1000000031

O!thr

H\"DROCtLt ,

D. ops y

o! thr

S CR OTUM .

T I!' hydrocele, caIled ,he Jrop(y of ,he Ccr" ,um,

hrrnlQ l/ViI"Ji"

and lhe d ropfy of tbe (enicle, is

<le–

q ueous tumour of lhe f-.:rolum ,

Though

aUlhors meo–

tlon feveral kinds, there are

bU I (\VD.

The

tidt

¡SI

when

the

WAter

is contained in

lhe

lunie"

~tlginalis;

the

fe!·

cond . whcn

is contained in lhe

cellula·-

membrane of

the

r~rotum.

This Jatl is alman always complicated with

ao anafarea. a kiod of dropfy which confiIts m lhe e.xtra–

v..fatioll of

lhe

water

which

lodges

in lhe

..:ell,

of lhe

ml:mbr~na

adipofd.

The hyJroceJe in this caCe is known

withOUI JOy

duncuhy; for

Ihe

fkln

fhining

and

(oft,

yieldlOg eafi ly

a Oight

imprdlion,

which will remaio

pitted tor (ome

time;

lhe penís is

alfo fometimes proa i–

giouOy Cwdl<d by , he liquor which ioGouates ioto ,he cel–

lular mémbr.. ne. Thcre

none of (hefe fymptoms in

Ihe dropfy of Ihe ,uoica vagiMlis.

lo the dropry of ,h< cellular membraoe of ,he Ccrotum,

fome rccommend (he punéture wlth a lrochart; others,

make Cmall apertures ht'rc and there with

lhe POiOI

of a

laocel.; o,hers,

po< a Cm,li (kaoe ofGlk ,hrough ,he (kio

with

necdle. and to Jet

remaio as a

fClon,

t¡tI

all

lhe

water is draineJ off.

BUl

lhe

( \VD

firn methods yield very

linle •elief, and ,he lall may be more likely

ioduce a

gangrene ...

Nor is (here occaGon for any operation

aJl,

becaufe the cdlular mcmbrane of rhe rerarum is nothing

bUI a continu.uion

lhe membrana adipofa; and there(ore

fc..ific..ioos made io .he n"o of ,he Cm.1I of ,he legs

wilI efFeéludlly

e.mp

'y ,he fero,um .

Yet

rOlllctimes there

(alls fo great a quantity of water

ioto the

rC~otum.

that lhe diHenGon is very

pClinful,

rhreaten.ing a

monification.

L ikewife lhe prepuce very

often is fo exceffively dilated

Clnd

twined, that il hioders

the patient fr offi making

Jter.

In théfe cafes there (hould be ao ¡ncifion made

each

lide the fcrotum, three inches io length , quite through

the Ikin, iOto the ceU! which contaio che water; aod Ilke–

",ife two or three, half ao inch loog. io aoy pan of the

peoís, with a lancet or knife.

T he drop'fy of ,he '

cn.ea

ngioalis is caured by ao ex·

ceffi\'c accumulation of a fe ro(jty. whieh is naturd.lJy fepa.

rated in the inceroal (

urfd.ee

of chat tunic in a fmall

qu.tn

–

tity, to moifleo ttod lubricate lhe te(licle. Authors have

hitherto d1HineU\(hed tl:cm

~n;o

two [lln! ; rhe one on

the infide of Ihe tunica vagiocllis:

20d

lhe other

0 0

the

out!ide, bctween that and {he (cromm , which they fu p–

pore

proceed f, om water in the dropfy afcites. RU(

anatomy filews the abfurdity of lhis o¡>inion . for befidcs

,ha, perfoos aRliéled ","h ,his kiod of hyd rucele hHe Cel.

dom any othel dropCy, and thore who ha\'e rhe .ifeites are

free from lhls h yd roccle. the tunica

vtt~in~lis

is like a

purCe quite !hUt up

the oUlfidc of lhe abdomen,

that

the

Water

caonnt infinua te iOlo ir fr(lm any pétrt .

