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Show (y‘flic Glands {if i/Jc Ansonisrx-rs. 143 the cardiac glands, and always diseased and enlarged in pulmonary con- and render the lungs at last one solid mass, like a schirrous liver. sumptions: they sometimes contain a black fluid, their internal substance and then seems broke down and dissolved, so that they feel soft and pulpy, remain often indolent, even for years, and are marked by a dry cough, and occasionally, small spittings of blood; they sometimes kill in their when cut into, resemble so many bags of ink; at other times, they are full of ossifications, which sometimes by ulceration, make their way into the trachea, and bits of bone have been coughed up from the lungs, where na- turally there is nothing bony: bits of bone, however, may be coughed up advanced state, by depriving the patient of the full advantage of respiration and other circumstances connected with it. Sometimes they melt down into common pus, and then ulceration of the lungs takes place, with copious purulent bloody expeetoration, from which, perhaps, no patient from the lungs from other causes. Dr. Hunter related a case, and showed the basis of the cricoid cartilage, which ossifying first, and then dying, from some unknown cause, exfoliated, and was coughed up; the patient, for ever recovers. I have known, however, a patient survive the destruction of the whole of the left lobe of his lungs for some months, the other lobe, by which only he could breathe, remaining tolerably sound. I once saw the some months before, spit blood and pus, in greater or smaller quantities, lungs, the liver, spleen, the great and small intestines, beset with tubercles, in a child, who (lied, six weeks after inoculation: the child was quite well at the time ofthe inoculation, but soon began to droop. I saw also in the and was supposed to be. in a consumption, but on coughing up the bone, he recovered: some glands are also continued from these, on the fore part of the trachea, all the way to the upper edge of the sternum. I once knew an instance of these glands becoming schirrous, and forming a con- siderable mass, which being prevented by the sternum from pushing for-wards, pressed backwards upon the trachea, and compressed it in such a manner, that its cavity was gradually obliterating. The man was for some time incapable of the least exertion or motion, without running immediate risk of sudocation; and actually died one morning suddenly, as be was putting on his cloaths. Tubcrelcs of the lungs, are, by some, supposed to be indurations of the absorbent glands; by others, to be indurations of the simple glands or fol- licles, but they are totally distinct. from either. There are very seldom any lymphatic glands within the substance of the lungs, and when I have They dead body, at the same time, most of the absorbent glands in a state of scrophulous induration; whether any disease was communicated along with the small pox, or that the action of the variolous infection roused some latent disposition already in the child, and brought it into action, I do not know. (ESOPIIAGEAL GLANDS. These surround the oesophagus externally, through its whole length, from ten, twenty, to forty in number, but admit in this respect of great variety in different bodies. Vcsalius describes one very large, about the found them, they extended a little way only, and always adhered to the middle, which be supposed poured its fluid into the cesophagus, instead of receiving it from it. we easily forgive this fault in so great a man, outside of the large branches of the trachea. Tuber les of the lungs are )phulous absccs es in the cellular membrane at first, and afterwards little. Haller, form strictures of the oesophagus, by pressing its opposite sides in the air-cells of the lungs; this pus is not lluid, like common pus, but firmly against each other: he says he has cured these indurations by quick- at such a period. These glands enlarge and indurate, and, according to hard, and resembling particles of cheese. When first deposited, it is trans- silver, camphor, and aloes, rubbed down, and even by the oleum tartari parent, and the vessels which depositc it, resemble the vessels which forms diluted with water:-" Curavi autem eos aegros argento vivo Cum campho- i'a et aloe composite ut per alvum pituita sanguine tincta dccederet; alium Specks or opacittes on the tunica conjunctiva of a scrophulously inflamed Lye. These tubercles gradually become opaque, spread over the substance ctiam nuper oleo tartari per deliquium in multo aqua data." or the lungs, and though separate at llht, gradually run into one another, and INTER~ y"‘l-r-'Wri~euwrr~o -. (c ,4;- - 5»:fist 4:" syn. 1 {Q a: - 4 Description (If lbc Situation and Nmnbcr ~33; 142 |