. The complete herbalist : or the people their own physicians by the use of nature's remedies : describing the great curative properties found in the herbal Materia medica, Vegetable.; Botany, Medical.; Medicinal THE COMPLETE HERBALIST. 341 suddenly and with a gurgling noise. An epiplocele is more irregular in form, has a doughy feel, and retires slowly without noise. Reducible hernia is one in which the contents of the sac can be reduced with proper manipulation. Irreducible hernia is owing to adhesions, or from membranous bands stretching across the sac, etc., when the con
. The complete herbalist : or the people their own physicians by the use of nature's remedies : describing the great curative properties found in the herbal Materia medica, Vegetable.; Botany, Medical.; Medicinal THE COMPLETE HERBALIST. 341 suddenly and with a gurgling noise. An epiplocele is more irregular in form, has a doughy feel, and retires slowly without noise. Reducible hernia is one in which the contents of the sac can be reduced with proper manipulation. Irreducible hernia is owing to adhesions, or from membranous bands stretching across the sac, etc., when the contents cannot be replaced; and when the contents of the sac are incarcerated, with inflammation and an interruption to the passage of faeces, it is called strangulated. The more common forms are the inguinal and umbilical. Inguinal hernia is called scrotal when the intes- tine has descended from the groin into the scrotum. Treatment.—The treatment consists in reduction and retention. This can only be achieved m the reducible hernia. Reduction is effected by a manipulation called taccis^ the patient being placed in a recumbent position, and the muscles of the abdomen relaxed; gentle and steady pressure is made by the hand in the direction of the descent. Retention is effected by continued and suitable pressure by means of the pad of a well-fitting truss. By constant and careful use of a truss, a radical cure may be effected. A lobelia emetic, or the patient may be chloroformed, to relax the muscles, may be resorted to, if replacement cannot be per- formed without them. In irreducible hernia, the treatment consists in carefully regulating the bowels, avoiding great exertions, and wearing a suitable truss to prevent further protrusion. Strangulated hernia, if it cannot be reduced by taxis, becomes a subject for the surgeon. Radi- cal cures may also be performed by the surgeon, I have constantly manufactured for my patients a most excellent truss, which effects many cures. It is a
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