CLASS II. i. 2. 12. OF SENSATION. 175 



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

 child, who vomited fome damafm (tones, which had lain for near 

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

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

 The fwallowing of plum-ftones in large quantities, and even of 

 cherry- ftones, is annually fatal to many children. In refpecfc 

 to the introfufception and hernia, fee lieus, Clafs I. 3. i. 6. 



M. M. Repeated venefedtion. Calomel from ten to twen- 

 ty grains given in fmall pills as in ileus ; thefe means ufed early 

 in the difeafe generally fucceed. After thefe evacuations a blif- 

 ter contributes to Hop the vomiting. Warm bath. Crude mercu- 

 ry. Aloes one grain-pill every hour will frequently (lay in the 

 flomach. Glauber's fait diUblved in pepper-mint water given by 

 repeated fpoonfuls. 



When the patient is much reduced, opium in very finall do- 

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

 rify. If the pain fuddenly ceafes,and the patient continues to vom- 

 it 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 advifed to join cathartic medicines with an opiate in 

 inflammation of the bowels, as recommended in colica faturnina. 

 This may fucceed in llighter cafes, but is a dangerous practice 

 in gc ;ice } if the obftruction be not removed by the e- 



vacuation, the itimulus of the opium is liable to increafe the 

 action of die veflels, and produce mortification of the bowel, as 

 I think I have fcen more than once. Mercury injected by the 

 anus, or water by a forcing-pump. See Ileus I. 3. i. 6. 



12. Hepatitis. Inflammation of the liver is attended with 

 Itrong quick pulfe j tenfion and pain of the right fide ; often 

 pungent as in pleurify, oftener dull. A pain is laid to afreet 

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

 ing on the left fide ; difficult refpiration ; dry cough j vomiting ; 

 hiccough. 



There is another hepatitis mentioned by authors, in which the 

 fever, and other fymptoms, are wanting, or are lefs violent ; as 

 defcribed in Clafs II. i. 4. n. and which is probably fome- 

 times relieved by eruptions of the face -, as in thofe who are ha- 

 bituated to the intemperate ufe of fermented liquors. 



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

 fuppuration, and the patient is deftroyed by the continuance of 

 a fever with lizy blood, but without night fweats, or diarrhoea, 

 as in other unopened abfceifes. Whence copious and repealed 

 venefeclion is required early in the difeafe, with repeated dofes 

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

 the difeafe fmall dofes of opium before the evening paroxyims, 



and 





