13°
M
D
r\!tls the ufe of crude
quidJilvcr,
as in
lhe camOlon
unc~
tion, to
b\!
rubbcd upon lhe
r~ns,
as about lhe body of lhe
penis, efpecially undcr the
uf«!lhrJ.
to lhe
p~l'inxum.
and fo
up ' o ,he pubes and .ellieles.
Turner approvcs
oC
this methad in all local afree–
tiaos. (ueh as chancrés, a
rhimofis
and parapbinH'fis
rrom
a "encreal
tajO( :
As alfo when {here is a calJofity in (he
urinary parrdge. or an
induralion o. (he teflicles.
parti–
cularly
lheir epldidymes.
left artCr the hernia humoralis,
and .he like. Nor does he dir'pprove of i, in eommon
claps during
lhe courre
of
lhe purg_Hum .
If-lhere is no difcharge of viruJent malter
rrom
lh e
penís.
it
is called gonorrhcea. fieca, or a dry cla p.
lhe
fyrn p.orns of
wh.ehare a dyfury or diflieul.y of making
water, and after, (rom [he
¡ncreare
of lhe inAarnmation
and
tumefa8ion, an iCchury or total fupprellion of uriDe .
In ,he cure of the dry e1ap, rtflrue adv.res plen,iful
bJeeding in the beginning, to take off the tenrion, and tO
:abate the infl.tmmation; as alCo emollient decoélions of
mallows.
~Ceed,
&c.
in milk, tO fomcnt the pans;
bu. perhaps i, migh, be betler
10
make a poultiee of .hefe
ingredients, after Boerhaave's method. to lay tO the pan,
.ffea ed; or, whieh i. berl of all,
10
ufe , hem one af,er
the
other.
He likewife advifes lenien, c1yflers, eooling emulfions,
2nd p,ifans wi,h fal prunella and anodynes between while•.
D uring the coolicuance of the inRammation,
00
mercuri·
a1s mufl be ufed; and ir ,he fymp,oms inereafe, ,hrea,–
ening aD abree(s outwardly in the pcrio<Eum, it is to be
forwarded as mueh as poJlible by fuppurative poultiees; and
,he matler difcharged.
Of Ihe Cure of Ihe
SVM'TOMS.
1.
Oflhe
H ER" ' A H UMORALIS ,
or S1JJelfing
.f
loe
TeIlieles.
ASTRUC,
in the cure, recommends frequent bJeeding,
and an antiphlogiflic regimen, and fomentiog the pans
with a decoélion of mallow· roots and linreed; or
milk
preuy warm ; or an anodyne cataplar", orlily·roots, with
Jeaves of henbane, mallows, aod branc urfine, boiled to
a mueilage, and mixed wi,h ,he flower of linfeed and oil
of liIies. After the ¡nAammation aod fever are abated,
he adviCes a gende purge ; after mild re(oJ\'ents external·
Jy, and antivenererus internal!
y.
The hardnef. of ,he epididymes is 'o be difeulfed by
fueeioa,ed balfam of fulphur, mercurial plallers, and oin,–
meolS . D uring .he ufe of ,hefe appliea,ions, a furpen–
fory bandage Ihould no' be neglea ed .
When pus is forrned io the tenicles, it mua be dir·
eharged with a laneel.
If
i, Ihould leave a 6flulous ul–
eer, he ¡dvifes a mercurial ointment.
11.
Ofa
B UBo.
As
T RU
e alTerts, thatvencreal buboes are of two ldnd, :
(he firíl is elTential, happeoing immediately afler coilion
with an infeéled perron : lhe. rt:cond fymptomatical, which
follows .he lupprellion of the gonorrha:a, or the dryiog
\lp of th(' ulcerarían. He. Jikewlfe mentioos a third ,
v. hich does nOI appear fo earl y as the other two, aod is
thererore a pa.hognomouie fi gn of a
lu~s
veoerea or pOl<,
e
N
E.
