The Works of Aristotle the Famous Philosopher - Aristotle (ebook reader for pc TXT) 📗
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In attending on women, if the birth happens to be difficult, she must not seem to be anxious, but must cheer the woman up and do all she can to make her labour easy. She will find full directions for this, in the second part of this book.
She must never think of anything but doing well, seeing that everything that is required is in readiness, both for the woman and for receiving the child, and above all, let her keep the woman from becoming unruly when her pains come on, lest she endanger her own life, and the child's as well.
She must also take care not to be hurried over her business but wait God's time for the birth, and she must by no means allow herself to be upset by fear, even if things should not go well, lest that should make her incapable of rendering that assistance which the woman in labour stands in need of, for where there is the most apparent danger, there the most care and prudence are required to set things right.
And now, because she can never be a skilful midwife who knows nothing but what is to be seen outwardly, I do not think it will be amiss but rather very necessary, modestly to describe the generative parts of women as they have been anatomised by learned men, and to show the use of such vessels as contribute to generation.
CHAPTER XIII
The External, and Internal Organs of Generation in Women.
If it were not for the public benefit, especially for that of the professors and practitioners of the art of midwifery, I would refrain from treating the secrets of Nature, because they may be turned to ridicule by lascivious and lewd people. But as it is absolutely necessary that they should be known for the public good, I will not omit them because some may make a wrong use of them. Those parts which can be seen at the lowest part of the stomach are the fissure magna, or the great cleft, with its labia or lips, the Mons Veneris, or Mountain of Venus, and the hair. These together are called the pudenda, or things to be ashamed of because when they are exposed they cause a woman pudor, or shame. The fissure magna reaches from the lower part of the os pubis, to within an inch of the anus, but it is less and closer in virgins than in those who have borne children, and has two lips, which grow thicker and fuller towards the pubis, and meeting on the middle of the os pubis, form that rising hill which is called the Mons Veneris, or the Hill of Venus.
Next come the Nymphae and the Clitoris, the former of which is a membrany and moist substance, spongy, soft and partly fleshy, of a red colour and in the shape of two wings, which are joined at an acute angle at their base, producing a fleshy substance there which covers the clitoris, and sometimes they extend so far, that an incision is required to make room for a man's instrument of generation.
The Clitoris is a substance in the upper part of the division where the two wings meet, and the seat of venereal pleasure, being like a man's penis in situation, substance, composition and power of erection, growing sometimes to the length of two inches out of the body, but that never happens except through extreme lustfulness or some extraordinary accident. This clitoris consists of two spongy and skinny bodies, containing a distinct original from the os pubis, its tip being covered with a tender skin, having a hole or passage like a man's yard or penis, although not quite through, in which alone, and in its size it differs from it.
The next things are the fleshy knobs of the great neck of the womb, and these knobs are behind the wings and are four in number, resembling myrtle berries, and being placed quadrangularly one against the other, and here the orifice of the bladder is inserted, which opens into the fissures, to evacuate the urine, and one of these knobs is placed before it, and closes up the passage in order to secure it from cold, or any suchlike inconvenience.
The lips of the womb, which appear next, disclose its neck, if they are separated, and two things may be observed in them, which are the neck itself and the hymen, or more properly, the claustrum virginale, of which I have spoken before. By the neck of the womb we must understand the channel that lies between the above-mentioned knobs and the inner bone of the womb, which receives the penis like a sheath, and so that it may be more easily dilated by the pleasure of procreation, the substance is sinewy and a little spongy. There are several folds or pleats in this cavity, made by tunicles, which are wrinkled like a full blown rose. In virgins they appear plainly, but in women who are used to copulation they disappear, so that the inner side of the neck of the womb appears smooth, but in old women it is more hard and gristly. But though this channel is sometimes crooked and sinks down yet at the times of copulation, labour, or of the monthly flow, it is erected or distended, which overtension occasions the pain in childbirth.
