gain the habit of making water slowly, which is a matter of the utmost
consequence, as it prevents the distention, and consequent rupture, of that
part of the urethra, which is between the stricture and the neck of the
bladder.

When there occurs an external ulcer in the perinaeum, and the urine is in
part discharged that way, the disease can not be mistaken. Otherwise from
the quantity of matter, it is generally supposed to come from the bladder,
or prostate gland; and the urine, which escapes from the ruptured urethra,
mines its way amongst the muscles and membranes, and the patient dies
tabid, owing to the want of an external orifice to discharge the matter.
See Class II. 1. 4. 11.

25. _Schirrus oesophagi._ A schirrus of the throat contracts the passage so
as to render the swallowing of solids impracticable, and of liquids
difficult. It affects patients of all ages, but is probably most frequently
produced by swallowing hard angular substances, when people have lost their
teeth; by which this membrane is over distended, or torn, or otherwise
injured.

M. M. Put milk into a bladder tied to a canula or catheter; introduce it
past the stricture, and press it into the stomach. Distend the stricture
gradually by a sponge-tent fastened to the end of whale-bone, or by a plug
of wax, or a spermaceti candle, about two inches long; which might be
introduced, and left there with a string only fixed to it to hang out of
the mouth, to keep it in its place, and to retract it by occasionally; for
which purpose the string must be put through a catheter or hollow probang,
when it is to be retracted. Or lastly introduce a gut fixed to a pipe; and
then distend it by blowing wind into it. The swallowing a bullet with a
string put through it, to retract it on the exhibition of an emetic, has
also been proposed. Externally mercurial ointment has been much
recommended. Poultice. Oiled silk. Clysters of broth. Warm bath of broth.
Transfusion of blood into a vein three or four ounces a day? See Class III.
1. 1. 15.

I directed a young woman about twenty-two years of age, to be fed with new
milk put into a bladder, which was tied to a catheter, and introduced
beyond the stricture in her throat; after a few days her spirits sunk, and
she refused to use it further, and died. Above thirty years ago I proposed
to an old gentleman, whose throat was entirely impervious, to supply him
with a few ounces of blood daily from an ass, or from the hu