AND FAMILY DISPENSATORY. 159 
If the genitals be immerfed for fome time in cold water, it will generally ftop a 
bleeding: at the nofe. -I have feldom known this fail. 
Or tas BLEEDING anv BLIND PILES. 
A DISCHARGE of blood from the hemorrhoidal yeffels is called the bleeding 
piles. When the veffels only fwell, anddifcharge no blood, but are exceeding pain- 
ful, the difeafe is called the blind piles. This difcharge, however, i is not harass to be 
treated as a difeafe.. It iseven more falutary than bleeding at the nofe, and often 
prevents or carries off difeafes. It is peculiarly beneficial in the gout, rheumatifim, 
afthma, and hypochondriacal complaints, and often proves critical in cholics and 
_ inflammatory fevers. 
CURE.---Inthe management of the patient, regard muft be had to his habit of 
body, his age, ftrengcth, and manner of living. A difcharge, which might be excef- 
_ _ five and prove hurtful to one, may be very moderate, and even falutary, to another. 
That only is to be efteemed dangerous which continues too long, and is in fuch 
quantity as to wafte the patient’s ftrength, hurt the digeftion, nutrition, and other 
_ functions neceffary tolife. The Peruvian bark is proper in this cafe, both as a 
- ftrengthener and aftringent. Half a drachm of it may be taken in a glafs of red 
_ wine, fharpened with a few drops of the elixir of vitriol, three or four times a- 
day. The bleeding piles are fometimes periodical, and return regularly once a- 
month, or once in three weeks. In this cafe they are always to be confidered as 
a falutary difcharge, and by no meansto be ftopped. In the blind piles, bleeding is 
generally of ufe. The diet muft be light and thin, and che drink cool and diluting. 
{ti is likewife neceffary that the body be kept gently open. When the piles are ex- 
ceeding painful and {welled, but difcharge nothing, the patient muft fic over the 
{teams of warm water. He may likewife apply alinen cloth dipped in warm {pirits 
_of wine to the part, or poultices made of bread and milk, orof leeks fried with butter. 
If thefe do not produce adifcharge, and the piles appear large, leeches muft be ap- 
‘plied as near them as poffible, or, if they will fix upon the piles, themfelves, fo much 
the better. When leeches will not fix, the piles may be opened withalancet. The 
- Operation is very ealy, and is attended with no danger. When the pain is very great, 
a liniment made of two ounces of emollient ointment, and half an ounce of liquid 
pnenemy beat up with the yolk of an Se | ity be applied 
‘SPITTING oF BLOOD. 
| PERSONS 0 of: a flender make and a ia Ehte, eho have long necks. and ‘ra 
preafts, are -moft liable to this difeafe. Itis moft common in the fpring, and gene- 
rally attacks poopie! before they arrive at the prime or middle period of life. « Itis a 
} common 
