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",ore or Icfs infe..:\ed, and Rccording to his connitulion,
by which he.may be ;nore or h!rs di fpofed to rcceive [he
¡nfeétia", is fi, tt [ciz('u \Vitll an unufu~1 pai n in Ihe genj·
tah, and a kind 01 knr~tton like a rotnion of his {er–
ticks'. Artcrwards, ir the rrepuce conHantl y cover his
glaris, there appea.1 enlpti90 or pulluJe, which by its
hze, colour, and ligure, refembles a [pot of the mel flcs;
prefentlya[ter appC. ars a wceping maner like remen, which
dai ly chclnges colour. and becf)m~s more purulcnt ann more
ydlo\V, tilJ at leog(h, ir the d¡forder be highly virulent,
it alTumes a gl eeninl huc, or appeal s a thin (antcus
rndttcr mixed wir h blood.
The pufiule at length becomes ao ulcer, corn monly
call~u a chancre, at 6Tn nat unl ;ke Ihe thrufh in chil·
d rens moulhs, which, daily eating decper and wider, at
lall is eneeompaOed wi. h harq and eallous lip'.
ThoCe whore glans is uncovc:red, Celdpnl have (uch a
puClule, either becaufe it is hardcnc:d by being continuaJly
expoCcd '0 .he ai r, or by ,he frequen, rubbing of .he
fhirt, and ro is lefs liable to imbibe the inf('étion.
The running brings on il he.u or fin an ing in making
water, which 1S moCt violent when it is over, for lheo it
feems lOburn the whoJ.:~ dllét of lhe urethr a.
Another fymptom is the cordee, or contnaion tbe
(r:cnum, by which the penis is bent d ownwards. Therc
is likewife, when the penis is ere:l:ed, greilt pain as ir
eomprelTed tranCverCely wi.h • Ilrong hand. This chiefly
happens in (he night, wheo the patient is warm in his bed.
Sometimes lhe urethn being eaten and ex cariated \..ith
long running of {he acrimanious pus, nature breeds a foft
fpuogy BeCh, ' o Cupply .be defeél, whieh d . ily inereaGng
forms caru neles a r carno~tie9, fo far as to plug up lhe
urinary pa{fage and flop the \lrine. IIowever, the liule
adjoining ulcers cantinue to pou r fonh a kind of ao ¡chor j
and this !late is not only t!'oublefome to the phyfician,
bu, .IPlofl as b.d as de••h '0 .he polien•.
It al(o often happeos, through fome vialent motian,
or the ill-timed \lfe of a(lringents, that the fanies which
fhauld be carried off by lhe gonorrhcea, is tran!lated te
the Ccrotum, Olnd cauCes one or both of the ten icles tO
fwell and infhme Wllh intolerable anguifh aod pain; the
r unning at the Carne time decreafing, v.lllle the fC:1lding
of the urine is as great as ever.
To ,hefe CymplOms may be addcd ,he phimoGs, which
happens when the prepuce cannot be drawn back to un·
coYer lhe glans ~ bUI lhis lhe caf~ of many in a health ful
{late. A ICo lhe pcriphimofis or p"J.raphimofis, whcn the
prepuce, being Cwelled, cannOl b: brought forward to
cover lhe he:¡d of lhe penis. T ht:rt: are lometimes alfo
Willery bladciers or veficlescalled cryfiallincs, and at length
bubo~s or fwelling3 of lhe g1..ncls in lhe groin. When
Ihefe appea r, ,he lucs venerc. is generally Cuppofcd
lo bC'gio.
' VoOlcn are nOI Cnujetl to fuch a v;1riety of Cympl0ms
as men; thti r chief compld\.rns being a cliOicuhy oC urine,
;'110 " ruoning i how('ver, tltey are liJ.ble to ch,fOcrrs and
venerell WHIS a:; well wi' hio as on lhe a\11w.l rd pan s of
l he l.!hi" [1udendi, as al C~l lO bubot:s in lhe groin. !l.s for
lhe Co.u{lation of lhe fphin éler \';¡,gin:-=, pUIf:O C Up :l.S ít
\Vele lhe CXlu 0::1.1 orifice, Ihis is nOl a phimojjs, thm's h
uy fomc impropt lly Co e.!Jcd.
