This immoderate monthly flow is defined
as a sanguineous discharge, as it consists merely of blood, wherein it
differs from the false courses or whites, of which I shall speak further
on. Secondly, it is said to proceed from the womb; for there are two
ways in which the blood issues forth; one by the internal veins of the
body of the womb (and this is properly called the monthly flow), the
other is by those veins which terminate in the neck of the matrix, which
Aetius calls haemorrhoids of the womb. In quantity, Hippocrates said, it
should be about eighteen ounces, and they should last about three days:
and when the faculties of the body are weakened by their flow, we may
take it that the discharge is inordinate. In bodies which abound in
gross humours, this immoderate flow sometimes unburdens nature of her
load and ought not to be checked without a physician's advice.
CAUSE.
The cause is either internal or external. The internal cause is
threefold; in the substance, the instrument or the power. The matter,
which is the blood, may be vitiated in two ways; first, by the heat of
the constitution, climate or season, heating the blood, whereby the
passages are dilated, and the power weakened so that it cannot retain
the blood. Secondly, by falls, blows, violent motions, rupture of the
veins, etc.
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