THE first, a Man aged 70 Years, who died of a Suppression of Urine, occasioned by a Stone stopping in the Urethra, just within the Glans, of the bigness of a Horse Bean. This Appearance, with the Symptoms that had attended this miserable Man, gave me reason to expect something remarkable in the urinary Passages. The Ureters and Pelvis were very much distended; which is common where great Numbers of Stones have descended down them, from the Kidneys to the Bladder. The Bladder contained about 60 Stones, the largest of which was about the Size of a Walnut, the others smaller; and just within the Neck, was a hard Tumour, as big as a Nutmeg, which almost closed the Orifice: and indeed the Situation of this Tumour was such, that it not only made the passing the Catheter very difficult, and hindered our feeling the Stones, by directing the Instrument upwards: but likewise would alone produce the Symptoms of the Stone in the Bladder, by obstructing the free Discharge of Urine through the Urethra, the inner Membrane of which appeared as if lacerated in several Places, and the Tube filled with a glutinous Matter tinged with Blood. On the back Part of the Vesiculæ Seminales, near the Prostata, were several Stones, as large as Peas, which closely adhered to the adjacent Membranes.
The second, a Boy aged 10 Years, killed by a Blow on the Skull; whose Spleen weighed two Pounds, and possessed almost all the left Side of the abdominal Cavity. The Bladder, when distended to its greatest Capacity, would not contain an Ounce.
The third, a Man aged 25, who died of a Pocky Hectick, and some Days before complained of a painful Swelling in the Testicle, which he said came the Night before. I examined it, and found it to be a Hernia Aquosa, and would have punctured it, if I had not felt (besides the Water) a hard Body, which I could by no Means reduce. In a few Days he died, which gave me an Opportunity of being satisfied. Opening the Scrotum, and separating the common Membranes to the Processus Vaginalis, it contained about 4 Ounces of Water, besides a great Part of the Omentum; some Portions of which adhered to the Bottom of the Cavity, and the Albuginea that immediately covers the Testicle.
It has been likewise thought proper to preserve a small Treatise of curing Consumptions by a new Method, of administring Specific-Medicines, more especially such as proceed from Ulcers of the Lungs.
This excellent Piece was written by the late eminent Mr Thomas Nevett, of Fen-Church Street, Surgeon.
A NEW M E T H O D Of Curing CONSUMPTIONS BY Specific Medicines. INTRODUCTION.
I Remember a remarkable Passage in some Observations upon the Bermudus Berries, by a Doctor of Physic in the Country, addressed to the Hon. Robert Boyle, Esq; who professeth he had been for 50 Years an exact Observer of the Methodus Medendi; yet saith the Doctor for my part I firmly believe, that (Universal Evacuations being premised) the greatest Cures wrought in the World, are by the use of Specifical Medicines. The higher the Attainments of any have been in Understanding, the more freely have they acknowledged that the greatest part of those things they did know, was the least of those things they did not know; such Men account it not shameful to renounce an Errour, tho’ ever so ancient, when persuaded thereunto by Truth and plain Demonstration: There are other narrow Spirits (abundantly satisfied in their own Knowledge) who believe the Art of Physic hath been taught by our Ancestors, in such an absolutely perfect manner, as that nothing remains to the Industry and Diligence of Posterity; it being too much their Humour to undervalue every Medicine that they themselves are not Masters of, because they prefer their private Interest to the public Good: But in the mean time where is that cordial Love to Mankind, which is one of the Badges of true Christianity? Nay, where is the Exercise of Reason? For how can a Man give his Opinion against a thing that he never heard of before, or at least never experienced? I am sure, this unjustifiable Practice is the way to put a stop to all useful Knowledge and Improvements: It is therefore expected from the Ingenious and Candid Reader, that he should adhere to the Cause of Truth, by whomsoever it is pleaded, weigh every Invention, not in the deceitful Balance of Custom, but in the just and even Scales of Reason; approve what is agreeable, and reject what is contrary to it.
That I who am by Profession a Surgeon, should in such a polite and inquisitive Age, venture my Thoughts in public concerning a Physical Case, may be to some matter of Admiration, and to others of severe Censure; especially such as may think I have invaded their Province. As for the latter, I am persuaded nothing that I can say will remove their Prejudices; and for the former, I shall only tell them, that being alarmed by some of the Symptoms mentioned in the following Discourse, whereby I plainly perceived the Constitution of my own Body inclined to a Consumptive State, I strenuously applied my Mind to study the Nature of this Disease, and to find out, if possible, some noble Specific Medicines, which might indeed deserve that Name, and be able to oppose the growth of so fatal a Distemper, which hath insensibly flattered so many into the Chambers of Death. What I then laboured for, and searched after, I have since (by the Blessing of God) found, and with great Advantage experimented on my self and many others, and now think fit to disclose for the good of All, not doubting but if a more excellent Method and Medicine than hath hitherto been generally administered, or prescribed, be treasured up in the Hands of any Person whatsoever, he doth more faithfully perform the part of a just Steward, by a due Improvement, than a close Concealment of it. And on the same Account, I judge it more my Duty to serve my Native Country, than mind the Clamours of censorious Critics; not at all questioning but in a little time, the Efficacy of these Medicines will at once bring Health to the Patient, and Reputation to their Author: And the World will be convinced of the Power of these Remedies, by their Effects; tho’ ignorant Persons may be apt to contemn and neglect, till their Opinions be altered by Experience, and their Prejudices removed by Demonstration.
Of the Nature, Causes, and Symptoms of Consumptions.