hout night-sweats, or diarrhoea, as in other unopened abscesses. Whence
copious and repeated venesection is required early in the disease, with
repeated doses of calomel, and cathartics. Warm bath. Towards the end of
the disease small doses of opium before the evening paroxysms, and lastly
the Peruvian bark, and chalybeate wine, at first in small doses, as 20
drops twice a day, and afterwards, if necessary, in larger. See Art. IV. 2.
6.
Mrs. C. a lady in the last month of her pregnancy, was seized with violent
hepatitis, with symptoms both of peripneumony and of pleurisy, for it
seldom happens in violent inflammations, that one viscus alone is affected;
she wanted then about a fortnight of her delivery, and after frequent
venesection, with gentle cathartics, with fomentation or warm bath, she
recovered and was safely delivered, and both herself and child did well.
Rheumatic and eruptive fevers are more liable to induce abortion.
13. _Splenitis._ Inflammation of the spleen commences with tension, heat,
and tumour of the left side, and with pain, which is increased by pressure.
A case is described in Class I. 2. 3. 18. where a tumid spleen, attended
with fever, terminated in schirrus of that viscus.
14. _Nephritis._ Inflammation of the kidney seems to be of two kinds; each
of them attended with different symptoms, and different modes of
termination. One of them I suppose to be an inflammation of the external
membrane of the kidney, arising from general causes of inflammation, and
accompanied with pain in the loins without vomiting; and the other to
consist in an inflammation of the interior parts of the kidney, occasioned
by the stimulus of gravel in the pelvis of it, which is attended with
perpetual vomiting, with pain along the course of the ureter, and
retraction of the testis on that side, or numbness of the thigh.
The former of these kinds of nephritis is distinguished from lumbago by its
situation being more exactly on the region of the kidney, and by its not
being extended beyond that part; after three or four days I believe this
inflammation is liable to change place; and that a herpes or erysipelas,
called zona, or shingles, breaks out about the loins in its stead; at other
times it is cured by a cathartic with calomel, with or without previous
venesection.
The other kind of nephritis, or inflammation of the interior part of the
kidney, generally arises from the pain occasioned by the stimulus of a
stone
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