First lines of the practice of physic (Volume 2).

  • Cullen, William, 1710-1790.
Date:
1806
Catalogue details

Licence: Public Domain Mark

Credit: First lines of the practice of physic (Volume 2). Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    times pour blood into its cavity to be thrown up by vo- miting. J did not think it necessary, among the symptomatic vo- mitings of blood, to enumerate tliose from external vio- lence, nor, what is analogous to it, that which arises from violent straining to vomit; which last, however, is much more rare than might be expected. In either of these cases the nature of the disease cannot be doubtful, and the ma- nagement of it will be readily understood from what has been delivered above with respect to moderating and res- training hemorrhagy in general. SECTION II. Of the Hematuria, or the Voiding of Blood from the Urinary Passage. 1032 ] IT is alledged, that an hematuria has occurred w lout any other symptom of an affection of the kidneys or urinary passages being present at the same time; and as this happened to plethoric persons, and recurred at fixed periods, such a case has been supposed to be an instance of idiopathic hematuria, and of the nature of those active hemorrhagies I have treated of before. 1033.] I cannot positively deny the existence of such a case; but must observe, that there are very few instances of such upon the records of physic; that none have ever occurred to my observation, or to that of my friends ; and that the observations adduced may be fallacious, as I have frequently observed an hematuria without symptoms of other affection of the kidney or urinary passages being, for the time, present; whilst, however, fits of a nephralgia calculosa having, before, or soon after, happened, ren- dered it to me sufficiently probable, that the hematuria was owing to a wound made by a stone present in some part of the urinary passages. 1034.] The existence of an idiopathic hematuria is fur- ther improbable, as a general plethora is more likelv to produce an hemoptysis (1021.) and as we do not well know of any circumstance which might determine more particularly to the kidneys. An idiopathic hematuria, there- fore, must certainly be a rare occurrence; and instances of symptomatic affections of the same kind are very frequent.