barely to liue, and the naturall to grow, and to supply the expence that is daily made of naturall moisture: If she had not withall giuen vs knowledg and vnderstanding of such things as we are subiect vnto, and abilitie to moue our bodies at our pleasure, to apprehend that which is profitable & to shun that which is offensiue, &c. And therefore as a facultie making most for the dignitie and vse of man, it is placed principally in the braine; from whence it disperseth his beames of influence into euery part of the bodie, according to the seuerall vses and necessitie of each part.
This animall facultie hath this peculiar difference from the vitall and naturall faculties, that the functions [Page 12]of it are subiect vnto our wil, & may be intēded remitted, or peruerted at our pleasure, otherwise thē in the other faculties: For no man can make his pulse to beate as he list, or alter the naturall functions at his will and pleasure. But these animall functions may be abused both by our owne will, and by the violence of some disease, and by both, as Galen testifieth, lib. 2. de Symptomatum causis cap. 12. That it may be abused by our owne will, he proueth also in another place,De motu musculorum lib. 2. cap. 7.8. where he bringeth an instance of a seruant (serui barbari) who killed himselfe to anger his maister by holding of his breath. S. Augustine saith that he knew a man that could make himselfe to sweate when he list, by his imagnation only.De ciuitate Dei lib. 4: Cosmocrit. lib. [...]. pag. 156. Cornelius Gemma saith, that he knewe one that could weepe when he list: others that could make their bodies stiffe like an image, imitate the voyces of all kinde of creatures, raise a hickocke, and breake wind as often and in what maner they would. And S. Augustine tels of one that would make a kinde of musicke that way.Medici parisien ses in historia Martha. Brossier. Adrian Turnebus saw a rogue that gayned much money by shewing this feate, we do also daily see that some can countersait madnes,1. Sam. 21.13. Gal. lib quomo do deprehendū tur qui aegrotare sefingunt. cap. 1. some drunkennesse, some the falling sicknesse, some palsies and trembling, some can play the fooles and supply the roomes of innocents, some can make noyses & speake in their bellies or throates, as those which Hyppocrates calleth Eugastrimuthoi ventri loqui, E [...]idemiorum. 5. R. Scot. lib. 7: cap. 1. such as was the holy maid of Kent, and Mildred of westwall, &c. And it is strange to see how young bodies will be bowed and writhed diuersly, as wee [Page]see in tumblers iuglers, and such like companions. Hereupon diuers haue counterfaited diseases as I once saw a poor fellow being arested for a smal debt coūterfaited a fit of the falling sicknes, with strange and violent motions: whereby the creditor in compassion was moued to release him. Being released he was well againe, and vnto his friendes seemed to confesse the cousonage: others haue counterfaited possessions, either vpon meere deceit or inticed therto through the conceite of some disease wherewith they haue beene troubled. But for this point I referre you to the histories of Agnes Brigs, Rachel Pinder, Lib. 16. cap. 4. Martha Brossier, &c. Ren. Scot tels of one that being blind, deafe, and dumbe, could reade any canonicall Scripture, but no Apocripha: But was discouered by inserting a leafe of Apocrapha: among the canonicall. Another faining her selfe to be possessed with a diuell, would answere to any question made in English, but vnderstood no latine. Diuers such like examples might bee procured to shew how the animall functions may be abused by our owne will. But against our willes this faculty doth suffer by consent in the suffocation of the Mother diuersly according to the varietie of offices or functions which it performeth.
The functions of it are three, the first is called Internall and principall sence which doth gouerne and direct all the rest by Imagination, Reason and Memory: which if it bee hurt either by imminution or deprauation or total abolishment, then the inferior functions doe necessarily participate with the offence [Page 13]They are hurt by Imminution when a man doth not Conceiue, Iudge, or remember so well as hee ought to doe, as in dulnesse or blockishnesse,Hebetudo mentis. as wee call it in vndiscretion, foolishnes or want of iudgement,Imprudentia obliuio. in obliuion or forgetfulnes, &c. They are abolished either in those drowsie affects which wee call Caros, Coma, veternus, Sopor. Lethargus &c. or in those astonishing Symptoms wherein all the animall faculties are at once taken away, sometimes with a generall resolution or palsie, as in Apoplexies: Apoplexia. Epilepsia. sometimes with a generall conuulsion, as in the falling sicknes: sometimes with a Stifnesse or congelation of the body,Catalepsis. wherein they lie like an image in the same forme they were taken.
These internall sences are ouerthrowne either in part or in whole in this suffocatiō of the mother:Hypp. de mor bis muliebr. lib 1 et 2. Torpor occupat caput mēs percellitur et improba fit non facile intel ligit. De virginum morbis cor fatuum fit, ex fatuitate torpor. and thereupon it is likened vnto these former diseases: and this kind is accounted by Auicen to be the most grieuous of all other, where the imagination and reason is hurt: and the other which holds them with conuulsions, contractions, &c. he accounts to bee the milder and the more vsuall. And therefore he saith that commonly they can remember what was done about them in their fit:Gal. loc. affect. 6.5. De compo sit. pharm. s. L. lib. 9. in fine Rhasis continēe 22. Eginet a. li. 3. ca. 71. Aetius tetr. 4 Serm 4. cap. 68. paschaliuslib. 1. cap. 58. Valescus de Taran. Iacobus Syluius Altomam. Augeni. Aui. Fen. 21.3. cap. 16. tract. 4. Idem. Petr. salius de catelepsi. pag. 384. vnlesse it be of this most grieuous kinde.
