Haemorrhage from the stomach may be distinguished from bleeding from the lungs by its being usually preceded by a sense of weight, anxiety, or pain in the region of the stomach; by its being unaccompanied by any cough, by its being discharged generally in a considerable quantity; by its being of a dark colour, and somewhat grumous; and by its being mixed with the other contents of the stomach.

The disease may be occasioned by anything received into the stomach which stimulates it violently or wounds it; or may proceed from blows, bruises, or any other cause capable of exciting inflammation or too great a flow of blood to it. But it arises more frequently as a symptom of some other disease, such as a suppression of the menstrual or haemorrhoidal flux, or obstructions in the liver, spleen, or other viscera, than as a primary affection.

Haematemesis is seldom so profuse as to destroy the patient suddenly; and the principal danger seems to arise, either from the great debility which repeated attacks of the complaint produce, or from the lodgment of blood in the intestines, which, by becoming putrid, might occasion some other disorder.

"Where this complaint has arisen in a plethoric habit, or the symptoms indicate an inflammatory state, it may be necessary to take away a small quantity of blood from the arm; but the great debility produced by the disease itself would forbid the operation except under urgent circumstances.

Treatment

Place the patient in a cool place; and give him as quickly as possible, small quantities of cold vinegar and water; about one part of vinegar to four or five of water: this may be taken, a tablespoonful at a time, every ten or fifteen minutes, till the discharge of blood seems to have stopped. Then, as soon as it can be prepared, get the following:

Two drams of fresh Ergot of Eye, bruised. Water, one pint. Boil it gently for fifteen minutes; then strain; and when cold, give the patient a fourth part every four hours. It will not usually be necessary to repeat this, after the bottle is empty, but the patient may commence taking the following pills at once, and continue them for some days:

Finely-powdered Sugar of Lead.........Twelve Grains.

Powdered Opium..............................Six Grains.

Crumb of bread, sufficient to make......Twelve Pills.

One to be taken three times a day.

The patient must be careful to take nothing hot, either of food or drink, for some days. The feet may be put in hot water, night and morning.