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Show Epifi. Anat. Mcdica XVI. Art.7. 8. 9. xo.&u. 136 EPISTOLA ANATOMICO-MEDICA XVI. Agitur de Refpiratione Laefa. a caufis intra thoracem , 66 primum ab hujus, aut Pericardu Hydrope. S T uirur , ut qua caufee imr: thoraccm quidcm, (6:! extra pulmoncs lira: , oiiiciiin: Rclpirationi , vidcamus. Exium prmcipua: , & {spins quam _aliqui utaut, uccurrentcs an: ad aquaiu {pethixt eflu< fam, nut ad cordis , magnurumquc valorum dilatatio. ms . De uiroquc auiem gcncrc in Seclionc quidcm ha: I. libri II. Scpulchreti Anatomiciplurcs liic illic invcuics Obflrvationcs; {ed dc nrurro Scfiioncm peculiarcm. Milli vcro & cnmmodius furc Vidcrur , & utilius, [i nulh'as dividentcs, liis quidcm Lirtcriscomplcfiamur qum ad Thoracis Hydropcm attincnr , & Pcricardii : qua) autem ad Lordis Ancul'ylmam {peé‘tant, 5: \iagnx artcrix‘, cas ad Lpiliolam proximam fervcmus . _' qua? ad illum pertinsnt , ex Valhlva quidem lunt ha: ncvcm. 2. MULIER annos nata cirritcr viginti duos , caClicc'lica, fitlbunda, lcviur rullicns , & aliquid catarJ'halis mam‘ix cxl'pucus, nubit . Aliquot polt nuptials diebus dccumberc cogitur. Pullus cll celei', limqucns, cipit , maxime litic , doncc difficultaic i‘pirindi in. gravcltcntc, moncm 12bit . IN VENTRE pm. in; era: aqua; {Cd vcntriculusr prscturgidm , & liqar magnum , adco diaphragm] iurfiun pellebunt, ut the. racis cavra minor fisrst. Cmtm'u'nlym',.lm duCtusm: gcbant in \‘cutre, cuuéhquc liujus vifcera hm: lc‘m. bcbant, ii indurata cxcipias ovaria. Ilium omnino aqux plenus; pulmones nonniliil 8: Liuri , & rubi‘i , vru'iifquc maculis nigris diliinfii, rmrcra Iani. DCXIC)‘ cordis vemriculus cantinebar polypoicmrm. crctioncm , & circa hunt grumolum lauguincmwu in finiflro, vafilquc omnibus era: fluidus. g. Quid Valfalva im , ut rcddidi , icriprum idiquir) neuirum in lnius laborinfc dcculiuilTe qurc iii!i'icultcr , 8: crcfla ctrvicc lpirmt; autillic ncganicm pariiculam, u: fit, pcr incui‘iJm omilir, aut ad hum: modum all accipicndus, u: diccrc volucrit , nifi um difliuulus ipirandi vctaret, llll'lllnlll)€l'[[ in latus ,‘lil fm'tnflc cxpcricnrii caulh impcravcranr aliquaudollcdiu, lim- lubm'e paulilpcr (iicumbcrc poiuifl‘c, quuipc nulla hinc. nut illin: , ur in tlmrao :3un plcno uninquc , moleliia , nut dolorc prohibaram. Quoi nutcm in lmc, & uonnullis aliis cjulccmodi Obfcrvatiurrbus tuigmtts lymplm‘ duflus commcmorat; id accidilll, putabmms, nut obicrum in Ianauinc minndms, out ml) (orum (lufiuum cnmgriiliuncs , obfl‘ Ctioucn'c in pambus ulurmribus, tanms aliquand ur icnuns quorundam cx iplis mums difliluut, c poi'ilquc (SVEIKS iuumlct aqua. (‘alum