The Internall sence is depraued when a man doth imagine, iudge, or remember thinges that are not as if they were, or things that are, otherwise then they are indeed. Whether they do it in cogitation alone, or do expresse it by word or deede. As [Page]we see in those fooles which wee call naturals,Insania. Delirium. Melancholia. Furor. in mad men, in melancholike men, in those that are furious, in such as do dote, in such as are distracted through loue, feare, griefe, ioye, anger, hatred, &c. In some of which they will laugh, crye, prattle, threaten, chide, or sing, &c. according to the disposition of the party or the cause of the affect.
These functions are also depraued in too much wakefulnesse through the commotion of the animall spirits,Vigilia. Insomnium. also in dreames, where somtimes besides the deprauation of the fantasie they wil walke, talke, laugh, crye, &c. And lastly in that disease whith is calledSaltus viti. F. Platerus de mentis alienatione. pag. 103 Saltus Sati viti, or Saltuosa dispositio membrorum wherein they will daunce, and leape, and cannot endure to be quiet.
This deprauation of the internall sences, is so ordinary in the fits of the Mother, as Horatius Augenius Epistola. 6. seemes to make it of the essence of this disease, that the imagination is euer depraued in it. ButHippocrat. de morbit virg. prae acuta infla matione insanit prae putredi ne clamat, &c De morbis muliebr. lib. 1. men re alienatur in hoc morbo et de liria fiunt furi osa dentibus fiendet vigilabit anxia erit &c. Auicen loco citato facit accidere alienationem per communitatem cerebri, &c. Aetius garrulae inquietae & iracundae fiunt. lib. 16.7 4. Hier. mercurialis mormorborum muliebr. lib. 4. c. 10. Iacobus Syluius demensibus. Mathaeus de grad. consilio. 80. histortaem narrat furtosi. Hyppocrates, Galen, Auicen, and most of the best Authors in our profession, do affirme that very often there happeneth an alienation of the minde in this disease, whereby sometimes they will waxe furious and raging depriued of their right iudgement and of rest.
The second function of the animall facultie is the externall sensitiue function; which giueth to the eye the facultie of seeing, to the eare of hearing, to [Page 14]the tongue of tasting,Priuatio visus Auditus. Gustus. Olfactus. Tactus. to the nose of smelling and to diuers parts of the bodie the power of feeling.
This function in all these kindes is diminished, depraued, or cleane abolished, but especially in this disease of the mother, we do obscrue the offence which is done to the feeling facultie, when the parts are benummed or do not feele at all, or when they feeleIuxta recep tam a medicis sententiam dolorem hic insero licetvideatur potius ad simplices corporis affectus referendus. paine and offence, or when they feele things falsely and other wisen then they are.
Concerning hearing, althoughHyp:morb muliebr. lib. o. caligo ante oculos obuersatur et vertigo, oculi non acutevidēt nihil olfaciunt vocata non audit Rhasis 22. cont. in hac passione non audit quando datur in auribus eius vox terribilis Aegineta loco citato. Instrumentorum sen sensus apprehensio &c. Auicen narrat plurimum eius quod fuit in ea nisi sit maxima et immoderata Aetius sensus et motus intercipiuntur. Gal. immobiles sine sensu racēt Horatius Angenius Epist. 6, Gal. de motu musc. lib. 2. cap. 6. et 8. Hyppoc. Rhasis and diuers others doe obserue that sometimes it is hindred: yet it seemes to be in the former kinde where the internall facultie doe suffer. For Mercatus puts it as a difference from the falling sicknes, that in this suffocation of the matrix they doe commonly heare. The priuation of the other sences of seeing, tasting, smelling and feeling, are verie ordinarie in this disease, as you may obserue in the Histories following, and in these quotations.
The third function is that which giues motion to the whole bodie. This motion serueth either for a voluntary vse onely, or for a naturall vse also. The motions for the voluntary vse are the free motions of the externall members of our bodies: as to bowe the whole bodie and the head by meanes of the backe, to apprehend with the hand, to stand and goe with the feete and legges, to chewe with the iawes, to open & shut the lips & eyelids, to moue the eies, &c. This functiō is diminished in that affect which we cal lassitudo, werines or vnweldines, [Page]wherein we are not able to moue so strongly and nimbly as we should.
It is abolished, Paralysis. either by a resolution or palsie where the sound part drawes the sickly part, that is the part resolued, & depending draws the muscles & nerues &c. or by a Spasmus or contractiō of themContract io. platerus. Gal. de causis morborū lib. 2. cap. 7. et loc. affect. li. 34. where the sick part drawes the sound part, that is, the muscle which is affected, drawes the member which is wel.
A resolution or palsie is either generall of both sides of the bodiePetrus Salius pag. 401. tanquam leuis Apoplexia Fern. de part. morbis & sympt. li. 5. cap. 3. exempting the head, or of one side called Haemiplegia, or yet more particular of the hand, legge, finger, &c. calledGal. 1. prorhet com. 2.50. et com. 3.26. de victus rat. tom. 4.27. de morb. vulg. com. 2.56 Gybbut. Trismos. Tortura oris. Strabismus. Spasmus Cynicus. parapligia.
