366 ESSAYS anv OBSERVATIONS: 
ever; particularly in the left, fide of the 
umbilical region, and in the left tefticle. 
I was called to vifit him that forenoon, 
and, upon: examination, found a fcrotal 
hernia on the left fide, about the fize of a 
large fift, extremely hard over all its fur= 
face, and very painful on the flighteft 
touch. He had a hard frequent pulfe, 
intenfe thirft, and all the other fymptoms 
of inflammation. He was immediately 
blooded to a confiderable quantity, warm 
{tupes wrung out of an emollient decoc- 
tion were alternately applied upon his 
Scrotum and belly, and an emollient pur- 
gative clyfter was injected. The applica- 
tion of the warm ftupes gave him fome 
{mall relief, and he imagined the parts 
were fofter ; but, upon ufing the taxis, the 
pain was intolerable, and it was in vain 
‘to endeavour to reduce the hernid. Hecon- 
tinued in this ftate till the evening, when 
his fever demanded a fecond blooding, 
which was accordingly performed; ano- 
ther ftimulating clyfter was thrown up, 
and foon after he had two or three copi- 
ous dejections of indurated feces. The 
operation: 
