HAEMATEMESIS. 
the influence of the catamenia in circumftances of difeafe ; 
“we have dextoiiad 
nahakes information. 
ceffary concomitant of hematemefis, as 
the menfes are regu 
what proportion of inftances this is he Gate’ but ei it is 
fo in ‘ale inftance, this one inftance overturns the theory, 
does away ta vicarious nature of Septic =< gives 
it a place, w conceive it o mong 
idiopathic difeates: = (Obfervation on 1 Paspative Medicines, 
bo gd AOL ae pa 3-) 
This ot but be’ > desincd a geri nea refutation of the 
& of the occa- 
lutio’ fit.’” Aphorifm, fect. v. 32. y € 
The céffation of he perioctical Richi ge, 
oss of t the Becer eral health, 
sis.) The re-appearance of the me 
the aah Of t the hxmatemefis, are nearly’ cdunelees, not 
becaufe the one is the caufe of the other, but becaife both 
are the confequence of the reftoration of the general health: 
tis. 
obvious then, 
Tt 
ftich views of the diforder, mult have led to practical errors 3 
hamely, to the difficult and precarious attempts to ‘reftore 
the flippreffed menfes ; when obfervation and experience, un- 
fkackied by hypotheils, would a conducted ‘the’ practi- 
cient means of cu 
find, that ander the ordinary method of 
ical ae expel 
very 
ngual heh ; whilft, hehe the pla tely “introduced 
Dr. Hamilton, it is in Se Stes fpeedily retioved.  “Hoff- 
s,. th vomiting of blood” is, of almoft all 
priate the tb a erous 3 aed nm R ation. 
pa te sch aie 
s form 6 isuirembas ‘as e Y anigerots 
difeafe;’’ and for ourfelvés, we hhave never Feed any ill 
confequences refulting ‘from it, but have ‘a 8 found it 
readily to the method of treatment ‘FecbanaeHidea > 
r. Hamilton, to whic’ ed our own obfervation ‘had 
ked us previoully to t xppeararibe of his publication. 
“The ufual prattice adopted an wa ctre of hatnatemefis 
‘confitts i ca bd ufe of refri cooling ‘medicines, “as 
been called, fuch as "hue 2 ietae ‘falts, stpcily 
fitfe, the aed eee acid, fmalf dofes of of with 
acidulated light diet ; ‘to \ .. 1 fome have added 
eat oleagineus ma Ie the ate: 
exhibition of tae ‘continued 
han Ene, ia eve ted iron 
were re to ras the ea the cccatonal aera 
Se.seerre, 
catamenia; 2 a offi 
ment oF mika “mn 
and bleeding in’ the 
fuccefs has been fo uniform, that I now 
certain pofition, 
from fuppreffions or obftruétions of the menfes. ‘The fante 
able phyfician alfo advifed that, if the patient be 
e arm, cautioufly proportioned to cheape, 
ftrength, and degree of ne of the individual, fhould be 
reforted to in oe paroxyfm ; and where there was much 
heat with ftrong pulfe, he ufed free dilution with 1 
n -liquids, containing nitre and fyrup of poppies, as well as 
emollient glyfters with nitre, with a view to relax the fpafms 
of the inteitines, and to procure a derivation of the humours 
from the ftomach. In order to prevent a recurrence’ of the 
vomiting, he pieieteed ‘half a drachm of rhubarb twice 
a-week at bed-time, either by itfelf or with crabs’-eyes, or 
half a grain of camphor for common drink, pure water in 
which iron ‘has been q enched, or acidulated whey ied 
fice, and fennel feeds.”? 
ufe of opi in all ounieinse of blood, from pete 
and likewife of aftringent and vitriolic medicines 5 5 which 
fays, though they refrain the hemorrhage, en 
are of inflammation, and even of dropfy. (Hoffmann, 
oc 
The experience of Dr. James Hamilton, in the Royal 
Infitmary at Edinburgh, Ted hive him to the knowledge of the 
conneétion of hematemefis with a conftipated ftate © 
alimentary canal, and of the GonifeGiiest a of res | 
the difeate b by the “eahibition of cathart 
adopted this mode of treatment during a pene? of Pa 
Dr. Hamilton thus ftates his opinion of its efficacy. “eT have 
followed the praétice, which this cafe fuggefted in the in- 
ftances of the ailment which I have fince met with ; and my 
lay it ‘down as a 
that the proper exhibition of p 
pi tn affords fure and effe€tual means of He geet on 8 bema- 
temefis, the fubject of this chapter goes on 
remark, “the oe atives which ae ufed in thefe cals 
have never® excited vomiting 3 and what may be- 
refence of 
tients Mabe arin} 
under this vomiting of blood is nerally pretty entire, We 
need not dread full purging 5 nf effect is not not wanted 
if we unload the bowels we accomplifh the cure. The ne 
which are brought off are copious, unnatural in sat = 
fiftence, and ‘fmell, as they generally are after 
the confequence of obftinate and depen 
The different cireumftances which not only em 
to coftivenefs more readily than_men; ak when it does od 
to a more obftinate kind of it, as already n noticed, may 
plain why they are exclufively the fubjects of the aa” 
The — which Dr. 
wala aloetic pi 5 
&c. occafionally aided by. he nfe of inje&tions* eel 
as far as our own experience goes, the nature of the. ‘he png 
tive, provided it will agree with thé ftate of the fomach, = 
is pr ionéd to the ftrength o of the patien t, and to “ 
hecellity of evacuation, is a matter of fecondary importance 
is ; ined, the ratic 
pa etait of calomel. and 
falts, © 
abdom is piel 
in'the cael tnd and inteftines ; or whether the langue 
lation in chcte pasts, and the flow aGtion of the 
be alike the confequ general lan 
