[ 241 ] 
not promote his expectoration, which ftill continued 
vifcid. 
From a careful confideration of this difeafe I 
was of opinion, that it was confined to the lungs: 
that thefe, efpecially on the right fide, adhered to 
the pleura : that their fubftance was occupied by 
tubercles, or fomething analogous thereto, which 
greatly difturbed their fundtions. The feverifh 
heat and quick pulfe I confidered as fymptomatic 
of, and occafioned by, his extremely laborious re- 
fpiration. 
As I was very defrrous of feeing the date of his 
lungs after death, my requeft to fatisfy myfelf was 
compliea with ; and this examination was fufficiently 
convincing, that toe difeafe v/as of too fevere a kind 
to admit of a cure. 
Upon lifting up the _ fternum, the lungs were 
enormoufly did; ended with air, which no preffure 
could force back through the windpipe. This air 
was ext iava fate, had burfl through the extremities 
of the bronchia and vehicular fubftance, and had 
infinuated itfelf throughout the whole fubftance of 
the lungs, in which it was detained by the membrane 
invefting them. In a word, the whole fubftance of 
the lungs was in a ftate truly emphyfematous. In 
feveral parts this air had formed large bladders, which, 
though no preffure upon the furface of the lungs 
could force back, a flight incifion into them per- 
mitted to efcape, and caufed the whole lobe to 
collapfe. 
Befides this emphyfematous affedtion of the whole 
fubftance of the lungs, the pulmonary vein was in 
ah its parts diftended into numberlefs varices, many 
Vol. LIV. Ii 0 f 
