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Show 152 Of flit particular Distribution (f 1170 Absorlwtt/ Vessels THE ABSORBENTS OF THE PENIS. set. These likewise may be divided into a superficial and deep-seated in we (fife/wit Par/s (f fltt' Bur/y 153 pens when bougies have been introduced, with a view [0 the cure of a stricture in the urethra. THE ABSORBENTS one The superficial absorbents arise from the prepuce, in three divisions; a in the middle, on the superior side. Those from the under side make semicircular turn, from the under to the upper side of the penis; whilst that on the superior part of the prepuce runs on the middle of the dorsum penis, exactly in the direction of the symphysis pubis. At a little distance from the symphysis, the three divisions unite into one common trunk, which almost immediately separates again into two. One of these trunks goes to the right groin, accompanies those veins which go to the inguinal vein, and terminates near it in those inguinal glands which are nearest the symphysis pubis. The other trunk goes to the left groin, and terminates It is from this circumstance, exactly in the same manner as the former. that when venereal matter is absorbed from a chancre on the prepuce, red lines are sometimes seen running on the body of the penis, and terminating in the groin: these are the absorbent vessels inflamed by the irritation of the poison. This inflammation seldom lasts above other times they put on the appearance, and have the these also go oiT in a few days. At other times the flame, and form induratious, but also suppurate in form what has been called buboes of the penis. The a day or two. At feel of small cords: vessels not only indifferent places, and deep-seated ones ac- or THE EXTERNAL Pitars or CLNiillA'l‘ION IN wontv The absorbents from the clitoris, and beginning of the vagina, also form two diyisions; one of these, as in the male, goes to the inguinal glands of each side; the other runs up with the round ligaments towards the lines of the external oblique muscles of the abdomen, anti may either pass intt:7 the glands on the inside of Paupart‘s ligament, or, blending with the absor- bents of the uterus, most probably terminate in the lumbar glands. This arrangement of these vessels will explain what we commonly see taking place, as the consequenceof chanere. in women-If the ehanere is near the meatus urinte, the red lines, which mark the inflamed absorbents, are sometimes seen running in the course of the round ligament,- and suppurations, similar to the buboes of the penis in men, also sometimes take place; but if the chancre be situated any where near the perineum, the red lines are seen running in the direction of the groin, and the buboe has the same si- tuation that it usually has in men. SOME OTHER ABSORBENTS, TERMINATING IN THE GLANDS Ol' TIIF. GROlN. company the arteries, and pass with them on the inside of the tuberosities of the ischia, or under the angle of the pubis. If the venereal virus forms a chancre on the prepuce, a buboe is frequently the consequence, in one of the glands of the groin; but if the chancre is formed on the glans penis, there is seldom a buboe in the groin, and yet the constitution is infected as certainly as in the former case. The inguinal glands sometimes inflame and suppurate merely from sympathy with the urethra, though no venereal matter be passing through them: this we see sometimes in gonorrhcas I have seen absorbents injected with quicksilver, which arose front the buttocks and posterior part of the thigh, and which, passing between the integuments and muscles of the outside of the thigh, were inserted into those inguinal glands which are nearest the spine of the ilium. The following appearances shew, that the absorbents about the verge of the anus, as well as the absorbents of the lateral part of the abdomen, are inserted in the glands of the groin. Where piles have been very much inflamed or cured without mercury; where, no symptoms of the lues venerea in suppurated, l have repeatedly seen the inguinal glands swell; and where ul- the constitution appeared afterwards. cerations have been produced in the integuments which cover the posterior The same thing frequently hap- pens X L‘doe n ‘ ft; 3.5.:- u" .(‘uhhuu __._,.‘,\$,,__ , . on the right side of the fraenum, another on the left, and the third directly |