CLASS II, 1. 2. 12. OF SENSATION. 1 75 



found its way out of the body near the groin. I knew another 

 child, who vomited some damasin stones, which had lain for near 

 twenty hours, and given great pain about the navel, by the exhi- 

 bition of an emetic given in repeated doses for about an hour. 

 The swallowing of plum stones in large quantities, and even of 

 cherry-stones, is annually fatal to many children. In respect to 

 the introsusception and hernia, see Ileus, Class I. 3. 1. 6. 



M. M. Repeated venesection. Calomel from ten to twenty 

 grains given in small pills as in ileus; these means used early in 

 the disease generally succeed. After these evacuations a blister 

 contributes to stop the vomiting. Warm bath. Crude mercury. 

 Aloes one grain-pill every hour will frequently stay in the sto- 

 mach. Glauber's salt dissolved in pepper-mint water given by 

 repeated spoonfuls. 



When the patient is much reduced, opium in very small doses 

 may be given, as a quarter of a grain, as recommended in pleu- 

 risy. If the pain suddenly ceases, and the patient continues to vo- 

 mit up whatever is given him, it is generally fatal; as it indicates, 

 that a mortification of the bowel is already formed. Some au- 

 thors have advised to join cathartic medicines with an opiate in 

 inflammation of the bowels, as recommended in colica saturnina. 

 This may succeed in slighter cases, but is a dangerous practice ia 

 general; since, if the obstruction be not removed by the eva- 

 cuation, the stimulus of the opium is liable to increase the action 

 of the vessels, and produce mortification of the bowel, as I think 

 I have seen more than once. Mercury injected by the anus, or 

 water by a forcing-pump. See Ileus I. 3. 1. 6. 



12. Hepatitis. Inflammation of the liver is attended with 

 strong quick pulse; tension and pain of the right side; often 

 pungent as in pleurisy, oftener dull. A pain is said to affect 

 the clavicle, and top of the right shoulder; with difficulty in ly- 

 ing on the left side; difficult respiration; dry cough; vomiting 

 hiccough. 



There is another hepatitis mentioned by authors, in which the 

 fever, and other symptoms, are wanting, or are less violent; as 

 described in Class li. 1. 4. 11. and which is probably sometimes 

 relieved by eruptions of the face; as in those who are habituated 

 to the intemperate use of fermented liquors. 



M. M. Hepatic inflammation is very liable to terminate in 

 suppuration, and the patient is destroyed by the continuance of 

 a fever with sizy blood, but without night sweats, or diarrhea, 

 as in other unopened abscesses. Whence copious and repeated 

 venesection is required early in the disease, with repeated doses 

 of calomel, and cathartics. Warm bath. Towards the end of 

 the disease small doses of opium before the evening paroxysms. 



