Treatment of the Strangulated Hernia. 31 



not feel much pain at the time, 10 o'clock, P. M., nor 

 until night, when he was riding on horseback home. On 

 the next day, Dr. Worrall, of this city, his master, hav- 

 ing accidentally visited his farm, found him complaining 

 very much of the Colic, and, on examination, discovered 

 a scrotal hernia of considerable size. The doctor directly 

 bled him to 10 ounces ; applied warm fomentations to 

 the tumour ; had his hips elevated to favour the return 

 of the prolapsed parts, and used his best endeavours to 

 return them, without effect. In the evening, the doctor 

 called on me to accompany him. We found the lad 

 making great complaint, with some hardness, but with- 

 out fulness, or much quickness of pulse. 



A vein was opened directly, which having been done 

 by a dim light, did not discharge more than five or six 

 ounces, before the orifice closed. Several stimulating 

 injections were administered, into some of which tobacco 

 smoke was blown ; they returned with faeces, but with- 

 out any reUef to the hernia. I also tried cold applica- 

 tions, which I had used with success, on a former occa- 

 sion. In the first effort to reduce the hernia, after their 

 application, a cracking was heard, as if wind had passed 

 into the abdomen ; but the sac, from the tightness about 

 the ring, was so obstructed, that it could not be reduced. 

 The cold produced so great pain, and such shiverings, 

 that we were obliged to desist from its use. 



As it was now late in the night, we thought it best to 

 have him removed to town next day. This could not be 

 done till late on Monday evening. He was now consi- 



