1000000031

1 22

E D

of lhe remote; Jincntions of

t;e aflHS

anJ joints,

epilc!p–

tic conn:lCions, and

likc\·:if~

a rever with a harJ qui..:k

pulrc, \\ hich

l1\l''''s

a IArgl!

rough

none

firmly

lixcd

il'

the biliary duéts, that \V¡JI foon hurl'y

Ihe

patient out of

t he world.

BUI

nothing is a more

cenain

(jgn

thal fllere

terrible

dir·

orden procecd from

gall-fioncs. than \'Ihen

(hey are voidcd

wifh

lhe excrcml.'nts

and lhen

all

th~

(ymptoms

ccare

once, exccpt lhe jaundicc, which difappears by

littlc

and

Jittle, or is eafily cured.

the flones are foft, and of a ligh' eolour; 'or ,opha–

ceous and Iike mortar of pl.ller, ,hey

010 11

probabl

pro:eed

from lhe hepatic duéls: ¡ rthey are

roughrhard . angular,

.nd of a deep eolou r, ,hey proeced froOl the gall.bl.ddor,

c:fpeeialty if at,ended wi,h

mo(l

cruel fymptoms in ,hei r

pa{fage through thar fiender canal.

~However,

flones have

been found in ,he gall bladder after dea,h, whieh have

produced no extraordinary Cymptoms.

There are (wo times of the direare. which require two

differeDt

~thods

of (reatmen(; in the fit, and out

the

6,.

In the fit, the fpafms are to be appeafed wi,h anodynes

2nd demulcents, Cuch as oil of rweet al monds, and frdh

fperma ceti, internalJy

externally, the (at of a wild cat,

or a beaver,

&c.

D emulcents are, milk,

weet whey.

em~l(jons

ofthe

~old

feeds, infufions or decoétiohs of marfhmaIJow roots, with

wild poppies, clder, fyrup of marO,m,IIows.

Powders may be made with crabs eyes, cinnabar,

a"d

nitre,

witJ'1

a liule Caffroo, powder of eanh.worms, elks–

hoof. ,

&c.

Externally, emollien, epithems, and racculi; filled \Vith

carminative ingreuienls. As alfo Jenicnt clyrlcrs and

laxatives of maDna, rhubarb, cream of tartar, and the

like.

Ou' of ,he fi,s; opening infufions and decoétions; whieh

refolve, diCcurs, and promote excretions

Cuch as tinéture

of rhubarb, dogografs, afpar. gus, parOey, pimpinel, af·

lerwards addiog rhubarb, terra follat a, tarta r, or ral.

pol yehren. and fyrup of marOtmallows, whieh mufl be

ufed a long while .

Some prairo the roo" of dogograf., aDd ,he juice of

dogografs, as a fpecifie.

SOlDe ufe ,he powder of mill' pedes Wilh neutral Sohs.

Epithems made of camomile fiowers,

leaves

or fcor·

dium, wormwood, and cardous benediétus, tlder flowers,

water aod red \Vine, ured Orten in a day, are beneficia!.

Bu, if ,hefe fail, after long ufe, the only refuge is in

mineral waters, amons which the Pyrmon.t i5 nOl lhe

Iea(l:

ineffeétua\.

Thefe are .Ifo propir!y ufed by \Val' of prevention, ",i,h

exerciCc, and decoeions of lhe apeTitot roou .

O.f

Ih<

RA VE L

Qlld

STOS

NEPHRITIC

paroxyrm

anended wi th

fi xed

pain

in lhe region of lhe loins, bloody

U I

ine, voiding of gravd

or fmall (t c>1les, a nuñlbnt::fs of lhe tJ:¡gll on lhe fid e of lhe

parl

affl.(tl.d, a

dra\\ ing

up of

the ld licle on lhe

fallle

fide, a naufca :\nd v(lmiting.

Alter

lhe (tone

is r.tlkn

inlO

1he

hl~ddcr,

lhe.:

urine p,,:lcntly bccomes very thick)

LUr–

b;d

b!ackiflt, and in

grcat

'l~tantit y.

F..

