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This circumstance happens most commonly tothose Women who have been married rather late in lise, viz. between thirty and sorty. Their inexperience leads them to talae up with thς opinions of those abolit them, and they are sonae times not undeceived illi the time os gestationis much exceeded. Women also who have been long married and had children, severat years after the Menses stop,
and treat themselves accordingly ; abstaining from exerci se, eat What their appetites, Often Craving and depraved, require, tili they have ex- cee led their rechoning, so long as to be sure they have been mistaken. The like complaint happens noW and thenlikewise to single women about the age of fortD
stop. The belly grows large, they become Un-wieldy, their legs swell, and the apprehension ofa dropsy brings on a variety of complainis. Thehemorrhoids are commonly the attendants of all
these subjectis. Sometimes one may trace OUt sonae probabie causes frona Whicli this preternatural state may probably be derived, but not al-ways clearly. The proper treaiment is, hoWever,not dissiculi to discover. The generat turgescence, though it proceeds primarily from a retention of the Menses, does not appear to be confined to the uterine vesteis alone ; ali the Venous system os
the lower belly is affected ; the lymphatics also, in consequence of the generat oppression. The
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218 of the Management proper at the
legs osten swell, the piles are almost always troia blesonae, the patients are generalty costive, theurine in s mali quantities and osten dis charged, and ali the thinner secretions dimini med. Yet
the COUntenance and appearance of the whole
habit denote a generat plenitude, but very disse ferent frona the bloated body of an hydropic. Repeated bleed ing in sinali quantities alwaysgives relies. Sulphur and magnesia, or othere asy laxatives giVen constantly, prevent the piles, and keep the belly gently open. Regillar CX ercise on horsebacii, or in a Carriage, is quite necessary to effect a cure, whicli is for the most pari flow and tedio as, but in generat certain. Purgatives approacliing to the drastic Lind are
by blee ling, though smali ones are es entialty ne cessary. Their diei Ihould be light, but not too liquid. By means like these the generat fulta essgradually subsides; they seldom have any returnos the Menses, excepi now and then sonae stigiis
intimationS. Permit me to mention a ther Case, Whicli,
though it does not absolutely relate to the present subject, is not qui te soreign to it. Nothing, perhaps, is more excruciating to the patienis, nor in Common more difficult to cure, than patias ut menstruation ; it impalrs their healthat present, and seems to render them tessi prolificin future: to the sumerers it is a most serious
evil. By the following shori processe Ι have been happy enough to reli eve severat. I et the patient
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tient have by her a sew pilis, consisting of extr. theb. gr. j. each, made sost witia a litile of any kind of conserve . She is to talae one of thesepilis the moment stae sin is the patri attending this discliarge coming on. A pili may be taken every hour illi the pain gues off: they seldona requiremore than two of these pilis ; otie is osten sufficient, is given early; and it ought to be a constant rule observed in administering anodynes,to give them, When they are plainly indicated,
early. It requires much lesse of an optate to obviate pain, than to qui et it when ac Ute Let the patient keep et ther in or Upon thebed, at leas in a recumbent positare; let her
trinii moderately of any diluting liquor, and of
the herb teas, weali Whey, thin broth, or What et se her constitution may particularly re Uire. When the time is past, a course of chalybeate bitters, in s mali doses, may be continued tillwithin a few days of the return ; and the bellysiould be kept opera by sonae proper laxatiVe; two or three gratias of cathart. extra I. with halftiae quantity of calx antimonii illota, talien everynight, Will osten succeed perfectly well. Theanodyne natist stili be in fead inesse to talie whenthe patia comes ora, and to be talien to such aqUantity as to mitigate the patia, let the dose bewhat it may. This excruciating patia seems to be spasmodic, and to proceed froin the extreme irritability of the uterine system : the blood naturalty deter
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by distending the very irritable vesieis, occasions the spata; this produces a constristion of the vesseis; they become impervious, and the nisus to the discliarge continuing, the pain be comes exquisite and generat, tili the patient, Worn ΟUt with the striaggle, is debilitate i and sunk; thesiuids are then dismissed, some ease succeeds, butthe patient is osten so redhaced as not to recoVertier usual strength be re me has another conflict
The fluor albus is frequently the conseqUence of this struggle, and it v ould seem as is theaterus itself was so far a susserer as to be rendered by degrees tesse fit for fecundation. I thinii ithas been observed by other physicians, as wellas myself, that few of those who have fulsere lmuch in the manner here described, have bornechildren.
