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BOOK SEVEN
Part 1
As to Man's growth, first within his
mother's
womb and afterward to old age, the
course
of nature, in so far as man is specially
concerned, is after the following manner.
And, by the way, the difference of
male and
female and of their respective organs
has
been dealt with heretofore. When twice
seven
years old, in the most of cases, the
male
begins to engender seed; and at the
same
time hair appears upon the pubes, in
like
manner, so Alcmaeon of Croton remarks,
as
plants first blossom and then seed.
About
the same time, the voice begins to
alter,
getting harsher and more uneven, neither
shrill as formerly nor deep as afterward,
nor yet of any even tone, but like
an instrument
whose strings are frayed and out of
tune;
and it is called, by way of by-word,
the
bleat of the billy-goat. Now this breaking
of the voice is the more apparent in
those
who are making trial of their sexual
powers;
for in those who are prone to lustfulness
the voice turns into the voice of a
man,
but not so in the continent. For if
a lad
strive diligently to hinder his voice
from
breaking, as some do of those who devote
themselves to music, the voice lasts
a long
while unbroken and may even persist
with
little change. And the breasts swell
and
likewise the private parts, altering
in size
and shape. (And by the way, at this
time
of life those who try by friction to
provoke
emission of seed are apt to experience
pain
as well as voluptuous sensations.)
At the
same age in the female, the breasts
swell
and the so-called catamenia commence
to flow;
and this fluid resembles fresh blood.
There
is another discharge, a white one,
by the
way, which occurs in girls even at
a very
early age, more especially if their
diet
be largely of a fluid nature; and this
malady
causes arrest of growth and loss of
flesh.
In the majority of cases the catamenia
are
noticed by the time the breasts have
grown
to the height of two fingers' breadth.
In
girls, too, about this time the voice
changes
to a deeper note; for while in general
the
woman's voice is higher than the man's,
so
also the voices of girls are pitched
in a
higher key than the elder women's,
just as
the boy's are higher than the men's;
and
the girls' voices are shriller than
the boys',
and a maid's flute is tuned sharper
than
a lad's.
Girls of this age have much need of
surveillance.
For then in particular they feel a
natural
impulse to make usage of the sexual
faculties
that are developing in them; so that
unless
they guard against any further impulse
beyond
that inevitable one which their bodily
development
of itself supplies, even in the case
of those
who abstain altogether from passionate
indulgence,
they contract habits which are apt
to continue
into later life. For girls who give
way to
wantonness grow more and more wanton;
and
the same is true of boys, unless they
be
safeguarded from one temptation and
another;
for the passages become dilated and
set up
a local flux or running, and besides
this
the recollection of pleasure associated
with
former indulgence creates a longing
for its
repetition.
Some men are congenitally impotent
owing
to structural defect; and in like manner
women also may suffer from congenital
incapacity.
Both men and women are liable to constitutional
change, growing healthier or more sickly,
or altering in the way of leanness,
stoutness,
and vigour; thus, after puberty some
lads
who were thin before grow stout and
healthy,
and the converse also happens; and
the same
is equally true of girls. For when
in boy
or girl the body is loaded with superfluous
matter, then, when such superfluities
are
got rid of in the spermatic or catamenial
discharge, their bodies improve in
health
and condition owing to the removal
of what
had acted as an impediment to health
and
proper nutrition; but in such as are
of opposite
habit their bodies become emaciated
and out
of health, for then the spermatic discharge
in the one case and the catamenial
flow in
the other take place at the cost of
natural
healthy conditions.
Furthermore, in the case of maidens
the condition
of the breasts is diverse in different
individuals,
for they are sometimes quite big and
sometimes
little; and as a general rule their
size
depends on whether or not the body
was burthened
in childhood with superfluous material.
For
when the signs of womanhood are nigh
but
not come, the more there be of moisture
the
more will it cause the breasts to swell,
even to the bursting point; and the
result
is that the breasts remain during after-life
of the bulk that they then acquired.
And
among men, the breasts grow more conspicuous
and more like to those of women, both
in
young men and old, when the individual
temperament
is moist and sleek and the reverse
of sinewy,
and all the more among the dark-complexioned
than the fair.
At the outset and till the age of one
and
twenty the spermatic discharge is devoid
of fecundity; afterwards it becomes
fertile,
but young men and women produce undersized
and imperfect progeny, as is the case
also
with the common run of animals. Young
women
conceive readily, but, having conceived,
their labour in childbed is apt to
be difficult.
