Aristotle's works:: Containing the Master-piece, Directions for Midwives, and Counsel and Advice to Child-bearing Women with Various Useful Remedies
Aristotle · en
When the complaint is evidently owing to an inflammation about the neck
of the bladder, bleeding must be more liberally performed, and repeated
according to the urgency of the symptoms. After bleeding, if the
strangury still continues, soft clysters, with a proper quantity of
laudanum in them, may be administered, and emollient fomentations
applied to the region of the bladder. At the same time, the patient may
take every four hours a tea-cupful of barley-water, to an English pint
of which six ounces of the syrup of marshmallows, and four ounces of the
oil of sweet almonds, and half an ounce of nitre may be added. If these
remedies should not relieve the complaint, and a total suppression of
urine should come on, bleeding must be repeated, and the patient set in
a warm bath up to the middle. It will be proper in this case to
discontinue the diuretics, and to draw off the water with a catheter;
but as the patient is seldom able to bear its being introduced, we would
rather recommend the use of mild bougies. These often lubricate the
passage, and greatly facilitate the discharge of urine. Whenever they
begin to stimulate or give any uneasiness, they may be withdrawn.
The _phymosis_ is such a constriction of the prepuce over the glans, as
hinders it from being drawn backwards; the _paraphymosis_, on the
contrary, is such a constriction of the prepuce behind the glans, as
hinders it from being brought forward.
The treatment of these symptoms is so nearly the same with that of the
virulent gonorrhœa, that we have no occasion to enlarge upon it. In
general, bleeding, purging, poultices, and emollient fomentations, are
sufficient. Should these, however, fail of removing the stricture, and
the parts be threatened with a mortification, twenty or thirty grains of
ipecacuana, and one grain of emetic tartar may be given for a vomit, and
may be worked off with warm water or thin gruel.
It sometimes happens, that in spite of all endeavours to the contrary,
the inflammation goes on, and symptoms of a beginning mortification
appear. When this is the case, the prepuce must be scarified with a
lancet, and, if necessary, divided, in order to prevent a strangulation,
and set the imprisoned glans at liberty. We shall not describe the
manner of performing this operation, as it ought always to be done by a
surgeon. When a mortification has actually taken place, it will be
necessary, besides the above operations, to foment the parts frequently
with cloths wrung out of a strong decoction of camomile-flowers and
bark, and to give the patient a dram of the bark in powder every two or
three hours.
With regard to the _priapism_, _chordee_, and other distortions of the
_penis_, their treatment is no way different from that of the gonorrhœa.
When they prove very troublesome, the patient may take a few drops of
laudanum at night, especially after the operation of a purgative through
the day.
OF A CONFIRMED LUES.