1 36 DISEASES CLASS I. 3. 1. 8. 



sists of an ineffectual inversion of the motions of the oasophagus, 

 and other parts of the alimentary , canal; nothing being rejected 

 from the stomach. 



M. M. Tincture of castor, tinct. of opium, of each 15 drops. 

 See Hysteria, Class 1.3.1. 9. 



8. Vomendi conamen inane. An ineffectual effort to vomit. 

 It frequently occurs, when the stomach is empty, and in some 

 cases continues many hours; but as the lymphatics of the sto- 

 mach are not inverted at the same time, there is no supply of ma- 

 terials to be ejected; it is sometimes a symptom of hysteria, but 

 more frequently attends irregular epilepsies or reveries; which, 

 however, may be distinguished by their violence of exertion, for 

 the exertions of hysteric motions are feeble, as they are caused 

 by debility; but those of epilepsies, as they are used to relieve 

 pain, are of the most violent kind; insomuch that those who 

 have once seen these ineffectual efforts to vomit in some epilep- 

 sies, can never again mistake them for symptoms of hysteria. 

 See a case in Sect. XIX. 2. 



M. M. Blister. Opium. Crude mercury. 



9. Borborigmus. A gurgling of the bowels proceeds front a 

 partial invertion of the peristaltic motions of them, by which the 

 gas is brought into a superior part of the bowel, and bubbles 

 through the descending fluid, like air rushing into a bottle as the 

 water is poured out of it. This is sometimes a distressing symp- 

 tom of the debility of the bowels joined with a partial inversion 

 of their motions. I attended a young lady about sixteen, who 

 was in other respects feeble, whose bowels almost incessantly 

 made a gurgling noise so loud as to be heard at a considerable 

 distance, and to attract the notice of all who were near her. As 

 this noise never ceased a minute together for many hours in a day, 

 it could not be produced by the uniform descent of water, and 

 ascent of air through it, but there must have been alternately a 

 retrograde movement of a part of the bowel, which must again 

 have pushed up the water above the air; or which might raise a 

 part of the bowel, in which the fluid was lodged, alternately 

 above and below another portion of it; which might readily hap- 

 pen in some of the curvatures of the smaller intestines, the air 

 in which might be moved backward and forward like the air- 

 bubble in a glass-level. 



M. M. Essential oil. Ten corns of black pepper swallowed 

 whole after dinner, that its effect night be slower and more per- 

 manent; a small pipe occasionally introduced into the rectum 

 to facilitate the escape of the air. Crude mercury. See Class 

 I. 2. 4. 9. 



10. Hysteria. The three last articles, together with the lym- 