lIRbLS in-Q clu'Lm ( :1 ) dclcr prum adulclcmtis qui le Willilio. humilis: tuliis molella , paucis cum lputis : liiis m:ens. Pcdcs mdcmaxc rumubau: , cuque nugis , quo iuagis inflimcicabat moibus: quin jam fades qunquu, bl'drlwia :C'x' manus Codcm tu ioris genere occupalnnin". Ilrimuu'u‘aii caloris iiulus in liuxllra thuracispn 1c: imcrdum pmcnrdiorum angullim : "Ipimrio dilicilis ; ut augclantc lliolbO , grcc‘ta (civicc lpii‘arc cogcrctur . Itaquc inrra pauCUS um nicriiur. VENTER paululum lidbuit lcri, omuia auum vifcem fans. nifi qumi licn aqua~ Li‘at minor. 1. ci'us qunquc diflu'ius Lll, ii tort; ut in lCCCnS nupta , aliquod appamrx couccptioms :mlioamzntum ._ lne- (H: ansero curauuim tradidit . ls pelt immoJitaw i'aur quidcm vcficulm Lium , & malls qua-mm intui- quiutmncs, aliniquc COl'pOl'IS diuiurms CXU'CiIJEiODI< mis. Std liaac cx mumia luba: iublianna , rui alia cum aliquaudiu in linilii'a thumcis pane mm M adjungilmrur (jus coloris , u: non multum cilia): cun- 111m liabuxllEr qui (ll. lin: :ntcrna cnmprcll "7 crzioileuguiui alilimilis : crarquc tom ab uteri panc- pom-at , ibi tandem lknlir dilrumpi lib: qu tibus (iumno loluta. Contra. vcliculm , quni'um alters quoddmi; indc‘que per fimibcr.e f/‘ntz'zmz in reg. . pnrvm Icmis, aim-a pal-vi cicciis magnitudimm xqua- 1m lmmarix mlur i117 alto in pcfi‘m'i: fitndum W7 bJI, cum liSJQflriLtlll‘LlSllC 1ni;7ligabnntiii‘, ut difiitul- fii/l'z'cidmm mm "mum ab [0 [Ci‘rfpi, jéd tr m til my avelli millc‘nr. Verum DUIIIS Inlh'urbantur {.mgui~ jumtilm; :zmizri puruit ) res non ira {JCilYS $59110"! fins val'culis , nrque liunw" Inclulus ignc cmmmlr - iis qui inter pulmzmcs , & thoracis pariLth ucgan: ipatii quidquam inmudcrc; vsm tamm, ut pollm} bat: cum ova , illuli ovariorum \‘gliculm , cx dup ' dum crimpmbavit humuris , in CD lam'c Fllllgfllli (ODRMTUS mombrana , tum manik‘i'ta liabcam tax {cm miculn, tum crmcrclcinicm ignc humm'cm V, Sc Cum fluétuatio in agitatione corporis ab iplo ,_él13‘ albuminis laporim rLl‘crcmcm , qucmaz‘lmndum \‘(l in liilquc cvidemzf/ime ptrccpm , tum cdufiio pcr 1mm}!hac mulicle obicrvah in Cl!- Dcmquc 'l‘ulxr utriulquc lam a Chirurgo lillulam primum , lbmpcr aurcm palm Falloupiaux in urcrum inunllus p‘roi'lug cm claulus. pcr {oranim ab naiul'a rcl'cratum , & ab artc lzrvauimy, 6. VJR ad quadragclimum acccdcns annum, mu:'ilioracc apcrtn, _pulmonu51uvcnt1 lunr 3 mmra quiicm ompino iolutii {ed o'uii; ur li Prupl'lapc- Us jsm lli'lxl0nlfld35 lubrc lenta laboravcrat . M913" ripnculmmil‘ ligna pi‘a-crfliflcnt‘, inflammatmuc labe- ltvis lL‘ adjumit pCdum tumor, rullis irriia, {mum raflb vidwri pullan . Ernt ‘nqua in‘ urr‘oqueh ilmmcvs :a‘ liscitus. Anlicians, crct‘taque curVice rsl'piralm : ux pullus pcrcipicbnnrur . 