2l6 PHILOSOPHICAL TRANSACTIONS. [aNNO 1751. 



further trials till after the suppuration was well formed, which he expected about 

 the 8th or gth day. 



He revisited the patient on the 7th, and found her a little feverish, but she 

 had a good night's rest. There was a small discharge through the canula of tole- 

 rably white pus, but of an intolerable smell. The canula seemed to be much 

 clogged with sloughs; and the stench made them suspect a collection and lodg- 

 ment of these sloughs behind the canula. They resolved to put in the canula 

 above described ; and as there was a necessity of dilating, in order to introduce 

 it ; they agreed to take the advantage of this dilatation, to try to discover by the 

 crooked forceps, which he had brought with him, if there miglit not be a stone 

 to be extracted, or at least some more of these excrescences, and to break or 

 bruise such as they should not be able to draw out, that they might fall off by 

 suppuration. 



He execuied this trial on the 8th day. The dilatation was made between 2 

 grooved sounds, as it is done in the greater apparatus between the male and fe- 

 male conductors. He found no stone as yet, but brought away clusters of the tops 

 of funguses. He crushed the rest of the excrescences, and placed the large canula. 

 Experience had shown him that this bruising of the funguses of the bladder is 

 more painful and dangerous than can be imagined. They are far from being of 

 the same nature with the polypus of the nose, which is pulled out with little or 

 no pain, arid without any bad consequence. The funguses of the bladder have 

 more consistence, more solidity, and for that reason more sensibility. Accord- 

 ingly, after this last operation, the patient was seized with a violent fever, which 

 carried her off in 2 days. He opened her body, and found the bladder in the 

 condition represented by the figures, and their explanation. 



This observation made him think, that if he should meet with a parallel case, that 

 is, a patient with fungous excrescences in the bladder, distinctly characterised, and 

 accompanied with pains and excessive haemorrhages, which render the palliative 

 cure useless and unsuccessful : and if he had a constitution and courage proper 

 to make him hope for success from a great operation ; he would find a way to 

 attack the excrescences with a cutting instrument, the operations of which are 

 much surer and less painful than any other method. Practitioners advise to sup- 

 purate such of these excrescences, as the fingers cannot reach, that is, those 

 which can neither be tied nor cut. But how can one bring such sensible parts 

 to suppuration ? We have no ointment that can raise a suppuration in a sound 

 part. Funguses are a sort of vegetation, which, though preternatural, are still 

 living, and, in some measure, sound parts : how then are they to be disposed to 

 suppurate ? It must be either by pulling them out, or by crushing them, as he 

 had done. But seeing this operation is dangerous, an instrument should be 

 contrived, which might be conveyed to the bottom of the bladder, like the for- 



