708 PHILOSOPHICAL TRANSACTIONS. [anNO 1743. 



Concerning a Person who made Bloody Urine in the Small-Pox, and recovered. 

 By Pierce Dodd, M. D. N° 470, p. 559. 



Making bloody water, Dr. D. observes, is universally esteemed as terrible a 

 symptom as any that can happen in the small-pox; and all who have written 

 concerning that distemper, unanimously agree that it is a certain forerunner of 

 approaching death. Dr. Cade indeed says, in his letters to Dr. Freind, con- 

 cerning purging in that distemper, that he has sometimes cured this symptom, 

 by the help of camphire, and a copious quantity of acids ; but then he adds, 

 that this relief was only temporary ; and that, to confess the truth, he never 

 knew any body, that made that sort of urine, who ever survived the 1 6th day 

 from the eruption: and there is nobody he knows that has been conversant with 

 this distemper, but has constantly experienced, sooner or later, the like fatality 

 in consequence of it. He means when this sort of urine has proceeded from a 

 broken crasis and contexture, or, as it were, a thorough dissolution of the 

 whole mass of blood : for he knows very well, that we now and then have 

 streaks, and sometimes larger quantities of blood in the urine, from the acri- 

 mony of the Spanish flies, on the application of blisters, which are frequently 

 used, and so frequently likewise absolutely necessary, in one or other of the 

 stages of this distemper, and yet the patient does well. And Dr. Browne, 

 physician in St. Bartholomew's Hospital, gives an account of a gentlewoman, 

 who lived in Dean's-yard, Westminster, who made bloody urine in the small- 

 pox, 4 or 5 days together ; which made Dr. Needham, who attended her, to 

 forsake her ; and yet she recovered: but they found afterwards, that this bloody 

 water was not occasioned by the malignancy of the distemper, but by a sharp 

 stone, which was at that time descending from one of the kidneys through the 

 ureters into the bladder, and which she afterwards voided. 



The case here given is that of a young man, about 1 5 years of age, son to a 

 gentleman of a very considerable fortune in Jamaica. He was taken with a 

 fever, and great pain in his head, April 20th last, and had the small-pox come 

 out upon him the day following, notwithstanding which the same symptoms 

 still continued, and nothing almost would stay on his stomach, and his head 

 likewise was very delirious: he was obliged therefore to be blooded, and to take 

 a vomit, and to have blisters applied to his neck and his arms ; and had testace- 

 ous and nitrous n)edicines given him. 



The next day every thing was more quiet, and so again the 3d day from the 

 eruption ; but the small-pox were very numerous all over him, and of a small, 

 rank, angry sort ; as they generally are, he thinks on the West India constitu- 

 tions : but this young gentleman had besides over-heated himself a little before, 

 by performing a part at the Montem, near Eton, where he was a scholar. 



