1000000031

pain in lhe bladJer, which is eXlended

Ihe very extre–

mity of the urethra; a mucus or pus is excreted with paJe

urine; and, upon proper examiniuion, (he Cloqe may be

feh; bu, Ihe

",ol~

een.in

fign is fearching Ihe bladder

with

a Cillhtter.

When this diforder·ari(cs (rom a

none

;n the urethra, il may be eafily felt.

from an inR.m–

m.\ticn of the neck of the hl.dder

there is a tumour and

pain in Ihe perinreum; but il may be bel! pereeived by

thn::O:ir.g the

finger

ioto -the

anus, and Jurning

up towards

Ihe bl.Jder; for a lumour will be pcreeived by Ihe phy–

lieiao, and by the palienl a bU'Ding and prefliDg .pain ;

and when a catheter is introduced ioto the urelhra, 3n

;mpedimen, will be fel l near the neek of the bladder, whieh

will hinder il from procceding fUrlher. To Ihefe Ggn.

nlay

'2dde~,

wheo the diforder is great, a tenc(mus, a

cbnnriélion of the anus, 3n anxiety of tTle pr.ecordia,

coldnefs of the extreme

pans,

vomíting. and a frebile

pulfe. Wheo Ihe eavernou. fubll . oce of Ihe urelhra is

too mueh diO ended wilh· blood. and the urine i. fupprdfed,

a filver pipe canoot be admitted into the uretora, efpeciaI–

Iy if Ibe patieol abounds wilh blood. \ Vhen Ihere i. a

fpafm in the neck of Ibe bladder, it appears from Ihe

caur.. aforefaid; aDd likewife Ibe palienl pereeives a fpaf–

modie conOriélion aboul Ihe oeek of ,he bladder, aDd a

eatberer will pafs Ihereto, but no fa"he r; aod Ibere are

figns of a flooe io Ihe urelhr. or bl.dder.

If Ihe urine i. fuarp, .nd produce•• fpafm , we may

difeover i, from ilS beiog very OinkiDg, efpeci.lly if the

patient is oId or fcorbutic; and there are many fatine par–

tides in the unne Iike lime. When torre is a caruncle

;n Ihe neek of tbe bladder, il may be koowo from Ihe

figns mentioned in toe' lues venerea, where the cure is

treated of.

.bfeefs in Ihe prollrate gland ofteo is mif–

takeo for a carunele. Wheo a feirrhus of Ihe prollra,e

gland is Ibe caufe of a fupreflion, Ihere is a hard or in–

doleot tumour in the periozum, or at lean the pain is not

great.

When Ibe urioary pafr.ges are obllruaed by folid bo–

dies, thar ¡s, the pelvis of the kidneys, the ureters, or

the Deek of Ihe bladder, or Ibe urelhra, from a Ilone eoo–

tained therein; if it be fmall, diurencs will be proper,

which are mentioned in a 6t of the grave! or naDe; to

which may be added a deeoélion of eringo·rool and

Ep·

fom

f.lt

or Sellero wate" taken ofren Iherewith . But

if tht. none is large, and cannot be excreted by tois n,eans,

Ilrong diurelics are highly hurtful, .nd it mull be cured

by feélion; (fee SU'CE'V .) But'if the patient iSloo

we~k,

too

old, and cannot undergo the operation, the

Ilone, if poflible, mun be driveo

b.ek

; and the paio. mull

be .ppeafed wilh .ntifpafmndies' ioternally. and with

Je.

nients, lubricant and oily

m~dicines,

as well as geotJe

aoodynes: ExterDally, WilO

e~ollient

c1yHers, oi ntments,

liniments, and batos.

the paios are violent, lenieot

injeaioo. may be thrown up ioto Ihe bladder, of fa lad,

linfeed, and white poppy oil, or oil of fwee< almonds, or

a decofl:ion of Iinfeed or roots of malJows in milk, with

the .dailioo of a li!tle frefu bu!!er. T ois dooe, the pati–

tnt O1uH have recourfe to lime·water.

the u. ioe is fupprefred from an inRammalion of Ihe

kidneys or bladder, díuretíc5 are pcrnicious, and mineral

"aten not

r ..

fe; bur rather refrigcl':!.t:r'\¡; nitrous remedies,

UL.

III.

Nu",b. 15.

F..

