a a 
japsed parts. — i cinctciciiillhies conte as to put.a stop to 
the circulation in the protruded parts, mortification, with all its. bad 
consequences, must arise , together with vomiting, hickup, and other 
sym of distress. 
henever a stoppage of circulation takes place i in the contents ‘af 
a rupture, either of the blood or contents of the i intestines, the follow- 
ing symptoms take place: an elastic colorless swelling is observed 
at ‘the part affected ; a slight pain is felt in the tumor, and if the 
gut is down, uneasiness is felt over the whole abdomen, and the pain ~ 
is rendered worse by coughing, sneezing, &c, The patient complains 
of nausea, reiching ; he can get uo discharge by stools; becomes, hot — 
and restless, the pulse bard and quick. W basher: the gut is dow 
or merely the caul or omentum, can. mostly be by the 
feeling. ft ee erGe se 2S perite fec pag 
If the symptoms ofa a strangulated gut are not soon relieved by the 
stricture being removed, bilious vomitings of foctid matter come on; 
the belly becomes tense; the pain and fever more violent, a distress 
ful hickup takes place, and the patient is very anxious and 1estiess, 
These symptoms. having gone on, for. some time with violence, the 
gations is apt at last to be suddenly relieved from the pain, when he _ 
atters himself that every risk is at an end; but insteud,of this, the 
pulse becémes languid and interrupted ; cold sweats break out wu on 
the body and extremities; the eyes become dull ; the tenseness of the 
abdomen subsides, the tumor partly disappears, a and the = of it 
becomes livid. =" 
If the protruded parts hesecaot ‘of. the 
they may now be easily returned with a gentle | ep ar 
patient then discharges freely by stool; but. the cold sweats in- 
creasing, the hickup turns more, violent ; ‘and death itself is at last 
ushered in by its usual forerunners, twitching of the tendons, con- 
vulsions, &c. : 
These are the ordinary symptoms of what is termed a strangulated 
gut rupture, when the protruded parts cannot be returned to gga 
natural situation. 
: We will now proceed to sinanior the most ciieeteend means a's re : 
lief in this distressing and dangerous disorder ; ena sheen ay be 
comprehended under two general heads, viz.:-.. «- 
rege Such as tend to the reduction of. the sanded 
in ition of any sur; ration, so. ro Pe 
IL. a of om — the stricture, so as to audit 
of a replacement of the deranged viscera, constituting whee ag 
ral is called the. operation for hernia. 
‘The remedies to be employed for the first of these are, #3 
posture of the patient, with _the manual assistance. of. a-practiti 
blood letting ; stimulating ‘glysters ; ; opiates; the. warm bath, 
proper applications to the tumor itself The, first thing to be do 
to place the patient nearly. perpendicular, ‘with his head downw 
which will cause the bowels to swing or hang by the protruded 
and dkeanently proves the means of reducing them ; ‘or the; 
feet nm Be Pisces over the shoulders of another person, 
¥ 
“ 
