17$ DISEASES CLASS II. . r. 2. 13, 



and Jaftly the Peruvian bark, and chalybeate wine, at firft in 

 finall dofes, as 20 drops twice a day, and afterwards, if neceflii- 

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



Towards the end of hepatitis, after repeated venefelion and 

 catharfis, an eruption fometimes appears round the lips, which 

 is generally a falutary fymptom : and the decoction of Peruvian 

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

 ery fix hours, removes the remaining inflammatory tendency, 

 and cures in a day or two. 



Mrs. C. a lady in the laft month of her pregnancy, was feiz- 

 ed with violent hepatiti , with fymptoms both of peripneumony 

 and of pleurify, for it felclom happens in violent inflammations, 

 that one vifcus alone is affected ; (he wanted then about a fort- 

 night of her delivery, and after frequent venefeftion, with gen- 

 tle cathartics, with fomentation or warm bath, fhe recovered and 

 was fofely delivered, and both herfelf and child did well. Rheu- 

 matic and eruptive fevers are more liable to induce abortion. 



13. Splenitis. Inflammation of the fpleen commences with 

 tenfion, heat, and tumour of the left fide, and with pain, which 

 is icreafed by pretTure. A cafe is defcribed in Clafs I. 2. 3. 18. 

 where a tumid fpleen, attended with fever, terminated in fcir- 

 rhus of that vifcus. 



14. Nephritis. Inflammation of the kidney feems to be of 

 two kinds ; each of them attended with different fymptoms, and 

 different modes of termination. One of them I fuppofe to be 

 an inflammation of the external membrane of the kidney, ari- 

 fmg from general caufes of inflammation, and accompanied with 

 pain in the loins without vomiting ; and the other to confift in an 

 inflammation of the interior parts of the kidney, occafioned by 

 the ftimulus of gravel in the pelvis of it, which is attended with 

 perpetual vomiting, with pain along the courfe of the ureter, and 

 retraction of the teflis on that fide, or numbnefs of the thigh. 



The former of the fe kinds of nephritis is diftinguifhed from 

 lumbago by its fituation 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 eryfipelas, called zona, or (hingles, 

 breaks out about the loins in its (lead j at other times it is cured 

 by a cathartic with calomel, with or without previous venefec- 

 tion. 



The other kind of nephritis, or inflammation of the interior 

 part of the kidney, generally arifes from the pain occafioned by 

 the ftimulus of a ftone entering the ureter from the pelvis of the 

 kidney ; and which ceafes when the ftone is protruded forwards 

 into the bladder j or when it is returned into the pelvis of the 



kidney 