A Contraction or Spasmus is also of like sortes, sometimes the bodie is held vpright and cannot be bowed any way in that affect which is called Tetanos, sometimes it is bowed forwardes Emprostotonos sometimes backward Opistotonos, somtimes the back is crookt in some part of it, as in Gibbo, sometimes the iawes, lips, face, eyelids, &c. are contracted, wherby they make many strange faces and mouthes sometimes as though they laughed or wept, sometimes holding their mouthes open or awry, their eyes staring, &c. Sometimes the handes, armes, legges, fingers, toes, &c. are contracted, sometimes particular muscles in the sides, backe, armes, legs, &c. one or more at once, as in crampes.
It is depraued where the motions are immoderate, peruerse, inordinate, or indecēt, as when they are vnquiet, & cannot abstaine frō motions and gestures, casting their armes and legges to and fro, vp and [Page 15]downe, dauncing, capring, vawting, fencing, and in diuerse maners forming their motions.Marcellus Doc natus. li. 2. ca. 4 Also in Convulsions of the members, where they are shaken and pulled by inordinate motions, as wee see in the falling sicknesse. Also in trembling, palpitation, Felix Platerus de motu deprauato. pag. 401. rigor where the teeth do chatter, horror where the haire standes vpright, stretching, yawning, gasping twinckling of the eyes, &c. These impediments and deprauations of motion are dayly obserued in vterne affects: as may appeare by these testimonies. Hyppocrat. de morbi muliebr. lib. 1. Albas oculorum partes subuertit, dentibus frendet, & similis fit his qui herculeo morbo detinentur. Item fit cōuulsio fortis articulorum corporis, claudam facit aut impotentem prae rigore, alias atque alias seipsam iactabit. Horror. Erectae ceruicis spiratio ipsam tenet, & quicquidederit aut biberit ipsam molestat. Torpor occupat manus & inguina, & crura & poplites. Magnis pedum digitis conuelluntur gybbosa fit, de nat. muliebr. Gal. lib. de semine cap. 3. Tensiones lumborum & manuum, & pedum viduam apprehendebant loc. affect. 6.5. Aliis crura & bracchia contrahuntur. Auicenna. minor suffocationum est quae facit accidere spasmum & tetanum, sine nocumento in ratione & sensu. Quandoque claudit oculos & non aperit eos. Stridor dentium, percussio oculorum, & motus inuoluntarius lacertorum. Rhasis. Stridor dentium cum spasmo & torquedine extremitatum, dolores fortes adeo vt mulierem torquere faciant vndique & caput genibus implicari. &c. Mesue loco superius citato. Aetius. Oculi post multam grauitatem attolluntur, vterus paulatim laxatur & intellectum & sensum recipit. &c.
The animall motions which doe serue for naturall vse, haue their power from the animall facultie, but their vrging and prouoking and cause from the naturall, and are either Respiration, Ingestion, or Excretion. Respiration hath annexed vnto it voyce, and speach,Suffocatio. Anthon. Guaynerius. cap. de suffocatione. this is diminished or abolished in Suffocation or choaking, from whence this disease which we intreat of taketh his name, as from the most cō mon Symptom which appeareth in it.Priuatio vocis. In difficulty of breathing. In priuation of voyce and speach.
It is depraued when it is done immoderately or inordinately, whether it be voluntarie, or inuoluntarie, as in shortnesse of breath, sighing, yawning, the hickock, sneesing, Cita respiratio, suspirtum. Oscitatio. Singultus. Sternuta [...]io, Ructus, tussis. Deglutitio. Excret [...]o. coughing, belching, vomiting, making of noyses, blowing, and reaching, &c.
Ingestion, or swallowing, is also hurt in this affect, when either they cannot swallow meate, or drinke at all, or with great difficultie.
Excretion is also hurt in this case, by vomit, seege or vrine, &c. when either they cannot performe it being prouoked, or do it out of season, or more then is conuenient. &c.
These Symptoms also appeare in the Suffocation of the Mother. Hyppocrat. de nat. muliebri. Muta derepentè fit. de morbis muliebr. linguaipsius refrenatur & hanc non claram habet. Aliquibus etiam vocis priuatio. Spiritus sublimis it, et suffocatio et anhelatio densa ipsam corripit. De nat. muliebr. Tussis detinet & contabiscit & videtur peripnumonia esse, &c. Gal. 9. de compis. Ph. s [...]l. aliquibus voxintercipitur. loc. affect. 6.5. aliae interceptas habent spirationes aliae suffocationes, &c. Hyppoc. [Page 16]de nat. muliebr. quicquid ederit autbiberit ipsam molestat. Auicen. Abscinditur loquela &c. Rhasis. Strictura anhelitus, squinantia, peripneumonia, aposlema in gutture ex cōmunicatione Diaphragmatis cummatrice. Gal. Loco citato humiditas quaedam ê locis muliebribus excurrit. &c. Rondalat. cap. 69. Hollerius. cap. 59. Syluius suspirium. Montagnana consilio. 225.
