HjEMORRHAGIES. 26? 



CHAP. V OF THE H^MORRHOIS, OR OF THE 

 H^EMORRHOIDAL SWELLING AND FLUX. 



SECT. I. OF THE PHENOMENA AND CAUSES OF THE 



H^MORRHOIS. 



DCCCCXXV. A discharge of blood from small tumours on 

 the verge of the anus, is the symptom which generally consti- 

 tutes the Haemorrhois, or as it is vulgarly called, the Hsemorr- 

 hoidal Flux. But a discharge of blood from within the anus, 

 when the blood is of a florid colour, showing it to have come 

 from no great distance, is also considered as the same disease ; 

 and physicians have agreed in making two cases or varieties of 

 it, under the names of External and Internal Haemorrhois. 



DCCCCXXVL In both cases it is supposed that the flow 

 of blood is from tumours previously formed, which are named 

 Haemorrhoids, or Piles ; and it frequently happens, that the 

 tumours exist without any discharge of blood, in which case, 

 however, they are supposed to be a part of the same disease, and 

 are named Haemorrhoides Caecae, or Blind Piles. 



DCCCCXXVIL These tumours, as they appear without the 

 anus, are sometimes separate, round, and prominent, on the 

 verge of the anus ; but frequently the tumour is only one tumid 

 ring, forming, as it were, the anus pushed without the body. 



DCCCCXXVIII. These tumours, and the discharge of 

 blood from them, sometimes come on as an affection purely to- 

 pical, and without any previous disorder in other parts of the 

 body : but it frequently happens, even before the tumours are 

 formed, and more especially before the blood flows, that various 

 disorders are felt in different parts of the body, as headach, ver- 

 tigo, stupor, difficulty of breathing, sickness, colic-pains, pain 

 of the back and loins ; and often, together with more or fewer 

 of these symptoms, there occurs a considerable degree of py- 

 rexia. 



The coming on of the disease with these symptoms, is usually 

 attended with a sense of fulness, heat, itching, and pain in and 

 about the anus. 



