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Show 198 Liber II. De Morbis Thoracis adco morbi lecreto? an prius COaCel'\:at0? Chi in go cavo cm: pulmo , ater , 8: plilogoli aflcclus , durus prmcrsa , 81 valdE Cornpaélus, mcmbrana autem extima facillime lepambili 5 per membranulas 3 .fcapulas verlus, plcurcc adhx‘rcbat l ‘ Pulmo limllcr nix 1.4me conceperat . In cordis~ vcntriculodcxrero rnecliocrls po~ lypul'a concrerio, major! 93c pane ad auriculam pernncns,‘ gracilior altcra m llnillro : illa-in vcnam Ca. vam, & Pulmonarcm artermm ; haec in Pulmonarcm venam ad brcvem , in artermm Magnqm ad longum traélum produfl: : ambaa Concrcro languine flips. r. bag? Quod in lioc_Sgnc Vallalva dubirabar, an {erum ante pulmonis inflammanohcm clfulum Jan) _efl'ct in rllorace, facilius id ellct Cl'Edltll, l1 qua cflulioms indicmm aliquod prseccmller , velut in Virgins , & Clcrico non unum prsegrclIum animadvertimus V Ca- (hcc‘lici prius crant urcrquc , _&'illa quidcm ulque adco , ut cyllis nullum bills vclligium l'ervarcr; undo aliquis pollet cui forte illa Drgkii ( u ) improbabilis alioquin {entcntia placcrst de lclls menllruurum cau- {a , argumrntum duccre, hac diururng {Uppl'tlllOnC‘ co- rurn lpcftata , ad eandem lcnrcnmm quadanrcnus mnfirmans‘nm . Clcricus vero urinas rubras > noflurnum autcm lomnum habebnt turbatum. Deniqua; ut czrera omitram 5 n_cutriu$ fucrnt ‘pro‘rl'us integral rclpiratio. (mod ctli in caclicxia ellclolct; tamen 86 fanzuis in en (ole: plunmo lei-o abunda'rc, 8; hoc facile liic illic dcponcrc. Itaquc li in his Cuobus exillin cs , l'cri partem in rhorace anrca llaguzllc , quam morbus nm‘llfimus rLliquam addcrct; lACllL allcumr . Ncc in SL‘HE tnmen idlm pertmacircrrnegulm , ‘cum pm‘nrcllh potuzrinr‘ol) id quoquc Vullalvm cflc incoj gnira, quod ClL‘Cl‘CpltI lua plrraquc mcommoda :umti iotiui quam morbo. acilcr'lhcr'c lulcanr _, coque ncglr are: mimm autcm vidcatur , tamam aqua: coymm tridui {patio in rhoracc acervarilomucm potuifle . Ca‘tcrum cavc crcdas quod in (films bIlCE non cliflitcnr‘ in rcliquis peripnaumonicisquibus in tliora- Epifl- Anat. Medica XX. Art. 38.39. 40.6541. Vol-um liic duos in quibus plurima full , h, vencs proponcmus , quorum lilllorias nos tibl' um ( Z. ) pollicitos cllc, memimmus. 3;. lUVIiNlS annorurrr propenimlum vigi'ui qur. ruor pungcme corripitur colon: in lrvn llmracism. (c , diliicilc relpirat , multum lirlz, rulfit 5 led mu rxlpuit. In allbclam dummxnr parrem dccumbindc. milloquc capize minus IIICO'mITl(7dL: agir . 'llmdcmm dies graviore faéta rclpirarionls a ucultatc , decimn lexto dic moritur. PULMOlmillcr Ullfllqllcm. ctcbatur valid: cum proximis partilyus , emqucir. flammatus; quin circa claviculam Jam frippumm I'cricardlnm ingenti era: liumoris copia dilammm 11: hi: mcrim cjus hydrous vocari poll}: . pmm‘m (rat valdc crallis , lnlquc interius, ut cordi extcrm, concretioncs quuzdarn albidrc lubllanrix nnnnullu in locis adhxrebant . Cor quoquc mole auttum rm quod dum l'ccal'crur_,_ fluidus cxcius \‘cn: ulis lu- guis cmanavit. In iildcm [amen meraur (V l‘ull'pf)llu concrerioncs , major in dcxrcro , minor in lm. llro. . . . . g6. ALTER r qui duobus cxrcncrannis munrtrat illo dc quo mode diElum (ll , primum dc dulmin vcntrc conqucllus , lioc dcliucntc , dolor-C ({)Il‘lpll‘_( in rhoracc Cum dillicili rclpiratione. lull} , c\'liu nu. lclla. Pionus alliduc cubat lic mmcn u[ in dcxmrm vcrgat latusrcaput autcm lubmill'u'n (curt, utplulquc eorum lolc'nt quibus pcricarllium iugcnci slur Copia (urge: l Dcniquc ingruvclccntilms l5mpmmbus, circa dicm obiit (unchl‘n quo prior , Uranium lexrum. 