_siccid Intemperature_; attended sometimes with a _Melancholick_,
_Bilous_, or _Pituitous_, _Saltish_ Matter; which is either essentially
lodg’d in the HEAD, or communicated to it from the _Mouth of the
Stomach_, or the Veins of the whole Body.
SOME have been so overtaken with this _SYMPTOM_, that they have not only
continued _Awake_ for some Days and Nights, but also Weeks and Months:
Insomuch that _Hercules Saxon_[72] relates of his own _Father_, that He,
being melancholick, suffer’d such like WATCHINGS, without the least
SLEEP, _seven Months long_.
HOWEVER in the _Child-bearing Woman_, the least Degree of such
immoderate _WATCHING_[73] is dangerous; insomuch that it often occasions
_Deliriums_, and _Convulsions_, by the continual Stretch and _Tension_
of the FIBRES.
HOWEVER the CURE of this _SYMPTOM_ may (I hope) be well perform’d both
by _external_ and _internal Means_; externally, by proper _Lotions_,
_Inunctions_, and _Frictions_; internally, by proper Soporiferous
_Medicines_ adapted to the Quality of the Intemperature.
[Illustration]
CHAP. XVII.
_Of PAINS in the Hips, Loins_, &c.
ALTHOUGH these _PAINS_ (in general Terms) are the _Effects_ of the
_Compression_ of the extended WOMB, hanging on, and bearing too much
upon the neighbouring _Parts_, by its Gravity and Weight: Yet the
particular _Cause_ of such _SYMPTOMS_ (in my Opinion) is _Two-fold_; and
proceeds either from the Abundance of BLOOD lodging in the _Veins_ of
those Parts; or from the growing FOETUS, so extending the _Ligaments_ of
the WOMB, as to oblige the neighbouring Parts to sympathize. From hence
the _broad Ligaments_ cause the _PAINS_ of the _Back_ and _Loins_,
answering to the _Reins_, to which _Parts_ they are strongly fixed; as
the _round Ones_ affect the _Groins_, _Hips_, and _Thighs_, where they
terminate. Which _Ligaments_ are sometimes so violently extended,
especially in the first Time of _Pregnancy_, that (by the Concurrence of
any slight _procatarctick Cause_) they have been often known to break.
THE _Cure_ of these _SYMPTOMS_, in the _first Case_ above-mentioned,
depends chiefly upon cautious _Phlebotomy_, and good _Repose_ in Bed;
and in the _Second_, upon proper _Swathes_, _Unguents_, &c.
[Illustration]
CHAP. XVIII.
_Of HÆMORRHAGIES, or BLEEDINGS._
THESE _Symptoms_ are to be understood to happen only from the superiour
Parts; as _Nostrils_, _Mouth_, or _Ears_: And the _Cause_ seems to be
_Three-fold_: proceeding either from a more than ordinary _Plenty_ of
BLOOD; or from a gross Mixture of _Humours_ and BLOOD, prompting Nature
to _Excretion_; or, lastly, from a _Debility_ and _Weakness_ of the
INFANT, when not able to attract the due Quantity of BLOOD to its
_Subsistence_.
IN the _first Case_, the _Woman_ usually looks _sanguine_ and
well-colour’d, and hath more _Plethorick Marks_ upon her; which, if it
happens, without any great _Inconvenience_, as it is without _Danger_,
the _Woman_ may easily bear and dispense with it.
IN the _second Case_, the BLOOD so lost falls dropping away, and with
_Pain_; it is ugly and _ill-colour’d_, of an _acid Quality_, and
_stinking Smell_: And the PATIENT hath more _Cacochymic Signs_ upon her,
whereby she is threatned with _Abortion_ and imminent Danger.
IN the _third Case_, the SIGNS of a _Debilitated Fœtus_, and instant
_Abortion_, are evidently presented; as mention’d in Chap. 29, and 30,
of this _Section_: When, if she chance to escape _Miscarriage_, (which
most commonly happens in this _Condition_, if not timely and artfully
prevented) a difficult and laborious BIRTH is the certain _Consequence_;
and sometimes a protracted Time of BEARING to the _Close_ of the 10th,
or (as I have observ’d) to the _Beginning_ of the 11th _Month_.
THIS _Symptom_ is to be judg’d of, and _cur’d_ according to the
above-mention’d, and what other concomitating _Diagnostick Signs_
appear.
