Inaugural Medical Dissertation on Blind and Open Hemorrhoids

the failing of strength, languor of the legs, and a cachectic color of the body, which inclines toward a greenish tint, which, as Avicenna, aforementioned book, testifies, is proper to such sick people; so much so that, relying on this sign, Forestus, book 23, observation 4 glories in having pronounced that many suffered from hemorrhoids, with great honor to the art. With these signs present, the immoderation of either of them, as much as that which errs in excess as that which errs in defect, is revealed by itself and from the complaint of the sick person. Nevertheless, it will be helpful to add certain proper Signs, so that it may appear what symptoms are accustomed to accompany them, for those vary according to the diversity of the differences.

Truly, the signs of a flux that is IMMINENT (especially critical in fevers) are: heat or pain around the spine, tension of the loins, and pain in the abdomen; see Cl. Sennert, Institutions, Book 3, part 3, chapter 16.

But the notes of a PRESENT one are that it occurs in injured actions: weariness, atonia loss of tone, apepsia indigestion, cachexia wasting/ill state, pain, syncope, and a change of the pulse from large to small, languid, and very obscure. In changed qualities: a dejected color, sometimes so foul that the sick seem to suffer from jaundice, River., Practice, book 10, chapter 10, and swelling of the eyes as well as the feet. In excretions: the ejaculation of blood, with, before, or after the excretion of feces, which happens by dripping, and is known when the anus is wiped; there comes out first a feculent and thick blood, then a good and ruddy one, and finally a citrine and pale one. Compare Avicenna, book 3, fen 21.

II. The indications of BLIND ones are, by nature of the Genus, besides the swelling and tubercles in the heads of the veins, a pain [that is] often very vehement, which is exacerbated when feces are excreted; sometimes it is milder, according to the proportion of the distension of the veins, the reason for which vehemence is sought from the very sensitive parts around the anus, the nervous substance of the sphincter, and the nerves derived from the sacral bone. Sometimes there is an inflammation of the anus at the same time. The URINES are thick, turbid, and sometimes bloody, or a dangerous strangury is added, from Avicenna. It would now be desirable that evident reasons for each of the symptoms brought forward, and those still to be brought forward in this and the following chapter, could be subjoined. But since, on account of the prolixity of the material and the shortness of space, it is not permitted to us at this time