122 DISEASES CLASS I. 2. 4. IT, 



17. Hysieralgiafrigida. Cold pain of the uterus preceding or 

 accompanying menstruation. It is attended with cold extremi- 

 ties, want of appetite, and other marks of general debility. 



M. M. A clyster of half a pint of gruel, and 30 drops of lau- 

 danum; or a grain of opium and six grains of rhubarb every night. 

 To sit over warm water, or go into a warm bath. 



18. Proctalgiafrigida. Cold pain at the bottom of the rec- 

 tum previous to the tumor of the piles, which sometimes extends 

 by sympathy to the loins; it seems to be similar to the pain at 

 the beginning of menstruation, and is owing to the torpor or inir- 

 ritability of the extremity of the alimentary canal, or to the ob- 

 struction of the blood in its passage through the liver, when 

 that viscus is affected, and its consequent delay in the veins of 

 the rectum, occasioning tumours of them, and dull sensations of 

 pain. 



M. M. Calomel. A cathartic. Spice. Clyster, with 30 

 drops of laudanum. Sitting over warm water. If chalybeates 

 after evacuation? See Class I. 2. 3. 23. and I. 2. 1. 6. 



1 9. Vesicw fellece inirritabilitas. The inirritability of the gall- 

 bladder probably occasions one kind of icterus, or jaundice; 

 which is owing to whatever obstructs the passage of bile into 

 the duodenum. The jaundice of aged people, and which attends 

 some fevers, is believed to be most frequently caused by an irri- 

 tative palsy of the gall-bladder; on which account the bile is 

 not pressed from the cyst by its contraction, as in a paralysis of 

 the urinary bladder. 



A thickening of the coats of the common bile-duct by inflam- 

 mation or increased action of their vessels so as to prevent the 

 passage of the bile into the intestine, in the same manner as the 

 membrane which lines the nostrils, becomes thickened in ca- 

 tarrh so as to prevent the passage of air through them, is proba- 

 bly another frequent cause of jaundice, especially of children;' 

 and generally ceases in about a fortnight, like a common catarrh, 

 without the aid of medicine; which has given rise to the charac- 

 ter, which charms have obtained in some countries for curing the 

 jaundice of young people. 



The spissitude of the bile is another cause of jaundice, as men- 

 tioned in Class I. 1. 3. 8. This also in children is a disease of 

 little danger, as the gall-ducts are distensible, and will the easier 

 admit of the exclusion of gall-stones; but becomes a more seri- 

 ous disease in proportion to the age of the patient, and his habits 

 of life in respect to spirituous potation. 



A fourth cause of jaundice is the compression of the bile-duct 

 by the enlargement of an inflamed or scirrhous liver; this attend? 



