DIAR 
Where the bile is oe in quantity, and the ftools are 
extremely yellow with bilious matter, the diarrhoea, thus occa- 
fioned, muft be confidered as a gentle cholera, differing from 
is difeate only in the leffer degree of its fymptoms ; and in 
hot weather, fuch a diarrhoea Ji/io/a is not uncommon. ut 
befide bile, varying in quantity and ones the biliary du& 
om abfceffes in the liver, 
Some practical 
very rare occurrence. 
melan ala confilts 
d, eee with. 
the Girnce of the inteftines themfelves, as Eeaboies: in the 
article laft referred 
A fecond fet of excretories, from which matter is poured 0 
into the cavity of the inteftines, comprehends thofe from the 
coats . he inteftines themfelves; which are either the exhalant 
extrem of j the arteries, or ihe excretories aie the mucous 
number ov 
increafed, not only by the increafed aétion of the inte(tines 
from the ftimuli before mentioned, but aifo from an increafed 
afflux of fluid from other parts. 
n ed 
wetlels ar ya et 
ferum or other fluids may be aye fu from the cavities in 
which they have been ftagnant, and be poured into the in- 
teftines, as frequently happens in be ar in dropfies. 
Cullen, Firft Lines, § 1483. 
A third fource of matter, poured into the cavity of t 
inteftines, and producing cs is from thofe preternatural 
openings, occafiened by difeafes in the inteftines or neigh- 
bouring parts. Thus the blood veffels on the ee a 
of the inteftines may be opened by erofion, ruptur an- 
‘aftomofis, and soa into-the cavity dee blood, ek Sule 
y its quantity, y its acrimony, whether inherent or 
acquired by faa may give rife to a diarrhoea, evacu- 
this way, the melena or morbus 
felves, - in = contiguous vifcera, aie 
matory , had formed adhefion 
like wife pee a diarrhcea, in whieb 
atter, mixed wit th more or lefs blood, will be difcharged. 
rrhoea, in one or other of the forms above defcribed, 
not uly occurs alone, as an idiopathic difeafe ; but it alfo 
accompanies from time to time many other difeafee, of which 
it becomes a prominent fymptom, and in which it fometimes 
er, 
an unc nce ; and if it appears late in the 
difeate, when ihe debility is mes it is often a very unma- 
nazeable and dangerous fymptom. After ead meafles a 
diarrhoea frequentiy appears, aod 1s often falutary ; but i 
many ness it has proved more fatai than the difeate itfelf 
ave been the cafe in the fatal epidemic meafles 
year 15 
$ os on difficult den- 
one of the moft common diforder 
titios in chiidrens in faé tmoft every sea which cx- 
cites feverihocfs in youn hildren, occafion 
18 
diarrhoea, It is hkewile a fymptom of the eeieice of worms 
RHA. 
in the inteftines, which animals ought, perhaps, to have 
en € morbid renee of the inteftines, 
before detailed. age of pulmonary confump- 
tion, a colliquative diar thoea, Laci is liable to alternate with 
is molt univerfal occurrence, 
in its eaoan 
tion of the age, See and previous ftate of ewer 
the patient ; from t e aflignable caufes of the difeafe, its d 
ation, its concen nt fyr mptoms, and its effects upon a e 
general habit, and likewife from the operation of the reme- - 
dies already a oyed, 
ure.—In confequence of this great variety in the nature 
of the difeafe, the method of treatment in diarrhoea mutt be 
neceflarily various ; in many cafes, it can only be palliative ; - 
a where the difcharge is ata falutary, it muft be en 
ouraged under proper regulations. As it contifts effentially 
of a preternatural increafe of th elec rama and of th 
fecretory aCtions 0 ae int uae ; fo the leading indications 
of cure w ne or other of the raeee circums 
' ita morbid irritability 
of the inteftines ; 2. A geen ftimulus applied to them; 
or, 3. A eombination of thefetwo. he fir/f indication will 
require the irritability to be allayed 5 the Cosi , that the 
offending matter be expelled, or its acrimony corre e&ted ; and 
the zhird will demand a mixe plan, eeuhtag of the other 
two, either jointly or alternately, together with an attention 
to the {tate of other fun€ti:ns and organs, which may afi & 
that of i aia vie. 
The means adapted to fulfil the rf indication, or to allay 
the se irritability of the inteftines, will confift in the ad- 
d of aftringents, fuch as the 
La Kino; the 
and others : 
has ial = he fitation,” es 
Cullen, ak i employme aftringent pedicihes in 
recent cafes, upon the eapottion that they might oceafion 
the retention of an acrid matter that fhould be thrown out. 
TI cannot, however, weil underftand, or affign the cafes, ia 
which fuck caution is pg Sia ; and I think that - power 
s to render thei 
. 
dangerous. _ 
with refpet to their ule, has 
ftances to _ they are e{peciatly adapted. 
me to be only in thofe cafes, where the irritability of the in- 
celts rene upon a lofs of tone: and this I ae may 
occur either from the debility of the whole fy ftem r from 
aufes Aa on the den ae All violent or iong cont inued 
(in dic and econvulfive aff-€tions of the in nteltinal canal 
tea induce a “debiiky ; and fuch caufes often take 
place, from violent irritation in colic, dyfentery, cholera, and 
diarrhce The fame objection, ullen adds, * has 
been aa to the nfe of opiates, in recent cales of diarrhoea, 
as to that of aitringents ; but on no good BF rounds: for the 
effe€t of opiates, as altrinvent, is nev ry permanent ; and 
an evacuation, depending: upon item, though it may be 
for fome time fufpeaded by oniates, yet always returne very 
oon. Itis only by taking off irritation that optates are ufe= 
ful in diarrhoea ; and, therefc ore, when the diicafe depends 
upon an incrcate of irritability alone, or when, thozgh pro- 
ceeding from irritation, chat irritation is cor:e&ted or exhautte 
ed, opiates ere the moft ufefu! and certarn remedy. 
thouga ae are not fuiced +o correet or remove an irritation 
applid, they are often of great bevetit in fulpending the ef- 
fel of that aia whenever thele are oe and, upon 
tic whole, it w:llappear, that opiates may be very frequent- 
ly, | and with great propriety, employed in the cure ae 
