512 PHILOSOPHICAL TRANSACTIONS. [aNNO l68l. 



filberts. Although the difficulty of making water was extremely urgent, yet on 

 introducing the catheter into the bladder not a drop of water came away. The 

 catheter stuck there as though it had been glued in, and when it was stirred 

 it showed that the bladder was full of mucus. We suspected that there were 

 calculi in the kidneys, the bladder, and the mesenteric glands, as we had had 

 proof that they existed in the stomach, and intestinal canal. The belly was 

 distended, but not to a great degree, accompanied with oppression of the prse- 

 cordia, difficulty of breathing, and a most acute lancinating pain in the region 

 of the right kidney and in the left hypochondrium, and a noise like the clash- 

 ing of stones one against another was heard when the belly was pressed with 

 the hand, or when the patient vomited, and this noise still continues. But 

 what is the most surprising of all, the girl during the whole of her illness had 

 a plump and rosy appearance. 



Our utmost effiDrts were directed towards putting a stop to the generation of 

 these calculi, and towards dissolving those already formed, by the employment of 

 various volatile, martiated, remedies; but nothing seemed to make any impression 

 except spirit of nitre. At the same time various decoctions were injected into the 

 bladder, to attenuate the before-mentioned mucus, but without effiict; though 

 anodynes were added to lessen irritation. At length on the 2d and 3 2th of 

 February 4 oz. of thick and green urine were drawn off by the catheter. She 

 still continued to vomit 2 or 3 times a-day, whenever a few spoonfuls of broth, 

 barley-water, or any other liquid food, were given, and along with them a 

 quantity of calculi equal to -^ an oz. or 6 drachms weight, until the 14th; 

 from which time until the l6th of June, being an interval of 4 months, she 

 neither eat nor drank; for as soon as a single spoonful of broth was given, it 

 was immediately rejected, and along with it some blood, together with a greater 

 quantity of stones than before; so that in order to prevent these sufferings, we 

 were now obliged to desist altogether from offering her either meat or drink. 

 In this state the patient continued for 4 months, abstaining from liquid or solid 

 food, and taking no other medicine besides a small spoonful of oil of sweet al- 

 monds, mixed with spirit of nitre, every 5th or 6th day. This was found to 

 be the best solvent, and was more acceptable to the patient than any other re- 

 medy; she took in the whole between Q and 10 oz. of it during the above- 

 mentioned time. The bowels still remained costive; all the clysters that were 

 administered were still brought away by vomiting, accompanied with stones, 

 varying in colour (being white, red, and grey) as well as in solidity, roughness, 

 and smoothness of surface, and internal structure. Some were covered with 

 blood, others with mucus. The dysury was still urgent; and although the ca- 

 theter was introduced every 3d day, not more than 2 or 3 oz. of slimy 