These motions as they belong to the animall facultie are principally hurt by Resolution, contraction, or conuulsion, according as the simple motions are, and therefore we shall not need to stand any longer vppon them in this place: as they belong vnto the naturall facultie, and do receyue offence in that respect shall be declared hereafter in the third general faculty. In the mean time let vs produce some examples of this 2. kind of Suffocation, where the animall faculty doth principally suffer: for examples many times do perswade more then doctrine.De morbis internis lib. 1. ca. 59. in scholiis. Hollerius reporteth that the gouernour of Roan in France had two daughters which were helde with these fits, in such sort as they would laugh an houre or two togither, and confessed that they could not refraine from laughing, although diuerse means to that end were vsed, both by entreaty, and by threates. He tels also of a gentlewoman de Rochpot, who being in these fits would raue, laugh, & weep,Lib. 28. obseris 26. her eies being shut. Forestus maketh mention of one Alcida Theodorici at Alkmare a yong lusty maid who was held 24. houres in a most grieuous fit of the mother, wherin she lay as if she had beene halfe dead, hearing what was said about her, but could not speake, nor enioy [Page]her other senses. Sometimes she would bee pulled as if she had the falling sickenesse, sometimes would lie still as if she were in an Apoplexie, sometimes she would onely stirre her legges,Aliam egregiā motuum cōvulsiuorū ab vtero bystor. vide apud eundem. li. 10. obser. 116 Lib. 26. cap. 16. the rest of her bodie being dull: and although she could not speake, yet she would crie and laugh by turnes, and then be sullen and dumpish, as if she were dead againe.
Alexander Benedictus veronensis testifieth, that he saw a woman in a fit of the Mother, that was besides her selfe, and would sometimes laugh & sometimes crie. Those that attended her, applied Partrige feathers vpon coales vnto her nostrilles, and by chance through want of care there fell a great coale out of the Chafingdish into her bosome, where it burnt her, and made a great blister, but she perceyued it not vntill the next day, and then complained of her breasts. My selfe had a patient in this Citie yet liuing and in good health (whome I will name vnto any whome it may concerne) that endured a violent fitte of the Mother a whole day together: wherein shee had many strong conuulsions, and sometimes did lie as if she had beene dead. Insomuch as the midwiues would haue giuen her ouer, and imputed ignorance vnto mee that I woulde attempt any thing for her recouerie. But her husband being perswaded by me to make triall of some meanes which I had prescribed for her, shee was within three or foure houres deliuered of a childe; yet knew not of it, vntill shee was throughly recouered of her fit, which was fourteene or fifteene houres after, and then she asked her husband what [Page 17]was become of her great bellie. I could rehearse two other such like examples within this citie, which happened not many moneths since.
But we had of late a most rare example of this disease in an Essex Gentlewoman of good note, who being once frighted by squibs, fell into these fits of the Mother, which held her euery day, and whensoeuer else she did eate any comfortable meat, for the space of fifteene or sexteene yeares togither, with such violent conuulsions, as fiue or six strong men could scarce hold her downe. Sometimes her limbes would be contracted, sometimes perticular Muscles, which would cause swellings in diuerse parts of her bodie, sometimes she would be without all maner of sense. And being made beleeue by a stranger Physition that she was bewitched, her fits increased vpon her, and grew to bee stronger then before.
Bartholomeus Montagnana reciteth vp 31. seuerall Symptoms of this disease which hee obserued in a Gentlewoman which was his patient. Conuulsions, swoundings, choaking in the throate, sadnesse and lamentation, coldnes ouer her whole bodie, dumbnesse, and yet could heare, drowsinesse, beating of the heart, trembling of the handes, contraction of the fingers, &c.
It were in vaine to heape vp many examples to this purpose, seeing our daily experience doth yeeld vs sufficient store of proofe of the varietie of these Symptoms in the animall facultie.
Cap. 5. Of that kind wherein the naturall facultie is offended.
THe third kinde of this disease is, where the naturall facultie doth principally suffer. This facultie is of great necessitie for the maintenaunce of mankinde and according to the diuerse vses thereof is distinguished. For seeing that nature bringes vs not forth into the world perfect men, in that ripenesse and integritie, of all humaine actions which afterwards we attaine vnto, when wee come to full growth, it was meete to be prouided of such a facultie in our bodies as might encrease ourstature, & strengthen the instruments of the whole body, for the better perfection of the actions thereof. And this is called facultas auctrix. Seeing also that wee are made of a fluxible moulde which wasteth and spendeth it selfe many wayes, whereby it standeth in neede of continuall refection and replie: Therefore it was meete to be furnished with such a facultie as might repaire the decay and expence of our substance, by yeelding continually apt matter for the nourishment of the bodie. And that is called facultas altrix. And thirdly seeing, notwithstanding our bodies are continually nourished with the best food, yet they must once die as well as other inferiour [Page 18]creatures doe: therefore God hath indued vs as well as other creatures with the facultie of generation: whereby wee may bee able to make our kind to continue as long as the world shall endure.
These three naturall faculties haue diuerse others attending vpon them, as the faculties of Attraction, Retention, Concoction, Expulsion, Alteration, Formation, &c. Which I will for breuitie sake ouerpasse with their bare mention, because the Symptoms of these faculties are not so euident to the beholders eye,Gal. de tremor. palp. tit. &c. cap. 2. sensibus non exposita. nor so straunge as those of the vitall and animall faculties are, yet that these are also hurt in the suffocation of the Mother, appeareth both by dayly obseruation, and by the authorities of all both auncient and late physitions who haue written of this disease.
Some of these are Symptomata in qualitate mutata, or in excremento vitiato: but be cause they are in the naturall parts, and arising from errors of that facultie, I haue inserted them here.And to this place may we referre those accidents often mentioned in this disease.Hypp. de morbis mulieb. lib. 1 Rhasis con. li. 22. Fernel. de partium morb. lib. 6. cap. 16. Mercatus lib. 2. cap. 2. & 3. Bottonus, & Mercurialis lociscitatis. Syluius de mensibus. Gnawing in the stomacke, and paines in diuerse partes of the bodie, breaking of wind, vomiting, purging by siege, vrin, or other excretion, loathing of meate, thirst, extraordinarie hunger, swelling in the throat, swelling in the body, in the feet, obstructions in the vaines, cō sumptions, tumors, feuers, priuation of voice, palenesse of colour, rumbling and noise in the belly orSchenkiusobser. deptisiobser. 137. Cornel. Gema. Cosmocr. Hyppocrat. Epidem. 5. expectore obstrepebat. &c. throat, like vnto frogs, snakes, or other creatures, or as if they woule speake as Hyppocrates reporteth of Polymarchus wife.
