608 PHILOSOPHICAL TRANSACTIONS. [aNNO 1742. 



the left side than the right ; a fluctuation of water or matter among the abdo- 

 minal muscles, and the peritonaeum very hard under it : the right side was full, 

 and softer. She had no appetite, little sleep, a small cough, a little jthirst 

 slight fever, and much pain. He ordered her some laxative, aperient, attenu- 

 ating, diuretic pills, with an antihydropic stomachic mixture, the country air, 

 and daily moderate riding. She pursued this method a few weeks with some 

 advantage, but not so much as she expected and desired. She then took the 

 advice of another physician, to no better purpose. In April he was consulted 

 again by her. Her flesh was now much shrunk, the belly fuller, pulse quicker, 

 pain the same, urine scanty but pale, appetite languid. He prescribed other 

 things to the same purpose as above, but with no better success. In June he 

 put her on drinking Nevil-Holt water (which last year had cured three of 

 dropsies, which were all that had used it for that purpose) and riding. On this 

 she made water freely, slept tolerably well, had a better appetite, less pain, 

 and was much more chearful ; but the swelling of the belly was still the same. 

 Always on turning in bed, she heard and felt a jolting and fluctuating of water 

 in the belly : this put her on being tapped, not doubting but she would recover 

 then. Next day he was sent for to see the water drawn off^, July 23, but to 

 his surprize, on the perforation, between 3 and 4 pints of very thick, ropy 

 mixed matter came away ; some was matter, some a thick white slime, but the 

 greatest part was a thick reddish-brown liquor, like liver mashed with a little 

 water : it could not get through the canula, without often clearing it with a 

 goose-quill. After this came near 6 pints of clear water or serum, as in a 

 dropsy. She seemed much easier then, and all the afternoon and night ; next 

 forenoon not so easy, though she came down stairs to dinner. Quickly after 

 it, she was most severely and violently seized with such excruciating pain all 

 down the left side to the foot, as threw her into the most profuse sweat, often 

 fainting, vomiting, &c. At 4 o'clock, she wholly lost both sense and mo- 

 tion of that thigh and leg; at 5 she was insensible, and at 6 she died, July 24 th. 

 Next day the body was opened, when a monstrous tumour on the left side 

 of the belly showed itself, and a large bag of water on the right side appeared, 

 which two filled the whole cavity. The abdominal muscles on the left side were 

 very large, flabby, bloated, and a livid pale. The peritonaeum uncommonly 

 hard, thick, and scirrhous ; the liver and spleen both much emaciated ; the 

 first not above 2lb. the last about 2 or 3 oz. ; the stomach and intestines, from 

 the cardia to the anus, full of small, hard, white, scirrhous knots, like small 

 peas, or hail stones; the intestines of a dusky yellow colour: the remains of 

 the omentum were mortified : the kidneys were sound : the pancreas very small 

 and yellow. The tumor on the left side, which was the ovarium, being cut 