The frame fails of reaching its full
development
and ages quickly in men of intemperate
lusts
and in women who become mothers of
many children;
for it appears to be the case that
growth
ceases when the woman has given birth
to
three children. Women of a lascivious
disposition
grow more sedate and virtuous after
they
have borne several children.
After the age of twenty-one women are
fully
ripe for child-bearing, but men go
on increasing
in vigour. When the spermatic fluid
is of
a thin consistency it is infertile;
when
granular it is fertile and likely to
produce
male children, but when thin and unclotted
it is apt to produce female offspring.
And
it is about this time of life that
in men
the beard makes its appearance.
Part 2
The onset of the catamenia in women
takes
place towards the end of the month;
and on
this account the wiseacres assert that
the
moon is feminine, because the discharge
in
women and the waning of the moon happen
at
one and the same time, and after the
wane
and the discharge both one and the
other
grow whole again. (In some women the
catamenia
occur regularly but sparsely every
month,
and more abundantly every third month.)
With
those in whom the ailment lasts but
a little
while, two days or three, recovery
is easy;
but where the duration is longer, the
ailment
is more troublesome. For women are
ailing
during these days; and sometimes the
discharge
is sudden and sometimes gradual, but
in all
cases alike there is bodily distress
until
the attack be over. In many cases at
the
commencement of the attack, when the
discharge
is about to appear, there occur spasms
and
rumbling noises within the womb until
such
time as the discharge manifests itself.
Under natural conditions it is after
recovery
from these symptoms that conception
takes
place in women, and women in whom the
signs
do not manifest themselves for the
most part
remain childless. But the rule is not
without
exception, for some conceive in spite
of
the absence of these symptoms; and
these
are cases in which a secretion accumulates,
not in such a way as actually to issue
forth,
but in amount equal to the residuum
left
in the case of child-bearing women
after
the normal discharge has taken place.
And
some conceive while the signs are on
but
not afterwards, those namely in whom
the
womb closes up immediately after the
discharge.
In some cases the menses persist during
pregnancy
up to the very last; but the result
in these
cases is that the offspring are poor,
and
either fail to survive or grow up weakly.
In many cases, owing to excessive desire,
arising either from youthful impetuosity
or from lengthened abstinence, prolapsion
of the womb takes place and the catamenia
appear repeatedly, thrice in the month,
until
conception occurs; and then the womb
withdraws
upwards again to its proper place...
As we have remarked above, the discharge
is wont to be more abundant in women
than
in the females of any other animals.
In creatures
that do not bring forth their young
alive
nothing of the sort manifests itself,
this
particular superfluity being converted
into
bodily substance; and by the way, in
such
animals the females are sometimes larger
than the males; and moreover, the material
is used up sometimes for scutes and
sometimes
for scales, and sometimes for the abundant
covering of feathers, whereas in the
vivipara
possessed of limbs it is turned into
hair
and into bodily substance (for man
alone
among them is smooth-skinned), and
into urine,
for this excretion is in the majority
of
such animals thick and copious. Only
in the
case of women is the superfluity turned
into
a discharge instead of being utilized
in
these other ways.
There is something similar to be remarked
of men: for in proportion to his size
man
emits more seminal fluid than any other
animal
(for which reason man is the smoothest
of
animals), especially such men as are
of a
moist habit and not over corpulent,
and fair
men in greater degree than dark. It
is likewise
with women; for in the stout, great
part
of the excretion goes to nourish the
body.
In the act of intercourse, women of
a fair
complexion discharge a more plentiful
secretion
than the dark; and furthermore, a watery
and pungent diet conduces to this phenomenon.
Part 3
It is a sign of conception in women
when
the place is dry immediately after
intercourse.
If the lips of the orifice be smooth
conception
is difficult, for the matter slips
off; and
if they be thick it is also difficult.
But
if on digital examination the lips
feel somewhat
rough and adherent, and if they be
likewise
thin, then the chances are in favour
of conception.
Accordingly, if conception be desired,
we
must bring the parts into such a condition
as we have just described; but if on
the
contrary we want to avoid conception
then
we must bring about a contrary disposition.
Wherefore, since if the parts be smooth
conception
is prevented, some anoint that part
of the
womb on which the seed falls with oil
of
cedar, or with ointment of lead or
with frankincense,
commingled with olive oil. If the seed
remain
within for seven days then it is certain
that conception has taken place; for
it is
during that period that what is known
as
effluxion takes place.
