JJ36 C H O L I C, &e. 



without reverting to the language of others, 

 terming that '* bilious," to which, in my 

 humble opinion, there can in this inftance 

 be no bilious explanation appertaining. In the 

 predominant fymptoms of thefe kinds of Cholic 

 there is but little difference ; in the inflamma- 

 tory, of which we now treat, they however run 

 higher, or, in other terms, more violent ; the 

 pain is evidently excruciating, and proceeds 

 from coftivenefs, with great accumulation of 

 indurated faeces, or hardened excrements. The 

 re(!^um feems loaded, and vifibly preffed to the 

 fundament, which appears prominent ; a con- 

 ftant ftraining and endeavour to expel dung, 

 with no other difcharge than a difcoloured 

 hot, fharp, liquid ^ a frequent polition is formed 

 for ftaling without fuccefs ; and the extreme 

 pain foon produces fymptom.atic fever, with 

 fbort breathing, heaving in the flanks, extra- 

 vagant aftions, and general exertions, that very 

 much alarm with the apprehenfion of imme- 

 diate danger. To allay which, it will be ad- 

 vifeable to take off the fpafm or ftridiure from 

 the inteftines, by an expeditious folution and 

 difcharge of their contents, thereby preventing 

 inflammation and its certain, if not immediate, 

 conlequences. This defirable event muft be 



8 folicited 