1 6¡

neutrttl f.. lrCi, cr..bs.eyes, tartar·vitriol:ue. may be binn.

with a grain of camphor in

every

dore. To rcnder thelll

more effi cacious . they may be joined to a dccoélion or

infurio" of parOey

r0015,

eringo.tea, ground ivy. or lhe

like; Iikcwi fe emu lficn, of the four eolds feeds, Vlith e.abs–

eyes, calx of antimony, and nitre, or fceds of \"iclcts; whicn

are lax.tlve .nd geod y diuretie:

thef. may be addcd

fomentations, and a bladder filled with hot rn tlk or water,

or emollient and lerolvent cataplafms, applicd tO the

le –

gion of (he kidneys or bladder, or,

perin~um ,

according

to the pJace of the inflammation, as well

ñ9

baths of the

fame kind: bUI above all, bleeding is n<tcfruy, efpeci. lly

io the plethoric, and the promoting of ufual ha;morrhages.

Ihe mean while aperieou and rcfolvems mult be &ivCD

fuch as powdcr.s of crabs'eyes, arcanum dl1plic2tum, tar–

tar-\'itriolate, and nitre; or medIcinal waters, \Vitb bit.

ter catoartic fAhs given now and toen.

When the fpungy fubO . nee of the urethra is fwelled Wilh

blood, and as it were ir,{lJted, a copious bleeding is (he

principal remedy.

W heo. Ipafm a/feélsthe neek ofthe bladder, il mull be

treated with temperatiAg aod antifparmodic powders, diu.

retic waters , and infulions, with emu lCions, or Jecient oils

now and then, fu ch as faJad-oil, oils of fweet almonds,

~oppy

or linfeed: externally, eataplafms, oinlmenlS,

c1y–

(len, and baths, of the

emoJli~nt

and demulcent kind ;

with gentle opiates, if the difeafe rcquires them.

Ihe

fp.fm

proeeed. from a fuarp urine, from the furvy,

or otherwife, it mufi be treated with gentle _purges and

diaphoretics. aod abforbents, fuch as crabs.eyes, mo·

Iher of pe.r!, prepared ehalk,

e.lx

of anlimony,

a~d

am–

ber; with lenicOt decoélions of china

root,

farfaparilla,

Qr mallows, with emulCions and demulcent oils; to which

may be added fyrup of marfu·mallows;. ",hen ,he paios a.e

violenl, Ihey mull be .ppeafed \Vith moderate opiates.

Ihe diffieul ty proeeed. from blood rem.ining in Ihe

bladder, or its neck, (he concretion ís to be refolved and

expclled wilh warm infufions of digeHive herbs drank.like

tea, fucq

ground-ivy, aroiea, chervíl, or veroniea; witll

tinéture of tartar, or liquor of lhe terra foliata

tanar,

wirh digelliye powders of erabs eyes, faturated ",i,h ,he

juice of oranges or lemons, fperma ceti, tartar-vitriolate,

nitre, and cinnabar : to which may be added the water of

ehervil or pa.'fley; 'Vith ro.Oed onion. applied hot

,he

region of the pube:s, perina-um'¡ or cataplafms of wheat·

Rour boiled in milk, \Vith bUller and a linle f. lfron, or

with white lily r0015, mallow5, marfh·maIJows, or

C3 -

moínile Rowers .pplicd

relax Ihe fpafm of Ihe neck of

thS bladder; or with a bladder of ho, mifk, in \Vhieh

camomile Ilowers have been boiled ; wirh emollient and

refolvenl e1ylters of c. momile· Ro\Vers boiled in milk ,

with oi! or frefu buner: bUI, if . 1I thefe fai l, a e.theler

i. ' o

introdueed in'o the oeek of the bladder,

break

the concretion, anri e\'acuate the

u rin~.

_ Vvhen Ihere is an ulcer in Ihe bl.dder, \Vhieh \ViII ap–

pear from pnrulent and fetid urine, with

moO violent

pain in lhe bl.tJder, as

a fi one \Vas containcd {herein ;

all Otarp and Himulating .h iog. muO be avoidcd, and .he

infufioo. of vuln<rary

.bf~rbenl

roolS aoJ herbs muO be

givcn Wilh mutilAge, .nd fofl b. lf.mic" cfp< ei. JI)' ba lfam

of M eeea,

T~lu,

&c.

\Vith

moderate ufe of quieklilver,

t·

di'ccially