11x inipmvilu moriri . ‘10 ea copia, ut ciuS pni'tfl) in lirl‘m ‘ luczinnc ‘U'Upc- .Dum ABMOMINJS inmzluuenta a ilibjc;tis mm;rit. Erat & in pu‘imi'diu lemcms- ciicxicr quinqug. Cum utrinque {umpta , jgmfuifiet impoiiug ill; qui- lis lcalpello {uparantur , humor exit aquolus in limira umbilicnlis rcgionis pax‘rc . Sana mmrn in "Hf-1‘3 dam; non lmc cuncuvit . Polypolcu coucrcim hut in un-oqu'. cm'dis VCnI‘WFHlO ; cu major in fluxtru‘u', omnia , ii licucm cxcipias , triplo quam 311‘ Cll": majm‘cm . Jn Tlim'acis urrnquc Civo lu‘umliuquzp it per \‘fliorum oliia ic pruduccbat, 85¢: 1n auri- cula prm‘icrtiiu it JI'I‘APl\i1Cfll?a[. . pidum liagimbar: quad in vale vitico ll .. LIlquUC horas, nnunulln quiiicm, fed di 11mm. u 5" 3. Num \LilCUl'J.‘ mullcbrium ovarim‘um fint ovula, non ell hi: diiputandi locus; multo .lufcm minus, an fundiim vaiis, drmilir; niliil vcro , ut lclum in film" mall's illa informis incliuamcntum elk! conccptus , race rcpcrrum iblct, in unum Ciinjiinéti, aiquc inllfi' [dnElS olhndic . l'ulmrmcs lani , & omniuo llD‘Cllv quandn urraquc' (mt pmzlus OLClulfl "I ubi. Aquiim in hac) & {.qucntibus ()blirvationibus pulmp- nili quod iiuilhi infl'rmrlnlvus pcrbrcvcm, &tcniim nexum ail plcuram alligabatui' . Dilatatum cm Fcrl' ms (ircum picnicuum , «:quu oblzantcm ipiqi'um ta- cili prlicntioni. pi‘xcipuc aucnumius , alm qllfl.‘ co- cardiuiu J c'; lcri limpidi plus (blibiamniirfdfif- Cf" magnum, in cjuluuc Vcntl'iculo pi'mlu'nm acxtflfllv 1; dem unmcant, mnx in luco nun ncglci'i . 4. REMINA \igiuti lcx cu'cim' annorum , quac XJ cuncrctio polyphfn: cujuli'nodi res fane ram 1"" urtrum non 16ml rulcrar {inllummi pcrrurbarioncs, mrum corde, quorum in caveis aquaflagnat . D1,; mm mipm'c lLVIICI‘ , abdomiu: magis inruma‘cir , Thoracmus y EV lymplim quoquc uuftus in \‘cnriqm (lililCLlllLl', (c Li'cfia ccrvicc rdpini , ncutrum in la. dm cyan: oinamn', nullum ut comm ulquam W" ms lalmriulc dccumbit, ingens in tiiurace punduspcr- gium apiznxuniit . quaudam poliridic ad fun- ‘ _:.cipitamu exhibuit. Pul‘tionCS aurcm div ' ' _ icum alm'i {pirirus , qucm vocant , vitr , fir" autcm Ilpil'itl‘is afiimxle ‘ciur l'alis ammoniaci , nul. 31f" [lmc quidcm niumtioucmollcudcrunt3 max Lunin Emma {cdimenmm quoddam in fundo habuit , {ecuulz illiiuiii'libms til? "€33"ch cai'cn utrwqmilagmlntlg- filmm- In corl's' thiquc pulmn ad antgimra fllllivm‘miw 1. \IS Vcnuuulu dcxtcrqmedmc - unit " H3 H1013, qul- pcrvalorumolm lc prmiLiCClnt . 