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The Female Physician / Containing all the diseases incident to that sex, in virgins, wives, and widows; together with their causes and symptoms, their degrees of danger, and respective methods of prevention and cure: to which is added, the whole art of new improv'd midwifery; comprehending the necessary qualifications of a midwife, and particular directions for laying women, in all cases of difficult and preternatural births; together with the diet and regimen of both the mother and child. cover

The Female Physician / Containing all the diseases incident to that sex, in virgins, wives, and widows; together with their causes and symptoms, their degrees of danger, and respective methods of prevention and cure: to which is added, the whole art of new improv'd midwifery; comprehending the necessary qualifications of a midwife, and particular directions for laying women, in all cases of difficult and preternatural births; together with the diet and regimen of both the mother and child.

Chapter 47: CHAP. XXI. Of DYSURIES, ISCHURIES, and STRANGURIES.
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About This Book

A practical medical manual addressing illnesses and reproductive conditions affecting females across life stages, outlining causes, symptoms, degrees of danger, prevention, and treatment. It combines theoretical discussion of embryology, fetal development, membranes, and the afterbirth with guidance on infant nutrition and care. A large portion presents midwifery technique and recommended qualifications, giving step-by-step directions for normal, difficult, and preternatural births and for postnatal diet and regimen for mother and child. Separate chapters consider virgin-specific disorders, menstrual and related afflictions, and the physiological aspects of sexual intercourse, blending clinical observation with procedural instruction for both practitioners and informed readers.

CHAP. XXI.
Of DYSURIES, ISCHURIES, and STRANGURIES.

THE Dysuria is a painful and difficult Excretion of Urine; as the Ischuria is an entire Suppression of the Same: And the Stranguria nothing but an Effect of the other Two; being an Excretion made Drop by Drop, with a continual Stimulation or Propensity to make Water, however without any acute Pain, tho’ not without some Uneasiness.

NOW these three SYMPTOMS have all their respective Causes, which I shall not particularly enter upon here at large; but only, take notice by the By, that in the Pregnant Woman, they most commonly proceed from One and the same Original: Wherefore I shall in this Place discourse of them conjunctly; and observe that all three SYMPTOMS may proceed from the ponderous Womb, lying upon, and depressing the Neck of the Bladder; and that the more heavily, the nearer the Woman is to her Time. The pungent Acrimony of the Urine sometimes also occasions Incontinence, or want of Retention; as its Inflammatory Heat causeth almost a total Suppression. However, in short, such SYMPTOMS may likewise proceed from some crude and unconcocted Matter, obstructing and oppressing the Sphincter-Muscles.

BE That as it will, in the present Case, the Cure is but very seldom of great Difficulty; being frequently effected, by lifting up the Bottom of her Belly with both Hands when she is about to make Water: Or, by wearing a convenient large Swathe. But if Need require, the Region of the Bladder may be cherished with proper emollient Fomentations, Injections, or Cataplasms; as (upon any Extremity at last) a Catheter may be prudently used.

IF the SYMPTOM however proceeds from any Inflammatory, or Acrimonious Quality of the Urine; it may be sufficiently helped by a proper, regular, cooling Diet: As, if it arises from any undigested, crude Matter; it may be assisted or reliev’d by a good Draught[77] of warm generous WINE; which not only helps Concoction, but also facilitates and promotes URINE: But in case of absolute Necessity, after all, gentle Phlebotomy ought to be carefully used.