IIJEMORRHAGIES. 303 



2. That it will hardly ever require the remedies suited to the 

 cure of active haemorrhagy ; and at least that it will require 

 these only in those unusual cases in which there appear strong 

 marks of a general plethora, and in which the vomiting of blood 

 appears to be considerably active, very profuse, and frequently 

 recurring. 



3. That a vomiting of blood from suppressed menses ought 

 seldom to prevent the use of those remedies of amenorrhoea, 

 which might be improper in the case of an active idiopathic hse- 

 morrhagy. 



MXXV. Another case of symptomatic haematemesis, quite 

 analogous to that already mentioned, is the haematemesis follow- 

 ing, and seemingly depending upon the suppression of an hae- 

 morrhoidal flux, which had been established and frequent for 

 some time before. 



This may perhaps be explained by a general plethoric state 

 induced by such a suppression ; and indeed some degree of a 

 plethoric state must, in such a case, be supposed to take place : 

 )ut that supposition alone will not explain the whole of the 

 case ; for a general plethora would lead us to expect an hae- 

 moptysis, (MXXIL), rather than an haematemesis; and there 

 is therefore something still wanting, as in the former case, to 

 explain the particular determination to the stomach. 



Whether such an explanation can be got from the connexion 

 between the different parts of the sanguiferous vessels of the ali- 

 mentary canal, or from the connexion of the whole of these ves- 

 sels with the vena portarum, I shall not venture to determine. 

 But in the meantime, I imagine that the explanation required 

 is rather to be obtained from that connexion of the stomach 

 with the hasmorrhoidal affection that I have taken notice of in 

 DCCCCXLVI. 



MXXVI. However we may explain the haematemesis oc- 

 casioned by a suppression of the haemorrhois, the considerations 

 in MXXI. MXXII. will apply here as in the analogous 

 case of haematemesis from suppressed menses ; and will there- 

 fore allow us also to conclude here, that the disease we now 

 treat of will seldom be dangerous, and will seldom require 

 the same remedies that idiopathic and active haemorrhagy does. 



MXXVI I. The cases of haematemesis already mentioned 



