C 455 1 
like cafe, tho’ the life of it has not been uncommon 
in old fprains of the joints j wherein it has oftentimes 
been found to be of Angular fervice, even when 
other remedies have been ineffectually tried. 
The fecond fpecies ofhydropsarticuli, or that where- 
in the extra vafated fluid is contained within the capfular 
ligament, may be diftinguifhed from the firft, from its 
deep fituation j from the fluctuation, which is felt upon 
patting the knee on one flde, while the other hand 
is held immoveably on the oppofite fide ; from the 
degree of pain ariflng from the diftenfion, which the 
capfular ligament fuffers, in confequence of its con- 
tents ; from the incapacity of bending the joint ; and 
from the circumftance of its being attended with no 
general complaints of body, as well as from the hid- 
den enlargement of the tumor ; upon the increafe of 
which depends the degree of uneafinefs in the part. 
This is very far from being the cafe, in that kind of 
difeafe called the fpina ventofa, which arifes origi- 
nally from the medulla and bone itfelf being difeafed j 
from whence proceed grievous pricking and throb- 
bing pains, that come on previoufly, in general, to 
any vifible enlargement of the part affected, or any 
difcoverable quantity of fluid depofited in the joint ; 
the difference of which lymptoms refulting from the 
different difeafes may be learned from the fucceed- 
ing cafe, wherein it was judged neceffary to cut more 
than once thro’ the capfular ligament, in order to 
evacuate its contain'd, extravafated fluid ; which, 
contrary to the common received opinion of Wounds 
of the ligaments being attended with certain de- 
ftrudtion to the limb, fhould always be done under 
the like bad circumflances, in reafonablc expectation 
Nnn 2 of 
