# 
: HERNIA. 
entirely from the treatment of hernia ; but will reftri& its em- 
and painful ; and the patient young, ftrong and plethoric. 
‘Treatife on ‘Ruptures, edit. 2. p. 12 
The inexperienced me fometimes be-deterred. from em- 
ploying the lancet by the weaknefs and. colanis of the 
— coldnels of the sai and other marks of debi- 
ow ealily effeGted by 
hen this happens, it is common to direét the 
patient to be put into a warm bath. Mr. Afiley Cooper 
acquaints us, that he generally orders the warm bath imme- 
diately after venefeétion, before making the fecond Seg 
at — by the taxis. 
The temperature of the water fhould be at firft about one 
hundred. degrees, and it ought to be gradually raifed, till the 
patient inte or feels likely to do fo. This will commonly hap- 
pen in about. fifteen or twenty minutes ; when another at- 
tempt to eas the hernia with the hands is to 
Mr. Hey notices that many. inftances 8 are upon record of 
good of warm bathing,. in procuring the reduétion 
: has often sae a ufeful ; and 
aften feen it fail. ss itis teed oes 
thing, and, u 
ftances, thefe. means. deferve to be toed in, ~— n. 
Praét. Obf. edit 2..p. 118. 
mane we. pA tenes a very 
of the efieaey of the warm bath, fince i its. 
uld ne never have recourfe to. 
of wae age die in cafes of ‘tran gulated hernia, 
any te a fur; 
oS lait 
quire difpatch ; if. it bas. refifted more. se cceleare 
ee ee 
”- 
: The — ighigncce the large agpelt iets and 
FY ring aay 
. Opiates. 
. which: the. free exhibition of opiates, after 
1s, remove, for a time,.the pain and 
' upon a ftran ase even where it proves: 
fficacio 
as she topical application of cold and the tobacco chy lhc it 
would be mere waite of.time to employ this remedy. Trea 
a on Rupturely edit. 2. p. 132, 
Purgatives. — Purgative medicines have been prefcribed in, 
cafes.of ftrangulated hernia, for the purpofe of exciting the 
periftaltic action of the bowels, fo that the portion con- 
fined in the ftricture may have a chance of being drawn 
out. 
He ey’s experience leads him to condemn, almoft univers 
Mr 
fally, the ufe of purgatives, taken by the mouth, while anintef. 
tine remains firmly itrangulated. In this ftate of the cals they 
ufually increafe the -vomiting,and add to the patient's diftrefs, 
fF Mr. Hey is of opinion, that if they are tobe tried, the belt time 
is when the vomit ing has_ peas relieved by means i an 
are mott 
of hernia, attended with. confiderable itrangulation, there are 
fome. circumitances in which their utility “is confeffed by 
very excellent furgeons. Mr. Aftley Cooper thinks, that 
is n 
Frequently all manual endeavours {till prove un- when the fymptoms are only flight, aperient medicines may. 
he given, if there is either no vomiting, or only at diftant in- 
tervals,. In fuch. cafes, he has known opium, joined with 
calomel and cathartic extra&t, produce itools, sulk relieve the 
patient. On Inguinal Hernia, p. 25. 
In the entero-epiplocele, when the inteftine has retired, 
and the omentum remains itrangulated ; or ina fi mple iv 
tion of the inteftinal canal, nats than the effect of ftrangu- 
lation, purgatives may be as ufeful as in the Pie ileus 
without hernia. (He Po edit. 2.) in old, 
large herniz, where an oS ata. of fecal ae a 
torpor of the inteftine, is the caufe of ftrangulation, and the 
fymptoms are of the chronic kind, purgatives may be em- 
ployed with fuccefs.. Mild aperients, however, like the 
Epfom falt, exhibited in {mall repeated dofes, are here 
hettes than ftronger cathartics, and a may be added to 
make them agree» wee ties See Lawrence on Regs 
~— Thefe are not liable to - :objeton 
cae 
ithe oil, produced a return 
purgatives. are, indicated, - their Senin 
may. be affilted. with clyiters 
—Mr. Hey has met,.w with : coat! examples in. 
bleeding, has 
d. hernia in athletic. 
a. motion. 
procured the reduétion of a ftrangulated 
fubjects, 
J . 
According to, ing fanie praétical: writer, opi ium wk often: 
: . eee ufvally a astendam, 
US... his will frequently. my ¢ patents | < 
_medicine, when it is. requifite to n 
any diftance to be operated. upon. ies 
with a view of. relieving the flrangu 
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