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.