VOL. LIX.] PHILOSOPHICAI, TRANSACTIONS. ^| 



tleman's kitchen, but was soon obliged to quit her place, and apply for relief, 

 any extraordinary motion aggravating her complaints, and occasioning violent 

 convulsions, from which she did not recover for 8 or 9 hours. When she came 

 to the infirmary, she appeared full of flesh, of a ruddy complexion, and in per- 

 fect health, excepting the following complaints. > 



She had a pain in her right side, below the false ribs, which she first felt im- 

 mediately on the removal of the pins from the oesophagus, and it continued to 

 the time of her admission at the hospital, but was most violent when she moved 

 the trunk, of her body forwards round towards the left, or lifted up her right 

 arm. At her admission, and from the time of the removal of the pins, the 

 hoarseness she was troubled with soon after the pins first stuck in her throat 

 continued; she often spit up blood, and had a violent cough, by which, as well 

 as by labour, or any excess of motion, the pain in her side being greatly aggra- 

 vated, she was obliged to sit or fall down immediately, and could not recover 

 herself, so as to be able to stand, in less than an hour. In these paroxysms she 

 had always a pain in her head, was sick at stomach, and frequently brought up 

 blood. While she was in the infirmary, the violence of the pain 3 times occa- 

 sioned convulsion fits, by which the musculus rectus superior of the right eye 

 was so violently affected, that, notwithstanding the eye was open, yet the pupil 

 was entirely covered by the eye-lid; and, after one of these fits, continued so 

 for a fortnight. The left eye was also inverted in the same manner, but the 

 constriction was removed in a week. When these spasmodic affections left her, 

 she flid not recover her eye-sight for some days, the optic nerve being probably 

 oppressed; but the left eye always recovered sooner than the right, being never 

 so strongly convulsed. None of the other muscles appeared to be affected, ex- 

 cept in the paroxysms. 



While the pins were in the cesophagus, the surgeon was utterly at a loss where 

 to direct his instruments, as there was no certain indication where the pins were 

 lodged. And the physician's practice could be only palliative, using bleeding, 

 with anodyne and lubricating medicines, according as the various symptoms oc- 

 casionally required. In this manner things went on to the beginning of August, 

 when a small painful tumour, the size of a man's thumb, appeared on the right 

 shoulder, which disappeared in the compass of a week without coming to suppu- 

 ration. Afterwards such another small tumour appeared on the left shoulder, 

 which increased, and, by the care of Mr. Crump, the attending surgeon, was 

 brought to suppuration, and opened by him, August 20, when a large table 

 spoonful of matter was discharged. On removing the dressings the next day, a 

 larger quantity of matter flowed out, and with it issued one of the pins. Mr. 

 Crump then examined with his probe if he could find either of the others, but 

 could not: however, the day following, the other 2 pins were also discharged at 



