VOL. XLII.] PHILOSOPHICAL TRANSACTIONS. 621 



a salivation) were of no use, the disorder was deemed incurable, and was ac- 

 cordingly left to itself. Dr. S. asks, whether the hemorrhage might not be 

 owing to a ruptured blood-vessel, from an ulcer in the prostate, or in one of 

 the vesiculae seminales ? 



In the 5th observation, an account is given of an abscess in the hip-joint, 

 with a separation of the head of the os femoris. This happened in a girl 

 1 4 years of age. The hip-joint swelled, suppurated, and burst. The aperture 

 was dilated by the surgeon, who extracted the whole head of the os femoris ; 

 after which he introduced into the cavity of the abscess tincture of myrrh, and 

 the fuscum ung. fel. W. applying a tight bandage, and seldom removing the 

 dressings. In the course of d weeks it healed up, so that the girl could walk 

 easily, but not without limping. 



The 6th observation gives an account of a spurious aneurism, without pul 

 sation, containing liquid blood. This occurred in the right arm of a woman, 

 and was consequent to phlebotomy, which had been performed in that arm a 

 year before. At the time when Dr. S. saw the patient, the arm was exceed- 

 ingly inflamed, and so much swelled as to measure 32 inches in circumference. 

 The tumour extended from the lower part of the shoulder almost to the 

 wrist. On the inside there appeared a small ulcer in a gangrenous state, 

 which showed that the tumour was ready to burst : it felt like a bladder 

 distended with water or other fluid, was without pulsation, and was so dense 

 as not to yield in the least to pressure. It was scarcely possible to feel any pul- 

 sation at the wrist. Some were of opinion that this enlargement of the arm 

 was occasioned by a steatomatous tumour (fungus adiposus) ; but Dr. S. and 

 others who were assembled in consultation, suspected it to be a spurious 

 aneurism. A roller was wrapped round the whole arm ; and it was agreed to 

 wait for the breaking of the tumour, which happened 3 days after ; when on 

 taking off the roller, there instantly spirted forth more than a pint (lib.) of 

 blood. The hemorrhage was stopped by the application of the fungus bovist. 

 and proper bandages. Two hours afterwards it was determined, in consulta- 

 tion, either to amputate the arm, or to take up the artery. The last of these 

 measures being preferred, a tourniquet was applied, and an incision made in 

 the sound part above the aneurism, and nearly in the middle of the arm, 

 through the integuments and belly of the biceps muscle, and a needle and 

 thread were passed under the artery, which was thus secured by ligature. The 

 aneurism was then laid open from top to bottom, whereupon there flowed out 

 a vast quantity of liquid blood, amounting to as much as 4lb. No arterial sac 

 was discovered, as in the case of a true aneurism, nor any polypus or coagu- 

 lated blood, as in the case of a spurious aneurism; but a cavity of a very dif- 



