82 PRACTICE OF PHYSIC. 



flammation of the spleen ; but it does not seem necessary, be- 

 cause the disease very seldom occurs. When it does, it may be 

 readily known by the character given in our Nosology ; and its 

 various termination, as well as the practice which it requires, 

 may be understood from what has been already said with respect 

 to the inflammations of the other abdominal viscera. 



CHAP. XI OF THE NEPHRITIS, OR THE IN- 

 FLAMMATION OF THE KIDNEYS. 



CCCCXXVI. This disease, like other internal inflammations, 

 is always attended with pyrexia ; and is especially known from 

 the region of the kidney being affected by pain, commonly 

 obtuse, sometimes pungent. This pain is not increased by the 

 motion of the trunk of the body, so much as a pain of the 

 rheumatic kind affecting the same region. The pain of the ne- 

 phritis may be often distinguished by its shooting along the 

 course of the ureter ; and is frequently attended with a drawing 

 up of the testicle, and with a numbness of the limb on the side 

 affected; although, indeed, these symptoms most commonly 

 accompany the inflammation arising from a calculus in the kidney 

 or in the ureter. The nephritis is almost constantly attended 

 with frequent vomiting, and often with costiveness and colic 

 pains. Usually the state of the urine is changed ; it is most 

 commonly of a deep red colour, is voided frequently, and in 

 small quantity at a time. In more violent cases, the urine is 

 sometimes colourless. 



CCCCXXVII. The remote causes of this disease may be 

 various ; as external contusion ; violent or long continued riding ; 

 strains of the muscles of the back incumbent on the kidneys ; 

 various acrids in the course of the circulation conveyed to the 

 kidneys ; and perhaps some other internal causes not yet well 

 known. The most frequent is that of calculous matter ob- 

 structing the tubuli uriniferi, or calculi formed in the pelvis of 

 the kidneys, and either sticking there, or falling into the ureter. 



CCCCXXVIII. The various event of this disease may be 

 understood from what has been delivered on the subject of other 

 inflammations, 



