This disease is sometimes symptomatic of a general tendency to haemorrhages, but it in general arises either from the irritation caused by stones in the bladder or kidneys, or from some violent exertion, such as hard riding or jumping; or may be occasioned by falls, blows, or bruises of the loins. If the bleeding comes from the urethra, it may be caused by the rude introduction of instruments, or by injuries from without, or by the separation of a slough caused by the caustic bougie, or by a rupture of blood-vessels during an acute chordee.

The blood is rarely in large quantity, and it is equally diffused through the urine. When the blood is derived from the bladder, some portion of it often flows pure after the urine is discharged, and it is in much greater quantity, and often in larger and more irregular clots than when derived from the kidneys; moreover, the pain in the back, and other signs of renal irritation that accompany bleeding from the kidney will not be present.

Treatment

If the haemorrhage has arisen from some external injury, as a strain or fall, rest and quiet may be sufficient to repair the damage. If it does not, the patient may adopt the means recommended under the last heading, "Vomiting of blood;" and cold may be applied to the lower part of the belly.

When the bleeding proceeds from a stone either in the kidneys ureter or bladder, it is only to be cured by removing the cause. A case is recorded which had resisted repeated bleedings and warm bathing, saline purgatives, emetics of various kinds, Camphor and Opium in large doses, Uva Ursi, etc., etc., which was quickly and effectually removed by giving the patient a pint a day of a decoction of Peach leaves. This was prepared by boiling an ounce of dried leaves of the peach tree in a quart of water till it was reduced to a pint and a half.