[Illustration]
CHAP. XIX.
_Of FLUXES of BLOOD._
THIS _Symptom_ is to be understood to happen from the _inferiour Parts_;
namely, by way of the _Hæmorrhoidal Veins_, or by the _Passage_ of the
WOMB, but most commonly by the _Last_.
THE _Cause_ then of this _SYMPTOM_, happening by the _Hæmorrhoids_, is
_Three-fold_; and proceeds, either from too great a _Quantity_ of BLOOD
abounding; or from the disorder’d and deprav’d _Quality_ of that BLOOD;
or from _Both_ these _Indispositions_ jointly: And this sanguine
_Affection_ is commonly without any great Danger (tho’ not without some
Trouble) to the _Woman_; ceasing gradually (of itself) after a safe and
successful _DELIVERY_.
THIS _Symptom_ from the WOMB, happens _Four_ different Ways; to wit,
either by the _Vessels_, which run to the _Neck_ of the WOMB; or by
_Those_, which tend to the _Body_ and _Cavity_ of the SAME; or by
_Those_, that adhere to the _Membrane_ call’d CHORION, and to the
_Infant_, by which it attracts its _Nutriment_; or by _Those_, that
_Nature_ hath reserv’d for a _Superfœtation_, or the _Necessity_ of
expurging this BLOOD when it chances to be Superfluous.
WHATEVER way this FLUX happens, its _Cause_ is _Three-fold_; and
proceeds, either from an _Apertion_ of some of the mentioned _Uterine
Vessels_; or from their _Dilatation_; or from a _Rupture_ of those
Vessels.
THEY are _open’d_ by a _Redundancy_ or _Superfluity_ of BLOOD; which
_Wise Nature_ takes this _Method_ of fiercing and throwing-off, the
_Natural Evacuation_ being stopped. They are _dilated_ by the _Acrimony_
of the _Humours_, or by their own rarefy’d and thin _Contexture_, And,
in fine, they may be _bursten_ or _broken_, by a great Variety of
_Accidents_; such as _Running_, _Leaping_, _Falling_, _Striking_,
_Lifting_ a heavy Weight, violent _Motion_, _Coughs_, great _Pains_,
_Vapours_, _Costiveness_, _Looseness_, immoderate _Heat_, or _Cold_; as
also by any violent _Perturbation_ of Mind.
THE _First Case_ (being the Work of _Nature_) happens with great Ease,
and without any Pain or Trouble; it _flows_ moderately and regularly, is
of _short Continuance_, and not attended with any immediate _Danger_, so
long as the _Woman_ enjoys her _Health_, and continues well-colour’d in
_Complexion_.
THE _Second Case_ is called an ANASTOMOSIS; and what happens by such
irregular _Dilatations_, falls _Drop_ by _Drop_ away; and is All _Acid_,
_Ill-colour’d_, _Stinking_, _Thin_, _Pale_, _Serous Stuff_.
THE _Third Case_ is known by an immoderate and irregular _Flooding_, as
it were in _Heaps_; attended with PAINS of the _Groins_, _Loins_, &c:
And at last aggravated with _Faintings_ and _Convulsions_. The true
STATE of which _Case_ is particularly noted in Sect. V. Chap. 7. Only
give me leave to add here, that the _Procatarctick Cause_, is always
sufficiently known, from the _Relation_ of the PATIENT.
BUT however, it is also proper to know in all the above-mention’d
_Cases_, from what _Place_, and by what _Vessels_ this _Flux_ happens:
Which may be rightly thus distinguished; for if from the _Neck_ of the
WOMB, it flows orderly and moderately; as it likewise does, if it comes
from _Vessels_ no ways adhering to the INFANT: but if it arises from the
_Bottom_ of the WOMB, it flows in less _Order_, and greater _Quantity_;
and if it happens, in fine, from the _Vessels_ fixed to the INFANT, and
the CHORION, then it does _flow_ most irregularly of all, and in very
great _Quantities_.
THE _Prognosticks_ of this _SYMPTOM_ are, either a[74] weak debilitated
INFANT, or an approaching _Abortion_: But besides also, it sometimes
portends a _hard_, _laborious_, and _protracted BIRTH_, perhaps even to
the 11th _Month_.