VOL. 111. N° 74. 2
e 1 N E.
The caufe of a virulent gonorrhcea is a taint by impu re
COilio", conveyen from a woman in feéled with a malig-,
nant ganorrhcea. or the lues " eocrea, úrn 10 Ihe genitah
of a m;¡n, and aCterwards Ihrou~h the pores to Ihe Iymph
or {eDlinalliq\:lor ; the due craris and natural mixlUre ie
entirely defiroys, by indl1cing partly a c.tuHic ilr.d corro·
ding. aod partly il putrid (late thereof. H cnce anCe the
p;l ins and heals, the tumours, Ihe inAammations, and lhe
exulcerations of ,he genitals: For al firfi the glans ¡s.
onlyafFeéted. whilH. io coil ion, Ihe poifon infinuates ¡t–
relf into Ihe a pen pores. l °hen it foon proccc:ds ta lhe,
glans of Ihe urethra, then , 10 lhe proftat:E, which are
porous, aod afterwards te the vcfi culz (eminales.
I f .he infeaed IYOlph i, conveyed.o . he inguina l glands
through Ihe Iymphatic velfels, which Cowper d iCcovered.
to run from the prepuce ta lhe groio j' lhen a venereal,
bubo is formcd, which i5 a h;¡r d lumou r without Pilin.
Bu t if the Ceat of Ihe gonorrhcea is deeper, aod ao in·
fI.mmatit)n ariCes at the beginning of lhe urethra, where
lhe veficulre femin ales dirch~rgl! Ihe Cemina) Auid, lhen
theCe vc{fels are fo compren~d by Ihe tumour, that thli
remeo cllnnot be conveyed 10 {hem from the tdlicles,
whence it happens tbat tbe ttnicles fu·eH.
As lO the prognoOics, we muft olJferye, that the greater
the ¡nfcélioo is, lhe more violent ;md obClinate the dif~
arder \ViII prove; though it fe ldom brings on a pox uo–
leCs .he diCch.rge is imprudently fiopped by .he prepofie–
raus ufe of fodorific! and an ringents i (or, immtdiately
00 the (uppreffion of the difcharge. buboes, t umours 0(,
the ferolum anel tefiicles, carúneles of the urethra, aod
a :her tHrible fymptoms appear, logether with aconfirrned
pox. The more regular the difcharge is made, the more
mild all .he Cymp.oms are.
But whcn the runoing is (mall in quantity, lhe urine
is highly [elid, and the maltcr ye1lo\Y or greeo., it is a
had fign.
lt is a certain Ggn the diforder is miligaled, when the
paínful con(lritlion of the penís in ereélion, and lhe heat
of urine, are removed; as alfo when lhe impttired Clrengtb
begins to returo, and the counten;¡nce. which bcfore was
pale, allumes ;¡ Aorid a r a Oinural colou r.
It is a fign the gonorrhcr:a is cured, if, upon comprer~
liog the penís, a drop or t\Vo of lhin limpid liquor, like
lhe whitt: of an cgg, is difcharged.
The rcgimeo, du ring the time of the cure, requi res
,he patien. 10 abnain from . 11 oi ly food; and he mul! al–
fo avoid every lhing which by its acrimonious qUf4 lity
Cl imulales to venery, fueh as (pices, bulbou5roats. flenl.
eggs, fifh, and fermented liquors; {or lhe inHation of
the penis retards the cure. This is of lhe utmofl canfe·
qucncc ; and thererore all vent'real incilemeOls, fuch as
olJfane books, anJ whatcver elre: in llames the fancy, fhouhi
he Chunned like de..h.
\ V.ter ;.nd wheyare the lJe(l dlink, and fceds and
fu mmer·{ruits lhe bect 4liment.
A 11 pof!iblc eare m..rl be .akcn .h.. cold, nc,'cr
reJch lhe penis ; and thlt it he kept alwl1 y5 moin. leO:
the pa res con'r,lt\ing repel lhe flux or malter. A n e–
mollicllt anJ fomewhJI anlif~ptic catJ plafm v.:ilI be be·
ncfici,d .
In .he place of mercuri,ls gi",n internally, Allruc di·
t K k r« ls