[ 13 ] 
was difcharged from the infirmary (which hap- 
pened September the fourth), I compared her (boul- 
der with Cowper’s Anatomical Tables on the Muf- 
cles; and, as near as I can guefs, the wound was up- 
on the flefhy belly of the trapejius. And yet the 
pain in the patient’s fide attended her as long as the 
pins remained in the wound, but left her foon after 
they were difcharged, as did alfo her cough, and 
fpitting of blood. Being obliged to lead a fedentary 
life in the infirmary, and to keep herfelf as quiet as 
pofTible, her catamenia left her ; but her fpitting of 
blood could not be attributed to that defedf, becaufe 
fl:ie was very regular before her admiffion, and yet 
(lie had fpit blood from the time the pins were re- 
moved from the cefophagns^ which was fome months 
before (lie came to the infirmary. 
It would be matter of confiderable fatisfadlion, 
could the exadt courfe be afcertained which was 
taken by thefe pins, in their paffage from the cefo- 
phagm to their exit at the left (lioulder. From the 
cough and fpitting of blood one fhould fuppofe that 
the lungs were injured by them. From the pain un- 
der the falfe ribs, it may be imagined that the dia- 
phragm was aftedled. And yet from their being , 
difcharged at the fhoulder it may be prefumed, that 
neither of thefe parts were ever wounded ; but that 
the pins, being forced through the fubftance of the 
csjbphagus into the mufcles of the neck and flioulder, 
paffed thence to the part whence they were dif- 
charged. 
The firfi: fymptom obfervable upon the removal of 
thefe pins from the paffage of the cefophagm was, 
that the patient immediately felt a pain in her rigbe 
:>. » - fide,. 