He propofes
lO
cure ít
by
O1ercuri;¡1
purg~s,
to c2rry ofF
lhe humour
j
in the mean lime rllhbing
ti.
mercurial oint–
meot into the pan , to diOülve the indurati0n
i
w~.ich
he
thinks is more gentlc and cary. th;¡n to promote the. fup.
puration by ripeoing pOllltices, and theo opcning the
turnour by a caunic, giving mercurials iowardly
al
the
fa me
time.
D e Salt cures all , he ryotptoms uy rubbing in,o ,he
pans a nrong mercurial oiotment, call(j og the palient to
anoim himfelf from the anu,
,,11
¡long the urcthra to
the
glans aod prepuee. The folloA'ing d.y h. gives a tlrong
dofe of jalap, that is, (rom t\Yo fcruples lO a dram .
His
diet drink is to be fpftng-water
in
WhlCh mcrcury revived
(rom cinnabar has beco boiled. If (he patient cannot
bear much pllrgi ng, he
mtly
have a truce tor
a
day or
t\Vo, but (he OintOlem i5
tO
be contioued every night.
The 6rll'friaion gives eonfiderable relier, ,he feeond yet
more, the lhird commonly makes lhe pain
cedCe,
and the
fourlh aod fif,h generally filenee the eomplain.s. Five
or
fix
weeks gener<llly perreas the cure.
In buboes. (he patient is tO rub the ointment inlo the
groio, fcrotum, and p"rts in ti ther (ex; purglOg every
day. and drinklng the mercurial water; by whidl means
the buboes melt away.
che
phimofis, pdraphimofis. and
chancres dif¡ppcar. and the former hea)eh retttrns. If
there is matter already fOrAled io lhe bubo, then he
allows i, murt be opened. H eirler's rue,hod is mueh .he
fame.
IlI.
Of
Caruneles
and
Camofi,i.s
in Ihe
Ureth ra_
TH
E
oullades whieh hinder ,he free
palf.geof ,he
urine, according to Aflruc, are there which follow .
l .
Ulcers io theurethra. 2. Cicatrices left behind arter the
healing ,hefe uleers. 3. Caruneles. 4 .
A
rehirrus
0 0
the verumontaOUn1, or ca put gaJlinaginis.
5.
Indurati–
ons of the
profldt~
and veficula: feminales. 6 . Cotrnofities
ri(ing in and
n
raiteninR the canal.
He propoCes tOcure the ulcers by
~he
fa me
regimen as
.he firn period of • gonorrh",a,
"iz .
by repea,ed bleed–
iogs, lenients and refrige ranls. to abate lhe 8uxion, and
take off the infhmmation",
T urner, in the
wora
caCes, would nOI have lhe urethra
laid opeo, bUI only have lhe perinzum weIJ grc:afed wÍllr
the
olercuri~1
liniment, by whici!. he has kno\Vn many
large "lIofi.ies inf.ofibly dilfolve; while ,he caodJe or
leadon probe, fme.red alfo ,herewi.h, hdO been kep'
within.
Bu, ,here has been Ia.ely introdueed io.o praaiee by
D .J.ran a new melhod of
CUI
ing 1J.·efe dlforders wnh
bougies . the compofition of whiGh he keeps ... ft:eret.
Accordíng tOhim. ir lhe ean;¡1 of the urethra be open
enough tO admít the extremity of the bougie, a fu ppura–
tion
will
enfue
from lhe difct(cd
p.rto( the urethraj
which \Vdl
111
time rt lax and open the fl néture ; or, if
lhe firíélure oppofcs the entrance of the bougie. ye! Hill
the mere poin t of the bo\ gle \ViiI ruppu rate
H
in a
{m"U
ucgrec, anJ by aod by. lhough OJUch more tc:díoully than
io lhe other c..fe.
~y
tel:lxing, OptO
it.
T he rorrl d.rehdrg. proeured by a bougie is generally
very faniouF. tlnd e",d ntl ,
110\\5
from lhe pl.,cc wh('rc
,he obflru&on is, ,ha, part of ,he bouílie only
be.nseovered