This library is built in the open.
If you spot an error, have a suggestion, or just want to say hello — we’d love to hear from you.

own proper place. But a stone is specifically recognized if its precursors have been excreted: if the pain is heavy: if the bowels are frequently constricted: if signs of much mucous and viscous phlegm are present.
XXXVI.
Diseases related to colic pain are ileus a condition where the intestines are blocked or twisted or volvulus, dysentery, distension of the womb, abdominal tension, and nephritic kidney-related pain: from which this too must be accurately distinguished.
XXXVII.
And it is indeed distinguished from the rest with little effort, if the proper signs of those, which are handed down elsewhere, are absent.
XXXVIII.
But the distinction from nephritic pains is so difficult that Galen himself, as he confesses, was deceived in his own body. If anyone, however, beyond the consideration of the preceding causes, diligently attends to the nature of the pain, to things helping and hurting, and to the excrements, he can undoubtedly be led to a perfect diagnosis of those diseases.
XXXIX.
For nephritic pain occupies a small space in the region of the kidneys, such that, even if it communicates its affection to the colon, it is nevertheless always as if fixed in the loins, gradually extending to the bladder, where the duct of the ureters is. Colic, on the contrary, is carried more to the sides and encompasses a large part of the belly. Therefore, whenever that pain is perceived in the part above the kidneys, there will be an almost certain sign of colic pain.
XL.
Fomentations applied to the abdomen help in colic pain: which are of little benefit in nephritic cases. Clysters not only soothe it but usually remove it: if any relief comes from these, the evil soon grows raw again, nor is it quieted before the cause subsisting in the kidneys is overcome.
XLI.
In colic, those excrements are held back which ought to be excreted through the bowels: and as these depart, the pain remits: In nephritic cases, urines are suppressed more often, or are rendered with pain: with the appearance