CHAPTER IX. CURE OF THE ACUTE AFFECTIONS ABOUT THE BLADDER.
ACUTE affections, resembling those of the kidneys, form also
in the bladder; namely, inflammations, ulcerations, calculi,
and the obstructions from clots, and, along with these, suppression
of urine and strangury. But in this part the pain is
more acute, and death most speedy; for the bladder is a broad
nerve, whereas the kidneys are like a concretion of blood, of
the same species as the liver. But, moreover, the sufferings
are most dreadful and most lamentable:
for there, by far,
On wretched men most cruel pains inflicts the god of war.
We must, therefore, straightway make an incision in the
flanks, and soothe the bladder by means of a fomentation of
much oil, with rue and dill. But if grumous blood be the
cause of the pains and stoppage of the urine, we are to give
oxymel to drink, or a little quantity of lime with honeyedwater
for the solution of the clots, and also such other things,
both herbs and seeds, as promote the secretion of urine. But
if there be danger from hemorrhage, it is to be stopped without
delay, more than in the other cases; for the danger from
it is not small. We must remedy it by the medicines which
stop bleeding. In this case refrigeration of the bladder is
beneficial; bathing with rose-oil and wine, and wrapping the
parts in cloths made of unwashed wool.1
An epitheme may
be formed with dates soaked in wine, with pomegranate or the
juice of sumach. But if the patient is averse to the weight of
the epithemes and the great cooling, they must both be given
up; for we must not cool greatly a part naturally thin and
cold like the bladder. But we are to anoint the parts with
oil of must, or acacia, or hypocistis with wine. But we must
not use sponges, unless the hemorrhage be very urgent. The
food should be farinaceous, of easy digestion, wholesome,
diuretic, such as have been described by me under the head of
the kidneys; milk, sweet wine, the Theræan and Scybelitic.
Medicines should be drunk which are diuretic, fragrant, and
diffusible, and other such things. A very excellent thing for
the bladder is cicadœ
; roasted, in season, as an article of
and out of season, when dried and triturated with water. Let
also a little of the root of nard be boiled up with the cicadœ.
The same things may be used for preparing a bath to sit in for
relaxation of the bladder.
But, if it be the impaction of calculi which stops the urine,
we must push away the calculus and draw off the urine, with
the instrument, the catheter, unless there be inflammations;
for, in inflammations, neither do the passages well admit the
instrument, and in addition they are hurt by the catheter.
But if this treatment be inadmissible, and the patient is nearly
killed with the sufferings, we must make an incision in the
part under the glans penis
, and the neck of the bladder, in
order to procure an outlet for the stone and the expulsion of
the urine. And we must particularly endeavour to cure the
part by bringing the wound to cicatrization. But if not, it is
better that the patient should have a flux of urine for the
remainder of his life, than that he should die most miserably
of the pain.