And these are three principall kindes of this [Page]disease wherevnto most of the Symptoms which euer do appeare therein may be referred.
Cap. 6. Of the causes of this disease.
THe causes of this disease and of the Symptoms belonging therunto, haue euer bin found hard to be described particularly: and especially in a vulgar tongue, I hold it not meete to discourse to freely of such matters, and therefore I doe craue pardon if I do but slenderly ouerpasse some poynts which might be otherwise more largely stood vpon
The causes of this disease are either internall, or externall. The internall causes may be any thing contained within the bodie, as spirit, blood, humors excrements, &c. whereby this part is apt to be offended, but principally they are referred vnto these two,Gal. loc. affec. 6. cap. 5. Hollerius, demorbis internis. lib. 1. cap. 59. Paschalius li. 1 cap. 57. Altomarus. ea. 1 10. Item de vtero gerentibus. cap. 2. Iacobus Sylutus de mensibus. Hor. Augenius epict. 6. Cardanus de causis, &c. morborum. cap. 114. blood, and nature.
Blood is that humor wherwith we are nourished: without which the infant in the mothers wombe could neither grow & increase in bignesse, nor yet liue: and therefore it was necessarie that those that were fit for generation, should be supplied with sufficient store of this humor, for the vse of this part wherin the infāt is to be nourished, for which cause there are large vaines & arteries deriued vnto it for [Page 17]the conueyance of bloud thereunto, and there is greater prouision thereof made in womens bodies then in mens: least this part should bee forced to withdraw nourishment from other parts of the bodie, and so leaue them weake and consuming.
But this prouision of nature is oftentimes defectiue: as when it is cut off by violent causes,Defectus. and the part left destitute of this familiar humor, which should serue both for the comfort of the infant, and of the part it selfe: which finding offence thereby doth communicate it vnto the other partes with which it hath affinitie according to Hyppocrates doctrine. 1. Morborum muliebrium, and Aristotle, de generat. animal. Hollerius et Rondelet. loci citatis. Comment. 2. in lib. 1. Hypp. de morb. muliebr. cap. 11. vteri cuacuati sursum ascendunt & praefocationes faciunt. Cordaeus giues vs an example of one who by chaunce cutting a vaine in her leg, whereupon she did bleede plentifully, fell into a fit of the Mother, and by moist and nourishing diet was recouered. The reason whereof Hyppocrates referreth to the ouerdrying of those parts through large euacuatiou of bloud, wherby the matrix doth labour by such motion as it hath to supply it selfe with moysture from other parts of the body: or as Mercurialis doth enterpret it,Lib. 4. cap. 22. doth impart by communitie (as is aforesaid) the offensiue qualitie vnto the braine, and by that meanes procures convulsions, &c. Gallen referreth it vnto the ouercooling of those parts which necessarily must follow a large euacuation of bloud,2. loc. affect. which coldenesse being very offensiue vnto the nerues and neruous partes by consent and compassion offendeth the braine also, [Page]and by that meanes may procure the former Symptoms.
And as the want and scarsitie of bloud may procure this griefe,Recessui. so the abundance & excesse thereof doth more commonly cause it, where the patients do want those monethly euacuatiōs which should discharge their bodies of this superfluitie: as we see in strong and lustie maidens, who hauing ease and good fare inough, haue their vaines filled with plenty of bloud,Gal. loc. affect. 6 Pered a in paschalium lib. I. cap. 58. Altomarus. Syluius. which wanting sufficient vent distēdeth them in bulck and thicknes, and so contracteth them in their length, whereby the matrix is drawne vpwards or sidewards, according as the repletion is, whereupon followeth a compression of the neighbour parts, as of the midrif which causeth shortnes of breath, by straightning the instruments of respiration of their due scope.
But if this bloud wanting his proper vse doe degenerate into the nature of an excrement, then it offendeth in qualitie as well as in excesse, and being detayned in the bodie, causeth diuers kinds of Symptoms, according to the qualitie and degree of the distemperature thereof.
This distemperature is either in manifest qualiries, of heate,Alteratio. colde, moisture, drines, according vnto which it is said to be,Hypp. de morbis vir ginum. Altomarut Corruptio. Melancholicke, Flegmaticke, Choloricke, &c. producing Symptoms of the like nature, or in corruption and putrefactiō of this bloud which breedeth diuers strange kinds of distēperatures,Mercatus loco citato. according to the diuersity of the humor putrefied, the degree of putrefaction or the condition [Page 20]of the cause or author thereof.
