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Adam Wilkins, was troubled for two or three years with a Costive¦ness, that he almost never went to Stool, but once in four or five days; at last having not been at Stool for a fortnight, he began to have violent Cholick pains, a vomiting and a sup∣pression of Urin, with a prodigious heat upon the Reins of his Intestins or over all his Belly.
The Surgeon had given him emol∣lient Clysters of Oyls, and decocti∣ons of Plants, gentle Purgatives, and such other things before I saw him, but without the desired success. When I first visited him, he had a most vio∣lent pain, and had not slept for a great many Nights. And besides, Hip∣pocrat. his prognostick in his praeno∣tiones, verse 48. Cum Ileosis inter∣ceptio est Ʋrinae cito Mors venit, gave me but little hopes of any advantage that might accrue to him by my help; since our reason as well as the authority of that great Physician makes always this appearance most ominous; for, that the Urin may be intercepted by the Ileum, this Gut must be so swoln as to com∣press the neck of the Bladder and adjacent parts, which will be a great and irreparable tumor: And if the tumor is not so great as to compress the neck of the Bladder, but does compress the Ʋreters, both which in their whole length lye immediately under the Ileum, so that the falling of the Urin into the Bladder is inter∣cepted, it must of necessity cause Death, both because of this swelling
of the Ileum, and this interruption in the Urin which cannot be separa∣ted from the Blood. But because we cannot be positively sure of the power and efficacy of our Med'cins, the strength of our Patients, and other circumstances; we are oblig'd to use our best endeavours while there is life; and therefore I order'd him doubl'd pieces of Flannel, wet in hot anodyn Fomentations to be applyed over his Belly frequently every Day. His Drink was a de∣coction of Chamomile Flowers with a little white Wine added to it: And to stay his vomiting he had the fol∣lowing mixture.
℞ sal. absynth. ℈ij. succ. limon. cochl. ij. M. ut fermentescant, ac bi∣bat priusquam penitus desierit ebulli∣tio.
This stopp'd his vomiting for some time, and stronger things as Opium ••••••us morbi asylum, as a learned Doctor ••a••ls it, seem'd unreasonable because of the vast inflammation that seem'd to be upon his intestins, and the continu'd Costiveness. I caus'd eight
or ten ounces of an emollient decocti∣on to be injected, to which was added two ounces of vin. emetic. turbid•• the Clyster came off by it self, but no∣thing like Excrements. In the even∣ing he took this Bolus both for his Urin and Costiveness.
℞ milleped. pptorum, sal. polychrest. an. ʒss. terebinth. venet. q. s. ut f. bolus, quem capiat eco chleari syrup. de alth. Fernel.
He found himself easier after it, and pass'd a little Urin; but all I could contrive was not of a force capable to vanquish his Distemper, for in three days after I saw him, he had an end put to his troublesome days, by, I'm perswaded, a more desi∣rable Death.