i« DISEASES Class I. 2. 4. 17. 



17. Hsfteralgia frtgida. Cold pain of the uterus preceding or 

 accompanying menftruation. It is attended with cold extremi- 

 ties, want of appetite, and other marks of general debility. 



M. M. A ciyfter of half a pint of gruel, and 30 drops of 

 laudanum ; or a grain of opium and lix grains of rhubarb every 

 night. To fit over warm water, or go into a warm bath. 



18. Proctalgia frigida. Coid pain at the bottom of the rec- 

 tum previous to the tumor of the piles, which fometimes extends 

 by fympathy to the loins ; it feems to be fimilar to the pain at 

 the beginning of menftruation, and is owing to the torpor or 

 inirritability of the extremity of the alimentary canal, or to the 

 cbftruction of the blood in its pafPage through the liver, when 

 that vifcus is affected, and its coniequent delay in the veins of 

 the rectum, occasioning tumours of them, and dull fenfations of 

 pain. 



M. M. Calomel. A cathartic. Spice. Ciyfter, with 30 

 drops of laudanum. Sitting over warm water. If chalybeates 

 after evacuation ? See Ciafs I. 2. 3. 23. and L 2. 1. 6. 



19. Vefica feiiea iiiirriiabiUtas. The inirritability of the gall- 

 bladder probably occafions one kind of icterus, or jaundice 5 

 which is owing to whatever obftructs the paffage of bile into the 

 duodenum. The jaundice of aged people, and which attends 

 ibme fevers, is believed to be mod frequently caufed by an irri- 

 tative palfy of the gall-bladder 3 on which account the bile is 

 not prsijed from the cyit by its contraction, as in a paralyfis of 

 the urinary bladder. 



A thickening of the coats of the common bile-duct by inflam- 

 mation or increafed action of their veflels io as to prevent the 

 paCage of the bile into the inteftine, in the fame manner as the 

 membrane, which lines the noltrils, becomes thickened in ca- 

 tarrh (o as to prevent the pafTage of air through them, is proba- 

 bly another frequent caufe of jaundice, especially of children; 

 and generally ceafes in about a fortnight, like a common catarrh, 

 without the aid of medicine 5 which has given rife to the char- 

 acter, which charms have obtained in fome countries for curing 

 the jaundice of young people. 



The fpiffitude of tlic bile is another caafe of jaundice, as men- 

 tioned in Clafs I. 1. 3. 8. This alfo in children is a difeafe of 

 little danger, as the gall-duets are diftenfible, and will the eafier 

 admit of the exclufion of gall-ftones ; but becomes a more feri- 

 ons difeafe iri proportion to the age of the patient, and his habits 

 cf life in refpect to fpirituous potation. 



A fourth caufe of jaundice is the compreflion of the bile-duct 

 by the enlargement of an- inflamed or fcirrhous liver j this attends 



thofe 



