Volume 1

The general practice of physic: extracted chiefly from the writings of the most celebrated practical physicians ... To which is prefixed an introduction, containing inquiries relative to the patient ... / By R. Brookes.

  • Brooks, Richard, active 1740-1743.
Date:
1771
Catalogue details

Licence: Public Domain Mark

Credit: The general practice of physic: extracted chiefly from the writings of the most celebrated practical physicians ... To which is prefixed an introduction, containing inquiries relative to the patient ... / By R. Brookes. Source: Wellcome Collection.

    25/456 (page 9)
    more liable to be miftaken j which may miflead the Praditionef into the moft fatal Errors. I {hall'begin with Hemorrhages and particularly Spitting of Blood, or an Hemoptyfis; which is a RejeSion of florid Blood from the Lungs. This ftiould be carefully diftinguiihed from Bloody Spittle, which proceeds from the Oefophagus, Fauas ^and Noftrils, and is rather brought up by hawking than by coughing; befides, it is not fo copious, is mixt with Phlegm, and is of an obfcure bloody Colour. Likewife a true Ilemoptyfes may be known from that Spittingof Blood, which proceeds in a fmaller Quantity, from a Diforder of the Veffels of the Afpera Arteria, and is brought up with coughing, and commonly attended with itching, and a faltTafte. An Hemoptyfis differs greatly from a vomiting of Blood, becaufe in the former the Blood is thin, florid, arterial, and not brought up without labour and ffrain^ ing ; whereas in a vomiting of Blood it is brought up without coughing, thick, coagulated, and black, and chiefly proceeds from the internal Veins of the Stomach. Neither is vomiting of Blood of one Angle Species, but as it differs with regard to its Caufes, for it requires a different Method of Cure. One Kind proceeds from a corroding Cauftic, contained in the Stomach, as in Poifons and violent Emetics ; another Sort arifes from an impetuous Motion of the Blood, brought from other Parts £0 the Veffels of the Stomach, which are eaflly burft, as is the Cafe from a Suppreffion of the ufual fan- guineous Evacuations : This Kind of Vomiting generally ob~ ferves fome hated Periods. In the Kinds of bloody Urine., one proceeds from a rough Stone, lacerating the Urethra, or its Veffels, which is not very common, even to nephritic Perfons ; and then but a fmail Quantity of Blood is voided. But if it is attended with a violent Impetus of the Blood, and flows violently to the Kidneys from other Parts, it is generally without Mixture, and without any parti¬ cular Complaint or Senfation ; and when it feparates from the Urine, is not red, but of a brownifh yellow Colour. A Difor- der not unlike this attacks Perfons advanced in Years, who are full of Blood and Humours, but often without any Danger. The Flux of Bloody which fometimes happens to pregnant Women, without any Danger to Health, ought to be dirtin- guifhed from that which threatens Abortion. If it only happens periodically for three or four Months, then it is falu- tary; but if the Flux be large, and proceeds from the Veffels of the Uterus, it is dangerous both to the Mother and Foetus. If the Flux is violent, it fhews a total Separation of the Se- cundines, and that Abortion will follow; if it be moderate, the Foetus may be faved. If this Flux correfponds with the Period