these fistulas
sometimes acquire an external opening in the perinaeum, and part of the
urine is discharged that way.

Can this matter be distinguished from mucus of the bladder by the criterion
delivered in Class II. 1. 6. 6?

M. M. The perpetual use of bougies, either of catgut or of caoutchouc. The
latter may be had at No. 37, Red-lion street, Holborn, London. The former
are easily made, by moistening the catgut, and keeping it stretched till
dry, and then rounding one end with a pen-knife. The use of a warm bath
every day for near an hour, at the heat of 94 or 96 degrees, for two or
three months, I knew to be uncommonly successful in one case; the extensive
fistulas completely healing. The patient should introduce a bougie always
before he makes water, and endeavour to make it as slowly as possible. See
Class I. 2. 3. 24.

12. _Hepatitis chronica._ Chronical inflammation of the liver. A collection
of matter in the liver has frequently been found on dissection, which was
not suspected in the living subject. Though there may have been no certain
signs of such a collection of matter, owing to the insensibility of the
internal parts of this viscus; which has thus neither been attended with
pain, nor induced any fever; yet there may be in some cases reason to
suspect the existence of such an abscess; either from a sense of fulness in
the right hypochondre, or from transient pains sometimes felt there, or
from pain on pressure, or from lying on the left side, and sometimes from a
degree of sensitive fever attending it.

Dr. Saunders suspects the acute hepatitis to exist in the inflammation of
the hepatic artery, and the chronical one in that of the vena portarum.
Treatise on the Liver. Robinson. London.

13. _Scrophula suppurans._ Suppurating scrophula. The indolent tumors of
the lymphatic glands are liable, after a long time, to regain their
sensibility; and then, owing to their former torpor, an increased action of
the vessels, beyond what is natural, with inflammation, is the consequence
of their new life, and suppuration succeeds. This cure of scrophula
generally happens about puberty, when a new energy pervades the whole
system, and unfolds the glands and organs of reproduction.

M. M. See Class I. 2. 3. 21. Where scrophulous ulcers about the neck are
difficult to heal, Dr. Beddoes was informed, in Ireland, that an empyric
had had some success by inflaming them by an application of wood sorrel,
oxalis acetosell