OF SCHOOLEY's MOUA'TAIX. 551 



procured immediate ease. It was followed by the discharge of a little 

 blood and some gravel along with the urine. 



For several succeeding months attacks of the complaint car/ie on at 

 intervals, and always with extreme pain. Lime water was now pre- 

 scribed, and taken freely for a great length of time, during which 

 course the patient discharged occasionally fine gravel, and once, after 

 severe exercise, in considerable quantity mixed with blood. 



In the winter of 1812 — 13, his disorder had reached an alarming 

 height. He had fits of it every two or three days, and sometimes twice 

 a day. The paroxysms were in general so violent, that he involuntarily 

 writhed in the utmost torture while they lasted. The pain had always 

 its seat in the region of the kidneys, sometimes on one, at other times on 

 both sides. With his worst attacks there was a total suppression of 

 urine for twenty-four, or even forty-eight hours, without any fullness of 

 the bladder, or inconvenience felt in that organ ; but at those times a 

 cutting sensation was experienced along the course of the ureter, as if 

 an angular grain of sand descended through that passage. Almost in- 

 variably before being seized with a fit he found it impossible to pass 

 water, though strongly solicited, or, at most, could pass but a few drops, 

 and that with extreme pain. Shortly after any attack subsided the 

 urine came off very freely. 



He was always conscious of the passing of the irritating matter into 

 the bladder. That instant the pain ceased, and shortly afterward the 

 urine flowed without interruption. It was then frequently tinged 

 with blood, and always more or less charged with sabulous matter. 

 Most part of this season was passed in such suffering : medicine afford- 

 ed no relief, and was abandoned : a temporary ease was sought for in 

 blood letting during the paroxysm, and the almost daily use of the hot 

 bath, heated to a degree barely tolerable. The least inconvenience of 

 such palliatives was to leave the patient exceedingly debilitated. 



