33(5 
PATHOLOGY. 
trailed by general or local debility. In the Ephemera 
Nat. Curiof. is the cafe of a fetus illapfing into the uterus 
after its head had been denuded, and it had moaned. 
2. Parodynia fympathetica : labour retarded or harafled 
by fympathetic derangement of fome remote organ or 
function. Three varieties. 
ci, Syncopalis; accompanied with fainting. 
/ 3 . Convulfiva ; accompanied with convuliions. 
y. Pathematica ; accompanied with great terror, ap- 
prehenfion, bafhfulnefs, or other emotion of the mind. 
See vol. xviii. p. 710. 
3. Parodynia implaftica : labour delayed or injured for 
want of plalticity, or unkindly dilatation of the foft parts. 
Three varieties. 
ci. Rigiditatis ; the delay confined to a fimple rigidity 
of the uterus or vagina. 
13 . Haemorrhagica; accompanied with hemorrhage. 
y. Lacerans; accompanied with laceration of the peri- 
nteum, or uterus. 
4. Parodynia perverfa, crofs birth: labour impeded by 
preternatural prefentation of the fetus, or its membranes. 
This fpecies is divided into feven varieties, according 
as the prefentation may be that of the face ; of the breech; 
of one or both feet; of one or both arms ; of the fhoulder; 
prolapfed navel-ftring; or, laftly, prefentation of the pla¬ 
centa. 
5. Amorphica : labour impeded by mif-configuration of 
the fetus or of the maternal pelvis. Two varieties. 
a. A. fetu ; the fetus deformed by a preternatural mag¬ 
nitude of head, or fome morbid protuberance. 
/ 3 . Pelvica; the maternal pelvis contradled in its dia¬ 
meter by natural deformity, or fubfequent difeafe or in¬ 
jury. Not unfrequently produced by an hydropic or en- 
cyfted ovarium occupying a pofition between the redlum 
and vagina. The deformed pelvis is the moll frequent 
and obllinate impediment to parturition ; but it has al¬ 
ready been amply treated of in vol. xviii. p. 690 & feq. 
6. Parodynia pluralis: labour complicated by a plu¬ 
rality of children. 
7. Parodynia fecundaria: difeafed aiSlion or difturb- 
ance fucceeding delivery. Four varieties. 
ci. Retentiva ; retention of the fecundines. 
13 . Doloroftt ; violent after-pains. 
y. Haemorrhagica; violent hemorrhage, commonly 
called flooding., 
S. Lochialis; profufe lochia. 
Genus III. Eccyefis, [from s k, out of, and *v»ok, im¬ 
pregnation.] Extra-uterine fetation; i. e. imperfect fe¬ 
tation produced in fome organ exterior to the uterus. 
There are three fpecies. 
1. Eccyefis ovaria : iinperfeft fetation occurring in the 
right or left ovarium. (Graviditas ovarii, Sauv.) Exam¬ 
ples are common. See Ab. Vater Diflert. de Grav. appa- 
rente, ex tumore ovarii dextri enormii orta, per tres an- 
nos cum dimidio durante. Ed. Med. Eff. v. 336. Ed. 
PhyJ. Eff. ii. 273. Forrefler, 179B, 379. Ed. Med. Journ. 
ii. j8o. "Dr. Baiilie in Phil. Tranf. 1789. Barnes in Tranf. 
Medico-chir. iv. 317. 
2. Eccyefis tubalis: imperfedl fetation occurring in the 
Fallopian tube. (Graviditas tubalis. Sauv.) See Littre, 
Mem. de 1 ’Acad. R. des Sgav. 1702. Cyprian. Diflert. 
de Fetu ex Tuba excifo, 1700. Haller, in Boerh. v. 329. 
Santorin, Obf. Anat. c. ii. Tranf. Soc. Med.-chir. i. 215. 
Seealfo a cafe by Mr. Stanley, in the Tranf. College Phy- 
ficians, vol. vi. 
3. Eccyefis abdominalis: imperfeft fetation occurring 
in the cavity of the abdomen. See Krohn, Fetus extra 
uterum hid. Dentfch de graviditate abdominali. Mem. 
Med. Soc. Lond. iii. 176. Wrifberg Obferv. Anat. Young, 
Medico-chir. Tranf. i. 241. “For want of a regular pai- 
1'age opening externally, the fubftance formed often re¬ 
mains for many years in the extra-uterine nidus. Wal- 
ther gives an inftance of twenty-two years; Bayle a cafe 
of twenty-fix years; Phil. Tranf. 1677-1678, vol. xii. 
