LITMIR.BIZ

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then, does not this sufficiently prove, that where we have Cause to fear a Suppression of the Discharge, we ought to remove any Impediment that may embarass Nature in her Work, and advise a proper Method to promote the precipitating the morbific Matter? For so shall we, by joining our Forces with those of Nature, still keep her in due Course; and that when she is grown languid, and departing from her former Measures.

      You must excuse me, if I digress a little to take notice of an Observation that some Authors have made, viz. That from a dangerous Fracture of the Skull, after Death the Liver has been often found impostumated. They have been likewise very sollicitous to know which way the Matter could be conveyed to so remote a Viscus; but it would be needless for me to offer what has been said in this Case, because it seems to be evident enough, that a Part of it is reassumed by the Vessels; which, with that should have been discharged from the Mass of Blood, is by the Circulation deposited in that Part. But here we may start a considerable Problem, which is, How comes it to pass that the Morbific Matter if it’s Discharge is suppressed, is thrown upon the Liver rather than any other Part? In order to the Solution of this, we ought to consider, That the Spleen is subservient to the Liver in performing its Office, by giving the Blood a Check in it’s Progress, whereby it’s Velocity is lessened; otherwise so thick a Juice as the Bile could not be separated from it. Now the Motion of the Blood being rendered abundantly slower in this Part, it is no wonder that the Morbific Particles separate themselves from it, while the Filtration is carrying on, and by their Assemblage form an Abscess in the Part.

      You may perhaps expect, Sir, that I should make an Apology to excuse the Length of my Letter; but I assure you, the Pleasure I have taken in writing it would oblige me to make it of a larger Extent, if I did not find I should be forced to take notice of some things, which may perhaps have a Place elsewhere. I have only this to add, that if through the little time I have taken to write it in, I have in any part omitted to pay that Respect as is due to you, I shall very readily ask your Pardon. In the mean time I must own my self to be,

Your very much obliged Servant,Wm. Beckett.

      Southwark,

      Aug. 22, 1709.

OF A Wound of the Brain By a BULLETTo the Same

      IF you remember, Sir, in the History of the Child’s Case, which I have before mentioned, it was observed, that notwithstanding the violent Pressure upon the Brain, by the depressed Pieces of the fractured Skull; yet the little Patient laboured under no worse Symptom, than a Head-ach, and was in a Condition to walk about the Chamber. This was really very remarkable; but if you will be pleased to give your self the Trouble of reading the following Account, I do not question but you will meet with something much more surprizing.

      On November the 4th, 1707, it happened, that during an Engagement between a small English Vessel and a French Privateer, near Margate, one of our Men was unfortunately wounded by a Bullet, which past through the middle of the Os Frontis. The Surgeon aboard the Ship immediately enlarged the Wound, by making an Incision through the Integuments, but could not discover the Bullet; whereupon he dressed him up, and the same Day being set ashore, he was dispatched for London. On Thursday the 6th Day of the same Month, he arrived, having walked much the greater part of the way in that time, which is about 66 Miles; the same Day his Surgeon endeavoured to extract some Pieces of the Bone, which discovered themselves through that Aperture which was made by the Bullet, but without Success; for they consisted chiefly of the internal Table, which were much larger than the Hole in the external: Upon this the Wound was immediately drest up, and a second Attempt was made a Day or two after; but it proved as successless as the former. In the mean time, the Patient continued to be very hearty and well, and seemed to be no more indisposed than if he had only received a slight Wound of the Head. The opening the Skull with the Trepan was proposed, and which would probably have been put in Practice in a Day or two’s time: But on the Sabbath-Day Morning following, after he had rested well all Night, he was seized with such violent convulsive Motions as were very surprizing; during which he expired. The Body being laid on a Table to be dissected, all it’s Parts appeared so prodigiously inflated, that the Person, when a live, being one of the largest Stature, it seemed perfectly monstrous. A Puncture being made in any Part through the Integuments, there was nothing discharged but a subtile Matter or Air; immediately after which the Part subsided, though before on a Compressure of the Fingers it would receive such an Impression as is observed in Oedematous Tumours; but it would suddenly return to it’s former State. The Surface of several of the Parts appeared livid and vesicated. The Skull being opened, the Bullet dropped out of the Brain, all the Fore-part of which was corrupted, and abounded with a thick yellowish Juice, of a very offensive Smell; there were two or three very large Pieces of the inner Table of the Skull, with some smaller that were found among the lacerated Membranes, and lodged in the corrupted Brain.

      This Case is so particular, that it may not be amiss if we make some Reflections on it.

      We are very well assured, Sir, that it has been a Matter of very great Surprize to several ingenious Men, to consider how the various Operations of the Body have continued to be performed, when those Parts which were so absolutely necessary to the Well-being of the Animal, have been naturally or accidentally disordered to such a degree, as to suffer a perfect Confusion of their Parts: And of this we find Variety of Instances in those Authors, who have very obligingly applied themselves to relate the Histories of deceased morbid Bodies. But that the Brain it self, which is the very Source and Principle of all Animal Functions, should, after it has undergone such a Violation as we have observed, continue several Days without incommoding the Person in the least respect, is really very remarkable; for if we do but consider what an absolute Necessity there is for a constant Supply of Animal Spirits, to empower the Parts to perform their mechanical Actions, and at the same time reflect on the Disorder and Corruption of that Part, whose Office it was to secrete a sufficient Quantity of those Spirits, we might very reasonably expect a considerable Alteration in the whole Body. One might very well think, that from the Deficiency of Spirits that would ensue, the Parts could no longer continue to perform their Actions, but must gradually lose their Power and Spring, and at length become in a manner destitute of Motion: For we can scarce perswade our selves, that Nature in this Case is so provident as to suffer the Cerebellum and Medulla Spinalis to filtrate the Spirits in a greater Quantity, that they might supply the Exigencies of the Body.

      There still remains some considerable Phænomena to be accounted for, as the convulsive Motions, the prodigious Inflation of the Body, &c. As to the former, it may be perhaps accountable from the violent Conflict we may imagine to have happened on the mutual Engagement of the Juice that was found so plentiful in the corrupted Brain, and that which had undergone no Alteration from it’s original Purity. Add to this, that the Animal Spirits in the Nerves receiving some ill Impressions by the Accession of some of those impure Particles, could no longer sally out upon the Command of the Will to any particular Part, but must consequently so irritate the Nerves, as to cause their Extremities to contract themselves; upon which Account the Blood becomes imprisoned in the muscular Fibres, which abridging their Length by enlarging their Diameters, the Parts must necessarily suffer involuntary Contractions: At the same time those minute Capillary Extremities, which terminated in the Miliary Glands, were probably so contracted, or crispt up, as perfectly to close the Orifices of the excretory Ducts of those Glands, which are the only sudatory Pores: By this means all that vast Quantity of Matter which is usually discharged by insensible Transpiration, became imprisoned underneath the Integuments of the Body, and so distended all its Parts to such a prodigious Degree, as was observed. This Constipation of the excretory Ducts, and crisping up of the Extremities of the Nerves, might likewise have a considerable Effect on the small Branches of the Arteries and Veins which accompanied them; for by this means the Blood they contained might be obliged to stagnate in the Glands, which must occasion an Enlargement of the Diameters of those minute Vessels; and so the livid Colour which was extended on several Parts might be probably procured: Besides this, the Blood being in such a comprest State, some of its more fluid Parts might be exprest from it, which lodging underneath the Cuticula, might make the Parts appear to be vesicated; there is nothing more certain, than that Animal Bodies perspire after Death; or that the perspirable Matter continues to pass off as long as

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