The other substance which most commonly is found culpable of this disease, is nature or sperma: Rondeletius c. 69. Platerus. Pereda in paschalia. Valesius de Tarrant a. lib 6. Velasiustestatur se deprehen desse circa vterū bystericarū croceum humorem faetidissimū &c. lib. 5.6.15. Mathaus de grad. in. 9. Rha sis. ca. 28. Item consilio 84. Mercatus. Gal. Auicen. Mercurialis. Bottonus locis citatis. Hercules Saxo nia de plica. c [...] 14. et. 34. which besides the suspition of superfluitie in some persons, may also receiue diuers sortes of alteration, and likewise of corruption, able to worke most strange and grieuous accidents in our bodies. For as it is a substance of greatest perfection & puritie so long as it retayneth his natiue integritie: So being depraued or corrupted, it passeth all the humors of our bodie, in venom and malignitie. For it must needs be a vehement and an impure cause that shal corrupt so pure a substance, which would easily resist any weake assault: and a substance so pure and full of spirits as this is, must needes proue most malitious vnto the bodie when it is corrupted. And therefore it is compared to the venom of a serpent, a Scorpion, a Torpido, a madde dogge, &c. which in a small quantirie is able to destroy or depraue all the faculties of our bodies at once.
Galen comparing the corruption of these two together, affirmeth that although from the putrefaction of bloud, diuers most terrible accidents doe arise, yet they are not so deadly as those which proceede from the corruption of nature;Syluius, &c. and proueth it by this obseruation that diuers women enioying the benefit of mariage, yet through the suppression of their ordinary euacuation falling into this disease, had their respiration and vitall faculties vntouched, although otherwise they were most grieuously affected. [...]
others also hauing those ordinarie matters in good sorte, yet being widdowes and taken with this grief haue felt decay in those faculties as well as in the rest.
How these two substances by consent may affect the whole bodie according to their seuerall natures, hath beene shewed before: But one scruple remaineth here to be discussed, namely how this venemous matter may lurke so long in our bodies in silence not showing it self but at certaine times only.
Galen in the former place declareth this by the example of a mad dogge,Loc. affect. 6.5. Petrus saliusde affect. particuharibus pa. 326 whose venom being receiued of us, although but by the foame of his mouth, will remaine sometimes sixe moneths within our bodies vndiscouered, and then hauing gotten more strength and ripenes vnto it selfe, and opportunitie of conuaying his euil quallity vnto the parts,Altomarus. breaketh forth to open view by diminishing or peruerting the faculties of those parts. I had once a patient in Kent who feeding vpon a mad hogge which hee had killed for couetousnesse sake, found himselfe distempered therewith at the first, but within fiue or sixe moneths after grewsuddenly to be starke madde, and before his death, being by Phisicke restored to some reasonable vnderstanding, he confessed the eating of that hogge to haue beene the true cause of his disease. Diuers reasons may bee yeelded of this as well as of the fits of intermittent agues of Epilepsies, of sweating, &c. which oftentimes haue their due recourse by the yeare, moneth, weeke, day or houre, according to the nature of the humor: [Page 21]which being crude expecteth his concoction in our bodies and giues no signe of his presence vntill such a proportion of it be digested and resolued into vapours,Ga. loc. affect. 6 Felix Platerus de causis febrium. pag. 63. 65 66. &c. Mercatus. Fernel. patholog. li. 6, cap. 16 as for the offēce therof the part affected is not able to brooke and for the weakenesse of the expulsiue facultie not able to auoide out of the bodie: but filling the vaines, arteries, and the habit of the body, is communicated to the principall parts; diminishing or deprauing their functions so long, vntill that portion of vapours be discussed through naturall heate: and ceasing againe so long vntill by fermentation and concoction, another portion of the corrupt humor shall be digested.
The vniformitie of this humor and of the heate of concoction causeth the vniformitie of fits. And this is the cause of the due periods or circuites which oftentimes are obserued in this disease, whereof wee haue spoken before: 2 according also to the condition of the part affected, which seruing as an euacuatorie to the whole bodie, is accustomed to such kind of humors and therefore can endure them better then other parts can. And this is another cause why this humor giues no signe of his presence vntill it may communicate with the principall partes:Quia multum. Quia prauum. Quia insu [...]tū. which are soone offended either with the plenty of those vapours, or with the malignity, or with the vnwonted and vnaccustomed approach of them.
The externall causes of this disease are either such things as are ordinary and necessary for our life and which we cannot shun, as our meate and drink, motion [Page]and rest, sleepe and watching, euacuation and perturbations of the minde: or such things as happen vnto vs accidentally, and may bee shunned by vs, as bathes, ointments, plaisters, cloathes, smelles or vapours, medicines, venus, noyses, riding, swimming, sayling, wounds, contusions, falles, biting of venomous beasts, &c. which may be also referred to the former kindes. These and such like as they are the externall causes of all diseases, our bodies being subiect to be hurt and offended by euery one of them: so they are oftentimes accessary to this particular disease.
The aire which compasseth our bodies and which we breath into our bodies is the occasion of many infirmities in vs,Fernel. li. 1. de morborū causis if either it be distempered in quallitie or corrupted in substance, or suddenly altered. And this may be the cause why women are more subiect vnto this disease at one time of the yeare then at another, according to the constitution of the ayre: as in the winter time, by reason of colde and moyst weather the humors of our bodies are increased and made more crude and grose, and our pores stopped, whereby expiration is hindered, &c.
But especially wee doe obserue that breathing in of sweete sauours doth commonly procure these sittes,Mathaus de grade. Mercas. Rondel. cap. 69. either for that the matrix by a naturall propertie is delighted with sweete sauoures, as the liuer and spleene with sweete meates,Hier. Mercuria or because the animall spirites of the braine beeing thereby [Page 22]stirred vp to motion, doe by consent affect the matrix with the like.
