Cl.\s3 T. 2. 4. 6. OF IRRITATION. 109 



than to the acetous acid produced by fermenting aKment ; \.i- 

 caufe in violent apepfy, as in low fevers, and total want of di- 

 gjlfcion, no fuch violently ftrong or painful acidity occurs. See 

 I. 3. 1. 3. See Anorexia II. 2. 2. I. And fecondly, becaufe 

 in all thele cafes, which have come under my eye, the difeafe 

 was not inereafed bv vegetable food, or even by acid fruits, when 

 taken in their ufual quantity, and I have uniformly obferved, 

 that the food which iuited the palate, and that water alone, or 

 fm all wine and water, agreed with thefe patients better than 

 ftronger mixtures of fpirit and water, efpecially when they were 

 more agreeable to the palate. 



6. Arthritis Veiiiricidi. Sicknefs of the ftomach in £Outy 

 cafes is frequently a confequence of the torpor or inflammation 

 of the liver, and then it continues many davs or weeks. But 

 when the patient is feized with great pain at the ftomach with 

 the fenfation of coldnefs, which they have called an ice-bolt, this 

 is a primary affeifltion of the ftomach, and deftroys the patient 

 in a few hours, owing to the torpor or inaction of that viicus fo 

 important to life. 



This primary gout of the ftomach, as it is a torpor of that 

 yifcus, is attended with fenfa.don of coldnefs, and with real de- 

 fect of lfeat in that part, and may thence be diftinguifhed from 

 the pain occasioned by the paffage of a gall- (tone into the duod- 

 enum, as well as by the weak pulfe, and cold extremities •, to 

 which muft be added, that it affects thofe only, who have been 

 long afflicted with the gout, and much debilitated by its numer- 

 ous attacks. 



M. M. Opium. Vinous fpirit. Volatile alkali. Spice* 

 Warmth applied externally to the ftomach by hot cloths or fo- 

 mentation. 



7. Co/ica flatulenta. The flatulent colic arifes from the too 

 great diftention of the bowel by air, and confequent pain. The 

 caufe of this difeafe is the inactivity or want of fufficiently pow- 

 erful contraction of the coats of the bowel, to carry forwards the 

 gas given up by the fermenting aliment. It is without fever, 

 and generally attended with cold extremities. 



It is diftinguifhed, firft, from the pain occafioned by the paf- 

 fage of a gall-itone, as that is felt at the pit of the ftomach, . ! 

 this nearer the navel. Secondly, it is diftinguifhed from the 

 colica faturnina, or colic from lead, as that arifing from the tor- 

 por of the liver, or of fome other vifcus, is attended with greater 

 coldnefs, and with an aching pain ; whereas the flatulent colic 

 being owing to diftention of the mufcies of the bowel, the pain 

 is more acute, and the coldnefs lefs. Thirdly, it is diftinguifh- 

 ed from inflammation of the bowels, or ileus, as perpetual vom- 

 iting 



