A systeme of anatomy, treating of the body of man, beasts, birds, fish, insects, and plants illustrated with many schemes, consisting of variety of elegant figures, drawn from the life, and engraven in seventy four folio copper-plates. And after every part of man's body hath been anatomically described, its diseases, cases, and cures are concisely exhibited. The first volume containing the parts of the lowest apartiments of the body of man and other animals, etc. / by Samuel Collins ...

CHAP. XXX. Of the Ʋreters, and their Pathologie.

THe Ureters are liable to divers Disaffections, * 1.1 as many kinds of Obstru∣ctions, proceeding from different Matter; sometimes they are stuf∣fed with a Mucous, or Purulent Matter, much hindring the flux of Serous Li∣quor through these Aquaeducts, Unde exoritur imminuta Urinae excretio.

The Cure of this Disease, doth indicate gentle Lenients, slippery Purga∣tives, joyned with Diureticks, as Medicines made of Cassia, Tamarinds, the Lenitive Electuary, mixed with Hollands Powder, and Turpentine, &c. As also Emollient and gentle Diuretick Apozemes of the Opening Roots, Mallows, Marsh-Mallows, Pellitory of the Wall, Golden Rod, Saxifrage, &c. As also Emulsions of the Cooling Seeds, given with several kinds of Te∣staceous Powders; and above all, a great care must be had of not giving strong Diureticks alone, whereby a great source of gross Matter may be forced into the Vessels of the Kidneys, and Ureters, and cause a total suppression of Urine, which often proveth fatal to the Patient.

Sometimes the Excretion of Urine is abolished, * 1.2 proceeding in a great quan∣tity of Coagulated Blood, filling the Cavities of the Ureters, and intercepting the current of watry superfluities.

My worthy Friend and Colegue, Doctor Allen, gave me an Instance of of this case in a Patient of his, who first discharged a great quantity of Blood through the Urethra, and afterward laboured with a stoppage of Urine, and after divers excellent Remedies had been Administred without success in this desperate Disease; the Patient resigned his Soul into the Hands of his Gracious Maker.

The Abdomen being opened, and the Viscera carefully inspected, to see the cause of his Death; his Ureters were found highly distended with a great quantity of Grumous Blood, hindring the course of the Urine, into the com∣mon Receptacle.

Sometimes an Iskury is accompanied with great pains of the Loins, * 1.3 and side of the Belly, derived from a Stone lodged in the Pelvis, and upper part of the Ureter, whereupon ensued a total suppression of Urine, the fore∣runner of Death.

A worthy Doctor of Physick's Wife, having been long Tortured with severe pains of her Back, and violent Vomitings, at last fell into a lost Ex∣cretion of Urine, which could not be recovered by an excellent Course of Physick; and she in great Faith and Patience, submitted her self to her Crea∣tors Will, in a happy departure.

At the instance of my Dear Friend, Learned Doctor Cox, I waited upon the dead Body of a Physicians Relation, to view the parts affected in this late deplorable case of Suppression of Urine; whereupon the Body being open∣ed by a Skilful Chyrurgeon, Mr. James Mullins, and the parts inspected, most of them appeared to be sound, except the Kidneys, one of which was wholly putrefied, and its substance absumed, and the other being cut open, a Stone was forced out of the Kidney into the Pelvis, and top of the Ureter, which wholly stopped up the passage of Urine.

Sometimes the Ureters offend Magnitudine aucta, * 1.4 being highly distended by a great quantity of Urine contained in them, produced by the narrow∣ness of the Cavity of the Bladder, whose substance being highly Indurated, was not capable to give reception to a due proportion of Urine.

A Gentleman, one of the King's Guards, was often afflicted with a great pain in his Sides and Groin, and violent Vomiting, and Strangury, making but a little Urine, with pain and difficulty; in order to ease him, I ordered him gentle Purgatives, and Emollient Diuretick Apozems, and Emulsions of the Cooling Seeds, and Milk, and Destilled Milk, which did much Allevi∣ate the sharpness of Urine, upon which he did seem much to amend, and had for some time a free evacuation of Urine; and after some time he fell ill again, and was vexed with former pains and Vomitings, upon which I re∣peated the former Course, which at first gave him great relief, and added many other proper Medicines, and advised Fomentations made of Emolli∣ent and Discutient Ingredients, but all in vain, as being not crowned with Success.

After Death, his Abdomen being opened, the Kidneys were found well Coloured, and much Distended, and the right Pelvis grew so large, that it was capable to receive a Turkey Egg, and the Ureter (belonging to the right Kidney) was so enlarged, that it equal'd the Ileon in greatness, con∣taining in it a Pint of Furfuracious Urine, (such as he often made) which was kept in the Ureter, by reason the Bladder was Scirrhus, and not able to dilate it self, to entertain any quantity of Urine, nor discharge that well that was re∣ceived into it; because the Urethra was obstructed with many Caruncles, hindring the Excretion of Urine.

Notes

• * 1.1

  The obstructi∣ons of the Ureters, and their Cure.
• * 1.2

  The Iskury flowing from coagulated Blood.
• * 1.3

  An Iskury co∣ming from a Stone lodged of the Pelvis.
• * 1.4

  An unnatural expansion of the Ureters.