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in lhe! bJ:tddcr t \\lO or threc or four d¡¡,ys; arrer which,
t ht: canal will pcrLaps4idmit a bougie, and dH~n , a (uppu–
ration being once procured, it may ealily be prefervcd open.
I V. Oja GLEE;".
I N wh:lt manner, r."\ys SHARP, ;r.,gleet is furnifhcd,
canoot wdl be determined, withollt fi ~n arcertaining the
eX:lét real of a gonorrh(J!a. T'hítl lhe Iacunz of lhe ure·
thra Jre ufually ulcerated in a gonorrr:cca, is now generally
alrenled 'o. Ye, ' hough all allow ,he cxiaenee of ulcers
during that diCeare, lhey will nOl admit that agleet is lhe
dir~h'Hgc of 3n ulcer.
BUl it is moa probable, that lhe running is nal all
of it a purulent m<Hter, bU[ panly malter, and partly a
difch uge frcm lhe (ecrelary orgaos, as alfo from lhe
ve(iculx (eminales, whcn they or their duas are a{fea–
cd . Fur the running is in lefs time arter {he'
inretlion {han is requi(j{e for (he formation of man er
in I!very oih~r ¡nnance ~ and lhe appearance of mauer is
frequentJl the fidl aJarm in a gonorrh~a, the he3t of
urine and other rym ptoms of a1'l infi"mmation and ulce ra–
tion (ollowing (¡"netimes [WO or three da)'s aCter.
f orthere reafcns, it is fuppof:ci, that lhe \'enereal poi ron,
in itsfirll openHion, ooly, and thcreby ¡ncreafes
, he fee,e,ion; efpeeially .. ,he (.me ,hing happens ' o ,he
gl.nds of ,he in,ellines from purg.,ives. from ,he Cali–
vary glands. from Cmoaking• .:re. As ,he poiCon operare.
more flrongly, the inflamm:nion ¡ncreafes, and the ulcers
form and eXlend, when not only the mattcr from the ul·
cer 1S fanious, bOl 311 the recrctory velfels communicating
with the ulcerated lacunz" f~parate a thinner fluid than
ufual ; and b01h the malter aDd feeretcd flllids eontinue
to be thin fo long as {be inAammation is violent.
-Ir is even poffi blc ,ha, in Come fligh, gonorrhceas,
whieh difappear in a few days , , he venere.1 poiCon may
n Ol nave altivity enougb to bring on an ulceration of lhe
urethra , bnt only a mere ¡rritation of lhe lacuna:: . y Be·
Cides, in other e;,,(es, the quanlity of the running is ge–
~erally mueh gre.,er, if we may judge by analogy, ,han a
fe\V ulcers in ,he ure,hra could poflibly furnifh . Of ,his
we have almon ocular proof in women; (or, though the
gonorrheea be exceeJing plerltirul. yet, upon the nicen
inrpeélion. we of,en eanno' find ,he leaa degree of ulce–
ration or the vagina. though, iC the difcharge was purely
the digeflion of uleers in ,b.. pa", i, is Jikely Come few
of the01 may be vilible.
'Vh~n Ihe inflamm~tion ceafes, and lhe ulcers of
the ur~thra heal al lhe (ame time, the cu re oC a gonor·
rhrea is perrca~d; on the other h~nd . if lhe inA.lmm~tion be unly rClllo\'c,;d, anJ the ulcers rcmain open, a glcet
mull: enfuc.
J, is "pon ,his principIe of ulcers rubfi~ing in ,he ure·
thra , th,H OJran aecounlS for tile aélion of his bougie,
fu pp()finJ~ it tO have lhe propelly of healing Ihem with a
found cicauix after the urethra is opened. And, if in lhe
operation it can be undcrHood \~ I~en lhere are ulcers, it
\ViII nOt bc d,fficult lO comprehend 1l when there are none;
{inee it feuns to have lhe PO\\ fe of opeñing eVt:l y unfound
cicatl ix of Ihe \lrethra, and bringing thcm immcdialcly
1010 an ulccratc:d (l;nc.
