Class II. i. 2. 12. OF SENSATION. 175 



found its way out of the body near the groin. I knew another 

 child, who vomited fome damafin itones, which had lain for near 

 twenty hours, and given great pain about the navel, by the exhi- 

 bition of an emetic given in repeated dofes for about an hour. 

 The fwallowing of pium-ftones in large quantities, and even of 

 cherry- ftones, is annually fatal to many children. In refpect 

 to the introfufception and hernia, fee Iieus, Clafs I. 3. 1. 6. 



M. M. Repeated venefeclion. Calomel from ten to twen- 

 ty grains given in fmall pills as in ileus j thefe means ufed early 

 in the difeafe generally fucceed. After thefe evacuations a blis- 

 ter contributes to flop the vomiting. Warm bath. Crude mercu- 

 ry. Aloes one grain-pill every hour will frequently day in the 

 flomach. Glauber's fait diiTolvcd in pepper-mint water given by 

 repeated fpoonfuls. 



When the patient is much reduced, opium in very fmall do- 

 fes may be given, as a quarter of a grain, as recommended in pleu- 

 rify. If the pain fuddenly ceafes^and the patientcontinues to vom- 

 it up whatever is given him, it is generally fatal; as it indicates, 

 that a mortification of the bowel is already formed. Some au- 

 thors have adviied to join cathartic medicines with an opiate in 

 inflammation of the bowels, as recommended in coiica farurnina. 

 This may fucceed in ilighter cafes, but is a dangerous pracf ice 

 in general -, fmce, if the obft ruction be not removed by the e- 

 vacuation, the ftimulus of the opium is liable to incre'afe the 

 action of the veiiels, and produce mortification of the bowel, as 

 I think I have ltcn more than once. Mercury injected by the 

 anus, or water by a forcing-pump. See Ileus I. 3. 1. 6. 



12. Hepatitis. Inflammation of the liver is attended with 

 itrong quick pulfe ; tenfion and pain of the right fide 9 of 

 pungent as in pleurify, oftener dull. A pain is fadd to affe<3; 

 the clavicle, and top of the right fhoulder ; with difficulty in ly- 

 ing on the left fide ; difficult refpiration ; dry cough ; vomiting j 

 hiccough. 



There is another hepatitis mentioned by authors, in which 

 fever, and other fymptoms, are wanting, or are lefs violent > 

 defcribed in Clafs II. 1. 4. 11. and which is probably fome- 

 times relieved by eruptions of the face ; as in thole who are ha- 

 bituated to the intemperate ufe of fermented liquors. 



M. M. Hepatic inflammation is very liable to terminate hi 

 fuppuration, and the patient is deftroyed by the continuance of 

 a fever with fizy blood, but without night fweats, or diarrhoea, 

 as in other unopened abfceiTes. Whence co^-ous and repeated 

 venefeclion is required early in the difeafe, with repeated doles 

 of calomel, and cathartics. Warm bath. Towards the end of 

 the difeafe fmall dofes of opium before the evening paroxyfms, 



and 