And therefore wee doe especially forbid that they may not smell vnto any sweet thing that are subiect vnto this griefe:Plater. pa. 443 lacobus Ruffius de muliebribus lib. 6. cap. 8 Syluius Guaynerius. but rather vnto euill fauoures: which as Platerus thinkes by stirring vp the expulsiue facultie of the matrix, are a meanes of the shortening of the fit.
Meate and drinke is the Mother of most diseases, whatsoeuer the Father bee, for the constitution of the humors of our bodies is according to that which feedes vs. And therefore it is reckoned as a principall externall cause of diseases.
And Hyppocrates in this disease forbids sweete and fatte meats (a dulcibus et pinguibus abstineat, De nat muliebri. Lib. 2. obseru. 28. Hypp. libro cit a to quicquidede rit aut liberit ipsam molestat donec sana sit) Forrestus telles vs of a Bruets wife of Delft, who could neuer eate or drinke any thing that was sweete or pleasant but her fit would take her a fresh [...], and thereuppon was faine to mixe wormewood with euery thing that she did eate or drinke.
The Essex Gentlewoman of whome I spake before,Heurnius de morbis capitis pag. 310. could neuer take any comfortable sustenance, but she was sure to haue a fit of the mother. The reason of this may be the same which we haue alleaged of sweet vapours.
The errours about euacuation are also an externall cause of diseases, and doe breed an internall cause afterwardes.
As in this disease the want of due and monethly euacuation, or the want of the benefit of marriage in such as haue beene accustomed or are apt thereunto,Altomarus. breeds a congestiō of humors about that part, which increasing or corrupting in the place, causeth this disease.Hollerius cap. 59. Rond. c. 69. And therefore we do obserue that maidens and widowes are most subiect thereunto. Motion and rest being well ordered do preserue health, but being disordered do breed diseases, especially to much rest and slothfulnesse is a meanes of this griefe, by ingendering crudities and obstructions in womens bodies, by dulling the spirits and cooling naturall heate, &c. So likewise sleepe and watching, the one by benumming, the other by dissipation of the spirits and natural heate, may occasion this griefe.
Hinc Cicero Tusculanarum 3. perturbationes animi, mor bos appellat. Lastly the perturbations of the minde are oftentimes to blame both for this and many other diseases. For seeing we are not maisters of our owne affections, wee are like battered Citties without walles, or shippes tossed in the Sea, exposed to all maner of assults and daungers, euen to the ouerthrow of our owne bodies.
We haue infinite examples among ourPlinium. Valer. max. Volateranum. Pontanum. Landum. Gellium, Krantzium. Historiographers,Cornex lib. 1 consultat. med. cap. 3. Gal. 2. sympt. causis cap. 5. de praecognit. ca. 6 Beniuenius. and Phisitions of such as haue dyed vppon ioy, griefe, loue, feare, shame, and such like perturbations of the mind: and of others that vpon the same causes haue fallen into grieuous diseases: asGal. in 5. Aphorism. 45. Amatus lusit. Cent. 3. women deliuered of their children before their time, vpon feare, anger, griefe, &c. others taken with [Page 16]theGal. loc. affec. 5. de Grammatico Iob. Montanus cōsilio. 50 Matheus de grad. de proprio filio. cap. de Epilepsia. Amatus lusit. cent. 2. cap 90. Falling sickenesse,Procopius de bello Gothorum lib. 1. Amatus lusit. cent. 3. Apoplexies,Christoph. a Vega. li. 4. ca. 14 Corn. Celsus. Madnesse,Gal. loco cita. Swounding,Aretaeus lib. 1 cap. 7. Palsies, and diuerse such like infirmities vpon the like causes.
And concerning this disease whereof we doe intreate,Consilio 311. Iohannes Montanus tels vs of a patient of his, who fell into the fits of the Mother vppon iealousie.Lib. 28. obser. 28. lib. 10. obseru. 30. Forrestus of another, who had her fits whensoeuer shee was angred: and of another that vpon loue fell into this disease. My felfe do know a Gentlewoman, who upon the sight of one particular man would alwaies feele an vterin affect: and another that vpon feare of being chidden, or seeing another in the fit of the mother, would also fall into it herselfe.
Cap. 7. Of the cure of this disease, so much as belongeth to the friends and attendants to performe.
THe signes of this disease, seeing they are drawne principally from the causes and Symptoms before declared shall not neede any particular discourse, especially considering the vse of them belongeth properly to the Physition, to direct him in his cure. And therefore I thinke good to ease my selfe of this labour, which would bee altogither vnprofitable to the reader.
Concerning the cure also I thinke it not meete to say more then may concerne the friends and assistants vnto the patient to looke vnto: referring Physitions workes vnto Physitions. There are some things by the friendes to bee performed vnto the patient in regard of theValetius in Hollerium. c. 59 Valescius dï Taranta. lib. 6. presēt fit, & some things in regard of the cause. In the fit let the bodies bee keptPaschal. li. 1 ca. 57. Altomar. vpright, straight laced, and the belly & throat held downe with ones hand. Let heed be taken that they hurt not themselues by biting their fingers,B [...]nd e [...]t [...]u Hollerius. striking their armes & legs against hard things, &c. apply euil smels to their nostrils, and sweet smels beneathRhasis ad Al [...]ansor. cap. 28. tie their legs hard with a garter for reuulsion sake, &c.
