INFLAMiVATION OF THE BLADDER. Kfy 



1^11(1 among thfse I have already denounced the alarming appearance of "bloody 

 urine" as a disorder of the kidneys and Hver, page 103. Neither is the " sup- 

 pression of urine," nor its obverse "diabetes," ascribable to the bladder, but to 

 the kidneys; for if these secrete none or imperfectly, little or none can be sent 

 into or escape out of th# bladder ; but retention of urine may be a fault of the 

 bladder, or collapsion of its neck ; and the means of procuring its escape was 

 before recommended at page 53, &c. 



Inflammation OF THE bi.addfr, and consequent " incontinence of urine," 

 are the same disorder ; the latter being the irritating effects of the inflamma- 

 tion otdy, and this I shall consider separately, referring those other lipordera 

 that are commonly ascribed to the bladder, to consideration under the h<-ad 

 of "Diseases of the urinary organs, generally," 



Cause. Heat and inflammation of the kidneys communicate this effect to 

 the ureters and bladder. It may be inllanied also by the irritation of stones 

 or gravel concreted within it; or the excessive labour imposed upon it by the 

 great access of diabetes, after these have ceased. 



Symptoms. Frequent desire to stale, the bladder contracting upon every 

 drop of water, almost, that finds its way into it. A quick, sharp pulse, and 

 small, accompanies, if it has not preceded inflammation of the bladder; yet 

 bleeding would not be proper in this case, as it is the poorness of the blood 

 which brought on the diabetes th:it caused the inflammation. When, how- 

 ever, this symptom has not preceded inflannnation, the pulse will be more full, 

 and bleeding to an amount proj)ortionecl to the state of the pulse (see page G2), 

 would then be necessary. 



Remedy. — A slightly purgative ball sliould of course follow the bleeding, 

 but employ neither in the extreme. Give the cooling decoction recommended 

 in general fever, at page 70 ; administer clysters of the same, two or three 

 times in the day. Should great heat of the' bladder continue, notwithstand- 

 ing these remedies, give the fever powder, No % at [)age 65, and afterwards 

 No. 2, made into a ball, daily. 



DISEASES OF THE URINARY ORGANS, GENERALLY. 



Besides the foregoing main diseases of the kidneys and bladder, there are 

 several other conjoint affeclions of the same organs, or parts dependent there- 

 on, which require notice, and deniaml attention, while we examine the dis- 

 tinctions that ought to be drawn between the one set and the other. Mistakes 

 as to the actual seat of disorders are more dangerous than the unskilful ad- 

 ministering of medicines, for these might do good by accident, the former 

 never can he applied properly : the l)etter the "receipt" may be, the worse for 

 the horse. Few of these lesser disi>ases are original, but arise from some de- 

 fect or ill-cured disorder in the other parts of the animal's system. They may 

 be considered under the heads — 1. Diabetes, or excessive discharge of urine. 

 2. Bloody urine. 3. Calculi, or stone. 4. Strangury. 5. Suppression of urine. 

 I am aware that the ingenuity of some doctors has subdivided these, and 

 added to the number of diseases incident to the kidneys, ureters, and bladder; 

 but, omitting those which attach to the organs of generation in breeding ani- 

 mals, and also those seated higher up — the communication of acute pains to 

 the more vital parts, by means of the emulgent and vena cava, to the heart 

 itself This last, however, is so innnediately the precursor of dissolution, that 

 no other benefit can arise from the doctor's skill in this respect, than bidding 

 him to cease his eflbrts, to forbear to torture the expiring patient, and to pro- 

 serve his medicines for a b'ss fttrlorn pur[iose : the pulse, by its extreme Ian 

 guor, tells when hope itself must resign its place. 