WHICH _Prognosticks_ are indeed founded upon sufficient relative
_Reasons_: The _First_, because the _INFANT_ is not able to convert the
_whole_ of the _superabundant_ BLOOD, to its _Aliment_: The _Second_,
because the _INFANT_ (tho’ perhaps Strong and Able enough) is depriv’d
of its requisite _Sustenance_: The _Third_, because (according to
_Hippocrates_, &c.) a _sickly Gestation_ always indicates a difficult
and laborious _BIRTH_: And besides the reason of a _protracted Birth_
(beyond the _ordinary Time_) is very plain and perspicuous; because, if
a _strong healthy CHILD_ requires _two Months_, to recover itself after
the first _Onset_ or _Attempt_ of the _7th Month_, (as is more amply
explain’d in _Chap._ 34. of this Section) it is but highly reasonable to
think, that a _weak sickly One_, requires a _longer Time_ of Gestation.
THE _first Case_ of this _SYMPTOM_, seems to be the most favourable of
the _Three_; yet I would advise such _Sanguine_ or _Plethorick Women_,
to guard against _one ill Consequence_, which I have known sometimes to
happen in the same burthensome _Condition_: Namely, that from too great
a _Plenty_ or _Superfluity_ of BLOOD, it sometimes runs through the
_interiour Veins_ into the _Cavity_ of the WOMB, which renders the
_Case_ by far the most dangerous; because this BLOOD[75] (being out of
its proper _Canal_ or _Center_) irregularly extravas’d, immediately
_corrupts_ and _suppurates_; which corrupted BLOOD, in Concert with the
_INFANT_, (whose _Aliment_ is thereby impair’d) always obliges the WOMB,
to dilate and yield up its _Contents_: So that, in short, this
particular _SYMPTOM_[76] is, in all its different Cases or Conditions,
the most Pernicious and Dangerous.
WHEREFORE it is, that the respective CURES of these sundry _Cases_,
belong only to the Ablest _Physician_, and _That_ (most properly) to
_Him_ who professes and practices MIDWIFERY: Because, when _Medicinal
Helps_ fail, and cannot prevent _Misfortunes_, HE will at least know
best then, how to _Compose_, and _Mitigate_ them, by delivering the
Woman, if Necessity so require.
[Illustration]
CHAP. XX.
_Of the SYMPTOMS of the last three Months_.
TWO _third Parts_ of the common Duration and Conjuncture of
CHILD-BEARING, being, by this time faithfully, if not so fully,
accounted for; it remains now, that we also more particularly consider
the MOTHER and her INFANT throughout the last _Three Months-Travail_.
These are the _Finishing Maturating Months_ of the _INFANT_: I mean
peculiarly, as to its _Strength_ and _Vigour_; since in other respects,
the _Middle Months_ have duly _perfected_ the Ornaments of the
_particular Members_, and gracefully compleated the SHAPE and FORM of
the whole Body.
WHEREFORE, as, in these _latter Months_, the _CHILD_ encreases in
_Bulk_, _Vigour_, and _Activity_, it then affords the tender MOTHER
incredible _Uneasinesses_, and grows sometimes almost _Obstreperous_:
Which _Augmentation_ of the FOETUS (of natural Consequence) occasions in
her Constitution of Body various different _Effects_; call’d _SYMPTOMS_
of the last _Three Months_.
NOW these _SYMPTOMS_, I hope I may pertinently reduce to the following
_Nine_, in Number; namely, 1. _Dysuries_; 2. _Ischuries_; 3.
_Stranguries_; 4. _Costiveness_; 5. _Tenesms_; 6. _Varices_; 7.
_Inflations_ of the _Legs_; 8. _Fissures_ of the Belly; and 9. and
lastly, _Water-Fluxes_. Of which I shall take leave to treat separately,
in their proper Order.
[Illustration]
CHAP. XXI.
_Of DYSURIES, ISCHURIES, and STRANGURIES._
THE _Dysuria_ is a painful and difficult _Excretion_ of _Urine_; as the
_Ischuria_ is an entire _Suppression_ of the SAME: And the _Stranguria_
nothing but an _Effect_ of the other TWO; being an _Excretion_ made Drop
by Drop, with a continual _Stimulation_ or _Propensity_ to make Water,
however without any acute _Pain_, tho’ not without some _Uneasiness_.