In most cases the menstrual discharge
recurs
for some time after conception has
taken
place, its duration being mostly thirty
days
in the case of a female and about forty
days
in the case of a male child. After
parturition
also it is common for the discharge
to be
withheld for an equal number of days,
but
not in all cases with equal exactitude.
After
conception, and when the above-mentioned
days are past, the discharge no longer
takes
its natural course but finds its way
to the
breasts and turns to milk. The first
appearance
of milk in the breasts is scant in
quantity
and so to speak cobwebby or interspersed
with little threads. And when conception
has taken place, there is apt to be
a sort
of feeling in the region of the flanks,
which
in some cases quickly swell up a little,
especially in thin persons, and also
in the
groin.
In the case of male children the first
movement
usually occurs on the right-hand side
of
the womb and about the fortieth day,
but
if the child be a female then on the
left-hand
side and about the ninetieth day. However,
we must by no means assume this to
be an
accurate statement of fact, for there
are
many exceptions, in which the movement
is
manifested on the right-hand side though
a female child be coming, and on the
left-hand
side though the infant be a male. And
in
short, these and all suchlike phenomena
are
usually subject to differences that
may be
summed up as differences of degree.
About this period the embryo begins
to resolve
into distinct parts, it having hitherto
consisted
of a fleshlike substance without distinction
of parts.
What is called effluxion is a destruction
of the embryo within the first week,
while
abortion occurs up to the fortieth
day; and
the greater number of such embryos
as perish
do so within the space of these forty
days.
In the case of a male embryo aborted
at the
fortieth day, if it be placed in cold
water
it holds together in a sort of membrane,
but if it be placed in any other fluid
it
dissolves and disappears. If the membrane
be pulled to bits the embryo is revealed,
as big as one of the large kind of
ants;
and all the limbs are plain to see,
including
the penis, and the eyes also, which
as in
other animals are of great size. But
the
female embryo, if it suffer abortion
during
the first three months, is as a rule
found
to be undifferentiated; if however
it reach
the fourth month it comes to be subdivided
and quickly attains further differentiation.
In short, while within the womb, the
female
infant accomplishes the whole development
of its parts more slowly than the male,
and
more frequently than the man-child
takes
ten months to come to perfection. But
after
birth, the females pass more quickly
than
the males through youth and maturity
and
age; and this is especially true of
those
that bear many children, as indeed
I have
already said.
Part 4
When the womb has conceived the seed,
straightway
in the majority of cases it closes
up until
seven months are fulfilled; but in
the eighth
month it opens, and the embryo, if
it be
fertile, descends in the eighth month.
But
such embryos as are not fertile but
are devoid
of breath at eight months old, their
mothers
do not bring into the world by parturition
at eight months, neither does the embryo
descend within the womb at that period
nor
does the womb open. And it is a sign
that
the embryo is not capable of life if
it be
formed without the above-named circumstances
taking place.
After conception women are prone to
a feeling
of heaviness in all parts of their
bodies,
and for instance they experience a
sensation
of darkness in front of the eyes and
suffer
also from headache. These symptoms
appear
sooner or later, sometimes as early
as the
tenth day, according as the patient
be more
or less burthened with superfluous
humours.
Nausea also and sickness affect the
most
of women, and especially such as those
that
we have just now mentioned, after the
menstrual
discharge has ceased and before it
is yet
turned in the direction of the breasts.
Moreover, some women suffer most at
the beginning
of their pregnancy and some at a later
period
when the embryo has had time to grow;
and
in some women it is a common occurrence
to
suffer from strangury towards the end
of
their time. As a general rule women
who are
pregnant of a male child escape comparatively
easily and retain a comparatively healthy
look, but it is otherwise with those
whose
infant is a female; for these latter
look
as a rule paler and suffer more pain,
and
in many cases they are subject to swellings
of the legs and eruptions on the body.
Nevertheless
the rule is subject to exceptions.
Women in pregnancy are a prey to all
sorts
of longings and to rapid changes of
mood,
and some folks call this the 'ivy-sickness';
and with the mothers of female infants
the
longings are more acute, and they are
less
contented when they have got what they
desired.
In a certain few cases the patient
feels
unusually well during pregnancy. The
worst
time of all is just when the child's
hair
is beginning to grow.