tOlhe: nOtron thflttthe water fal ls from the abc.lomeo in–

to lhe incerlfice betwet:n (he tunica

v~g;nfllis

3nd lhe fcro·

tumo

is equally iOlpoflib le , F nr (hough in (he:

intdIio.tl

rupture the: SUt falls into thls plflce, yet

in~~

the

pU llO·

nzum along wi(h it, and lhfl t will prevent lhe

l.l4r.j~

of Ihe

""ate:r. This is a ci rcunlfi.1 nce the ancients were unricq ufliot–

wi'h, aOlJ ,he_moderns have

DO'

Cufficieotly ."eod.J

'0_

111

Thi,di(orderis reldom .ttended wi,h paio io the begio–

ning, contrary tO what harperis in lhe heroi .. of the epi–

plo,)o, and of lhe ¡oteHine: ; nor is

often Ihe

eíFcél:

any acciJenr.

never diminilhes

wheo

once begun, but

~enerally

continues to lncreafe : bUI io fome perfons not

fo quick as in others, lo one perron it \ViII grow to a

very pai nCul ditlenlion in a few Olonths ; in another

{hall

not be troublerome

many years; nay, it nlall ceafe

fwell at a cen ain period,

and

lI. Cterwards continue

:[1

thal (late without any notable diradvaotage.

HUl

this

is rareo

n proponion as it enlarges, it becnOles more tenfe.

and then is faid

be tranCpárent : but this is not al–

ways the cafe ; for Cometime! the {crot um is vt ry much

thickened, and tbe warer ¡t{df opake; fo thac 'to j l.ldge

pofitively if ,here be a flu"l, we mull be guided by feel–

ing a flu(tuation; and though fometirflC:s it is not very e..

vident, yet we may be fure there is a fi\:lid of fome kind,

we are cerrain that lhe difienúoo of lhe tunica vagina....

Jis makes the tumour.

' oV"hen a gut, or (he omentum, fo rm the rwelling,

is foft and pliabJe, unlcfs inflamed. and uneven in the

furface, and reaches from the {crotum iota the very ab–

domen

wbereas the hydroce le is tenfe and fmooth , and

ceafes before, or whco

arrives at the rtogs of the abd().oo

minal mufcles.

When

t.he

tefijcle is increafe:d in fize, the tumour is

rounder. and o

nOI attended with ao enlargemeot of the

Cpermotic velr.!s, ,he cord may be eaGly dtflinguifhed be–

tween the tumour and the abdomen; but without lhis the

pain or ,he ,'erygrea, bardoeCs will d iCcove r i. ' o be a

diC–

eafe of ,he ' ellicle.

As to the cure, 1ittle i! to he expeéled e¡ther from

in·

ward medicines o r outward appllc.uions . Therefore it:

will be mon advifeable to wait ull the tumour becornes

troublefome, and then to tap it with a lancel.

Of the

JA U X DICE.

jauodice is a diCea(e ;vhich, is principally dirc,,"

vered by (he yellow tin8ure of che Ikin, bUl mo(l dí(linét–

Iy in the coats of the eyes, whe. e it gives lhe 6r(l notice

of its invé!Gon .

Tlle fymptoms are, heavinefs, ina(tivity, laffirude of

,he \Vhole body, aoxie,y, uneaG oeCs abou, ,he hypochon–

dn~ ,

(j,'kncfs

3 1

Ihe f.t om..cb, oppreffi on io lhe brean.

d iffi cuh rcfpirarion, a dry and

h.trO,

fu in, colfivenefs,

hard white excremeOIS, yeIJow liigh.coloured urine,

which \\oill tin8nre lioneo or pa per Wilh a faffron hue ;

1here is a bitler lafie io lhe mouth ; and all ohjeéls f(em to

I>e diCcoloured.

l 'he immediate caufe of a j auncJice isan obClru{led ex–

cretion of the: bile from lhe yefica felis and llver into the

duodenum ; whích beiog forced back uron the liver, mixes

with the blood, by wh ich it is c;trried into the whole bo..

d y, whence 1he Ikin aod urine \l.'ill be tioltured with tbe–

colour of , he bíle.

Th .. obllruél,oo may be occafioned by aoy ,hiog in

the ouél, wl",h

pl~gs

up ,he palr"ge, or I>y exteroal

prdfll re clof, ..!

¡es

moutb. or

a fptt(m contra(ting the

fi brcs thtH:of. H ence we m,IY conceive why the jau n ...

dice [uccced, Ibe

!Ia,ukn.

colie, why prego.o. \Vome n

a<e