FRANCIS' CASES OF MORBID ANATOMY. 531 



internally, these tubera closely approximated, and seemed to be 

 adhering to each other : the largest of the inner tubera that we noticed, 

 was three and a half inches in diameter, and upon their being dissever- 

 ed by the knife, a very small quantity of an opake white fluid exuded 

 from them. Upon making various sections, the substance of the liver 

 between these tubera was always found to be less vascular, and its 

 cohesive powers more feeble than natural. 



It deserves to be stated, that, notwithstanding the enlarged and dis- 

 eased condition of the hepatic organ, the gall bladder was half full of 

 well-formed bile ; that there was no effusion of water in the cavity of 

 the abdomen, and that at no time, during a long illness, did the patient 

 labour under jaundice. 



" I believe," says Dr. Baillie, " that the large white tubercle is not 

 so often attended with jaundice and ascites as the other." 



I shall briefly relate the principal circumstances that seem to throw 

 light on the nature of the preceding case, so far as it has been practica- 

 ble to obtain an accurate knowledge of them. 



The patient, from her infancy, uniformly possessed great feebleness 

 of constitution, and for the last twenty years of her life was seldom 

 exempt from disease. She was the mother of several living children. 

 The complaint from which she suffered most severely, was an extreme 

 debility of the digestive organs, which caused her to be at all times 

 cautious in the choice of food ; and to depend for alimentary support 

 chiefly upon plain broths and milk. She was never in any degree 

 addicted to the use of spirituous or malted liquors. 



The symptoms which distinguished the irritable state of her stomach, 

 were similar to those already mentioned in case the second, though it 

 was only for the last two years that she suffered most remarkably on 

 that account. She often complained of nausea, and frequently ejected 

 her food soon after a meal. Her distress when lying down at night was 



