VOL. XXXVII.] PHILOSOPHICAL TRANSACTIONS. 485 



was applied to the epigastric region, and the room in which the patient lay was 

 kept as cool as possible, and he had very few bed-clothes upon him. Some 

 nitrons and opiate medicines were given. Previous to the use of the iced 

 liquors, about 8 oz. of blood were drawn by leeches from the haemorrhoidal 

 veins. On the 3d or 4th day a. clyster, composed of milk, butter, yolk of egg, 

 and brown sugar, was administered, which brought away a great quantity of blood 

 as black as soot, and in a powdery form. To prevent a return of the hemor- 

 rhage, the patient was advised to have 7 or 8 oz. of blood taken away every 

 3d or 4th month, either from the arm or from the haemorrhoidal veins. 



By this method the patient was kept free from a relapse until the year 1730, 

 when the hemorrhage again returned. Dr. M. directed about 10 oz. of blood 

 to be taken away from the arm, and prescribed 1 5 or 18 drops of the laudanum 

 Helmontii, &c. ; but the vomiting of blood was not restrained by these remedies 

 more than a couple of hours. He therefore directed about 4 oz. of blood to 

 be drawn from the haemorrhoidal veins, with the use of water as cold as pos- 

 sible, and of those iced alimentary liquors which had been given so successfully 

 in the former attack, and which he had also prescribed with similar good effect 

 in a case of uterine hemorrhage. The patient vomited up some blood, but not 

 in any considerable quantity, 3 days afterwards; on which account Dr. M. 

 prescribed some opiate medicines, by which it was stopped. A milk and egg 

 clyster, as beforementioned, was injected every 2d or 3d day, &c. and acidulated 

 and mucilaginous liquors were given, together with opiates occasionally ; and 

 by these means the patient goi well in about 5 weeks. 



Dr. M. subjoins so ne refiec*-ions on this case, wherein he shows in what res- 

 pect his method of treating a vomiting of blood differs from that of Aretaeus, 

 who, though he recommends what he supposes to be cooling, coagulating, and 

 constringing medicines, makes no mention of ice or snow, or of frozen liquors. 

 Tho. Bartholine, in his book de Nivis Usu Medico, quotes Galen, Avicenna, 

 Rhazes, &c. as recommending liquids coolej by snow and cold topical applica- 

 tions in hot disorders of the stomach; yet none of those authors. Dr. M. says, 

 ever prescribed iced liquors in a vomiting of blood. But Hippocrates, Apho- 

 rism. 23, sect. V. mentions cold water as a proper topical application in all 

 kinds of hemorrhage. 



Dr. M. adds that he once suppressed a uterine hemorrhage, against which 

 the usual remedies, and even water exceedingly cold, had been given in vain, 

 by applying ice to the thighs; by which means the crural, and consequently the 

 iliac arteries being constricted, a less quantity of blood was transmitted to the 

 uterus. 



But though the aforesaid method be suited to hemorrhages, and especially to 



