Surgical, Cases in the Fbisbury Dispensary. 3 17 



Many of the above persons have had ulcers situated on 



the lower extremities, in which more pain than is usual has 



been experienced, and the cure protracted beyond what 



might have been expected. 



Suppuration of the inguinal and other glands has been 

 frequent, unconnected with the lues venerea or scrophula, 

 which have been successfully treated by the application of 

 stimulating cataplasmas, with tonics taken internally. 



Many cases of diseased mammaj have occurred ; as ab- 

 scess, scirrhi, and cancer : in the treatment of scirrhi much 

 apparent good has been derived from the administration of 

 the ferri rubigo, with stimulants applied externally, as 

 mentioned in a former report. 



Mrs. R , aged 47, Cow-Cross, has been several years 



subject to femoral hernia, which seldom remained down 

 long; and she could return it at any time previous to the 

 present attack by placing her body in a horizontal situation. 

 It came down on Saturday the 19th day of April, and 

 could not be reduced. The pain became considerable over 

 the fore-part of the abdomen, attended with sickness, and 

 occasionally with hiccup. These symptoms continued to 

 increase till the 25th, four P. M., when I was requested to 

 see her. 



The hernia was small, and situated on the right side ; the 

 pulse 120, thready, and irregular; respiration short and 

 oppressed ; skin dry ; the tongue brown : the pain was re- 

 ferred particularly to the region of the stomach, from which 

 every thing was rejected as soon as taken : the hiccup and 

 vomiting having now become extremely troublesome, and 

 Oi several attempts had been made to reduce the hernia 

 without effect, it was thought right to administer the fol- 

 lowing: injection : 



R. Nicotiana jj. aq. bullicnt. lb. j. f. enema. 

 This produced great lassitude; but the hernia could not be 

 returned during its operation ; and of the following pills 

 two were directed to be taken every two hours : 



ft. Calom. gr. x extr. colocynth. j f>. f. pil. vi. 

 These were immediate ly rejected, and the vomiting continued 

 10 increase during the night. In the morning the pulse was 



130; 



