84 Medical Topography of the Military Tract 



found them discharging from the stomach yellow and 

 green- coloured bile. This irritation sometimes conti- 

 nues through the disease. I often cure it by the appli- 

 cation of an epispastic to the region of the stomach, 

 with bleeding and an emetic. The irritation generally 

 goes off the second or third day. 



The discharge resembling coffee-grounds is a rare 

 occurrence. I have met with but one instance of it, 

 since 1 have resided in the western country. This was 

 in William Gilchrist, junr. His complaint was uncom- 

 mon throughout. He was taken ill in the fore part of 

 the season, with a vomiting of bilious matter, which 

 continued, without much abatement, for three or four 

 months. The quantity of bile which he discharged, 

 in this way, is almost incredible. When I was called 

 to him, a few days previously to his death, I found him 

 emaciated, to an astonishing degree. He had a bae- 

 morrhagy from his gums ; or, rather, an oozing of 

 blood from them. There was a tumefaction of the li- 

 ver, and he vomited, several times while I was with him, 

 a matter resembling coffee-grounds. Notwithstanding 

 his weakness, and almost constant vomiting, he lived 

 seven days after I saw him. He continued, until within 

 a few moments of his death, to discharge not only his 

 diet, but every thing that had been administered to him. 

 This, I say, is the only instance q/* black vomit that 

 lias ever, to my knowledge, occurred in this country. 



Haemorrhages often take place, not, however, this 

 season. I have met with them from the nose, tlie ears, 

 the lungs, and from the gums, from the uterus, urethra, 



