OCR Text |
Show Of Sleep} Di/énfeta , , , 7.7,, i M "LL," _ amt ix 1523i; Uf S/cc'py gin/m er. I 1: 7/ great company of Velicles full of Scrous Liquor difcovered themfelves, and‘ the Cor/ox of the Brain being wounded, a large quantity of grofs coagulated Serum was {rueezed out, with which the Cortex did every where liiperaboun d but the Medullary parts, the Corpus Calla um, Form'x, hfcdulla oblongara, Cor: para flriam, Nam, Teflcr, and the Grebe/[um were free fromthisco ncreted Scrum, or iiom any luxuriant Blood, or purulent Matters whereupon Ihum. . Met, 1 conceive that the caule of an Apoplexy doth not only arife An Apopl xy , . 4- - ‘ val'arrvliiithe itiy'fla'raditi not C'dlllCd by a large Cffilfion OfBlOOd' llSlll ng out Of the CXI‘l'leUCS Interim» of of the capillary Arteries, and fiagnant in the empty fpaces interceding the Egjixgll‘elismc Vcfiels, but from too great proportions of Blood, thrown out ofthe greater not; our into the finaller Branches, fo highly dil'tending them, till they are lacerated, m """ and their impetuous torrents make great Cavities and Sinus in the Medial/a of {he Brain,and by tearing in pieces the tender Fibrils, do interrupt the due proorcfs of the Nervous liquor, and Animal Spirits, clofing in a dolelul Cata- bly conceive, the conjiinc‘t caufe of this Apopleétick Fit, to proceed from this grols Scrum liagnaiit between the Stride of the Cortex, which were {0 com. prelled, that the Nervous Liquor prepared in the Cortex, could not be recei. vedinto its minute Fibrils, the firlt origen (as I conceive) of the Nerves of the Brain, whence the courfe of the Animal Spirits being flopped, a privation of all the Animal fi1n&ionsenfued, the horrid Concomitants of the tragick Apoplcé‘tick Fir. . ‘ Wham," Apoplcxy. {imphe of an Apopleé‘tick Fit. _ , Woman of Severity years, which being ‘quickly taken away by an acute their motion into the Fibres and Nerves lpringing out of the Brain and Mc- Apoplexv, and her Skull being taken ofl,hedilcovered a large CaVity In the flame of the Brain, reaching forward toward the Forehead, and upward to the I'rotcflm Falciformis, and much backward toward the Ortiput and downward beyond the middle of the Brain. The longitude of thisnnna; dulld Spinalit, which is cauEd either by obitruciion or comprellion (as Learn. tural Siam was Four Inches in breadth, Two and half in depth, and 'Elglit ed {It/1f" will have it) arifing from the {topped currentof Blood, as it isimpelled by the Carotide Arteries into the fubliance of the Brain, which is ra- inlength, containing near a pound of cxtravalated Blood, that had ilstied jinn, and Medulla of the Brain, where the more noble Operationsare exerted, and is produced by eclipfing the bright influx of the Animal Spirits hindri outoithe lacerated carotide Arteries, which did not proceed from any outward accident, as this profound Author faith, there having been no contuli- ther a conlEquent then a cattle of an Apoplex, when it proveth fatal, near MUM", the approach of death : Wheretipon the eourfe of the Animal Spirits isin~ n. terccpted, that they cannot pals into the inward Recellcs of the Brain, and on or fracture difcoverable in the Skull; btitl conceive from the greater lource of Blood, protruded otit ofthe larger Carotides into the fmaller Capillaries (branched into the hfednl/a) which had been more and more dilated by the Rivulets of Blood, till the coats of the Arteries were over-much diltended, and thence growing thinner and thinner, atlalt cracked in pieces, and the lireams of confined vital Liquor were forced through the breaches of flow into the branches of the Tar Vagum and lntercol'tal Nerves, implanted into the Heart, Diaphragm, and lntei‘coltal Mulcles, when the Heart and mum, Lungsqnirting theiruiotions, the Blood groweth llagnant, and is not im::fg~;;t;rftas- pelled through the Aorta and Carotide Arteries, into the ambient and more death. inward parts of the