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CHAP. XXXVIII. What is to be done, when the stone falleth out of the Kidney into the Ureter.
OFt-times it falleth out that the reines using their expulsive faculty force downe the stone (whose concretion and generation the Physi∣cians * 1.1 by the formerly prescribed meanes could not hinder) from themselves into the ureters; but it stayeth there either by reason of the straightnesse of the place, or the debility of the expulsive faculty. Therefore then cruell paine tormenteth the patient in that place whereas the stone sticketh, which also by consent may be communicated to the hippe, bladder, ••esti∣cles and yard, with a continuall desire to make water and goe to stoole. In this case it behooveth the Physician that he supply the defect of nature, and assist the weake indeavours.
Therefore let the patient if he be able mount upon a trotting horse, and ride upon * 1.2 him the space of some two miles, or if hee can have no opportunity to doe, so, then let him run up and downe a paire of staires untill he be weary, and even sweat again; for the stone by this exercise is oft-times shaken into the bladder; then presently shall be given or taken by the mouth such things as have a lenitive and relaxing fa∣cultie, as oyle of sweet almonds newly drawne and that without fire, and mixed with the water of pellitorie of the wall and white wine. Let frictions of the whole body be made from above downewards with hot clothes; let Ventoses with a great flame be applyed one while to the loynes, and another while to the bottome of the belly, a little below the grieved place; and unlesse the patient vomit of his owne ac∣cord, or by the bitternesse of his paine, let vomiting bee procured with a draught of water and oile luke warme; for vomiting hath much force to drive downe the stone, by reason of the compression of the parts, which is caused by such an endea∣vour: lastly, if the stone descend not by the power of these remedies, then the pati∣ent must bee put into a Semicupium, that is, a Halfe-bath, made of the following de∣coction. ℞. malvae, bismal. cum toto an. m. ii. beton. nasturt. saxifrag. berul. parietar. vio∣lar. * 1.3 an. m. iii. semin. melonum, milii solis, alkekengi an. ʒvi. cicer. rub lb. i. rad. appii, gram. faeniculi, & eryngii, an. ℥iiii. in sufficienti quantitate aquae pro incessu; coquantur ista om∣nia inclusa sacco; herein let the patient sit up to the navell: neither is is fit that the patient tarry longer in such a bath than is requisite, for the spirits are dissipated, and the powers resolved by too long stay therein. But on the contrary, if the patient re∣maine as long as is sufficient in these rightly made, the paine is mitigated, the exten∣ded parts relaxed, and the passages of urine opened and dilated, and thus the stone descendeth into the bladder. But if it be not moved by this meanes any thing at all out of the place, and that the same totall suppression of urine do as yet remaine, nei∣ther before the patient entred into the bath the putting of a Cat••aeter into the blad∣der did any thing availe, yet notwithstanding he shall try the same againe after the patient is come out of the bath, that hee may bee throughly satisfied whether perad∣venture there may bee any other thing in these first passages of the yard and neck of the bladder, which may with-hold the urine; for the Cathaeter will enter farre more easily, the parts being relaxed by the warmenesse of the bath: then inject some oyle of sweet almonds with a syringe into the Urethra or passage of the yarde; whilst all these things are in doing, let not the patient come into the cold aire. But here I have thought good to describe a chaire for a bath, wherein the patient may fitly sit.