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“When the womb remains in the upper abdomen, the suffocation is similar to that caused by the purgative hellebore, with stiff breathing and sharp pains in the heart. Some women spit up acid saliva, and their mouths are full of fluid, and their legs become cold. In such cases, if the womb does not leave the upper abdomen directly, the women lose their voices, and their head and tongue are overcome by drowsiness. If you find such women unable to speak and with their teeth chattering, insert a pessary of wool, twisting it round the shaft of a feather in order to get it in as far as possible-dip it either in white Egyptian perfume or myrtle or bacchar or marjoram. Use a spatula to apply black medicine (the kind you use for the head) to her nostrils. If this is not available, wipe the inside of her nostrils with silphium, or insert a feather that you have dipped in vinegar, or induce sneezing. If her mouth is closed tight and she is unable to speak, make her drink castoreum in wine. Dip your finger in seal oil and wipe inside her nostrils. Insert a wool pessary, until the womb returns, and remove it when the symptoms disappear. But if, when you take the pessary out, the womb returns to the upper abdomen, insert the pessary as you did before, and apply beneath her nostrils fumigations of ground-up goat or deer horn, to which you have added hot ashes, so that they make as much smoke as possible, and have her inhale the vapour up through her nose as long as she can stand it. It is best to use a fumigation of seal oil: put the coals in a pot and wrap the woman upexcept for her head. So that as much vapour as possible is emitted, drip a little fat on it, and have her inhale the vapour. She should keep her mouth shut. This is the procedure if the womb has fallen upward out of place ...”

Wandering womb, water and worms: the history, myths and messy immunologic etiology of preeclampsia/eclampsia