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CAS E op A HYDROPHOBIA'. I SHALL introduce What I have to say Upon
in the form os a pamphlet, with the following Introductioa. and Additionat Observations. Editor.' I HAVE been solicited to reprint the folloining Case, that it might pasi into many hands where the work in whicli it was sirst inserted may never come . I yielded to' this solicitation the more easily, when I found that neither the Society to whicli it was presented, nor the Bookseller hoste property it is, had any objection to iis being pub- limed in this manner. The reader must not expect to find in it a cure sor the Canine Madnesi. He will find, perhaps, nothing moru of certain ty in this respect, than that ALL the remedies hitherio proposed, ei ther as preventatives Or cures, are found by experieuce to be altogether ineffectual. 'TO rely on any popular means of preventing the fatalf effecta os ibis pol n, Whether knoKn and generalty diu se vulged,
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ς The Jay after, Vig. February Isth, he took the celebrated Ormi hirti medicine, sold by Hill and Beri y, in Hili stre et, Berkley-square, and conformed to the directions gi ven by the vender in every respeet. A servant maid, who was bit in the leg by
Vulged, or preserved as secrets, which, as the Tonquin medicine, are found to be incompetent and ineffectual, is a dan gerous deception. Were it only to give one incontrovertibie fact in evidence ogainst sucii pretensions, and of couris to stimulate the faculty to malae a farther starch after more effectualrelies in this distemper, it would be doing seme service tosociety. Dr. Vaughan of Leicester has latet y publi ed semecases of the Hydrophobia, inhicli in divers res pedis confirm the intimations given in the cure referred to. And the very rationat, though un successistit, efforis he made to assist his patienis under this calamity, are proose of his attention, and of the hi therio uniameable nature of this singular poison. I et not, horuever, these difficulties disco urage us Dom observing evcry case that occurs with attention, and faith- fully noting every incident that aris es in the progress of the distase : perhaps the united labours of the faculty, Ρrovidelice permitting, may, at tengili, discover some effectual remedy. To this Case are subjoined some Remari s on the Ca- nine Madnesi and Hydrophobia, with a vieru to assiit those Who are called in upon these occasio , to perform their duty with satisfaction to thenaseives, and advantage to their
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About the naiddie of April he compla inedos a pain in his right knee, Which he supposed was affected With the rheumatista; he had felithe like patia at times during the last two years, and had procured himself ease by pumping
Aster having taken these medicines abolitsix days, he discovered an unus uat titillation in the urethra, a contraction of the scrotum and penis to a degree of patia, and an emistion of emen aster mal ing water, to which he had frequent CallS. Alarmed at these symptonas, which he attributed to his medicines, he was defared todis continue them, and to live as temperately
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it be re me, and threw a litile into his mouili, ας but with the ulmost agitation. Recollecting the accident of the bite, and apprehending the most serious conseqUences,cς but without discovering my apprehensions tothe patient, I proposed a physici an might besent sor. Dr. Fothergili was mentioned by the patient. I met the Doctor in a few minutes aster, and informed him of the preceding cir- cumstances, and attended him to the place.
I sam the patient above mentioned the 16th in the morning : he was sitiing in his dining room, without any other appearance of indispositionthan a litile paleness ; his countenance chearful ; nothing that discovered uneas inesse or anxiety.
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sor his probity; and during his illites s he gave
proofs of a capacit' and resolution superior tomost men in the naiddie stations os lisse. I des1red him to forbear the attempi, While it
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ness. His flem seli moderate, his longue dry;he made very litile urine, and complained muchos the contraction of the scrotum ; the emission shad almost ceased, and his bowels had been sufficiently emptied the preceding morning. He took not the least notice of his having been bit to me, nor did he appear to have recollectedit during the course of his illiaess.
We sorbore, on this account, to inquire aster
the state of the wounded pari, or to say any thingillat might lead hi in to suspeet his present complaints arose froin that fatal accident. To gain a litile time sor reflection on a case sosudden and so dangerous, and that nothing whichseemed reas nable to he done might in the mean time be omitted, I ordered sax ounces of bloodio be talien from the arm ; that a scrupte os native cinnabar, and half a scrupte os mussi madeinto a bolus, might be gi ven every four liours ;and that as much noxarisament, fruit, or any