CLASS. I. 2. 3. 22. OP IRRITATION, 



M. M. Plentiful diet of flesh meat and vegetables with small 

 beer. Opium, from a quarter of a grain to half a grain twice 

 a day, Sorbentia. Tincture of digitalis, thirty drops twice a 

 day. Externally sea-bathing, or bathing in salt and water, one 

 pound to three gallons made warm. The application of Peru- 

 vian bark in fine powder, seven parts, and white-lead (cerussa,) 

 in fine powder one part, mixed together, and applied on the ul- 

 cers in dry powder, by means of lint and a bandage, to be renew- 

 ed every day. Or very fine powder of calamy alone, lapis ca- 

 laminaris. .If powder of manganese? See Class II. 1. 4. 13. 



22. Scirrhus. After the absorbent veins of a gland cease to 

 perform their office, if the secerning arteries of it continue to 

 act some time longer, the fluids are pushed forwards, and stag- 

 nate in the receptacles or capillary vessels of the gland; and the 

 thinner part of them only being resumed by the absorbent system 

 of the gland, a hard tumour gradually succeeds; which contin- 

 ues like a lifeless mass, till from some accidental violence it gains 

 sensibility, and produces cancer, or suppurates. Of this kind 

 are the scirrhus glands of the breasts, of the lungs, of the me- 

 sentery, and the scrofulous tumours about the neck and the bron- 

 chocele. 



Another seat of scirrhus is in the membranous parts of the 

 system, as of the rectum intestinum, the urethra, the gula or 

 throat; and of this kind is the veruca or wart, and the clavus pe- 

 dum, or corns on the toes. A wen sometimes arises on the back 

 of the neck, and sometimes between the shoulders; and by dis- 

 tending the tendinous fascia produces great and perpetual pain. 



M. M. Mercurial ointment. Cover the part with oiled silk. 

 Extirpation. Electric shocks through the tumour. An issue 

 into the substance of the wen. Opium. Ether externally. 



23. Scirrhus recti intestini. Scirrhus of the rectum. A 

 scirrhus frequently affects a canal, and by contracting its diame- 

 ter becomes a painful and deplorable disease. The canals thus 

 obstructed are the rectum, the urethra, the throat, the gall-ducts, 

 and probably the excretory ducts of the lymphatics, and of other 

 glands. 



The scirrhus of the rectum is known by the patient having 

 pain in the part, and being only able to part with liquid feces^ 

 and by the introduction of the finger; the swelled part of the 

 intestine is sometimes protruded downwards, and hangs like a 

 valve, smooth and hard to the touch, with an aperture in the 

 centre of it. See a paper on this subject by J. Sherwin. Me- 

 moirs of a London Medical Society, Vol. II. p. 9. 



M. M. To take but little solid food. Aperient medicines 



