176 DISEASES toAss II. 1. 2. 13. 



and lastly, the Peruvian bark, and chalybeate wine, at first in 

 small doses, as 20 drops twice a day, and afterwards, if neces- 

 sary, in larger. See Art. IV. 2. 6. 



Towards the end of hepatitis, after repeated venesection and 

 catharsis, an eruption sometimes appears ifound the lips, which 

 is generally a salutary symptom: and the decoction of Peruvian 

 bark given at this time, in the quantity of about two ounces every 

 six hours, removes the remaining inflammatory tendency, and 

 cures in a day or two. 



Mrs. C. a lady in the last month of her pregnancy, was seized 

 with violent hepatitis, with symptoms both of peripneumony and 

 of pleurisy, for it seldom happens in violent inflammations, that 

 one viscus alone is affected; she wanted then about a fornight of 

 her delivery, and after frequent venesection, with gentle cathar- 

 tics, with fomentation or warm bath, she recovered and was 

 safely delivered, and both herself and child did well. Rheuma- 

 tic and eruptive fevers are more liable to induce abortion. 



13. Splenilis. Inflammation of the spleen commences with 

 tension, heat, and tumour of the left side, and with pain, which 

 is increased by pressure. A case is described in Class I. 2. 3. 

 18. where a tumid spleen, attended with fever, terminated in 

 scirrhus of that viscus. 



14. JVep/iriis. Inflammation of the kidney seems to be of two 

 kinds; each of them attended with different symptoms, and dif- 

 ferent modes of termination. One of them I suppose to be an 

 inflammation of the external membrane of the kidney, arising 

 from general causes of inflammation, and accompanied with 

 pain in the loins without vomiting; and the other to consist in 

 an inflammation of the interior parts of the kidney, occasioned 

 by the stimulus of gravel in the pelvis of it, which is attended 

 with perpetual vomiting, with pain along the course of the ure- 

 ter, and retraction of the testis on that side, or numbness of the 

 thigh. 



The former of these kinds of nephritis is distinguished from 

 lumbago by its situation being more exactly on the region of the 

 kidney, and by its not being extended beyond that part; after 

 three or four days I believe this inflammation is liable to change 

 place; and that a herpes or erysipelas, called zona, or shingles, 

 breaks out about the loins in its stead: at other times it is cured 

 by a cathartic with calomel, with or without previous venesection. 



The other kind of nephritis, or inflammation of the interiov 

 part of the kidney, generally arises from the pain occasioned by 

 the stimulus of a stone entering the ureter from the pelvis of the 

 kidney; and which ceases when the stone is protruded forwards 

 into the bladder; or when it is returned into the pelvis of flie 



