Mr. Homes Observations, &c. 487 
\>lood, and congealed into a solid mass as soon as received into 
the vessel. This complaint appeared to have arisen from the 
rupture of a vessel in one of the kidneys, for he had a pain in 
his loins, but none in the region of the bladder. He seemed to 
void no water, for the whole quantity which was expelled at any 
one time, amounting to about 4 ounces, formed itself into a coa- 
gulum ; next day he voided bloody water, which did not coa- 
gulate. This continued for three or four days, and then went 
entirely off. 
In the spring, 1796, he had a return of the same complaint. 
It came on in the evening of the 3d of April ; on the 4th it was 
very violent ; and in the afternoon there was a total suppres- 
sion. A catheter was passed six or seven times ; but the oval 
holes near the end of the instrument were always filled with 
coagulated blood, and no urine could be drawn off. On the 
5th, a larger catheter was passed, with small round holes, less 
likely to have the coagulum entangled in them, but no urine 
came away. In the evening it was introduced again, having 
its cavity completely lined with a flexible gum catheter, which 
was withdrawn as soon as the instrument was carried to the 
fundus of the bladder ; and in this way 4 ounces of a bloody 
fluid were drawn off, which on exposure coagulated. 
On the morning of the 6th, a pint of bloody urine was drawn 
off ; this operation was repeated three times in the twenty-four 
hours, and the same quantity was brought away each time. 
On the 7th, the urine drawn off was less tinged with blood ; 
and when it was allowed to stand, the upper part became to- 
lerably clear. There was little change in the circumstances 
for six days ; but on the 13th the urine drawn off was of a 
darker red colour, and in smaller quantity. On the 16th, the 
mdccxcvi. 3 R 
