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M

E

D

Arter bleec1ing and clyf1ers,

ir

lh e

pOli n

ll ill

conlinuc¡

viol/;'nt, thc:re

will

b..! oq Ollnner of danger in giving opi–

ates,

by whi.:h

mt:ans {he

ex t.:ruCiOiting

pain \Vd l be

llle–

viatcd, the fp:¡(ms

appcaf~d,

and a brearhlng

fw~at

wi!l

(o'low. \Vhen tbis is dane. a nd

(he

f,-'ver is abated,

rhere wi)) be no

cec'Ilion

ro

COn(illUe

the diJuting, relaxing,

:lnd moi!!cning

m~dicincs,

b Ul

racher che ncrvous :Ind cor–

roboraling.

I f the paticnt

fllrv ives

three days, ano rhe

acuteners of

rhe paio ;Ibates, with a chilncfs or (hivering tbroughout

l he

body,

ir 15 a fign of a fuppurarion : then within (uur–

teen days ,he impafthume will break; and if

i,

faHs in,a

lhe cavity of the abdomen,

it

\ViII

corrllpt

(he whole Ihafs

of fiuids. putrefy rhe virt.:era. ;,lnd tu ro to an afeites;

'whence tht: p::ttient will die of a conrumption.

In

,h is

c.fe.

whey aod eha/ybe"e wa,ers are likely to

prave mofl beneficia!.

If

the

ft:va

ccOlinues, with clammy fwc::tts, p::tleners,

20

¡chorous diarrhcea, fetid, black, or like the

w~l'hillgs

of flerh, a fmall intcrmitting pul

fe, 'lnd

at lal1

a

total

cena–

tio-o

of pain; tbey are figns of

a

gangrene

and

aD

ap–

proJ.dling dC3rh .

O/Ih(

NEPHJl ITI S,

or

I!'fFLAMMATION

o( JIu

KrD NEY s.

THE rymptoms of

a

nephritis are,

a

gre3t inB:¡rnma–

'tory. pungenl,

burning pain,

in the place where the kid–

neys are fj[uated,

auended

Wilh

a

rever;

lhe urine is

made often, bUl fmall in quantity, and very red or fl ame–

coloo red, yet, iD the hlghefl degree of ,he difeafe. watry.

There is a numbnefs

01'

the thigh, and a pain in the groio

and lhe telticle, of rhe fame Gde; a

paio

in the ilium,

biJious vomiting, and continual eruétations.

When the jnR:1mmation is deep, the ft:ver violent, the

burning pain in ,he loins /alting, ,he difficulty af making

" 'ater great, the body

very

coHive, the anxieey and

Ilraitnefs

of the prrecordja exquifite, the urint crudc

and

white; likewife if the pa¡n

co.ntinues

ltll the

fourtee nth

day. the kidney

wiU

fuppur ate; which is

known

from

the abating of lhe paj.n, and from [he thick purulent fe·

diment of the urine. This \ViII

fometim~s

·lcdl feveral

ye",s, ,in there is nothing lef, of ,he ki¿ney bo, a bag:

It is attended with a heétic fever . and

lhe

patient before

h e dies i, almufl red"ced

10

a O<elelO n. If ,he bag hap.

peos to burn. it brings

On

a r(:temion of urine, and

in ·

tolerable p;¡ins, which end in deatll.

Ir

it ccotioues beyond lhe fevcmh day, ao

ahfc~fs

is

t O

be fcued, which ís k no'.\.'n

to

be forming

by

a rt:lllífTion

of the p;¡in, fnceceded

by

a pulfatíon in the

plrt, 3i1d

chilnefs and fhivcring

often rctllrning.

,

When lhe dífeare is

r;l\'our:t~lc.

it is

curcd

by refolu

tion, of a copious, red, and thick urine di(cJl3.rgcu

al

one

time,

or

by

a I.uge flu

K

c.>f

blood (rom

lhe

IlxmorrhoiJell

vejoJ,

in the

bc~ínnin;.!

of

the difc"ft:,

h

is cured by plemi:ul Llt!cning, revuIfion and d,¡ution;

by fort, emall:cn••

an.ip

:lIogillie d«otlions .

'Vhln a burning

;-..r...J

fixed pain in lh.! loinl'

continucs

for fome time, ie is a (jgn th:n the vcn:¡)

vd)~¡s

are flufE

ed and obfirutled wirh a thick blood , which rC'quircs

immcdiatc blceding in ,he

{OOt

j

or

ir

there

is a difjlOfi.

tion

'o

a h:t:morrhuidal

O"X,

apply

Iccdl~s

'o

,he

aOUS.

e

N

E.