1N THORAClS linillra Carri lll " (la {lumbar aqua, in qua l'anus , 23¢ folurus um . (rat plum». luduratus VLro , proximilqu: palribu, 8c plylcrtim \xllllS lcapulam validc anncxus , nu: u dtxtcia: ubi liumor us: varcrni lcri limilis, mm que Cuflcl'ctilmis qll;L‘lelm . rcl'ercntcs album :2- lida dlnlhtum. In pcricurdm omnino limilis 'numn" fimilibulqut cum concretimli' us , inrcriori CJUS luClil, cnrdis autr‘m exrlriori urine» 5 ca copia incrar, ur rt. cc {crum fir efiiijum, locum‘hqbcrc‘. Nam 81 Cone- ricardium liinc dillentum , ingcns OCCUPJI‘EI ll)- rus, u: alias ( x ) nd (c lcnpll , inrcr morlms rpm; pcflorl': Indra/M ramzrutm, (‘er , animadvertl: , Iran- racis lpatium . (‘ordis ventriculi C911:l‘cri0'l€§;‘"‘ polés dcxrcr majorem , linillcr minorcm cn‘ banr. . 37. Quzr ad pericardii hydropem arrincnr ( a ) cx duabus liilcc Oblcrvationibus cxcc pcrpcndi. Dc concririonibus aurem inrr . 11', & cordi exterius adlmrentvbus , aut in alum IllfH'QCUTl {cro innamntilius , duratumquc alliurrln icl'crcuribus , non locus liabcndum cl'r , ac dc wan qua: nut in gelatime , nut in membrnnarurn manual alias innatam , aut inllur rcticularis corpnrrst gun:nicze alicujus) msmoramrum purium luPL'il‘lClL‘lrm' pc ctiam pulmonum , & plcurm impolltsz rcptrl‘ lur, qucmadmodum in hac Epillo'a ( I) ) 2‘Irl 3‘3": quc ( C 3 dclcriplimus , &delcribumus , 3ClllC1fqll‘; ego alibi , Vall'alva :rutem etiarn luara ( :l )vduutl dixit , ("< concrlra fiunt portionc elILlli lcri. NINE" ut mambranrrum pori magis, aut minus ob can); le qum pnulo ante ( c ) indicatrc l'unt , dllJLmllll); ita cum lcro plurcs, paucim‘clvc , CI'All-rl01'65)rflll[:l;‘ nuim‘cs, qua: mncrelccrc pollinr, particulx clluud-u' Iur, ccquc varins illas concretioncs tunc pr'xlcrl‘mv ur opinor , (‘lliciunt . cum languidior faCLus corn": 8: pulmonum , 8: caloris iplius morus , & "Mi? poll murum omnino cell‘ans , lcrum 11m minus ‘ a" nihil agirat , eslqrc inter le implxcari, aurcnarr poni particulas linit. Arquc lizc lc‘rlrlcflfl‘ Cum Forte incidi in ()pllQulum Viri Dow; 9"": ca cjullnodi concretioncs plum cxpericns . Vllumrrlft Vallalva, & ago, naturac :xillimat ; lcd_in "Pl"; rionc u: quegdam halnr in quibus COnVClllfl‘lllSJ-y 1R1»; Alla vicillun in quibus dilcrrpdmus: cujulr! "fl" dc rfbus ego quiu'cm libCIlICl' non lolco (Junta-£1; pnmmurzim, & in nollris quoque‘, 8c Vallalvm Ol- l'crmrionibus (or rcpcrics,_in quibus utcrquc morbus cmqunfius ell , u: vcri flmilc non ht , cos omncs anm rhoracis, 8; mricardii hydropc (nam hic quoquc lilac adjungitur ) lalmralle. Quin ylcrnlquc comm , cum pulmnnis irflnmmatmne fni‘ropti‘lunt .lanxllimos fuillc, conllat. ur cum cgrcgio allquis libiru glaborc calcns, aeri ft prm'lrigido expoluit . Quad ll lruic indc & languinis