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Show Description (f the Situation and Number (J 1/23 Glands of tbe ABSORBENTS. THE INGUINAL GLANDS. THE EXTERNAL ILIAC GLANDS. The glands of the groin are of an uncertain number, from eight, ten, or twelve, to twenty or more. Haller makes them only four. ." Illas cum plures esse credidissem, accuratius numerans, quatuor invent; Ioeto faciebatVVhartonus." They are situated, principally, above the fascra of the thigh, though several of them lie under it. These last are placed on These also are of an uncertain number, from six to eight or ten, or even more, and are situated both above and below the external iliac artery and vein: " A magnis vasis, ezedem (glandulx) cum eorum iliacis ramis eognomines, ad femora tendunt." Though the venereal poison must pass through these glands, in its way to the blood, I know of no instance of their ever Sometimes the iliacus internus muscle, between the triceps and sartorius. several of these glands are collected into one large one, which lies on the forming buboes; and it is very fortunate they do not; for if these, like the inguinal glands, suppurated, they could not be opened by the lancet, they upper side of the inguinal artery. Those which are nearest the symphysts pubis belong to the absorbents of the parts of generation in both sexes, and become, in the venereal disease, the seat of buboes. In some obstinate must be left to themselves-might burst,- the pits might fall into the cavity of the abdomen,- might produce peritoneal inflammation, and might probably destroy the patient. It is very difficult to assign any reason for this, venereal ulcerations of these glands, the coats of the subjacent inguinal as cancerous matter not only alTeets the first glands it enters, but all the artery have been so eroded, that from straining the artery has burst, and the patient instantly expired. A case of this kind was related by Dr. Hunter, which happened in a soldier of the guards-Those on the outside of these last-mentioned are more apt to inflame and enlarge, from serophulous or other sores on the inside or top of the foot, from sores on the in- side of the knee, or any where in the course of the saphena major. They may swell from sores any where on the inside or fore part of the leg and thigh. I have known them swell from wounds of the buttocks, and even from the inflamed and bleeding piles about the verge of the anus. When plaistcrs, producing ulcers in the integuments, have been applied to the skin, near the spine of the ilium, I have also repeatedly seen these glands swell. They sometimes inflame and suppurate, from sympathy with an inflamed testicle. Haller and Nuek make these glands extend sometimes to the middle of the sartorius muscle: " Aliquousque eum magnis vasorum truncis ad medium fete sartorium descendant, aquo musculo, sartnrim‘umnomen, Nuckius sumsit, ab arteria, veto, crnrales dixit." I have seldom seen any glands between the popliteal and inguinal glands, neither with the eu- taneous nor deep-seated lymphatics. glands that lie between the sore and the thoracic duct. Some have assign- ed, as a reason for the venereal virus not arlectitig the second glands as well as the first, that the poison was diluted by being mixed with the lymph in the first gland. This is by no means satisfactory; since, even after it has been mixed with the whole mass of blood, it is capable of producing ulcers in the throat, blotches on the whole surface of the body, and caries in the bones. The diluting of the semen to an immEIIsc degree in water, did not diminish in the least its impregnating powers in the experiments of Spalan- zani. Perpaps the internal glands are less irritable to the venereal poison than the more external, (as all the glands of the body are less irritable to mercury than those of the morttln) or, the first gland inllaming, may prevent the neiglrbouring glands from inflaming, upon the principle that two inllatnmations seldom exist near one another, the first preventing all others; or, the greater destroying the lesser, ifit had begun in a slight degree. THE INTERNAL ILIAC GLANDS. These also have been noticed by Haller.--Speaking of the former class, or external iliac glands, he says, " Ab e0 agminc alter fasciculus in pclvim descendit Cum vena hypogastrica ramoque cjus obturatorio." Their number "'*"IW‘v»_-»mxiw Mum |