95

Afrerw:uds givc fuch lhings as temperatc the he2t of the

hlooo , and promote a free circuh..tion, Wilh a diaphorefis .

For which purpore, cmulfions, demulcents. diluents, an–

ti fpa(illodics, diaphorc:tic powde-rs, with cinnabar

and ni–

tre, are prefcrable

lO

every thing elrc.

Emallien, cly{lers, wi,hoo, any f. line Or porging lIi–

mnlos, are ,he principal help in ,his difeafe.

They

may

be made of mi lk, whey. or foft water, in which elder

and

chamomile

flowers have been boiled ; tO which add

an ounceortWO ef fyrup ofOlarnlmallows, and a dram of

nitre.

When there are convulfions, or exceílive

p~in,

opiates

are proper. If the vomiting, a fymptom of this d¡(ea(e,

is too frequent, warm water fwcceened with honey is

beneficia/.

The

patient fhould

avoid all

acrimonious aliment;

he

fhould milher lle

t OO

boto nor on his b.ick.

Vvhen

aa ab(cefs is formed,

the

medicines mua be

powerful1y maturatlng aad emollient: When the urine

appears puruJent, tht:y mul1 be diuretics

of

medicated wa·

ters, whey, and the like

j

together with balfarnics.

Emuloons are likewife ufefol af ,he faur cold feed.

and (weet almonds.

Sorne

.anribute

a great

virtue to

cht.:rry-tfee

gum diffolved in whty or water, and

taken

aften. A /fo fy rup uf ma,01lIlalla"" is very ufeful. Add

to thefe, the dt:coétion

of

veronicCl,

f

weetened wlth honey,.

and mixed with pO\lId er of nutmegs.

Butter milk , not

very

(ou r, hCiS beeo reckoned::t great

fecrel in ulc..:rs of

tbe

kidneys; and chaJybeale

Waters.

have been beneficial 'o fome. Sproce· beer is a gaod bal–

{amic in this

cafe.

0J/he

ISF LAMMA TloN

oJ /he

BLADDE'.

TH

E

pathognomoníc

fOI

t

of

this

difc:afe are,

a D

acute,

buroing, preHing pain in the region of the pubes, attend–

ed with a fever, a continual tentÍmus or defire

of

going,

to flool. and a perpetual flrivtn g

10

nH'Ike

water.

Other

fymptoms

are, a rU01bling of lhe bo wels, grip ..

ping paios, great aoxiety of the pfrel.ordia, difficult breath.

ing, waot of

~ppctlte,

vomiting, cordners

of

the extreme–

p lns,

a hard, quick, unequal, contraéted pulfe, inquie–

tod!!.

and

rometimcs con \'ulfions.

Thcre is another kino

which

is more

fuper6cia l,

and

i,

eilher rheum:nic or ery(jpe!.uous, in which

the

(ever is

more e,rily ."d fpeedi /y cured by promo,ing

a

di.phoreos :

And pt!rfons in years, or who ar.e ;lff'eéled with the fcur–

vy,

gOl1t,

rheu(n~ej (m.

or

violent head -achs, are

mofl

[objcél ta i,; efpcei,!/y if they ca,ch eald by being ex–

pOfl'J tO

(he

rigour of a cold nonh-wind .

Thc forme , arifes moll commonly from the Ooppage of

lhe menres, blt.:r:d ing. piles, or othe r

ufual

fanguin;¡ry e .

\'<tcuations;

ane

I:Ot

fclJolll

(ro:n a' violcnt gonorrhrea un–

O,i l:ully fupp'cfled by allringcnts, or when trea,ed by

m(:d:cines

llr VlO

fhurp ;tnd hot a naturc.

'r'his

dilc.tfe

is

m~rtal,

ir

it

tcrmin;ttes in an ulcer or

m oniGcltion. '

'The cnrt! mufl be :Htenlpterl with bleeding in the reet ,

if

a fuppreffion of

(he

m~nfes

or h-:Emorrhoidal flux hl! lhe

c'Hlre.

Ir

ir procceds from lhe fcurvy.

&c.

rccourfc mua

be

bad

lO

geDdc

dirtphoretic~)

diluents, and remedies ",llich,

obtunc1