VOL. XLIV.] PHILOSOPHICAL TRANSACTIONS. 371 



very strong; the scrotum so much swelled, that the penis was quite absorbed 

 and lost in it, and its colour a very deep red. He ordered him a glass of wine 

 with a bit of bread, for he had ate nothing all that day. This revived him, and 

 raised his pulse a little. 



He then told Dr. C. in answer to the questions he put, that the testicles were 

 not hurt ; that the twisting of the horse gave him at that instant the intolerable 

 sense of being split asunder. Dr. C. said that a violent and sudden stroke, from 

 the pummel of the saddle, on the os pubis, might probably give him that sensa- 

 tion: he replied, that it did not feel like a stroke, and still persisted in his first 

 expression of being split asunder. 



A warm fomentation was ordered to be constantly applied, and l-j- oz. of 

 Glauber s salt, quickened with 2 grs. of emetic tartar, to be given in a quart of 

 gruel. At 1 1 that night an emollient glyster was given, the salts having as yet 

 done nothing. Before morning he had 6 large loose stools ; but it gave him ex- 

 quisite pain to be lifted on the bed-pan. 



Next morning, Wednesday, the swelling was increased, and the colour deeper. 

 Dr. C. prescribed an electuary of bark and salt of amber, to prevent if possible 

 the approaching mortification. The stale beer poultice was applied; and that 

 evening, a fever corning on, 10 oz. of blood were taken from his arm. 



Next morning, Thursday, the salts were repeated without the emetic tartar, 

 and he had 4 stools. AH this while he had made no water, except about a 

 spoonful just after he was put into the chariot. The lower part of the belly, 

 where a distended bladder would certainly point, was not swelled, though the 

 parts on the os pubis were very much so. The scrotum increased in bulk and 

 bad colour every hour; and the inside of the right thigh grew very tumid, with 

 great pain, and a very perceptible fluctuation in it. These observations convinced 

 Dr. C. that the urine had found a way into the parts last mentioned; though in- 

 deed he could not account for it, but by supposing that the urethra had been 

 bruised, even to laceration, between the pummel of the saddle and the os pubis. 

 The surgeon, Mr. Russel, soon came into this opinion about the urine, but 

 imagined the bladder must be burst. This Dr. C. could not comprehend, nor 

 could he explain ; for the bladder lies out of the reach of all external injury from 

 the causes hitherto assigned in this case. They agreed however about 3 in the 

 afternoon, Thursday, to make a puncture into the scrotum ; from whence urine, 

 manifest to the smell, issued pretty freely all night. 



Next morning, Friday, a larger opening was made in the right thigh with the 

 same effect. The parts subsided considerably; but the pulse rising, decoctum 

 nitrosum was given with the bark. This evening the hiccup came on, and the 

 scrotum looked livid. 



Next day, Saturday, the common emulsion, with a little nitre, and the ex- 



3b a 



