*s I. 2. 4. 6. OF IRRITATION. 109 



than to the acetous acid produced by fermenting aliment ; be- 

 caufe in violent afepfy, as in low fevers, and total want of di- 

 geftion, no fuch violently ftrong or painful acidity occurs. Sec 

 I. 3. i. 3. See Anorexia II. 2. 2. i. And fecondly, becaufe 

 in all thefe cafes, which have come under my eye, the difeafc 

 was not increafed by vegetable food, or even by acid fruits, when 

 taken in their ufual quantity; and I have uniformly oblerved, 

 that the food which fuited the palate, and that water alone, or 

 fmall wine and water, agreed with thefe patients better than 

 ilronger mixtures of fpirit and .water, efpecially when they v/erc 

 more agreeable to the palate. 



6. Arthritis Veninciili. Sicknefs of the -ftomach in gouty 

 cafes is frequently a confequence of the torpor or inflammation 

 of the liver, and then it continues many days or weeks. But 

 when the patient is feized with great pain at the ftomach with 

 the fenfation of coldnefs, which they have called an ice-bolt, this 

 Is a primary affection of the ftomach, and deftroys the patient 

 m a few hours, owing to the torpor or inaction of that vifcus fo 

 important to life. 



This primary gout of the ftomach, as it is a torpor of that 

 vifcus, is attended with fenfation of coldnefs, and with real de- 

 fect of >heat in that part, and may thence be diftinguimed from 

 the pain occafioned by the paiTage of a gall-ftone into the duod- 

 enum, as well as by the weak pulfe, and cold extremities ; to 

 which muft be added, that it affects thofe only, who have been 

 long afflicted with the gout, and much debilitated by its numer- 

 ous attacks. 



M. M. Opium. Vinous fpirit. Volatile alkali. Spice. 

 Warmth applied externally to the ftomach by hot cloths or fo- 

 mentation. 



7. Golica fatulenta. The flatulent colic arifes from the too 

 great diftention of the bowel by air, and confequent pain. The 

 caufe of this difeafe is the inactivity or want of fuiEciently pow- 

 erful contraction of the coats of the bowel, to carry forwards the 

 gas given up by the fermenting aliment. It is without fever, 

 and generally attended with cold extremities. 



It is diftinguifhed, firft, from the pain occafioned by the paf- 

 fage of a gall-ftone, as that is felt at the pit of the ftomach, and 

 this nearer the navel. Secondly, it is diftinguifhed from the 

 colica faturnina, or colic from lead, as that arifmg from the tor- 

 por of the liver, or of fome other vifcus, is attended with greater 

 coldnefs, and with an aching pain ; whereas the flatulent colic 

 being owing to diftention of the mufcles of the bowel, the pain 

 is more acute, and the coldnefs lefs. Thirdly, it is diftinguifli- 

 <ul from inflammation of the bowels, or ileus, as perpetual vom r 



king 



