An Anatomical Account of Some Remarkable Things, Found on the Dissection of a Woman,Who Dyed of the Dropsie, after the Paracentesis Was Performed, with a Small Reflection onthe Causes of the Dropsie. By Dr. Charles PrestonAuthor(s): Charles PrestonSource: Philosophical Transactions (1683-1775), Vol. 19 (1695 - 1697), pp. 330-332Published by: The Royal SocietyStable URL: http://www.jstor.org/stable/102323 .

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( 33o )

; ; iX 2g4tf7ASEdl Acsozat offwe Re>Xarp&He-

wbodyedaf tbe -Dropfe dptet thePJrarentefS wJs perfbraned wftSG 4 >ll f*SZ0n on the CJiw of the I)rZp#^ y L)r*Char]es Prelion.

i) Etng ca1Ied to the DiIled;titon of ts jadatn V)inant, te

t3 Ctlirurgeen one DbLxt¢ry Operares^to Dssonfoenz ]? Zerty s vvha£ we fourd reaarkable is as ol]ows :

Tn openixlg the Lower t3elly, the Liver wXas t^oun-d very tV nite,the Spiploon estreamsly dryeda tlae St-omachm vch bigger than ordinary« the windtng of theCojon vvaici< pfRes under the Stomacla, extreamly dratwn tngether by ffiree Thredsb In tlle lJnzbilical Regi;Qi Lh2 fareSines JeJllnumand llium-, much inflamed) and theif Tuniclss much m-ore thick than ordLnary. In the Hypogaffrich Etegions all theineriour part af the InteRine][leen on that fide near the Bladde-X and aXl the bottom or tfac Mao t-rix; as alfo the inferiour part- of the Re£tum much lSo.

flamed and tJ3cerated. In the bot.te3n of the IN£atriw there uas an Abbcefs, and the internal Orlfice tXtream)y

DiSatcd, about the largentX of a Crom*t7n t Lt;e extremity

of the infertozr p.rt of tLle Uteter Cartitagtseus; te 3itremity of tkOe lkb hI.lopiatag went fo hlgh3 as the fecond Vertebre- oftIle Lumbar Region ; in the iateriour -prt it srasDilated fxtineS and ncar thv bottom of t5t

MaNtrix} absut two [ncinesj and Wastyed to a11 the-nfwrior pttaDf the Kidney > that of ti left fide wa-s- D]a-ted about four lines in the upper part7 and fis in the inferoorX

The right TeRicleX or Ovariubma which otdinarily doWs ne excecd thebign+>efs--of a Pxdgecrls Eggs was here of a-confiderabte begnefifi ehree Inchts longw and- tuowof breadth; and irlthe inferiorpart, therewasfoundan

g hangingbyits LigamentX out of tlae libaPallat 2t;S> ^Xbout the bigneX of tlle Yelliof a common Hens

i:gE,

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( 33I )

E:gg 2 which, for Experiment, I caufied-to be Boitisand st l<ardntd as an ordinary Egg, but did not pur0ue zke Tryal alty irttler.

The right Eiidney was of a confiderable bignt& utenz

up a§ far as the aft of the tYUe RiS,and deScended below the Umbilical Region ; the Pel;wts-MZas Dilared ab(>ut- three Inches in b-readth, and feven in l-ength.

ln the.fecond CCavity, tho Lttngs bsere of a Livid Co° lcur, as in a11 Chronical Dlfeais; ansd on tlle right fido t^ere adhererlt to the boembrane Pleura ; and on the left fide was an adherence of the Inferior Lobe to the l}ia*- phragm: In tIle Pericard was li£t1e or no Serum-; and what we found of a bloody Colozur in dilEd;ing the Heart, we four,d a great Polypus in tIze right Ventricle9 talingup-almoLl all the CatityX aboalt 6ve or fix Lines in tllicknefs, and h;alf aFoot ln ler>gth.

LaRly, lt is to beNotKd, tllAt tibCRt WAS normuch 0Vaterfthere having a great deal run out in tlot opeFaticnO

Having fgven a Relaton of whatwasfound gntft Re- markable, on the DiliecRion of this l4yd^opicli Woman, ; tlnall only make a {hert RtiflHtion, as to the Cauis of the DropEi; fox there is 11ere fJch a CQMpsCX of Difeafes as would furniJh Azattcr for a Volume} but l teclson mo of ttu t@C&S of tlze Dropfi-A

vre fir,d fome Authors blame theLiver, becauSe it iS

(ound of a whitLih cntGrlr; otiers the Spleen, becauSe fiometinzes Schirrous; - but tIaclE are only the eS^;.6ts of tlle Difeafeand th; ptent Subje& furniffies me with Ar- g,uments ; ior aItho'-the-llvUr \\?as of a \s71site C()104r % it 07uts yC't itS tsterlor was Red. Svlvias has obi-r?ed a P{upture of t9le LaAeal Velnsj the AeceptacWlxm C/pyli, or ZDg¢dus fDorac;, bt3t becaufv that is tecI<oned incurahle I fihall pa& to otl<ers. Since the ̂ DiCcox7ery of the Jym- patick VtfFels,they llave :7ot flood to {ayX that a Rupture of them is the caute; br}t Anatnmy te11s us tlley aPe not rO caflly broken; anduponthedi=iedion of hydroopic}sHodies,

yOu

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( 3 3^ ) you wtll never tAnd any of the Iymphatick V-ffiels broken.

We ffiall then take the true Cautp from the Mechanick StrudEture of tile partsXand the dirpofstion of tlle Blood} -> hich are firS tbe Relaxation of the Fibres and Pores of tl je fefEels,or tlle Veiculeswh.ch are between the Arteries and theVeins,or fecondly7a colnprelfil3n oftheVeITels; for tlzzLympllaticks taketheirOrigine fiom the Membranes, uFhicil cnvers tbeMuScles K0ceraa and Glatds ; therefore whcn tlae AreicalRffl are too much Srai>ned with Ssrolity, therFiLires loo(e their natural forcesand beconze uncapabE tO expel ttle tOO great quantity of Water 7 but the Vef sulgz are enlarged trom day to dayX until thvir Fibresfuf- ler {o great an Extenlion even as to vreals, fiortl hence is the tource of tlaofe Waters ; it happens a3fo lometimes, tlaat thz psres of the fiid cgl are fo widenedsthat the Lymph runs into the Cavity of the BellyX or the- Interz -Ilicesof theMuScules.

Tlle CauSe from -the D;fpofition of the Blooda is either zvien it is too thin or too ttScid ; too thin, that it palEes eafiy throalgh the Pores of the Ve-ficules; tOO viScid,that it cannotpaEs througla the Capiilary VtfEcisJand by con- [equDnce CompreIEes tile ad3acent parts) fo caufa Obw fruOionsO I ha10 infiSt no further as to the Caufonly take Notice, whetiuer in reafion tilis Woman could have ltved any time loncer, confidertzg aJl the Connplex of Di{bafes ; or if the Operation ot tlle Paracntefis was the Cank of her besng fooner carried off: From what is- {atd abov-es it is impnS1331e .e could Recover, only this is to be remarked) that wlacre t1ie DropGe is of a long continuance, and th Perrons much Debilitated and of Age, 1n that CaSe thn Operation is not to be perfiormed; - for generally the STitcert are Corrupted.

When ye perform the Operation, Extrad the Water bv degrvesX and not all at OtlCe gIfe you endanger the Perforx, tor Scarct Ont ef¢apes of a Haudred that is done otileXviKew II. Sg

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