Class I. 3. 1. 7. OF IRRITATION. 13$ 



taken, be particularly ferviceable in this circumftance ? Or 

 could half a pound, or a pound, of crude mercury be injected as 

 a clyfter, the patient being elevated by the knees and thighs fo 

 as to have his head and fhoulders much lower than his bottom, 

 or even for a ihort time held up by the heels ? Could this alfo 

 be of advantage in flrangulated hernia ? 



Where there exiits an introfufception of the interline, or in 

 obftmate ccftivenefs, perhaps a forcing pump, fuch as gardeners 

 employ to water their trees, might be ufed with advantage, by 

 driving water forcibly up the rectum, as is mentioned by Mr. 

 Adair ; and was ufed by Dettaen in experiments on dogs, who 

 found the valve of the colon did not prevent warm water being 

 pu (bed along the whole courfe of the alimentary canal by a 

 forcing fyringe. This is well worthy trial, as well as the quick- 

 filver introduced by the anus in inflammations of the inteitines, 

 where no parTage downwards can be procured. 



Where an introfufception of the interline exifts, as is believ- 

 ed frequently to occur in thofe inflammations of the bowels of 

 children, which are not owing to fome indigePcible material, as 

 to plum flones or cherry ilones, it is probable that a quantity of 

 air alone, or of the fmoke of tobacco, might be injected fo forci- 

 bly as to dilate, and in confequence to pais the valve of the co- 

 lon ; and might piifh into its place the flrangulated duplicature of 

 the interline. Air might be thus injected from a large browii 

 bladder by means of a clyfter-pipe covered with foft leather 

 moiflened with oil or mucilage, or by means of bellows, or the 

 common apparatus for injecting the fmoke of tobacco, or by a 

 fyringe ufed for condenfing air in philofophical experiments. I 

 have feen fchool-boys blow air through a grafs-fleminto the bow- 

 els of frogs, fo as to prevent their diving, without injuring them. 



Where the difeafe is owing to flrangulated hernia, the part 

 {hould be fprinkled with cold water, or iced water, or fait and 

 water recently mixed, or moiflened with ether. In cafes of 

 flrangulated hernia, could a cupuncture, or puncture with a ca- 

 pillary trocar, be ufed with fafety and advantage to give exit to 

 air contained in the flrangulated bowel ? Or to flimulate it in- 

 to action ? It is not uncommon for bafhfui men to conceal 

 their being afflicted with a fmall hernia, which is the caufe of 

 their death j this circumftance ihould therefore always be in- 

 quired into. Is the feat or caufe of the ileus always below the 

 valve of the colon, and that of the cholera above it ? See Oafs 

 II. 1. 2. 11. 



7. Globus hyjlericus. Hyfleric fuifocation is the perception 

 of a globe rolling round in the abdomen, and afcending to the 

 ftomach and throat, and there inducing ftrangulatioa. It con- 

 fills 



