4i'l PHILOSOPHICAL TRANSACTIONS. [aNNO 1740. 



above the temples, on the left side of the head, and was living at the date of 

 this communication. She lay in again in September 1732, and in October 

 1733. These last 2 labours were the most violent, and the children had 

 both dents in the same place of the head, the last the largest, the hollow being 

 large enough to contain half a small orange ; and the 2 children were still- 

 born, but alive till the moment they came to the birth. 



In December 1733, she was seized with a fever, and violent pains across her 

 loins and back, great costiveness, pain at the neck of the bladder, and a pain 

 and heaviness about the region of the os pubis. Blood was taken away, and 

 purges, clysters, &c. were given ; notwithstanding which, she continued cos- 

 live, and the excrements that came from her were formed in a very odd figure, 

 like the leaves of the great house-leek, in strata, one on the other. And thua 

 she was for several months ; then her urine began to grow fetid, and a slimy 

 substance fell to the bottom of the pot. Her pains still continued : she found 

 no relief from any medicines, except opiates ; and these Mr. M. was obliged 

 to use but seldom, because of her costiveness. The stench of her urine in- 

 creased, and now a purulent matter was discharged in great quantity, he con- 

 cluded she had an ulcer in the bladder. Mr. Wisdom, a neighbouring sur- 

 geon, passed a catheter into the bladder, and he perceived a swelling just above 

 the groin, in the left hypochondre, which was very hard. We advised her to 

 patience and resignation, in hopes nature might point out some method for her 

 relief; and gave her no more medicines, but a soluble electuary to procure her 

 stools, which she took every night. 



After some time, the fetid purulent matter ceased from its discharge in the 

 urine, but came away through the vagina, after the manner of the whites. 

 She was quite emaciated by continual pain, and those discharges. 



In April 1735, that purulent fetid matter, discharged at the vagina, now 

 came through the anus ; she complained of a prodigious weight there, and 

 about the middle of June 1735, she had frequently very bloody stools, and 

 once a discharge of more than ilb. of fresh blood. On the 2d of July, having 

 occasion to go to the close-stool, as she sat there hard straining, but to no 

 purpose, she thought she felt a hard substance ready for expulsion, and sent 

 to her neighbours, who found a large substance hard and rugged, so much, 

 that it tore one of the women's fingers, and made it bleed, in the lower part of 

 the gut rectum, close to the sphincter ani. Mr, Wisdom, the surgeon, was 

 immediately called, who endeavoured to extract this substance, and broke 

 some part of it off ; but he was forced to dilate the rectum, and so extract it 

 that way. It was a hard unequal ragged flinty stone, was 10-^ inches round, 

 and weighed 8-l oz, after it was extracted. The woman was easy from that 



