1 2 2 DISEASES CLASS I. 2. 4. 1 7, 



i 7, Hyjlerdlgia frigida. Cold pain of the uterus preceding or 

 accompanying menftruation. It is attended with cold extremi- 

 ties, want of appetite, and other marks of general debility. 



M. M. A clyfler of half a pint of gruel, and 30 drops of 

 laudanum ; or a grain of opium and fix grains of rhubarb every 

 night. To fit over warm water, or go into a warm bath. 



1 8. Protf algia frigida. Cold pain at the bottom of the rec- 

 tum previous to the tumor of the piles, which fometimes extends 

 by fympathy to the loins ; it feems to be fimilar to the pain at 

 the beginning of menftruation, and is owing to the torpor or 

 inirritability of the extremity of the alimentary, canal, or to the 

 obftrution of the blood in its paflage through the liver, when 

 that vifcus is afFefted, and its confequent delay in the veins of 

 the rectum, occafioning tumours of them, and dull fenfations of 

 pain. 



M. M. Calomel. A cathartic. Spice. Clyfler, with 30 

 drops of laudanum. Sitting over warm water. If chalybeates 

 after evacuation ? See Clafs I. 2. 3. 23. and I. 2. i. 6. 



19. Vefica fdlex inirritabilitas. The inirritability of the gall- 

 bladder probably occafions one kind of icterus , or i^undice ; 

 which is owing to whatever obftructs the paflage of bile into the 

 duodenum. The jaundice of aged people, and which attends 

 fome fevers, is believed to be moft frequently caufed by an irri- 

 tative palfy of the gall-bladder; on^Khich account the bile is 

 not prefled from the cyil by its contraction, as in a paralyfis of 

 the urinary bladder. 



A thickening of the coats of the common bile-duct by inflami- 

 ination or increafed action of their vefTels fo as to prevent the 

 paflage of the bile into the inteftine, in the fame manner as the 

 membrane, which lines the noftrils, becomes thickened in ca- 

 tarrh fo as to prevent the paflage of air through them, is proba- 

 bly another frequent caufe of jaundice, efpecially of children; 

 and generally ceafes in about a fortnight, like a. common catarrh, 

 without the aid of medicine ; which has given rife to the char- 

 acter, which charms have obtained in fome countries for curing 

 the jaundice of young people. 



The fpiffitude of the bile is another caufe of jaundice, as men- 

 tioned in Ciafs I. r. 3. 8. This alfo in children is a difeafe of 

 little danger, as the gall-ducts are diilenfible, and will the eafier 

 admit of the exclufion of gall-ftones ; but becomes a more feri- 

 ous difeafe in proportion to the age of the patient, and his habits 

 of life in refpect to fpirituous potation. 



A fourth caufe of jaundice is the compreflion of the bile-duct 

 by the enlargement of an inflamed or fcirrhous liver j this attends 



thofe 