pcr pulmonum vgfcula Circumum retar‘dcrur, LIX liumoris etc intimd Alpcryartemo. Cxtimaquc rotius corgmris luperhcre inwllbilcs qurdcm, {id innumcm: jugir ‘ prodcuntes particula: coh'l? antur ,- lim per alia aliarum memlaranarum foramanula cxirum molientur , callimquc pi‘mlernm , quae inagis Iunc calenrcs, magis quoque_patulosliabcbunt po- ins , lmc ell rlmracem intus , ciulque. vilcera courtllimtium: ilquc crit cxitus tanro factlior, quaurodifficilior langui'iis per pulmones [mulirus , {y morn: prnpinr, quantnque crebrlorcs, 8r: validiores ad liunc expu'liclw‘llm thoracig cunarus five rclplrando ,‘lIVC tulficndn. Sic en: n lrrnul ex membranarum [79115.11- berius humor cxprimctur: qui cum lLIIICl laxarl lug. z-int , & dilatari. val per It pcrgtnr cxirum lei-o laciIinrlm prxln-rer ch aurcm nmnra in us maluis licnt , quorum rum ca: membranx.magvs'erunt ad 1d param: atquc dilpofirm turn languis magls fcmus aqueis corpulculis. (god fl urrumque liorum , & corum qufe mndrw difta lunr aliqua contra le hdbcbuntgrunc‘aut leriur, aut nulla l(l'| in Iliorncem , dv‘pcricurdlum eril egfillio. Nam VClrln hacrenus pronouns (blah. tinnilms. ur partinr lung in_qu:bus uqua in tlroracc, & pericardio inrcnra drlcrvbuur , lic parrim lunr in in quibus unn nwmiratur, aliquu criam in qua (1y) dilc-rre adnmazur , nihil aqux in pcncardm llllflc . Illud potiué dicam , nilril crcbrius contrn qu‘f‘}: vidcrur credcrc, quam illiulmodi concretiunes Offi‘m rerc, cum l'crum in thorace , nut pcricardlo "6"" :‘rr- deprghendimus, qucmadmndum hasc , alimque nollra: ollcndum Eplllolrc? prcclcmrn cum pulmo wide clu1145 5/; wquabz/mr, c'lx'folzt'a major, & p/m pond:m" , hoc ell , u: nosrinrclligimus _, lullammarus . Std & prmtcr nollras oblervatioucs, allag, ncc paucx , allorum {unt‘vel in 1V. liac 5 no longius alneamus ; Sepukhreri Scflione, ut Panaroli (f ) _, qur cor {0turn albidum , 81 tommtaflmz ob maccridm , mum? ipllUS adliII‘CDICID, Propolurr, urllardcri ( g ), qui Pcricardium {mm blfpfllilm; ('5‘ 125/141: l/o/nfm'zu alum[Em dclcriplit,_ Icor‘ aurem limp/M rrlzjzrz cirrumda: mm , qua: comm m madam [[[mi min/11mm; dm'abz poruit, arquc' ut "uua plurcs 'oblcrvgtioncs comple6rar,r1t(iual‘ilionli ( by), qui vzzlzflc lc , allirnml: , film/4'" larmr flare/meg" pu‘zpnimnomlzrop‘vrgfln: @‘ "mfg", in grub": Vitiola matcrm turd; [arzrmz .1!am #54762, lire [or glzafi larzugmc, all: til/LT moperim ( j ;, u: lupra ( k )dixerat , uln eriam tolla(Dr) in illiulmodl cadarcribu; non modo lcmvizatcm WWI? fispifllmc aqua/t , izlbz mmen , bumarix ‘Dl'mzm fW/‘bfg'ifre, led & pulmpnc"; plazas, @ tin-r0: , quemaimodum 3mm (1) indicarum ell , 0 [14.1 mem‘mna rm/Izflima fizfia dtttrfor , a: fi enfiprlatc rif- /;;;;qfigfii. Vidcor autcm liic m‘ilii, Iccundum mul. "PM" obrcrvatloncs mcas qucp lncpius , & queu rariusoccurmnt, lpc‘c‘lando, polls facilius crcdcrc, crafliortm concretioncm mcmbraniformem . pulmombus impofitam, a Guarinonlo l‘uill'c confpefian'r: ncc linc omnil'ulpicione {um , concrcrinncm fortallc cjuldcmmodi, led tcnuiorem , fuillc, qua: lupra ( 7/1 ) aVallalra cilEta ell mcmbrana cxrima a duro Senis pulmo- n: facillimc lbparabilis . 