MEDICINE. 



Hsnn 



SCT. XXIV. Hxmarrlagi*. Ditcharga of Blood. 



the Hsnnorrhagie*. those diseases that are character- 

 ised by a discharge of blood, which is not the conse- 

 quence of external violence or an obvious breach of the 

 surface. As we have already remarked, there is con- 

 siderable obscurity respecting the proximate cause of 

 rurmorrhage; but it may be stated to consist essen- 

 tially in an irregular distribution of the blood, or a 

 disposition of it to accumulate in certain parts of the 

 angniferou* system. It has been usual to divide haF- 

 morrbagies into active and passive, a* supposed to de- 

 pend upon the relative degree of action in the vessels ; 

 and there seem* to be a real foundation for this dis- 

 tinction, whatever may be our opinion concerning the 

 nmsdist* cease which give* ne* to the two state*. 

 We do not presume to dear up thi* difficulty, but we 

 conceive that then is sufficient ground for the opinion, 



[ of the arterial, and the latter in the ve- 

 Upon thi* princi pie we have 

 ' r the two genera of arterio- 

 *i we think may be 



usefully adhered to, both for the purpose of elucidating 

 ear theory and directing our practice ; stthnqgh at the 

 that there are 



of blood from the 

 nose, the lungs, and the uterus to the letter genus, 

 the discharge* of blood from the stonsach, the mtesv 

 ttnea, the barmorrbotdal vessels, and the bladder, and 

 that peculiar affection of the skin termed Pctechist. 



\\r 



strained without difficulty by the application of external Practice. 

 cold to the part, but if it recur frequently, and the state * 

 of the body appears to require it, we must have recourse 

 to bleeding, and the other parts of the antiphlogistic re- 

 gimen. It has been stated that Epistaxis is what has 

 been termed vicarious, that is, the consequence of the 

 ceasing of some other habitual discharge ; perhaps this 

 idea is not altogether without foundation, although we 

 apprehend that it has been carried to a very extrava- 

 gant length, in consequence of a false theorj_which pre- 

 vailed on the subject ; it may, however, be necessary 

 to bear in mind the possibility of this occurrence, and 

 to regulate our treatment accordingly. 



SECT. XXV. Hmrmoplytit. Spiting of blood. 



All the remarks that we have made respecting Epis- Haemop- 

 taxis will apply to Hemoptysis, making allowance only ijrtis. 

 for the greater sue of the organ, and the function which 

 it exercises giving a much greater degree of importance 

 to any of its affections, and necessarily producing a 

 much greater disturbance in the animal economy. The 

 discharge of Mood tram the lung* seldom occurs, except 

 in person* of the sanguine temperament, and in them 

 b) commonly the *"*!'* consequence of some cir- 

 cunMtance which excite* the part to undue action, and 

 produces an ua usual determination of blood to it. The 

 disease doe* not appear to be essentially connected with 

 fever, end it often exists independently of the febrile 



Artfrial HtrmorrkmgKl. 



V,,,, 



i -ii . 



ta\i. when idiopat 



artrnal r< i niorrri.ijff , and 



be of 



uiAtt blood u 



g*r from the nose, which appear* to 

 origin, but in that case k always 



s//Ar 



to be always an 

 ahhough incomeqWeof 



it* local natnre, and the email sue of the v***ili con- 

 earned, compared to the whole extent of the angaift 

 roe* sy strm, it i* seldom attended with fever, yet it 

 always to be connected with an mflommatory 

 icy in the H*n*tilaejuii. and is often followed by 







i it is severe, and frequently recurs, the 

 /Hittan offerer are generally excited, and these, in 

 their tern, appear to aggravate the ram plaint. If the 

 be not piodispostd to phthisis by hereditary 

 re i* nothing in the nature of the disease 

 irossarily render it of a fatal tendency ; 

 but it so frequently happens that it i* connected with a 

 phthisical disposition, at always to become the subject 

 of peat alarm. 



Its cure consist*, pet haps, more in carefully abstain- Treatment. 

 ing from all the eiciling ceases than in any very active 

 avaone*. The quantity of blood that is lost by tbedis- 



i , - 1 J 1,1 a; 



and even purgatives, which we have so generally re- 

 coounended in ether affections of a febrile tendency, 



.rnU',..,, ,(,:, h .Yntr.l !> thr.r ,,,,, T.tti.m. I'crtrrt 



rest, both of body and mind, abstinence, and an equable 

 temperature, are perhaps the best remedies for Hstmop- 

 tysi* ; acid*, especially the sulphuric, and various neu- 

 tral salta, have been recommended, but we apprehend 

 that the reconwaendation ha* originated from a false 

 theory; and we doubt the efficacy of the practice. In 

 certain case* of Hartnoptym, where the circulation is, 

 at the seme time, weak and quick, digitalis ha* been 

 aaetiind, and apparently with success : it molt, how. 



symptomatic, and consequent either upon great debili- with cough, 

 ty . or upon a tendency to den>iipu**uon of the solids, thai affection 

 vhicn. sW w*i iMVw) DnW occitjuon tonoticst. mite towcnlt 



Epistaxi* 



thr uh- 



hich, 



the termination of various malignant fever*, 

 i* selsiom so argent an *ection a* to becomr 

 ject of medical traatauiH; H i* generally sufficient to 

 eeid the excitinc raaisi, especially all those tircum- 

 ' an undue farce or velocity in thr 



'* JMKsj VKHCTlt CKCTQtWi OT intern* 



m diet The discharge may generally be re- 



r, be given in small dose*, and its effects 

 ly watched, as an overdose would produce a state of 

 torpor which might prove dangerous, both from its di- 

 rect and its indirect effects. If the disease be attended 

 we must employ those palliative* by which 

 relieved, and if there be pain in 



the chest, blisters, or perhaps the topical detraction of 

 blood will be necessary. In this complaint we are al- 

 most restricted front one of the most powerful means 

 of restraining hormorrhage, the application of external 

 cold, in consequence of the spprrhension that such a 

 practice might produce Catarrh, or inflammation of the 

 obest, which, under these circumstances, roust be re* 

 garded u a very unfavourable circumstance. 



