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