3%. Sed tu magis lortallie ares fcirc , cur in qui- ‘uuldam ex pollrcmo allatis _peripncumoni:e hilloriis nonnulla plcuritidis indicia lucrinr, ut in priorc ‘Iu. Mile pungcns dolor , in Sen: aurem dc quo anrc ipllim proximc lcriprrrm ell , pullus durus ? Primum ilnur, quod ad pungentcm dolorem attinct , lic hahen, qui iutcr Rcccntiores doéle nrquc ingeniofe m were pleuritidis lcdc lletcrunt ,> vel ipl‘os non unum modum ultro agnolccre , &p1'olcrre, quo, loll§rulmoniblls inllamrnatis , molellus dolor , arque frlimacutus pcrcipi qucat: coldemque minimc dilii< fm',pleuriridcm, ablolute loqucndo , ablque lioc dolorcacuto punélorio, vel l'alrcm levi tantum comim. "Infill: polIe: quorum omnium fac mcmincris 5 ve- racnlm fun: , 85 cum Vallalva: , uollrilque Ollurarionibus ( 71 ) videbis elle congrucnria . Quzc liQUU inter rclegcndum has Epillolas libcnrcr cogno~ "mus, ita ctiam Iibcnter vidimus , qua rations alii Piagllantilfimi Viri non dubircnt , quin pullus in Prripneumonia modo ellc polfint duri , modo aursrn molles . %amvis enim pulmonum artcrim , ll B-l‘orltluqles cxcipias , non lint , u: cmrcrx omncs , In his Intercollalcs , cum Aorta continuatm , "F Cum liac rota {uas pollint communicare irritallOnzs'; {amen irritata pulmonum val}; ea vehementia linguincm urgere in linillrum cordis vcnn'iculum rt lnc irritanls fanguincm vehementcr in Aortani F031Pcllar 3 llch(: iplam irritet , doncc ob auélcun mimmationem pulmonum comprella , «Sc imucdim 0mm rala minus veliemcntcr, minoriquc coplia Elifnfm in eum vcntriculum , & hic in Aorram lan~ im_ ":33": lquue hac minus, minulque irritata , minus C lluplilgiglisteatdqlle ‘adeo mollgs liant . Q; omnia turn Pnfllmoni h‘ 0 (711)? , "if" C pulfus durmc m peri- ‘IS ice: 3 ddc t1 1 volui commemorarc , u: qua: ex 4 Wm) 21 crc poms ad 1113 ppr qua: utrumquq in pli, tibi ,cxnluus cafum mulro luRCl'lllS ( a ) dclcri- QUE in Progolicrai? Sceonatuszum' , itemque ad. ea per m nunc ex li b ml), 9 Juvenc fingula criam alianus; jam f; Ca 19. uriucs enim pullu§ m» Sane 1c mu. ua at? cpruaginta quatuor magis lortalT Will adllcribnsem omma , quam morbo , Videri 1mm do] _ en g . 1n Juveno autcm .puugcutem 01cm ll ad validam inflammatl pulmonls 199 cum pleura connexioncm rctulcro; nonnc in rem potcro dcclararc , u: plcuram , quamvis haul inllammatam, dillralri inrclligrm, quorics dillentusjam, lcd nun omninu , ab inl'lanwnrione pulmo, inlpirato acre magis dillcnditur , & lioc ipfo omnia luperliCitl {urn punfla aliud ab alio dimovcrc, &quod Conléquitur , anncxam pleuram qrmli divcllcrc conatur l Sic l‘crmc cxpolilum vidcbis in Scpulchrcro (p ) Caluin hujus nollri limilcm. Num ergo, inqzis , pungens dolor cos omncs allicit quorum inflammarus pul- mo ad plcuram adhxrct ? Non urique omnes , quod plurcs vcl in km: Epillola ()lliL‘l'VlElOYKS ollendunt ; mm u: in carum aliqua pungcnrun l' film‘s dolorem Vallalva lbrrc oblitus lit : in wt l‘rliquis Ol)ll[UlTl Lllc, non all crcdiliile. (hid Largo cll? Aliis l'orrafl‘e minus arc‘la plcurm , & pulnwnis coziucxio 5 aliis pulmo {upcrlicicm Vcrl‘us adul) iufllnnmiriunc im- pcdirus , ac durus , u: ibi al) inloiram acre dillcndi non pulfit; aliis dwique €ch alia caula ro~ ruic , cur rcl ca polira councxionc , dolor nmcu puncns non {merit . Nam unrc lric lit , an: norl lic , aliquando caula in pruparulo cll; aliquando, ut vcrum (Mair, non ira facile occurric . Urrumquc cx proximis inrslligcrc potcris Oblbl‘\'ationi~ bus. g9. VIR annorum circitcr lcx 8c lcxaginta , cum diu catarrhalem exfpuillEt marcriam J Idenique ex l'rigidi acrls injuriis corripltur dolurc pu'igcurc finilili llircris, plurimum ruilit, f'cbricimt. Cumcl doloris ulquc principio ingcnrem {cmpcr cxpec'loralllt matcria: copiam traffic , llavm‘ , lincilquc languincis paucis dillinc‘lr , tandem l'puro Iupprcllo inrerit l'cptimo dis . I \I T H O K A C I S linillro Caro aqua cm limilis {cri vacciui 5 pulmo aurcm prrulurus 1 ad modiallinum , & pleu- rum , cullas luccingcnttm , valide adlmrebat . Eodcmqu: pafto pulmo dcxrcr mcdlallino , & pleu- rx qua diaphragma , 8‘ prxzfu‘tim qua anm-ius l'ummas collas convcllit , alligabatur 4 Ad llunc ulrimum locum latclnt in pulmonc ulcus cancro- ium , lcdes fol'rallc murbi inVctcrnti . Minor in linillro cordis vcntriculo l'uic polypola concreting in dcxtcro autcrn mulro mijor , cui cuncx‘cti In Vcnrrc anilauguiuis chia adllxrcbu . imdvcrlus nans. cll licnis color ad rubrum incli- 40. Si de {cdc antiqui morbi , Valfalmz conjeflumm mcrim probas; inrclligis l'anc , quid catarlhalis matcrim nominc regris interdum, utimm nc at Mcdicis quibuldnm , impouat. Sccl hoc in tranfitu. Hic illud porillimum attendas vclim , quo in larcrc pungcns crat dolor, in co quoquc inflamnutum pulmoncm validc ad pleuram adhazlillL‘; inllammarum , inquam; ramctli Vallalva cam out in cjullnodi mur- bo non prorlus deuill‘c , intelligirur , lpirandi dilfi~ cultarcm, non lccrrs ac in {cqucuti , in aliifque ()1)lbrvationibug l‘cbrcm omilir, cum [itulum iis, ut lluic quoquc , adlcriplillct illam De I'll/mania. 4r. MULIEREM annos natam lbxagiura prelimclic pungcns dolor in dextcra rlioracis parts , ut in lianc rubarc nullo paélo porHr . Tulli vcxarur; pauca cxlpuit: dillicilc quidcm, led non dichillimc , rclpi- rat : viribus ell omnino prollrstis . Remicrir pollen dolor , ur line ullo labors dccumbcre jam uollit in latus dcxtcrum. Std inrcrea magis in dies dclicicntc pullu, mgra quoquc deficit. THORACF. soar. to, uterquc pulmo adlrmrcns plcurz: invenirur 5 led dexrcr altrius . Hic torus , & {uperiore prrlcrrim parrc induruerat: in qua ablcclIus era: , quo in- cil'o , multum feri effluxit fulci coloris r Hoc i- plo colorc proxinu quoquc pulmonis {ubllantin inlc(‘ta crat, & lphacclo quodammodo corrcpta. Sinillcr pulmo, nun llt dcxrcr cx uno, {cd pluribus ex lobis conllans , qua dorlum fpcclabat , leviter inflammdtus , totaquc cxtima l‘uperlicic rcliqua nigris lllC illic maculis era: dillinflus . In pericardio multa aqua. ( u ) Amhro I. book 1. ch. 2 g . r a 3 um. PO( 5 ) n. 3;. gel :0. ( z n. 39. ( x ) E pifi. w. n. a) . (z ) Erin. 16‘ 11,45. (I )(uwn. n. :44 ( t ) Epifl 16. u. 17. 50. 38. 8: Epifl. {exp 25‘ :lns. ( 4 ) n. 30. (g) in Additam. obr. n. (I: ) lbid. Obi; 2l § 4 , ( i ) Vid. Epifli 4;. n 16. I. )n. u. (m) nr 33c n ) Vid- hinor. rm. 8: 12le. 11. n. 17. a: Non {our}. l p ) Sea. in; 4. in Schol. ad §. .0. obr. 20. |