CHAP. LI. Of bloodie Ʋrine.
SOm piss pure blood, others mixt, and that either with urine, and then that which is expelled resembl's the washing of flesh newly killed; or els with pus, or matter, and that either alone or mixed with the urine: There may bee divers causes of this symptom, as the too great quantitie of blood gathered in the bo∣dy, which by the suppression of the accustomed and period cal evacuation, by the courses or hemorrhoids, now turn's its cours to the reins and bladder: the fretting asun∣der of som vessel by an acrid humor, or the breaking thereof by carrying or lifting of som heavie burden, by leaping, falling from high, a great blow, the falling of som weight upon the loins, rideing post too violently, the too immoderate use of venerie, and lastly, from anie kinde of painfull and more violent exercise, by a rough and sharp stone in the kidnies, by the weaknes of the retentive facultie of the kidnies, by a wound of som of the parts be∣longing to the urine, by the too frequent use of diuretick and hot meats and medicines, or els of things in their whole nature contrarie to the urinarie parts; for by these and the like causes, the reins are oft-times so inflamed, that they necessarily impostumate, and at length the impostume beeing broken it turn's into an ulcer, casting forth quitture by the urine. In so great varietie of the causes of blodie urine, wee may gather whence the causes of this symptom may arise, by the depraved action of this, or that part, by the condition of the flowing blood, to wit, pure or mixt, and that either with the urine alone, or with pus. For example, if this bloodie matter flow from the lungs, liver, kidnies, dislocated Vertebrae, the straight gut, or other the like part: you may discern it by the seat of the pain and sym∣ptoms, as a fever: and the propriety of the pain, and other things which have preceded, or are yet present. And wee may gather the same by the plentie and qualitie; for if, for ex∣ample, the pus flow from an ulcer of the arm, the purulent matter will flow by turns, one while by the urine, so that little is cast forth by the ulcer; then presently on the contrarie the urine becom's more clear. That purulent matter which flow's from the lungs by reason of an Empiema, or from the liver, or any other bowel placed above the midriff, the pus which is cast forth with the urine, is both in greater plentie and more exactly mixed with the urine, than that which flow's from the kidnies and bladder. It neither belong's to our pur∣pose, or a Surgeon's office either to undertake, or deliver the cure of this affect. It shall suffice onely to note that the cure of this symptom is not to bee hoped for so long as the caus re∣main's. And if this blood flow by the opening of a vessel, it shall be staied by astringent me∣dicines; if broken, by agglutinative; if corroded or fretted asunder, by sarcotick.