NOW these _three SYMPTOMS_ have all their respective _Causes_, which I
shall not particularly enter upon here at large; but only, take notice
by the By, that in the _Pregnant Woman_, they most commonly proceed from
_One_ and the same _Original_: Wherefore I shall in this Place discourse
of them _conjunctly_; and observe that all three _SYMPTOMS_ may proceed
from the _ponderous_ WOMB, lying upon, and depressing the _Neck of the
Bladder_; and _that_ the more heavily, the nearer the _Woman_ is to her
TIME. The _pungent Acrimony_ of the URINE sometimes also occasions
_Incontinence_, or want of _Retention_; as its _Inflammatory Heat_
causeth almost a total _Suppression_. However, in short, such _SYMPTOMS_
may likewise proceed from some _crude_ and _unconcocted Matter_,
obstructing and oppressing the _Sphincter-Muscles_.
BE _That_ as it will, in the present _Case_, the CURE is but very seldom
of great _Difficulty_; being frequently effected, by lifting up the
_Bottom of her Belly_ with both Hands when she is about to _make Water_:
Or, by wearing a convenient large SWATHE. But if Need require, the
_Region_ of the BLADDER may be cherished with proper _emollient
Fomentations_, _Injections_, or _Cataplasms_; as (upon any _Extremity_
at last) a CATHETER may be prudently used.
IF the _SYMPTOM_ however proceeds from any _Inflammatory_, or
_Acrimonious Quality_ of the URINE; it may be sufficiently helped by a
proper, regular, cooling _Diet_: As, if it arises from any _undigested_,
_crude Matter_; it may be assisted or reliev’d by a good _Draught_[77]
of _warm_ generous _WINE_; which not only helps _Concoction_, but also
facilitates and promotes _URINE_: But in case of absolute _Necessity_,
after all, gentle PHLEBOTOMY ought to be carefully used.
[Illustration]
CHAP. XXII.
_Of COSTIVENESS._
THE _Belly_ discharges it self sometimes more _seldom_ or infrequently;
sometimes with more _Pain_ and _Difficulty_; and sometimes in less
_Quantity_ than is convenient for _Nature_.
THERE have been many _Instances_ given of this _Disorder_, by[78]Learned
Men, where some PATIENTS have gone to _Stool_ but once in _Eight_, once
in _Fourteen_, and once in _Twenty_ or more _Days_.
YEA,[79]_Dominicus Panarolus_ relates of a certain Friend of his, whose
_Belly_ was so exsiccated, that he sometimes liv’d three _Months_
without going to _Stool_.
BUT what I mean by _Costiveness_, is not that Distemper, where there is
a total Suppression, for that rather belongs to the _Iliack Passion_;
but that only, where the _Excrements_ lodging longer than their due
natural _Time_, perhaps three or four Days more or less, are at last
voided hard and dry with some small Straining.
Which irregular _Accident_ may proceed from many different _Causes_.
Although in the _pregnant Woman_, I take the following to be the most
_Common_: That is to say, the _Calidity_ and _Siccity_ of the _LIVER_,
or _SPLEEN_; occasion’d by the _Lusty Child’s_ attracting too much of
the _Radical_ and Succid _Moisture_ of the _MOTHER_, and compressing the
_Intestines_.
THIS _Symptom_ proves often of dangerous _Consequence_: For by the
pressing _Force_, commonly us’d in such a _Case_ to ease the BELLY, some
_Vessels_ or _Ligaments_ may be easily and readily _broken_. And not
only so, but the retain’d _Fæces_ always affect the HEAD, and
contaminate the BLOOD with noxious _Vapours_; and thereby impede or
hinder the _Concoction_ of the _Ventricle_, and the Separation of the
better and purer, from the grosser and impurer part of the _Chyle_:
Whence proceed many other various _Disorders_ to the whole _Body_, from
the long Retention of the _Excrements_.
THE _Cure_ consists in temperating the _Calidity_ of the _VISCERA_, and
relaxing the _BELLY_ by proper _Diet_, _Dissolvents_, &c. And in _Case_
of any sudden _VOMITING_, which sometimes happens upon _Costiveness_,
humectant and emollient _Clysters_ may be most properly and cautiously
used, to restrain and prevent all such _Revulsions_.
[Illustration]
CHAP. XXIII.
