414 DISEASES CLASS It. 2. 2. 3. 



stone, which, whenever it is pushed into the neck of the bladder,, 

 gives this pain of strangury, but not at other times; and hence 

 it is felt most severely in this case after having made water. 



The sensations or sensitive motions of the glans penis, and 

 of the sphincter of the bladder, have been accustomed to exist 

 together during the discharge of the urine; and hence the two 

 ends of the urethra sympathize by association. When there 

 is a stone at the neck of the bladder, which is not so large or 

 rough as to influme the part, the sphincter of the bladder be- 

 comes stimulated into pain; but as the glans penis is for the 

 purposes of copulation more sensitive than the sphincter of the 

 bladder, as soon as it becomes affected with pain by the associa- 

 tion above mentioned, the sensation at the neck of the bladder 

 ceases; and then the pain of the glans penis would seem to be 

 associated with the irritative motions only of the sphincter of the 

 bladder, and not with the sensitive ones of it. But a circum- 

 stance similar to this occurs in epileptic fits, which at first are 

 induced by disagreeable sensation, and afterwards seem to occur 

 without previous pain, from the suddenness with which they 

 follow and relieve the pain, which occasioned them. From this 

 analogy I imagine the pain of the glans penis is associated with 

 the pain of the sphincter of the bladder; but that as soon as the 

 greater pain in a more sensible part is produced; the lesspain, which 

 occasioned it, ceases; and that this is one of the laws of sensitive 

 association. See Sect. XXXV. 2. 1. 



A young man had by an accident swallowed a large spoonful 

 or more of tincture of cantharides; as soon as he began to feel 

 the pain of strangury, he was advised to drink large quantities 

 of warmish water: to which, as soon as it could be gotten, some 

 gum arabic was added. In an hour or two he drank, by inter- 

 vals of a few minutes, about two gallons of water, and discharg- 

 ed his urine every four or five minutes. A little blood was 

 voided towards the end, but he suffered no ill consequence. 



M. M. Warm water internally. Clysters of warm water. 

 Fomentation. Opium. Solution of fixed alkali supersaturated 

 with carbonic acid. A bougie may be used to push back a stone 

 into the bladder. See Class I. 1. 3. 10. 



3. Stranguria convulsive. The convulsive strangury, like that 

 before described, is probably occasioned by the torpor or defec- 

 tive action of the painful part in consequence of the too great 

 expenditure of sensorial power on the primary link of the associ- 

 ated motions, as no heat or inflammation attends this violent pain. 

 This kind of strangury recurs by stated periods, and sometimes 

 arises to so great a degree, that convulsion or temporary mad- 

 ness terminates each period of it, It affects women oftener 



