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Philippine Velscr laboured under such concretions. 

 We see every year a great number of patients, in 

 whom their existence is manifest , or at least very 

 probable; others bring with them, as proofs, the 

 specimens they have collected. I remember, amongst 

 others, a patient, with an indurated liver and jaundice, 

 who, after having drunk only three days, evacuated 

 innumerable gall-stones, about the size of small and 

 large peas, with which he filled several boxes. A 

 most remarkable patient of mine, an Italian nobleman, 

 voided daily, during two months without interruption, 

 a good tea- spoonful of gravel, and numberless gall- 

 stones, of very different size. I counted once 270, 

 passed in four and twenty hours, of the usual }^ellow 

 (ginger -bread) colour, but some of them sky-blue. 

 He never felt any pain nor any derangement of health 

 from those double concretions , except an excessive 

 moral anxiety about their prodigious abundance, at- 

 tended besides with continual borborygms , attributed 

 by some to a collection of gas, by others, to a collec- 

 tion of water, in the bowels themselves, or between 

 them and the peritoneum. This patient, after having 

 drunk during two months, tried the Franzensbad wa- 

 ters, which are chalybeate and acidulous. They stopt 

 both evacuations 5 he came back to Carlsbad, where, 

 as soon as he began again to drink, both excretions 

 (sand and gall-stones) took place, as copiously as 

 before. I observed, during two seasons, this sin- 

 gular case, but the patient returned to Italy, and 

 gave no further account of himself. The sky-blue 



