[ 54 * ] 
file began to ficken, and inflantly after vomited up a 
vaft quantity of bilious matter j which now, from 
the de-obftrudted duft, began to flow freely into the 
duodenum. The obftru&ion of the dndlus ckoledo- 
chus was of too fhort a duration (only three hours) 
to occaflon any obfervable jaundice. And it appears 
by the bloody flefli-like knots, thrown, up with 
phlegm by vomiting, that the paflage of the fub- 
flance was not effected without conflderable lacera- 
tion of the fmall bilious dudts. And this eafily 
accounts for the reparation of the villous coat, which 
afterwards appeared in this patient’s ftools. 
2. In February 1752. I was Called to relieve a 
poor woman of this place, Sarah Ewdall, aged 30 
years and upwards, and the mother of feverai chil- 
dren. She laboured under the jaundice, and com- 
plained of a fevere acute pain ftriking thro’ from the 
right hypochondrium to her back, with frequent vo- 
mitings. A preternatural hardnefs, of a coinpafs 
not exceeding the hollow of the hand, was then 
plainly to be felt at the pit of the flomach, or a little 
nearer to the right hypochondrium. When that par- 
ticular part was prefled, fhe complained of great 
pain. The pain at this part was always increafed 
by attempting to lie upon the left fide. She was 
This coarfe delineation re^* 
prefents the figure and true 
bulk of the calculus $ which, 
I believe, is flill in my pa- 
tient’s cuflody.. 
blooded, 