In pregnant women their own natural
hair
is inclined to grow thin and fall out,
but
on the other hand hair tends to grow
on parts
of the body where it was not wont to
be.
As a general rule, a man-child is more
prone
to movement within its mother's womb
than
a female child, and it is usually born
sooner.
And labour in the case of female children
is apt to be protracted and sluggish,
while
in the case of male children it is
acute
and by a long way more difficult. Women
who
have connexion with their husbands
shortly
before childbirth are delivered all
the more
quickly. Occasionally women seem to
be in
the pains of labour though labour has
not
in fact commenced, what seemed like
the commencement
of labour being really the result of
the
foetus turning its head.
Now all other animals bring the time
of pregnancy
to an end in a uniform way; in other
words,
one single term of pregnancy is defined
for
each of them. But in the case of mankind
alone of all animals the times are
diverse;
for pregnancy may be of seven months'
duration,
or of eight months or of nine, and
still
more commonly of ten months, while
some few
women go even into the eleventh month.
Children that come into the world before
seven months can under no circumstances
survive.
The seven-months' children are the
earliest
that are capable of life, and most
of them
are weakly-for which reason, by the
way,
it is customary to swaddle them in
wool,-and
many of them are born with some of
the orifices
of the body imperforate, for instance
the
ears or the nostrils. But as they get
bigger
they become more perfectly developed,
and
many of them grow up.
In Egypt, and in some other places
where
the women are fruitful and are wont
to bear
and bring forth many children without
difficulty,
and where the children when born are
capable
of living even if they be born subject
to
deformity, in these places the eight-months'
children live and are brought up, but
in
Greece it is only a few of them that
survive
while most perish. And this being the
general
experience, when such a child does
happen
to survive the mother is apt to think
that
it was not an eight months' child after
all,
but that she had conceived at an earlier
period without being aware of it.
Women suffer most pain about the fourth
and
the eighth months, and if the foetus
perishes
in the fourth or in the eighth month
the
mother also succumbs as a general rule;
so
that not only do the eight-months'
children
not live, but when they die their mothers
are in great danger of their own lives.
In
like manner children that are apparently
born at a later term than eleven months
are
held to be in doubtful case; inasmuch
as
with them also the beginning of conception
may have escaped the notice of the
mother.
What I mean to say is that often the
womb
gets filled with wind, and then when
at a
later period connexion and conception
take
place, they think that the former circumstance
was the beginning of conception from
the
similarity of the symptoms that they
experienced.
Such then are the differences between
mankind
and other animals in regard to the
many various
modes of completion of the term of
pregnancy.
Furthermore, some animals produce one
and
some produce many at a birth, but the
human
species does sometimes the one and
sometimes
the other. As a general rule and among
most
nations the women bear one child a
birth;
but frequently and in many lands they
bear
twins, as for instance in Egypt especially.
Sometimes women bring forth three and
even
four children, and especially in certain
parts of the world, as has already
been stated.
The largest number ever brought forth
is
five, and such an occurrence has been
witnessed
on several occasions. There was once
upon
a time a certain women who had twenty
children
at four births; each time she had five,
and
most of them grew up.
Now among other animals, if a pair
of twins
happen to be male and female they have
as
good a chance of surviving as though
both
had been males or both females; but
among
mankind very few twins survive if one
happen
to be a boy and the other a girl.
Of all animals the woman and the mare
are
most inclined to receive the commerce
of
the male during pregnancy; while all
other
animals when they are pregnant avoid
the
male, save those in which the phenomenon
of superfoetation occurs, such as the
hare.
Unlike that animal, the mare after
once conceiving
cannot be rendered pregnant again,
but brings
forth one foal only, at least as a
general
rule; in the human species cases of
superfoetation
are rare, but they do happen now and
then.
An embryo conceived some considerable
time
after a previous conception does not
come
to perfection, but gives rise to pain
and
causes the destruction of the earlier
embryo;
and, by the way, a case has been known
to
occur where owing to this destructive
influence
no less than twelve embryos conceived
by
superfoetation have been discharged.
But
if the second conception take place
at a
short interval, then the mother bears
that
which was later conceived, and brings
forth
the two children like actual twins,
as happened,
according to the legend, in the case
of Iphicles
and Hercules. The following also is
a striking
example: a certain woman, having committed
adultery, brought forth the one child
resembling
her husband and the other resembling
the
adulterous lover.