Out of the fit, in regard of Externall causes, remoue from them all occasions of breeding or increasing [Page 24]creasing the disease: as sweet sauors, pleasant meats and drinks, much rest and slouthfulnesse, &c. Also ifHollerius nullum remedium melius marito. Valescus de taranta, Syluius. si nubilis est nec monialis nubat sinon libet aut non licet nubere vtatur frigidis &c. Mat. Rochius de morb. mal. cap. 5. Guaynerius suppositio in hoc casu principati [...] obtinet, &c. discontinuance of any thing accustomed bee the cause of this disease, bring it into custome againe: if want of any thing necessary for their health, let it be supplied,Valetius in Holl. Cap. 59. istud genus demonii non eiicitur nisi multo ieiunio. Paschali. Si nō possit vti viro praecibus & ieiuniocurabitur. Guaynerius. Curpus macerātibus vtatur. let theirdiet be sparing and vpon cooling things, let them vse much fasting and prayer, and all other meanes to pull downe their bodies: and contrariwise abstaine from egges, wine, flesh, &c. If the perturbations of the mind be any occasion hereof, let them haue their proper remedies, as anger and iealousie are to be appeased by good counsell and perswasions: hatred and malice by religious instructions, feare by incouragements, loueAuicen, Fen. 1 3. c. 14. tract. 4. de Ylisco. by inducing hatred, orAretaeus. lib. 1. cap. 5. De sani. tuenda lib. 1. cap. 11. De subtilit. l. 19 De medica bist oria miraebili. lib. 2. cap. 1. by permitting them to enioy their desires, &c. Galen boasteth that he did euery yeare cure many diseases by this stratagem of moderating the perturbations of the mind by the example of Aesculapius who deuised many songs and ridiculous pastimes for that purpose. To which end also other phisitions haue vsed diuers sorts of fallacies to encounter the melancholike conceits of their patients. Cardan tels of a Gentlewoman, who finding her self vexed with many grieous Symptoms, imagined that the Diuell was the author thereof, and by Iosephus Niger was cured by procuring her son to make her beleeue that he saw three diuels in her looking glasse, & one great one to driue them out. Another like policie Marcellus Donatus tels vs of, which a Physition vsed towardes the Countesse of Mantua, who being in that disease which we call melancholia [Page]Hyppocrondriaca did verily beleeue that she was bewitched, and was cured by conueying of nayles, needles, feathers, and such like things into her close stoole when shee tooke physicke, making her beleeue that they came out of her bodie. The like there he mentioneth also out of Trallian, of a woman who did thinke that she had a serpent within her, and was cured by the like meanes.
So that if we cannot moderate these perturbations of the minde, by reason and perswasions, or by alluring their mindes another way, we may politikely confirme them in their fantasies, that wee may the better fasten some cure vpon them: as Constantinus Affricanus (if it be his booke which is inserted among Galens workes,Lib de incant. adiuratione, &c. De incantatione, adiuratione &c.) affirmeth, and practized with good successe, vpon one who was impotens ad Venerem, & thought himselfe bewitched therewith, by reading vnto him a foolish medicine out of Cleopatra, made with a crowes gall, and oyle: whereof the patient tooke so great conceit, that vpon the vse of it he presently recouered his strength and abilitie againe.
The like opinion is to bee helde of all those superstitious remedies which haue crept into our profession,Si quis incantationem sibi prodesse confidat, qualiscū (que) sit, cum tamen iuu. it. li. 1. prox imé citato. of Charmes, Exorcismes, Cōstellations, Characters, Periapts, Amulets, Incense, Holie water, clouts crossed and folded superstitiously, repeating of a certaine number and forme of prayers or Aue Maries, offering to certaine Saintes, pissing through the wedding Ring, and a hundred such like toyes and gambols: which when they preuaile [Page 25]in the cure of diseases, it is not for any supernaturall vertue in them, either from God or from the diuell (although perhaps the Diuell may haue a collaterall intent or worke therein, namely to drawe vs vnto superstition) but by reason of the confident perswasion which melancholike and passionate people may haue in them: according to the saying of Auicen, 4. Natural. 6. that the confidence of the patient in the meanes vsed is oftentimes more auailable to cure diseases then all other remedies whatsoeuer.
Another course hath beene taken sometimes in these cases, by remouing the cause of these affections, or by inducing of other perturbations of a diuerse nature. Whereby as (experience teacheth vs) most grieuous diseases haue beene oftentimes cured beyond expectation.
A yong man falling out of fauour with his father, fell thereupon into the fits of the falling sicknesse, and continued long and often molested there with; vntill a reconciliation was wrought with his father: who sending him a kind letter to that effect, the yong man was presently deliuered from that fearefull disease.
A yong Maiden also vpon some passion of the minde, as it was credibly reported, fell into these fits of the Mother, and being in one of them, a Physition then present modestly put his hand vnder her cloathes to feele a windie tumor which shee then had in her backe. But a Surgeon there also present not contented with that maner of examination, offered to take vp her cloathes, and to see it bare: [Page]whereupon the Maid being greatly offended, tooke such indignation at it, as it did put her presently out of her fit.
And it is no maruel that the affections of the mind doe beare such rule in this disease, seeing we doe obserue that most commonly besides the indisposition of the bodie: here is also some Melancholike or capricious conceit ioyned withall of loue, feare, hatred, iealousie, discontentment, witchcraft, poysoning, &c. which being by policie or good instructions and perswasions remoued, the disease is easily ouercome.
Other matters of gouernment of them either in the fit or out of the fit, togither with the cure in regard of the internall causes, because they are properly belonging to the Physition, I do purposely omit.