4 1 4 DISEASES CLASS IV. 2. 2. 3. 



ftone, which whenever it is pulhed into the neck of the bladder, 

 gives this pain of ftrangury, but not at other times -, and hence 

 it is felt moil feverely in this cafe after having made water. 



The fenfations or fenfitive motions of the glands penis, and 

 of the fphincler of the bladder, have been accuftomed to exift 

 together during the diicharge of the urine , and hence the two 

 ends of the urethra fympathize by aflbciation. When there 

 is a (lone at the neck of the bladder, which is not fo large or 

 rough as to inflame the part, the fphincler of the bladder be- 

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

 purpoies of copulation more fenfitive than the fphincler of the 

 bladder, as foon as it becomes affected with pain by the aflbcia- 

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

 ceafes ; and then the pain of the glans penis would feem to be 

 aflbciated with the irritative motions only of the fphincler of the 

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

 ftanre fimilar to this occurs in epileptic fits, which at firft are 

 induced by difagreeable fenfation, and afterwards feem to occur 

 without previous pain, from the fuddennefs with which they 

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

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

 the pain of the fphincler of the bladder ; but that as foon as the 

 greater pain in a more fenftble part is produced ; the lefs paln^ 'which 

 occafioned it, ceafes ; and that this is one of the laws of fenfitive af- 

 fociation. See Sea. XXXV. 2. i. 



A young man had by an accident fwallowed a large fpoonful 

 or more of tinclure of cantharides ; as foon as he began to feel 

 the pain of ftrangury, he was advifed to drink large quantities 

 of warmifh water : to which, as foon as it could be gotten, fome 

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

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

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

 voided towards the end, but he fuffered no ill confequence. 



M. M. Warm water internally. Clyfters of warm water. 

 Fomentation. Opium. Solution of fixed alkali fuperfaturated 

 with carbonic acid. A bougie may be ufed to pufh back a ftone 

 into the bladder. See Clafs I. 1.3. 10. 



3. Stranguria convulfiva. The convulfive ftrangury, like that 

 before defcribed, is probably occafioned by the torpor or defec- 

 tive aclion of the painful part in confequence of the too great 

 expenditure of fenforial power on the primary link of the affbciat- 

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

 This kind of ftrangury recurs by ftated periods, and fometimes 

 arifes to fo great a degree, that convuliion or temporary mad- 

 nefs terminates each period of it. It atFedts women oftener 



than 