1:: liniiilvlcasd Vomltu rcqilitani mam-izini atrium: , It'iini minus (‘JUiCZ‘IU‘lQpiuliu pcl‘tinyutem ,‘gk' Col) in"Fummmcn kniiu icqucnum litum, led lmudiid wmlm &,*i1lml<;"mL ,"quoil ammadvertciidum , luc ‘1‘ 11 l‘fllv‘wiam Illll‘nal igauoncm, &cqncrgiiuncm "'HWHiniiii rCl‘lél ‘QUAF [10 :‘C‘Cl‘iumr .dl ' m, "5 quo- uni: um Ilium]: a; If , qqi iamls lpiritum uuccliuuzg ‘le FClYlC‘I‘I 1:1!" H) t mraccm cfiula , quz illum I. l‘tlm aui la: ; 0‘C_Allgnum, & pedum tuiuorcm , ,‘mefim hill-:33" iLfiiitcuicumin ~tribus qunquc um l‘ullui lilliiiilitétlic‘rxi: HIQUIJ‘LAYCITJS ; 'l'n‘ (luobus 0'". VT "mam; & cum liac)(]ii'utiiil11lirl:clii'nil‘mm'i‘flm"'- 1'...1<mmammmuluabnt (c - dlqlfxm imm(WM. in illis U10 ' ' {'bonxpal'an am) yam‘pot‘cs, "m ln'dmqu l W} :31 us quid ad thoracis {pc- "I‘M-Cari. (my! [:4 qmu a ulna , cum‘ 110C comuxma_, mm difiimhamnmen allfficlc px‘xlcrnm potgran: {pi}adue non fll‘ttm miraber" ccévicc ‘liund duccncus 1.15 utqua. anuscrifla €02: m doilum cubgre pol-‘- "l ""0un yiarim-n njuuum latus‘, mmll‘uln 1d aqua .«ns, "mob" [Vigacmeaggle'lla , lcd neutrum ad‘co im- ff"'-"v ur blinius "\I‘mnrui-l & cum intéllfaaslqlla'flcm‘um 1C a, { u~rorias attcn in? un. qmdlmam: "m lUVENFM < 1" upmioribu§ campaign). . C‘fllculm c‘ J' mu icrem iu'lis, luvs_, rcfpn‘gucli . v U" m \anll'cn: , tum pruipuc ulUH'HS fi'lornfnliusflg Pl‘CIIIL‘an‘L Tufficus catarrhalcmina M. dcucd.@~c.mj.1tlurb."l om. I. lMem. d: l‘Aca'i R (It; Sc. A. 1703. ‘- L s, l Schnl )F-Yh N (a ,1. 2.3. 1. Soho). ad Obi. 75. 137 ~. Hic quoquc cum dc pnlypofa in cordc cpn- tcrdum expuebar matcriam; in linillz'um lfltllSl)i)pl‘CB~ muonc Valialvaquusumr, ucganicnipirifuzlam lar- ij'diumm angulliam drrumlrrc nrm pom-at ; imquc [ultO omiliilg viJcri potcli, gamquc mu linud 1:1er palm: in dcxtm'um. I'uics mdcmaic cram tlil‘llkll: dime \uluille , quindo do his nuvcmliydi'upisthora- facics quoque , {<4 i'enm', L l lElC lEVitCr , iurumuckis Oblcrvariuuibus Vix dud: luur. , In quvbns illam dc- nut. 'l'rcs cil'circr antc maria-m «‘lics cratqmii lomni- iull‘t, QJI‘IOHVCI'it. (and vcm lympha; duclus culofa , tardequc refpondcbaz: biduum ultimum {Julius mum animadvercit in lioc Cadavcre, lbrcafl'e alia hinc pcnitus Lizlitclcelmnc. 1N VENTRI‘; cfliilumcrat ""19 "n' ‘mur qua: hydropcm ibccrit , ac qux in lilllm 21d [I‘CS quatuorvc libras. Hcparlubgiallidum . lien lamina pmxiun luptl'iort. Nusii vcro ca mum {merit Luiguus ; cmterum utrumquc ihnum . Vix ullum in :‘1liuptiu illm'um duéluuln , iurlitau or; me quagrcs . U: VL‘ntl‘C apparuit valin‘um lympliaticorum velligium. :mui luliii‘eris , inducct tum (urum vacuitas , tum [flu- 1n Tliorncis ambabus caveis yiilmvmcs fnni; 1bdiufim limgudus humor , (‘\ pauca dcponcns , tum junioris nillra Iiberi, in dextcra plcursc mmcircr adlimrenrcs: \‘cmqi (b) obfervario in afciticis, quibus 1': non ab- i'urlus in illa paucum (mum; in hac vm) quidfluii ‘iuilun l'iwm'u‘cm Cliii'm‘qus educat; vmrcrbrevi itc- lnci inn-1' plcuram, & pulmones i'cliuqu‘lmtur. flaw) ;u.. cxruunlm‘c , é nullzi {are fpcs vitae eflb inlet . Scd (rat {gm oppletum. In cordis vcntricuiis {iiizuis fluiItuiii lire iiucllariu, an vcn‘fimilim' dummxat indL clus, line ullo polypolre coucrcrioni; indicio . In iilillOlLlKl] dufluum dill'uptioncmfiaud Idtis tuto in quo- (Tapite deniquc lfinum ccnbrum , nili q!1‘).l Innralcs uscaiu dctcrminai'i poll": , (mice: in huc autcm Ii illo- veuri'iculi {crum continebant. idquc Icii lhnzuinis tin- mminanimdilruprinnmn ligniflcarct; \‘cnrer , ubi ina- [tul‘a inFeC'tum . H0: igui ill]_,l.)lllllm , Cl J..:l matcrin ml Salimt ammn. (I'll, 1MB quuque fuifl'et hydrouicusfm- \‘alis fuuzlum dcmillé , iplum mlum in auras abiit . Quail iuunicum livdi‘nyc Iwc thoracis , prmter cordis nugni- auccm icrum in vcntrc , S; in cavoitcm tlmmcis dexiul'mm, I‘i‘l‘CJl‘dll l.j .ix<x;.s , lit in mulicrt ililI'LCLHS tcru fuillc, Lliximus, turliiclum primum al) ignc le (r),m:ijunftus, H1 L‘ndcmque pulmcnum .lul‘iflb, factum, dciudc icnlim lmc quidcm mum , illud :iuCfllm'de) Omnimu l'ulf,CleUSpl'l‘Kt‘i‘Ll {cptuni rem {ere torum, rclifla in fimdo nunniliil glutinoifi 'lunlvulum mucoptrc a lubjeéi‘is vilcei'ibus in tlmx'accm pellicula , avolavir. r; amr, lnc , inquam , omnia lacicnt, ut opinor, Ii. Omiflb quad ad {upornfimaii‘w ‘iuunzirtiuct, iiorem ()liin'vgtioucn) in qlu niliil undc lmdi rc- alibi a nobis traciatani, cujus his? CRUi‘dH] {urum' nee Ipii'ano potucrit, uili ilm cishydrops, dsquo pm mil'um iu tqli corpora; in ccxxbru qua ‘uc nm'tll'jmc pucqgimug , propuuatur , \‘Lllll has: uit quam i'rlijicm . cflu'um filiflc, Vicicsi atquc adco omi Esquz adcxrcrs S. AVUS lcgluaginta fllanKle diflicultcr lpirat , pertinent fiqna, arc facile Cum luivcrim'ilius mul'crcu- min nili in (lm'lum tuba: , lcvi mm catarrhalcm mn- dn, & cadcm invcnicnda; duo qu (L‘Cfiémt ad diHi- uuim LKlpUlI, multum litit : pull'us aliqunndo vix cilun rcfpirationcm non omittemus. Alterum, qumi inci'cipiuu': dcxm' pus mlcmate nonnilul tumor. An- mulicr in finilh'um laius culmre non perm: , quippc imlum morimu' , pcr lion‘s: quadranrcm hummun mul- quu, dcrci‘cm pcnitus aqufu plcnn, pntii‘fimumi‘clpimiummruginoli Culul‘is , vomitu ejicit . VEN- bat; imquc ii dereri .1un mcdialllnoincumbcns , hOC TRl.flpE]I0, inm'liuum Culun repcrtum all qua jam in iinillrum tlmi... a cavum urgcrct; jam pcr {c non Wuuculo fubem , dwri'um ad pubem utque [c infle- omnino hm vacuum, U\" dcxtei‘o alioquin (cviipfrmil igzm, hinc mu iurlum dons: ad confucmm lldcm re- nus; ungullias prencordim‘um ob magi; impedimm rc- m"; Ventrirulux cjulilemmodi contineba: humnrcm . l,:i1'ationcni vcxaliant. Alierum, quod lllCIIOCl‘ll pm' l; .svuvgmitum nimus fucmt, in euquc mtmmn lcx‘tim cm: (lifiicilior. 