_Of TENESMS._
A TENESMS is an irregular _Retention_ of NATURE, and nothing else but a
continual _Desire_ or _Inclination_ of going to _STOOL_; attended with
_Pain_, without voiding any thing but _Slime_, or an indigested
MUCOSITY: And this is in the ANUS, what a _Strangury_ is in the BLADDER;
being _Both_ a violent _Contraction_ of the FIBRES, or _Disorder_ of the
SPHINCTER-MUSCLES.
WHICH tenacious _Symptom_ proceeds from a great Variety of _Causes_,
occasionally provoking the _expulsive Faculty_ of the _strait Gut_,
call’d the RECTUM, without a _Power_ to expel; such as may happen to
be an unusual _Exulceration_, or _Constriction_ of, or an
_Acid-Salt-Humour_ in the same INTESTINE: So likewise a _Stone_ in the
Neck of the BLADDER, a _Tumour_ of the adjacent _Parts_, or seminal
_Vessels_, a frigid _Intemperature_, the _Hemorrhoides_, a
_Dysenteria_, _Dysuria_, _Ischuria_ or _Stranguria_, &c. may very
shrewdly occasion the TENESMUS.
WHICH binding _SYMPTOM_ is of the same dangerous _Nature_
and[80]_Consequence_ with the preceding _Case_; both having an equal
_Effect_ of Power, if not prevented, to expel and dislodge the INFANT.
Which _Notion_ cannot be otherways better maintain’d; for the WOMB being
situated upon the _Intestinum Rectum_, must suffer great _Commotions_ by
continual _Needings_ and _Strainings_ in both Cases.
BUT the safest CURE, in short, in my humble Opinion, is to be perform’d
by proper _Decoctions_, _Fomentations_, and absterging _Clysters_.
[Illustration]
CHAP. XXIV.
_Of the VARICES, or Vein-Tumours._
THIS _Symptom_ is nothing else, than a _Distention_ or _Dilatation_ of
the HIP, THIGH, and LEG-VEINS: Which however chiefly appears about the
HAM; and it happens most commonly to _Plethorick Women_, who walk much,
or exercise themselves more freely upon any Occasion.
THE _Cause_ proceeds only from a _Plenty_, or _Superfluity_ of the
suppressed BLOOD, more than the _Infant_ can consume: which being
carry’d by the _Arteries_ to the _lower Parts_, is thence received by
the _Crural_ and _Saphene_ or _Ankle-Veins_. Insomuch that the WOMB,
being (by this time) both _Ponderous_ and _Bulky_, so presseth the
ILIAC-VEINS, that it hinders the BLOOD in its _Course_, and obstructs
its free _Motion_ and _Circulation_; whereby (of consequence) these
_inferiour Veins_ must swell and distend themselves proportionably.
HOWEVER, the _Danger_ of the _SYMPTOM_ is not great; because after a
safe _BIRTH_, when the super-abounding BLOOD and _Humours_ are
evacuated, these preternatural _Tumours_ settle, and the VEINS return to
their _Pristine State_.
WHEREFORE the only necessary _Relief_ of this Malady, consists chiefly
in the _Woman’s_ abstaining from too much _Walking_, and all other
extravagant _Exercises_; upon indulging her _inferiour Limbs_, by
keeping them rais’d upon a _Couch_ or _Stool_, that the BLOOD may not
settle too much to these _lower Parts_: Or (which is far better) let her
prudently keep her _Bed_; in which _Posture_, the BLOOD can meet with no
such _Difficulty_ in returning by these _Veins_ to the HEART, as it will
find when it must ascend by the _Woman’s SITTING_ or _STANDING_ upright;
so that consequently it must needs _circulate_ the more readily and with
more _Ease_. Hence in short, it is, that from this more Free and Easy
CIRCULATION in _Bed_, such _Women_ are always more easy, or better
dispos’d, and far less _pain’d_ or troubled in the _Mornings_, than at
_Nights_, in This Condition.
BUT if, after All, the _PATIENT’s_ Convenience will not permit such
_Indulgences_, Then a proper _Swathe_ of three or four Fingers Breadth,
is most adviseable; beginning to _swathe_ this _Varicose_, or _Swelling
Part_, from the _Bottom upwards_, as far as the _Varices_ or _Tumours_
extend. But in Case of more _Plethorick Marks_, at last, in the _other
Parts_ of the Body, _Phlebotomy_ may be most safely made Use of.
[Illustration]
CHAP. XXV.
