A system of surgery . , than canbe obtained by any other means, it hasfometimes been advifed, in cafes of hernia,to take off fuch large quantities of blood,and in fuch a fudden manner, as to pro-duce fainting ; and the praiflice has nowand then been attended with advantage. As an obftinate coftivenefs is commonlyone of the moil alarming fymptoms ofhernia, it has been a common pradtice toprefcribe not only a variety of flimula-ting purgatives by the mouth, but injec-tions compofed of the mod acrid all the experience, hov^rever, which Ihave had in diforders of this nature, lamconv
A system of surgery . , than canbe obtained by any other means, it hasfometimes been advifed, in cafes of hernia,to take off fuch large quantities of blood,and in fuch a fudden manner, as to pro-duce fainting ; and the praiflice has nowand then been attended with advantage. As an obftinate coftivenefs is commonlyone of the moil alarming fymptoms ofhernia, it has been a common pradtice toprefcribe not only a variety of flimula-ting purgatives by the mouth, but injec-tions compofed of the mod acrid all the experience, hov^rever, which Ihave had in diforders of this nature, lamconvinced that purgatives are very feldomproduflive of much good ; and when theydo not prove ufeful, they almoft unlverfallydo mifchief, by increafing not only the (ick-nefs at ftomach which always prevails here^but even by adding to the pain and ten-fion of the tumor. I am clear, therefore,that remedies of this kind fhould not bepuftied fo far as they commonly are; andwhen they are applied, inftead of purga-tives LLMfeVT. .//3e/AAyf//f ! SeA. L Of Herm<£, 289 tives by the mouth, which always provevery naufeating, and in this (late are ufu-ally reje^ed by the ftomach, I would re-commend tobacco-fmoke thrown up iatheform of inje(5lions, as preferable to everyother remedy. A variety of machines havebeen contrived for injecfling fmoke by theanus; but none of them 1 have met withanfwer the purpofe either fo eafily or foefFedually as the inftruments reprefentedin Plates VL and VII. They are eafily pro-cured ; and by means of either of them,fmoke may be inje(5led with any necelTarydegree of force. I would not have it fuppofed, however^that 1 recommend tobacco-fmoke ufed inthis manner as an infallible purgative, asmany have done. For the contrary iscertainly the cafe ; I have known it ufedin a great number of cafes both of herniaand ileus, and feldom with any advan-tage. I only advife it as the mod effec-tual remedy of this kind with which I amacquainted; and I know that the methodher
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Keywords: ., bookauthorbellbenjamin17491806, bookidsystem, booksubjectsurgery
