GASTRITIS. 
no violent caufe, which may have injured the texture or fub- 
ftance of the ftomach ; by th he mild or moderate ftate of the 
fyn maton an a "dual remiffion of t em, in confe- 
of the action of the are employed i in the courfe 
afe. or in violent cafes, 
where the remedies have not bes applied a — or 
with area vigour, gangrene com apidly. 
“The tendency to gangrene may be fufpetted ee a. une 
lang obftinacy of the fymptoms, ‘when a€tive remedies 
es nearly employed, and efpecially. when the inflamma- 
tion a been induced by corrofive poifens, or draflic eme- 
ie taken into — ftomach. nd that a gangrene has al- 
begun cnown from the fudden remiffion or 
eady y be k 
teflation of nae aed in, while the pulfe continues frequent, and 
at the fame time becomes weaker; while other marks of the 
eae of the powers of life in - a cen come on 3 
fuch as frequent fainting, i i 
cadaverous appearance of the conti 
is a lefs frequeat. une oe altri 
occurs, and m ecte take place, when the 
fymptoms have ote. in a bare degree, for more 
than one or two weeks; and efpecially when there is a confi- 
derable remiffion of the pain, while a fenfe of w ig and 
anxiety ftill remain. When an abfcefs is formed e fre- 
quency of the pulfe is at set abated 3 but it : oon again in- 
ereafes, and frequent cold fhiverings,~ and marked exacerba- 
tions of heat and feverifhnefs in the afternoon and evening, 
followed by ace -{weats, come on; in other words, a heétic 
“At leng th the difeafe pr erel proves fatal, 
omach, the 
ke. Suppur 
but Fok eet 
mi 
‘there are, indeed, fome rare initances on 
oe ne has bik externally, and not only the pus, 
alimentary matters {wallowed, have pafled out at 
the epetae during the remainder of ie In fuch caf 
ntions a wom Fears C 
fited, pe who had facamed fuch a Alulous « opening for 12 
vears, without any a injury to her health; “and I ob- 
ferved,’”? he adds, “ that the contents of the ftomach came 
out in part thr oa the opening of this fiftula.”? 
ad Aph. 955, Boerhaav. ) i 
nary cale, related in the Journal des 
fitula, otherwife all the novrithment that was taken in im- 
mediately flowed out through it. Neverthelefs, the opening 
of this ulecr gradaally contraéted itfe lf, and fie —— in i 
good ftrength as to undergo the labours in a country farm; 
in which manner fhe fupported her malady for the {pace of a) 
ue 
aufes of Gafiritis.—We are not acquainted with any par- 
icular presi to galtritis in the firft inftance; but 
when the ule has once occurred, like moft other ine 
mations, it reese ney in the part affected to be more 
ecfily excited to eae again; and therefore, for a 
long time fubfequent to recovery, the utmoft caution, in re- 
i ood and dr ie is required. The 
reiting ich ma fee applied to the ftomach, as 
from on fenfible, cat or mechanical properties, occa- 
fion violent irritation to the flomach, or injure its texture: 
or the infiammation is produced by ie extenfion of the dif. 
bouring organs, or from diftant parts by 
Among the firft of thefe, 
re, large draughts of s, taken while the body is 
greatly = sted, the perfpiration is pe and the exertions 
c 
ease occafioned the heat have bag remitted ; p—over- diftens 
ae 
cupr 
re er ert wk mechanical matters, w 
their nen potghnel &c. mechanically injure the coats of 
the fto ay - 3—and in fome cafes of peculiar debility of the 
ftoma ven fermented liquors, or ordinary food. Among 
the itsnentioned caufes are the inflammation of other 
vifcera, as of the liver, bowels, &c. e transference of 
outy, hema or eryfipelatous aaa mmation, fr 
extremities ;— peiecnag of certain chronic eruptions 
n the fkin. The ftomach is alfo liable to be inflamed 
under an attack of general fever, like other organs of the 
ody, by particular determinations of the circulation to the 
co 
a 
part. ee SEVER. 
Appearances on Diffedicn.—When inflammation of the 
ftomach ae es death, ECT ss of fuppuration or 
gangrene (which are not the moft frequent terminations of 
fe eee es the inflammation is found, upon di ' 
n, to have fpread over a confiderable part, or perhap 
ne w whole e, of the 1 inner membrane ; but moft 
than ufual, but is commo ae crowded wit 
On opening a flomach, it it is found to be a little thicker at 
the inflamed the inner membrane is very red from the 
number of irpall Hes veffels, and there are fréquently _ 
a icariaea : hen the exciting caufe has been 
cane e poifon, fuch - Sarr for inftance, ieee 
tion s moft intenfe. fubftance of the ftomach is then 
ind thickened, and on oe g into its cavit ane ere is a 
very great canes of rednefs ih the i imier membrane, ariling 
partly from the very great number of minute ha and 
partly from uae afated blood. Portions of the inner 
membrane are ite ee ee the violent aétion 
con pales immediate a appl 
bee a thin layer of co 
ble ly ast is found thrown out upon a portion re) 
furface the ftomach. "(See Baillie, 
p- 138.) It muft be added, however, that from the diflec- 
tion of dead bodies it is iowa that the ftomach has been 
often affeGted with inflammation when the char neue 
fymptoms, before mentioned, had not appeared: of this 
fhail fae oeeion to {peak prefently. 
_ Cure 0 f Ga ris — T he en oe inflammation of the 
ms ad a 
by depletion, together with the firi@ obfervance of the 
phlogiftic regimen. Large bleedings muft be ee em- 
ployed, and repeated, if the ur gency of the fymptoms conti- 
nue to require ity notwithitanding the {mallne fs of the pulfe, 
For, 
a leeding, it is obferved that the pulfe commonly be- 
omes fuller, and the tendency to fyncope is diminihed. 
the inftance, recorded in the Edinburgh Medical Effays, to 
which we have already aliuded, the epic as bled five 
fuddenly re- 
t not altogether removed, by 
the aloes: of Pieces, or of cupping- -glaffes, alter fcariti- 
452 CATION, 
