If the stomach become the seat of the attack, a mustard plaster should be applied on its region, and some narcotic and stimulant given — e. g., tincture of henbane and ammonia. If there be pe^"sistent severe headache, a plaster may be placed on the back of the neck, and may ward off more serious symp- toms. The diet should be carefully regulated during and after an attack of gout. Stimulating drinks and rich food should be avoided as much as the constitutional power will permit. The curative treatment of gout, if to be attained at all, must be aimed at during the intervals of the attack. To this end, careful and abstemious living, with exercise in the open air, are important means. Gravel. — Symptoms. — Pain in voiding urine, sometimes very severe in character, and extending from the loins down the front and inside of the thighs. A small portion of gravel, passing from the bladder, will often cause great difficulty in voiding the urine. A sediment, or small fragment of gravel, may be found deposited in the vessel after a paroxysm. Treatment.' -During the paroxysm of pain, a hot bath will give relief, an opiate being taken at the same time. After the paroxysm is past, the morbid condition of the urine that gave rise to gravel should be corrected. If the sediment be red, alkaline medicines may be taken. (See List of Medicines.) Haemorrhage from the Bladder. — Symptoms. — The occur- rence of blood in the urine is readily perceived, and therefore requires no description; but as a symptom it is desirable that its several sources should be pointed out. If there be pains in the loins and a feeling of general illness, and the blood be equally diffused through the urine, or be accompanied with minute worm-like clots, the blood proceeds from the kidneys. Shou4d the stream of urine be at first free from, or only slightly tinged with, blood, and the flow become more and more deeply colored, the inner surface of the bladder is most probably the source of the blood. If blood flows drop by drop without urine, the passage external to the bladder will be its source. Treatment. — If the blood be believed to come from the kidney, it will probably be the result of inflammation of that organ, or of some injury inflicted on the loins, or from the existence of a calculus or stone in the kidney. In either case absolute rest in bed must be enforced. Leeches, from eight to twelve, should be applied on the loins; or, if practicable, cup- ping on the same region to the extent of eight or ten ounces will be preferable. The bowels should be freely opened by saline purgatives, such as Epsom salts, Glauber salts, or Rochelle MEDICll^AL, Mi^ lalts, kt the game time, if there be pains in the loins, it may be relieved by five grains of Dover's powder, or extract of hen- bane, every four hours. If from the previous condition of the urine — i. e., if it has deposited gravel for some time — it is to be inferred that the bleeding is caused by a stone in the kidney, some alkali should be combined with the sedative, thus: Bicarbonate of potash, I drachm; tincture of henbane, one-half ounce; water to 6 ounces. Mix, and give a sixth part every four hours while the pain lasts.

AI-modernized reading of the original text

If the stomach become the seat of the attack, a mustard plaster should be applied on its region, and some narcotic and stimulant given — e. g., tincture of henbane and ammonia. If there be pe^"sistent severe headache, a plaster may be placed on the back of the neck, and may ward off more serious symptoms. The diet should be carefully regulated during and after an attack of gout. Stimulating drinks and rich food should be avoided as much as the constitutional power will permit. The curative treatment of gout, if to be attained at all, must be aimed at during the intervals of the attack. To this end, careful and abstemious living, with exercise in the open air, are important means. Gravel. — Symptoms. — Pain in voiding urine, sometimes very severe in character, and extending from the loins down the front and inside of the thighs. A small portion of gravel, passing from the bladder, will often cause great difficulty in voiding the urine. A sediment, or small fragment of gravel, may be found deposited in the vessel after a paroxysm. Treatment.' -During the paroxysm of pain, a hot bath will give relief, an opiate being taken at the same time. After the paroxysm is past, the morbid condition of the urine that gave rise to gravel should be corrected. If the sediment be red, alkaline medicines may be taken. (See List of Medicines.) Haemorrhage from the Bladder. — Symptoms. — The occurrence of blood in the urine is readily perceived, and therefore requires no description; but as a symptom it is desirable that its several sources should be pointed out. If there be pains in the loins and a feeling of general illness, and the blood be equally diffused through the urine, or be accompanied with minute worm-like clots, the blood proceeds from the kidneys. Shou4d the stream of urine be at first free from, or only slightly tinged with, blood, and the flow become more and more deeply colored, the inner surface of the bladder is most probably the source of the blood. If blood flows drop by drop without urine, the passage external to the bladder will be its source. Treatment. — If the blood be believed to come from the kidney, it will probably be the result of inflammation of that organ, or of some injury inflicted on the loins, or from the existence of a calculus or stone in the kidney. In either case absolute rest in bed must be enforced. Leeches, from eight to twelve, should be applied on the loins; or, if practicable, cupping on the same region to the extent of eight or ten ounces will be preferable. The bowels should be freely opened by saline purgatives, such as Epsom salts, Glauber salts, or Rochelle MEDICINAL. lalts, kt the game time, if there be pains in the loins, it may be relieved by five grains of Dover's powder, or extract of henbane, every four hours. If from the previous condition of the urine — i. e., if it has deposited gravel for some time — it is to be inferred that the bleeding is caused by a stone in the kidney, some alkali should be combined with the sedative, thus: Bicarbonate of potash, I drachm; tincture of henbane, one-half ounce; water to 6 ounces. Mix, and give a sixth part every four hours while the pain lasts.

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