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As in some women, the cotyledones are so closed up that nothing but copulation will open them, yet it will be well to relieve the woman as much as possible by opening the hemoroid veins by applying a leech. After bleeding let the place be prepared and made flexible with syrup of stychas, calamint, betony, hyssop, mugwort, horehound, fumitary, maidenhair.
Pilulae sumariae, pilulae lud. delupina, lazuli diosena and confetio hamec are purges of bile. Take two ounces of pounded prunes, one drachm of senna, a drachm and a half each of epithimium, polypody and fumitary, and an ounce of sour dates, and make a decoction with endive water; take four ounces of it and add three drachms of hamesech and three of manna.
If the flow be bilious, treat the patient with syrup of maiden-hair; epithynium, polypody, borage, buglos, fumitary, hart's tongue and syrups, bisantius, which must be made without vinegar, else it will assist the disease instead of nature, for melancholy is increased by the use of vinegar, and both Hippocrates, Silvius and Avenzoar reject it as injurious for the womb, and therefore not to be used internally in uterine diseases.
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