d to absorb the blood faster, than
it can be supplied by the usual arterial exertion. See Sect. XXIII. 5.
There are two kinds of haemorrhages frequent in diseases, one is where the
glandular or capillary action is too powerfully exerted, and propels the
blood forwards more hastily, than the veins can absorb it; and the other
is, where the absorbent power of the veins is diminished, or a branch of
them is become totally paralytic.
1. The former of these cases is known by the heat of the part, and the
general fever or inflammation that accompanies the haemorrhage. An
haemorrhage from the nose or from the lungs is sometimes a crisis of
inflammatory diseases, as of the hepatitis and gout, and generally ceases
spontaneously, when the vessels are considerably emptied. Sometimes the
haemorrhage recurs by daily periods accompanying the hot fits of fever, and
ceasing in the cold fits, or in the intermissions; this is to be cured by
removing the febrile paroxysms, which will be treated of in their place.
Otherwise it is cured by venesection, by the internal or external
preparations of lead, or by the application of cold, with an abstemious
diet, and diluting liquids, like other inflammations. Which by inducing a
quiescence on those glandular parts, that are affected, prevents a greater
quantity of blood from being protruded forwards, than the veins are capable
of absorbing.
Mr. B---- had an haemorrhage from his kidney, and parted with not less than
a pint of blood a day (by conjecture) along with his urine for above a
fortnight: venesections, mucilages, balsams, preparations of lead, the
bark, alum, and dragon's blood, opiates, with a large blister on his loins,
were separately tried, in large doses, to no purpose. He was then directed
to bathe in a cold spring up to the middle of his body only, the upper part
being covered, and the haemorrhage diminished at the first, and ceased at
the second immersion.
In this case the external capillaries were rendered quiescent by the
coldness of the water, and thence a less quantity of blood was circulated
through them; and the internal capillaries, or other glands, became
quiescent from their irritative associations with the external ones; and
the haemorrhage was stopped a sufficient time for the ruptured vessels to
contract their apertures, or for the blood in those apertures to coagulate.
Mrs. K---- had a continued haemorrhage from her nose for some days; the
ruptured vessel was
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