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Updated: May 14, 2025
The absence of that takes place in the nadis and in the Self, according to scriptural statement. Next the state of deep dreamless sleep is enquired into. Up. Up. Up. These texts declare the veins, the pericardium, and Brahman to be the place of deep sleep; and hence there is a doubt whether each of them in turns, or all of them together, are that place.
These adhesions between the two surfaces of the pericardium may be general throughout the entire pericardial sac, or they may be limited to some one or more parts of the pericardium. Perhaps one of the most frequent points of adhesion is the anterior part of the pericardium, while the apex is the part most likely to be free, even when other parts of the pericardium have grown together.
When from excitement, or other cause, one becomes conscious of the movements of the heart, these appear to be in the left portion of the chest, a fact which accounts for the erroneous impression that the heart is on the left side. *The Pericardium.*—Surrounding the heart is a protective covering, called the pericardium.
Marks reports the case of a stab-wound penetrating the left 9th intercostal space, the diaphragm, pleura, pericardium, and apex of the heart. It was necessary to enlarge the wound, and, under an anesthetic, after removing one and one-half inches of the 9th and 10th ribs, the wound was thoroughly packed with iodoform gauze and in twenty-one days the patient recovered.
It was found that the right ventricle was transversely opened for about an inch, the ball having penetrated its anterior surface, near the origin of the pulmonary artery. The ball was found loose in the pericardium, where it had fallen during the necropsy.
From the watery condition of the blood there resulted various serous effusions into the pericardium, into the ventricles of the brain, and into the abdominal cavity. In almost all cases which I examined after death, even in the most emaciated, there was more or less serous effusion into the abdominal cavity.
A necropsy was held three hours after death, and an oblique incision 3/4 inch in length was found through the cartilage-end of the 3d rib. A similar wound was next found in the pericardium, and upon examining the heart there was seen a clean, incised wound 1/2 inch in length, directly into the right ventricle, the endocardial wound being 3/8 inch long.
It entered the back near the left clavicle, beneath the scapula, close to the vertebrae between the intercostal spaces of the fifth and sixth ribs; grazing the pericardium it traversed the mediastinum, barely touching the oesophagus, and vena azygos, but completely severing the thoracic duct, and lodging in the xiphoid portion of the sternum.
EDWARD NICHOLAS of Henley upon Thames, in the County of Oxford, surgeon, upon his oath saith, that he has examined the body of Francis Blandy, Gent. deceased, and saith, that he found that the fat on the abdomen was near a state of fluidity, and that the muscles and membranes were extremely pale; and that the omentum, was preternaturally yellow, and that part which covered the stomach was brownish; that the external part of the stomach was extremely discoloured with livid spots; the internal part was extremely inflamed, and covered almost entirely with extravasated blood; the intestines were very pale and flabby, and in some parts especially, which were near the stomach, there was much extravasated blood; the liver was likewise sphacelated, in those parts particularly which were contiguous to the stomach; the bile was of a very deep yellow; in the gall bladder was found a stone about the size of a large filbert; the lungs were covered in every point with black spots; the kidneys, spleen and heart were likewise greatly spotted; there was found no water in the pericardium; in short, he never found or beheld a body in which the viscera were so universally inflamed and mortified.
From the watery condition of the blood, there resulted various serous effusions into the pericardium, ventricles of the brain, and into the abdomen. In almost all the cases which I examined after death, even the most emaciated, there was more or less serous effusion into the abdominal cavity.
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