FRANCIS' CASES OP MORBID ANATOMY, 625 



of cases observed by clinical practitioners, wherein the mind remains 

 uninfluenced by corporeal disease ; where the greatest physical disor- 

 ganization of the thoracic viscera may exist while the intellectual 

 powers preserve their integrity, and manifest their wonted vigour and 

 functions. 



II. Case of Scirrhus of the Pylorus. 



To the preceding paper I am induced to add the following particu- 

 lars of a case of scirrhus of the pylorus, to which reference has already 

 been made. Repeated observation has, indeed, abundantly proved 

 how various and perplexing are the symptoms of organic affections of 

 the stomach. The diagnostic part of medicine must, however, to some 

 ■extent, be advanced, by prosecuting inquiries which connect the signs 

 of diseased action, with those morbid changes of structure which may 

 be considered either as the cause or the effect of symptoms which 

 manifested themselves before the extinction of the living principle. 

 The present case exhibits, in a striking degree, the characteristic 

 symptoms of this incurable affection of the pylorus. See Dr. Ferriar's 

 Medical Histories and Reflections, vol. 4. and the Review of Mons. 

 ChardePs 3Ionographie des Degenerations Skirreuses de VEstomac, in 

 the Edinburgh Medical and Surgical Journal for 1812. 



J**** B*********^ j n the 49th year of his age, was of a spare 

 habit of body, particularly in the early part of his life ; was brought 

 up to the trade of a wheelwright, in the place M his nativity, New 

 England, but for a considerable time past has been engaged as a prac- 

 tical farmer in New-Jersey. For nearly ten years previous to the 

 illness of which he died, he had enjoyed a very good share of health, 