The case has also occurred where a
woman,
being pregnant of twins, has subsequently
conceived a third child; and in course
of
time she brought forth the twins perfect
and at full term, but the third a five-months'
child; and this last died there and
then.
And in another case it happened that
the
woman was first delivered of a seven-months'
child, and then of two which were of
full
term; and of these the first died and
the
other two survived.
Some also have been known to conceive
while
about to miscarry, and they have lost
the
one child and been delivered of the
other.
If women while going with child cohabit
after
the eighth month the child is in most
cases
born covered over with a slimy fluid.
Often
also the child is found to be replete
with
food of which the mother had partaken.
Part 5
When women have partaken of salt in
overabundance
their children are apt to be born destitute
of nails.
Milk that is produced earlier than
the seventh
month is unfit for use; but as soon
as the
child is fit to live the milk is fit
to use.
The first of the milk is saltish, as
it is
likewise with sheep. Most women are
sensibly
affected by wine during pregnancy,
for if
they partake of it they grow relaxed
and
debilitated.
The beginning of child-bearing in women
and
of the capacity to procreate in men,
and
the cessation of these functions in
both
cases, coincide in the one case with
the
emission of seed and in the other with
the
discharge of the catamenia: with this
qualification
that there is a lack of fertility at
the
commencement of these symptoms, and
again
towards their close when the emissions
become
scanty and weak. The age at which the
sexual
powers begin has been related already.
As
for their end, the menstrual discharges
ceases
in most women about their fortieth
year;
but with those in whom it goes on longer
it lasts even to the fiftieth year,
and women
of that age have been known to bear
children.
But beyond that age there is no case
on record.
Part 6
Men in most cases continue to be sexually
competent until they are sixty years
old,
and if that limit be overpassed then
until
seventy years; and men have been actually
known to procreate children at seventy
years
of age. With many men and many women
it so
happens that they are unable to produce
children
to one another, while they are able
to do
so in union with other individuals.
The same
thing happens with regard to the production
of male and female offspring; for sometimes
men and women in union with one another
produce
male children or female, as the case
may
be, but children of the opposite sex
when
otherwise mated. And they are apt to
change
in this respect with advancing age:
for sometimes
a husband and wife while they are young
produce
female children and in later life male
children;
and in other cases the very contrary
occurs.
And just the same thing is true in
regard
to the generative faculty: for some
while
young are childless, but have children
when
they grow older; and some have children
to
begin with, and later on no more.
There are certain women who conceive
with
difficulty, but if they do conceive,
bring
the child to maturity; while others
again
conceive readily, but are unable to
bring
the child to birth. Furthermore, some
men
and some women produce female offspring
and
some male, as for instance in the story
of
Hercules, who among all his two and
seventy
children is said to have begotten but
one
girl. Those women who are unable to
conceive,
save with the help of medical treatment
or
some other adventitious circumstance,
are
as a general rule apt to bear female
children
rather than male.
It is a common thing with men to be
at first
sexually competent and afterwards impotent,
and then again to revert to their former
powers.
From deformed parents come deformed
children,
lame from lame and blind from blind,
and,
speaking generally, children often
inherit
anything that is peculiar in their
parents
and are born with similar marks, such
as
pimples or scars. Such things have
been known
to be handed down through three generations;
for instance, a certain man had a mark
on
his arm which his son did not possess,
but
his grandson had it in the same spot
though
not very distinct.
Such cases, however, are few; for the
children
of cripples are mostly sound, and there
is
no hard and fast rule regarding them.
While
children mostly resemble their parents
or
their ancestors, it sometimes happens
that
no such resemblance is to be traced.
But
parents may pass on resemblance after
several
generations, as in the case of the
woman
in Elis, who committed adultery with
a negro;
in this case it was not the woman's
own daughter
but the daughter's child that was a
blackamoor.
As a rule the daughters have a tendency
to
take after the mother, and the boys
after
the father; but sometimes it is the
other
way, the boys taking after the mother
and
the girls after the father. And they
may
resemble both parents in particular
features.
There have been known cases of twins
that
had no resemblance to one another,
but they
are alike as a general rule. There
was once
upon a time a woman who had intercourse
with
her husband a week after giving birth
to
a child and she conceived and bore
a second
child as like the first as any twin.
Some
women have a tendency to produce children
that take after themselves, and others
children
that take after the husband; and this
latter
case is like that of the celebrated
mare
in Pharsalus, that got the name of
the Honest
Wife.
