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Gilbertus Anglicus - Medicine of the Thirteenth Century by Henry Ebenezer Handerson
page 45 of 105 (42%)
remedies for so alarming a condition.

Chapters on satyriasis, gomorrhea (gonorrhea in its etymological
sense, seminal emissions), with a third entitled "_De pustulis et_
*_apostematibus virgae_" complete this department of medical art. The
last chapter recognizes the venereal origin of the pustules and ulcers
discussed, but furnishes no direct evidence of Gilbert's belief in the
existence of a specific venereal poison.

While Gilbert is very scrupulous in his examination of the gross
appearances of the urine in most diseases, his discussion of the
diseases of the kidneys and bladder includes only pain in the kidneys,
abscess of the kidneys, renal and vesical calculus, hematuria,
incontinence of urine, dysuria and strangury.

The chapter on hematuria presents a very curious specimen of medieval
pathology. Gilbert says: "The escape of blood in the urine is due
sometimes to the liver, sometimes to the bile,[7] sometimes to the
kidneys and loins, sometimes to the bladder. If the blood is pure
and clear, in large quantity, mixed perfectly with the urine and
accompanied by pain in the right hypochondrium, it comes from the
liver. Such urine presents scarcely any sediment. If the blood comes
from the lrili vein, it is also rather pure, but less pure than in the
former case, nor is the quantity so great, while pain is felt over the
region of the seventh vertebra, counting from below. If it comes from
the kidneys, it is scanty and pure as it leaves the bladder, but soon
coagulates and forms a dark deposit in the vessel, while pain is
felt in the pubes and peritoneum.... If pus, blood and epithelium
(_squamae_) are passed, and the odor is strong, it signifies
ulceration of the bladder" (f. 275b).
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