The Ephemera of Natural Curiofities, one of forty-fix 
years. Cent. x. Obf. 48.” 
Genus IV. Pfeudocyefis, [from tto- sv 3 o, falfe, and xvr, cn;, 
impregnation.] Spurious pregnancy. Generic charac¬ 
ters—Symptoms of pregnancy without impregnation; 
chiefly occurring on the ceffation of the catamenia. Two 
fpecies. 
1. Pfeudocyefis molaris, falfe conception, or mole : the 
uterus irritated by a coagulum of blood or other fluid 
lodged in its cavity, often afluming a fibrous appearance. 
Frequently exhibiting, on being difcharged, hydatids or 
other vermicles. See, for examples, Marcellus Dor.atus, 
lib. iv. cap. 25. Journ. des Sgavans, pafiim. Ruyfch. 
Obf. 28, 29. Evacuated during dancing; Slevoght, Diff. 
Fern. mol. labor. Jenae, 1700.” 
2. Pfeudocyefis inanis : the uterus void of internal 
fubftance, and irritated by fome unknown morbid aflion. 
Class VI. ECCRITICA, [from iv.v.ywu, to ftrain off, 
drain, or exhauft.] Diseases of the Excernent Func¬ 
tion. 
Order I. Mesotica, [from /xecj-o?, the middle.] Dif- 
orders afFefting the Parenchyma. “ Pravity in the quan¬ 
tity orquality of the intermediate or connecting fubftance 
of organs; without inflammation, fever, or other de¬ 
rangement of the general health.” It is very clear that 
this definition of Dr. Good’s by no means applies to all 
difeafes of the excernent function of the parenchyma. 
Indeed we are much furprifed that the very frequent 
connexion between fome of the difeafes and “inflamma¬ 
tion” and “ fever” Ihould have efcaped any one. This 
order contains four genera. 
Genus I. Polyfurcia, [from woXvcnzpxoj, flefliy, abound¬ 
ing in flelh.] Corpulency, or obefity. Generic charac¬ 
ters—Firm and unwieldy bulkinefs of the body or its 
members, from enlargement of natural parts. 
Confidering the derivation of the word, we are rather 
furprifed that Dr. Good has ufed the term Polyfurcia for 
this genus, fince much flelh or mufcle is not a difeafe : it 
is when th efat is fuperabundant that inconvenience is felt. 
Polyfarcia adipofa ; a Angle fpecies. Bulkinefs from 
fuperabundant accumlation of fat. Two varieties. 
u. A. generalis ; extending over the body and limbs. 
Sennertus mentions a woman, who at thirty-fix years of 
age weighed four hundred and eighty pounds avoirdupois; 
and a man who weighed fix hundred. Bright of Maldon 
weighed fix hundred and fixteen pounds ; and Lambert of 
Leicefterconfiderably more. In the N. Sammlung Medic. 
Wahrnehm. iii. 370, is the cafe of a man who weighed 
eight hundred pounds.—Carried off by a fpontaneous fa- 
livation. Epk. Nat. Cur. Dec. iii. ann. v. vi. obf. 65.— 
By a fright. Samml. Medicin. Wahrneltmungen , vi. 444. 
/ 3 . A. fplanchnica ; confined to the organs or integu¬ 
ments of the trunk, the limbs retaining their gracile 
form. 
Fatnefs feems to be owing to an inordinate degree of 
power in the aflimilative organs. It has been generally 
attributed to over-eating; but this is not borne out by 
fails; neither, when we confiderhow much intemperance 
difturbs digeftion, Ihould we expeCt to find this the cafe. 
Indeed, in many inftances, fat perfons are remarkably ab- 
ftinent in regard to aliment; and it is therefore the ac¬ 
tive ftateofthe digeftive organs, which, undifturbed by 
mental irritation to which thefe kind of people are fo 
little fubjeCl, affimilates almoft every portion of food 
.they take into the blood, that we mull in a great meafure 
look for the caufe of corpulence. We muft confefs how¬ 
ever, that, even under this hypothefis, we Ihould rather 
expeCt to find general plethora than an extraordinary de¬ 
velopment of adipofe ftriilure. Corpulence is only a dif¬ 
eafe when, by its preffure on the heart or any of the 
vifcera, it difturbs in an unufual degree the breathing, 
the circulation, or any other of the functions. 
Many plans have been laid down for the reduction of 
1 corpulence. 
