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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![shall here, however, deviate a little from my general plan, to make some reflections upon symptomatic hemorrhagies. 1015.] The hemorrhagies of this kind that especially deserve our notice, are the Hematemesis, or Vomiting of Blood ; and the Hematuria, or the Voiding of Blood from the urinarv passage. Upon these 1 am here to make some remarks; because, though they are very generally symp- tomatic, it is possible they may be sometimes primary and idiopathic affections ; and because they have been treated of as primary diseases in almost every system of the prac- tice of physic. SECTION I. Of the Hematemesis, or Vomiting of Btood. 1016.] I HAVE said above in 944, in what manner blood thrown out from the mouth may be known to pro- ceed from the stomach, and not from the lungs ; but it may be-proper here to say more particularly, that this may be certainly known, when the blood is brought up manifestly by vomiting without any coughing ; when this vomiting has been preceded by some sense of weight, anxiety, and pain, in the region of the stomach ; when the blood brought up is of a black and grumous appearance, and when it is manifestly mixed with other contents of the stomach ; we can seldom have any doubt of the source from whence the blood proceeds, and therefore of the ex- istence of the disease we treat of. 1017.] We must allow it to be possible that a plethoric state of the body from general causes may be accompani- ed with causes of a peculiar determination and afflux of blood to the stomach, so as to occasion an hemorrhagy there, and thence a vomiting of blood ; and in such a case this appearance might be considered as a primary disease. But the history of diseases in the records of physic, afford little foundation for such a supposition ; and on the con- trary, the whole of the instances of a vomiting of blood which have been recorded, are pretty manifestly symptom- atic of a more primary affection. Of such symptomatic vomitings of blood, the chief in- stances are the following. 1018.] One of the most frequent is that which appears](https://iiif.wellcomecollection.org/image/b21112290_0023.jp2/full/800%2C/0/default.jpg)
