1 DISEASES CLASS 1. 1. 1. 5. 



up from the lungs is florid, because it has just been exposed to the 

 influence of the air in its passage through the extremities of the 

 pulmonary artery; it is frothy, from the admixture of air with it 

 in the bronchia. The patients frequently vomit at the same time 

 from the disagreeable titillation of blood about the fauces; and are 

 thence liable to believe, that the blood is ejected from the stomach. 

 Sometimes an haemoptoe for several successive days returns in 

 gouty persons without danger, and seems to supply the place of 

 the gouty paroxysms. Is not the liver always diseased previous 

 to the haemoptoe, as in several other haemorrhages? See Class 

 I. 2. 1. 9. 



M. M. Venesection, a purge, a blister, diulents, torpentia; 

 and afterwards sorbentia, as the bark, the acid of vitriol, and 

 opium. An emetic is said to stop a pulmonary haemorrhage, 

 which it may effect, as sickness decreases the circulation, as is 

 very evident in the great sickness sometimes produced by too large 

 a dose of digitalis purpurea. 



Dr. Rush says, a table-spoonful of or two of common salt is suc- 

 cessful in haemoptoe; this may be owing to its stimulating the 

 absorbent systems, both the lymphatic, and the venous. Should 

 the patient respire air with less oxygen? or be made sick by 

 whirling round in a chair suspended by a rope? One immer- 

 sion in cold water, or a sudden sprinkling all over with cold 

 water, would probably stop a pulmonary haemorrhage. See Sect. 

 XXVII. 1. 



5. Hcemorrhagia narium. Epistaxis. Bleeding at the nose in 

 elderly subjects most frequently attends those, whose livers are 

 enlarged or inflamed by the too frequent use of fermented liquors. 

 In boys it occurs perhaps simply from redundancy of blood; 

 and in young girls sometimes precedes the approach of the cata- 

 menia; and then it shews a disposition contrary to chlorosis; 

 which arises from a deficiency of red blood. 



M. M. It is stopped by plunging the head into cold water, 

 with powdered salt hastily dissolved in it; or sometimes by lint 

 strewed over with wheat flour put up the nostrils; or by a so- 

 lution of steel in brandy applied to the vessel by means of lint. 

 The cure in other respects as in haemoptoe; when the bleeding 

 recurs at certain periods, after venesection, and evacuation by 

 calomel, and a blister, the bark and steel must be given, as in 

 intermittent fevers. See Sect. XXVII. 1. 



The tincture of digitalis given in proper quantities, as 30 drops 

 from a two-ounce phial every six hours for two or three or four 

 doses, is probably an efficacious medicine. See Dr. Ferriar's 

 Treatise on Digitalis. He stopped active haemorrhages by the 

 exhibition of digitalis. 



