Class I. 2. 3. 22. OF IRRITATION. 99 



M. M. Plentiful diet of flefh meat and vegetables with fmall 

 beer. Opium, from a quarter of a grain to half a grain twice 

 a day. Sorbentia. Tincture of digitalis, thirty drops twice a 

 day. Externally fea-bathing, or bathing in fait and water, one 

 pound to three gallons, made warm. The application of Peru- 

 vian bark in fine powder, feven parts, and white lead (cerufTO, 

 in fine powder one part, mixed together and hophed on the ui- 

 cers in dry powder, by means of lint and a bandage, to be renew- 

 ed every day. Or very fine powder of calamy alone, lapis ca- 

 iaminaris. If powder of manganeie ? See Ciafs II. 1. 4. 13. 



22. Scirrhus. After the abforbent veins of a gland ceafe to 

 perform their office, if the fecerning arteries of it continue to 

 act ibme time longer, the fluids are pufned forwards, andita; 

 nate in the receptacles or capillary veiTeis of the gland -, and the 

 thinner part of them only being refumedby the abforbent fyileni 

 of the gland, a hard tumour gradually iucceeds ; which contin- 

 ues like a lifelefs mafs, till fromfome accidental violence it gains 

 fenfibiiity, and produces cancer, or fuppurates. Of this kind 

 are the fcirrhus glands of the breads, of the lungs, of the mefen- 

 tery, and the fcrofulous tumours about the neck and the bro.i- 

 chocele. 



Another feat of fcirrlius is in the membranous parts of the 

 fyftem, as of the rectum inteflinurn, the urethra, the gu'a or 

 throat •, and of this kind is the veruca or wart, and the clavus pe- 

 dum, or corns on the toes. A wen foraetimes arifes on the back 

 of the neck, and lometimes between the moulders ; and by d in- 

 tending the tendinous fafcia produces great and perpetual pain. 



M. M. Mercurial ointment. Cover the part with oiled Ink. 

 Extirpation. Electric lhocks through the tumour. An ifiue 

 into the fubftance of the wen. Opium. Ether externally. 



23. Scirrhus recii intejTini. Scirrhus of the rectum. A 

 fcirrhus frequently affects a canal, and by contracting its diam- 

 eter becomes a painful and deplorable difeafe. The canals thus 

 ebftructed are the rectum, the urethra, the throat, the gall-ducts, 

 and probably the excretory ducts of the lymphatics, and of ot 

 er glands. 



The fcirrhus of the rectum is known by the patient having 

 pain in the part, and being only able to part with liquid feces, 

 and by the introduction of the finger ; the fwelled part of th(z 

 tclline is fometimes protruded downwards, and hangs like a 

 valve, fmooth and hard to the touch, with an apenure in the 

 centre of it. See a paper on this fubjecft by J . Sherwin. Me-? 

 moirs of a London Medical Society, Vol. II. p. 9. 



M. M. To take but little foiid food. Aperient medicines. 



Introduce 



