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Show Off/Fr particular Distribution (y'tbc itbsm'beizf Vessels canlnthc cancerof the Ina/7mm, perhaps more Commonly found than the 1e cells of the gland, cer of the testicles in men, the poison is generated in tl s carry it from these or in the inn"; the external absorbents may sometime nipple and'the asilla; Cells, to the intermediate glands described between the the more t'oimnonly they carry it to the glands in the axilla; but in time-all Siibclavian are glands between the. nipple and the angle of the jugular and a year or infected. The poison remains in the cells of the mamma, perhaps a year two, before it infects any gland in the axilla. After this, it may remain ion, or two longer in the cells of those glands before it enters the constitut I saw system.the entered has it before y kills, frequentl it ndecd lLills,--i and it lately ltill, in an open cancer, from repeated htemorrhage alone; it often kills by inducing mortilication in the breast previous to its becoming an open cancer; it sometimes wears out by pain; sometimes drains to death hunt the discharges, after it has become open. \‘l'hy the poison should remain so long in the cells of the mamma before it infects the. glands is tlll‘l‘lctllt to st ' ; whv it should remain solong in thc cells of the glands, is as difficult to say ; the venereal poison has been known to lie long in the cells of an absorbent gland, out of the reach of mercury, and as it appeared, has re- cvnlamina‘ted the sysitm, \tithout any fresh infection from without. hfi‘. Iz'nier mentions a case of this kind. The variolons matter remains eight tlz-vs in the t‘tlliilar membrane, after inoculation, before it infects the st :itm‘. l have known it, when its agency has been prevented by the pre- st-ncc of another specific infectious matter, remain a month, as I formerly mentioned, lefort' it infected the svstem; and the poison of the mad dog commonly lies live or six weeks in the cells of the cellular membrane l)tft)t't‘ it infects the system: probably this is effected, either by the im- mediate action of some other infection preventing their action, or from these infections matters inducing at first the adhesive inflammation in the. t't‘ll.~ of the cellular membrane, or schirrns, in the cells of the glands, (lur- ing \xhieh states, the ollice of the absmbent v 'scls is prevented in the in HM dgflerent Part5 rftbe Body, 2i3 * dropsy, instead of refusing or being unable to take them u _ p sa 5 "that " in1 gonorrhoea, the discharge ls occasio ned from excoriat ) ion y j of the u gands of the urethra, (amongs . t which he reckons the proud/e) these u throw out the pmson ; but if the discharge is stopped, and the mouths of u the glands scaled up byastringents, balsamics,&c. the poison is conveyed " by certain ducts to the inguinal glands, and there detained and accumu:‘ latcd." And on this preconceived notion he founded his practice; that is, encouraged suppuration and a discharge, to discharge the poison ~ or he cut out the glands, or destroyed them by caustic-His words are "‘ if " the glands will not come to stippuration, I always, if the patient will admit " n f it, divide the largest ofthe inguinal glands into the body of it, and with ‘ spatula, film out their insides, or destroy A my‘ finger, or them with escha- rotics;-tl'ils I take to be the easiest, the Safest, and most expeditious method towards a cure." Every anatomist must know, that what Mr. flrckc calls turning out theirinsidc,was turning out the entire gland; Chancres n :1 a :(1) must ha\ c been included in his excoriatcd glands. Dr. Hunter saw this, an acknowledges, that though he taught the lymphatics were absorbents, as early as 17.16, yet it was not till the publication of Mr. 1"i‘cke's book, in 1748, that he thought of the argument of the absorption of poisons, 2 ‘ thatwhen a poison was passing into the system, the lymphatic glands nearest the infected part were almost always inflamed-lie said he caught the hint from reading the passage I have now quoted. Dr. Hunter perceived im- mediately that l‘reke's " curtain ducts," were .tzlgrii‘ioui'ly ilHt/g‘illl'd, and could be no other than the lymphatic vessels. It is fortunate in these dreadful diseases that the poison lies so long in the first infected parts, lJC- cause it gives time for removing the diseased parts, and this saves the patient's life. This, however, is not always to he depended on, and therefore as soon as cancerous matter, or the poison ofthe mad dog, have shewn them- selves, I recommend immediate removal of the parts; for though commonly pairs ; but as the infectious matter comes more into action, the parts go into actiu- inflammation, suppuraiion, ulceration, and of course a more active there is time to deliberate, and room for delay, there have been instances to the contrary, and therefore innnediate excision is the best and safest prac- tice: sometimes, if the glands in the axilla are cut out with the diseased absorption must take place. Mr, li‘reke, in his Art of Healing, though totally nizacmiainted \titli the absorbents, (for he makes the ducts of the mamma, the patient maybe sa\ ed, but this is always doubtful,- whilst on the glands, as he calls Lllt'lll, pour out fluids into the cellular membrane in dropsy, other hand, I have not lost one patient, who submitted to the operation before "" ' it" Wldwgl iliittl '" |