a 
~ 
AND. FAMILY DISPENSATORY, ant 
liquors, foft and cooling emul fions, fweetened with the fyrup of poppies, may be ufed, 
Should thefe not have the defired effet, bleeding, and emollient fomentations, will 
be neceffary. When the complaint is evidently owing to an inflammation about 
the neck of the bladder, bleeding muft be more liberally performed, and repeated 
according to the urgency of the fymptoms. After bleeding, if the ftranguary ftill 
continues, foft clyfters, with a proper quantity of Jaudanum in them, may be ad- 
miniftered, and emollient fomentations applied to the region of the bladder. At the 
fame time, the patient may take every four hours a tea-cupful of barley-water, to an 
Englith pint of which fix ounces of the fyrup of marfh-mallows, four ounces of the 
oil of {weet almonds, and half an ounce of nitre, may be added. If thefe remedies 
fhould not relieve the complaint, and a total fuppreffion of urine fhould come on, 
| bleeding muft be repeated, and the patient fet in a warm bath uptothe middle. It 
will be proper, in this cafe, to difcontinue the diuretics, and to draw off the water 
with a catheter; but, as the patient is feldom able to bear its being introduced, we 
would rather recommend the ufe of mild bougies. Thefe often lubricate the paf- 
fage, and greatly facilitate the difcharge of urine. Whenever they begin to ftimu- 
late or give any uneafinefs, they may be withdrawn. The phymofis is fuch a con- 
- ftriction of the prepuce over the glans as hinders it ftom being drawn backwards; 
the paraphymofis, on the contrary, is fuch a conftriction of the prepuce behind the 
elans as hinders it from being brought forwards, The treatment of thefe fymptoms 
is fo nearly the fame with that of the virulent gonorrhoea, that we have no occafion 
toenlarge upon it. In general, bleeding, purging, poultices, and emollient fomen- 
tations, are fufficient. Should thefe, however, fail of removing the ftriéture, and 
the parts be threatened with a mortification, twenty or thirty grains of ipecacuanha, 
and one grain of emetic tartar, may be given for a vomit, and ney, be worked off 
with warm water or thin gruel. ” It fometimes happens, that, in fpite of all endea- 
vours to the contrary, the inflammation goes on, and fymptoms of a beginning 
mortification appear. When this is the cafe, the prepuce muft be icarified with a 
. lancet, and, if neceffary, divided, in order to prevent a ftrangulation, and fet une 
jmprifoned glans at liberty. We thall not defcribe the manner of pert oes ee 
operation, as it ought always to be done by a furgeon. Mihicaasprefcation 
3 actually taken place, it will be neceflary, befides performing the spore saa 3 | 
to foment the parts frequently with cloths wrung out of a ftrong Besottion ps is 
mile flowers and bark, and to give the patient adrachm of the bark in powder every, 
“os aiiaaiepayeen tes regan eae ee hat of the gonorrhoea. Whea- 
the penis, their treatment is-no way different from that oF the & Catia 
they prove very troublefome, the ‘patient may take a ss her 4 ? 4 ee 
‘night, efpecially after the operation of a purgative through the Safn gs sar Or 
~ 
* 
chordee, and other diftortionsof , 
