68 ACCOUNT of a DISfEMPER 



glands had greatly increafed, were inflamed, and the patient 

 had much fever. On the morning of the fourth day, the 

 fwellings were very much enlarged, and the tefticles began to 

 be affeded with pain ; on the evening of that day, the right 

 one fwelled. On the fifth day, both tefticles were much tume- 

 fied ; but the right one was by far the moft fo, and foon became 

 twice the fize of the other ; and the falivary glands were found to 

 be very confiderably diminifhed. On the day following this, the 

 tefticles were found leftened in fize, and the patient was become 

 reftlefs, delirious, with much fever, and had pafTed a very bad 

 night ; yet the tefticles did not fpeedily, nor altogether, fubfide 

 after the delirium began. Large blifters, nervous, ^c. medi- 

 cines, with ftri6l confinement in bed, agreeable to the mode of 

 cure before mentioned, foon relieved this patient ; the tefticles 

 fwelled again, the delirium .left him, the fever went off, and 

 the difeafe gradually ceafed. The moft remarkable circum- 

 ftance attending this cafe was, that the right tefticle, which 

 was twice the magnitude of the other, and was the firft attack- 

 ed, was found, after the tumors in both had fubfided, and the 

 difeafe was at an end, to be reduced to almofthalf its natural di- 

 menfions, and kept gradually wafting, till at length a mere 

 empty bag, confifting of the coats, only remained. The glan- 

 dular body of the tefticle has been long gone ; neither is the 

 epididymis at this time (April 1789) to be felt; the empty tu- 

 nics are moftly flaccid, but fometimes they contraft into a 

 flattened body of an oblong fliape, fomewhat like an almond. 

 This body is very tender, and gives pain when inadvertently 

 preflTed, or touched with roughnefs ; which pain ftrikes in the 

 inftant up the fpermatic chord to the loins, and is exquifite for 

 a few feconds. This, however, feldom happens, as he is particu- 

 larly careful to defend this very fenfible and irritable part from 

 injury ; the fpermatic chord is contracted and feels hard to the 

 touch ; but this alfo is extremely fenfible. From all which 



circumftances, 



1 