T hcrc are manv who im"gir.c that lhe plcdigious in·
e N E.
creare of ccrt:'lin glcclS at piHticulu times, lalling only for
two or [hree (],tYs, anJ lh,:n fudJ enly abating to lheir
wonted quantity, is ioconrificot with a purulent difcharge;
and lhereCore conclude a glcct lO be not-hing but ;t prc{cr–
natural excrction from lhe relaxed vc([els 01' lhe urethra.
But it is prob.¡ble, [hat, however the matter of a thick
gleet may be furniO, cd by feeretion, 11111 , he Climul"",
provoking ,he feereu()n is k<p' up by ,he CubfilleD<;.e of
ulcers; and alfo lhat. when the gleet 1S very thin ftoJ in
frnélll quantities, it is the mcr~ dtfcharge of thofe uJcefs .
A temporary ¡ncreafe of a gleet is not wooderful, becaufe
habilUal ulct rs of every other P'" of ,he body are oflen
in a fluélua,ing Ha,~, and gen~rally Culfer from exee{fcs of
every kind_
AUruc, in lhis diforder, recommends milk, either of
arres, goats, or cows, tO be draok morDina and evening
for fome time; lhen mineral waters, whethcr chalylleate
or vitriolic, for 1s or 20 dity;; and aflcrwuds baHamics,
to .deterge and cic~trife lhe ul ~ ers eoncealed io lhe urethra,
fu ch as b¡lfam of capivi, from 6 tO 12 dropsl made ioto
a bolus wi,h powder-rugar ; ha of al!, aaringents 'o dry
up the ulcers. aod to recover lhe Ion tone o" the parts,
fueh as infufions of ,he Jcave~ of mint, horehound, agri–
mony, planlain. red rofe., fheph erd 's purre, Cage, .:re_
or the mint-wa ter of ~ereetan, fa often recommended
by R iverio, againa obain..e gleets_
V. O/CHANeREs.
As T RU e obferves, chat chancres were thecario pud(n.
doru711 of the ancieot writers, and are generally (ea[ed en
thofe parl! which have a (ine and tender coveriog, through
which the virulent ranies, ilTuing from lhe exulcerated ge·
nitals of eilher fex, has the eafier admittanee. Such are
,he inward dupliea,ure of ,he prepuee, ,he infide of ,he
pudenda in women, the nipples of nurres, lhe Jips and
,ongue of proa i,u' es. In very bad qres ,hey \Vil! appear
on ,he dorfum penis, as \Vel! as on ,he pubes and inLide of
,he ,highs .
In ,he cure of ,he recen' ehanere. he r,rn orders bleeding,
to ahate the inflammation; (hen fome ntations, to refolve
the induration; nat omitting mercurials in lhe mean time,
bu, fo as 'o avoid a f.I,vadon. Af,er which he .Jvires
,he ure of (udorifie deeoélions of china, rarfaparilla, guai–
aeum. and (acrdfras boiled with anlimony.
Turner formerly ufed red precipi,a,e rprinkled on a
proper o1ntment.
Of late years, he rays, he . 1\Vay. founu rmoaking ,he
part s with ci nnabar fllcecEru l in ehancrous ulceratioos on
the glans anu pr~plllium of men, as well as the labia and
finus pudoris of women . His muhod was to thro\V a
dram of cinnabar on a heater or hot iron, Icuiog {he
fume afcend through a. funnel , or a (eal perCorated like- a
c1ofe·aool, all round ,he dire.fed pam. T his ~'as J one
evt.:ry day, anu (ometimcs t\Vice a day ror a week. Thc
iron was hot enough to raife flame \\.ith , bm nut
fo ficry 'red as to m4lkt! it inHantly eonlume :lWJ} in fiame
alone.
V!. Oj ¡h. PhimoGs, P ,iOlOfi" 0,::1 Cryflan"c.
T uESE Jiror.lers propcr to meo. cxct:rt lbe cryfldl –
line ; IJU[ Allruc aflirms, that \·,omen han~ fomcthlng of
the