VOL, XLVI.] PHILOSOPHICAL TRANSACTIONS. SQ 



A Catalogue of the Fifty Plants from Chelsea Garden, presented to the Royal 

 Society, by the Worshipful Company of Apothecaries for the Year\TA<^, Pur- 

 stiant to the Direction of Sir Hans Shane, Bart. ^c. N° 495, p. 403. 



[This is the 28th presentation of this kind, completing to the number of 1400 

 different plants.] .. 



The Case of a Young Lady who had an Extraordinary Impostume formed in her 

 Stomach. By Daniel Peter Layard, M. D., F. R. S. N° 495, p. 406. 



A young lady of 17 being at a boarding school about 3 miles from this city, 

 was, on the 28th of November 1745, taken with profuse sweats, which, after 

 some continuance, and weakening her much, were stopped by means of saline 

 draughts, made with elixir vitrioli. On the removal of those sweats, an ob- 

 struction of the menses, with all its symptoms, ensued. A shortness of breath, 

 a dry cough, an acute pain in the left hypochondrium, rigors, &c. were taken for 

 the signs of a peripneumonia ; and the medicines usually prescribed having no 

 effect, a blister was applied on the left hypochondrium. The foetids, and musk, 

 as in a nervous case, were also administered in large quantities, but with ;^s 

 little success. p 



It being thought adviseable to bring the young lady to town. Dr. L. first saw 

 her on the 12th of Feb. 1743-6, when he observed a large prominent tumor on 

 the left hypochondrium, which reached to part of the right, filling up the epi- 

 gastrium and scrobiculus cordis, where she complained of a constant acute 

 pain. The muscles of the larynx, pharynx, and neck, were much swelled, and 

 the glands indurated. The other symptoms were a continual quick pulse, thirst, 

 hoarse cough, difficulty of breathing, cardialgia, and obstruction in the oeso- 

 phagus, so that, as soon as any liquid " fell down," as she expressed it, " to the 

 pit of her stomach," she instantly threw it up with violent pain, borborigmi, 

 eructations, and singultus. 



On the 14th, finding the symptoms increase, especially the obstruction in the 

 oesophagus, and apprehending that an abscess was forming in the stomach, he 

 desired Dr. Mead should be called in, who confirmed Dr. L.'s opinion. In order 

 to assuage the inflammation, a cooling mucilaginous mixture, &c. were pre- 

 scribed, as also a laxative glyster. Next day being told that not a drop of the 

 mixtures could be admitted into the stomach. Dr. Mead took his leave, advising 

 the repetition of the glyster every 3 or 4 days, as necessity might require, and 

 that nature should be watched, in case of a favourable turn, which he did not 

 much expect, having observed, that those abscesses more frequently terminate 

 in a gangrene than by suppuration. ^. 



On the 16th the glyster brought away with the faeces some pieces of mem- 



