adapted to the indication. Besides this, we have perhaps no other means of removing the conftriction in fault, but that of increasing the action and force of the veffels of the uterus, fo as thereby to overcome the refiftance or conftriction of their extremities. This therefore is to be attempted by the fame remedies in the case of fuppreffion, as those prescribed in the afes of retention (MIV.-MVI.) The tonics, however, and cold bathing (MIV.) feem to be lefs properly adapted to the cafes of fuppreffion, and have appeared to me of ambiguous effect. MXII. It commonly happens in the cafes of fuppreffion, that though the menfes do not flow at their usual periods, there are often at those periods fome marks of an effort having a tendency to produce the dif charge. charge. It is therefore at those times efpecially when the efforts of the fyftem are concurring, that we ought to employ the remedies for curing a fuppreffion; and it is commonly fruitless to employ them at other times, unless they be fuch as require fome continuance in their use to produce their effects. MXIII. Nearly fimilar to the cafes of fuppreffion, are those cases in which the menfes flow after longer intervals and in leffer quantity than usual; and when these cases are attended with these disorders in the fyftem (MX.) they are to be cured by the fame remedies as the cafes of entire fuppreffion. notice of the dysmenorrhea, or cafes of menftruation in which the menfes seem to flow with difficulty, and are accompanied with much pain in the back, loins, and lower belly. We impute this disorder partly to fome weaker action of the veffels of the uterus, and partly, perhaps more especially, to a spasm of its extreme veffels. We have commonly found the disease relieved by employing fome of the remedies of fuppreffion immediately before the approach of the period, and at the same time employing opiates. CHAP. CHAP. IX. OF SYMPTOMATIC HEMORRHAGIES. I MXV. HAVE thought it very improper in this work, to treat of those morbid affections that are almost always fymptomatic of other more primary difeafes; and this for several reasons, particularly because it introduces a great deal of confufion in directing practice, and leads phyficians to employ palliative measures only. I fhall here, however, deviate a little from my general plan, plan, to make some reflections upon symptomatic hemorrhagies. MXVI. The hemorrhagies of this kind that especially deserve our notice, are the Hematemefis, or Vomiting of Blood; and the Hematuria, or the Voiding of Blood from the urinary paffage. Upon these I am here to make fome remarks; because, though they are very generally fymptomatic, it is poffible they may be sometimes primary and idiopathic affections; and because they have been treated of as primary diseases in almost every fyftem of the practice of phyfic. SECT. |