Class I. 2. i. 6. OF IRRITATION. 55 



the former, becaufe patients with difeafed livers are more fubject 

 to paralytic complaints in general, as to hemiplegia, and to drop- 

 fy, which is a paralyfis of the lymphatics ; and the latter is 

 probably owing to the delay of the circulation in the vena por- 

 ta by the torpor of this hepatic veilel, when the liver is not 

 much enlarged -, and to its prefTure on the vena cava, when it is 

 much enlarged. 



I have feen two elderly men, and one middle aged woman, all 

 of whom had drunk too much fermented or fpirituous liquors, 

 and had been for fome months gradually finking, were feized 

 with a ceafelefs haemorrhage from their mouths, and from every 

 part of the fkin, where they happened to fcratch themfelves, 

 which continued fome days till they died. See Seel. XXVII. 2. 

 M. M. Vitriolic acid, opium, Heel, bark. Sponge bound 

 on the part. Steel diffolved in fpirit of wine externally. Fiour. 

 6. Hamorrhois cruenta. In the bleeding piles the capillary 

 vefTels of the rectum become diftended and painful from the de- 

 fect of the venous abforption of the part, and at length burft ; 

 or the mucous glands are fo dilated as to give a pafFage to the 

 blood ; it is faid to obferve lunar periods. 



M. M. Venefection, poultices, cathartics, fpice, cold bath, 

 and forbentia. External compreffion by applying lint, fponge, 

 or cotton. Internal comprelTion by applying a bit of candle 

 fmeared with mercurial ointment. Strangulate the tumid piles 

 with a filk firing. Cut them off. See Sect. XXVII. 2. 



Mrs. had for twelve or fifteen years, at intervals of a 



year or lefs, a bleeding from the rectum without pain ; which 

 however flopped fpontaneouCy after {lie became weakened, or 

 by the ufe of injections of brandy and water. Lately the bleed- 

 ing continued above two months, in the quantity of many ounces 

 a day, till fhe became pale and feeble to an alarming degree, 

 Injections of folutions of lead, of bark and fait of fleel, and o£ 

 turpentine, with fome internal ailringents, and opiates, were uied 

 in vain. An injection of the fmoke of tobacco, with ten grains 

 of opium mixed with the tobacco, was ufed, but without effect 

 the two firfl times on account of the imperfection of the machine; 

 on the third time it produced great ficknefs, and vertigo, and nearly 

 a fainting fit ; from which time the blood entirely flopped. 

 Was this owing to a fungous excrefcence in the rectum ; or to 

 a blood-veffel being burft from the difficulty of the blood palling 

 through the vena porta from fome hepatic obftruction, and 

 which had continued to bleed fo long ? Was it flopped at lafl 

 by the fainting fit ? or by the flimulus of the tobacco ? 



7. Hamorrhagia renum. Haemorrhage from the kidneys, when 

 attended with no pain, is owing to defect of , enous abforption in 



the 



