. XXVII. 2. OF HEMORRHAGES. 345 



ally if any difficulty of breathing renders the efforts 

 of volition neceiTary. See Clafs I. 2. i. 3. and 

 Clafs HI. 2. i. 12. Another fpecies of pulmonary 

 confumption which feems more certainly of fcro- 

 phulous origin is defcribed in the next Section, 

 No. 2. 



I have feen two cafes of women, of about forty 

 years of age, both of whom were feized with quick 

 weak pulfe, with difficult refpiration, and who fpit 

 up by coughing much vifcid mucus mixed with dark 

 coloured blood. They had both large vibices on 

 their limbs, and petechias ; in one the feet were in 

 danger of mortification, in the other the legs were 

 cedematous. To relieve the difficult refpiration, 

 about fix ounces of blood were taken from one of 

 them, which to my furprife was fizy, like inflamed 

 blood : they had both palpitations or unequal pulfa- 

 tions of the heart. They continued four or five 

 weeks with pale and bloated countenances, and did 

 not ceafe fpitting phlegm mixed with black blood, 

 and the pulfe feldom flower than 1 30 or 135 in a 

 minute. This blood, from its dark colour, and 

 from the many vibices and petechise, feems to have 

 been venous blood ; the quieknefs of the pulfe, and 

 the irregularity of the motion of the heart, are to 

 be afcribed to debility of that part of the fyftem ; 

 as the extravafation of blood originated from the 

 defed of venous abforption. The approximation 

 of thefe two cafes to fea-fcurvy is peculiar, and 

 may allow them to be called fcorbutus pulmonalis. 

 Had thefe been younger fubjeds, and the paralyfis 

 of the veins had only affected the lungs, it is pro- 

 bable the difeafe would have been a pulmonary con- 

 fumption. 



Lafl week I faw a gentleman of Birmingham, 

 who had for ten days laboured under great palpi- 

 tation of his heart, which was fo diftinctly felt by 



the 