_Of the INFLATIONS and TUMOURS of the LEGS._
THESE bloating _Symptoms_ not only happen to some _Women_ before, but
also after _BIRTH_; especially when the LOCHIA, or Child-bed Cleansings,
do not flow in a regular _Measure_ or sufficient _Quantity_.
THE _Cause_ of the present disorder’d _Case_, proceeds either from the
Suppression of some _Aqueous Flux_ of the WOMB; or from some such
_watery serous_ BLOOD descending to the LEGS; or from the Abundance of
retain’d _Menstruous_ BLOOD, more than the INFANT can dispense with:
which, being of no Service either to _MOTHER_ or _CHILD_, settles
downwards to these aggriev’d _Parts_. But _these Things_ are to be
considered with this Distinction and Difference, that if the _LIVER_ be
debilitated, and the BLOOD becom’s _Pituitous_ or _Aqueous_, the
_Woman_’s LEGS are so _Oedematous_ or _Tumid_, that when pressed with
the Finger, it leaves the Impression of a _Dent_ and _Hollowness_: But
if the BLOOD grows _corrupted_ and _bilous_, her LEGS are _inflam’d_,
and sometimes occasionally _exulcerated_, as in _Scorbutick Cases_: And
if none of _These_ happen, then a gross thick BLOOD only abounds,
tending vitiously downwards. Upon which there are only some _Livid_ or
_Blueish Marks_[81] to be discover’d with those _Tumours_, such as the
_VARICES_ or _Swellings_ occasion in the preceeding _Case_.
IN fine, the _Woman_ troubled with these _Symptoms_, commonly bears a
_Female_; as all _Women_, having sickly times of _GESTATION_, generally
do. However yet, tho’ this swelling _Affection_ is very troublesome, its
_Danger_ is not great; because it ordinarily ceases of it self with good
Care after the _BIRTH_. Wherefore in this Condition a _CURE_ is not
always to be attempted, lest the _Humours_ recoiling upwards, affect
some _nobler Part_. Nevertheless, if the _SWELLING_ be too considerably
Painful or Troublesome, proper _Digerents_ and _Discutients_ may be
apply’d, and the LEGS fomented with a convenient _Lixivy_, _Decoction_,
or _Cataplasm_.
[Illustration]
CHAP. XXVI.
_Of FISSURES or CHOPS of the BELLY._
THIS _Symptom_ only happens to _Women_ bearing their _first_ or _second
CHILD_; whole _lower BELLIES_ have not yet been sufficiently _extended_
by frequent _CONCEPTION_.
THE _Cause_ proceeds only from the _natural Lenitude_ and _Constriction_
of the Skin of the _ABDOMEN_ or _lower Belly_; which (in proportion to
the _Growth_ of the _INFANT_) must dilate and distend itself: So far as
that towards the _latter Months_, it gives way to such a large degree,
that it appears not otherways than as if the _SKIN_ was to be divided,
and almost crack or break by its thin _Attenuation_.
HOWEVER it occasions also very often great _Pain_, as well as a
_permanent wrinkled_ DEFORMITY of that _Part_. Wherefore _Laxative
Liniments_, and proper _Unguents_, are pertinently to be made use of by
way of _Precaution_, from the _fourth Month_, until the Time of
Delivery.
[Illustration]
CHAP. XXVII.
_Of WATER-FLUXES._
THE _Water_ which is gather’d in the Time of _GESTATION_, between the
_Membranes_ involving the _INFANT_, is at last upon the approaching
_BIRTH_ effus’d: For the _CHILD_ having broke the AMNION, feels these
_WATERS_ troublesome, and consequently obliges the CHORION also to give
way. From whence proceeds naturally a _copious Effusion_ of the same
WATERS.
BUT of this natural _Flooding_, I am not properly to treat in this
Place; only of _that_ preposterous FLUX, which happens before the due
time of _BIRTH_, the _immediate Cause_ of which proceeds from some
_Procatarctick Accident_: Such as a _Perturbation of Mind_, an unlucky
_Fall_, a _Leap_, a _Stroke_, or any other Violence.
THIS _Symptom_ happens _Two ways_, either by a _Disruption_, or
_Dilatation_ of the _MEMBRANES_: the _first_ by _external_, the other
commonly by _internal Causes_. In the _first Case_, the FLUX comes
suddenly, irregularly, and in a great _Quantity_; in the _second_, by
little and little, or by degrees, and less in _Quantity_.