The hymen, or claustrum virginale, is that which closes the neck of the womb, and is broken by the first act of copulation; its use being rather to check the undue menstrual flow in virgins, rather than to serve any other purpose, and usually when it is broken, either by copulation, or by any other means, a small quantity of blood flows from it, attended with some little pain. From this some observe that between the folds of the two tunicles, which constitute the neck of the womb there are many veins and arteries running along, and arising from, the vessels on both sides of the thighs, and so passing into the neck of the womb, being very large; and the reason for this is, that the neck of the bladder requires to be filled with great vigour, so as to be dilated, in order that it may lay hold of the penis better; for great heat is required in such motions, and that becomes more intense by the act of friction, and consumes a considerable amount of moisture, for supplying which large vessels are absolutely necessary.
Another cause of the largeness of the vessels is, that menses make their way through them, which often occasions pregnant women to continue menstruating: for though the womb be shut up, yet the passages in the neck of the womb through which these vessels pass, are open. In this case, we may further observe, that as soon as the pudenda are penetrated, there appear two little pits or holes which contain a secretion, which is expelled during copulation, and gives the woman great pleasure.
CHAPTER XIVA description of the Fabric of the Womb, the preparing Vessels and Testicles in Women. Also of the Different and Ejaculatory Vessels.
The womb is joined to its neck in the lower part of the Hypogastrium where the hips are the widest and broadest, as they are greater and broader there than those of men, and it is placed between the bladder and the straight gut, which keeps it from swaying, and yet gives it freedom to stretch and dilate, and again to contract, as nature requires. Its shape is somewhat round and not unlike a gourd, growing smaller and more acute towards one end, being knit together by its own ligaments; its neck likewise is joined by its own substance and by certain membranes that fasten into the os sacrum and the share-bone. Its size varies much in different women, and the difference is especially great between those who have borne children and those who have had none. Its substance exceeds a thumb's breadth in thickness, and so far from decreasing conception, it rather increases; and in order to strengthen it it is interwoven with fibres which cross it from side to side, some of which are straight and some winding, and its proper vessels are veins, arteries and nerves. Amongst these there are two small veins which pass into the womb from the spermatic vessels, and two larger ones from the neck: the mouth of these veins pierces as far as the inward cavity.
The womb has two arteries on both sides of the spermatic vessels and the hypogastric, which accompany the veins; and besides these, there are several little nerves in the form of a net, which extend throughout it, from the bottom of the pudenda; their chief function is sensibility and pleasure, as they move in sympathy between the head and the womb.
It may be further noted that the womb is occasionally moveable by means of the two ligaments that hang on either side of it, and often rises and falls. The neck of the womb is extremely sensitive, so that if it be at any time out of order through over fatness, moisture or relaxation, it thereby becomes subject to barrenness. With pregnant women, a glutinous matter is often found at the entrance to the womb so as to facilitate the birth; for at the time of delivery, the mouth of the womb is opened as wide as the size of the child requires, and dilates equally from top to bottom.
The spermatic vessels in women, consist of two veins and two arteries, which differ from those of men only in size and the manner of their insertion; for the number of veins and arteries is the same as in men, the right vein issuing from the trunk of the hollow vein descending and besides them there are two arteries, which flow from the aorta.
These vessels are narrower and shorter in women than in men; but it must be noticed that they are more intertwined and contorted than in men, and shrink together by reason of their shortness that they may, by their looseness, be better stretched out when necessary: and these vessels in women are carried in an oblique direction through the lesser bowels and testicles but are divided into two branches half way. The larger goes to the stones and forms a winding body, and wonderfully inoculates the lesser branches where it disperses itself, and especially at the higher part of the bottom of the womb, for its nourishment, and that part of the courses may pass through the vessels; and seeing that women's testicles are situated near the womb, for that cause those vessels do not fall from the peritoneum, nor do they make so much passage as in men, as they do not extend to the share-bone.
The stones of woman, commonly called testicles, do not perform the same function as in men, for they are altogether different in position, size, temperature, substance, form and covering. They are situated
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