The store-house of physical practice being a general treatise of the causes and signs of all diseases afflicting human bodies : together with the shortest, plainest and safest way of curing them, by method, medicine and diet : to which is added, for the benefit of young practicers, several choice forms of medicines used by the London physicians / by John Pechey ...

CHAP. LXXXIX. Of Bloody Ʋrine.

BLood may be conveyed from many Parts to the Urinal Passages, and be mixed with the Urine, and so ren∣der it bloody; but that rarely happens, and we only dis∣course here of Diseases of the Reins and Bladder, and of that bloody Urine which proceeds from the fault of those Parts: The Blood flows from the Reins and Bladder, as from all other Parts, either by opening of the Vessells, by a Rupture, or a Solution of the Continuum, but very rarely, by reason of the Thinness of the Veins which carry Blood to these Places.

The most frequent causes, are Fullness and Acrimony of the Blood, and a Stone in the Kidneys, a Fall or Blow, the lifting or carrying of a great Weight, violent Motion of the Body, or the like.

When Blood flows from the Bladder it is little in quantity.

The Cure of this Disease must be varied according to the Variety of the Causes: And first, If it proceed from a great quantity or Acrimony of the Blood, Bleeding must be used frequently, but little must be taken away at a time; and in this case Cupping glasses, Frictions, and Ligatures must be used to the upper Parts, and Derivation must be made by bleeding in the Foot, or by opening the Hemorrhoidal Veins.

When serous and Cholerick Humours promote this Evacuation, they must be purged off by Catharticks used by Intervals.

Take of Rubarb a little torrified and powdered one dram, of Coral prepared half a Scruple, of the Whey of Goats-milk, or of Plantane-water, three ounces; make a Potion.

Take of Cassia fresh drawn half an ounce, of the Pulp of Tamarinds six drams, of Bole-armonick half a Scruple; with Sugar make a Bolus.

After due Revulsions and Evacuations, or whilst they are used, if there be occasion, such things as restrain the Blood, and heal the Veins must be given; but they must not be presently used, least the Blood should be stopt too soon, and being thickned, it should coagulate somewhere; for this Purpose the Juice of Plantane fresh drawn is much commended, four or five ounces of it being taken Mor∣ning and Evening, which is also very proper in all Hemor∣rhagies, but if it be too cold for the Stomach, it may be boiled a little with Sugar.

Sheeps-milk is also much commended, four ounces of it being taken with a dram of Bole-armenick, but after takeing it, the Sick must not sleep nor exercise himself. Decoctions also of Knot-grass, Horse-tail, Purslain, and of the Tops of Brambles, sweetned with Syrup of Quinces; or to qualifie the Heat of the Blood, the following Apozem may be used.

Take of the Leaves of Lettice, Purslain, Plantane, and Comfrey, each one handful; of the four greater and lesser cold Seeds, each one dram; of Jujubes three pair, of Liquorish half an ounce, of the Flowers of Water-lillies, of Violets, and of Roses, each one Pugil; make a Decocti∣on to a Pint and an half; in the strained Liquor dissolve of Gum-tragacanth a dram and an half; of Syrup of Violets, and of dried Roses, each one ounce and an half; of Sal-prunella half an ounce, of the Troches of Alkakengi without Opium half a dram; make an Apozem for four Doses.

To thicken and restrain the Blood more powerfully, we may add to it an ounce of Syrup of Poppies.

If the Disease be lasting, an Electuary may be made in the following manner.

Take of the Conserves of Roses, and of the Roots of Comfrey each two ounces; of sealed Earth, and Bole-Armenick, of Dragons-blood, red Coral, Blood-stone, and Troches of Ambar, each one dram; of Hypocistis, grains of Kermes, and of the Seeds of Plantane, each one scruple; with equal Parts of Syrup of Mirtles, and of Poppies, make an Electuary, whereof let him take the quantity of a Walnut

Morning and Evening, drinking upon it a little Plan∣tane-water.

Dr. Gordon's Troches are also reckoned excellent in this Case.

But because Clots of Blood are wont to be retained in the Bladder, and to occasion violent Symptoms, for the Dissolution of them, it will be convenient to drink warm now and then Mallow-water, mixed with a little Vinegar, but the quantity of the Vinegar must be so small, that it can scarce be tasted.

Outwardly Topicks must be applied to the Region of the Loins, such as are proper to cool and bind the Reins.

Take of the Roots of Bristort, and of Comfrey, each one ounce; of the Leaves of Plantane, Purslain, Shepherds-purse, Knot-grass, each one handful; of the Flowers of Pomegranates half an ounce, of the grains of Sumach, and Mirtles, and of Hypocistis, each two drams; of the Cups of Acorns, and of yellow and red Sanders, each one dram; of red Roses three Pugils; boil them in Smith's-water with a little Vinegar, strain the Liquor, and fo∣ment the Reins with it warm. A Bath may be made of the same Decoction the quantity of it being increased.

Take of the Juice of Plantane, and of Blood-wort, each two ounces; of Vinegar half an ounce, of Omphacine Oyl one ounce, boil them to the Consumption of the Juices, then add of Dragons-blood, Mastich, and of Pomegranate-peel, each two drams; of Champhor half a dram, of the Countesses Oynoment four ounces, of Wax a sufficient quan∣tity; make a Liniment.

Anoint the Loins with it frequently; at the time you use it, mix a little Vinegar with it.

Leaden Plates with many holes in them, worn upon the Reins, are very proper.

When the Voiding of Blood proceeds from the Stone, the following Method has been found very successful by Dr. Sydenham, who was much troubled with the Gout, the Stone in the Kidneys, and a bloody Urine; and I have also found it very successful, I drank, says he, two ounces and a half of Manna dissolved in a quart of Whey, swal∣lowing now and then a little of the Juice of Lemmons, while I was purging, to quicken this Cathartick, which used to work slowly, and to render it more pleasant to the

Stomach. It can scarce be said how much Ease I received about the Region of the Reins by the use of this Remedy; for though they did not always ach before, yet they were affected with a heavy and troublesom Pain; and because it succeeded so well with me, I took the same of a set day once a Week for some Months, and after every Purge I plainly found my self better, and could bear the shaking of a Coach when it went fast, and was indeed wholly freed from this Symptom. But it returning again, some time after, I took it twice a Week for three Weeks, and after∣wards only once a Week: I continued this Method some Months on set Days, and the Bleeding quite stopped: The Diet that I observed is as follows, In the Morning when I rise I drink a Dish of Tea, at Dinner I moderate∣ly refresh my self with any sort of Meat of easie Digestion that I like; a draught of small Beer is to me instead of a Supper; and when I am in Bed I take another draught, that by this Julep I may cool and dilute the hot and acrid Juices lodged in the Kidneys, whereof the Stone is gene∣rated; and I prefer at this time, and at Dinner time, small Beer that has Hopps in it, before that which has none, for though that which is not hopped is smoother and softer, and so fitter to carry off the Stone from the Kidneys, yet that which is hopped, by reason of the stiptick Quality which the Hopps impart to it, is not so apt to generate sandy and stony Matter, as that which is not hopped, the Substance whereof is more viscous and slimy. I take care to go to Bed early, especially in Winter; and to prevent a bloody Urine, I take care, that as often as I have occasion to ride a long Way upon the Stones, to drink a large draught of small Beer before I go; and also before my Return, if I be abroad a pretty while, whereby I secure my self pretty well from bloody Urine.