Domestic medicine : $b or, a treatise on the prevention and cure of diseases by regimen and simple medicines. With an appendix, containing a dispensatory for the use of private practitionersBuchan, William
Science
Domestic medicine : $b or, a treatise on the prevention and cure of diseases by regimen and simple medicines. With an appendix, containing a dispensatory for the use of private practitioners
Buchan, William
Medicine, Popular -- Early works to 1800
The best corroborants which we know, are the Peruvian bark and wine. A
drachm of bark may be taken in a glass of red port or claret three times
a-day. The medicine will be both more efficacious and less disagreeable,
if fifteen or twenty drops of the acid elixir of vitriol be added to
each dose. Such as cannot take the bark in substance may use the
decoction, mixed with an equal quantity of red wine, and sharpened as
above.
There is a disease incident to labouring people in the decline of life,
called _an INCONTINENCY of urine_. But this is very different from a
diabetes, as the water passes off involuntarily by drops, and does not
exceed the usual quantity. This disease is rather troublesome than
dangerous. It is owing to a relaxation of the sphincter of the bladder,
and is often the effect of a palsy. Sometimes it proceeds from hurts, or
injuries occasioned by blows, bruises, preternatural labours, &c.
Sometimes it is the effect of a fever. It may likewise be occasioned by
a long use of strong diuretics, or of stimulating medicines injected
into the bladder.
This disease may be mitigated by the use of astringent and corroborating
medicines, such as have been mentioned above; but we do not remember
ever to have seen it cured.
In an incontinency of urine, from whatever cause, a piece of sponge
ought to be worn, or a bladder applied in such a manner as to prevent
the urine from galling and excoriating the parts.
OF A SUPPRESSION OF URINE.
It has already been observed, that a suppression of urine may proceed
from various causes; as an inflammation of the kidneys, or bladder;
small stones or gravel lodging in the urinary passages, hard _fæces_
lying in the _rectum_, pregnancy, a spasm or contraction of the neck of
the bladder, clotted blood in the bladder itself, a swelling of the
hæmorrhoidal veins, &c.
Some of these cases require the catheter, both to remove the obstructing
matter, and to draw off the urine; but as this instrument can only be
managed with safety by persons skilled in surgery, we shall say nothing
further of its use. A bougee may be used by any cautious hand, and will
often succeed better than the catheter.
We would chiefly recommend, in all obstructions of urine, fomentations
and evacuants. Bleeding, as far as the patient’s strength will permit,
is necessary, especially where there are symptoms of topical
inflammation. Bleeding in this case not only abates the fever, by
lessening the force of the circulation, but, by relaxing the solids, it
takes off the spasm or stricture upon the vessels which occasioned the
obstruction.
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