[ 344 ] 
LI V. The Cafe of a Man , whofe Heart was 
found enlarged to a very uncommon Size y 
by Mr. Richard Pultcney : Communi- 
cated by W. Watfon, M. D. R. S. S. 
17 ’ r | ^ H O. C. aged about thirty-two or 
JL thirty-three years, had the rickets 
in his infancy, and continued very weakly for feveral 
ycais aiter . In the winter of the ye ir upon 
taking cold, he was afflidled with peripneumonic and 
pleuritic fymptoms; which had fcarcely left him, 
when he was ieized in the fummer of the year 1760, 
alter gieat exercile in walking, with a fever, and very 
violent rheumatilm : this, alter affedling mod: of his 
joints, remained the longed: and mod: troublelome in 
his knees. When he was lomewhat better of his 
rheumatifm, but before the pain and lfiffnefs of his 
joints had left him, he was advifed to go into the cold 
bath : he did lo ; but, upon coming out again, in- 
ibantly felt fuch an increaled load, fainting, and an- 
xiety about the prascordia, that he thought he fhould 
fcarcely have recovered the fhock it gave him : never- 
theless, ‘he ventured in again a day or two alter ; but 
experienced the former fymptoms, in an aggravated 
degree ; and from this time dated the dilorder which 
terminated his life. A palpitation of the heart, to 
which he had been fubjedt for fome years before, be- 
came now much ftronger, and gradually increafed 
with his other complaints, to a very great degree. 
His lheumatilm continued to aftedt his bread:, and all 
his joints, particularly his knees ; efpecially, upon 
taking 