Part 7
In the emission of sperm there is a
preliminary
discharge of air, and the outflow is
manifestly
caused by a blast of air; for nothing
is
cast to a distance save by pneumatic
pressure.
After the seed reaches the womb and
remains
there for a while, a membrane forms
around
it; for when it happens to escape before
it is distinctly formed, it looks like
an
egg enveloped in its membrane after
removal
of the eggshell; and the membrane is
full
of veins.
All animals whatsoever, whether they
fly
or swim or walk upon dry land, whether
they
bring forth their young alive or in
the egg,
develop in the same way: save only
that some
have the navel attached to the womb,
namely
the viviparous animals, and some have
it
attached to the egg, and some to both
parts
alike, as in a certain sort of fishes.
And
in some cases membranous envelopes
surround
the egg, and in other cases the chorion
surrounds
it. And first of all the animal develops
within the innermost envelope, and
then another
membrane appears around the former
one, which
latter is for the most part attached
to the
womb, but is in part separated from
it and
contains fluid. In between is a watery
or
sanguineous fluid, which the women
folk call
the forewaters.
Part 8
All animals, or all such as have a
navel,
grow by the navel. And the navel is
attached
to the cotyledon in all such as possess
cotyledons,
and to the womb itself by a vein in
all such
as have the womb smooth. And as regards
their
shape within the womb, the four-footed
animals
all lie stretched out, and the footless
animals
lie on their sides, as for instance
fishes;
but two-legged animals lie in a bent
position,
as for instance birds; and human embryos
lie bent, with nose between the knees
and
eyes upon the knees, and the ears free
at
the sides.
All animals alike have the head upwards
to
begin with; but as they grow and approach
the term of egress from the womb they
turn
downwards, and birth in the natural
course
of things takes place in all animals
head
foremost; but in abnormal cases it
may take
place in a bent position, or feet foremost.
The young of quadrupeds when they are
near
their full time contain excrements,
both
liquid and in the form of solid lumps,
the
latter in the lower part of the bowel
and
the urine in the bladder.
In those animals that have cotyledons
in
the womb the cotyledons grow less as
the
embryo grows bigger, and at length
they disappear
altogether. The navel-string is a sheath
wrapped about blood-vessels which have
their
origin in the womb, from the cotyledons
in
those animals which possess them and
from
a blood-vessel in those which do not.
In
the larger animals, such as the embryos
of
oxen, the vessels are four in number,
and
in smaller animals two; in the very
little
ones, such as fowls, one vessel only.
Of the four vessels that run into the
embryo,
two pass through the liver where the
so-called
gates or 'portae' are, running in the
direction
of the great vein, and the other two
run
in the direction of the aorta towards
the
point where it divides and becomes
two vessels
instead of one. Around each pair of
blood-vessels
are membranes, and surrounding these
membranes
is the navel-string itself, after the
manner
of a sheath. And as the embryo grows,
the
veins themselves tend more and more
to dwindle
in size. And also as the embryo matures
it
comes down into the hollow of the womb
and
is observed to move here, and sometimes
rolls
over in the vicinity of the groin.
Part 9
When women are in labour, their pains
determine
towards many divers parts of the body,
and
in most cases to one or other of the
thighs.
Those are the quickest to be delivered
who
experience severe pains in the region
of
the belly; and parturition is difficult
in
those who begin by suffering pain in
the
loins, and speedy when the pain is
abdominal.
If the child about to be born be a
male,
the preliminary flood is watery and
pale
in colour, but if a girl it is tinged
with
blood, though still watery. In some
cases
of labour these latter phenomena do
not occur,
either one way or the other.
In other animals parturition is unaccompanied
by pain, and the dam is plainly seen
to suffer
but moderate inconvenience. In women,
however,
the pains are more severe, and this
is especially
the case in persons of sedentary habits,
and in those who are weak-chested and
short
of breath. Labour is apt to be especially
difficult if during the process the
woman
while exerting force with her breath
fails
to hold it in.
First of all, when the embryo starts
to move
and the membranes burst, there issues
forth
the watery flood; then afterwards comes
the
embryo, while the womb everts and the
afterbirth
comes out from within.
Part 10
The cutting of the navel-string, which
is
the nurse's duty, is a matter calling
for
no little care and skill. For not only
in
cases of difficult labour must she
be able
to render assistance with skilful hand,
but
she must also have her wits about her
in
all contingencies, and especially in
the
operation of tying the cord. For if
the afterbirth
have come away, the navel is ligatured
off
from the afterbirth with a woollen
thread
and is then cut above the ligature;
and at
the place where it has been tied it
heals
up, and the remaining portion drops
off.
