1000000031

166

Oj/h<

IInscEs s

of /h.

'Vo ....

A nSCE sS ES of

(he womb

are

either

inflarnmatory,

tu·

berculolls, or !tcatomawus.

The fymptoms of ao ioeipient abfeefs are mueh the

fam e as (he infld.mrnation, fuch as pain.

heu,

(en(jon.

&t.

which ¡ntermit for fome time, and appear agaín, when

lhe luppuration beuins; of which (he

inR.lmmatOI

murl feolible, the Ocatomatous the lea fl. Wheo the abo

fecfs is foraled.

alllhe::

fymplOms of

infLtmmation vanifh :

bUl

cotdncfs of

(he extrernities, a

no\V

(ever)

aod marafmps.

gnduaJly inereafe from Ihe .bCorplion of the pus into the

blood.

in8~mm:ltion

has preceded, and the patient was

fubjca <o obrlruaioo" cfpeeiaJly uf the glaods of the u'

terus, and had a lymph3tic Ruar albus ,

may be tllber·

culaus;

(he tumour ís

(ort

and índolent,

mily be

fieatomato,",s ;

bUI

(heCe

ale

nuc . The place md.y be

part lv.difeovered by the·toueh, but more efpeei.lJy by the

comp!QY)ts of the

patienJs

itbreaks ioto the bladder, and p,ffcs off by urine,

or iOID the reau,\" .nd is difeharged by 11001, or iOlo the

I!roin, it is dangerous ;

ioto the: abdomen. incurahle:

breaks

ioto the vagina, it may become an uleer,

which is c9mmoraly monal

or lhe patient

may

paifh by

heltic fever before ,he eruption. The tuberculous

a09

(lea\Omatous are much the flowefi-_

The wotk in lhis

cafe

mufi be left

n¡IUre, io

coo–

firmed abreefs

unlefs it can be come al th.rough lhevagina.

aod opened with a lancet, aod theo deterfive iojeoions may

perform a cure.

Oj/h.

ULCER

.j/h.

UTERU' .

"'Ulcer may have its ¡{fue and feat in lhe cbncave fur·

f>ce of Ihe uteru. ; or may be lodged more deep, aod have

ilfues into lhe reflum, bladder, .groio, or cavity ol lhe

abdomeo.

The

eaufe~

of ao erofioo m.y be Ihe Ruor albu., o.

ralher Iymphalicus ; lhe corruptioD or the ftttlJs, or pla.

centa, in lhe \vomlJ; acrid or cau.,fiic injeétions; the fre·

quenl ufe of cantbarides, lhe lues venerea, or acr¡monious

menres.

the uleer proceeds from ao abfeefs,

m.y be in,

fla rnmatory, túbereulous. or fieatomatous;

from

erorion, it may be venereal, fcorbulic, fcrophulous, or

lim pie;

m' y be alfo fimple, feirrhous, or eaocerOI" .

The ehief fign of ao ulcer is Ihe elHux of purulent Ola'·

ter; and olhe

great~r

lhe quaotilY, the profouoder

rhe

ulcer.

the

flux

is fanioos. or

m~xed

with blood, the

blood. veO" ls ..re eroded. M ortal hzmorrhages fome,imes

fupervene. Somctir.nes they may proceed from

rever,

and raref,aion'of the blood.

An ulcer is hard to be diOingui!hed from a Ruor alhus :.

howcver pus

is alway'

more compaa

and fetid, unlefs

ís

Iymphalic; aod there

always

fixed

pain

from

ul cer.

AJI ulcers of the uterus are dangerous ; wheo they ue

fiflul ous, or fcirrholls, or both , (hey portend death: lhe

fame may be (aid of lhe eancerous

when they

ar~

al–

lend,d wilh • 1J0w heaie fever, fwelJings of lhe feet, a

IDarafm\l',

ó"

In order 10 the cure, it is Iteccffary to know whether

the uJeee is (e:ned

lhe bod}' of rhe uterus, pe oear the

!Jter;;

in the

vaginil

;· or

whether it be venereal,

foc

the

lan mur! be tre3l.d as ,ha, dtflemper «quire•.

Ta correét

lhe vicious acrimony

of the

blood,

ufe

hroths,

or decoétions of Jeuuce, Cuccory, borrage·,

\Virh fal

pru ..

nella; fome,imes wllh veal or a pullet ; . Ifo ehalybeated

whey, fweeleoed wi,h fyrup of VIOle". Hut the hefl

thing is a mdk-diet;

which, for variety.r ..ke,

m"y

added

rice,

eggs,

dccoélioo of china, barley,

&c .

chervil,

agrimony, fumitory .

{he

fecond lime water,

or '{leel waters

alone. L ikewife

emollient batos or

fe–

mieupia .

Injeaioo. of whey and browo fugar are good.

T o

conrolldate

(he

uleer,

ure

lnjefl rons

agrimooy,

with the fécond

lime

\Vat~r;

or warm fulphureous

bath...

waters, and (he fUGligatloos of the gums.

(he palo. give gentle nareatics.

Oj/h.

RRHU S

of th.

UTERUS.

SOMi.TIM E S

an in8anlmation of

the

uterus ends in

fcirrhl1S, wlllch is

hard, renlteot, and indoleot tumour,

without

heat

andopain.

[

very

rouóJefome diforder, and often incurable,

and the attempl tO "emove it

d~ngl!rous,

though it is

apt to bnng on dropfies, a caneer,

mar.tfmus.

be.

Its

feat i, io the gl«odo, Iymphaue veffels, or Ida..ls of the

uterus.

The fymp,oms are, • weight

the hypog-. rlrium, wheD

,he paticot l!aodo

w.lks ; diffieu llY

lylOg on the well

fid e';

the tumour is painful, (he is obliged to lie on ber

baek; the menrés are fuppre(fed ; Cúmetimes there are

violeo, aod daogerous hz morrhages ; a dropfy of the abo

domen or uterus:

fuppurates. there are rigns of an

abfeefs.

may be partly difeovered by prelliog Ihe hand

on the region of Ihe os pubis.

[he tumour be rmall, recent, and void of paiD, you

may giye broths of eringo, retl.harrow, aod afpar<t,gus rODu,

each

half ao ounce. Whey, with vltriolate tartar,

or ebalybeated whey, are very geotle. O r give a pint

every day of yitriolic waters,

foe

twa or three months.

If ,befe heat too mueh, !he muO 'driok affes o .. goalS

I)lilk . This is a p, lIiative cure. But. to diffolve Ibe

fc¡rrhous maner,

[he

patieot mutl ufe baths. and half

baths, of emoJlient decoaioos. Emollient injealon. and

moderare clyaers are very beneficia!.

When heat, pain. and teofioo of the uterus are per–

eeiv<d, forbeu deobOruents, . od bleed. Uf< no 'pe·

r¡l/V!!S at {he rime of purging,

other times ufe di ...

luents and nareoties.

[f the tumour does oor dim1oirh.

leaye tht(e' medicines off, aod have reeourfe to lhe

palH–

atiye

CUre.

Of/h.

CA N~ER

of/h.

U 'TERU',

CANC E R

fcirrhus becom...e exquiGtely painfuJ.

Wheo (here is a darting or Igncinating paio in the fcirrhus ,

and io fi r[eeo days or a month it becomcs much larger

thao it was bef(lre. and fcabrou·s. [hat is, angular and

rugged; and the

~(in

tha;: covers it is fmoo[her. t¡JI

a fill'ure appears

Ihe lips of which are retoned, and

an ichor or aelimonious ferollly proeeeds ,hercfrom,

wilh .