An inflamation of the kidneyes, on nephri∣tis, is a swelling of them from blood poured forth into their substance, and there putrefy∣ing, joyned with a vehement paine, fibrous or gravelly, excretions.
The Signs are a heavy and extensive paine about the loins to the first vertebrae, which differs from the collick in these, because it doth not wander into the middle of the belly or about it with a murmur, doth not alwaies grow gentler the belly being purged, by its cruelty and fe••rceness it puls the peritonaeum; tis very thick and frequent. There is a conti∣nent inordinate feaver, which somtimes in∣creaseth, somtimes abateth, and about night is exasperated: a subvertion of the bowels and stomach. A casting up by vomite first of al of fl••gmatick things, afterwards of colerick; a scarceness, thinness, waterishness of the urine when the evil begins, somtimes a suppression, by and by that plenty and thickness with a compulsion to piss from a certain sence of heat; A stupidity and numness of the next thigh, by reason of the compression of the nerve. A dif∣ficult raising of the body; lying down upon the sick side mirigates the paine, upon the con∣trary exasperates it.
The Cause is blood, either pure or mixt, either heaped up in the kidnies by way of col∣lection or thrust thither by way of fluxion, either from the whole body, or from a part, as is often said elswhere.
The firmness and hardness of the kidneys seldom give occasion for a fluxion, oftentimes diuretick medicines doe, which carry the blood to the kidneys.
The CURE is easier if the hemrods come upon it, if the impostume being broke, a white, smooth, equal matter, not stinking, be voided through the passages of the urine if it tend to resolution. Very difficult if the Impostum be∣ing broke after suppuration, the matter take its way through the emulgents to the liver and guts. If it tend to induration. Past hopes almost if there flowe a white, thin, or purulent water, without the remission of the feaver and symptoms, and with a wasting on the legs and thighs. 'Tis ordered as in other inflamations, yet we must observe.
- 1. That things moderately cooling and astringent be used with things anodyne for repulsion; outwardly indeed, least the hu∣mors subsisting about the external and fieshy parts be struck inward into the kidneys; but inwardly, least when they begin their astricti∣on about the belly, or liver and veins, they should either cast down the blood to the kidnies or by straightening the narrow passages, cause an ischury
- 2. We must abstaine from purgers because they inflame and trouble the humors, yet gentle and benigne must be given, if choler stick in the mesaraicks and stomach, least it be carried thither.
- 3. Diureticks must not be drank unless when the inflamation is perfect∣ly alaied. Here takes place tartar vetriolate half a scruple, with the Julep of roses and cinna∣mon water two drams; and other things.
The Differences are taken from the part af∣fected.
I. One is in the Right kidney, in which the loins on the right side are payned, the paine ascends more to the liver, the right thigh is benummed.
Another in the left, in which the paine de∣scends to the bladder.
Another in both, in which the symptoms op∣press in both sides.
II. One is in the fleshy part of the kidney, in which a greater heaviness affects.
Another in the parts in which the arteries are terminated, in which a beating paine urg∣eth.