42 DISEASES Class I. 1.4. 6. 



M. M. Lance the gum' of the expected teeth quite through 

 the peiiofteum longitudinally. Venefection by the lancet or by 

 fwo or three leeches. One grain of calomel as a purge. Tinc- 

 ture of jalap, five or fix drops in water every three hours till it 

 purges, to be repeated daily. After evacuations a fmall blifter 

 on the back or behind the ears. And laftly, two or three drops 

 of laudanum according to the age of the child. Warm bath. 

 See Clafs III. 1. 1. 5. and 6. 



6. Priapifmus chronicus. I have feen two cafes, where an 

 erection of the penis, as hard as horn, continued two or three- 

 weeks without any venereal defires, but not without fome pain ; 

 the eafieft attitude of the patients was lying upon their backs 

 with their knees up. At length the corpus cavernofum urethne 

 became foft, and in another day or two the whole fubfided. In 

 one of them a bougie was introduced, hoping to remove fome 

 bit of gravel from the caput gallinaginis, camphor, warm bathing, 

 opium, lime-water, cold afpcrfion, bleeding in the veins of the 

 penis, were tried in vain. One of them had been a free drinker, 

 had much gutta rofacea on his face, and died fuddenly a few 

 months after his recovery from this complaint. Was it a parai- 

 vfis of the terminations of the veins, which abforb the blood 

 from the tumid penis ? or from the ftimuius of indurated femeri 

 in the feminal vefiels ? In the latter cafe fome venereal defires 

 iliould have attended. Clafs III. 1. 2. 16. 



The priapifmus, which occurs to vigorous people in a morn- 

 ing before they awake, has been called the fignuin falutis, or 

 banner of health, and is occaHoned bv the increafe of our irri- 

 tability or fenfibility during fieep, as explained in Sect. XVIII. 15. 



7. DjJJeniio mammularum. The diilention of the nipples of 

 lactefcent women is at firit owing to the ftimuius of the milk. 

 See Sect. XIV. 8. and Sett. XVI. 5. See Clafs II. 1. 7. 10. 



8. Defcetifus uteri. This is a very frequent complaint after 

 bad labours, the fundus uteri becomes inverted and defcends 

 like the prolapfus ani. 



M. M. All the ufual pcfuriesare very inconvenient and in- 

 effectual. A piece of foft fponge about two inches diameter in- 

 troduceu into the vagina gives great eafe to thefe patients, and 

 iupports the uterus 3 it mould have a ftfittg put through it to 

 retract it by. 



There are alfo pefTaries now made of elaftic gum, which are 

 faid to be cafily worn, and to be convenient from their having 

 a perforation in their centre. 



9. Frc/i'fjhs am. The lower part of the rectum becomes in- 

 verted, and defcends after eveiv ilool chicilv in children ; and 

 thus it imulates the fpliincter ani like any other extraneous bedv. 



M- M. It 



