¥60 CULPEPER’s ENGLISH PHYSICIAN; 
common obfervation, that thofe who have been fubject to bleeding at the nofe whea 
young, are afterwards moft liable to‘this complaint. It is often occafioned by 
exceffive drinking, running, wreftling, finging, or {peaking aloud. Such as have 
weak lungs ought to avoid all violent exertions of that organ, as they value life, - 
They fhould alfo guard againft violent paffions, exceffive drinking, and every thing 
that occafions a rapid circulation of the blood. It is often the effect of a long and 
violent cough ; in which cafe it isgenerally the forerunner of a confumption.. Spit- 
ting of blood is not always to be confidered as a primary difeafe.. Itis often only a 
fymptom, and in fome difeafes not an unfavourable one: this is the cafe in pleu- 
rifies, peripneumonies, and fundry other fevers. Ina dropfy, fcurvy, or conhump- 
tion, it is a bad fymptom, and fhews that the lungs are ulcerated. 
CURE..---This, like the other involuntary difcharges of blood, ought not to = 
fuddenly ftopped by aftringent medicines. It may however proceed {0 far as to 
weaken the patient, and even endanger his life, in which cafe proper means muft be 
ufed for reftraining it. The body fhould-be kept gently open by laxative diet, as 
roafted apples, ftewed prunes, and fuch-like. Ifthefe fhould not have the defired 
effect, a tea-fpoonful of the lenitive electuary may be taken twice or thrice a-day, as 
is found neceffary. Ifthe bleeding proves violent, ligatures may. be applied to the 
extremities, as directed for a bleeding atthenofe. If the patient be hot or feverifh, 
bleeding and {mall dofes of nitre will be of ufe; a fcruple-or half a drachm of nitre 
may be taken in a cup of his ordinary drink twice or thrice a-day. If ftronger aftrin- 
gents be neceffary, fifteen or twenty dropsof theacid elixir of vitriol may be given 
ina glafs of water three or four times a-day. . 
VOMITING or BLOOD. 
THIS difeafe often proceeds from an obftrugtion of the menies in women, and 
fometimes from the ftopping. of the hemorrhoidal flux in men, It may be occa- 
fioned by any thing that greatly ftimulates. or wounds the ftomach, as ftrong vo- 
mits or purges, acrid poifons, fharp or hard fubftances taken into the ftomach, &c, . 
Iti is of en the effect of obftructions in the liver, the fpleen, or fome of the other 
rifcera, Ttmay likewife proceed from external violence, as blows or bruifes, or 
fromany of the caufes which produce inflammation, In hyfteric women, vores 
ef blood is a ver y.common, but by no means a dangerous, fymptom. 7 
CURE..---A great part of the danger in this difeafe arifes from the extravafated 
blood lodging ir in the bowels, and becoming putrid, by which means a dyfentery of 
putrid fever may be occaf ioned, The beft way of preventing this, i is to keep the. 
body gently open, by frequently exhibiting emollient clyfters. After the difcharge _ 
is Over, as the patient is generally troubled with gripes, occafioned by the sare / 
of the blood lodged i in-the oe gentle purges will be neceflary. 
OF 