1d vcro lieflizt fignum , ‘ miimuiqiufdun mlm'is mam‘iam. lljus pomuliutlwi'acis, utuolii'i loquuntur, pathognomanm igmiTunsmnllm , imrci'iam ad. om, ‘37. ‘c‘ CW ‘04 Obi 52. rnii (l6l‘ICI‘CS magis, in mt aliis feuValfalvcc, {cunov [his ()bfcrvationibus dchTc, quam in hac una memo» rari . (L i mmcn illucl docuerinr, plurcsaccrvatimun- nari iiicbisa Cl. Rein 811110 (e), &egregiosquidcm Mcdimi. Primus autem cx iis {uit Carolus Film, 11: .Scpultlzixiuin iplum (f) monfim 'r, qui, ikpolieunr alii id Oblcrvatinnibus cumprobari Iiuis ) ilJidcm I'elaciS (g3 ) . NLC Vii'o ncgai'i pnrcll, ii 9Llf.':l"'"J indicxal‘wc quoq c aiul‘lcrir, ur lmmincm a primu l0mnnl'cncfl»lf excitut 'Il‘JViLH‘ {pirmii Illll'lCLlil'fl'u , V'U'jm llrpc‘ ((16 conic" inuu , thoracis hydrous lnbm‘u'c) live Liiiitd a lcili calurc languis rurgcns lat'is 17p: nmlimnl'cundum {fr pulmouts aqua comgii'i'flzs , m: \‘v'illilius (/1) in» mint, nuiiin nix, {we ob aliun potiuscr. {.ungnc. quc cuim lulu aqua (-li qua: pulmnncs pollit compri- I‘JCI‘C, aut {unguilcm per iplus valucuurl'aiirrc: (um. quam vari ilnlilC cli, rem, li genel'arim accipias; be« I]: Willilium cxplicalle, cum in morbis quoque aliis idem hrc acciwrc , adnotavcrit laudatus Reimmnus ( i ), quibus in morliis unimadvcrto pulmoms pl?mi , éi: languiiiis per cos vins confiringi , autimpcdiri potuiil‘c, ut hic a leé‘ti calorc nun {ccus atque a corpm'is L, 'cimiionc turgens, pulmoucs, in 80er- icmm corpuris htu, pcm are non \‘JluCl‘it. (mod {1 caufa p'mm'm , aut cnnllr ngens , vcl ii araandm in uulmumbus viz, vcl dcniquc ii [ranfiturus {anguis , h Inc, inquam, omnia, aut plcrclquc non in {0 halicant, u: id i'equi dcbeatg non mode in iis morbis, led risque in rhoracis liydi‘ope cubans sgcr pi'inus lonim hm'is ab inzrucntc luflbcaticnis psriculo excitalmur. ltnquc intelligis, rcfie Cl. Helwicliium ( r: ) nmnuiue , ex so quod zgcr non {ic CXCitCtur, minim: Conléqui hydi'upc thoracis nonlaborare : 8ciane ad‘Obfcrvati'mcs quas ipfc indicat alias addi pofliint , inprimilquc NobilisAdolclccntula: (Dcuijbmizu: prolixu: era: , 8vinmulmmharm/2201114671" , & Sunatoris I'oloni (m) cui nul/iz cm: fumni z umperimlofuffamn'mzi: firm-r14S 1750 , (4) n. a(r ) n 1. ( 2) AR. N. c Tom. I. Obl‘. l7'a. . ( g ) "a. s. om. s. 3;. r 1'". " ) O‘vf. x73, CIL c x ; Sepuichr. 1. 1. s. 1. our. I!3. l inHuidSahel.Schoi. (WIm 0"." / Cmnmerc. Liter. A. 17;}. thd. n. n. 5. |