Practical observations on herniae : illustrated with cases / by B. Wilmer, surgeon, in Coventry.
- Wilmer, Bradford
- Date:
- 1802
Licence: Public Domain Mark
Credit: Practical observations on herniae : illustrated with cases / by B. Wilmer, surgeon, in Coventry. Source: Wellcome Collection.
Provider: This material has been provided by University of Bristol Library. The original may be consulted at University of Bristol Library.
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![taltic motion (fhould they pafs the ftomach) wilf^ in genera], prevent their having any accefs to the part affedted. However, as fomething in this way muft be attempted, whenever I have not fucceeded in the firft endeavours, I have generally directed fome pills, compoi'ed of Venice foap, focotorine aloes, and calomel, which will have a better chance of palling through the ftomach than any fluid me- dicine whatever. From an attention to the Symp- toms of ftrangulated hernias, it fhould feem that the periftaltic motion of the inteftinal canal, above the imprijoned part} is inverted, and, below it, totallyJufpended.. After the acceflion of the pain and vomiting, the patient never pafles a ftool with- out the afiiftance of art; if a common glyfter is injedted, the contents of that part of the canal below the ftrangulation will, in general, be eafily difcharged. But this procures no kind of relief. However, as it is probable that ftimulating the lower part of the gut will be as likely to extricate the excluded portion as ftimulating the upper part, and as ftimulants thus ufed can, with more cer- tainty, be applied nearer the feat of the difeafe, they may be injedted by the anus with a more rational profpedt of fuccefs. No ftimulus has hitherto been ufed for this purpofe, with more advantage, than the fume of tobacco injedled into the redlum. So efficacious was this application in the hands of the celebrated Heijler, that in a very long and a very extenftve pradtice it always fuc- ceededj](https://iiif.wellcomecollection.org/image/b21438948_0044.jp2/full/800%2C/0/default.jpg)