Brain, which rarely happen as a caufe preceding an Apoplcx, becaiife LliC motion of the Blood into the Brain cannoteafily be to uninmmpt . Renowned Webflcr giveth an inliance of this cafe, happening in an old fiffljl'fng This is a Dileafe, as acute as dangerous, feared often in the Corp»: Cal/o- vt‘rliilly fuppreiled, as to produce an Apoplex, which to prevent, the Carotide and Vertebral Arteries, have lb many communications with each other 'crzi' , from an ablccls ol:‘ the Membranes, and Il/fedul/a oi Brain, c and from Jw'fnm Eiiiii "iii"; . - the . . the Arterial Coats, into the fubliance of the Brain, and made great Furrotighs and Channels in it, and by rearing tip the Medullary Filaments, did divert the natural courfe of the Animal Liquor and Spirits from the Nerves. ' A Daughter of Mr. Lewis, one oiwthe Navy-Olfice, a Perfon of .a ‘Ple- grimlfli "' ""0"," by Frequent lnoltulations, that if any of thole numerous Arterial Branches "3120}. 1'" k'fi free, they Will lilpply the defect of the rel‘t, and the Blood maybe conveyed by various Analtomoles from one Arterial Branch to another, into A piety W ,,_ 01 Inf: of ti: "m" the outward and inward Coafls of the Brain ; But I conceive, with permillion to this great Author, that an Apoplex is more commonly generated by a 2"" {ource .ol‘ extravafared Blood, making an inundation in the firbftance of thc Brain, into which {0 great a quantity of grofs Blood is impelled, that [he minute Orifices of the Capillary jugulars are not able to receive, and return it in the circulation, but is lodged in the empty 1paces running between the Fibres, which being enlarged beyond their due dinienfions, do crullithc Filaments, and check the motion ofthe Animal Liquor, into the fubliance of the Brain and Nerves. finnthcr tattle : " n Apo- Another caufe of an Apoplexy (as lconceive) may proceed from an {liter of the lVlembranes ot‘ the Brain, in whole fiibfifincc l‘o great a quanm)' Of Blood being fetled, that it cannot be dil‘charged by the jUgulHFS, whence the Purple Liquor being deliitnte of "lotion, i'r foon lol‘eth its tone, thorick Cohliitution, was highly afflicted with a great Head-ach, which af- u: ‘ terward degenerated into a Sopor, and was much alleviated upon Blood-letting, and then [he fell into a Rheumatifme, placed in the Mufcular part of the Limbs. ‘ _ Andinordcr to cafe her, Ideligned to open a Vein a Fecond time, but Was Prevented by the importunate dillike of her Friends, givingf an advarcilUrge [0 her diltemper, to re-aflault her Brain With a frefh pain 0 her Hea , accompanied afterward with a great Sopor; whereupon I made .a PrognofliCki That the difiemperlvvould determine ( as lapprehended ) tn an Alpo}; Pkfiic Fit, unlels {he was relieved by an immediate opening a Vein, w ic conceived the proper means to preferve her; but her Friends highlfy miter- POM, and hindred my intention of Bleeding her; whereupon in a Cl: ‘ays the Sopor grew more violent, attended with a Stcrtor, and then the fattent falling into a violent Apopleétick Fit, died in Twelve hours. And a {ter 19. COml'ettnr time, her Head being opened, the Coats of: the Biragrflwerc Ev;- led, and a large quantity of ferous Matter was fennd in the Li ance o r e and the bond of mixtion being loofened, and the part being {cpitrated, and corrupted, degenerateth into a Pm, Niitricious which (it‘ll: COrrodetli the "hilllbram'si mid afterward the Medullary parts and fecret pallagcs otthe mannei):thlsr::ll§ci::1ir§r:% Blood , overcharged with ferous Particles, being inform-1c- Brain, and doth at once oblcure both the brightnefs of the Animal "Pl‘ rim, and intercept their pallage into the Nerves, determining at 1:19: in 2 {31d Apoplcétick Pal'OXlfiHAnd impellcd out of the Carotidcs into the Membranes and fubltance gfthe "l"; produced the Head-ach, and SOIIW' which Were much mitigate 2p]‘3 rain. A" . refs of the Difeafe, I conceive it to be after this Tgi'cirartofand |