(If the ligature come loose the child
dies
from loss of blood.) But if the afterbirth
has not yet come away, but remains
after
the child itself is extruded, it is
cut away
within after the ligaturing of the
cord.
It often happens that the child appears
to
have been born dead when it is merely
weak,
and when before the umbilical cord
has been
ligatured, the blood has run out into
the
cord and its surroundings. But experienced
midwives have been known to squeeze
back
the blood into the child's body from
the
cord, and immediately the child that
a moment
before was bloodless came back to life
again.
It is the natural rule, as we have
mentioned
above, for all animals to come into
the world
head foremost, and children, moreover,
have
their hands stretched out by their
sides.
And the child gives a cry and puts
its hands
up to its mouth as soon as it issues
forth.
Moreover the child voids excrement
sometimes
at once, sometimes a little later,
but in
all cases during the first day; and
this
excrement is unduly copious in comparison
with the size of the child; it is what
the
midwives call the meconium or 'poppy-juice'.
In colour it resembles blood, extremely
dark
and pitch-like, but later on it becomes
milky,
for the child takes at once to the
breast.
Before birth the child makes no sound,
even
though in difficult labour it put forth
its
head while the rest of the body remains
within.
In cases where flooding takes place
rather
before its time, it is apt to be followed
by difficult parturition. But if discharge
take place after birth in small quantity,
and in cases where it only takes place
at
the beginning and does not continue
till
the fortieth day, then in such cases
women
make a better recovery and are the
sooner
ready to conceive again.
Until the child is forty days old it
neither
laughs nor weeps during waking hours,
but
of nights it sometimes does both; and
for
the most part it does not even notice
being
tickled, but passes most of its time
in sleep.
As it keeps on growing, it gets more
and
more wakeful; and moreover it shows
signs
of dreaming, though it is long afterwards
before it remembers what it dreams.
In other animals there is no contrasting
difference between one bone and another,
but all are properly formed; but in
children
the front part of the head is soft
and late
of ossifying. And by the way, some
animals
are born with teeth, but children begin
to
cut their teeth in the seventh month;
and
the front teeth are the first to come
through,
sometimes the upper and sometimes the
lower
ones. And the warmer the nurses' milk
so
much the quicker are the children's
teeth
to come.
Part 11
After parturition and the cleasing
flood
the milk comes in plenty, and in some
women
it flows not only from the nipples
but at
divers parts of the breasts, and in
some
cases even from the armpits. And for
some
time afterwards there continue to be
certain
indurated parts of the breast called
strangalides,
or 'knots', which occur when it so
happens
that the moisture is not concocted,
or when
it finds no outlet but accumulates
within.
For the whole breast is so spongy that
if
a woman in drinking happen to swallow
a hair,
she gets a pain in her breast, which
ailment
is called 'trichia'; and the pain lasts
till
the hair either find its own way out
or be
sucked out with the milk. Women continue
to have milk until their next conception;
and then the milk stops coming and
goes dry,
alike in the human species and in the
quadrupedal
vivipara. So long as there is a flow
of milk
the menstrual purgations do not take
place,
at least as a general rule, though
the discharge
has been known to occur during the
period
of suckling. For, speaking generally,
a determination
of moisture does not take place at
one and
the same time in several directions;
as for
instance the menstrual purgations tend
to
be scanty in persons suffering from
haemorrhoids.
And in some women the like happens
owing
to their suffering from varices, when
the
fluids issue from the pelvic region
before
entering into the womb. And patients
who
during suppression of the menses happen
to
vomit blood are no whit the worse.
Part 12
Children are very commonly subject
to convulsions,
more especially such of them as are
more
than ordinarily well-nourished on rich
or
unusually plentiful milk from a stout
nurse.
Wine is bad for infants, in that it
tends
to excite this malady, and red wine
is worse
than white, especially when taken undiluted;
and most things that tend to induce
flatulency
are also bad, and constipation too
is prejudicial.
The majority of deaths in infancy occur
before
the child is a week old, hence it is
customary
to name the child at that age, from
a belief
that it has now a better chance of
survival.
This malady is worst at the full of
the moon;
and by the way, it is a dangerous symptom
when the spasms begin in the child's
back.
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