Praxis medicinæ reformata: = or, The practice of physick reformed Being an epitome of the whole art: wherein is briefly shewed, the true causes, signs, prognosticks, and cure, of most diseases. Published for the benefit of all persons. By Robert Johnson, Med. Professor.

Johnson, Robert, b. 1640?

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OF DISEASES OF THE BELLY. BOOK III.

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Page 272

CHAP. XXIII. Of involuntary Pissing, commonly called pis∣sing in Bed.

WHEN the Urine floweth involuntarily (which in Children is vulgarly cal∣led * pissing in Bed) it may be called in La∣tin urinae incontinentia, pro impotentia sive imbecilitate retinendi.

The causes are either external, or internal. *

The external Cause is a large Wound in the sphincter Muscle of the Bladder, which sometimes happens in Lithotomy; for by extracting a great Stone, the sphincter Mus∣cle may be so much lacerated, that it ceaseth to be contracted, and the Orifice of the Bladder to be shut, wherefore the Urine dis∣tilleth of its own accord.

It may be caused internally by the Palsie, Apoplexy, Epilepsie, Syncope, &c. Some∣times Ebriety may be the Cause of the Reso∣lution of the Nerves, which from the Loins are inserted into the Neck of the Bladder, and so render the sphincter Muscle incapable of Contraction; hence the Urine is involun∣tarily voided.

In Children, this Distemper is curable, if * taken in time; but if it happen to old Folks, Page 273 or if it be caused by a Wound in the sphinc∣ter Muscle of the Bladder, it is incurable.

That which is caused by the Palsie, Epi∣lepsie, Syncope, &c. look for the Cure in * their proper Chapters.

If it be caused by Ebriety, Sobriety may be commended to cure it, especially by the help of inward means to strengthen the parts affected.

Many things have been given to Children, that have been troubled with this Distemper; the most effectual are these.

Fried Mice, the inner Skins of Hens-giz∣zards, Cocks-weasands, Pudenda suilla, Stones of a Hare, Snails with the shells, all or any of these dried and poudred; also the Pow∣der of Agrimony, Egg-shells, the burnt Ash∣es of an Hedge-hog, &c.

Any of these may be given in red Wine, or in Lime-water chalibeated, which may be dulcifi'd with Syrup of Comfry.

If Phlegm do abound in the Body, you may purge it with Phlegmagogues.

Also sweating with gentle Diaphoreticks, is very effectual.

Those already mention'd are proper, one∣ly consider the Age and Strength of the Pa∣tient.

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