[ W 3 
and fome Degree of Coftivenefs, only to be reliev'd 
by fupplying the want of a fufficient natural Stimulus 
of the Gall, by the artificial Stimulus of Purgatives 
and Clyfters, to affift from time to time the Expullion. 
both of the Excrements and alfo of the Flatus's, for 
the Eafe of the Patient, as was pradifed in this Cafe. 
As to the Jaundice which began to (hew itfelf four 
Months before his Death, and continued increaiing 
till the external purulent Tumour in his Side was 
open'd, when it began to decline, and quite difappear'd 
loon. after the Gall-Bladder burft. 
It is eafy to conceive, that fo long as the Gall, 
defeending from the Tori biliar //, could make its 
Way into th z Cyjlis fellea, and dilate it, there could 
be no Regurgitation of the Bile into the Blood, and 
therefore no Jaundice : But fo foon as the purulent 
Impoftem began to form itfelf in the Neighbour- 
hood and Contact of the diftended Gall-Bladder, it 
incroach'd or prefs'd upon the Cyjlis fellea , by the 
Force of a Multitude of Veflels, pouring Tus into the 
Cavity of the Impoftem, urged on by the Circulation 
of the Blood, which is more forcible in thefe Veflels 
than in thofe of the Liver : And therefore this puru- 
lent Tumour increaiing,. will very forcibly incroach 
on the Cyjlis fellea in Contad with it, and not only 
hinder its farther Diftention, but even force the Gall 
it contains to regurgitate, or return again by the Tori 
biliarii upwards, and from thence by the Capillaries 
of the Vena cava into the Blood, and fo produce the 
Jaundice j without raifing an Inflammation or Ob- 
ftrudion in the Liver itfelf, whofe Veflels and Paflages 
remain open, though the Bile take a retrograde Courfe 
in its biliary fecretory Duds* 
Bur. 
