228 PRACTICE OF .PHYSIC. 



applied upon the limbs, in the view of retarding the return of 

 the venous blood from the extremities ; but they appear to me 

 to be of uncertain and ambiguous use. 



DCC CIV. In the case of profuse haemorrhagies, no pains 

 are to be taken to prevent a Deliquium animi, or fainting, as 

 the happening of this is often the most certain means of stop- 

 ping the hsemorrhagy. 



DCCCV. Having thus delivered the general doctrine of 

 haemorrhagy, I proceed to consider the particular cases of it. 

 It may perhaps be remarked, that I have marked fewer of these 

 than are commonly enumerated by the nosologists ; but my rea- 

 sons for differing from these authors must be left to a nosologi- 

 cal discussion, to be entered into elsewhere more properly than 

 here. 



" My reason is partly that I have avoided one or two very 

 rare cases, and the character and circumstances of which I 

 had not well ascertained ; but chiefly that I have comprehend- 

 ed only those haemorrhagies which I think idiopathic, and al- 

 most constantly omitted those which I consider as symptomatic 

 affections. (See Synops. Nosol., p. 286.") 



CHAP. II. OF THE EPISTAXIS, OR H^MORRHAGY 

 OF THE NOSE. 



DCCCVI. The state of the vessels upon the internal surface 

 of the nose, being such as already mentioned (DCCLVIL), ren- 

 ders an haemorrhagy from that more frequent than from any 

 other part of the body. 



DCCC VII. The blood commonly flows from one nostril only, 

 and probably because an haemorrhagy from one vessel relieves 

 the congestion in all the neighbouring vessels. 



The blood flowing from both nostrils at the same time, shows 

 commonly a more considerable disease. 



DCCCVIII. This haemorrhagy happens to persons of every 

 constitution and temperament, but most frequently to those of 

 a plethoric habit, and sanguine temperament. It happens to 

 both sexes, but most frequently to the male. 