'Vhen

lhe

flune

or gravel begins

tomove and

makc

its

W.ly

into

tilo!

ureters,

1I1l'n l he paln

b~gins.

which is more

I~rs

nlarp

:,c¡;ordlng

la the

lize

:md

ligure

uf lhe:

rtone.

fomC'tlllll!S fa

'.·joknt.

lh:\t,

uefides

colJncfs of

che

extreme pan !> , lhe!".:

n,w(t:a vomiting,

and a

rp3nic

conflrialon of

lhe

precordia,

dlfficulty of making wdter,

a conllip<ltion of

the

bdly,

llr..itncfs of brcath,

flup'J r

lhe

th igh,

;.t

rCtrA\.'llon of

thl! IcHicle lO

lhe

pubir,

inquieultJc.

lofe

of ílrens th, a fyncope, convuHion·fits,

a 1...1 !Iopp.tge of urine.

\Vhen lhe violcnt pain

has

continued for fcvcn l days

and niglHs withouc intern1l0ion, and has brought lhe

palient exceeding low atrendt'd Wilh 3n entire fuppref–

fion of urine , wirh a coldncfs of che

extreme

pans 'and

convuHioos of the tendoos, it is a

fign

thal death is al hand.

Nor is il a good fign

\~hen

the (lone has conlinued a

a long while in (he uretcr. for (hen the appetite decays,

and a nallfea and reaching to vomit fupervene. tilJ {he

patient is confumed Wilh

hetlic heat, and lhe '3pproach

of death is hafl eocd, SOOlecimes che paio is attended

with ao infl"mmatiC\n of the fl OO1.lch or inteflines. SOO1e,

from a floppage of urine, fall in,o a dropfy of ,he breafl,

letha rgy. or con\'ulfions.

The

\,1,

hole ¡ntention of cu re confi(ls in lhe eafy exdu–

fion of ,he none. and the preventing the breeding ofo,he".

Hor r',1!.N.

the palient is of a fanguineolls tcmperameot, take

away ' en ounees of blood on ,he affeéted fide; and ,hen

le, him drink, as foon as poflible, a gallon of polfe,.drink,

io which two ounees of mu OlmalJow rOOlS have beco

boiled. Then gave an emollien, c1yfler.

When lhe

pu{f~t

drink has

be~n

vOO1itcd up, and

(he

dyftcr rcturned back, give a pr cuy large doCe of

opiate;

that is about

drops

lhe thebaic lIntlure, or

graios

of ,he pi\. f.ponacea:.

Alfo le< a bath or femieupium be prepar<d, oh a de–

collion of ::tlthea rOOIS.

linree~ .

(xn\lgrcek Ceeos, and

chamomile flowers

tptCe may be added,

few white

poppy head•.

In the nephritic diforder. the srand poinl is the eva –

eua,ion of the fJ6ul.r y matter lodged in ,he pelvis 01 the

kidncys. or

the ulcters. Blnding

(elv~s

tO rcmove

the tenfian and inflammation; and emollienl c1yflcrs are of

double fervice, becfi,u(e, by fomenting the Dender tubes,

lhey relax lhe contraEt!on, and, by unloading lhe Jower

bowels. thcy remove the pre(furc

~gainft

lhe urC1'ters.

The

worm bath opens lhe I'afldge

, et

more, greculy relaxing

lhe abdominal mufcles, peritOn!t:uOl,

ami

intdfimes;

lhe

bl"dJer is alfo relaxed by it, and eonfcqu, ntly the ob·

I:que infinuation of (he un:lers through ils levual Olcm–

brances is Ic(s

li~I)le

tO obHruét

lhe

c\lacu.nion of tbis

f::tnd y m:u tcr io:o it s cavily.

By moderarc diu retics, and cmo! lient medicines, (his

di(cha rgc

aITift~cI;

\1,

hdc

anodylll!s fofplnd

lile

pain,

and

rlU~t1re

a paraly,ic rcfolmion or a ff'aílllo.lic coo–

<télion of rhe tlretcrs, and t1lcH.:by

conu

¡bute nOl

a Jiule!

lO npcn the p,d'l:'Rc.

Tilde

itppl l.1" tO

lhe

Ol:)fi

confi\kr:'!.hl" mrthods

(or

(he

rdicf of Ihis difordcr. wlllch is

tnn

100pcrlcl'l ly

'na–

r,cJ withoUl thL'uni;:c.:d

:lHilLUlCeof

.dl,

:lnd

whi...:h) ufc.o to–

ccthc:r) ('cm lhe utmo(l thal art can furnifh .