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It treats of the pericardium and of the pericardial fluid and perhaps of the musculi papillares, and contrasts the thickness of the walls of right and left ventricles. The author considers that the left ventricle is empty of blood as indeed it is after death and is the source of the innate heat and of the absolute intelligence.

The organs above named are the commonest situations of pyæmic abscesses, but these may also occur in the bone marrow, the substance of muscles, the heart and pericardium, lymph glands, subcutaneous tissue, or, in fact, in any tissue of the body. Organisms circulating in the blood are prone to lodge on the valves of the heart and give rise to endocarditis.

The pericardium was intact in at least half of the cases, and in 22 in which the precise seat of lesion was noticed the right ventricle was ruptured in eight, the left in three, the left auricle in seven, the right in four. The longest period during which any patient survived the injury was fourteen hours.

The edges of the diaphragm are firmly attached to the walls of the trunk, and the center is supported by the pericardium and the pleura. The outer margin is muscular, but the central portion consists of a strong sheet of connective tissue. By the contraction of its muscles the diaphragm is pulled down, thereby increasing the thoracic cavity.

Is the difficulty of breathing, arising from anasarca of the lungs, relieved by sweats from the head and neck; whilst that difficulty of breathing, which arises from a dropsy of the thorax, or pericardium, is never attended with these sweats of the head? and thence can these diseases be distinguished from each other?

The outer layer also connects at certain places with the membranes surrounding the lungs and is attached below to the diaphragm. Between the two layers of the pericardium is secreted a liquid which prevents friction from the movements of the heart. A. Place occupied by the heart. B. Space inside of pericardial sac. a. Inner layer of pericardium and outer lining of heart. b.

When different alternatives may be combined, on the ground of there being different effects in each case, it is improper to assume an option which implies sublation of some of the alternatives. And in the present case such combination is possible, the veins and the pericardium holding the position of a mansion, as it were, and a couch within the mansion, while Brahman is the pillow, as it were.

Even if the patient does not appear to be seriously ill and has not much fever, he should not be allowed to have visitors, to discuss business matters, or to carry on any conversation, however little exciting. Anything which increases the heart beat increases the irritation of the inflamed surfaces of the pericardium.

Do not the dropsies of the thorax and pericardium frequently exist together, and thus add to the uncertainty and fatality of the disease? Might not the foxglove be serviceable in hydrocephalus internus, in hydrocele, and in white swellings of the joints? VI. Of cold Sweats. There have been histories given of chronical immoderate sweatings, which bear some analogy to the diabetes. Dr.

The muscles of his belly were very pale and flaccid. The cawl was yellower than is natural, and the side next the stomach and intestines looked brownish. The heart was variegated with purple spots. There was no water in the pericardium. The lungs resembled bladders half filled with air, and blotted in some places with pale, but in most with black, ink.