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Updated: June 28, 2025
A regimen that is nutritive and at the same time laxative is essential and in some cases cathartics and enemata are necessary. Also, during the first few days, if there is retention of urine, catheterization is imperative. In a word, the handling of such cases consists largely in keeping the subject inactive, as comfortable as possible, and giving attention to suitable diet.
But if she feels not the fumes in her mouth and nostrils, it argues barrenness one of these ways that the spirit of the seed is either extinguished through cold, or dissipated through heat. If any woman be suspected to be unfruitful, cast natural brimstone, such as is digged out of mines, into her urine, and if worms breed therein, she is not barren.
Pare speaks of a case of this kind during a long illness; and there is mention of a man who voided a worm half a yard long from his bladder after suppression of urine. The Ephemerides contains a curious case in which a stone was formed in the bladder, having for its nucleus a worm.
Once she held her urine and had to be catheterized. When spoken to she once smiled at a joke, sometimes there was no response, but as a rule there were tears or flushing of the face. On the physical side, there were marked dermatographia and, for a time, towards the end of the period, profuse sweating. Throughout the stupor proper her temperature was between 99° and 100° as a rule.
The unfortunate presence of albumen in the urine is often a symptom of that insidious and fatal malady known as albuminuria or Bright's disease, often accompanied with dropsy and convulsions. One of the most constant causes of this disease is the use of intoxicants. It is not at all necessary to this fatal result that a person be a heavy drinker.
An ulceration of the neck of the bladder was suspected, and the usual remedies were applied, but without effect. An examination of the urine was negative. On recommendation of her friends the patient, before going to bed, steeped and drank a decoction of knot-grass.
About two hours after they were eaten, a person who partook of them was taken with an unusual lassitude, as if being much fatigued, heat and dryness both in the mouth an the throat, a giddiness accompanied with dimness of sight, and a partial stoppage in his urine. Several others who had eaten at the same table, as also servants who had partaken, were subjected to the like influence.
The value of digitalis in doubtful instances will be evidenced by an improved circulation in the extremities, a feeling of general warmth instead of chilliness and cold, an increased output of urine, and less breathlessness on slight exertion. This is a name applied to pain in the region of the heart caused by a disturbance in the heart itself.
The former of these circumstances happens perpetually to those who drink abundance of cold water, when they are much heated by exercise, and to many at the beginning of intoxication. Of the latter, many instances are recorded by Etmuller, t. xi. p. 716. where simple water, wine, and wine with sugar, and emulsions, were returned by urine unchanged.
In this way, as I have already pointed out, the patient herself may derive valuable information, for if the urine is scanty in amount that is, less than a quart she should drink more water. Unscrupulous newspaper advertisements alarm people through incorrect statements about trouble with the kidneys. For example, they declare that a sediment in the urine is a sign of disease; but that is false.
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